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Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):113-33. doi: 10.1016/j.bpobgyn.2013.08.013. Epub 2013 Sep 2.

The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review.

Author information

1
Sangath, 841/1, Alto Porvorim - Goa 403511, India; The London School of Hygiene and Tropical Medicine, UK.
2
Human Development Research Foundation, Islamabad, Pakistan.
3
Sangath, 841/1, Alto Porvorim - Goa 403511, India.
4
The London School of Hygiene and Tropical Medicine, UK.
5
(d)University of Liverpool, Institute of Psychology, Health and Society Child Mental Health Unit, Alder Hey Children's NHS Trust, Mulberry House, Eaton Road, Liverpool L12 2AP, UK.
6
Sangath, 841/1, Alto Porvorim - Goa 403511, India; The London School of Hygiene and Tropical Medicine, UK. Electronic address: Vikram.Patel@lshtm.ac.uk.

Abstract

Psychological interventions delivered by non-specialist health workers are effective for the treatment of perinatal depression in low- and middle-income countries. In this systematic review, we describe the content and delivery of such interventions. Nine studies were identified. The interventions shared a number of key features, such as delivery provided within the context of routine maternal and child health care beginning in the antenatal period and extending postnatally; focus of the intervention beyond the mother to include the child and involving other family members; and attention to social problems and a focus on empowerment of women. All the interventions were adapted for contextual and cultural relevance; for example, in domains of language, metaphors and content. Although the competence and quality of non-specialist health workers delivered interventions was expected to be achieved through structured training and ongoing supervision, empirical evaluations of these were scarce. Scalability of these interventions also remains a challenge and needs further attention.

KEYWORDS:

allied health personnel; community health workers; depression; developing country; mothers; perinatal depression; voluntary workers

PMID:
24054170
PMCID:
PMC3893480
DOI:
10.1016/j.bpobgyn.2013.08.013
[Indexed for MEDLINE]
Free PMC Article

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