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


Chowdhary, N; Sikander, S; Atif, N; Singh, N; Ahmad, I; Fuhr, DC; Rahman, A; Patel, V; (2014) The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: A systematic review. Best practice & research Clinical obstetrics & gynaecology, 28 (1). pp. 113-33. ISSN 1521-6934 DOI: https://doi.org/10.1016/j.bpobgyn.2013.08.013

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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.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: Centre for Global Mental Health
Centre for Maternal, Reproductive and Child Health (MARCH)
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 24054170
Web of Science ID: 330258600011
URI: http://researchonline.lshtm.ac.uk/id/eprint/1229700

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