Perceptions of postnatal depression and health care needs in a South African sample: the “mental” in maternal health care

BMC Women's Health

Research Article

Arvin Bhana¹  Tasneem Kathree¹  Inge Petersen¹  One M Selohilwe¹ 

[1] Psychology, School of Applied Human Sciences, University of KwaZulu-Natal, Mazisi Kunene Road, 4041, Durban, South Africa;

关键词: Maternal;    Postnatal;    Mental health;    South Africa;    Task-sharing;    Low income;   

DOI  :  10.1186/s12905-014-0140-7

 received in 2013-11-29, accepted in 2014-10-23,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundMaternal mental health care is a neglected area in low and middle income countries (LAMIC) such as South Africa, where maternal and child health care priorities are focused on reducing maternal and infant mortality and promoting infant physical health. In the context of a paucity of mental health specialists, the aim of this study was to understand the explanatory models of illness held by women with maternal depression with the view to informing the development of an appropriate counselling intervention using a task sharing approach.MethodsTwenty semi-structured qualitative interviews were conducted with mothers from a poor socio-economic area who were diagnosed with depression at the time of attending a primary health care facility. Follow-up interviews were conducted with 10 participants in their homes.ResultsDimensions of poverty, particularly food and financial insecurity and insecure accommodation; unwanted pregnancy; and interpersonal conflict, particularly partner rejection, infidelity and general lack of support were reported as the causes of depression. Exacerbating factors included negative thoughts and social isolation. Respondents embraced the notion of task sharing, indicating that counselling provided by general health care providers either individually or in groups could be helpful.ConclusionCounselling interventions drawing on techniques from cognitive behavioural therapy and problem solving therapy within a task sharing approach are recommended to build self-efficacy to address their material conditions and relationship problems in poorly resourced primary health care facilities in South Africa.

【 授权许可】

CC BY   
© Kathree et al.; licensee BioMed Central Ltd. 2014