Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2014
Community-based prenatal screening for postpartum depression in a South African township.
Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of screening for perinatal depression and anxiety in community-based settings.Archives of women's mental health · 2022Pooled it
- Assessment of Barriers and Facilitators to the Delivery of Care for Noncommunicable Diseases by Nonphysician Health Workers in Low- and Middle-Income Countries: A Systematic Review and Qualitative Analysis.JAMA network open · 2019Pooled it
- Reliability and validity of depression assessment among persons with HIV in sub-Saharan Africa: systematic review and meta-analysis.Journal of acquired immune deficiency syndromes (1999) · 2014Pooled it
- Food insufficiency, depression, and the modifying role of social support: Evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa.Social science & medicine (1982) · 2016Trial
- Intimate Partner Violence and Depression Symptom Severity among South African Women during Pregnancy and Postpartum: Population-Based Prospective Cohort Study.PLoS medicine · 2016Trial
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Intersecting Vulnerabilities: Depression, Suicidality, and HIV Risk Among Young Mothers in South Africa.AIDS and behavior · 2026Article
- Diagnosis of postpartum depression and associated factors in South Africa: a cohort study of 47,697 women.Epidemiology and psychiatric sciences · 2025Article
- Prevalence of postpartum depression and its association with diabetes mellitus among mothers in public health facilities in Mbarara, Southwestern Uganda.Psychology, health & medicine · 2025Article
- Prevalence of postpartum depression and its association with Diabetes mellitus among mothers in Mbarara, southwestern Uganda.medRxiv : the preprint server for health sciences · 2023Article
- Empirically derived dietary patterns and postpartum depression symptoms in a large sample of Iranian women.BMC psychiatry · 2023Article
- Intimate partner violence victimization during pregnancy increases risk of postpartum depression among urban adolescent mothers in South Africa.Reproductive health · 2023Article
- Validating the Edinburgh Postnatal Depression Scale Against the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition for Use in Uganda.International journal of women's health · 2023Article
- Postpartum Mental Health in Rural South Africa: Socioeconomic Stressors and Worsening Mental Health.Maternal and child health journal · 2022Article
- Prevalence and factors associated with post-partum depression in a rural area of Cameroon: a cross-sectional study.The Pan African medical journal · 2022Article
- isiXhosa Translation of the Patient Health Questionnaire (PHQ-9): A Pilot Study of Psychometric Properties [Stage 1].Frontiers in psychiatry · 2022Article
- Roll-out of HIV pre-exposure prophylaxis: a gateway to mental health promotion.BMJ global health · 2021Review
- "Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi.PloS one · 2020Article
- The association of intimate partner violence with postpartum depression in women during their first month period of giving delivery in health centers at Dessie town, 2019.Annals of general psychiatry · 2020Article
- The magnitude of postpartum depression among mothers in Africa: a literature review.The Pan African medical journal · 2020Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo assess the feasibility of using community health workers to administer short or ultra-short screening instruments during routine community-based prenatal outreach for detecting probable depression at 12 weeks postpartum.
methodsDuring pregnancy and at 12 weeks postpartum, the 10-item Edinburgh Postnatal Depression Scale (EPDS-10) was administered to 249 Xhosa-speaking black African women living in Khayelitsha, South Africa. We compared the operating characteristics of the prenatal EPDS-10, as well as 4 short and ultra-short subscales, with the criterion standard of probable postpartum depression.
resultsSeventy-nine (31.7%) women were assessed as having probable postpartum depression. A prenatal EPDS-10 score of 13 or higher had 0.67 sensitivity and 0.67 specificity for detecting probable postpartum depression. Briefer subscales performed similarly.
conclusionCommunity health workers successfully conducted community-based screening for depression in a resource-limited setting using short or ultra-short screening instruments. However, overall feasibility was limited because prenatal screening failed to accurately predict probable depression during the postpartum period.
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