ArticleInternational journal of mental health systems2018
The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia.
Article in International journal of mental health systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 53 citations in OpenAlex.
- Relationship of perinatal outcomes to the competence and quantity of contact with community health workers.Journal of global health · 2025Trial
- Integrating perinatal mental health screening into primary maternal healthcare services in Vietnam - a realist evaluation.BMC pregnancy and childbirth · 2026Article
- The use of vignettes in studies on mental disorders in low- and middle-income countries in the East Asia and the Pacific region: A scoping review.PCN reports : psychiatry and clinical neurosciences · 2025Review
- Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia.International journal of nursing sciences · 2025Article
- Challenges in non-communicable disease mitigation among community health workers: A scoping review.Journal of public health in Africa · 2025Review
- From Insights to Impact: Understanding Cancer Screening Choices through Mixed-Methods.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Rural Friendship Bench: A qualitative study in Zaka district, Zimbabwe.Social science & medicine (1982) · 2024Article
- An exploration of the Indonesian lay mental health workers' (cadres) experiences in performing their roles in community mental health services: a qualitative study.International journal of mental health systems · 2024Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Community health centers response to the need of dementia care.Journal of public health research · 2023Article
- Article
- Contemporary management of unipolar depression in the perinatal period.Expert review of neurotherapeutics · 2021Article
- Incidence of concomitant illnesses in pregnancy in Indonesia: Estimates from 1990-2019, with projections to 2030.The Lancet regional health. Western Pacific · 2021Article
- Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan.Frontiers in psychiatry · 2021Article
- How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan.International journal of environmental research and public health · 2020Article
- Civic engagement and mental health system strengthening in Indonesia: a qualitative examination of the views of health professionals and national key stakeholders.BMC psychiatry · 2020Article
- Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: A qualitative exploration of the views of service users and carers.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Implementation outcomes and strategies for depression interventions in low- and middle-income countries: a systematic review.Global mental health (Cambridge, England) · 2020Review
- Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndonesian maternal health policies state that community health workers (CHWs) are responsible for detection and referral of pregnant women and postpartum mothers who might suffer from mental health problems (task-sharing). The documents have been published for a while, however reports on the implementation are hardly found which possibly resulted from feasibility issue within the health system.
aimsTo examine the feasibility of task-sharing in integrated mental health care to identify perinatal depression in Surabaya, Indonesia.
methodsSemi-structured interviews were conducted with 62 participants representing four stakeholder groups in primary health care: program managers from the health office and the community, health workers and CHWs, mental health specialists, and service users. Questions on the feasibility were supported by vignettes about perinatal depression. WHO's health systems framework was applied to analyse the data using framework analysis.
resultsFindings indicated the policy initiative is feasible to the district health system. A strong basis within the health system for task-sharing in maternal mental health rests on health leadership and governance that open an opportunity for training and supervision, financing, and intersectoral collaboration. The infrastructure and resources in the city provide potential for a continuity of care. Nevertheless, feasibility is challenged by gaps between policy and practices, inadequate support system in technologies and information system, assigning the workforce and strategies to be applied, and the lack of practical guidelines to guide the implementation.
conclusionThe health system and resources in Surabaya provide opportunities for task-sharing to detect and refer cases of perinatal depression in an integrated mental health care system. Participation of informal workforce might facilitate in closing the gap in the provision of information on perinatal mental health.
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