ArticleGlobal mental health (Cambridge, England)2018
Preparing to launch the 'Thinking Healthy Programme' perinatal depression intervention in Urban Lima, Peru: experiences from the field.
Article in Global mental health (Cambridge, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Identification, Prevention, and Treatment of Perinatal Depression in Low- and Middle-Income Countries: A Narrative Review.Biological psychiatry · 2026Review
- Effectiveness of the 'Thinking Healthy Program' to reduce antenatal depression in pregnant women in a tertiary care hospital: a quasi-experimental study in Pakistan.BMC pregnancy and childbirth · 2026Article
- A landscape analysis of perinatal mental health delivery among stakeholders in Ecuador and Peru.Global mental health (Cambridge, England) · 2026Article
- Maternal Trauma history, Maternal Mental health, and Child Behavior: A Prospective Study of mother-child Dyads in Lima, Peru.Child psychiatry and human development · 2025Article
- Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders: A systematic review using an implementation science framework.Global mental health (Cambridge, England) · 2025Review
- Addressing challenges for psychotherapy supervision in global mental health through experiential learnings from rural Nepal.Discover public health · 2025Article
- Determinant factors and coping strategies for depression among pregnant women: an intervention-based qualitative study in Lahore, Pakistan.BMC psychiatry · 2024Article
- Perinatal depression and adverse child growth outcomes in low-income and middle-income countries (LMICs): A systematic review and meta-analysis.PLOS global public health · 2024Article
- Article
- Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey.BMC pregnancy and childbirth · 2023Article
- Perinatal depression and implementation of the "Thinking Healthy program" support intervention in an impoverished setting of Lima, Peru: Assessment before and during the COVID-19 pandemic.Global mental health (Cambridge, England) · 2023Article
- Scaling up community-delivered mental health support and care: A landscape analysis.Frontiers in public health · 2022Review
- Adaptation of an Evidence-Based Intervention for Disability Prevention, Implemented by Community Health Workers Serving Ethnic Minority Elders.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- A non-specialist depression care pathway for adolescents living with HIV and transitioning into adult care in Peru: a nested, proof of concept pilot study.Global mental health (Cambridge, England) · 2021Article
- Making therapies culturally relevant: translation, cultural adaptation and field-testing of the Thinking Healthy Programme for perinatal depression in China.BMC pregnancy and childbirth · 2020Article
- Outcomes associated with scale-up of the Stepping On falls prevention program: A case study in redesigning for dissemination.Journal of clinical and translational science · 2020Article
- Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi.Intervention (Amstelveen, Netherlands)Article
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10 authors.
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Abstract
backgroundAn estimated 19-25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care gap. However, the WHO THP manual explains intervention delivery but not the antecedents to implementation. Here, we describe a principled, planned approach leading to the implementation of THP in Lima, Peru by the non-profit organization Socios En Salud with community health workers (CHW) to inform its implementation in other settings.
methodsThe Replicating Effective Programs (REP) framework guided THP implementation, following four phases: (I) pre-conditions; (II) pre-implementation; (III) implementation; and (IV) maintenance and evolution. This paper centers on REP phases I and II, including (1) documented high perinatal depression rates in Peru; (2) designation of perinatal depression as a government priority; (3) THP Implementation Team orientation and training; (4) data collection plan development; (5) public health system coordination; (6) CHW selection and training; and (7) THP launch.
resultsBetween December 2016 and March 2017, a THP training program was developed and seven CHW were trained to deliver the intervention to 10 perinatal women, the first of whom was enrolled on 17 April 2017.
conclusionsTHP was rapidly implemented by a community-based organization with no prior experience in delivering non-specialist perinatal depression care. The steps followed may inform the implementation of THP in other settings.
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