ArticleAfrican journal of primary health care & family medicine2020
Adolescent mothers: A qualitative study on barriers and facilitators to mental health in a low-resource setting in Cape Town, South Africa.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Women's Experiences of Screening and Assessment of Mental Health Problems in the Perinatal Period: A Systematic Review and Meta-synthesis.Clinical child and family psychology review · 2026Pooled it
- Screening tools for maternal mental health in Africa: a systematic review.Frontiers in global women's health · 2026Pooled it
- Exploring the lived socioeconomic experiences of teen mothers in Rwanda.Reproductive health · 2026Article
- Community health intervention through musical engagement (CHIME) in South Africa: A formative exploration of the feasibility and development of a music-based intervention to support perinatal mental health.PLOS global public health · 2026Article
- Progress and gaps in childhood immunization among two-year-olds in Ghana (1993-2022): A trend and equity analysis.PloS one · 2026Article
- Experiences of social support and the role of engagement in a digital educational support group for adolescent mothers' health in the Dominican Republic.PLOS digital health · 2025Article
- Who is to blame for the 'problem' of teenage pregnancy? Narratives of blame in two South African communities.Reproductive health · 2025Article
- Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya.Reproductive health · 2025Article
- "They organized women who advised me": Adolescents' perceptions of Social and cultural influences on mental health during the postnatal period in Malawi: Qualitative study.PLOS mental health · 2025Article
- Identification of mothers with mental health problems is accidental: perceptions of health care providers on availability, access, and support for maternal mental health care for adolescent mothers in Malawi.BMC health services research · 2024Article
- Risk Factors for Anemia in Adolescent Pregnancies: Evidence From the Lembah Pantai Urban Health District in Malaysia.Cureus · 2024Article
- Shared experiences, shared support: A qualitative study on the importance of relatability in interpersonal relationships for youth mental health in South Africa.Global mental health (Cambridge, England) · 2024Article
- Incident pregnancy and mental health among adolescent girls and young women in rural KwaZulu-Natal, South Africa: an observational cohort study.International journal of adolescence and youth · 2024Article
- Maternal mental health research in Malawi: Community and healthcare provider perspectives on acceptability and ethicality.SSM. Mental health · 2023Article
- Socio-ecological factors associated with probable depression among pregnant and parenting adolescent girls: findings from a cross-sectional study in Burkina Faso and Malawi.Reproductive health · 2023Article
- "It gives you a road map of what to do to solve your problems": acceptability of a combination HIV prevention intervention among adolescent girls in Uganda.BMC public health · 2023Article
- Developing the concept of maternal in teenage mothers: a hybrid model.Frontiers in psychology · 2023Article
- "I felt I needed help, but I did not get any": A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi.Global mental health (Cambridge, England) · 2023Article
- Prevalence and associated factors of probable depression amongst pregnant and parenting young females: a comparison of adolescents and young adults in rural South Africa.Frontiers in child and adolescent psychiatry · 2023Article
- 'I was in need of somewhere to release my hurt:' Addressing the mental health of vulnerable adolescent mothers in Harare, Zimbabwe, through self-help groups.Global health action · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPregnant and postnatal adolescent women are a high-risk group for common mental disorders (CMDs); however, they have low levels of engagement and retention with mental health services. Negative consequences of CMDs have been documented for both mother and child.
aimThe study aimed to explore the barriers and facilitators to service access for adolescents in low-resource settings.
settingWe interviewed 12 adolescents, aged 15-19 years, from low-resource settings in Cape Town, South Africa. Participants had previously engaged with a mental health service, integrated into maternity care.
methodsTwelve semi-structured, individual interviews were used for this qualitative study. Interviews were recorded, transcribed and coded. A framework analysis was employed for data analysis.
resultsAdolescents perceived considerable stigma around both teenage pregnancy and mental illness, which inhibited use of mental health services. Other barriers included fearing a lack of confidentiality as well as logistical and environmental obstacles. Service uptake was facilitated by support from other adults and flexible appointment times. Face-to-face individual counselling was their preferred format for a mental health intervention.
conclusionSeveral key components for adolescent-friendly mental health services emerged from our findings: integrate routine mental health screening into existing obstetric services to de-stigmatise mental health problems and optimise screening coverage; coordinate obstetric and counselling appointment times to rationalise the use of limited resources; and sensitise care providers to the needs of adolescents to reduce stigma around adolescent sexual activity and mental illness. A non-judgemental, caring and confidential relationship between counsellors and clients is crucial for successful interactions.
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