ArticleJournal of midwifery & women's health2021
Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.
Article in Journal of midwifery & women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Integrating perinatal mental health screening into primary maternal healthcare services in Vietnam - a realist evaluation.BMC pregnancy and childbirth · 2026Article
- Feasibility and effectiveness of an interprofessional educational program on perinatal mental health: perspectives of health students in two African countries.BMC medical education · 2026Article
- Unseen and underserved: A scoping review of perinatal mental health interventions in Sub-Saharan Africa.PLOS mental health · 2026Article
- Clinicians' perspectives of managing common mental disorders among pregnant women in primary care settings: a qualitative exploratory study.Discover mental health · 2025Article
- Models and key elements of integrated perinatal mental health care: A scoping review.PLOS mental health · 2025Article
- Feasibility, acceptability and preliminary effectiveness of a culturally adapted nonspecialist delivery Problem-Solving Therapy: Friendship Bench Intervention for perinatal psychological distress in Sierra Leone.Global mental health (Cambridge, England) · 2025Article
- Article
- Understanding Healthcare Professionals' Knowledge on Perinatal Depression among Women in a Tertiary Hospital in Ghana: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi.BMC psychiatry · 2022Article
- The silent burden: a landscape analysis of common perinatal mental disorders in low- and middle-income countries.BMC pregnancy and childbirth · 2022Article
- A randomized group antenatal care pilot showed increased partner communication and partner HIV testing during pregnancy in Malawi and Tanzania.BMC pregnancy and childbirth · 2021Article
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Authors and funding
10 authors.
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Abstract
introductionCommon perinatal mental disorders are prevalent in low- and middle-income countries. The gap between the need for and availability of mental health services, also known as the mental health treatment gap, is particularly acute for women during the perinatal period in rural Mali. This qualitative study aimed to identify a feasible and acceptable integrated care approach for the provision of maternal mental health care in rural Mali to help narrow the treatment gap and increase access to care.
methodsFrom April to June 2016, qualitative data were collected in the Sélingué health district and Bamako, Mali. In-depth interviews were conducted among women, community health workers, midwives, and mental health specialists. Focus group participants included community health workers, midwives, and an obstetric nurse. All data were inductively coded and analyzed using a thematic analysis approach.
resultsWomen described several coping strategies to manage their distress, including visiting their parents; confiding in a friend, relative, or community health worker; and participating in women's association groups. Mental health-related stigma was described as being widespread in the community and among health providers. In response to the lack of mental health services, midwives and community health workers supported the feasibility and acceptability of the integration of mental health services into maternal health services. Midwives were discussed as being key providers to conduct mental health screenings and provide initial psychosocial care for women. DISCUSSION: Integrated maternal and mental health interventions are needed to narrow the gap between the need for and availability of mental health services in rural Mali. Findings from this study underscore the great need for mental health services for women in the perinatal period who reside in rural Mali and that it is both feasible and acceptable to integrate mental health screening and low-level psychosocial care into antenatal care, delivered by midwives.
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