Evidence map›Paper›PMID 33390702›Full record

ArticleHealth and human rights2020

A Right-to-Health Lens on Perinatal Mental Health Care in South Africa.

Shelley Brown, Gillian MacNaughton, Courtenay Sprague

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Health and human rights, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  6. Prevalence of depressive symptoms among teachers in the Tshwane Metropolitan Municipality, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shelley BrownClinical Assistant Professor in the Department of Health Sciences at Sargent College of Health and Rehabilitation Sciences at Boston University, Boston, USA, and a doctoral candidate in the Global Governance and Human Security Program at the McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, USA.
Gillian MacNaughtonAssociate Professor of Human Rights at the School for Global Inclusion and Social Development at the University of Massachusetts Boston, USA.
Courtenay SpragueAssociate Professor of Global Health in the Department of Conflict Resolution, Human Security and Global Governance at the McCormack Graduate School of Policy and Global Studies; the Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, USA; and the Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

South African women experience some of the highest rates of depression and anxiety globally. Despite South Africa's laudable human rights commitments to mental health in law, perinatal women are at high risk of common mental disorders due to socioeconomic factors, and they may lack access to mental health services. We used a right to mental health framework, paired with qualitative methods, to investigate barriers to accessing perinatal mental health care. Based on in-depth interviews with 14 key informants in South Africa, we found that (1) physical health was prioritized over mental health at the clinic level; (2) there were insufficient numbers of antenatal and mental health providers to ensure minimum essential levels of perinatal mental health services; (3) the implementation of human rights-based mental health policy has been inadequate; (4) the social determinants were absent from the clinic-level approach to mental health; and (5) a lack of context-specific provider training and support has undermined the quality of mental health promotion and care. We offer recommendations to address these barriers and improve approaches to perinatal mental health screening and care, guided by the following elements of the right to mental health: progressive realization; availability and accessibility; and acceptability and quality.

Indexed as

Mental HealthMental Health ServicesFemaleHealth Services AccessibilityHuman RightsHumansPregnancyQualitative ResearchSouth Africa

Identifiers

PMID33390702
PMCPMC7762903

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.