ArticleInternational journal of mental health systems2021
"We do not know how to screen and provide treatment": a qualitative study of barriers and enablers of implementing perinatal depression health services in Ethiopia.
Article in International journal of mental health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Prevalence of perinatal depression in Ethiopia: An umbrella review of systematic review and meta-analysis studies.PloS one · 2026Pooled it
- Burden of care among caregivers of people with mental illness in Africa: a systematic review and meta-analysis.BMC psychiatry · 2024Pooled it
- Improving maternal health literacy among low-income pregnant women: A systematic review.Narra J · 2024Pooled it
- Women's experiences of specialist perinatal mental health services: a qualitative evidence synthesis.Archives of women's mental health · 2023Pooled it
- Internalised stigma among people with mental illness in Africa, pooled effect estimates and subgroup analysis on each domain: systematic review and meta-analysis.BMC psychiatry · 2023Pooled it
- Maternal health workers' knowledge, practices, and influencing factors in screening and managing perinatal mental health conditions in primary healthcare facilities in Addis Ababa, Ethiopia: a qualitative study.BMC health services research · 2026Article
- Feasibility and acceptability of systematic screening for depression among people with HIV in Senegal: a qualitative study among various stakeholders.BMC psychiatry · 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
- Postnatal Common Mental Disorders and Their Predictors in Northwest Ethiopia: A Community-Based Cohort Study.Depression and anxiety · 2026Article
- Postpartum depression among mothers attending postnatal clinics in Bole sub-city, Addis Ababa, Ethiopia, in the post-COVID-19 era: A cross-sectional study.PLOS global public health · 2026Article
- Clinicians' perspectives of managing common mental disorders among pregnant women in primary care settings: a qualitative exploratory study.Discover mental health · 2025Article
- Experiences of intimate partner violence and antepartum depression among women seeking antenatal care in Addis Ababa, Ethiopia: findings from the MISPOD study.Scientific reports · 2025Article
- Conceptualizing maternal mental health in rural Ghana: a realist qualitative analysis.Health policy and planning · 2025Article
- Integrating Mental Health Services Into Perinatal Care: Challenges and Opportunities.Journal of multidisciplinary healthcare · 2025Article
- Antenatal group-based psychoeducation to improve postpartum depression literacy in primary health care institutions in Ethiopia: a cluster randomized controlled trial.Frontiers in psychiatry · 2025Article
- The causal effect of stressors on antenatal common mental disorders among pregnant mothers in Dabat district Northwest, Ethiopia: A generalized structural equation model approach.PLOS mental health · 2025Article
- Article
- Piloting a psychosocial intervention for perinatal depression, the Thinking Healthy Programme-Peer delivered (THPP), in a primary care setting in Lilongwe District, Malawi.PLOS global public health · 2024Article
- Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi.BMC psychiatry · 2022Article
- Patient and Healthcare Worker Perspectives on the Integration of Mental Health Services Into Routine ART Services in Windhoek, Namibia: A Qualitative Study.International journal of integrated careArticle
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4 authors.
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Abstract
backgroundQualitative studies evaluating maternal mental health services are lacking in Ethiopia, and the available evidence targets severe mental illnesses in the general population. We conducted a qualitative study to explore barriers to, enablers of, or opportunities for perinatal depression health services implementations in Ethiopia.
methodsWe conducted a total of 13 face to face interviews with mental and maternal health service administrators from different levels of the Ethiopian healthcare system. We interviewed in Amharic (a local language), transcribed and translated into English, and imported into NVivo. We analysed the translated interviews inductively using thematic framework analysis.
resultsThe study identified: (i) health administrators' low literacy about perinatal depression as individual level barriers; (ii) community low awareness, health-seeking behaviours and cultural norms about perinatal depression as socio-cultural level barriers; (iii) lack of government capacity, readiness, and priority of screening and managing perinatal depression as organisational level barriers; and (iv) lack of mental health policy, strategies, and healthcare systems as structural level barriers of perinatal mental health implementation in Ethiopia. The introduction of the new Mental Health Gap Action Programme (mhGap), health professionals' commitment, and simplicity of screening programs were identified enablers of, or opportunities for, perinatal mental health service implementation.
conclusionsThis qualitative inquiry identified important barriers and potential opportunities that could be used to address perinatal depression in Ethiopia. Building the capacity of policy makers and planners, strengthening the mental healthcare system and governance should be a priority issue for an effective integration of maternal mental health care with the routine maternal health services in Ethiopia.
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