Evidence map›Paper›PMID 40158152›Full record

ArticleBMC primary care2025

The impact of perinatal mental health training on knowledge and practice of primary care physicians: a systems strengthening initiative in Telangana, India.

Raveena Akkineni, Sundarnag Ganjekar, Veena Satyanarayana, Nithin Kondapuram, Khyati Tiwari, Sowjanya Medisetti, S Padmaja, R V Karnan, Prabha S Chandra

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Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Raveena AkkineniDepartment of Psychiatry, NIMHANS, Hosur Road, Bengaluru, India.
Sundarnag GanjekarDepartment of Psychiatry, NIMHANS, Hosur Road, Bengaluru, India.
Veena SatyanarayanaDepartment of Clinical Psychology, NIMHANS, Hosur Road, Bengaluru, India.
Nithin KondapuramDepartment of Psychiatry, NIMHANS, Hosur Road, Bengaluru, India.
Khyati TiwariUNICEF, Hyderabad, India.
Sowjanya MedisettiUNICEF, Hyderabad, India.
S PadmajaMaternal Health and Nutrition, Health Services, Hyderabad, India.
R V KarnanIAS, DMHS Campus, Sultan Bazar, Koti, Hyderabad, India.
Prabha S ChandraDepartment of Psychiatry, NIMHANS, Hosur Road, Bengaluru, India. chandra@nimhans.ac.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn India, despite the high prevalence of perinatal mental health (PMH) conditions most primary care physicians (PCPs) have inadequate knowledge and skills to identify and provide appropriate interventions. The Health and Family Welfare Department of Telangana, India, partnered with the United Nations Children's Fund (UNICEF) and the Perinatal Mental Health service of the National Institute of Mental Health and Neurosciences to address this gap. The initial step in integrating PMH into the Maternal and child health (MCH) program involved training PCPs. This study aimed to outline the knowledge improvements regarding PMH among PCPs after the training.

methodsThe training, conducted from June to January 2023-2024 across 30 districts, employed various interactive and reflective educational methods. Pre and post-training assessments evaluated knowledge enhancement and skill development, focusing on identifying perinatal anxiety and depression, assessing severity, recognizing risk factors, identifying the need for referrals, and rational psychopharmacology. This study aimed to assess the impact of training on improving knowledge and skills among PCPs which would influence perinatal mental health service delivery in Telangana.

resultsOut of 863 PCPs in the 30 districts, 465 (53.8%) were able to complete the one-day training. Valid pre and post-training responses were available for 374 PCPs. A comparison of pre and post-training scores showed improvement in knowledge in a mean number of risk factors identified (pre: 3.05, post: 5.4; p < 0.001), ability to recognize depression (pre: 2.75, post: 4.33; p < 0.001) and anxiety symptoms (pre: 4.16, post: 6.08; p < 0.001), assess the severity of depression (pre: 0.46, post: 0.85; p < 0.001) and anxiety (pre: 0.57, post: 0.98, p < 0.001), safe medication use during pregnancy (pre: 0.89, post: 2.18;p < 0.001), and during breastfeeding (pre: 1.07, post: 2.13; p < 0.001) and identifying the need for referral to a psychiatrist (pre: 1.90, post: 3.13; p = 0.003).

conclusionThe one-day training for PCPs enhanced knowledge across various PMH domains. However, studies with follow-up data are necessary to assess the retention of this knowledge and skills related to case identification and referrals. Such studies will provide a more comprehensive evaluation of the effectiveness of the training program.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeMental DisordersMental HealthPerinatal CarePhysicians, Primary CareAdultFemaleHumansIndiaMalePregnancyLMICPerinatal Mental HealthPostpartum depressionPrimary CareTraining

Identifiers

PMID40158152
PMCPMC11954265

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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.