Evidence map›Paper›PMID 42090431›Full record

ArticlePLOS global public health2026

Assessing the approach to perinatal mental health screening and treatment in maternal-child health clinics in Western Kenya.

Asterico Neema, Anna Larsen, Agnes Karingo Karume, Anne Kaggiah, Anjuli D Wagner, Barbra Richardson, Bryan Weiner, Catherine Maina, Clinton Ndambuki, David Owaga and 8 more

Abstract read
In one paragraph

Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Asterico NeemaDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.ORCID https://orcid.org/0009-0003-7898-1910
Anna LarsenDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-0096-9386
Agnes Karingo KarumeDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.
Anne KaggiahDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-7529-3093
Anjuli D WagnerDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
Barbra RichardsonDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
Bryan WeinerDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
Catherine MainaDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.
Clinton NdambukiDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.
David OwagaDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.
Nancy NgumbauDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.
Lincoln PothanDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0001-6721-3017
Yuwei WangDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
Alexandra RoseDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0001-9689-0834
Linnet OngeriMental Health Division, Kenya Medical Research Institute, Nairobi, Kenya.
Amritha BhatDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, United States of America.
Keshet RonenDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
John KinuthiaDepartment of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating mental health care into well-attended health services, such as maternal-child health (MCH), offers a promising approach to increasing access to mental health care. To inform integration, we assessed the current approach to screening and treatment of perinatal mood and anxiety disorders (PMAD) in MCH facilities in Western Kenya. We conducted a cross-sectional survey among the facility managers ("in-charges") at 20 MCH facilities in Western Kenya. Trained data collectors administered questionnaires to assess facility infrastructure and human resources, perinatal mental health screening, psychological interventions, psychiatric medication availability, and level of perinatal mental health integration into standard MCH services. Across 20 MCH facilities, the majority were located in rural areas (16,80%), 2 peri-urban (10%), and 2 urban (10%). Facilities had a median of 37.5 medical staff (IQR: 31.0, 45.5); the most common cadre was nurses (median: 9.0, IQR: 6.0, 12.5). Under half of the facilities (8, 40%) screened for PMAD using a validated tool and documented results; most (19, 95%) reported diagnosing PMAD (not necessarily through a systematic approach), yet only half (10, 53%) documented the diagnosis. The most common psychotherapy reported across the sites was supportive counseling (15, 75%). Some facilities offered evidence-based psychotherapies (e.g., cognitive behavioral therapy, problem-solving therapy, etc.), but did not report on training, supervision or guidance from the evidence-based intervention manual. Across all facilities, the availability of mental health medications was limited. Only (12, 60%) had any antidepressant available, (16, 80%) had antiepileptics, (9, 45%) had antipsychotics, and (2, 10%) had mood stabilizers available. Mental health services in MCH clinics in Western Kenya are currently not offered in a structured and systematic manner to effectively alleviate PMAD. Available infrastructure and human resources offer an opportunity to integrate an evidence-based treatment model to improve perinatal mental health in the MCH clinics in Western Kenya.

Identifiers

PMID42090431
PMCPMC13148656

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.