Challenges and opportunities in developing a psychological intervention for perinatal depression in rural Pakistan--a multi-method study.
Perinatal depression, due to its high prevalence and associations with disability, poor infant development and family disruption, is a major public health problem in developing countries. In non-literate and poor communities where depression is not recognised and where there are no specialists, developing a culturally acceptable, deliverable psychological intervention that community members find useful, presents special challenges but also opportunities. We describe lessons learned from a multi-method formative study to develop and deliver a psychological intervention to depressed mothers and their infants through non-specialist village based health workers.
Division of Psychiatry, University of Manchester, Manchester, U.K. atif.rahman@ntlworld.com
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Rahman
D001294:Attitude to Health; D015928:Cognitive Behavioral Therapy / Q000193:education / Q000458:organization & administration*; D003150:Community Health Workers / Q000193:education; D003469:Culture; D019052:Depression, Postpartum / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003906:Developing Countries; D004493:Education; D005260:Female; D006801:Humans; D009034:Mother-Child Relations; D017063:Outcome Assessment, Health Care; D010154:Pakistan; D012424:Rural Population; D012649:Self Concept