Carabayllo tuberculosis patients face many challenges in addition to tuberculosis. A collaborative, comprehensive treatment support programme can achieve high rates of linkage to care for these needs.

Background: Socios En Salud (SES) implemented the Thinking Healthy Program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte.Methods: We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9 and THP sessions were delivered in women with a score (PHQ-9 ≥5). Depression was reassessed and pre- and post- scores were compared. Results: In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%) and the PHQ-9 score median decreased from 8 to 2, p < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%) and the PHQ-9 score median decreased from 7 to 2, p < 0.001. Conclusions: Perinatal depression was higher during COVID-19. THP´s modalities were effective in reducing perinatal depression.