Barreras de acceso a tratamiento de la depresión posparto en Centros de Atención Primaria de la Región Metropolitana: un estudio cualitativo

Rojas, Graciela; Santelices, María Pía; Tomicic, Alemka; Reinel, Mahaira; Olhaberry, Marcia; Krause, Mariane

doi:10.4067/s0034-98872015000400002

Cited by 26 publications

(24 citation statements)

References 29 publications

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“…Organisation-level barriers include lack of a specific MHCS to turn to for PPD treatment, lack of availability of MHCS in their villages, long wait times for appointments with a psychiatrist or psychologist, and long travel distance to health facilities. Rojas et al, (2015) found similar barriers associated with access to MHCS among women with PPD in Chile, including lack of knowledge about PPD, lack of available treatment options, poor network support, long wait times, and lack of coordination between clinical and administrative decisions (Rojas et al, 2015). Nakku et al (2016) suggest that in order to increase access to MHCS, primary HCSs need to make appropriate MHCSs available to suit users' needs (Nakku et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Barriers to postpartum depression treatment among Indigenous Bedouin women in Israel: A focus group study

Alfayumi‐Zeadna

Froimovici

Azbarga

et al. 2018

Health Soc Care Community

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Postpartum depression (PPD), a common mental health problem among mothers worldwide, is higher among minority women. However, little is known about barriers faced by minority women when accessing mental health care services (MHCS) for PPD treatment. Drawing on McLeroy et al (Health Education Quartely 15: 351, 1988) ecological model, the current study explores barriers to mental health services among pregnant and postpartum minority Bedouin women in southern Israel. We conducted eight focus groups (FGs) in Arabic with 75 Bedouin women recruited using snowball sampling. Participants completed a socio‐demographic questionnaire at each FG. Discussions were recorded and transcribed verbatim. Next, we conducted simultaneous thematic analysis and coded transcripts into conceptual categories based on the ecological model. We found multiple barriers that manifest at different levels (individual, family, organisational, economic, and public policy) and interact to limit Bedouin women's access to PPD treatment. At the individual level, factors included: women's negative attitudes toward PPD, women's societal status, grand multipara, gender, and limited knowledge about PPD; at the family level: low awareness among husbands and other family members regarding PPD symptoms and treatment, and lack of social support; at the organisational level: lack of culturally appropriate (health care services) HCSs, lack of PPD screening, and lack of PPD detection by family physicians; at the community level: economic barriers and poverty, stigmatisation of mental health problems, polygamy, and multiple births; finally, at the public policy level: residence in unrecognised villages lacking basic infrastructure. Our study thus sheds light on multilevel barriers impacting PPD prevention and treatment among Bedouin women. Policies and intervention programmes should seek to remove these barriers and protect Bedouin women and their children from the consequences of PPD.

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Section: Discussionmentioning

confidence: 99%

Barriers to postpartum depression treatment among Indigenous Bedouin women in Israel: A focus group study

Alfayumi‐Zeadna

Froimovici

Azbarga

et al. 2018

Health Soc Care Community

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“…Barriers to treatment of PPD were evidenced by a study in Chile, such as lack of user knowledge about the disease, negative conceptualization and rejection of the available treatment options; poor network support and long waiting times and a lack of coordination between clinical and administrative decisions 53 .…”

Section: Postpartum Depression (Ppd): Non-specialized Management In Phcmentioning

confidence: 99%

Ações do programa de puerpério na atenção primária: uma revisão integrativa

Baratieri

Natal

2019

Ciênc. saúde coletiva

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Resumo O puerpério trata-se de um período de significativa morbimortalidade para as mulheres, e a Atenção Primária à saúde (APS) é importante no desenvolvimento de ações para atender as necessidades de saúde das mulheres. Objetivou-se sistematizar o conhecimento produzido sobre as ações de programas de atenção pós-parto no âmbito da APS, tanto em nível nacional, como internacional. Utilizou-se revisão integrativa de literatura de artigos junto às bases Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde), BDENF (Base de dados em Enfermagem), SciELO (Scientific Electronic Library Online) e PubMed (Biblioteca Nacional de Medicina dos Estados Unidos). A busca ocorreu de abril a maio de 2017. Atenderam aos critérios de seleção 43 artigos. Os resultados apontam que: a APS possui estrutura física para atenção à puérpera, porém com déficit em recursos humanos e materiais; há baixa cobertura de consulta pós-parto e visita domiciliar; boa avaliação do incentivo ao aleitamento materno, porém com foco na criança; rastreamento da Depressão Pós-Parto internacionalmente por meio da “Edimburgh Post-Natal Depression Scale”, e déficit na atenção a esse agravo no Brasil. A atenção pós-parto ainda tem como foco o cuidado ao recém-nascido e são restritos, em sua maioria, ao puerpério imediato e tardio.

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“…Se llevaron a cabo dos estudios cualitativos 17,18 para explorar las barreras de acceso a tratamiento para la DPP.…”

Section: Componente Cualitativounclassified

“…Uno de los estudios complementó estas entrevistas con observaciones realizadas en las salas de espera de los centros de salud y notas de campo 18 . Mayores detalles de los procedimientos específicos de selección de participantes, recolección de información y análisis de los datos fueron descritos previamente 17,18 .…”

Section: Componente Cualitativounclassified

Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria

2018

Self Cite

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Screening and barriers for treatment of postpartum depression in Chilean public primary health care centers Background: Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains. Aim: To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers. Material and Methods: Puerperal women attending PHC centers for a well-child checkup were assessed for the presence of PPD using the Edinburgh Postnatal Depression Scale and a structured psychiatric interview. PPD cases were assessed by telephone three months later. Also, women with PPD and PHC workers were interviewed to explore treatment barriers. Results: Of the 305 women assessed, 21% met diagnostic criteria for PPD. Sixty five percent of assessed women were previously screened for PPD while attending well-child checkups. The results of the screening were communicated to 60% of them and 28% received some management indication. After three months of follow up, 70% of PPD cases continued to be depressed, and two thirds of them did not consult a health care provider and most of them rejected psychotherapy or medical treatment. Conclusions: Management of postpartum depression should be substantially improved in public PHC from screening to treatment.

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Barreras de acceso a tratamiento de la depresión posparto en Centros de Atención Primaria de la Región Metropolitana: un estudio cualitativo

Abstract: (Rev Med Chile 2015; 143: 424-432)

Cited by 26 publications

References 29 publications

Barriers to postpartum depression treatment among Indigenous Bedouin women in Israel: A focus group study

Barriers to postpartum depression treatment among Indigenous Bedouin women in Israel: A focus group study

Ações do programa de puerpério na atenção primária: uma revisão integrativa

Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria

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