Reliability and validity of a perinatal depression screening instrument in rural Mali

Lasater, Molly E.; Beebe, Madeleine; Warren, Nicole; Winch, Peter J.; Soucko, Fatoumata; Keita, Mariam; Doumbia, Seydou; Murray, Sarah M.

doi:10.1016/j.ssmmh.2021.100059

Cited by 3 publications

(3 citation statements)

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“…In agreement with this study, the literature indicated that limited training among health workers was found to be a barrier to screening for perinatal mental disorders in Ethiopia [41]. It is evident that training is essential for general health care workers to properly screen for mental disorders [1,21,33,37,38] in antenatal clinics. Mental health training can help midwives to acquire necessary skills [42] and improves their capacity to care for pregnant women holistically [3,43].…”

Section: Discussionsupporting

confidence: 83%

“…Midwives also lack instruments for screening depression in these settings [35,36]. There is an urgent need for locally validated screening instruments that are brief and easy to use by various cadres of health care providers in predominantly rural African countries with limited health facilities, inadequate staff and high workloads [37]. Screening protocols for antenatal depression could help midwives to implement effective interventions systematically without adding to their workload [25] in these busy antenatal clinics.…”

Section: Discussionmentioning

confidence: 99%

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Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi

et al. 2022

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Background Depression is one of the most common perinatal mental health problems that affect pregnant women. Antenatal depression can adversely affect the well-being of the pregnant woman and her foetus. Depression is rarely detected by midwives due to the unavailability of relevant screening instruments in Malawi. A Screening Protocol for Antenatal Depression (SPADe) was developed and recommended for possible use to screen for depression in antenatal clinics in the country. The acceptability and feasibility of using the SPADe protocol to screen for depression has not been established. The aim of this study was to assess the acceptability and feasibility of screening for depression by midwives using SPADe in antenatal clinics in Blantyre district. Methods This study used a quantitative survey design to collect data among 60 midwives in three antenatal clinics in primary care settings. All inclusive sampling of all 60 midwives were used. The Structured Assessment of FEasibility and Ottawa Acceptability of Decision Rules Instruments were used to collect the data. Descriptive statistics and Chi square tests were used to analyse the data. Results This study found that it was feasible to implement SPADe and the following enablers for screening depression had the highest ratings: the SPADe is applicable to pregnant women (M = 3.9, sd = 0.4); the intended goal of the SPADe matches the prioritised goals of Malawi Ministry of Health (M = 3.9, sd = 0.5); and the SPADe is likely to be effective (M = 3.8, sd = 0.6). On the other hand, barriers for implementing the SPADe were: the need for specific training to deliver the SPADe (M = 3.7, sd = 0.7); ongoing support and supervision (M = 3.5, sd = 0.8); and additional resources (M = 3.0, sd = 0.9). This study also found that the implementation of the SPADe was acceptable to respondents. The overall mean score for respondents on acceptability of screening antenatal depression using SPADe was found to be high (M = 4.6, sd = 0.6). However the differences in the respondents’ mean scores on acceptability of screening for depression in antenatal clinics using SPADe in relation to their demographic characteristics were not significant (p > .05). Conclusion This study suggests that midwives feel that it is feasible and acceptable for them to implement the SPADe in antenatal clinics with ongoing training, support and clinical supervision.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi

et al. 2022

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“…In addition, healthcare providers may lack training or knowledge in recognizing these disorders' subtle signs and symptoms, further hindering accurate diagnosis. Improved education and awareness among healthcare professionals about the availability and importance of validated screening tools can help ensure early detection and appropriate diagnosis of postpartum mood disorders [53].…”

Section: Gaps In Healthcare Provider Knowledge and Trainingmentioning

confidence: 99%

Postpartum Mood Disorders: Insights into Diagnosis, Prevention, and Treatment

Garapati,

Jajoo,

Aradhya

et al. 2023

Cureus

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Postpartum mood disorders pose significant challenges to women's mental health and well-being during the postpartum period. This review article provides insights into these disorders' diagnosis, prevention, and treatment. The article begins by discussing the background information on postpartum mood disorders, their significance, and the purpose of understanding them. It then delves into the classification and types of postpartum mood disorders, emphasizing the need for accurate diagnosis and differentiation. Prevalence and incidence rates are explored to highlight the scope and impact of these disorders. The review examines various risk factors associated with postpartum mood disorders, including biological, psychological, and socioeconomic factors. Understanding these risk factors helps identify high-risk populations and guide targeted interventions. Screening and diagnosis of postpartum mood disorders are crucial for early detection and intervention. The article provides an overview of screening tools, highlights the challenges in diagnosis, and emphasizes the importance of early identification for better outcomes. Prevention strategies are explored, including antenatal education, psychosocial support programs, and the role of healthcare professionals in promoting preventive measures. Effective prevention interventions and their outcomes are discussed to guide healthcare providers and policymakers in implementing evidence-based strategies. Treatment approaches for postpartum mood disorders include pharmacological interventions, psychotherapy options, alternative and complementary therapies, and multidisciplinary approaches. The article discusses the effectiveness and considerations of each approach, highlighting the importance of individualized care. Challenges and barriers in diagnosing, preventing, and treating postpartum mood disorders are addressed, including stigma, limited access to healthcare services, and gaps in healthcare provider knowledge and training. Recommendations are provided for healthcare professionals and policymakers to overcome these challenges and improve outcomes. The review concludes by highlighting the need for future research, innovations in prevention and treatment approaches, and collaborative efforts in the field of postpartum mood disorders. Promising areas for research are identified, including long-term outcomes, understanding risk factors, and cultural considerations. The article emphasizes the importance of interdisciplinary collaboration and stakeholder engagement in advancing the field.

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Assessment of community stakeholders’ and health educators and professionals needs for the continuous enhancement of sexual and reproductive health and rights within the CLEFS project in Mali: Protocol for a convergent mixed-methods study (Preprint)

Abou Malham,

Traoré,

Dicko

et al. 2024

Preprint

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BACKGROUND In Mali, a lack of qualified human resources (HR) in primary health care (PHC) and sexual and reproductive health and rights (SRHR) is one of the greatest barriers to the population's access to standard health services. Frontline professional trainings require to be strengthened to respond to the needs of the population, particularly those of women and girls. Trainings must be conducted with an interdisciplinary and adapted approach as well as to promote gender equality (GE). OBJECTIVE To identify the SRHR training needs among community, educational actors and primary health care providers. METHODS Convergent mixed methods research was adopted, using two methods: (1) A quantitative method, through a cross-sectional analytical survey conducted at the community level with university community health centers (CSCom-U ) users and adolescents in CSCom-U health areas, as well as at the health education institution and community health centers (CSCom ) levels with teachers, students and interdisciplinary professional groups within the CSCom-U and district hospital maternity. Descriptive and inferential analyses will be conducted to process quantitative data. (2) A qualitative method, based on three sources of data (focus groups, individual semi-structured interviews, document analysis) and which involved the same targets as the quantitative component, with additional community actors such as Community Health Associations (ASACO) and Women's Service User Communities. A thematic analysis of the qualitative data using a mixed deductive and inductive method will be performed. RESULTS This study will provide a better understanding of adolescents and SRHR users services needs in terms of health services availability and quality and SRHR knowledge, issues related to student training quality, the level of adequacy between the training offered and the actual needs of the service recipients and the level of preparation and ability of teachers to provide quality teaching taking gender equality into account. CONCLUSIONS The recommendations drawn from this assessment will propose concrete actions to improve women and girls' health services provided by professionals, and to better adapt the future health professionals’ profiles to the needs of communities, and more particularly of women and girls.

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Reliability and validity of a perinatal depression screening instrument in rural Mali

Cited by 3 publications

References 65 publications

Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi

Acceptability and feasibility of a screening protocol for antenatal depression (SPADe) in Blantyre District, Malawi

Postpartum Mood Disorders: Insights into Diagnosis, Prevention, and Treatment

Assessment of community stakeholders’ and health educators and professionals needs for the continuous enhancement of sexual and reproductive health and rights within the CLEFS project in Mali: Protocol for a convergent mixed-methods study (Preprint)

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