Screening for Psychological Morbidity in HIV-Infected and HIV-Uninfected Pregnant Women Using Community Counselors in Zimbabwe

Stranix‐Chibanda, Lynda; Chibanda, Dixon; Chingono, Albert; Montgomery, Elizabeth; Wells, Jennifer; Maldonado, Yvonne; Chipato, Tsungai; Shetty, Avinash K.

doi:10.1177/1545109706286555

Cited by 26 publications

(31 citation statements)

References 27 publications

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“…Eighteen publications from studies conducted in Zimbabwe [16, 17], Angola [18], Zambia [19], South Africa [20–28], Tanzania [29–31], Kenya [32] and Nigeria [33] met the review eligibility criteria. Fifteen of these 18 publications reported on depressive symptoms or other mental health-related outcomes such as distress, anxiety or coping mechanisms [16–22, 25–32], two studies focused on IPV and pregnant HIV+ women [23, 33] and one study examined substance abuse in pregnant HIV+ women [24].…”

Section: Low-income Countriesmentioning

confidence: 99%

“…Fifteen of these 18 publications reported on depressive symptoms or other mental health-related outcomes such as distress, anxiety or coping mechanisms [16–22, 25–32], two studies focused on IPV and pregnant HIV+ women [23, 33] and one study examined substance abuse in pregnant HIV+ women [24]. Four of these studies were clinical trials which evaluated interventions designed to improve mental health outcomes in pregnant HIV+ women.…”

Section: Low-income Countriesmentioning

confidence: 99%

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Mental Health of HIV-Seropositive Women During Pregnancy and Postpartum Period: A Comprehensive Literature Review

et al. 2014

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With growing numbers of HIV-seropositive (HIV+) women of child-bearing age and increased access to effective clinical protocols for preventing mother-to-child transmission (MTCT) of HIV, mental health-related factors have become increasingly relevant due to their potential to affect the women’s quality of life, obstetric outcomes and risk of MTCT. This review synthesizes evidence from 53 peer-reviewed publications examining mental health-related variables in pregnant and postpartum HIV+ women. The presentation of results is organized by the level of socioeconomic resources in the countries where studies were conducted (i.e., high-, middle-, and low-income countries). It is concluded that psychiatric symptoms, particularly depression, and mental health vulnerabilities (e.g., inadequate coping skills) are widespread among pregnant HIV+ women globally and have a potential to affect psychological well-being, quality of life and salient clinical outcomes. The current body of evidence provides rationale for developing and evaluating clinical and structural interventions aimed at improving mental health outcomes and their clinical correlates in pregnant HIV+ women.

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Section: Low-income Countriesmentioning

confidence: 99%

Section: Low-income Countriesmentioning

confidence: 99%

Mental Health of HIV-Seropositive Women During Pregnancy and Postpartum Period: A Comprehensive Literature Review

et al. 2014

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“…22 In a recent study conducted at our site, the prevalence of psychological morbidity among pregnant women attending an urban primary care clinic was 17%. 23 Depression was the most frequent illness among women with psychological morbidity; 79% of women were evaluated by the psychiatrist and met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for clinical depression. 23 Studies have shown that depressive symptoms increase the risk of HIV disease progression and mortality among pregnant women, suboptimal compliance to antiretroviral therapy, and poor use of antenatal care.…”

Section: Journal Of Women's Healthmentioning

confidence: 99%

“…23 Depression was the most frequent illness among women with psychological morbidity; 79% of women were evaluated by the psychiatrist and met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for clinical depression. 23 Studies have shown that depressive symptoms increase the risk of HIV disease progression and mortality among pregnant women, suboptimal compliance to antiretroviral therapy, and poor use of antenatal care. 6,18,24,25 The objective of this study is to determine the risk factors associated with PND in a cohort of HIV-infected and HIV uninfected women who came for postpartum follow-up to two urban antenatal clinics in Zimbabwe.…”

Section: Journal Of Women's Healthmentioning

confidence: 99%

Postnatal Depression by HIV Status Among Women in Zimbabwe

Chibanda

Mangezi

Tshimanga

et al. 2010

Journal of Women's Health

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“…The acceptance rate of VCT among our ANC clients has been low, ranging from 20% to 63%. 6,8 Several reasons may account for poor antenatal VCT uptake among women in subSaharan Africa, including absence of prenatal care, fear of stigma and inadequate counselling experiences. [9][10][11] Thus innovative approaches to antenatal HIV testing are urgently required.…”

Section: Introductionmentioning

confidence: 99%

Routine offer of antenatal HIV testing (“opt-out” approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe

Chandisarewa

Stranix‐Chibanda

Chirapa

et al. 2007

Bull. World Health Organ.

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143

169

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Objective To assess the impact of routine antenatal HIV testing for preventing mother-to-child transmission of HIV (PMTCT) in urban Zimbabwe. Methods Community counsellors were trained in routine HIV testing policy using a specific training module from June 2005 through November 2005. Key outcomes during the first 6 months of routine testing were compared with the prior 6-month "opt-in" period, and clients were interviewed. Findings Of the 4551 women presenting for antenatal care during the first 6 months of routine HIV testing, 4547 (99.9%) were tested for HIV compared with 3058 (65%) of 4700 women during the last 6 months of the opt-in testing (P < 0.001), with a corresponding increase in the numbers of HIV-infected women identified antenatally (926 compared with 513, P < 0.001). During routine testing, more HIV-infected women collected results compared to the opt-in testing (908 compared with 487, P < 0.001) resulting in a significant increase in deliveries by HIV-infected women (256 compared with 186, P = 0.001); more mother/infant pairs received antiretroviral prophylaxis (n = 256) compared to the opt-in testing (n = 185); and more mother/infant pairs followed up at clinics (105 compared with 49, P = 0.002). Women were satisfied with counselling services and most (89%) stated that offering routine testing is helpful. HIV-infected women reported low levels of spousal abuse and other adverse social consequences.

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Screening for Psychological Morbidity in HIV-Infected and HIV-Uninfected Pregnant Women Using Community Counselors in Zimbabwe

Abstract: There is a high burden of psychological morbidity among pregnant women in Zimbabwe. Mental health services should be integrated into antenatal care to improve psychological health for all women in Zimbabwe.

Cited by 26 publications

References 27 publications

Mental Health of HIV-Seropositive Women During Pregnancy and Postpartum Period: A Comprehensive Literature Review

Mental Health of HIV-Seropositive Women During Pregnancy and Postpartum Period: A Comprehensive Literature Review

Postnatal Depression by HIV Status Among Women in Zimbabwe

Routine offer of antenatal HIV testing (“opt-out” approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe

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