The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review.
Best Pract Res Clin Obstet Gynaecol
; 28(1): 113-33, 2014 Jan.
Article
en En
| MEDLINE
| ID: mdl-24054170
ABSTRACT
Psychological interventions delivered by non-specialist health workers are effective for the treatment of perinatal depression in low- and middle-income countries. In this systematic review, we describe the content and delivery of such interventions. Nine studies were identified. The interventions shared a number of key features, such as delivery provided within the context of routine maternal and child health care beginning in the antenatal period and extending postnatally; focus of the intervention beyond the mother to include the child and involving other family members; and attention to social problems and a focus on empowerment of women. All the interventions were adapted for contextual and cultural relevance; for example, in domains of language, metaphors and content. Although the competence and quality of non-specialist health workers delivered interventions was expected to be achieved through structured training and ongoing supervision, empirical evaluations of these were scarce. Scalability of these interventions also remains a challenge and needs further attention.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Servicios Comunitarios de Salud Mental
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Depresión Posparto
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Atención a la Salud
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Depresión
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Países en Desarrollo
Tipo de estudio:
Prognostic_studies
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Systematic_reviews
Límite:
Female
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Humans
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Pregnancy
Idioma:
En
Año:
2014
Tipo del documento:
Article