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View article: Making maternal mental health work: lessons from a collaborative, stepped-care model in primary maternity care
Making maternal mental health work: lessons from a collaborative, stepped-care model in primary maternity care Open
Aim This paper describes the components of the Perinatal Mental Health Project’s Maternal Support Service model, highlighting adaptions made over time to address real-world challenges and opportunities. Method Each component of the service…
View article: Community Health Intervention through Musical Engagement (CHIME) in South Africa: A formative investigation of the feasibility and development of a music-based intervention to support perinatal mental health
Community Health Intervention through Musical Engagement (CHIME) in South Africa: A formative investigation of the feasibility and development of a music-based intervention to support perinatal mental health Open
In South Africa, perinatal depression, stress or anxiety affect an estimated 16% to 50% of women posing serious concerns for both mothers and infants. The vast majority of women receive no perinatal mental healthcare through the public hea…
View article: Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool
Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool Open
Importance: Test accuracy studies often use small datasets to simultaneously select an optimal cutoff score that maximizes test accuracy and generate accuracy estimates. Objective: To evaluate the degree to which using data-driven methods …
View article: Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool
Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool Open
Importance Test accuracy studies often use small datasets to simultaneously select an optimal cutoff score that maximizes test accuracy and generate accuracy estimates. Objective To evaluate the degree to which using data-driven methods to…
View article: Exploring Empathic Communication Among Community Health Workers: Applying the ENACT Tool in Two South African Sites
Exploring Empathic Communication Among Community Health Workers: Applying the ENACT Tool in Two South African Sites Open
Introduction . Effective empathic communication between health care providers and patients is an essential part of health care. In resource-poor contexts, evidence is needed to understand the quality and content of health care communicatio…
View article: A mixed-methods feasibility study of Nyamekela4Care: An intervention to support improved quality of care among service providers in low-resource settings
A mixed-methods feasibility study of Nyamekela4Care: An intervention to support improved quality of care among service providers in low-resource settings Open
Background: In South Africa, health and care service providers (SPs) face many interconnected challenges at work, including inadequate training and supervision and high levels of burnout. Nyamekela4Care (N4C) was developed as an integrated…
View article: Costs of common perinatal mental health problems in South Africa
Costs of common perinatal mental health problems in South Africa Open
Background Perinatal mental health problems, defined as mental health problems occurring from the start of pregnancy to one year after birth, substantially affect women's and children's quality of life in low- and middle-income countries. …
View article: ‘What’s Your Story?’ Building Diversity, Equity, and Inclusion
‘What’s Your Story?’ Building Diversity, Equity, and Inclusion Open
Diversity, equity, and inclusion (EDI) are critical issues for leaders, communities, and organisations. Throughout history, telling stories has been a method for people to make sense of their environment, organise experiences and ideas, an…
View article: ‘What’s Your Story?’ Building Diversity, Equity, and Inclusion
‘What’s Your Story?’ Building Diversity, Equity, and Inclusion Open
Diversity, equity, and inclusion (EDI) are critical issues for leaders, communities, and organisations. Throughout history, telling stories has been a method for people to make sense of their environment, organise experiences and ideas, an…
View article: Adolescent mothers: A qualitative study on barriers and facilitators to mental health in a low-resource setting in Cape Town, South Africa
Adolescent mothers: A qualitative study on barriers and facilitators to mental health in a low-resource setting in Cape Town, South Africa Open
Several key components for adolescent-friendly mental health services emerged from our findings: integrate routine mental health screening into existing obstetric services to de-stigmatise mental health problems and optimise screening cove…
View article: The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa
The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa Open
South Africa, like many low-and-middle-income countries, is integrating mental health services into routine Primary Health Care (PHC) through a task-shifting approach to reduce the gaps in treatment coverage. There is concern, however, tha…
View article: Accessible continued professional development for maternal mental health
Accessible continued professional development for maternal mental health Open
We found that this method of learning elicited significant improvement in mental health knowledge for care providers. Continued professional development policy planners and curriculum developers may be interested in these findings.
View article: The development of an ultra-short, maternal mental health screening tool in South Africa
The development of an ultra-short, maternal mental health screening tool in South Africa Open
Purpose. The burden of common perinatal mental disorders (CPMD) in low-and-middle-income countries is substantially higher than high-income countries, with low levels of detection, service provision and treatment in resource-constrained se…
View article: Domestic and intimate partner violence among pregnant women in a low resource setting in South Africa: a facility-based, mixed methods study
Domestic and intimate partner violence among pregnant women in a low resource setting in South Africa: a facility-based, mixed methods study Open
This study contributes towards a greater understanding of the risk profile for IPV amongst pregnant women in low-income settings. Adversity, including food insecurity and mental ill-health are closely associated with IPV during the antenat…
View article: Comparison of mental health screening tools for detecting antenatal depression and anxiety disorders in South African women
Comparison of mental health screening tools for detecting antenatal depression and anxiety disorders in South African women Open
Universal screening for case identification of antenatal depression and anxiety disorders in low-resource settings can be conducted with a number of commonly used screening instruments. Short and ultra-short screening instruments such as t…