Need Assessment for Health Education Service Provision on Maternal Depression among Primary Health Care Service Providers

  • Adeyinka Olufolake Adefolarin
  • Oyedunni S Arulogun

Abstract

Need assessment for health education service provision on maternal depression becomes necessary to address the silence on maternal depression in the Primary Health Care (PHC) health education service provision. Maternal depression is gradually becoming a prevailing condition among women of reproductive age in Nigeria. Therefore, this study assessed the needs of PHC workers to be able to address maternal depression in their routine health talk. This study is descriptive in design and it adopted a mixed method. It was carried out among PHC health workers from the Comprehensive Clinics (CC) in the 4 Local Government Area (LGAs) in Ibadan metropolis. Fourkey Health Workers (HWs) were purposively selected from the PHCs for Key Informant Interview (KII) and 100 HWs were conveniently drawn for a survey from all the CCs in the 5 LGAs. Structured questionnaires developed from the KII guide responses were administered among the survey respondents. Data were analyzed thematically and with descriptive statistics. The age category of the Key Informants ranged from 52-56years. Almost half of the survey respondents were in the age range of 41-50 years. Key informant interviewees identified HWs’ inability to communicate maternal depression to the service users in local terms and non-availability of educational aid materials. Survey respondents identified need for training (88%), education aid materials (62%), maternal depression health education guide (28%) and need for more staff (22%). Need for trainingon health talk service delivery on maternal depression and Information, Education and Communication materials were the primary identified needs.

References

Adewuya A. O. and AfolabiO. T. 2005. The course of anxiety and depressive symptomsin Nigerian postpartum women2005,short communication Arch WomensMent Health8: 257–259. DOI 10.1007/s00737-005-0089-5

Adewuya A. O,Eegunranti A. B and lawalA. M.2005. Prevalence of postnatal depression in Western Nigerian women: a controlled study. International Journal of Psychiatry in Clinical Practice, 2005; 9(1): 60_/64


BuistA. Bilszta.J. Barnett.2005. Recognition and management of peri-natal depression in general practice: a survey of GPs and postnatal women. Aust.Fam.Physician;34, 787–790.

Adewuya A.O, Aloba O.O, Dada A.O 2007. Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress Anxiety.2007, 24(1), 15-2

Borba. P.C.Christina ,Lauren C. Ng Anne Stevenson, Oriana Vesga-Lopez, Benjamin L. Harris, Lindsey Parnarouskis, Deborah A. Gray, Julia R. Carney, Silvia Domínguez, Edward K.S. Wang, Ryan Boxill, Suzan J. Song, and David C. Henderson .2016. A mental health needs assessment of children and adolescents in post-conflict Liberia: results from a quantitative key-informant survey.Int J Cult MentHealth.Jan 2; 9(1): 56–70. doi: 10.1080/17542863.2015.1106569.PMCID: PMC4706023

Fisher Jane, Meena Cabral de Mello, Vikram Patel, Atif Rahman, Thach Tran, Sara Holtona and Wendy Holmes.2012.Prevalence and determinants of common perinatal mental disorders inwomen in low- and lower-middle-income countries: a systematic review. Bull World Health Organ 2012;90: 139–149G | doi:10.2471/BLT.11.091850

Gureje. O, Oladeji .B. Ricardo Araya, Alan A.2015. Montgomery, Lola Kola, Laurence Kirmayer, Phyllis Zelkowitz, and Danielle Groleau .2015. Expanding care for perinatal women with depression (EXPONATE): study protocol for a randomized controlled trial of an intervention package for perinatal depression in primary care. BMC Psychiatry15: 136. Published online 2015 Jun 30. doi: 10.1186/s12888-015-0537-3

Kizlik, B., "Needs Assessment Information", ADPRIMA, http://www.adprima.com/needs.htm last access 16 October 2010.

Kleinman A. Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine and psychiatry. Berkeley, CA: University of California Press, 1981. 443 p.

Murray. L, Stanley .C, Hooper. R, King. F, and Fiori-Cowley. A. 1996. The role of infant factors in postnatal depression and mother-infant interactions. Developmental Medicine and Child Neurology, 38, 109-119.

Murray. L. K, Dorsey. S, Bolton1. P, Jordans. M.J.D, Rahman. A, Bass. J and Verdeli. H.2011.Building capacity in mental health interventions in low resource countries: an apprenticeship model for training local providers. International Journal of Mental Health Systems 2011. http://www.ijmhs.com/content/5/1/30

Odejide A.O, Morakinyo J.J, Oshiname F.O. 2002.Integrating mental health into primary health care in Nigeria: management of depression in a local government (district) area as a paradigm.SeishinShinkeigakuZasshi.; 104(10):802-9


Uwakwe R, Okonkwo J.E.2003. Affective (depressive) morbidity in puerperal Nigerian women: validation of the Edinburgh Postnatal Depression Scale.ActaPsychiatr Scand. 2003 Apr;107(4):251-9.PMID:12662247

Saraceno.B, Ommeren.M. O, Batniji.R, Cohen.A, Gureje.O, Mahoney.J, Sridhar.D, Underhill.C, 2007. Barriers to improvement of mental health services in low-income and middle-income countries. LancentVolume 370, No 9593, p1164-1174, 29 September 2007.


Shidhaye P.R Giri P.A. 2014. Maternal Depression: A Hidden Burden in Developing Countries Ann Med Health Sci Res. 2014 Jul-Aug; 4(4): 463–465 doi: 10.4103/2141-9248.139268


Shahnewaz.K.2014. Development and adaptation of continuing education materials. Training and Material Development Division Dhaka Ahsania Mission Bangladesh http://www.accu.or.jp/litdbase/pub/dlperson/pdf0106/rpp05.pdf accessed on 20/2/2017


Milgrom J, Alan W Gemmill, Justin L Bilszta, Anne Buist.2007.Antenatal risk factors for postnatal depression: A large prospective study.Journal of Affective Disorders 108(1-2):147-57 • June 2008. DOI: 10.1016/j.jad.2007.10.014 •

Watkins, R., West Meiers, M. and Visser, Y. (2012). A Guide to Assessing Needs: Tools for collecting information, making decisions, and achieving development results. Washington, DC: World Bank.pg.7

Walker Elizabeth Reisinge, Frank W. Berry, Tod Citron, Judy Fitzgerald, Mark Rapaport, Bryan Stephens and Benjamin G. Druss .2015.Psychiatric workforce needs and recommendations for the community mental health system: A state needs assessment. Psychiatr Serv. 2015 February 1; 66(2): 115–117. doi:10.1176/appi.ps.201400530.

WHO. Geneva: World Health Organization; 2010. Mental Health Gap Action Programme Implementation Guide (mhGAP-IG) for Mental, Neurological and Substance Use Disorders in Non-Specialized Health Settings.

Yamashita H, Yoshida K, Nakano H, Tashino N .2004. Postnatal depression in Japanese women: detecting the early onset of postnatal depression by closely monitoring the postpartum mood. J Affect Disord,78:163–169
Published
2018-02-18
Section
Section A (Public Health Research)