Psychosocial support during childbirth: Development and adaptation of WHO's Mental Health Gap Action Programme (mhGAP) for maternity care settings.
Psychosocial support during childbirth: Development and adaptation of WHO's Mental Health Gap Action Programme (mhGAP) for maternity care settings.
复制标题
DOI：
10.1371/journal.pone.0285209
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Avan, Bilal Iqbal
中科院分区：
文献类型：
--
作者：
Khan, Bushra;Hameed, Waqas;Avan, Bilal Iqbal
在低收入和中等收入国家的卫生设施中，对妇女分娩期间的心理社会支持不足和缺乏尊重的护理是司空见惯的。虽然世卫组织建议向孕妇提供支助性护理，但缺乏材料来建设产科工作人员的能力，以便在分娩期间向妇女提供系统和包容性的心理社会支助，并防止产科团队的工作压力和倦怠。为了满足这一需求，我们调整了世卫组织针对产科工作人员的mhGAP，以便在巴基斯坦的分娩室环境中提供心理社会支持。心理健康差距行动计划（mhGAP）是一项基于证据的指导，在资源有限的卫生保健环境中提供心理社会支持。本文旨在描述适应mhGAP开发心理社会支持能力建设材料的产科工作人员提供支持，产妇病人，也给工作人员，在劳动室的情况下。在以人为中心的设计框架内，适应分为三个阶段：灵感，构思和实施可行性。受此启发，对国家一级的产科服务提供文件进行了审查，并对产科工作人员进行了深入访谈。构思涉及一个多学科小组，通过改编mhGAP来编写能力建设材料。这一阶段是迭代的，包括材料的预测试、审议和修订周期。在实施可行性方面，通过培训98名产科工作人员测试了材料，并通过培训后对卫生设施的访问探索了系统的可行性。启发阶段查明了政策指示和执行方面的差距，形成性研究查明了工作人员在评估病人的心理社会需求和提供适当支助方面的理解和技能有限。此外，工作人员本身显然也需要心理社会支助。在构思方面，小组编制了能力建设材料，其中包括两个模块：一个模块专门用于概念理解，另一个模块与产科工作人员合作实施心理社会支助。在实施可行性方面，工作人员认为这些材料与产房环境相关且可行。最后，用户和专家都认可这些材料的实用性。我们在为产科工作人员开发心理社会支持培训材料方面的工作将mhGAP的实用性扩展到产科护理环境。这些材料可用于产科工作人员的能力建设，并可在不同的产科护理环境中评估其有效性。
Poor psychosocial support and lack of respectful care for women during childbirth are commonplace in health facilities in low- and middle-income countries. While WHO recommends providing supportive care to pregnant women, there is a scarcity of material for building the capacity of maternity staff to provide systematic and inclusive psychosocial support to women in the intrapartum phase, and prevent work stress and burnout in maternity teams. To address this need we adapted WHO’s mhGAP for maternity staff to provide psychosocial support in labour room settings in Pakistan. Mental Health Gap Action Programme (mhGAP) is an evidence-based guidance which provides psychosocial support in resource-limited health care settings. This paper aims to describe the adaptation of mhGAP to develop psychosocial support capacity building materials for maternity staff to provide support to maternity patients, and also to staff, in the labour room context. Adaptation was conducted within the Human-Centered-Design framework in three phases: inspiration, ideation, and implementation feasibility. In inspiration, a review of national-level maternity service-delivery documents and in-depth interviews of maternity staff were conducted. Ideation involved a multidisciplinary team to develop capacity-building materials by adapting mhGAP. This phase was iterative and included cycles of pretesting, deliberations, and revision of materials. In implementation feasibility, materials were tested via the training of 98 maternity staff and exploring system feasibility via post-training visits to health facilities. Inspiration phase identified gaps in policy directives and implementation and formative study identified limited understanding and skills of staff to assess patients’ psychosocial needs and provide appropriate support. Also, it became evident that staff themselves needed psychosocial support. In ideation, team developed capacity-building materials comprising two modules: one dedicated to conceptual understanding, the other to implementing psychosocial support in collaboration with maternity staff. In implementation feasibility, staff found the materials relevant and feasible for the labour room setting. Finally, users and experts endorsed usefulness of the materials. Our work in developing psychosocial-support training materials for maternity staff extends the utility of mhGAP to maternity care settings. These materials can be used for capacity-building of maternity staff and their effectiveness can be assessed in diverse maternity care settings.
登录
查看更多内容
影响因子：
5.2
作者：
Keynejad R;Spagnolo J;Thornicroft G
通讯作者：
Thornicroft G
影响因子：
3.6
作者：
Perera, Camila;Salamanca-Sanabria, Alicia;Vallieres, Frederique
通讯作者：
Vallieres, Frederique
影响因子：
3.7
作者：
Avan BI;Hameed W;Khan B;Asim M;Saleem S;Siddiqi S
通讯作者：
Siddiqi S
影响因子：
2.5
作者：
Soet, JE;Brack, GA;Dilorio, C
通讯作者：
Dilorio, C
DOI：
10.1111/j.1600-0412.2011.01323.x
发表时间：
2012-02-01
影响因子：
4.3
作者：
Storksen, Hege Therese;Eberhard-Gran, Malin;Eskild, Anne
通讯作者：
Eskild, Anne