Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.
Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.
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DOI：
10.1111/jmwh.13184
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Bass JK
中科院分区：
文献类型：
--
作者：
Lasater ME;Murray SM;Keita M;Souko F;Surkan PJ;Warren NE;Winch PJ;Ba A;Doumbia S;Bass JK
常见的围产期精神障碍在低收入和中等收入国家普遍存在。心理健康服务的需求与可获得性之间的差距，也被称为心理健康治疗差距，对马里农村妇女围产期的影响尤为严重。这项定性研究的目的是确定一种可行和可接受的综合护理方法，为马里农村地区的孕产妇提供精神保健，以帮助缩小治疗差距，增加获得护理的机会。2016年4月至6月，在马里塞林格卫生区和巴马科收集了定性数据。在妇女、社区卫生工作者、助产士和心理健康专家中进行了深入访谈。焦点小组的参与者包括社区卫生工作者，助产士和产科护士。所有的数据进行归纳编码和分析，使用专题分析方法。妇女描述了几种应对策略，以管理他们的痛苦，包括访问他们的父母;信任的朋友，亲戚，或社区卫生工作者;和参加妇女协会团体。据描述，与精神健康有关的耻辱在社区和保健提供者中普遍存在。针对缺乏心理健康服务的问题，助产士和社区保健工作者支持将心理健康服务纳入孕产妇保健服务的可行性和可接受性。助产士被认为是进行心理健康筛查和为妇女提供初步心理社会护理的关键提供者。需要采取综合的孕产妇和心理健康干预措施，以缩小马里农村地区心理健康服务的需求与可获得性之间的差距。这项研究的结果强调，居住在马里农村的妇女在围产期非常需要心理健康服务，将心理健康筛查和低水平的心理社会护理纳入由助产士提供的产前护理是可行和可以接受的。
Common perinatal mental disorders are prevalent in low- and middle-income countries. The gap between the need for and availability of mental health services, also known as the mental health treatment gap, is particularly acute for women during the perinatal period in rural Mali. This qualitative study aimed to identify a feasible and acceptable integrated care approach for the provision of maternal mental health care in rural Mali to help narrow the treatment gap and increase access to care. From April to June 2016, qualitative data were collected in the Sélingué health district and Bamako, Mali. In-depth interviews were conducted among women, community health workers, midwives, and mental health specialists. Focus group participants included community health workers, midwives, and an obstetric nurse. All data were inductively coded and analyzed using a thematic analysis approach. Women described several coping strategies to manage their distress, including visiting their parents; confiding in a friend, relative, or community health worker; and participating in women’s association groups. Mental health-related stigma was described as being widespread in the community and among health providers. In response to the lack of mental health services, midwives and community health workers supported the feasibility and acceptability of the integration of mental health services into maternal health services. Midwives were discussed as being key providers to conduct mental health screenings and provide initial psychosocial care for women. Integrated maternal and mental health interventions are needed to narrow the gap between the need for and availability of mental health services in rural Mali. Findings from this study underscore the great need for mental health services for women in the perinatal period who reside in rural Mali and that it is both feasible and acceptable to integrate mental health screening and low-level psychosocial care into antenatal care, delivered by midwives.
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影响因子：
15.8
作者：
Patel V;Thornicroft G
通讯作者：
Thornicroft G
减少医疗保健提供者之间的污名化以改善心理健康服务（RESHAPE）：试验群集群集随机对照试验的方案，用于降低污名的干预措施，以培训尼泊尔的初级医疗保健工人。
影响因子：
1.7
作者：
Kohrt BA;Jordans MJD;Turner EL;Sikkema KJ;Luitel NP;Rai S;Singla DR;Lamichhane J;Lund C;Patel V
通讯作者：
Patel V
DOI：
10.1016/j.bpobgyn.2013.08.013
发表时间：
2014-01
影响因子：
5.5
作者：
Chowdhary, Neerja;Sikander, Siham;Atif, Najia;Singh, Neha;Ahmad, Ikhlaq;Fuhr, Daniela C.;Rahman, Atif;Patel, Vikram
通讯作者：
Patel, Vikram
影响因子：
3.2
作者：
McKinnon, Britt;Sall, Mohamadou;Bassani, Diego
通讯作者：
Bassani, Diego
影响因子：
3.1
作者：
Patil CL;Klima CS;Leshabari SC;Steffen AD;Pauls H;McGown M;Norr KF
通讯作者：
Norr KF