Early-stage development of a complex, community-based intervention to improve women's perinatal health in rural communities in India

早期开发复杂的、基于社区的干预措施，以改善印度农村社区妇女的围产期健康

• 批准号: MR/Y503319/1
• 负责人: Nicole Votruba
• 金额: $ 19.41万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FY503319%2F1
• 关键词: Early; stage; development; complex; community

Perinatal mental health is a global public health priority. It is estimated that 1 in 5 women has a mental health problem during the perinatal phase (pregnancy to one year after birth), and the rates are even higher for women in low- and middle-income countries (LMICs). In India, between 14-31% of women experience anxiety, depression, stress, or suicidal ideation (common perinatal mental disorders; CPMDs). In rural India, women are also affected by social determinants of CPMDs and intersecting issues, such as gender inequity, poverty, domestic violence, caste, and stigma. Yet, most women with CPMDs do not receive care, with little research exists on how to best address CPMDs in low resource, rural settings. Integration of mental health into maternal health services is often not thought feasible in LMICs, where health systems are overburdened and under-resourced. Task-shifting of mental health care from specialist health workers to peer workers has good evidence and underused potential to support weak health systems in LMICs. The Perinatal Mental Health project (PRAMH) aims to develop an intervention to address the significant challenge of preventing, detecting and supporting women with CPMDs in rural India, by integrating mental health into maternity care. Our aim is to develop a clear theory of change and pathway for future development, implementation, and evaluation.

围产期心理健康是全球公共卫生优先事项。据估计，每5名妇女中就有1人在围产期(怀孕至出生后一年)有心理健康问题，低收入和中等收入国家的妇女的这一比例更高。在印度，14%-31%的女性经历焦虑、抑郁、压力或自杀念头(常见的围产期精神障碍；CPMD)。在印度农村，妇女还受到CPMD的社会决定因素和交叉问题的影响，如性别不平等、贫困、家庭暴力、种姓和耻辱。然而，大多数患有CPMD的妇女得不到护理，几乎没有关于如何在资源匮乏的农村环境中最好地解决CPMD的研究。在卫生系统负担过重和资源不足的地方，将心理健康纳入产妇保健服务往往被认为是不可行的。精神卫生保健从专业卫生工作者到同行工作者的任务转移有很好的证据和未充分利用的潜力来支持LMIC中薄弱的卫生系统。围产期心理健康项目(PRAMH)旨在通过将心理健康纳入产妇保健，制定一项干预措施，以应对在印度农村预防、检测和支持患有CPMD的妇女这一重大挑战。我们的目标是为未来的发展、实施和评估制定一套清晰的变革理论和路径。