Maternal Depression in Rural Bangladesh: A mixed methods exploration of the social determinants and their role in delivery and uptake of...

..。背景母亲的心理健康越来越被认为是一个世界性的公共卫生问题，全世界大约有10%的孕妇经历某种心理健康状况，特别是抑郁症。在孟加拉国，这一比例更高，原因是没有将精神保健纳入产前保健，对精神健康障碍的理解或接受程度较低，社会经济贫困程度更高。目的采用混合研究设计，探讨孟加拉国农村孕妇中被忽视的产妇抑郁问题及其社会决定因素和获得医疗保健的障碍。方法本研究项目将分四个阶段进行：(1)现有研究的文献综述；(2)在孟加拉国的实地调查，使用爱丁堡产后抑郁量表(EPDS-B)进行问卷调查，对有抑郁症状的孕妇进行半结构访谈，并与卫生专业人员进行半结构访谈；(3)定量和定性数据的分析和整合；(4)写出来。该项目的重点是建立一个社会科学框架，将孟加拉国关于产妇心理健康和寻求护理行为的理论结合在一起。产出/影响这项研究将进一步发展社会科学对孟加拉国农村地区产妇抑郁及其社会决定因素的理解。与产妇援助协会的合作将加强结果的执行和结果的传播，以改善孟加拉国农村地区孕妇对抑郁症的护理。将制作出版物和会议海报。

... mental health care.BackgroundMaternal mental health is increasingly recognised as a worldwide public health issue, with approximately 10% of pregnant women experiencing some sort of mental health condition, particularly depression, worldwide. This is higher in Bangladesh due to the lack of mental healthcare integration into antenatal healthcare, poor understanding or acceptance of mental health disorders and higher socioeconomic deprivation. There is currently an evidence gap about maternal depression in rural Bangladesh and its social determinants.AimsTo explore the neglected issue of maternal depression, its social determinants and barriers to accessing health care, among pregnant women in Rural Bangladesh using a mixed methods study design.MethodsThis research project will compromise of four phases: (1) literature reviews of existing research; (2) fieldwork in Bangladesh, involving survey via questionnaires using the Edinburgh Postnatal Depression Scale-Bangladesh (EPDS-B) scale, semi-structuredinterviews with pregnant women who show signs of depression and also semistructured interviews with health professionals; (3) analysis of both quantitative and qualitative data and their integration; and (4) write up. The project focuses on building a social sciences framework to bring together theories around maternal mental health and care seeking behaviour in Bangladesh.Outputs/impactsThis research will further develop social science understanding of maternal depression in rural Bangladesh and the social determinants. Collaboration with the Maternal Aid Association will enhance the implementation of the results and communication of findings to improve care for depression among pregnant women in rural Bangladesh. Publications and conference posters will be produced.