“They organized women who advised me”: Adolescents’ perceptions of Social and cultural influences on mental health during the postnatal period in Malawi: Qualitative study
PLOS mental health.,
Journal Year:
2025,
Volume and Issue:
2(2), P. e0000044 - e0000044
Published: Feb. 6, 2025
The
postnatal
period
is
a
critical
transition
for
first-time
mothers,
especially
adolescents.
An
indication
of
maladaptation
with
this
the
experience
poor
mental
health
by
some
adolescent
mothers.
Social
and
collective
cultural
factors
have
been
claimed
to
influence
maternal
during
period;
however,
there
limited
research
focusing
on
social
that
adolescents’
in
rural
Malawi.
Therefore,
we
explored
perceived
among
mothers
A
descriptive
qualitative
design
(DQ)
was
employed.
Data
were
collected
from
September
7th,
2021,
March
31st,
2022,
convenience
sample
395
Reflexive
thematic
analysis
employed
using
open
coding.
Codes
grouped
into
categories
themes
derived
inductive
thinking.
Adolescent
mothers’
found
be
influenced
interactions
between
within
all
levels
Ecological
Model
Health
(SEM).
Four
main
themes,
awareness
,
relationships
family
support
rite
passage
explained
influences
There
need
collaborative,
coordinated,
co-designed
efforts
implement
integrated,
comprehensive,
culturally
appropriate
interventions
at
each
level
SEM
promote
adolescent’
health.
Specifically,
policies
should
focus
prevention
early
marriages,
improved
access
reproductive
services,
long-term
involvement
care
Healthcare
systems
offer
accessible
Language: Английский
COVID-19 prevention strategies and compliance among postnatal adolescent mothers with postnatal depression and generalised anxiety in rural Malawi: a cross-sectional study
BMJ Open,
Journal Year:
2025,
Volume and Issue:
15(2), P. e093624 - e093624
Published: Feb. 1, 2025
This
study
examines
the
relationship
between
adolescent
mothers'
mental
health
problems
(postnatal
depression
and
generalised
anxiety)
adherence
to
COVID-19
public
prevention
strategies
in
rural
Malawi.
It
is
part
of
a
larger
previously
published
investigating
impact
social
cultural
factors
on
mothers.
A
cross-sectional
was
conducted
from
September
2021
March
2022.
The
Edinburgh
Postnatal
Depression
Scale
(EPDS)
Generalised
Anxiety
Disorder-7
(GAD-7)
were
used
identify
risk
postnatal
(PND)
anxiety
disorder
(GAD),
respectively.
Participants
also
responded
questions
about
their
perception
how
they
practiced
recommended
strategies.
at
hospital
Lilongwe,
Adolescent
mothers
aged
19
years
below,
with
children
less
than
1
year,
who
understood
could
consent.
(n=395)
completed
researcher-administered
survey.
mean
age
was±17
(SD
1.157).
Most
participants
had
recently
given
birth
first
child
(91%,
n=358).
Almost
half
(45%,
n=113)
agreed
by
Malawian
government.
However,
overall
strategies,
including
hand
hygiene
practices,
low
among
probable
GAD
PND
more
likely
practice
GAD-7
or
EPDS
scores,
except
for
restrictions
religious
gatherings.
potential
threats
risks
low.
adolescents
reported
higher
some
without
GAD.
findings
support
need
policies
that
integrate
within
response
due
direct
indirect
effects
pandemic
might
have
perinatal
health.
Additionally,
responses
should
be
appropriate
relevant
environment.
Language: Английский