Mapping the contextual mental health interventions for perinatal adolescent mothers with self-reported common mental symptoms (anxiety and depression) in sub-Saharan African countries: a scoping review DOI Creative Commons
Chimwemwe Tembo, Linda Portsmouth, Sharyn Burns

et al.

Journal of Child and Adolescent Mental Health, Journal Year: 2023, Volume and Issue: 35(1-3), P. 147 - 164

Published: Dec. 1, 2023

: Early preventive interventions may support adolescent mothers' mental health during the perinatal period. However, maternal have received little empirical research attention. This scoping review maps evidence on appropriate for mothers period in Sub-Saharan African countries.

Language: Английский

Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya DOI Creative Commons

Luwam T. Gebrekristos,

Anthony Idowu Ajayi,

Allison K. Groves

et al.

Reproductive Health, Journal Year: 2025, Volume and Issue: 22(1)

Published: Jan. 30, 2025

Globally, adolescent mothers are at increased risk for postpartum depression (PPD). In Kenya, 15% of girls become before the age 18. While social support can buffer a mother's PPD, there gaps in knowledge as to whether—and which types—of protective Kenya. Understanding associations between and symptoms among inform mental health interventions. Cross-sectional data ≤ 1 year (aged 14–19 years old) an informal settlement Nairobi, Kenya (N = 193) were used analyses. Participants with scores ≥ 10 on Patient Health Questionnaire-9 classified having depressive symptoms. To fully examine different ways that might matter mothers, we examined several domains support: child's father during pregnancy, parental girl's education, membership club, good female friend supportive adult one turn help. We bivariate adjusted modified Poisson regression robust standard errors measures symptoms, controlling relevant covariates. One-quarter participants experienced (24.9%). Adolescent who reported their or fathers being very girls' education had lower (ARR 0.35, 95% CI 0.20–0.61; ARR:0.34, 0.13–0.90, respectively) than those whose less supportive. confide decreased 0.61; 0.37–0.99). Having mother reduced With unique challenges early childbearing high birth rates interventions increase peer pregnancy period could improve mothers' health. (PPD) compared older mothers. give Social reduce PPD. Yet no studies focus understanding whether PPD help developing from 193 Our analysis shows 24.9% Depressive education. Also, sum, Interventions

Language: Английский

Citations

1

“They organized women who advised me”: Adolescents’ perceptions of Social and cultural influences on mental health during the postnatal period in Malawi: Qualitative study DOI Open Access
Chimwemwe Tembo, Linda Portsmouth, Sharyn Burns

et al.

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

Citations

0

Co-designing the FOotpaths foR Adolescent MAternal Mental HeAlth (FOR MAMA) intervention for pregnant teens in Malawi DOI Creative Commons
Wezi Mhango, Daniel Michelson, Darya Gaysina

et al.

International Health, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 18, 2025

This study aimed to gain insights into stakeholders' priorities and preferences for a scalable intervention common mental problems among perinatal adolescents in Malawi. Participatory stakeholder workshops (n=9) were conducted iteratively according the principles of Person-Based Approach. Three groups recruited from one urban rural primary health centre Zomba district, Malawi: (n=10), their family members (n=8) healthcare workers (n=10). Framework analysis was using descriptors Template Intervention Description Replication checklist. Participants emphasized need information on causes symptoms developing coping strategies: a) those focused external stressors-problem-solving, financial literacy interpersonal skills-and b) emotion-focused approach behaviours-behavioural activation, relaxation anger management. There strong preference as providers. agreed brief antenatal delivered weekly both group individual formats. positive views self-help guided All felt there follow-up ensure that correctly engaged with material. Findings informed design multicomponent period.

Language: Английский

Citations

0

COVID-19 prevention strategies and compliance among postnatal adolescent mothers with postnatal depression and generalised anxiety in rural Malawi: a cross-sectional study DOI Creative Commons
Chimwemwe Tembo, Sharyn Burns, Linda Portsmouth

et al.

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

Citations

0

Maternal Postnatal Depression, Bonding, and Health Care Practices in Providing Essential Services for Preterm and Low Birth Weight Infants in Indonesia DOI Creative Commons
Ricvan Dana Nindrea, Long Chiau Ming, Nissa Prima Sari

et al.

Clinical Epidemiology and Global Health, Journal Year: 2025, Volume and Issue: unknown, P. 102028 - 102028

Published: April 1, 2025

Language: Английский

Citations

0

Depression among pregnant teenagers receiving antenatal care from primary healthcare facilities in Mbarara city, Southwestern Uganda DOI Creative Commons
Moses Muwanguzi,

Sarah Oworinawe,

Derrick Mwahuzi

et al.

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 20, 2025

Language: Английский

Citations

0

Cultural and social factors associated with generalized anxiety disorder among adolescent mothers during the postpartum period in Malawi: a cross-sectional survey DOI Creative Commons
Chimwemwe Tembo, Linda Portsmouth, Sharyn Burns

et al.

BMC Global and Public Health, Journal Year: 2024, Volume and Issue: 2(1)

Published: Aug. 4, 2024

The postnatal period is an important time for adolescent mothers to regain their health as they adjust life with infants. However, it also a when are vulnerable mental problems. Generalized anxiety disorders (GADs) among the common that can impact mothers. Anxiety have adverse effects on child's cognitive development. there scarcity of studies pertaining in Malawi.

Language: Английский

Citations

2

Identification of mothers with mental health problems is accidental: perceptions of health care providers on availability, access, and support for maternal mental health care for adolescent mothers in Malawi DOI Creative Commons
Chimwemwe Tembo, Linda Portsmouth, Sharyn Burns

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 26, 2024

Abstract Background Integration of maternal mental health into primary care is considered a strategy to improve access support in low- and middle-income countries (LMICs). Health workers’ (HCWs) traditional practitioners’ (traditional healers, herbalists, birth attendants, spiritual prophets, community volunteers) perceptions the availability management adolescent mothers’ were explored rural Malawi. Recognizing identifying barriers associated with essential improving mothers. Methods A descriptive qualitative design (DQ) was used explore HCWs’ services for In-depth interviews conducted HCWs ( n = 6), three focus group discussions 30 community-based practitioners. Participants purposefully recruited because they provide formal or informal mothers during postnatal period at Mitundu Rural Hospital its catchment area Lilongwe District, Interviews analyzed using reflective thematic analysis inductive thinking. Results Thematic found four themes describe Participant themed around system challenges how cultural background beliefs influence support. The were: (1) Inadequate staff development; (2) Limited resources (medication infrastructure); (3) policy guidelines implementation; (4) Cultural belief on help-seeking. suggested pre-service in-service training assessment mothers, while practitioners wanted increase their awareness issues. Conclusion emphasized that multifaceted factors influenced These affect assessment, treatment, help-seeking by Therefore, strengthening healthcare empowering providers knowledge skills recognize at-risk timely essential.

Language: Английский

Citations

1

Relationship between Socio-Demographic Factors and Postpartum Depression in Teen Mothers: A Case of Kibra Sub-County, Nairobi, Kenya DOI Open Access

Ruth Ngugi,

Naomi James,

Stephen N. Ndegwa

et al.

International Journal of Innovative Science and Research Technology (IJISRT), Journal Year: 2024, Volume and Issue: unknown, P. 2408 - 2413

Published: Sept. 13, 2024

Postpartum depression is a type of that occurs to some mothers after childbirth. Studies show Depression (PPD) also affects teenage/adolescent mothers. The purpose this study was establish the prevalence PPD in teen Kibra Sub County using descriptive research design. Stratified sampling procedure used and snowballing method which achieved sample size 300 participants. Data collected through use Social Demographic Questionnaire (SDQ), Edinburg Postnatal Scale (EPDS) assess PPD. analysed Statistical Package for Sciences (SPSS) version 23. Inferential statistics such as Chi-square were run. findings revealed among between six weeks 24 months at 74.3%.

Language: Английский

Citations

1

Feasibility and acceptability of FOotpaths foR adolescent MAternal mental HeAlth (FOR MAMA): A co-designed intervention for pregnant adolescents in Malawi DOI Creative Commons
Wezi Mhango, Daniel Michelson, Darya Gaysina

et al.

Cambridge Prisms Global Mental Health, Journal Year: 2024, Volume and Issue: 11

Published: Jan. 1, 2024

This study aimed to assess feasibility, acceptability and potential for impact of FOotpaths foR Adolescent MAternal Mental HeAlth (FOR MAMA), a co-designed intervention pregnant adolescents in Malawi. We used mixed-methods interventional pre-post cohort design. recruited from rural health centre Zomba district, Malawi, all whom were offered five-session psychosocial delivered by community healthcare workers. Quantitative feasibility indicators related participant enrolment, session attendance completion. Feasibility delivery was explored using in-depth semi-structured interviews with Acceptability investigated through participants service user satisfaction questionnaire. Intervention outcomes assessed standardised measures common mental disorders, financial distress poor perceived social support. 19 aged 15-19 years (mean=17.21, SD=1.18) started the intervention, 18 (94.7%) completing programme. Significant improvements (

Language: Английский

Citations

0