Improving access to interventions among mothers screened positive for post-partum depression (PPD) at National
Muideen O Bakare1, Mashudat A Bello-Mojeed1, Kerim M Munir1
1Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Centre, Federal Neuropsychiatric Hospital, Lagos; University Center for Excellence in Developmental Disabilities, Boston Children Hospital; Childhood Neuropsychiatric Disorders Initiatives, Federal Neuropsychiatric Hospital, Enugu, Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Department of Paediatric, University of Nigeria Teaching Hospital; Childhood Neuropsychiatric Disorders Initiatives, Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Unit, Federal Neuropsychiatric Hospital; Childhood Neuropsychiatric Disorders Initiatives, Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Centre, Federal Neuropsychiatric Hospital, Lagos; Childhood Neuropsychiatric Disorders Initiatives, Enugu State University of Science and Technology, Child and Adolescent Centre, Federal Neuropsychiatric Hospital.
We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.
We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.
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