A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal

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Subba, Prasansa, Petersen Williams, Petal, Luitel, Nagendra Prasad, Jordans, Mark J.D. and Breuer, Erica (2024) A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal. BMC Women's Health, 24 (1). ISSN 1472-6874

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Abstract

Background: Despite the high burden of perinatal depression in Nepal, the detection rate is low. Community-based strategies such as sensitization programmes and the Community Informant Detection Tool (CIDT) have been found to be effective in raising awareness and thus promoting the identification of mental health problems. This study aims to adapt these community strategies for perinatal depression in the Nepalese context.  Methods: We followed a four-step process to adapt the existing community sensitization program manual and CIDT. Step 1 included in-depth interviews with women identified with perinatal depression (n=36), and focus group discussions were conducted with health workers trained in community mental health (n=13), female community health volunteers (FCHVs), cadre of Nepal government for the prevention and promotion of community maternal and child health (n=16), and psychosocial counsellors (n=5). We explored idioms and understanding of depression, perceived causes, and possible intervention. Step 2 included draft preparation based on the qualitative study. Step 3 included a one-day workshop with the psychosocial counsellors (n=2) and health workers (n=12) to assess the understandability and comprehensiveness of the draft and to refine the content. A review of the CIDT and community sensitization program manual by a psychiatrist was performed in Step 4.  Results: The first step led to the content development for the CIDT and community sensitization manual. Multiple stakeholders and experts reviewed and refined the content from the second to fourth steps. Idioms of depression and commonly cited risk factors were incorporated in the CIDT. Additionally, myths of perinatal depression and the importance of the role of family were added to the community sensitization manual.  Conclusion: Both the CIDT and community sensitization manual are grounded in the local context and are simple, clear, and easy to understand.

Item Type: Article
Additional Information: Publisher Copyright: © The Author(s) 2024.
Uncontrolled Keywords: awareness,community mental health,detection,health seeking,nepal,perinatal depression,task sharing,reproductive medicine,obstetrics and gynaecology ,/dk/atira/pure/subjectarea/asjc/2700/2743
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 06 Mar 2026 09:30
Last Modified: 06 Mar 2026 09:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/102237
DOI: 10.1186/s12905-024-03122-y

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