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The Global Challenge: Maternal Depression

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by

Anisha Gururaj

on 12 June 2016

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Transcript of The Global Challenge: Maternal Depression

MATERNAL DEPRESSION
Why should maternal depression be a global health
priority?
SOUTH AFRICA
So how can we bridge the gap between research and action?
Baby blues
Depression
Psychosis
The Global Challenge
Anisha Gururaj & Ashley Pople
In spite of the Mental Health Care Act 2002, there is a substantial treatment gap between the current resources for mental health care and the huge burden of suffering.
16-49%
INDIA
9-35%
India passed its first national mental health policy in October 2014.
What might a transformative social innovation look like?
A MULTI-TIERED SOLUTION
Integrate the screening process within preexisting structures
Integrate screening with antenatal visits in health clinics
Equip community health workers with the relevant assessment tool and technology to identify properly whether a pregnant mother has depressive symptoms
CAVEAT: If antenatal structures don’t exist or are weak, strengthen them with dual emphasis on physical and mental health
Use peer groups to deliver care through already existing networks or create new ones
Older women are trained and paid to run meetings, enabling knowledge sharing
Women’s peer groups
Buddy or mentorship system
Potential to implement trained counseling, as currently tested in Thinking Healthy Project
Create structural linkages between lay workers and specialized psychiatric healthcare
Set up effective referral systems within screening process and peer groups
Integration
Integrate with other peer groups and adapt to maternal mental health accordingly
Mothers2Mothers
(South Africa)
Mahila Mandal
(India)
Academics/NGOs in the Solutions Landscape
Perinatal Mental Health Project (PMHP)

TECHNOLOGY
COMMUNITY VS INDIVIDUAL
HOME VS CLINIC
Low-income countries
Prevalence rate for maternal depression:
Prevalence rate for maternal depression:
High-income countries
Imagine a world that recognizes physical and mental health as a fundamental human right.
Bridging the Gap
Make maternal mental health a global priority
Reverse
innovation
Expand implementation
Research
Action
Sangath & Thinking Healthy Programme (THP)

Randomized control trials to test intervention design:
Gather an evidence-base from implementation
Bridging the Gap
Transformative Innovation
VS
PROBLEM
SOLUTION
SYMPTOM
TO
Corrective Innovation
Full transcript