Antenatal-Based Pilot Psychosocial Intervention to Enhance Mental Health of Pregnant Women Experiencing Domestic and Family Violence in Nepal

Sapkota, Diksha; Baird, Kathleen; Saito, Amornrat; Rijal, Pappu; Anderson, Debra

doi:10.1177/0886260520948151

Cited by 14 publications

(49 citation statements)

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“…Searches identified 6082 records, we assessed 313 full text reports and included 32 28–59 reporting on 26 studies 28–35 38–40 42 45–47 49 50 52–60 (Figure 1, online supplementary file 2).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Of the 26 studies, 18 were from sub-Saharan Africa, 28 31–34 38 42 45–47 49 52–54 56 57 59 60 three from the Middle East, 40 55 58 three from South Asia, 29 39 50 and two from South America. 30 35 Twelve quantitative evaluations were randomised controlled trials (RCTs), 32 34 35 38 40 47 50 52 55 58–60 six were uncontrolled before-after (UBA) studies, 29 30 39 42 46 54 six cross sectional studies, 31 45 49 53 56 57 and one was a controlled before-after evaluation (CBA). 28 Nine qualitative evaluations were components of mixed-methods studies: three embedded in RCTs, 38 44 51 two carried out alongside UBA studies, 30 54 three alongside cross-sectional studies, 49 56 57 and one standalone qualitative study.…”

Section: Resultsmentioning

confidence: 99%

“…Most interventions took place in antenatal care (ANC) services (n=11), 29 34 35 39 40 45 47 50 55 56 58 followed by HIV testing and treatment (n=8), 32 33 38 46 52 57 59 60 services for victims of sexual violence (n=5), 28 31 42 53 54 and family planning (n=2). 30 49 The SRH services were provided in primary care (n=15), 30 32–34 39 40 46 47 49 52 53 55 56 58 59 hospital (n=7), 29 35 38 42 45 50 57 and across both (n=4). 28 31 54 60 Included studies used different definitions and measures of VAW.…”

Section: Resultsmentioning

confidence: 99%

“…Improvement 50 Mixed effect 35 Null effect 29 35 Re-exposure to VAW Improvement 32 46 Null effect 38…”

Section: Disclaimermentioning

confidence: 99%

See 4 more Smart Citations

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

Lewis

Munas

Colombini

et al. 2021

Preprint

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ObjectivesTo synthesise evidence on the effectiveness, cost-effectiveness, and barriers to responding to violence against women (VAW) in sexual and reproductive health (SRH) services in low- and middle-income countries (LMICs).DesignMixed-methods systematic review.Data sourcesMedline, Embase, Psycinfo, Cochrane, Cinahl, IMEMR, Web of Science, Popline, Lilacs, WHO RHL, ClinicalTrials.gov, Google, Google Scholar, websites of key organisations through December 2019.Eligibility criteriaStudies of any design that evaluated VAW interventions in SRH services in LMICs.Data extraction and synthesisConcurrent narrative quantitative and thematic qualitative syntheses, integration through line of argument and mapping onto a logic model. Two reviewers extracted data and appraised quality.Results26 studies of varied interventions using heterogeneous outcomes. Of ten interventions that strengthened health systems capacity to respond to VAW during routine SRH consultation, three reported no harm and reduction in some types of violence. Of nine interventions that strengthened health systems and communities’ capacity to respond to VAW, three reported conflicting effects on re-exposure to some types of VAW and mixed effect on SRH. The interventions increased identification of VAW but had no effect on the provision (75-100%) and uptake (0.6-53%) of referrals to VAW services. Of seven psychosocial interventions in addition to SRH consultation that strengthened women’s readiness to address VAW, four reduced re-exposure to some types of VAW and improved health. Factors that disrupted the pathway to better outcomes included accepting attitudes towards VAW, fear of consequences, and limited readiness of the society, health systems, and individuals. No study evaluated cost-effectiveness.ConclusionsSome VAW interventions in SRH services reduced re-exposure to some types of VAW and improved some health outcomes in single studies. Future interventions should strengthen capacity to address VAW across health systems, communities, and individual women. First-line support should be better tailored to women’s needs and expectations.PROSPERO protocol CRD42019137167.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Improvement 50 Mixed effect 35 Null effect 29 35 Re-exposure to VAW Improvement 32 46 Null effect 38…”

Section: Disclaimermentioning

confidence: 99%

See 3 more Smart Citations

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

Lewis

Munas

Colombini

et al. 2021

Preprint

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Interventions for intimate partner violence during the perinatal period: A scoping review

Mercier,

Fu,

Filler

et al. 2024

Campbell Systematic Reviews

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BackgroundIntimate partner violence (IPV) is a prevalent global health problem. IPV that occurs before pregnancy often continues during the perinatal period, resulting in ongoing violence and many adverse maternal, obstetrical, and neonatal outcomes.ObjectivesThis scoping review is designed to broadly capture all potential interventions for perinatal IPV and describe their core components and measured outcomes.Search MethodsWe conducted a search for empirical studies describing IPV interventions in the perinatal population in June 2022. The search was conducted in MEDLINE, EMBASE, PsycInfo, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, Applied Social Sciences Index & Abstracts, ClinicalTrials.gov and MedRxiv. Hand searching of references from select articles was also performed.Selection CriteriaIncluded studies described an intervention for those experiencing IPV during the perinatal period, including 12 months before pregnancy, while pregnant or in the 12 months post‐partum. The search encompassed January 2000 to June 2022 and only peer‐reviewed studies written in either English or French were included. Included interventions focused on the survivor exposed to IPV, rather than healthcare professionals administering the intervention. Interventions designed to reduce IPV revictimization or any adverse maternal, obstetrical, or neonatal health outcomes as well as social outcomes related to IPV victimization were included.Data Collections and AnalysisWe used standard methodological procedures expected by The Campbell Collaboration.Main ResultsIn total, 10,079 titles and abstracts were screened and 226 proceeded to full text screening. A total of 67 studies included perinatal IPV interventions and were included in the final sample. These studies included a total of 27,327 participants. Included studies originated from 19 countries, and the majority were randomized controlled trials (n = 43). Most studies were of moderate or low quality. Interventions included home visitation, educational modules, counseling, and cash transfer programs and occurred primarily in community obstetrician and gynecologist clinics, hospitals, or in participants' homes. Most interventions focused on reducing revictimization of IPV (n = 38), improving survivor knowledge or acceptance of violence, knowledge of community resources, and actions to reduce violence (n = 28), and improving maternal mental health outcomes (n = 26). Few studies evaluated the effect of perinatal IPV interventions on obstetrical, neonatal or child health outcomes.Authors' Conclusion(s)The majority of intervention studies for perinatal IPV focus on reducing revictimization and improving mental health outcomes, very few included obstetrical, neonatal, and other physical health outcomes. Future interventions should place a larger emphasis on targeting maternal and neonatal outcomes to have the largest possible impact on the lives and families of IPV survivors and their infants.

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Antenatal-Based Pilot Psychosocial Intervention to Enhance Mental Health of Pregnant Women Experiencing Domestic and Family Violence in Nepal

Cited by 14 publications

References 50 publications

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Interventions for intimate partner violence during the perinatal period: A scoping review

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