Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda

Kakyo, Tracy Alexis; Muliira, Joshua Kanaabi; Mbalinda, Scovia Nalugo; Kizza, Irene Betty; Muliira, Rhoda Suubi

doi:10.1016/j.midw.2011.05.001

Cited by 87 publications

(104 citation statements)

References 32 publications

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“…One is a potential prevalence of mental health concerns that may not be currently addressed within the current care system. Studies in Africa have found high rates of depression among postpartum women, 40,41 and a systematic review found lower rates of adherence during the postpartum period and a correlation between postpartum depression and non-adherence. 42 However, assessment and care of postpartum depression is not integrated within MCH or PMTCT services.…”

Section: Discussionmentioning

confidence: 99%

Shame, Guilt, and Stress: Community Perceptions of Barriers to Engaging in Prevention of Mother to Child Transmission (PMTCT) Programs in Western Kenya

Kohler

Ondenge

Mills

et al. 2014

AIDS Patient Care and STDs

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While global scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has been expansive, only half of HIV-infected pregnant women receive antiretroviral regimens for PMTCT in subSaharan Africa. To evaluate social factors influencing uptake of PMTCT in rural Kenya, we conducted a community-based, cross-sectional survey of mothers residing in the KEMRI/CDC Health and Demographic Surveillance System (HDSS) area. Factors included referrals and acceptability, HIV-related stigma, observed discrimination, and knowledge of violence. Chi-squared tests and multivariate regression analyses were used to detect stigma domains associated with uptake of PMTCT services. Most HIV-positive women (89%) reported blame or judgment of people with HIV, and 46% reported they would feel shame if they were associated with someone with HIV. In multivariate analyses, shame was significantly associated with decreased likelihood of maternal HIV testing (Prevalence Ratio 0.91, 95% Confidence Interval 0.84-0.99), a complete course of maternal antiretrovirals (ARVs) (PR 0.73, 95% CI 0.55-0.97), and infant HIV testing (PR 0.86,. Community perceptions of why women may be unwilling to take ARVs included stigma, guilt, lack of knowledge, denial, stress, and despair or futility. Interventions that seek to decrease maternal depression and internalization of stigma may facilitate uptake of PMTCT.

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Section: Discussionmentioning

confidence: 99%

Shame, Guilt, and Stress: Community Perceptions of Barriers to Engaging in Prevention of Mother to Child Transmission (PMTCT) Programs in Western Kenya

Kohler

Ondenge

Mills

et al. 2014

AIDS Patient Care and STDs

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“…In these cultures, as well as in Asia, PPD is characterized primarily by physical symptoms, because of the fear of social stigmatization of women [27,70]. A lot of attention is given to postnatal care, during which great importance is given on supporting the new mother.…”

Section: Ppd In Africamentioning

confidence: 99%

“…A systematic review in six African countries [24] showed incidence rates of the disease from 3.7 to 20.9 % in Nigeria, 5.6 to 20.1 % in Morocco, 3.2 to 6.9 % to The Gambia, 34.7 to 48 % in South Africa, 12 % in Ethiopia and 10 to 43 % in Uganda [24,70]. In Egypt, the disease showed a prevalence of 17.9 % [22].…”

Section: Ppd In Africamentioning

confidence: 99%

Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions

2015

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It is a well known fact that postpartum depression (PPD) is a global phenomenon that women may experience, regardless of cultural identity and beliefs. This literature review presents the cultural beliefs and postnatal practices around the world, in each continent and people's origins, looking through the extent to which they contribute positively or negatively to the onset of the disease. 106 articles were used in this research, through a systematic electronic search of Pubmed (Medline) and Scopus. Comparison is also made between the prevalence, the risk factors and the different ways of appearance of the disease around the world and among immigrants. Finally, the initiatives and interventions made so far by the governments and institutions with a view to prevent and address this global problem are presented. The results showed (a) that different cultures share the same risk factors towards the disease (b) significant differences in the prevalence of the disease among both Western and non Western cultures and between the cultures themselves (c) more tendencies for somatization of depressive symptoms in non-Western cultures, (d) different postnatal practices between cultures, which are not always effective (e) the more non-West a culture is, the less interventions concern on mental health; the same phenomenon is observed on populations burdened by immigration. The beliefs held by culture should be taken seriously in detecting of PPD, as well as the assessment of the needs of women who have recently given birth.

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“…1,2 Therefore, biological changes during pregnancy and childbirth along with sociocultural factors may precipitate the development of post-partum depression (PPD) 3 . Not only the hormonal changes during or after pregnancy are responsible for the PPD, but it is also found in the mothers with lower socio economic status, poor interpersonal relationships and mothers with less social support.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

Salem

Thabet

Fouly

et al. 2016

Proc Obstet Gynecol

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Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda

Cited by 87 publications

References 32 publications

Shame, Guilt, and Stress: Community Perceptions of Barriers to Engaging in Prevention of Mother to Child Transmission (PMTCT) Programs in Western Kenya

Shame, Guilt, and Stress: Community Perceptions of Barriers to Engaging in Prevention of Mother to Child Transmission (PMTCT) Programs in Western Kenya

Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

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