Maternal Mental Health in South Africa and the Opportunity for Integration
Common perinatal mental disorders (CPMD), including major depression and anxiety disorders, are more prevalent in low-and middle-income countries (LMIC) than in high-income settings. In South Africa, the prevalence of CPMD has been shown to be particularly high. Here, the Perinatal Mental Health Project has been developing and refining mental health services integrated into maternity care environments. This chapter describes the core components of the service model: preparing the environment; capacity building of maternity care staff; detection matters; referral, scheduling and tracking of counselling appointments; brief mental health counselling and activating social support; caring for the counsellors; responsive and regular monitoring and evaluation; and linking the service to research, resource development and advocacy work.
KeywordsIntegration Mental disorders Depression Anxiety Maternal Social support Collaborative care Monitoring Evaluation
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