Early-stage development of a complex, community-based intervention to improve women's perinatal health in rural communities in India

早期开发复杂的、基于社区的干预措施，以改善印度农村社区妇女的围产期健康

• 批准号: MR/Y503319/1
• 负责人: Nicole Votruba
• 金额: $ 19.41万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FY503319%2F1
• 关键词: Early; stage; development; complex; community

Perinatal mental health is a global public health priority. It is estimated that 1 in 5 women has a mental health problem during the perinatal phase (pregnancy to one year after birth), and the rates are even higher for women in low- and middle-income countries (LMICs). In India, between 14-31% of women experience anxiety, depression, stress, or suicidal ideation (common perinatal mental disorders; CPMDs). In rural India, women are also affected by social determinants of CPMDs and intersecting issues, such as gender inequity, poverty, domestic violence, caste, and stigma. Yet, most women with CPMDs do not receive care, with little research exists on how to best address CPMDs in low resource, rural settings. Integration of mental health into maternal health services is often not thought feasible in LMICs, where health systems are overburdened and under-resourced. Task-shifting of mental health care from specialist health workers to peer workers has good evidence and underused potential to support weak health systems in LMICs. The Perinatal Mental Health project (PRAMH) aims to develop an intervention to address the significant challenge of preventing, detecting and supporting women with CPMDs in rural India, by integrating mental health into maternity care. Our aim is to develop a clear theory of change and pathway for future development, implementation, and evaluation.

围产期心理健康是全球公共卫生的重点。据估计，在围产期阶段（怀孕至出生后一年）中，有1个女性有心理健康问题，低收入和中等收入国家（LMIC）的妇女的率甚至更高。在印度，14-31％的妇女经历了焦虑，抑郁，压力或自杀念头（常见的围产期精神疾病； CPMD）。在印度农村地区，妇女还受到CPMD的社会决定因素和相交问题的影响，例如性别不平等，贫困，家庭暴力，种姓和污名。但是，大多数患有CPMD的妇女没有得到护理，几乎没有关于如何在低资源，农村环境中最好地解决CPMD的研究。在LMIC中，人们通常不认为将心理健康融入孕产妇卫生服务，因为LMIC是卫生系统的负担不足和资源不足的。从专业卫生工作者到同伴工人的精神卫生保健任务转变有良好的证据，并且有缺乏支持LMIC中较弱卫生系统的潜力。围产期心理健康项目（PRAMH）旨在制定一项干预措施，以应对在印度农村地区预防，检测和支持CPMD妇女的重大挑战，通过将心理健康纳入产妇护理。我们的目的是为未来发展，实施和评估的变革和途径开发清晰的理论。