Improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics in south-western and south-eastern Nigeria - A service development report.

Journal: Matters

Volume: 2017

Issue: 

Year of Publication: 

Affiliated Institutions:  Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Centre, Federal Neuropsychiatric Hospital, Lagos; University Center for Excellence in Developmental Disabilities, Boston Children Hospital; Childhood Neuropsychiatric Disorders Initiatives, Federal Neuropsychiatric Hospital, Enugu, Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Enugu; Department of Paediatric, University of Nigeria Teaching Hospital; Childhood Neuropsychiatric Disorders Initiatives, Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Unit, Federal Neuropsychiatric Hospital; Childhood Neuropsychiatric Disorders Initiatives, Childhood Neuropsychiatric Disorders Initiatives, Child and Adolescent Centre, Federal Neuropsychiatric Hospital, Lagos; Childhood Neuropsychiatric Disorders Initiatives, Enugu State University of Science and Technology, Child and Adolescent Centre, Federal Neuropsychiatric Hospital.

Abstract summary 

We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.

Authors & Co-authors:  Bakare Muideen O MO Bello-Mojeed Mashudat A MA Munir Kerim M KM Duduyemi Olaniyi O OO Orovwigho Andrew O AO Odetunde Odutola I OI Taiwo Olufemi G OG Olofinlade Jushua A JA Omotoso Olakunle N ON Famurewa Olayinka H OH Omolabi Oladipupo O OO Jejeloye Adebayo O AO

Study Outcome 

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Statistics
Citations :  Bakare Muideen O, Okoye Jane O, Obindo James T. Introducing depression and developmental screenings into the National Programme on Immunization (NPI) in southeast Nigeria: an experimental cross-sectional assessment. General Hospital Psychiatry. 2014 Jan;36.1:105–112. doi: 10.1016/j.genhosppsych.2013.09.005. URL: https://doi.org/10.1016/j.genhosppsych.2013.09.005.
Authors :  12
Identifiers
Doi : 10.19185/matters.201707000005
SSN : 2297-8240
Study Population
Mothers
Mesh Terms
Other Terms
Human Centred Design;Immunization;Infant Growth;Intervention;Post-Partum Depression
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
Switzerland