Prevalence and factors associated with postpartum depression at a primary health care facility in Eswatini
South African Journal of Psychiatry
| Field | Value | |
| Title | Prevalence and factors associated with postpartum depression at a primary health care facility in Eswatini | |
| Creator | Dlamini, Lindelwa P. Mahanya, Sotah Dlamini, Sizakele D. Shongwe, Mduduzi C. | |
| Description | Background: Routine mental health screening has not been integrated into maternal and child health (MCH) services in many developing countries, including Eswatini (formerly Swaziland). As a result, the burden of postpartum depression (PPD) is not well understood and thus PPD remains untreated in such settings.Aim: To describe the prevalence and factors associated with PPD among women seeking postnatal and child welfare services at a primary health care facility in EswatiniSetting: King Sobhuza II Public Health Unit, Manzini, EswatiniMethods: This was a cross-sectional study that used convenience sampling and the Edinburgh Postnatal Depression Scale (EPDS) to screen for depression among 114 mothers during the first six weeks of postpartum. Multiple logistic regression analysis was conducted to determine socio-demographic and clinical factors associated with PPD.Results: A majority of the participants were older than 24 years (52.6%) and unemployed (64.9%), while 47.4% screened positive for PPD (≥13 score). Adjusting for other covariates, those who were unemployed (odds ratio (OR) = 3.20, 95% confidence interval (CI): 1.17, 8.79) and with poor social support from their partners (OR = 9.41, 95% CI: 3.52, 25.14) were more likely to be depressed, while those who attended antenatal classes fewer than four times, were less likely to be depressed (OR = 0.32, 95% CI: 0.11, 0.92).Conclusion: We found a high prevalence of PPD. There is a need to introduce routine maternal mental health screening during the postpartum period in order to ensure early detection and treatment of PPD. | |
| Publisher | AOSIS | |
| Date | 2019-10-24 | |
| Identifier | 10.4102/sajpsychiatry.v25i0.1404 | |
| Source | South African Journal of Psychiatry; Vol 25 (2019); 7 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1404/1534
https://sajp.org.za/index.php/sajp/article/view/1404/1533
https://sajp.org.za/index.php/sajp/article/view/1404/1535
https://sajp.org.za/index.php/sajp/article/view/1404/1524
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