wow-inequalities/02-data/intermediate/wos_sample/e939f406e9fb4d472ac91ab23e3a5946-kulisewa-kazione-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'BackgroundPerinatal depression (PND) is prevalent and negatively impacts
HIV care among women living with HIV (WLHIV), yet PND remains
under-identified in Malawian WLHIV. Accordingly, this formative study
explored perceptions of the feasibility and acceptability of an
integrated, task-shifted approach to PND screening and treatment in
maternity clinics. MethodsWe completed consecutive PND screenings of
HIV+ women attending pre- or post-natal appointments at 5 clinics in
Lilongwe district, Malawi. We conducted in-depth interviews with the
first 4-5 women presenting with PND per site (n = 24 total) from July to
August 2018. PND classification was based on a score \& GE; 10 on the
Edinburgh Postnatal Depression Scale (EPDS). We conducted 10 additional
in-depth interviews with HIV and mental health providers at the 5
clinics. ResultsMost participants endorsed the feasibility of integrated
PND screening, as they believed that PND had potential for significant
morbidity. Among providers, identified barriers to screening were
negative staff attitudes toward additional work, inadequate staffing
numbers and time constraints. Suggested solutions to barriers were
health worker training, supervision, and a brief screening tool.
Patient-centered counselling strategies were favored over medication by
WLHIV as the acceptable treatment of choice, with providers supporting
the role of medication to be restricted to severe depression. Providers
identified nurses as the most suitable health workers to deliver
task-shifted interventions and emphasized further training as a
requirement to ensure successful task shifting. ConclusionImproving PND
in a simple, task-shifted intervention is essential for supporting
mental health among women with PND and HIV. Our results suggest that an
effective PND intervention for this population should include a brief,
streamlined PND screening questionnaire and individualized counselling
for those who have PND, with supplemental support groups and depression
medication readily available. These study results support the
development of a PND intervention to address the gap in treatment of PND
and HIV among WLHIV in Malawi.'
affiliation: 'Dussault, JM (Corresponding Author), Univ N Carolina, Gillings Sch Global
Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27599 USA.
Kulisewa, Kazione, Kamuzu Univ Hlth Sci, Fac Med, Dept Psychiat \& Mental Hlth,
Private Bag 360, Blantyre, Malawi.
Dussault, Josee M.; Gaynes, Bradley N.; LeMasters, Katherine; Pence, Brian W., Univ
N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27599
USA.
Gaynes, Bradley N.; Meltzer-Brody, Samantha, Univ N Carolina, UNC Sch Med, Dept
Psychiat, Chapel Hill, NC USA.
Hosseinipour, Mina C.; Kutengule, Anna; Mphonda, Steven M., UNC Project Malawi,
Lilongwe, Malawi.
Hosseinipour, Mina C., Univ N Carolina, UNC Sch Med, Dept Med, Chapel Hill, NC USA.
Go, Vivian F., Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav,
Chapel Hill, NC USA.
Midiani, Dalitso; Udedi, Michael, Minist Hlth, Lilongwe, Malawi.
Bengtson, Angela M., Brown Univ, Brown Sch Publ Hlth, Dept Epidemiol, Providence,
RI USA.'
article-number: '833'
author: Kulisewa, Kazione and Dussault, Josee M. and Gaynes, Bradley N. and Hosseinipour,
Mina C. and Go, Vivian F. and Kutengule, Anna and LeMasters, Katherine and Meltzer-Brody,
Samantha and Midiani, Dalitso and Mphonda, Steven M. and Udedi, Michael and Pence,
Brian W. and Bengtson, Angela M.
author-email: josee.dussault@unc.edu
author_list:
- family: Kulisewa
given: Kazione
- family: Dussault
given: Josee M.
- family: Gaynes
given: Bradley N.
- family: Hosseinipour
given: Mina C.
- family: Go
given: Vivian F.
- family: Kutengule
given: Anna
- family: LeMasters
given: Katherine
- family: Meltzer-Brody
given: Samantha
- family: Midiani
given: Dalitso
- family: Mphonda
given: Steven M.
- family: Udedi
given: Michael
- family: Pence
given: Brian W.
- family: Bengtson
given: Angela M.
da: '2023-09-28'
doi: 10.1186/s12888-022-04476-z
eissn: 1471-244X
files: []
journal: BMC PSYCHIATRY
keywords: Perinatal depression; Mental health; HIV; Malawi; Task-shifting
keywords-plus: 'OPTION B PLUS; MENTAL-HEALTH; POSTNATAL DEPRESSION; PRIMARY-CARE;
LOW-INCOME; COUNSELING INTERVENTION; ANTIRETROVIRAL THERAPY; ANTENATAL
DEPRESSION; PRENATAL DEPRESSION; POSTPARTUM'
language: English
month: DEC 29
number: '1'
number-of-cited-references: '54'
orcid-numbers: 'Udedi, Michael/0000-0001-8769-4313
Dussault, Josee/0000-0001-7434-2159'
papis_id: 4962100467fbe0b6efda38de84949f6e
ref: Kulisewa2022feasibilityacceptabi
researcherid-numbers: 'Udedi, Michael/V-6147-2017
'
times-cited: '1'
title: 'The feasibility and acceptability of a task-shifted intervention for perinatal
depression among women living with HIV in Malawi: a qualitative analysis'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000905932200001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '22'
web-of-science-categories: Psychiatry
year: '2022'