Daisy Singla1, Anisha Lazarus2, Najia Atif3, Siham Sikander3, Urvita Bhatia2, Ikhlaq Ahmad3, Anum Nisar3, Sonia Khan3, Daniela Fuhr3, Vikram Patel4, Atif Rahman5. 1. 1205 Avenue Docteur Penfield, Department of Psychology, McGill University, Montreal Quebec, Canada H3A 1B1. Electronic address: daisy.singla@mail.mcgill.ca. 2. Sangath Center, Succour, Bardez, Porvorim 403501, Goa, India. 3. Human Development Research Foundation, Pakistan. 4. Sangath Center, Succour, Bardez, Porvorim 403501, Goa, India; Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E7HT, United Kingdom; Center for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India. 5. Human Development Research Foundation, Pakistan; Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3BX, United Kingdom. Electronic address: Atif.Rahman@liverpool.ac.uk.
Abstract
BACKGROUND: Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia. METHODS: The study was carried out in the urban setting of Goa, India and rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data. RESULTS: Peers from the same community were the most preferred delivery agents of a community-based psychosocial intervention in both sites. There were contextual similarities and differences between the two sites. Preferred characteristics among peers included local, middle-aged, educated mothers with similar experiences to participants, good communication skills and a good character. Key differences between the two contexts included a greater emphasis on the peer׳s family social standing in rural Rawalpindi and financial incentives as motivators for individual peers in urban Goa. LIMITATIONS: Generalizability of our findings is limited to two specific contexts in a vast and diverse region. DISCUSSION: Our study demonstrates that peers have the potential to deliver maternal psychosocial interventions in low-income settings. There are contextual differences in the preferred characteristics and motivators between the sites, and these should be carefully considered in program implementation.
BACKGROUND: Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia. METHODS: The study was carried out in the urban setting of Goa, India and rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data. RESULTS: Peers from the same community were the most preferred delivery agents of a community-based psychosocial intervention in both sites. There were contextual similarities and differences between the two sites. Preferred characteristics among peers included local, middle-aged, educated mothers with similar experiences to participants, good communication skills and a good character. Key differences between the two contexts included a greater emphasis on the peer׳s family social standing in rural Rawalpindi and financial incentives as motivators for individual peers in urban Goa. LIMITATIONS: Generalizability of our findings is limited to two specific contexts in a vast and diverse region. DISCUSSION: Our study demonstrates that peers have the potential to deliver maternal psychosocial interventions in low-income settings. There are contextual differences in the preferred characteristics and motivators between the sites, and these should be carefully considered in program implementation.
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Authors: Katherine H LeMasters; Sarah E Bledsoe; Jada Brooks; Stephanie Chavis; Erica Little; Kim Pevia; Leah Daniel; Kiva Jordan; Ann Schindler; Alexandra F Lightfoot Journal: Health Educ Behav Date: 2021-12-28
Authors: M N Khan; S U Hamdani; A Chiumento; K Dawson; R A Bryant; M Sijbrandij; H Nazir; P Akhtar; A Masood; D Wang; E Wang; I Uddin; M van Ommeren; A Rahman Journal: Epidemiol Psychiatr Sci Date: 2017-07-10 Impact factor: 6.892
Authors: PhuongThao D Le; Martín Agrest; Lawrence H Yang; Rubén Alvarado; Ezra S Susser; Franco Mascayano; Saloni Dev; Tanvi Kankan; Gabriella Dishy; Thamara Tapia-Muñoz; Eric Tapia; Josefina Toso-Salman; Charissa Pratt; Silvia Alves-Nishioka; Sara Schilling; María José Jorquera; Joaquín Castro-Valdez; Norma Geffner; LeShawndra N Price; Sarah Conover; Eliecer Valencia Journal: Community Ment Health J Date: 2021-03-01