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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 3/2015

Open Access 01-03-2015 | Original Paper

Integrating mental health screening into routine community maternal and child health activity: experience from Prevention of Mother-to-child HIV transmission (PMTCT) trial in Nigeria

Authors: Theddeus Iheanacho, Michael Obiefune, Chinenye O. Ezeanolue, Gbenga Ogedegbe, Okey C. Nwanyanwu, John E. Ehiri, Jude Ohaeri, Echezona E. Ezeanolue

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2015

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Abstract

Purpose

Although the prevalence of mental health disorders in Nigeria is comparable to most developed countries, access to mental health care in Nigeria is limited. Improving access to care requires innovative approaches that deliver mental health interventions at the community level. The aim of this study was to determine the feasibility and acceptability of integrating mental health screening into an existing community-based program for prevention of mother-to-child transmission of HIV targeted at pregnant women and their male partners.

Methods

Pregnant women and their male partners from 117 churches enrolled in the healthy beginning initiative (HBI) in southeast Nigeria participated in the mental health screening project. Two members from each church were trained as church-based health advisors to administer the 12-item general health questionnaire.

Results

Ninety-three percent of the pregnant women and their male partners agreed to participate and fully completed the questionnaire. Overall, 21.7 % of the respondents scored above the threshold of 11 indicating significant psychological distress, with women having significantly higher scores than men.

Conclusion

Mental health screening is feasible and well accepted among a cohort of pregnant women and their male partners. Church members can be trained as health advisors to administer mental health screening. Mental health interventions can be developed on the framework of the HBI.
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Metadata
Title
Integrating mental health screening into routine community maternal and child health activity: experience from Prevention of Mother-to-child HIV transmission (PMTCT) trial in Nigeria
Authors
Theddeus Iheanacho
Michael Obiefune
Chinenye O. Ezeanolue
Gbenga Ogedegbe
Okey C. Nwanyanwu
John E. Ehiri
Jude Ohaeri
Echezona E. Ezeanolue
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 3/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0952-7

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