Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan

We synthesise perinatal mental health (PMH) evidence and provide recommendations for future research and practices in Pakistan. The burden is significantly higher relative to many other countries, with adverse effects on women and children. Few locally developed interventions involving non-specialis...

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Main Authors: Waqas Hameed, Atif Rahman
Format: Article
Language:English
Published: Cambridge University Press
Series:BJPsych International
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056474024000424/type/journal_article
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author Waqas Hameed
Atif Rahman
author_facet Waqas Hameed
Atif Rahman
author_sort Waqas Hameed
collection DOAJ
description We synthesise perinatal mental health (PMH) evidence and provide recommendations for future research and practices in Pakistan. The burden is significantly higher relative to many other countries, with adverse effects on women and children. Few locally developed interventions involving non-specialists have shown promise, but integrating these into maternal and child health services (MCH) at scale remains a challenge. We recommend broadening the scope of PMH research in accordance with the World Health Organization's stepped care model, and advancing the use of implementation science, digital technology and exploring low-cost models. Programmes and policies should prioritise incorporating PMH into MCH services in health planning and budgeting.
format Article
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institution Kabale University
issn 2056-4740
2058-6264
language English
publisher Cambridge University Press
record_format Article
series BJPsych International
spelling doaj-art-dc98e62518f24f9eb8cf42d48b0c47bb2025-01-16T21:50:34ZengCambridge University PressBJPsych International2056-47402058-62641410.1192/bji.2024.42Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in PakistanWaqas Hameed0https://orcid.org/0000-0002-8100-9474Atif Rahman1Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UKInstitute of Population Health, University of Liverpool, Liverpool, UKWe synthesise perinatal mental health (PMH) evidence and provide recommendations for future research and practices in Pakistan. The burden is significantly higher relative to many other countries, with adverse effects on women and children. Few locally developed interventions involving non-specialists have shown promise, but integrating these into maternal and child health services (MCH) at scale remains a challenge. We recommend broadening the scope of PMH research in accordance with the World Health Organization's stepped care model, and advancing the use of implementation science, digital technology and exploring low-cost models. Programmes and policies should prioritise incorporating PMH into MCH services in health planning and budgeting.https://www.cambridge.org/core/product/identifier/S2056474024000424/type/journal_articlePerinatal psychiatrymental health servicesprimary caredepressive disorderspsychosocial interventions
spellingShingle Waqas Hameed
Atif Rahman
Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
BJPsych International
Perinatal psychiatry
mental health services
primary care
depressive disorders
psychosocial interventions
title Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
title_full Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
title_fullStr Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
title_full_unstemmed Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
title_short Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan
title_sort navigating perinatal mental health integration in maternal and child health services progress and priorities for research and practices in pakistan
topic Perinatal psychiatry
mental health services
primary care
depressive disorders
psychosocial interventions
url https://www.cambridge.org/core/product/identifier/S2056474024000424/type/journal_article
work_keys_str_mv AT waqashameed navigatingperinatalmentalhealthintegrationinmaternalandchildhealthservicesprogressandprioritiesforresearchandpracticesinpakistan
AT atifrahman navigatingperinatalmentalhealthintegrationinmaternalandchildhealthservicesprogressandprioritiesforresearchandpracticesinpakistan