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Factors associated with the feasibility and acceptability of mental health screening tools in antenatal and postnatal programs in Zambia: a case of Kavu Health Centre, Ndola, Zambia
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ABSTRACT: Introduction
Maternal depression is recognized worldwide as a major public health concern and is a leading
cause of maternal morbidity. Suicide is an important cause of maternal mortality in the UK and in
Northern Europe11. Kumar and Robson, in their 1984 “A prospective study of Emotional disorder
with Child bearing women”, confirmed the association between maternal depression and serious
long-term consequences for maternal mental health27. A 2010 Zambian maternal depression study
reported prevalence rates of 48 % and 37 % during the antenatal (AN) and postnatal (PN) periods
respectively38. And screening for maternal mental disorders in primary care settings is not routine.
38 The purpose of this study is to explore the feasibility and acceptability of mental health screening
in the antenatal and postnatal programs at Kavu Health Centre, Ndola, Zambia by mothers and
care providers.
Methods
This was a cross-sectional study that gathered quantitative and qualitative data, which sought to
investigate factors associated with the feasibility and acceptability of applying mental health
screening tools in antenatal and postnatal programs. A group of 140 women were interviewed
using a questionnaire to obtain information on demographic and medical risk factors for maternal
depression, and an Edinburgh Postnatal Depression Scale (EPDS) and a Risk Factors Assessment
(RFA) screening tools were administered. Health workers were interviewed using a Likert scale
questionnaire about their opinions about the use of mental health screening tools after a brief
exposure to their usage.
Results
All the 140 respondents who gave their written consent were included in the analysis. Of the
140 women, 54(38.5%) had depression of whom, 37(46.5%) and 17(28.5%) were antenatal and
postnatal, registered respectively.
Conclusion
The study demonstrated that it was feasible and acceptable to administer Edinburgh Postnatal
Depression Scale (EPDS) and Risk Factors Assessment (RFA) among women attending antenatal
(AN) and postnatal (PN) programs. In these women, the administration of the two screening tools
detected a high prevalence of depression. All care providers unanimously recommended that the
mental health component should be assessed in the antenatal and postnatal programs.
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Antenatal and postnatal Programs Zambia