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Common perinatal mental conditions (CPMC), including major depression and anxiety disorders, are more prevalent in low- and middle-income countries (LMIC) than in high-income settings. In South Africa, the prevalence of CPMC has been shown to be particularly high. The Perinatal Mental Health Project (PMHP) developed and adapted a Maternal Support Service (MSS) integrated into a primary care maternity unit in Cape Town. This chapter describes the service components and refinements made over time, namely: (1) collaboration with maternity staff, (2) mental health promotion, prevention, and service preparedness, (3) initial screening of women at their first antenatal visit with a locally validated, ultra-brief tool, 4) Engagement, Assessment, and Triage (EAT) sessions, (5) onsite psychotherapeutic and social support interventions based on varying levels of need, (6) collaborations with other providers for holistic case management, (7) monitoring and evaluation, and (8) prioritisation of staff well-being and supervision. Monitoring and evaluation data for 2024 were collected to describe care pathways. WHO objectives and principles for mental health service delivery have been applied to assess the PMHP service model.

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Maternal Mental Health in South Africa and the Refinement of a Multi-component Service Model

  • 章节

  • 发表日期：

    2026年

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  • Sally Field,
  • Jean Marie Place,
  • Simone Honikman

摘要

Common perinatal mental conditions (CPMC), including major depression and anxiety disorders, are more prevalent in low- and middle-income countries (LMIC) than in high-income settings. In South Africa, the prevalence of CPMC has been shown to be particularly high. The Perinatal Mental Health Project (PMHP) developed and adapted a Maternal Support Service (MSS) integrated into a primary care maternity unit in Cape Town. This chapter describes the service components and refinements made over time, namely: (1) collaboration with maternity staff, (2) mental health promotion, prevention, and service preparedness, (3) initial screening of women at their first antenatal visit with a locally validated, ultra-brief tool, 4) Engagement, Assessment, and Triage (EAT) sessions, (5) onsite psychotherapeutic and social support interventions based on varying levels of need, (6) collaborations with other providers for holistic case management, (7) monitoring and evaluation, and (8) prioritisation of staff well-being and supervision. Monitoring and evaluation data for 2024 were collected to describe care pathways. WHO objectives and principles for mental health service delivery have been applied to assess the PMHP service model.