Juliet Nakku|Elialilia S. Okello|Dorothy Kizza|Simone Honikman|Joshua Ssebunnya|Sheila Ndyanabangi|Charlotte Hanlon|Fred Kigozi
Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs
Butabika Hospital|Makerere University|Makerere University|Butabika Hospital|Makerere University|University of Cape Town|Butabika Hospital|Makerere University|Ministry of Health|Addis Ababa University|Butabika Hospital|Makerere University
perinatal mental illness common important public health problem especially low middleincome countries lmics study aims explore barriers facilitators well perceptions feasibility acceptability plans deliver perinatal mental health care primary care settings low income rural district uganda six focus group discussions comprising separate groups pregnant postpartum women village health teams well eight key informant interviews conducted local language using topic guide transcribed data translated english analyzed coded key themes identified using thematic analysis approach participants perceived important unmet need perinatal mental health care district evidence significant gaps knowledge mental health problems well negative attitudes amongst mothers health care providers towards sufferers poverty inability afford transport services poor partner support stigma thought add difficulties perinatal women accessing care awareness need interventions respond neglected public health problem willingness community facilitybased health care providers provide care mothers mental health problems equipped adequate training study highlights acceptability relevance perinatal mental health care rural lowincome country community also underscores key barriers potential facilitators delivery care primary care settings results study implications mental health service planning development perinatal populations uganda useful informing development integrated maternal mental health care rural district similar settings low middle income countries