| Autor: |
Lola Kola, Ian M Bennett, Amritha Bhat, Olatunde O. Ayinde, Bibilola D. Oladeji, Dolapo Abiona, Jibril Abdulmalik, Neda Faregh, Pamela Y. Collins, Oye Gureje |
| Rok vydání: |
2019 |
| DOI: |
10.21203/rs.2.18520/v1 |
| Popis: |
Background. Depression is a common and serious disorder among low-income adolescent mothers in low-and middle-income countries where resources for treatment are limited. We wished to identify, among adolescents with perinatal depression and their health providers, factors influencing health service utilization for the condition in Nigeria to inform new strategies of care delivery.Methods. Focus group discussions (FGDs) were carried out among low-income adolescent women with a history of perinatal depression and separately with primary care clinicians treating this condition in Ibadan, Nigeria. Semi-structured interview guides were used to obtain views on the factors that promote or hinder help-seeking and engagement. FGDs were conducted until saturation of themes was achieved. Transcripts were analyzed using content analysis framed by the Behavioral Model for Vulnerable PopulationsModel and triangulation between patients and providers. Results. A total of 17 women and 25 care providers participated in 6 FGDs. Perceived benefits of treatment received for perinatal depression were strong motivation for service utilization. Significant stigma regarding adolescent pregnancy and perinatal depression created obstacles to care. Providers expressed negative stereotypes associated with adolescent pregnancy. However, individual patient resilience was a major enabling factor facilitating service engagement. Older and more experienced care providers were perceived to deliver more tolerant and supportive care that adolescent mothers valued. Conclusions. Participants identified an unsupportive and stigmatizing clinic environment as a major barrier to accessing available care. Interventions to reduce stigma among healthcare providers may improve services for this vulnerable population. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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