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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">“Someone like us”: Delivering maternal mental health through peers in two South Asian contexts</title><author><name sortKey="Singla, Daisy" sort="Singla, Daisy" uniqKey="Singla D" first="Daisy" last="Singla">Daisy Singla</name><affiliation><nlm:aff id="A1">1205 Ave Docteur Penfield, Department of Psychology, McGill University, Montreal Quebec, Canada H3A 1B1</nlm:aff></affiliation></author><author><name sortKey="Lazarus, Anisha" sort="Lazarus, Anisha" uniqKey="Lazarus A" first="Anisha" last="Lazarus">Anisha Lazarus</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation></author><author><name sortKey="Atif, Najia" sort="Atif, Najia" uniqKey="Atif N" first="Najia" last="Atif">Najia Atif</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Sikander, Siham" sort="Sikander, Siham" uniqKey="Sikander S" first="Siham" last="Sikander">Siham Sikander</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Bhatia, Urvita" sort="Bhatia, Urvita" uniqKey="Bhatia U" first="Urvita" last="Bhatia">Urvita Bhatia</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation></author><author><name sortKey="Ahmad, Ikhlaq" sort="Ahmad, Ikhlaq" uniqKey="Ahmad I" first="Ikhlaq" last="Ahmad">Ikhlaq Ahmad</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Nisar, Anum" sort="Nisar, Anum" uniqKey="Nisar A" first="Anum" last="Nisar">Anum Nisar</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Khan, Sonia" sort="Khan, Sonia" uniqKey="Khan S" first="Sonia" last="Khan">Sonia Khan</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Fuhr, Daniela" sort="Fuhr, Daniela" uniqKey="Fuhr D" first="Daniela" last="Fuhr">Daniela Fuhr</name><affiliation><nlm:aff id="A4">Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, United Kingdom WC1E7HT</nlm:aff></affiliation></author><author><name sortKey="Patel, Vikram" sort="Patel, Vikram" uniqKey="Patel V" first="Vikram" last="Patel">Vikram Patel</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, United Kingdom WC1E7HT</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Center for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi</nlm:aff></affiliation></author><author><name sortKey="Rahman, Atif" sort="Rahman, Atif" uniqKey="Rahman A" first="Atif" last="Rahman">Atif Rahman</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom L69 3BX</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25113958</idno><idno type="pmc">4157588</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157588</idno><idno type="RBID">PMC:4157588</idno><idno type="doi">10.1016/j.jad.2014.07.017</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001C21</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C21</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">“Someone like us”: Delivering maternal mental health through peers in two South Asian contexts</title><author><name sortKey="Singla, Daisy" sort="Singla, Daisy" uniqKey="Singla D" first="Daisy" last="Singla">Daisy Singla</name><affiliation><nlm:aff id="A1">1205 Ave Docteur Penfield, Department of Psychology, McGill University, Montreal Quebec, Canada H3A 1B1</nlm:aff></affiliation></author><author><name sortKey="Lazarus, Anisha" sort="Lazarus, Anisha" uniqKey="Lazarus A" first="Anisha" last="Lazarus">Anisha Lazarus</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation></author><author><name sortKey="Atif, Najia" sort="Atif, Najia" uniqKey="Atif N" first="Najia" last="Atif">Najia Atif</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Sikander, Siham" sort="Sikander, Siham" uniqKey="Sikander S" first="Siham" last="Sikander">Siham Sikander</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Bhatia, Urvita" sort="Bhatia, Urvita" uniqKey="Bhatia U" first="Urvita" last="Bhatia">Urvita Bhatia</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation></author><author><name sortKey="Ahmad, Ikhlaq" sort="Ahmad, Ikhlaq" uniqKey="Ahmad I" first="Ikhlaq" last="Ahmad">Ikhlaq Ahmad</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Nisar, Anum" sort="Nisar, Anum" uniqKey="Nisar A" first="Anum" last="Nisar">Anum Nisar</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Khan, Sonia" sort="Khan, Sonia" uniqKey="Khan S" first="Sonia" last="Khan">Sonia Khan</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation></author><author><name sortKey="Fuhr, Daniela" sort="Fuhr, Daniela" uniqKey="Fuhr D" first="Daniela" last="Fuhr">Daniela Fuhr</name><affiliation><nlm:aff id="A4">Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, United Kingdom WC1E7HT</nlm:aff></affiliation></author><author><name sortKey="Patel, Vikram" sort="Patel, Vikram" uniqKey="Patel V" first="Vikram" last="Patel">Vikram Patel</name><affiliation><nlm:aff id="A2">Sangath Center, Succour, Porvorim, Bardez, Goa 403501</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, United Kingdom WC1E7HT</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Center for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi</nlm:aff></affiliation></author><author><name sortKey="Rahman, Atif" sort="Rahman, Atif" uniqKey="Rahman A" first="Atif" last="Rahman">Atif Rahman</name><affiliation><nlm:aff id="A3">Human Development Research Foundation, Pakistan</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom L69 3BX</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of affective disorders</title><idno type="ISSN">0165-0327</idno><idno type="eISSN">1573-2517</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title><p id="P1">Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia.</p></sec><sec id="S2"><title>METHODS</title><p id="P2">The study was carried out in the urban setting of Goa, India and a rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">Peers, from the same community were the most preferred delivery agents of a community-based psychosocial intervention in both sites. There were contextual similarities and differences between the two sites. Preferred characteristics among peers included local, middle-aged, educated mothers with similar experiences, good communication skills and a good character. Key differences between the two contexts included a greater emphasis on the peer's family social standing in rural Rawalpindi and financial incentives as motivators for individual peers in urban Goa.</p></sec><sec id="S4"><title>LIMITATIONS</title><p id="P4">Generalizability of our findings is limited to two specific contexts in a vast and diverse region.</p></sec><sec id="S5"><title>DISCUSSION</title><p id="P5">Our study demonstrates that peers have the potential to deliver maternal psychosocial interventions in low-income settings. There are contextual differences in the preferred characteristics and motivators between the sites, and these should be carefully considered in program implementation.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7906073</journal-id><journal-id journal-id-type="pubmed-jr-id">4424</journal-id><journal-id journal-id-type="nlm-ta">J Affect Disord</journal-id><journal-id journal-id-type="iso-abbrev">J Affect Disord</journal-id><journal-title-group><journal-title>Journal of affective disorders</journal-title></journal-title-group><issn pub-type="ppub">0165-0327</issn><issn pub-type="epub">1573-2517</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25113958</article-id><article-id pub-id-type="pmc">4157588</article-id><article-id pub-id-type="doi">10.1016/j.jad.2014.07.017</article-id><article-id pub-id-type="manuscript">NIHMS615172</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>“Someone like us”: Delivering maternal mental health through peers in two South Asian contexts</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Singla</surname><given-names>Daisy</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="corresp" rid="CR1">7</xref></contrib><contrib contrib-type="author"><name><surname>Lazarus</surname><given-names>Anisha</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Atif</surname><given-names>Najia</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Sikander</surname><given-names>Siham</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Bhatia</surname><given-names>Urvita</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Ahmad</surname><given-names>Ikhlaq</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Nisar</surname><given-names>Anum</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Khan</surname><given-names>Sonia</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Fuhr</surname><given-names>Daniela</given-names><prefix>Dr.</prefix></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Vikram</given-names><prefix>Dr.</prefix></name><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A4">4</xref><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Rahman</surname><given-names>Atif</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A6">6</xref></contrib></contrib-group><aff id="A1"><label>1</label>1205 Ave Docteur Penfield, Department of Psychology, McGill University, Montreal Quebec, Canada H3A 1B1</aff><aff id="A2"><label>2</label>Sangath Center, Succour, Porvorim, Bardez, Goa 403501</aff><aff id="A3"><label>3</label>Human Development Research Foundation, Pakistan</aff><aff id="A4"><label>4</label>Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, United Kingdom WC1E7HT</aff><aff id="A5"><label>5</label>Center for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi</aff><aff id="A6"><label>6</label>Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom L69 3BX</aff><author-notes><corresp id="CR1"><label>7</label><bold>Corresponding Author:</bold> Daisy R. Singla 1205 Avenue Docteur Penfield, Montreal QC. Canada <email>daisy.singla@mail.mcgill.ca</email>; (514) 557-4734</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>23</day><month>7</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>7</month><year>2014</year></pub-date><pub-date pub-type="ppub"><day>15</day><month>10</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>10</month><year>2015</year></pub-date><volume>168</volume><fpage>452</fpage><lpage>458</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.jad.2014.07.017</pmc-comment>
<permissions><copyright-statement>© 2014 Elsevier B.V. All rights reserved</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><sec id="S1"><title>BACKGROUND</title><p id="P1">Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia.</p></sec><sec id="S2"><title>METHODS</title><p id="P2">The study was carried out in the urban setting of Goa, India and a rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">Peers, from the same community were the most preferred delivery agents of a community-based psychosocial intervention in both sites. There were contextual similarities and differences between the two sites. Preferred characteristics among peers included local, middle-aged, educated mothers with similar experiences, good communication skills and a good character. Key differences between the two contexts included a greater emphasis on the peer's family social standing in rural Rawalpindi and financial incentives as motivators for individual peers in urban Goa.</p></sec><sec id="S4"><title>LIMITATIONS</title><p id="P4">Generalizability of our findings is limited to two specific contexts in a vast and diverse region.</p></sec><sec id="S5"><title>DISCUSSION</title><p id="P5">Our study demonstrates that peers have the potential to deliver maternal psychosocial interventions in low-income settings. There are contextual differences in the preferred characteristics and motivators between the sites, and these should be carefully considered in program implementation.</p></sec></abstract><kwd-group><kwd>peers</kwd><kwd>peer characteristics</kwd><kwd>human resources</kwd><kwd>maternal depression</kwd><kwd>community-based intervention</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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