Table 2.
Maternal mental health services across PRIME districts
| Ethiopia | India | Nepal | South Africa | Uganda | |
|---|---|---|---|---|---|
| Organisational context for maternal mental health (MMH) care | |||||
| National mental health policy which includes MMH | Yes | Yes | No | Yes | Yes |
| National mental health plan which includes MMH | Plan under development, and will include maternal mental health | No mental health plan | No mental health plan | Yes [69] | No mental health plan |
| Maternal mental health services | |||||
| Dedicated MMH service | No | No | No | No | No |
| Existing MMH care | No, referral to outpatient psychiatric unit (30 km away) or inpatient care (100 km away) | No, referral to mental health professionals posted at district mental health program or at tertiary care centre | No, mental health services available in the district hospital from the general psychiatrist unit | No, referral to PHC psychologists and psychiatrist; mental health services available at district hospitals | No, referral to regional hospital (64 km away) |
| Prescribing guidelines for psychotropic medication for pregnant & breastfeeding women | No | No | No | No | No |
| Proportion of perinatal women with disorder in contact with services | |||||
| Antenatal depression | Unknown (low) | Unknown | Unknown (low) | Unknown | Unknown |
| Postnatal depression | Unknown (low) | Unknown | Unknown (low) | Unknown | Unknown |
| Puerperal psychosis | Unknown | Unknown | Unknown | Unknown | Unknown |