Table 4.

Features of the Intervention

Features of the intervention	Description
Theoretical basis	Psycho-education, Cognitive Behavioural Therapy techniques, such as healthy thinking adapted from the Thinking Healthy programme by Atif Rahman, and Behaviour Activation.
Structure of the intervention	Manual based individual therapy and psycho-social support provided over 6–8 clinic based sessions. Session 1: Psycho-education on depression Session 2: Problem solving Session 3: Behaviour Activation Session 4: Healthy thinking Session 5: Psycho-education on birth preparation and Relaxation. Session 6: Termination and evaluation
Structure of the sessions	3 step process in all the sessions Step 1: Introduction – greeting and follow up on issues from previous meeting or session, or homework discussion. Step 2: Exploration – discussion of purpose of the session and topic, probing and clarification of issues Step 3: Termination - homework, follow up date and termination
Tools	Counselling manual, voice recorder, relaxation CD, activity workbook and resource list for participants.