{"id":257948,"date":"2024-11-29T19:06:29","date_gmt":"2024-11-29T19:06:29","guid":{"rendered":"https:\/\/www.ghanamma.com\/2024\/11\/29\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\/"},"modified":"2024-11-29T19:06:29","modified_gmt":"2024-11-29T19:06:29","slug":"conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning","status":"publish","type":"post","link":"https:\/\/www.ghanamma.com\/2024\/11\/29\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\/","title":{"rendered":"Conceptualising maternal mental health in rural Ghana: A realist qualitative analysis | Health Policy and Planning"},"content":{"rendered":"<p><\/p>\n<div id=\"\">\n<p class=\"chapter-para\">In low-and-middle income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social, and spiritual components of childbirth are often downplayed.<\/p>\n<p class=\"chapter-para\">A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships between pregnant and postnatal women, their families, and their environment, and how these influence women\u2019s interactions with healthcare providers in Ghana.<\/p>\n<p class=\"chapter-para\">Data collection methods combined six qualitative interviews (n= 6) and 18 focus group discussions (n= 121) with pregnant and postnatal women, their relatives and health care providers (midwives, community mental health nurses) at the primary healthcare level. Data analysis was based on the Context-Mechanism-Outcome heuristic of realist evaluation methodology. A programme theory was developed and iteratively refined, drawing on Crowther\u2019s ecology of birth theory to unpack how context shapes women\u2019s interactions with public and alternative health care providers.<\/p>\n<p class=\"chapter-para\">We found that context interacts dynamically with embodiment, relationality, temporality, spatiality, and mystery of childbirth experiences, which in turn influence women\u2019s wellbeing in three primary areas. There is an intricate intersection of pregnancy with mental health impacting women\u2019s expectations of temporality, which does not always coincide with the timings provided by formal healthcare services. Societal deficiencies in social support structures for women facing economic challenges become particularly evident during the pregnancy and postnatal period, where women need heightened assistance. Socio-cultural beliefs associated with the mystery of childbirth, support the role of private providers in offering women a feeling of protection from uncertainty.<\/p>\n<p class=\"chapter-para\">Co-production of context specific interventions, including the integration of maternal and mental health policies, with relevant stakeholders can help formal healthcare providers accommodate women\u2019s perspectives on spirituality and mental health, which can subsequently help to make health system responsive to maternal mental health conditions.<\/p>\n<\/div>\n<p>\u00a9 The Author(s) 2024. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.<\/p>\n<div>\n<div class=\"license-p\">This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site\u2013for further information please contact journals.permissions@oup.com.<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In low-and-middle income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social, and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":257949,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-257948","post","type-post","status-publish","format-standard","has-post-thumbnail","category-top-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Conceptualising maternal mental health in rural Ghana: A realist qualitative analysis | Health Policy and Planning - Ghanamma.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ghanamma.com\/2024\/11\/29\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Conceptualising maternal mental health in rural Ghana: A realist qualitative analysis | Health Policy and Planning - Ghanamma.com\" \/>\n<meta property=\"og:description\" content=\"In low-and-middle income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social, and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ghanamma.com\/2024\/11\/29\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\/\" \/>\n<meta property=\"og:site_name\" content=\"Ghanamma.com\" \/>\n<meta property=\"article:published_time\" content=\"2024-11-29T19:06:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ghanamma.com\/2024\/wp-content\/uploads\/2024\/11\/heapol_ogimage.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Ghana News\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ghana News\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/\"},\"author\":{\"name\":\"Ghana News\",\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/#\\\/schema\\\/person\\\/c70749f3edfbfcd92d45e933f0fe10b5\"},\"headline\":\"Conceptualising maternal mental health in rural Ghana: A realist qualitative analysis | Health Policy and Planning\",\"datePublished\":\"2024-11-29T19:06:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/\"},\"wordCount\":434,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/wp-content\\\/uploads\\\/2024\\\/11\\\/heapol_ogimage.png\",\"articleSection\":[\"Top News\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/\",\"url\":\"https:\\\/\\\/www.ghanamma.com\\\/2024\\\/11\\\/29\\\/conceptualising-maternal-mental-health-in-rural-ghana-a-realist-qualitative-analysis-health-policy-and-planning\\\/\",\"name\":\"Conceptualising maternal mental health in rural Ghana: A realist qualitative analysis | Health Policy and Planning - 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