| 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 (30Â km away) or inpatient care (100Â 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 (64Â 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 |