Adefolarin A O, Arulogun O S
Department of Health Promotion and Education, Faculty of Public Health, University of Ibadan.
Department of Psychiatry, College of Medicine, University of Ibadan. Ibadan, Nigeria.
Arch Basic Appl Med. 2018 Feb;6(1):27-33. Epub 2018 Feb 18.
Maternal depression is gradually becoming a prevailing condition among women of reproductive age in Nigeria but there are little efforts towards addressing this problem. Need assessment for health education service provision on maternal depression therefore becomes necessary. Hence, this study assessed the needs of Primary Health Care (PHC) workers regarding the provision of routine health talk on maternal depression. This study was descriptive in design and it adopted a mixed method. Four Key Informant Interviews (KII) and a survey which involved 100 Health Workers (HWs) were carried out. KII participants were purposively selected from the 4 LGAs where volunteers were found and the 100 HWs were conveniently selected from all the Comprehensive Clinics (CCs) in the 5 LGAs. A KII guide and structured questionnaire were used to collect data and data were analyzed thematically, with descriptive statistics and chi-square. The mean age of the key informant's interviewees was 54±6.1years and the mean age of the survey respondents was 42±5.2 years. The interviewees identified HWs' inability to communicate maternal depression to the service users in appropriate local terms and non-availability of Information, Education and Communication (IEC) materials as barriers to giving health talk on maternal depression. Survey respondents identified certain needs with a statistical significance across cadres. Eighty-three (88.3%) identified training need, education aid materials 61.7%; p<0.05, maternal depression health education guide 27.7%; p<0.05 and need for more staff 22.3%. Training need, non-availability of maternal depression targeted educational materials and the need for more staff were the primary identified needs.
在尼日利亚，孕产妇抑郁症正逐渐成为育龄妇女中的普遍问题，但在解决这一问题方面所做的努力却很少。因此，有必要对提供孕产妇抑郁症健康教育服务进行需求评估。于是，本研究评估了初级卫生保健（PHC）工作者在提供关于孕产妇抑郁症的常规健康讲座方面的需求。本研究采用描述性设计，并采用了混合方法。进行了四次关键 informant 访谈（KII）以及一项涉及 100 名卫生工作者（HWs）的调查。KII 的参与者是从发现有志愿者的 4 个地方政府辖区（LGAs）中有意挑选出来的，而 100 名 HWs 是从 5 个 LGAs 的所有综合诊所（CCs）中方便抽样选取的。使用一份 KII 指南和结构化问卷来收集数据，并对数据进行主题分析，同时采用描述性统计和卡方检验。关键 informant 访谈的受访者平均年龄为 54±6.1 岁，调查受访者的平均年龄为 42±5.2 岁。受访者认为 HWs 无法用合适的当地语言向服务对象传达孕产妇抑郁症以及缺乏信息、教育和宣传（IEC）材料是开展孕产妇抑郁症健康讲座的障碍。调查受访者确定了不同干部群体间具有统计学意义的某些需求。83 人（88.3%）确定有培训需求，61.7%的人需要教育辅助材料；p<0.05，27.7%的人需要孕产妇抑郁症健康教育指南；p<0.05，22.3%的人需要更多工作人员。培训需求、缺乏针对孕产妇抑郁症的教育材料以及需要更多工作人员是主要确定的需求。
