Hameed Waqas, Rahman Atif
Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK.
Institute of Population Health, University of Liverpool, Liverpool, UK.
BJPsych Int. 2025 May;22(2):28-31. doi: 10.1192/bji.2024.42. Epub 2025 Jan 10.
We synthesise perinatal mental health (PMH) evidence and provide recommendations for future research and practices in Pakistan. The burden is significantly higher relative to many other countries, with adverse effects on women and children. Few locally developed interventions involving non-specialists have shown promise, but integrating these into maternal and child health services (MCH) at scale remains a challenge. We recommend broadening the scope of PMH research in accordance with the World Health Organization's stepped care model, and advancing the use of implementation science, digital technology and exploring low-cost models. Programmes and policies should prioritise incorporating PMH into MCH services in health planning and budgeting.
我们综合了围产期心理健康（PMH）方面的证据，并为巴基斯坦未来的研究和实践提供建议。与许多其他国家相比，该国的负担要高得多，对妇女和儿童都有不利影响。少数由当地开发的、涉及非专科医生的干预措施显示出了前景，但将这些措施大规模纳入妇幼保健服务（MCH）仍然是一项挑战。我们建议根据世界卫生组织的逐步护理模式扩大PMH研究的范围，并推进实施科学、数字技术的应用以及探索低成本模式。在卫生规划和预算编制中，各项计划和政策应优先考虑将PMH纳入妇幼保健服务。
