Back to Search
Start Over
Understanding perinatal mental illness as a governance concern in South Africa through health provider perspectives.
- Source :
- Global Public Health; Dec2022, Vol. 17 Issue 12, p3519-3532, 14p
- Publication Year :
- 2022
-
Abstract
- Women in South Africa experience a disproportionately high prevalence of common perinatal mental disorders (CPMDs). These disorders often remain a silent burden and a complex health, social, and policy concern, both nationally and globally. Moreover, policy efforts to address this concern have been fragmented. Greater understanding of the governance of perinatal mental illness is needed to address this complex issue. No research to date has focused explicitly on the importance of 'issue framing' to advance governance for perinatal mental health. We sought to achieve a more nuanced understanding of clinical governance and issue framing for perinatal mental health in South Africa by interviewing 24 key informants with expertise in perinatal mental illness. Dominant themes encompassed: framing of perinatal mental health determines its priority; perinatal mental health is not prioritised due to competition from other health concerns; and, screening policy responses are shaped by the framing. We found that understanding the varying views influencing perinatal mental illness provides insights into how experts frame the problem. Findings suggest that a better understanding of policy implementation and responses in South Africa is important in guiding research, policy, and practice, while improving the governance of perinatal mental illness. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL illness treatment
MATERNAL health services
HEALTH policy
CLINICAL governance
SOCIAL determinants of health
ATTITUDES of medical personnel
MEDICAL care
INTERVIEWING
MENTAL health
MEDICAL personnel
MEDICAL screening
QUALITATIVE research
CHILD health services
EXPERTISE
JUDGMENT sampling
PERINATAL period
HEALTH planning
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 17
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 161686542
- Full Text :
- https://doi.org/10.1080/17441692.2022.2129727