Preventing Perinatal Depression: Cultural Adaptation of the Mothers and Babies Course in Kenya and Tanzania

Huynh-Nhu Le (), Elena McEwan, Maureen Kapiyo, Fidelis Muthoni, Tobias Opiyo, Kantoniony M. Rabemananjara, Shannon Senefeld and John Hembling
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Huynh-Nhu Le: Department of Psychological and Brain Sciences, The George Washington University, Washington, DC 20006, USA
Elena McEwan: Catholic Relief Services Headquarters, Baltimore, MD 21201, USA
Maureen Kapiyo: Catholic Relief Services, Nairobi 49675, Kenya
Fidelis Muthoni: Catholic Relief Services, Nairobi 49675, Kenya
Tobias Opiyo: Catholic Relief Services, Nairobi 49675, Kenya
Kantoniony M. Rabemananjara: Department of Psychological and Brain Sciences, The George Washington University, Washington, DC 20006, USA
Shannon Senefeld: Catholic Relief Services Headquarters, Baltimore, MD 21201, USA
John Hembling: Catholic Relief Services Headquarters, Baltimore, MD 21201, USA

IJERPH, 2023, vol. 20, issue 19, 1-14

Abstract: Pregnant women and mothers in sub-Saharan Africa are at high risk for perinatal depression, warranting a need to develop culturally tailored interventions to prevent perinatal depression. This paper documents the process of adapting an evidence-based preventive intervention developed in the United States, the Mothers and Babies Course (MBC), to fit the contexts of rural pregnant women and mothers of young children in Kenya and Tanzania using the updated Framework for Reporting Adaptations and Modifications-Enhanced (FRAME). Data from informant interviews and field observations from the planning and implementation phases were used to make adaptations and modifications of the MBC for perinatal women through the eight aspects of FRAME. Follow-up field visits and reflection meetings with case managers and intervention participants indicated that the adapted version of the MBC was well accepted, but fidelity was limited due to various implementation barriers. The FRAME provided an optimal structure to outline the key adaptations and modifications of a preventive intervention intended to maximize engagement, delivery, and outcomes for high-risk perinatal women in rural settings.

Keywords: perinatal depression; Mothers and Babies Course; cultural adaptation; Framework for Reporting Adaptations and Modifications-Enhanced/FRAME; prevention; Kenya; Tanzania (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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