TY - JOUR
AU - Kakuma, Ritsuko
AB - Background: Indonesian maternal health policies state that community health workers (CHWs) are responsible for detection and referral of pregnant women and postpartum mothers who might suffer from mental health problems (task-sharing). The documents have been published for a while, however reports on the implementation are hardly found which possibly resulted from feasibility issue within the health system. Aims: To examine the feasibility of task-sharing in integrated mental health care to identify perinatal depression in Surabaya, Indonesia. Methods: Semi-structured interviews were conducted with 62 participants representing four stakeholder groups in primary health care: program managers from the health office and the community, health workers and CHWs, mental health specialists, and service users. Questions on the feasibility were supported by vignettes about perinatal depres- sion. WHO’s health systems framework was applied to analyse the data using framework analysis. Results: Findings indicated the policy initiative is feasible to the district health system. A strong basis within the health system for task-sharing in maternal mental health rests on health leadership and governance that open an opportunity for training and supervision, financing, and intersectoral collaboration. The infrastructure and resources in the city provide potential for a continuity of care. Nevertheless, feasibility is challenged by 
TI - The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia
JF - International Journal of Mental Health Systems
DO - 10.1186/s13033-018-0208-0
DA - 2018-05-31
UR - https://www.deepdyve.com/lp/springer-journals/the-feasibility-of-a-role-for-community-health-workers-in-integrated-LLPLiwOOV9
SP - 1
EP - 16
VL - 12
IS - 1
DP - DeepDyve
ER -