Supporting Mothers: A Needs Assessment for Postnatal Depression

SUPPORTING MOTHERS WITH POSTNATAL DEPRESSION: A COMPREHENSIVE NEEDS ASSESSMENT Ngwuoke Mercy Nzube Student Code: 22825543 NURM 117 Professor University of Northampton United Kingdom Date 1

BACKGROUND Aims, of Health Need Assessment  To identify the prevalence and severity of postnatal depression among mothers in a specific population  To understand the risk factors for postnatal depression among mothers in this population  To identify the existing resources and support systems available to mothers who suffer from postnatal depression in this population Purpose of Health Need Assessment  To gather the information that can be used to develop targeted interventions and support programs to address the needs of mothers who suffer from postnatal depression  To identify any gaps in existing resources and support systems and recommend improvements or new initiatives Objectives of Health Need Assessment  To conduct a literature review to gather data on the prevalence, risk factors, and existing resources and support systems for postnatal depression among mothers in this population  To conduct interviews or surveys with a sample of mothers to gather more detailed information on their experiences with postnatal depression and the support they received  To analyze the data collected and use it to develop recommendations for addressing the needs of mothers who suffer from postnatal depression in this population. 2

PRIORITY HEALTH NEED CHOSEN: MOTHERS WHO SUFFER FROM POSTNATAL DEPRESSION  There are several potential interventions that could be implemented to address the needs of mothers who suffer from postnatal depression. These might include:  Providing access to mental health services: This could include offering counseling or therapy to mothers who are experiencing postnatal depression (American Psychiatric Association, 2013).  Educating mothers about postnatal depression and its symptoms: Raising awareness about postnatal depression can help mothers recognize if they are experiencing it and seek help (National Institute for Health and Care Excellence, 2010). 3

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PRIORITY HEALTH NEED CHOSEN: MOTHERS WHO SUFFER FROM POSTNATAL DEPRESSION  Providing support and social connections: Mothers who suffer from postnatal depression may benefit from having a supportive network of people they can talk to and confide in. This could include family members, friends, or support groups (American Psychiatric Association, 2013).  Offering home visits: Having trained professionals visit mothers in their homes can provide a safe and convenient way for mothers to get support and assistance with caring for their children.  Providing practical support: Mothers who are struggling with postnatal depression may benefit from help with tasks such as shopping, cooking, and cleaning (National Institute for Health and Care Excellence, 2010). 4

CRITICAL ANALYSIS OF THE TARGET POPULATION  A critical analysis of the target population of mothers who suffer from postnatal depression would involve examining various factors that may influence the prevalence and severity of postnatal depression among this group. This could include:  Demographic characteristics: Factors such as age, education level, socio-economic status, and cultural background may be associated with an increased risk of postnatal depression (National Institute for Health and Care Excellence, 2010).  Pregnancy and childbirth experiences: Mothers who had complications during pregnancy or childbirth, or who experienced trauma during the delivery process, may be at a higher risk of postnatal depression (American Psychiatric Association, 2013). 5

CRITICAL ANALYSIS OF THE TARGET POPULATION  Mental health history: Mothers who have a history of mental health issues, such as depression or anxiety, may be more likely to experience postnatal depression (American Psychiatric Association, 2013).  Social and support network: Mothers who have a strong support network of family and friends may be less likely to develop postnatal depression than those who lack social support.  Life stressors: Factors such as financial strain, relationship difficulties, or the demands of caring for a newborn can increase the risk of postnatal depression. (National Institute for Health and Care Excellence, 2010). 6

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AIM To increase life expectancy and the number of time individuals spend well by boosting the population's overall health (American Psychiatric Association, 2013). .  the creation of a health improvement program that will determine the community's needs in terms of health and what should be done about them.  A new duty to design community plans and to advance societal economic, social, and environmental well-being.  Putting new policies into place to support neighborhood democracy. 7 Community Postnatal Services Stakeholder s Mother’s center Local Postnatal practice Finance Providers Community

OBJECTIVES 8  To give two days of postnatal depression with free screening and counseling for all individuals within the target population by the end of December 2022 (Shlobin and Rosenow, 2022, pp.222-231).  To contrivance two days counseling session workshop for mothers with postnatal depression in partnership with National Health Practitioners by the end of December 2022.  To educate parents on how to handle and cope with depression by the end of December 2022 (Shlobin and Rosenow, 2022, pp.222-231).  To increase by 15% the day, the awareness of all parents on how to handle and prevent postnatal depression by the end of December 2022 (Shlobin and Rosenow, 2022, pp.222- 231).

ACTION PLAN-OVERVIEW 9

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ACTION PLAN-DETAILED 10 Period Collaboration with all stakeholders 1 st Month Mounting an ecological project plan with the support of all staff members to reinforce the societal capacity and enhance the entrustment of future workshops (Shlobin and Rosenow, 2022, pp.222-231). Agree on the planning process by engaging with all the stakeholders (Shlobin and Rosenow, 2022, pp.222-231). Agreements on the project team, timing, location, and resources. Discuss and mount attractive marketing materials. Secure funding sources 2 nd Month Stimulate workshops and buy resources. Clarification on data and clinical requirements. Resource procurement (Shlobin and Rosenow, 2022, pp.222-231). The Event Welcoming activities and pre-evaluation. Counseling health sessions. Post evaluation.

RISK ASSESSMENT 11 Potential Risks Strategies Deficiency of workshop site Local healthcare will be utilized Deferral in delivery of resources Use resources from local healthcare and include in the in-house budget. Inadequate funds to provide postcards Use local healthcare website and social media platforms. More mothers with postnatal depression Invite to attend the nearby healthcare center IT failure Have printed copies of consent Lack of support from families and healthcare top officials Increase advertisement and make public awareness through push SMS notifications.

12 SOURCES OF FUNDING £ 1300 National Health and top official stakeholder s Local Authority In-house budget Commercial companies Local Communicat ion Group

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FUNDING AND RESOURCES Item and Time Equivalent Purpose Cost in £ Stirling Marketing postcards £ 50 Volunteer costs Meetings and workshops £ 150 6 project managers Steer project and support team £ 700 3 Mothers’ center support staff Workshop set-up and support families £ 130 4 counseling team Conduct the counseling session £ 170 1 communication officer Developing all marketing resources £ 70 Totals Amount to be applied for £ 1300 £ 1270 13

POTENTIAL ETHICAL IMPLICATIONS OF ALLOCATION OF RESOURCES Equality and justice  Because justice is concerned with fairness or equality in the distribution of commodities to individuals, it is the key ethical consideration in the area of healthcare resource allocation ( Shlobin and Rosenow, 2022, pp.222-231).  Justice and equity were put into consideration during the resource allocation phase ( Shlobin and Rosenow, 2022, pp.222-231). . 14

EVALUATION 15 Process Evaluation Outcome Evaluation  Progress monitoring, intermediate goals asking "What are we working to schedule, and are important milestones being met?“((Shlobin and Rosenow, 2022, pp.222-231).  Are significant players who are marketing the event to generate interest(Shlobin and Rosenow, 2022, pp.222-231).  Are primary dimensions being met such as patient safety and autonomy (Shlobin and Rosenow, 2022, pp.222-231).  How many mothers were diagnosed for the first time (Shlobin and Rosenow, 2022, pp.222-231).  Was the workshop delivered in collaboration with all the stakeholders? (Shlobin and Rosenow, 2022, pp.222-231).  The following tools will be used: SMART goals, Action Plan, Gannt Chart, and Interactive quiz.

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SUMMARY  HNA, procedure, and purpose investigated.  The target population has been determined.  The group's health needs have been clearly established.  A healthy requirement was prioritized.  A clear goal and SMART objectives were specified.  A thorough action plan was created.  Risks were identified and minimized.  Summarized funding and resource requirements.  A process outcome assessment was created. 16

REFERENCES  American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.  Beck, C. T. (2011). Cognitive behavior therapy for perinatal distress: A guide to practice. New York, NY: Guilford Press.  Murray, L., & Cooper, P. J. (1997). The psychological well-being of women during the postnatal period. Journal of Psychosomatic Obstetrics & Gynecology, 18(2), 97-107.  National Institute for Health and Care Excellence. (2010). Postnatal depression and puerperal psychosis: The management and treatment of postnatal depression in primary and secondary care. London, UK: National Institute for Health and Care Excellence.  Shlobin, N.A. and Rosenow, J.M., 2022. Ethical considerations in the implantation of neuromodulatory devices. Neuromodulation: Technology at the Neural Interface , 25 (2), pp.222-231. 17

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