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Integration of Stepped Care for Perinatal Mood and Anxiety Disorders Among Women Attending MCH Clinics

RecruitingNAAges 14 Years - anyFemaleKenyatta National Hospital
NCT06456307 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Perinatal mood and anxiety disorders (PMAD), defined as depression and anxiety during pregnancy or up to 1 year postpartum, account for substantial morbidity and mortality among birthing people globally especially in low- and middle-income countries. Several evidence-based interventions are recommended for identification and management of PMAD by non-specialist providers in resource-limited settings. This cluster-randomized trial seeks to evaluate the effect of a stepped-care intervention for screening and treatment of PMAD among perinatal women, on clinical and implementation outcomes.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Pregnant and ≥28 weeks gestation * Attending ANC care at the facility * ≥14 years old * Screen positive for PMAD symptoms (PHQ-2≥3 and/or GAD-2≥3) * Willing to return to the MCH and PMTCT clinic for study visits Exclusion Criteria: * Less than 28 weeks gestation * Any woman at high risk of self-harm based on a study self-harm assessment protocol, * Has cognitive impairments or psychotic symptoms
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What it tests

  • Integrated Perinatal Mental health program (systematic screening for PMAD, PM+ and tele-psychiatry)
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Where

2 sites
Kenyatta National Hospital
Nairobi, Kenya
HomaBay, Siaya and Kisumu
Western Kenya, Kenya
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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