Post-partum depression is one of the faced by the new mothers that occur due to the hormonal misbalance occur during the delivery. The childbirth is a complex process and the female goes major hormonal, physical, emotional and psychological changes that lead the condition of “baby blues” (Mughal et al. 2020). The depressive episode approximately affects about the 10-15% of the adult mothers that last for about 6 months and it occurs till 4 years after birth. Some of the symptoms that occur during the post-partum period in depression include anger, anxiety, fear, insomnia, loss of interest and restlessness (Anokye et al. 2018). The postpartum depression is one of the priority issues as it not only affects the mother but it directly affects the baby health status with increase complication for the family thus it needs to be addressed urgently.
The target audience for the health promotion plan is a new mother or mothers have a pregnancy in the past 2-3 years and belong to the Indigenous community. The postpartum depression is directly associated with the poor health status of the mother that will directly deteriorate the baby development process. The post-partum depression leads to the reluctance behaviour toward food, caring baby and suicidal attempts that directly increase the risk for the mother. The reluctance behaviour of the mother toward the child leads to a behavioural issue, language development issue and mother-child bonding issue. The reluctance behaviour of the mother also affects the family as they have to care for the mother with the child (Roumieh et al. 2019)
The postpartum depression can be treated by providing the psychological interventions that are important to provide the social and emotional support to the mother to improve the wellbeing. Different sessions in the psychological interventions are framed to improve the depressive episode of the females and improving the self-management skills (Yin et al. 2020). The health promotion plan will include support groups, cognitive behavioural therapy, counselling session and interpersonal therapy that will improve the social and emotional wellbeing of the mothers. This session will help to improve the thought process of the mother facing postpartum depression that is important to deal with the negative episode to improve the mother wellbeing. The health promotion plan will include psychological interventions that will help the mother to improve their emotional wellbeing that is important to decrease the depressive episode. The health promotion plan is important to address the postpartum depression which is increasing complication for the new mother.
Five principles are framed to improve the health promotion plan and the first is a broad and positive health concept. The health promotion plan will help to improve the post-partum depression that will improve the self-management ability to increase social and emotional wellbeing. The second principle is participation and involvement and the health promotion plan will help to improve the participation of the mothers in the different intervention session to improve the health status. The third is action and action competence and health promotion plan have the goal to improve the health of the new mother faced post-partum depression. The fourth principle is setting perspective in which all the resources are provided to conduct the intervention and health promotion plan aim to provide all the necessary resources for the intervention. The last principle is equity in the health should be maintained and health promotion plan will improve the Indigenous population care to uphold the health status (Kershaw et al. 2017).
The indigenous population has been facing issue in the health care sector from the colonization due to discrimination. The lack of equity and equality in the health care sector increases the vulnerability of the Indigenous population for acquiring different disorders. The discrimination in the health care sector increases the reluctance behaviour of the Indigenous population to use the services which lead to the poor health outcome. The indigenous population have different cultural belief and practise that lead to increase chances of the discrimination which is lead to the negative health outcome (Harfield et al. 2018). The health promotion plan is going to improve the health status of the mother that is important to improve social and emotional wellbeing that is also important for the baby. The health promotion plan will help the mother to understand the different policies that are related to the post-partum care so that they can have right care to reduce complication The study presented by Canuto et al. (2018) discussed that there is need to provide the cultural safe care to the diverse population to provide the right care that will uphold the health status of the population. Indigenous population need special care to address their traditional specific issue that will improve the equity in the care which is important to address the care issue. The health promotion plan will help in counselling the mothers to understand different approaches that can be utilized to engage themselves in other activities to decrease postpartum depression negative consequences over themselves and child.
The equity can be maintained by providing the right resources and care to the mother facing postpartum depression to improve the social and emotional wellbeing. The health promotion plan will treat every participant concerning to her symptoms and period of the delivery. The symptomatic intervention will help to improve the right care to the mother that is important to improve self –efficacy of the mother to improve the social and emotional wellbeing. The person-centred approach utilized in the health promotion plan as it is important to improve equity and deliver personalized care that is also utilized in the health promotion plan to improve mother participation in the session.
The cultural sensitivity will be improved by increase the diverse workforce for the health promotion plan that will improve the cultural competency in the care which is important for culturally sensitive care. The diverse workforce will help to improve the understanding concerning the different cultural belief and values of the participants. The culturally sensitive approach is important to deliver the care in which the health care profession respects and understand the different cultural belief of the population. These two approaches will help to improve the delivery of the health promotion session by considering the principle related to primary health care.
Anokye, R, Acheampong, E, Budu-Ainooson, A, Obeng, EI & Akwasi, AG 2018, ‘Prevalence of postpartum depression and interventions utilized for its management’, Annals of General Psychiatry, vol. 17, no. 18, pp. 1-8. DOI: 10.1186/s12991-018-0188-0
Canuto, K, Brown, A, Wittert, G & Harfield, S 2018, ‘Understanding the utilization of primary health care services by Indigenous men: A systematic review’ BMC Public Health, vol. 18, no. 1198, pp. 1-12. DOI: 10.1186/s12889-018-6093-2
Harfield, SG, Davy, C, McArthur, A, Munn, Z, Brown, A & Brown, N 2018, ‘Characteristics of Indigenous primary health care service delivery models: A systematic scoping review’. Globalization and Health, vol. 14, no. 12, pp. 1-11. DOI: 10.1186/s12992-018-0332-2
Kershaw, G, Grivna, M, Elbarazi, I, AliHassan, S, Aziz, F & Al Dhaheri, AI 2017, ‘Integrating public health and health promotion practice in the medical curriculum: A self-directed team-based project approach’. Frontiers in Public Health, vol. 5, no. 193, pp. 1-9. DOI: 10.3389/fpubh.2017.00193
Mughal, S., Azhar, Y. and Siddiqui, W. 2020. Postpartum Depression. Treasure Island, United Kingdom: StatPearls Publishing.
Roumieh, M., Bashour, H., Kharouf, M. and Chaikha, S. 2019. Prevalence and risk factors for postpartum depression among women seen at Primary Health Care Centres in Damascus. BMC Pregnancy and Childbirth, vol. 19, no. 519, pp. 1-5. DOI: 10.1186/s12884-019-2685-9
Yin, J., Nisar, A., Waqas, A., Guo, Y., Qi, W. L., Wang, D. and Li, X. 2020. Psychosocial interventions on perinatal depression in China: A systematic review and meta-analysis. Journal of Affective Disorders, vol. 271, pp. 310–327. DOI: 10.1016/j.jad.2020.03.01
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