Factors Contributing to the Prevalence of Prenatal Depression among Adolescent Mothers Seeking Ante-Natal Care at Wajir County Referral Hospital

Abstract

This thesis discusses the significance of prenatal depression among adolescent mothers, focusing on its prevalence and associated factors. Prenatal depression, a type of clinical depression occurring during pregnancy, affects both mothers and children. The study highlights negative outcomes such as decreased maternal confidence and increased likelihood of subsequent pregnancies. Global prevalence rates, particularly higher in Low- and Middle-Income Countries (LMICs), are noted. In the African context, cultural and social factors exacerbate mental health challenges among pregnant and postpartum adolescents. The research aims to address prenatal depression in Wajir County, Kenya, citing the lack of studies in Africa and the need for tailored interventions. Objectives include determining prevalence and identifying associated factors. Factors contributing to prenatal depression include economic status, socio-demographics, cultural aspects, adverse life events, and healthcare-related issues. The study utilizes a hospital-based case-control design, recruiting adolescent mothers from Wajir County Referral Hospital. Data collection involves questionnaire administration and EPDS scale assessment. Findings reveal a prevalence of 33.3%, with socio-cultural, maternal, and healthcare factors influencing depression rates. Recommendations include routine screening, community-based awareness campaigns, targeted interventions, enhanced healthcare training, and advocacy for mental health integration in antenatal care.