Protocol for assessing feasibility, acceptability and fidelity of screening for antenatal depression (FAFSAD) by midwives in Blantyre District, Malawi
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Date
2021Author
Chipps, Jennifer
Chorwe-Sungani, Genesis
Mwagomba, Modesta
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Depression is often underdiagnosed by treating health professionals. This is a situation in Malawi
where there is no routine screening of depression at antenatal clinics. Recently, a Screening Protocol for Antenatal
Depression (SPADe) that can be used by midwives to screen for antenatal depression was developed in Blantyre
District. SPADe proposes multistage screening of antenatal depression by midwives which may enable early
detection and treatment of pregnant women with depression. Proper treatment of antenatal depression can assist
in achieving Sustainable Development Goals (SDGs). However, utilisation of SPADe in clinical practice to screening
for depression in antenatal clinics has not been established yet. Therefore, the primary aim of this study is to assess
feasibility of screening for depression by midwives using SPADe in antenatal clinics in Blantyre District. The
secondary aim was to assess acceptability and fidelity of screening for depression by midwives using SPADe in
antenatal clinics in Blantyre District.