Major Depression in the Population: A Public Health Approach, week (1-6) All Quiz with Answers .


 Major Depression in the Population: A Public Health Approach

Week 4 Assignment 1 :

Part 1 :

Recognizing depression I would like to ask the community health workers about if the women are complaining about depression like symptoms and if those symptoms occur more in those women particularly who are pregnant or already have given birth. There can be several problems in refugees relating to depression. 
The most commons are 
1. Poor living conditions
2. Dependency on food assistance
3. Domestic violence 
4. Safety and protection issues 
5. Rupture on emotional social links due to migration ,
An example of research done by Ventevogel et all,2013; which focused in four different African communities showed different experience according to emotional difficulties liked cramped stomachs, many thoughts or tired heads. The burden of depression Percentage of all DALYs by World Health
Report,2003 showed that depression is the 3rd most important cause of DALYs in the world and 2nd most in developed countries. And this statistics would compel people to think about how serious depression can be like any other chronic diseases. Also the importance of depressive disorders and thier prevention and cure programmes will be facilitated by the authority by thinking of depression. Relations with functioning In this refugee camp of Tanzania where women are facing maternal depression, it may interfere with their daily functioning like having anxiety or somatic complaints which is associated with sufferings and function impairment in women. It can also interfere on children, who have mothers with depression, associating with problems in growth. The problems can be related to underweight, stunted children to suboptimal cognitive development, emotional development. The
natural history of depression in symptomatic course of depressive disorders shows that the prodomes can be decades long and 35% of all life cases have a relapsing and remitting course. In case of medical conditions, history of depressive disorders have a raised risk of chronic diseases like heart attack. So depression has a large impact on people’s functioning because it’s basically long termed and can lead to many other diseases.

Part 2 :

I would develop an intervention based on the following considerations: Emic perspective : I would like to use focus group discussions by using open-ended questions to conduct qualitative research method. It would help to find out the causes and consequences of emotional difficulties from the inhabitants perspectives and I can get more practical reasons of maternal depression. Etic perspectives : Some of the studied risk factors for depression women may face in this scenario are- 1. Socioeconomic advantages : As they are refugees, they are having extreme poverty which further lead to poor health conditions and insufficient maternal resources 2. Lacking intimate partner empathy and support : In this
case, they may be detached from their partners and family due to migration process which may affect their mental health greatly and thus creating maternal depression. Protective factors : As we are talking about refugees, it’s less likely to have protective factors in this situation. However, we may consider the following - 1. Social support : If the women can get sufficient support from social organisations for maternal conditions and implement them, they may be get over from maternal depression. 2. Permanent job : Due to the situation, it’s very difficult to provide them with permanent job and secure financial crisis. However, If they can be enrolled in some kind of job they may be ensured that they can support their upcoming or new born children which may reduce their maternal depression in some case. Intervention options : A treatment that has been shown to effectively reduce symptoms of maternal depression is Psychotherapy by using women's support group and home visits. The women in the camp can be grouped in small cohort and provided psychotherapy. In case of special needs, there can be operated home visits in weekly or monthly basis. The general community health workers could potentially be trained to deliver the intervention in the camp. The mhGAP INTERVENTION GUIDE by World Health Organisation can be used for general intervention. If depression would indeed be a
major concern, we should arrange other effective interventions like Psycho Education, consider Antidepressants, Individual therapy, Cognitive Behavioral Therapy etc. And also focus on regular follow-up.

Week 4 Assignment 2 :

Week 6 Assignment  :

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