Systematic review and meta-analysis of postpartum depression and its associated factors among women before and after the COVID-19 pandemic in Uganda

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dc.contributor.authorKabunga, Amir
dc.contributor.authorTumwesigye, Raymond
dc.contributor.authorKigongo, Eustes
dc.contributor.authorMusinguzi, Marvin
dc.contributor.authorAcup, Walter
dc.contributor.authorAuma, Anna Grace
dc.date.accessioned2024-08-01T06:49:32Z
dc.date.available2024-08-01T06:49:32Z
dc.date.issued2024
dc.description.abstractObjective This meta-analysis aimed to estimate the national prevalence of postpartum depression (PPD) in Uganda and identify predictors in both pre-COVID-19 and post-COVID-19 eras. Design Used a systematic review and meta-analysis methodology. Data sources Reviewed papers were sourced from Medline/PubMed, PsycINFO, CINAHL/EBSCOhost, Google Scholar, ScienceDirect and African Journals Online. Eligibility criteria for selected studies The review encompassed observational studies published on PPD in Uganda from 1 January 2000 to 30 November 2023. Results 11 studies (involving 7564 participants) published from 1 January 2000 to 30 November 2023 were reviewed. The pooled prevalence of PPD in Uganda was 29% (95% CI 21% to 37%, I2 =98.32%). Subgroup analysis indicated a similar prevalence before (29%, 95% CI 20% to 39%) and during (28%, 95% CI 22% to 32%) the COVID-19 period. Special groups exhibited a higher prevalence (32%, 95% CI 16% to 47%) than general postpartum women (28%, 95% CI 19% to 37%). Factors associated with PPD included poor social support (OR 1.19, 95% CI 1.17 to 1.22, I2 =96.8%), maternal illness (OR 1.22, 95% CI 1.19 to 1.26, I2 =96.9%), poor socioeconomic status (OR 1.43, 95% CI 1.40 to 1.46, I2 =99.5%) and undergoing caesarean section (OR 1.15, 95% CI 1.12 to 1.17, I2 =80.6%). Surprisingly, there was a marginal decrease in PPD during the COVID-19 period. Subgroup analysis highlighted a higher prevalence among mothers with HIV. Conclusion This study underscores the significant prevalence of PPD in Uganda, with sociodemographic factors increasing risk. Despite a slight decrease during the COVID-19 period, the importance of prioritising maternal mental health is emphasised, considering sociodemographic factors and pandemic challenges, to improve maternal and child health outcomes and overall well-being.en_US
dc.identifier.citationKabunga, A., Tumwesigye, R., Kigongo, E., Musinguzi, M., Acup, W., and Auma, A.G. (2024). Systematic review and meta-analysis of postpartum depression and its associated factors among women before and after the COVID-19 pandemic in Uganda. BMJ Open 2024.en_US
dc.identifier.urihttps://doi.org/10.1136/ bmjopen-2023-076847
dc.identifier.urihttp://ir.lirauni.ac.ug/xmlui/handle/123456789/848
dc.language.isoenen_US
dc.publisherBMJ Openen_US
dc.subjectSystematic reviewen_US
dc.subjectMeta-analysisen_US
dc.subjectPostpartum depressionen_US
dc.subjectWomenen_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectUgandaen_US
dc.titleSystematic review and meta-analysis of postpartum depression and its associated factors among women before and after the COVID-19 pandemic in Ugandaen_US
dc.typeArticleen_US

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