“When a man is stressed, it replicates in the house”

Mental health conditions are a major public health concern in the African region, where women experience a high prevalence of maternal mental health conditions and limited access to adequate care. This issue is particularly severe among women living with HIV (WLHIV), who face a heightened risk of depression and anxiety. Despite the well-documented association between male partner-related factors and maternal/child health outcomes, their impact on perinatal mental health from the perspective of women is not well understood. We conducted semi-structured interviews and focus group discussions with women affected by HIV. Thematic analysis revealed common sources of mental distress they experienced. Relationship with male partners was identified as an area needing further interrogation to better understand how gender inequities exacerbate maternal mental health outcomes. Male partners emerged as the most significant source of stress for postpartum women, often due to relationship instability, inadequate financial support, and in some cases, verbal or physical abuse. Additionally, women noticed signs of mental health challenges in their male partners, such as anger and chronic stress, and observed that these men often lacked support to address these issues. Other sources of stress included pregnancy-related changes, fear of acquiring HIV among those on HIV PrEP (Pre-Exposure prophylaxis) and fear of transmitting HIV to their babies among those living with HIV. Strategies for coping with perinatal mental health challenges included praying, singing, listening to music, taking walks, social interaction, and participating in church or community-based support groups. Recognizing the significant influence men have on women’s mental health and the interconnectedness of men’s stress and women’s mental well-being, family-oriented mental health programs could be instrumental in improving perinatal mental health

Anger · Anxiety · Coping (psychology) · Distress · Focus group · Mental distress · Mental health · Public health · Social support · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Maternal Mental Health During Pregnancy and Postpartum

• A systematic review and meta-regression of the prevalence and incidence of perinatal depression

  Open Access•C A Woody, A J Ferrari et al.•Journal of Affective Disorders•2017

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• A Brief Measure for Assessing Generalized Anxiety Disorder

  Robert L Spitzer, Carmen Pérez de los Ríos et al.•A.M.A. Archives of Internal…•2006

  Incluir item

• The PHQ-9

  Kurt Kroenke, Robert L Spitzer et al.•Journal of General Internal…•2001

  Incluir item

• Father involvement is a protective factor for maternal mental health in Western Kenya

  Open Access•Juliet K Mccann, Silvana Freire et al.•SSM - Mental Health•2024

  Incluir item

• Livelihood intervention and mental well-being among women living with HIV in Delhi

  Kalei R J Hosaka, Ellice Kang et al.•AIDS Care•2021

  Incluir item

• Antenatal depressive symptoms in Kenyan women living with HIV

  Lusi Osborn, Keshet Ronen et al.•AIDS Care•2022

  Incluir item

• Burden of HIV-Related Stigma and Post-Partum Depression

  Open Access•Obadia Yator, Muthoni Mathai et al.•Frontiers in Psychiatry•2021

  Incluir item

• A qualitative assessment of gender roles in child nutrition in Central Malawi

  Open Access•Elizabeth Mkandawire, Clement Bisai et al.•BMC Public Health•2022

  Incluir item

• I Found Out I was Pregnant, and I Started Feeling Stressed”

  Open Access•Emily L Tuthill, Ann E Maltby et al.•AIDS and Behavior•2021

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