The acceptability and feasibility of a contextualised group-based maternal mental health intervention in Kenya

Maternal mental health (MMH) is a critical yet neglected aspect of care in low- and middle-income countries (LMICs) due to stigma, limited awareness, and insufficient mental health professionals. Task-sharing with trained lay facilitators offers a promising solution. This study evaluated the feasibility and acceptability of a contextualised, group-based MMH intervention delivered by community health workers (CHWs) in Kenya. The intervention, adapted from WHO’s Problem Management Plus, focused on stress management, problem-solving, and social support. Pregnant women attending routine antenatal care (ANC) who screened positive for depressive symptoms were invited to participate. Of 401 screened women, 36% had depressive symptoms; of these, 54.5% attended sessions. Post-intervention focus group discussions revealed improved stress management and partner support among participants. CHWs reported increased confidence, while nurses sought greater involvement. Our findings demonstrate the feasibility of integrating tailored MMH interventions into ANC services in LMICs and the need for inclusive, context-specific approaches.