Factors Contributing to the Prevalence of Prenatal Depression among Adolescent Mothers Seeking Ante-Natal Care at Wajir County Referral Hospital

Aden Ismail Hassan *

Mount Kenya University, Kenya.

Atei Kerochi

Mount Kenya University, Kenya.

Alfred Owino Odongo

Mount Kenya University, Kenya.

*Author to whom correspondence should be addressed.


This thesis discusses the significance of prenatal depression among adolescent mothers, focusing on its prevalence and associated factors. Prenatal depression, a type of clinical depression occurring during pregnancy, affects both mothers and children. The study highlights negative outcomes such as decreased maternal confidence and increased likelihood of subsequent pregnancies. Global prevalence rates, particularly higher in Low- and Middle-Income Countries (LMICs), are noted. In the African context, cultural and social factors exacerbate mental health challenges among pregnant and postpartum adolescents. The research aims to address prenatal depression in Wajir County, Kenya, citing the lack of studies in Africa and the need for tailored interventions. Objectives include determining prevalence and identifying associated factors. Factors contributing to prenatal depression include economic status, socio-demographics, cultural aspects, adverse life events, and healthcare-related issues. The study utilizes a hospital-based case-control design, recruiting adolescent mothers from Wajir County Referral Hospital. Data collection involves questionnaire administration and EPDS scale assessment. Findings reveal a prevalence of 33.3%, with socio-cultural, maternal, and healthcare factors influencing depression rates. Recommendations include routine screening, community-based awareness campaigns, targeted interventions, enhanced healthcare training, and advocacy for mental health integration in antenatal care.

Keywords: Prenatal depression, adolescent mothers, prevalence, psychosocial stressors, antenatal care

How to Cite

Hassan, Aden Ismail, Atei Kerochi, and Alfred Owino Odongo. 2024. “Factors Contributing to the Prevalence of Prenatal Depression Among Adolescent Mothers Seeking Ante-Natal Care at Wajir County Referral Hospital”. International Journal of TROPICAL DISEASE & Health 45 (7):1-9. https://doi.org/10.9734/ijtdh/2024/v45i71556.


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Abuidhail J, Abujilban S. Characteristics of Jordanian depressed pregnant women: A comparison study: Antenatal depression. J. Psychiatr. Ment. Health Nurs. 2014;21: 573-579.

Adewuya A, Ola B, Aloba O, Dada A, Fasoto O. Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress. Anxiety. 2017; 24:15-21.

Ajinkya SJ. Depression during pregnancy: Prevalence and obstetric risk factors among pregnant women attending a tertiary care hospital in Navi Mumbai. Ind. Psychiatry J. 2013a;22:37-40.

Ali N, Azam I, Ali B, Tabbusum G, Moin S. Frequency and Associated Factors for Anxiety and Depression in Pregnant Women: A Hospital-Based Cross- sectional study. Scientific World Journal; 2012 2012.

Bonari L, Pinto N, Ahn E, Einarson A, Steiner M, Koren G. Perinatal risks of untreated depression during pregnancy. J. Psychiatry. 2004;49:726-735.

Brittain K, Myler L, Koen N, Koopowitz SA, DK, Barnett W, Stein D. Risk Factors for antenatal Depression and associations with infant Birth Outcomes: Results from a South African Birth Cohort Study. Paediatr.Perinat. Epidemiol. 2015;29: 504-514.

Castro e Cousto T, Martins Brancaglion MY, Nogueira Cardodo M, Bergo Protzner A, Duarte Garcia F, Nicolato R, Correa H. What is the best tool for screening antenatal depression. J. Affect. Disord. 2015;178:120-17.

CIDP. Wajir County Referral and Teaching Hospital Statistics. Wajir: Unpublished data; 2018.

Chorwe-Sungani G, Chipps J. A systematic Review of screening Instruments for Depression for use in antenatal services in low resource settings. BMC Psychiatry. 2017, Mar 24;1.

Cox J, Holden J, Sagovsky R. Detection of postnatal Depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiatry.1987;150 :782-786.

Collin P, Insel T, Chockalingam A, Daar A, Maddox Y. Grand Challenges in Global Mental Health: Integration in Research, Policy, and Practice. PLOS Med. 2013;10: e1001434.

Amorim,P. Mini International Neuropsychiatric Interview (MINI) . Rev. Bras. Psiquiat. 2000;22:106-115.

Babu G, Murthy G, Singh N, Nath A, Rathnaiah M, Saldanha N, Kinra S. Socio demographic and Medical Risk Factors Associated with Antepartum Depression. Front. Public Health. 2018;6.

Bawahab J, Alahmadi J, Ibrahim A. Prevalence and determinants of antenatal depression among women attending primary health care centers in Western Saudi Arabia. Saudi Med. J. 2017;38:1237-1242.

Beck AT, Ward C, Mendelson M, Mock J, Erbaugh J. An inventory for Measuring Depression. Arch. Gen. Psychiatry. 1961; 4:561-571.

Bennet HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review. Obstet. Gynecol. 2004a;103:698-709.

Bhat NA, Hassam R, Shafiq M, Sheikh S. Sociodemographic factors: A major predictor of anxiety and depression among pregnant women, Delhi psychiatry Journal. 2015;18(1).

Biaggi A, Conroy S, Pawlby S, Priante C. Identifying the women at risk of antenatal anxiety and depression: Asystemic review. J. Affect. Disord. 2016a;191:62-77.

Biratu Am, Haile D. Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study. Reprod. Health. 2015;12:P99.

Bodecs T, Szilagyi E, Cholnoky P, Sandor J, Gonda X, Rihmer Z, Horvath B. Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: data from a Hungarian population-based sample. Psychiatric Danud. 2013;25:352-358.

Coll C, de V, da Silveira M, Bassani DG, Netsi E, Wehmeister FC, Stein A. Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study. J. Affect. Disord. 2017;209: 140-146.

Dadi FA, Miller ER, Bisetegn T, Mwanri L. Global Burden of antenatal depression and its association with adverse birth outcomes: an umbrella review. BMC Public Health 20, Article number 2020, February 4;173.

Dias C, Figueiredo B. Breastfeeding and depression: a systemic review of the literature. J. Affect. Disord. 2015;171:142-154.