Inequity in provision of and access to health visiting postnatal depression services
Article first published online: 12 MAY 2011
© 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 67, Issue 11, pages 2350–2362, November 2011
How to Cite
Almond, P. and Lathlean, J. (2011), Inequity in provision of and access to health visiting postnatal depression services. Journal of Advanced Nursing, 67: 2350–2362. doi: 10.1111/j.1365-2648.2011.05669.x
- Issue published online: 11 OCT 2011
- Article first published online: 12 MAY 2011
- Accepted for publication 12 February 2011
- health visiting;
- postnatal depression;
- qualitative case study
almond p. & lathlean j. (2011) Inequity in provision of and access to health visiting postnatal depression services. Journal of Advanced Nursing67(11), 2350–2362.
Aim. This paper is a report of a study of equity in the provision of a public health nursing postnatal depression service.
Background. Postnatal depression is a global public health concern. Health visitors are nurses involved in the early detection and treatment of postnatal depression. However, research has revealed that all women are not assessed for postnatal depression particularly women in minority ethnic groups.
Methods. A case study was conducted involving 21 observations of health visitors visiting postnatal women, interviews with 20 health visitors, 6 managers, 12 English women, 9 Bangladeshi women and 3 other personnel. Data were collected between 2003 and 2005 and analysis was completed in 2008.
Findings. The organization had a policy to create equitable postnatal depression services, but practitioners were not clear whether it was to be implemented, and it did not address the needs of a diverse population. All health visitors received specialized training and were consequently expected to assess and treat all women. The training based on the policy had not equipped health visitors with knowledge and skills to assess and treat women in minority ethnic groups.
Conclusion. While a policy was in place, equity in care was not achieved. An analysis of women’s needs is recommended prior to policy development and policy implementation should be planned. To achieve equity, training should include knowledge and skills for cultural competency. Research is needed to illuminate the characteristics of equitable nursing services.