How it works

At our service site, we provide routine screening for pregnant women and girls for depression and anxiety at the first antenatal visit. If they show signs or are at risk of depression or anxiety, free on-site psychosocial counselling, follow-up and case management is provided by our trained counsellor for up to one year post-delivery.

The PMHP incorporates a rigorous monitoring and evaluation process by conducting routine follow-up assessments with counselled clients 6 weeks after they have given birth. This assessment comprises of several components, including, but not limited to:

  • symptoms of depression and anxiety
  • general perceptions of current life experience
  • self-reported degree of resolution of problems presented to counselling

Statistical analysis of client logs and counselling data from 2018 shows that at the time of the follow-up assessment, on average: 

  • 93 % of counselled clients report positive bonding with their baby
  • 69 % of counselled clients report a positive life experience
  • Over 80% of problems related to health, psychiatric problems and lifestyle transitions either improved or resolved

Our analysis shows that PMHP counselling has a beneficial impact on clients, in terms of mood, coping, and general functioning. We have also shown that our intervention builds the clients’ assertiveness and resilience to face the challenges of motherhood in difficult social and economic conditions.

Since inception up until end December 2019 the PMHP has



pregnant women



mothers in distress



individual sessions

The PMHP model is based on a stepped care approach, which means that referrals are made to psychiatric services when necessary. We build partnerships with public services and civil society to promote outreach and sustainability of service delivery. 

Some of our clients have shared their stories in this documentary and in our Mothers’ Stories section.