Gender Inequality Identified as an Underlying Cause of Depression in Thai Women

Depression is increasing worldwide and is the fourth leading cause of global burden of disease. It is one of the most common disorders affecting women worldwide, highlighting the fact that gender is a critical determinant of mental health and illness. This qualitative research employs a gender lens to discover the causes of depression in women in Thailand. In-depth interviews were conducted with 18 women who currently experience depression. The interviews were audio-recorded and transcribed verbatim, then evaluated using gender analysis. The findings revealed two themes relating to gender inequality, namely that women encountered chronic stress as a result of having to perform traditional gender roles and the stress of living in a context defined by an unequal power relationship between genders. The theme of traditional gender roles consisted of two sub-themes: women having to be patient for their children and families and discrimination because of widowhood. The theme of unequal power relationships consisted of three sub-themes: men not being responsible for the duties as the head of the family, men paying for their personal expenses first (before the family), and women having to bear the family’s financial burden. These findings suggest that raising awareness about gender inequality is important for the prevention of depression in Thailand. Furthermore, it is recommended that therapists understand the causes of depression beyond the individual level and integrate a gender perspective in their psychosocial treatment regime for women

Voices of Thai Women Who Received Gender-Sensitive Empowerment Counseling

In Thailand, as in most countries, mental health treatment is focused on a medical model. A new approach using Gender-Sensitive Empowerment Counseling as a form of intervention for women with depression was employed in this study. This qualitative study describes clients’ perspectives on receiving Gender-Sensitive Empowerment Counseling. Participants were fourteen women with depression who received empowerment counseling. In-depth interviews were used for data collection. Data analysis is content analysis. Five themes emerged: attitude change, feeling empowered, self-confidence, becoming more assertive, and greater self-love. Health care policy and service should integrate gender analysis and empowerment into the treatment modality. Supporting gender-sensitive workshops for therapists is significant for working with women with depression

Gender Inequality Identified as an Underlying Cause of Depression in Thai Women

Depression is increasing worldwide and is the fourth leading cause of global burden of disease. It is one of the most common disorders affecting women worldwide, highlighting the fact that gender is a critical determinant of mental health and illness. This qualitative research employs a gender lens to discover the causes of depression in women in Thailand. In-depth interviews were conducted with 18 women who currently experience depression. The interviews were audio-recorded and transcribed verbatim, then evaluated using gender analysis. The findings revealed two themes relating to gender inequality, namely that women encountered chronic stress as a result of having to perform traditional gender roles and the stress of living in a context defined by an unequal power relationship between genders. The theme of traditional gender roles consisted of two sub-themes: women having to be patient for their children and families and discrimination because of widowhood. The theme of unequal power relationships consisted of three sub-themes: men not being responsible for the duties as the head of the family, men paying for their personal expenses first (before the family), and women having to bear the family’s financial burden. These findings suggest that raising awareness about gender inequality is important for the prevention of depression in Thailand. Furthermore, it is recommended that therapists understand the causes of depression beyond the individual level and integrate a gender perspective in their psychosocial treatment regime for women

Analysis of Measles Vaccination Refusal on Social Media (Facebook) among Anti-Vaccine Communities in Indonesia

Measles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective

Factors influencing the implementation of labour companionship: formative qualitative research in Thailand.

INTRODUCTION: WHO recommends that all women have the option to have a companion of their choice throughout labour and childbirth. Despite clear benefits of labour companionship, including better birth experiences and reduced caesarean section, labour companionship is not universally implemented. In Thailand, there are no policies for public hospitals to support companionship. This study aims to understand factors affecting implementation of labour companionship in Thailand. METHODS: This is formative qualitative research to inform the 'Appropriate use of caesarean section through QUALIty DECision-making by women and providers' (QUALI-DEC) study, to design, adapt and implement a strategy to optimise use of caesarean section. We use in-depth interviews and readiness assessments to explore perceptions of healthcare providers, women and potential companions about labour companionship in eight Thai public hospitals. Qualitative data were analysed using thematic analysis, and narrative summaries of the readiness assessment were generated. Factors potentially affecting implementation were mapped to the Capability, Opportunity, and Motivation behaviour change model (COM-B). RESULTS: 127 qualitative interviews and eight readiness assessments are included in this analysis. The qualitative findings were grouped in four themes: benefits of labour companions, roles of labour companions, training for labour companions and factors affecting implementation. The findings showed that healthcare providers, women and their relatives all had positive attitudes towards having labour companions. The readiness assessment highlighted implementation challenges related to training the companion, physical space constraints, overcrowding and facility policies, reiterated by the qualitative reports. DISCUSSION: If labour companions are well-trained on how to best support women, help them to manage pain and engage with healthcare teams, it may be a feasible intervention to implement in Thailand. However, key barriers to introducing labour companionship must be addressed to maximise the likelihood of success mainly related to training and space. These findings will be integrated into the QUALI-DEC implementation strategies

Web-based self-mental health screening and emotional mental problem management in incarcerated juvenile

Background: In Indonesia, The Strength and Difficulties Questionnaire (SDQ) is a standard for emotional mental problems screening in incarcerated. However, according to the Ministry of Law and Human Rights regarding the Standards of Health and Care Services Based on Information Technology, there is no information about mental health self-screening computerize-based. During incarceration, incarcerated adolescents have more significant emotional mental problems than adolescents in the community. Therefore, the focus of developing mental health screening applications is juvenile incarceration, but not limited to adolescents in the community. Purpose: The study aims to develop an application for the early detection of emotional mental problems in juvenile offenders that can be monitored by staff, and the juveniles can manage their mental health status during incarceration. Method: This study conducted the ADDIE model, namely, Analysis, Design, Development, Implementation, and Evaluation. Results: An application called MyBehave, a web application-based using the computer, has been created, which has a feature of detecting emotional mental problems and management of emotional mental problems through mental health promotion while in incarceration. Users can carry out early detection independently, and the staff can monitor the development activities to improve mental health. The results of trials conducted on juvenile incarcerated found that this application system was more effective than the manual. Conclusion: This application is helpful for health workers in incarceration in conducting early detection of emotional mental problems and promoting mental health for juvenile incarcerated. This application was cost-effective (paperless), easy to access, can store vast amounts of database information, repeat over time, and does not need clinical training

Enhancing a Health-Related Quality-of-Life Model for Laotian Migrant Workers in Thailand

Community health nurses work in collaboration with migrant workers in this action research study into the health-related quality-of-life (HRQOL)of Laotian migrants. The study in this paper was used to help conceptualize a model to enhance the Laotian migrant workers' HRQOL

“Because it eases my Childbirth Plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand

Abstract Background Although caesarean section (CS) rates have increased rapidly in Thailand, the upward trend is not supported by significant maternal or perinatal health benefits. The appropriate use of CS through QUALIty DECision-making by women and providers (QUALI-DEC project) aims to design and implement a strategy to optimize the use of CS through non-clinical interventions. This study aimed to explore the factors influencing women’s and health professionals’ preferences for CS delivery in Thailand. Methods We conducted a formative qualitative study by using semi-structured in-depth interviews with pregnant and postpartum women, and healthcare staff. Purposive sampling was used to recruit participants from eight hospitals across four regions of Thailand. Content analysis was used to develop the main themes. Results There were 78 participants, including 27 pregnant and 25 postpartum women, 8 administrators, 13 obstetricians, and 5 interns. We identified three main themes and seven sub-themes of women and healthcare providers’ perceptions on CS: (1) avoiding the negative experiences from vaginal birth (the pain of labor and childbirth, uncertainty during the labor period); (2) CS is a safer mode of birth (guarantees the baby’s safety, a protective shield for doctors); and (3) CS facilitates time management (baby’s destiny at an auspicious time, family’s management, manage my work/time). Conclusions Women mentioned negative experiences and beliefs about vaginal delivery, labor pain, and uncertain delivery outcomes as important factors influencing CS preferences. On the other hand, CS is safer for babies and facilitates multiple tasks in women’s lives. From health professionals’ perspectives, CS is the easier and safer method for patients and them. Interventions to reduce unnecessary CS, including QUALI-DEC, should be designed and implemented, taking into consideration the perceptions of both women and healthcare providers

Perception of stress in Laotian migrant workers in Thailand

Globalization and the movement of workers across borders in search of a better life or employment are presenting healthcare systems and researchers with problems of increasing complexity. This study focused on how migrant workers in Thailand from the Lao People’s Democratic Republic conceptualized their stress and stressing factors. Participant observation, in-depth interviews, and field notes were employed in the study, which analyzed data from seventy subjects through qualitative content analysis. The migrant workers in this sample perceived stress as a state of being unable to fulfill their preferences or expectations revolving around issues of: living with poverty, employment, loneliness, poor relationships, competition in the workplace combined with job uncertainty, and invisibility. To provide care for the minority migrant workers, nurses need to focus on identifying how these users perceive stress, and urgent action and further research are needed