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Support for mothers with postpartum depression (PPD) and their children with neurodevelopmental delay (NDD) at primary care level

The project aims to offer onsite and remote healthcare support to mothers with PPD and their children with NDD and failure to thrive.

Photo of Muideen Bakare
4 2

Written by

Name or Organization

Childhood Neuropsychiatric Disorders Initiatives (CNDI). Partner: University Center for Excellence in Developmental Disabilities (UCEDD), Boston Children Hospital, 300 Longwood Avenue, Boston, MA, USA

Geography

Our Organization (CNDI) is located in Nigeria and project implementation would be in Nigeria.

What is your stage of development?

  • Early Stage Innovator, with at least one-year experience in ECD

Type

  • Non-profit

Describe how your solution could be a game-changer for your selected Opportunity Area (600 characters)

Our earlier experiences of incorporating screening and core packages of services at primary healthcare level for maternal postpartum depression and childhood developmental delay (https://www.sciencematters.io/articles/201707000005; https://www.ncbi.nlm.nih.gov/pubmed/24140169; https://www.nature.com/articles/srep25175) have shown that mothers often need further advice and re-assurances outside clinic consultation and many mothers have requested for develoment of such new remote service model.

Select an Innovation Target

  • Service: A new or enhanced service that creates value for end beneficiaries.

Tell us more about your innovation (1500 characters)

Childhood Neuropsychiatric Disorders Initiatives (CNDI) {http://cndinitiatives.org/} is presently involved in screening and service development at primary healthcare level focusing on maternal postpartum depression and deviation in normal child development. We aim to establish call-in centers and employ trained staffs that could give advice to mothers seeking information through phone calls. These centers would be backed up with weekly radio programs that can educate the general populace, mothers and potential mothers about maternal and child health. During such radio programs, phone numbers would be included through which interested members of the public can call-in to seek advice or book appointments to see our health team. The idea of this remote service delivery model stem from observations we made from previous activities (http://cndinitiatives.org/new-projects/). So, our team would combine both onsite and remote intervention services to reach a greater number of end-users.

What problem are you aiming to solve? (3 sentences)

We plan to solve the following problem: - Problems of failure to thrive in children under the age of 3 years often resulting from maternal neglect due to maternal postpartum depression (MPPD). - Problems of poor emotional bonding between mothers and their children due to MPPD, oftentimes affecting cognitive development of the children under the age of 3 years. - Problems of psychological burden often experienced by the mothers of children with failure to thrive or neurodevelopmental delay.

Explain your idea (5000 characters)

Our ongoing idea incorporates depression and developmental screening into the already existing National Program on Immunization (NPI) in Nigeria. The specific objectives was to recognize postpartum depression (PPD) among mothers attending immunization clinics early enough and also assess infant growth and recognize any delay or deviation from the expected developmental milestones in relation to World Health Organization (WHO) recommendations. These steps have encouraged early interventions both for the mothers and the infants by treating the depression in the mothers and providing nutritional and other health related advice to the mothers to improve the growth and milestones developments of their children (https://www.sciencematters.io/articles/201707000005). Research consistently suggests that maternal post-partum depression (PDD) may lead to impaired maternal–infant interactions and negative perceptions of normal infant behavior. There is evidence from developed countries that a compromised mother–infant relationship adversely affects the child's cognitive, social, behavioral and emotional development. Infants of mothers with PPD are more likely to be abused and neglected and diagnosed with failure to thrive and hospitalized for poor health. In a developing country like Nigeria, there are many factors that may be working against the optimal development of children. Such factors included poverty, diseases, inadequate housing and overcrowding among others. With the additional factor of maternal PPD, child underdevelopment may worsen. Therefore, addressing maternal PPD through early detection and interventions improved optimal development of children in low resource countries like Nigeria. National Program on Immunization (NPI) provides the best forum for early screening of mothers for PPD and interventions in Nigeria. NPI also serves a useful avenue of screening for developmental concerns in Nigerian infants and children. Our present idea is looking at the possibility of expanding this service to reach more end-users by establishing call-in centers and employing trained healthcare staffs that could give advice to mothers seeking information through phone calls. These centers would be backed up with weekly radio programs that can educate the general populace, mothers and potential mothers about maternal depression and child health. During such radio programs, phone numbers would be provided through which interested members of the public can call-in to seek advice or book appointments to see our health team. The idea of this remote service delivery model stem from observations we made from previous activities in this area. So, our team would combine both onsite and remote intervention services to reach a greater number of end-users.

Who benefits? (1500 characters)

1. The beneficiaries of this idea would be mothers and their children under the age of three years. They would benefit from this idea by having access to both onsite and remote intervention services in an environment that is devoid of usual associated stigma of mental illness. Special attention would be given to first time mothers and very young mothers under the age of 20 years. 2. We presently have an ongoing study that interact with mothers with maternal postpartum depression and their infants. It is the need assessment from our previous experience that gave birth to the idea of service expansion as described here (https://www.sciencematters.io/articles/201707000005; https://www.ncbi.nlm.nih.gov/pubmed/24140169).

What kind of impact will your idea have? (1500 characters)

- The idea would enable more mothers with postpartum depression or those experiencing psychological distress to seek interventions and thereby impacting directly on the health of the mothers themselves and indirectly impacting on the health of the children by promoting child physical growth and cognitive development. The idea would eleminate associated stigma that usually accompany referring mothers with postpartum depression or psychological distress to mental health facilities. - The idea has the potential to improve family bonding and functioning, since maternal well-being also impact on bonding and functioning of the family system.

How does or how could your idea impact low-income children? (1500 characters)

Failure to Thrive is more frequently reported in low-income or socio-economic settings and like highlighted earlier, this idea would impact positively on physical growth and cognitive development of children under age 3 years in low-income settings.

Scale: Describe how your idea could reach a significant number of end-users. (1500 characters)

We plan to reach more number of end users by establishing call-in centers and employing trained staffs that could give advice to mothers seeking information through phone calls. These call-in centers would be backed up with weekly radio programs that can educate the general populace, mothers and potential mothers about maternal and child health. During such radio programs, phone numbers would be provided through which interested members of the public can call-in to seek advice or book appointments to see our health team. The idea of this remote service delivery model stem from observations we made from previous activities (http://cndinitiatives.org/new-projects/). So, our team would combine both onsite and remote intervention services to reach a greater number of end-users. Radio program still remained a major source of reaching the largest numbers of end-users, especially in the rural communities. The call-in centers would offer preliminary advice/information to interested audience.

Feasibility: Where are you with understanding the feasibility of your idea? Describe what you’ve done so far and your plans. (3000 characters)

We have earlier experiences of incorporating screening and core packages of services at primary healthcare level for maternal postpartum depression and childhood developmental delay (https://www.sciencematters.io/articles/201707000005; https://www.ncbi.nlm.nih.gov/pubmed/24140169; https://www.nature.com/articles/srep25175). Our experiences have shown that mothers often need further advice and re-assurances outside clinic consultation and many mothers have requested for develoment of such new remote service model through establishing call-in centers and employing trained staffs that could give advice to mothers seeking information through phone calls and enquiries. These centers would be backed up with weekly radio programs that can educate the general populace, mothers and potential mothers about maternal and child health issues. During such radio programs, phone numbers would be provided through which interested members of the public can call-in to seek advice or book appointments to see our health team or get referral to nearby health facility. We do presently have enough staff on this project, but we may need to employ some more and provide training to support the call centers services which we hope to establish in each of the six geopolitical zones of the country. So, this is a very feasible idea aimed at expanding ongoing services across the country.

Tell us more about you (3000 characters)

Childhood Neuropsychiatric Disorders Initiatives (CNDI) is a Non-Profit Organization (http://www.cndinitiatives.org/) with Memberships including Professionals like Child Psychiatrists, Pediatricians, Laboratory Scientists, Nurses, Accountants, Lawyers, among others who are committed to the objective of the Organization of ensuring the physical, social and mental well-being of Children and Adolescents in Nigeria and other parts of Africa. The Organization works together with other Organizations and Government Agencies to achieve its objectives. Members of the Organization have been involved in Advocacy and Scientific Research in the area of Children and Adolescents Mental Health. Childhood Neuropsychiatric Disorders Initiatives have been supported in the past by Grand Challenges Canada in the area of early child development (http://www.grandchallenges.ca/grantee-stars/0323-04/). We have also been supported in the past by openideo and ideo.org in the area of early child development (https://www.ideo.org/project/child-neuropsychiatric-disorders-initiative). We have also engaged in scientific research and have a number of scientific publication in the area of early childhood development. As a Child Psychiatrist practicing in Nigeria and Chairman of Childhood Neuropsychiatric Disorders Intiatives, I find interest in child physical and emotional development. I work with young children with various psychological problems and their parents. My area of focus however, is in childhood neurodevelopmental delay, failure to thrive and how parents, especially the mothers can be supported. Here is my Researchgate Profile - https://www.researchgate.net/profile/Muideen_Bakare Here also is my Google Scholar Profile - https://scholar.google.com/citations?user=TenqIhAAAAAJ&hl=en

Do you have the people and partners you need to do what you’ve described? (600 characters)

Yes, we do have people and partner to execute this project. Our Organization has an ongoing collaboration with the University Center for Excellence in Developmental Disabilities (UCEDD), Boston Children Hospital, 300 Longwood Avenue, Boston, MA, USA and we would be partnering further with this center on this project.

As you consider your next steps, what kinds of help could you use? Is there a type of expertise that would be most helpful? (1800 characters)

Collaborating with Nutritionists, Human Centered Design Specialists and other early development experts on this ecosystem would be great.

Would you like mentoring support?

  • Yes

If so, what type of mentoring support do you think you need? (1200 characters)

Further learning and support in the field of Human Centered Design for Projects.

Are you willing to share your email contact information submitted on OpenIDEO with Gary Community Investments?

  • Yes, share my contact information

[Optional] Biography: Upload your biography. Please include links to relevant information (portfolio, LinkedIn profile, organization website, etc).

Dr. Muideen O. Bakare is the Chairman of Childhood Neuropsychiatric Disorders Initiatives (CNDI), a Non-Profit Organization registered in Nigeria that is committed to the objective of promoting physical, social and mental well-being of children and adolescents in Nigeria and other parts of Africa. Dr. Bakare is a trained Psychiatrist practicing in Nigeria. He is a Consultant Psychiatrist and Head of the Child and Adolescent Unit of Federal Neuropsychiatric Hospital, Enugu, Enugu State, Nigeria.

[Optional] Attachments: Please upload relevant attachments or graphics or show us how you prototyped.

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Attachments (4)

Prototyping Form.pdf

Sample of Form used for Prototyping and Piloting

Access and PPD.pdf

Improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics in south-western and south-eastern Nigeria – A service development report

Developmental delay.pdf

Neurodevelopmental delay among children under the age of three years at immunization clinics in Lagos State, Nigeria – Preliminary report

GHP2.pdf

Introducing depression and developmental screenings into the National Programme on Immunization (NPI) in southeast Nigeria: an experimental cross-sectional assessment

4 comments

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Spam
Photo of Iliriana Kacaniku
Team

Hey Muideen Bakare 

Few days ago we shared with you the invitation to the two webinars in which you will have a chance to hear more about the Prize and ask any questions about the process. Knowing that the sponsor seeks solutions from all over the world that can be implemented in the United States, I think this is a great opportunity to hear any questions you may have on how to develop
your idea along this goal. And many other aspects of the Prize and human-centered design.

We’ll be hosting calls on
Tuesday, December 5, 4:30 - 5:30 PM PST (https://ideo.zoom.us/webinar/register/WN_ZxbEbA4rRPid02QEos1VtQ) and

Wednesday, December 6, 08:00 - 9:00 AM PST (https://ideo.zoom.us/webinar/register/WN_8ZHf8DakS4WWqAXsN_jhQQ).

In case you cant make it, feel free to email us any question you may have at ecprize@ideo.com!, and we’ll do our best to answer it during the webinar.

Looking forward to seeing you next week,
Iliriana

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