Challenges and Barriers to Maternal Mental Health Care Delivery among Midwives: Evidence from a Questionnaire-Based Study

Abstract

Maternal mental health disorders represent a significant public health concern, particularly in low- and middle-income countries where access to mental health services remains limited. Midwives play a crucial frontline role in identifying and managing maternal mental health conditions during antenatal and postnatal care. However, several barriers hinder their effectiveness in this role. This study examined the challenges and barriers faced by midwives in the management of maternal mental health, using Section E of a structured questionnaire administered to practicing midwives. The findings revealed that inadequate time during routine care, insufficient mental health training, cultural beliefs, stigma associated with mental illness, and limited institutional support were major constraints affecting maternal mental health service delivery. These barriers limit early detection, appropriate referral, and effective management of maternal mental health conditions. Addressing these challenges through targeted training, policy reforms, and strengthened health system support is essential for improving maternal mental health outcomes.