PPD remains undertreated in Botswana

Matikiti said that PPD may affect any woman regardless of her strength or character
Matikiti said that PPD may affect any woman regardless of her strength or character

FRANCISTOWN: The deputy managing director of the Postnatal Mental Health Society of Botswana, Lister Matikiti, says postpartum depression (PPD) is significantly under-diagnosed and frequently confused with hormonal imbalance.

PPD is depression suffered by a mother following childbirth, typically arising from the combination of hormonal changes, psychological adjustment to motherhood, and fatigue. The plight of people battling with PPD gained prominence after the death of a Nata primary school teacher. The teacher struggled to deal with PPD .Subsequently she died because she could not overcome her PPD struggles. In an interview with Mmegi, Matikiti said that women in Botswana do not receive enough support in relation to PPD. She further said that PPD situation is worsened by the limited number of health professionals who are specifically trained to handle PPD. “PPD cases are mostly managed as normal depression and therefore not managed well,” she added. According to Matikiti, PPD numbers have not been clearly reported locally, and they are often linked to sparsely distribute to general depression statistics.

She clarified that PPD has more severe and persistent symptoms that might linger for weeks or months as opposed to the baby blues, which are moderate mood fluctuations that normally go away after a few days. Matikiti added that PPD may affect any woman, regardless of her strength or character, and that it is a medical ailment, not a sign of weakness as perceived. “In order to improve awareness, empathy, and early intervention for those who are afflicted by PPD, it is essential to identify and refute these beliefs. This will ultimately lead to improved mother mental health and well-being,” said Matikiti. She stated that women with a history of depression, particularly if they were diagnosed with PPD after prior pregnancies, were more likely to be given the same diagnosis in future. Other risk factors for PPD include hormonal changes, stressful life events, lack of social support, problems during pregnancy or childbirth, and family history of mood disorders including depression or bipolar disorder.

Editor's Comment
Gov’t must rectify recognition of Khama as Kgosi

While it is widely acknowledged that Khama holds the title of Kgosi, the government’s failure to properly gazette his recognition has raised serious concerns about adherence to legal procedures and the credibility of traditional leadership. (See a story elsewhere in this newspaper.) Recent court documents by the Minister for Local Government and Rural Development, Kgotla Autlwetse, shed light on the intricacies of Khama’s recognition process....

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