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Can Policy Promote Equitable Provision and Access of Postnatal Depression Services for All Women

Palo Almond/15th September 2009/EU Primary Care Conference. 2. Acknowledgements. To the Primary Care Trust that co-operated with this studyTo all participantsTo my supervisors particularly Professors Judith Lathlean and Sue Latter and Dr Lynda RogersSchool of Nursing and Midwifery who provided funding for field work.

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Can Policy Promote Equitable Provision and Access of Postnatal Depression Services for All Women

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    1. Palo Almond/15th September 2009/EU Primary Care Conference 1 Can Policy Promote Equitable Provision and Access of Postnatal Depression Services for All Women? Dr Palo Almond P.Almond@soton.ac.uk 02380 597845 Why focus on equity not equality? Tackling health inequalities A study of equity in health visiting PND policy and services Purpose: Find factors that hinder or facilitate equityWhy focus on equity not equality? Tackling health inequalities A study of equity in health visiting PND policy and services

    2. Palo Almond/15th September 2009/EU Primary Care Conference 2 Acknowledgements To the Primary Care Trust that co-operated with this study To all participants To my supervisors particularly Professors Judith Lathlean and Sue Latter and Dr Lynda Rogers School of Nursing and Midwifery who provided funding for field work

    3. Palo Almond/15th September 2009/EU Primary Care Conference 3 What is Postnatal depression? Interpreter She’s not worried about it she takes it day by day you know. Researcher: is there is anything that can be done to make her feel better? Interpreter She just needs to give it some time. Researcher: Give it time. Interpreter She has just had a baby she needs to give it time. (Sapla:p40)

    4. Palo Almond/15th September 2009/EU Primary Care Conference 4 Kath ‘The pressures of having a baby I suppose … I didn’t have the easiest pregnancy and then having the baby was completely traumatic…so just like actually going through the birth and things like that and afterwards when they’re not sleeping and if you don’t know what to settle with them … I should imagine it probably would get you down… I mean if they haven’t got a partner and they’re doing it by themselves.’ (Kath: 50)

    5. Palo Almond/15th September 2009/EU Primary Care Conference 5 What and who are health visitors? Health visitors are nurses who have had additional training in public health theory and practice They promote the health of families with children under five years Work in community settings

    6. Palo Almond/15th September 2009/EU Primary Care Conference 6 Research Design and Methods Qualitative case study of one PCT in South of England Documentary analysis of policy and other documents Observation of 21 home visits by health visitors (HVs) 21 interviews with English (N=12 and Bengali women (N=9, seven via interpreters) 21 interviews with 16 HVs 6 interviews with managers 2 interviews with Bengali cohesion workers/interpreters 1 interview with a specialist mental health practitioner

    7. Palo Almond/15th September 2009/EU Primary Care Conference 7 Data Analysis Demographic analysis of population served by Primary Care Trust and health visiting PND service Content analysis of transcripts of interviews, field notes, and documents, to generate themes; elicit factors and their relationship with equity (facilitators or barriers)

    8. Palo Almond/15th September 2009/EU Primary Care Conference 8 Conclusions Policies need to be vetted by equal opportunities board or similar body Policy aims should not be contradictory Adequate and appropriate resources are required

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