Post-partum depression: a cross-sectional study of women enrolled in a conditional cash transfer program in 30 Brazilian cities

2021 ◽  
Vol 281 ◽  
pp. 510-516
Author(s):  
Ina S. Santos ◽  
Tiago N. Munhoz ◽  
Cauane Blumenberg ◽  
Raquel Barcelos ◽  
Caroline C. Bortolotto ◽  
...  
2019 ◽  
Vol 8 (9) ◽  
pp. 1290 ◽  
Author(s):  
Leila Jahangard ◽  
Thorsten Mikoteit ◽  
Saman Bahiraei ◽  
Mehrangiz Zamanibonab ◽  
Mohammad Haghighi ◽  
...  

Background: Within three to six months after delivery, 13%–19% of women suffer from post-partum depression (PPD), understood as a dysfunctional adaptation to the postpartum condition and motherhood. In the present cross-sectional study, we compared the hair steroid levels of women 12 weeks before and after delivery and with or without PPD. Method: The present study was a cross-sectional study conducted twelve weeks after delivery. At that time, 48 women (mean age: 25.9 years) with PPD and 50 healthy controls (mean age: 25.2 years) completed questionnaires on depressive symptoms. Further, at the same time point, 6 cm lengths of hair strands were taken, providing samples of hair steroids 12 weeks before and 12 weeks after delivery in order to analyze hair steroids (cortisol, cortisone, progesterone, testosterone, and dehydroepiandrosterone (DHEA)). Results: Compared to those of women without PPD, hair steroid levels (cortisol, cortisone, progesterone) were significantly lower in women with PPD both before and after delivery. Lower prenatal cortisone and progesterone levels predicted higher depression scores 12 weeks after delivery. Lower prenatal levels of cortisol and progesterone and higher levels of DHEA, and postnatal lower levels of cortisol, cortisone, and progesterone, along with higher levels of DHEA predicted PPD-status with an accuracy of 98%. Conclusions: PPD is associated with blunted hair cortisol, cortisone, and progesterone secretions both pre- and postpartum. Such blunted steroid levels appear to reflect a stress responsivity that is less adaptive to acute and transient stressors. It follows that prenatally assessed low hair cortisol and progesterone levels, along with high DHEA levels, are reliable biomarkers of post-partum depression 12 weeks after delivery.


Author(s):  
Armando Barrientos

This chapter examines the role that public policy initiatives—specifically anti-poverty transfers—have played in the reduction of poverty and inequality in Brazil. A number of anti-poverty initiatives are considered in turn, and not just the widely known Bolsa Familia conditional cash transfer program. The analysis establishes that such transfers—including conditional cash transfers—have proved surprisingly effective, even helping to tackle long-standing income inequality. It is recognized that explicit anti-poverty initiatives were not the only drivers of the reduced incidence of poverty and inequality: factors such as growth and improved access to labor markets also played a role. However, progress is now threatened by the recent economic and political crisis.


Author(s):  
Titus Priyo Harjatmo ◽  
Maria Poppy Herlianty ◽  
Antonius Sri Hartono

Background: The nutritional status of infants and toddlers is one indicator of public nutrition, and even has developed into one of the indicators of health and welfare. Basic Health Research (Riskesdas) in 2013 showed that 37,2% children under five suffering from nutritional status is stunting. One of the efforts that have been made by the Indonesian government to reduce malnutrition in infants and toddlers is through a program that is integrated with the health sector namely Conditional Cash Transfer Program (Program Keluarga Harapan). The specific objectives were to identify the characteristics of families recieve Conditional Cash Transfer Program and analysis stunting children under five years in families receiving Conditional Cash Transfer Program in Baturetno subdistric, Wonogiri district.Methods: The study was conducted in the subdistrict of Baturetno, Wonogiri district and has collected a total of 112 infants of families Conditional Cash Transfer Program participants. Sampling of children under five years was done purposively. This study was conducted from July to August 2017.Results: The proportion of children who stunting quite high at 33.0% higher than the results of the Nutritional Status Monitoring in 2016 amounted to 27.5%. If stunting is associated with the age group of stunting problems occur in all age groups in the amount of 31.3% in under 23 months and 34.3% at 23 months upwards of 31.3% children under five short, as much as 25.0% children under five are overweight according to height (weight for height) is normal and thus potentially becoming obese.Conclusions: The implementation of weight monitoring should be monitored the height of children under five in the hope family program.


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