Service delivery strategies for perinatal mental health in sub-Saharan Africa: A scoping review

Abstract

Background: Mental health conditions, such as depression and anxiety, affect many women during the perinatal period. These conditions are particularly prevalent in low- and middle-income countries and low-resource settings, where access to quality mental health services is limited. This highlights the urgent need for effective strategies to identify, support and empower women experiencing perinatal mental health difficulties.
Aim: This scoping review synthesised existing evidence on strategies to improve access to perinatal mental health services in sub-Saharan Africa (SSA).
Method: A scoping review was conducted using databases including EBSCOhost, Scopus, PubMed and Web of Science. Studies published between 2015 and 2025 in English were included. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews checklist.
Results: The initial search identified 735 records, of which only four met the inclusion criteria. These studies employed varied approaches, enriching the synthesis by capturing diverse perspectives and methodological insights. This variation strengthened the comprehensiveness and credibility of the findings.
Conclusion: Sustainable improvements in perinatal mental health services in SSA require investment in workforce development, culturally adapted interventions and supportive policies.
Contribution: This review contributes to the growing body of knowledge on perinatal mental health in SSA and offers guidance for future strategies aimed at prioritising mental health services for perinatal women.