Relationship Between the Provider’s Mental Health Literacy and Maternal Postpartum Depression in Community Health Setting
Authors
MAN Graduate School Student, Saint Bernadette of Lourdes College, Faculty, College of Nursing at De La Salle Medical and Health Sciences Institute (Philippines)
Professor, Saint Bernadette of Lourdes College (Philippines)
Article Information
DOI: 10.47772/IJRISS.2026.100601259
Subject Category: Health
Volume/Issue: 10/6 | Page No: 18344-18353
Publication Timeline
Submitted: 2026-06-28
Accepted: 2026-07-04
Published: 2026-07-16
Abstract
The transition to motherhood is often accompanied by profound emotional and psychological changes that can affect a woman's overall well-being. Although postpartum depression and anxiety are recognized as major maternal health concerns, their prevention and early identification remain challenging in many community healthcare settings. This study explored how mothers' perceptions of healthcare providers' mental health literacy, social support, and healthcare access relate to postpartum mental health outcomes. It also examined whether perceived social support serves as a pathway through which provider mental health literacy influences maternal mental health.
A descriptive-correlational design was employed among postpartum mothers and healthcare providers from selected barangay health centers in General Trias City, Cavite, Philippines. Data were gathered using validated instruments assessing postpartum depression, postpartum anxiety, perceived social support, healthcare access and utilization, and mental health literacy. Statistical analyses included descriptive measures, correlation tests, and mediation analysis.
The findings showed that participating mothers generally reported low levels of postpartum depression and anxiety, while perceiving high levels of social support, healthcare access, and provider mental health literacy. Healthcare providers likewise demonstrated strong mental health literacy despite limited formal training in maternal mental health. Mothers who reported greater social support tended to experience lower levels of postpartum anxiety. In addition, higher perceived provider mental health literacy was associated with stronger perceptions of social support. Mediation analysis further indicated that perceived social support significantly explained the relationship between provider mental health literacy and postpartum anxiety. However, a similar mediating effect was not observed for postpartum depression.
These findings suggest that healthcare providers may contribute to better maternal mental health not only through clinical care but also by fostering supportive relationships that help mothers feel understood, connected, and supported. Strengthening mental health literacy among frontline healthcare providers and integrating mental health support into routine maternal services may enhance the quality of postpartum care and promote positive mental health outcomes in community settings.
Keywords
postpartum mental health, postpartum anxiety, postpartum depression
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References
1. Akkineni, R., Ganjekar, S., Satyanarayana, V. A., Kondapuram, N., Tiwari, K., Medisetti, S., Padmaja, S., Karnan, R. V., & Chandra, P. S. (2025). The impact of perinatal mental health training on knowledge and practice of primary care physicians: A systems strengthening initiative in Telangana, India. BMC Primary Care, 26, 88. https://doi.org/10.1186/s12875-025-02782-5 [Google Scholar] [Crossref]
2. Alligood, M. R. (2022). Nursing theorists and their work (10th ed.). Elsevier. [Google Scholar] [Crossref]
3. Centre of Perinatal Excellence. (2023). Mental health care in the perinatal period: Australian clinical practice guideline. https://www.cope.org.au/health-professionals/health-professionals-3/calculating-epds-scores/ [Google Scholar] [Crossref]
4. Cho, H., Lee, K., Choi, E., Cho, H. N., Park, B., Suh, M., Rhee, Y., & Choi, K. S. (2022). Association between social support and postpartum depression. Scientific Reports, 12(1), 3128. https://doi.org/10.1038/s41598-022-07248-7 [Google Scholar] [Crossref]
5. ElKhalil, R., AlMekkawi, M., O'Connor, M., Masuadi, E., Sherif, M., Belfakir, M., Ahmed, L. A., Al-Rifai, R. H., Bayoumi, R., & Elbarazi, I. (2024). Measurement properties of the Mental Health Literacy Scale (MHLS): A systematic review. Asian Journal of Psychiatry, 101, 104214. https://doi.org/10.1016/j.ajp.2024.104214 [Google Scholar] [Crossref]
6. Filoteo, J. A., Maravilla, J. C., Mamaat, J. E., Flores, A. D., Jumamil, A. N., Cardenas, R. L., Quijencio, W., Bayani, M. A., Santos, N., Acena, J. L., Alfonso, A. L., Rivera, M., Guariño, R., Sarmiento, R., Flenady, V., Boyle, F. M., Loughnan, S. A., & Taragua, A. T. (2026). Epidemiological investigation of perinatal depression among pregnant and postpartum women: Findings from a cross-sectional survey in the Philippines. BMJ Open, 16(2), e109079. https://doi.org/10.1136/bmjopen-2025-109079 [Google Scholar] [Crossref]
7. Jorm, A. F. (2022). Mental health literacy: Public knowledge and beliefs about mental disorders and their treatment. BJPsych Advances, 28(3), 198–205. [Google Scholar] [Crossref]
8. Kutcher, S., Wei, Y., & Coniglio, C. (2021). Mental health literacy: Past, present, and future. Canadian Journal of Psychiatry, 66(2), 154–158. https://doi.org/10.1177/0706743715616609 [Google Scholar] [Crossref]
9. Norazman, C. W., & Lee, L. K. (2024). The influence of social support in the prevention and treatment of postpartum depression: An intervention-based narrative review. Women's Health, 20, 17455057241275587. https://doi.org/10.1177/17455057241275587 [Google Scholar] [Crossref]
10. Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2021). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 133, 55–68. https://doi.org/10.1016/j.jpsychires.2020.12.018 [Google Scholar] [Crossref]
11. Wang, J., Wu, X., Lai, W., Long, E., Zhang, X., Li, W., Zhu, Y., Chen, C., Zhong, X., Liu, Z., & Wang, D. (2023). The role of social support in maternal mental health during the postpartum period: A systematic review. International Journal of Environmental Research and Public Health, 20(4), 3125. https://doi.org/10.3390/ijerph20043125 [Google Scholar] [Crossref]
12. Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. ed.). University Press of Colorado. [Google Scholar] [Crossref]
13. World Health Organization. (2023). Maternal mental health. https://www.who.int [Google Scholar] [Crossref]
14. World Health Organization. (2024). Improving maternal mental health through integrated primary healthcare services. https://www.who.int [Google Scholar] [Crossref]
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