It's a simple review of mental health of mother and child nutrition related article publish on the journal named International Journal of Mental Health Systems.

1. Maternal Common Mental Disorders and
Associated Factors: A Cross‐sectional Study In An
Urban Slum Area Of Dhaka, Bangladesh
A Review
on
Presented By,
Fatema Ferdousy
Student ID: 2016164680
Department of Public Health
North South University
Date: 09-12-2020
Supervised By
Dr. Mohammad Delwer Hossain Hawlader
(DHH) MBBS, MPH, PhD Associate Professor
Department of Public Health
North South University

2. Get to Know the Journal
►Journal Name: International Journal of Mental Health Systems
►Author Panel: Ahad Mahmud Khan and
Meerjady Sabrina Flora
►Impact Factor: 2.2
►Cite Score: 3.4
Scopus History- 2007–present
►Publisher: BioMed Central Ltd.
►Published on : March 14, 2017

3. Objective of the Study
►To find out the associated factors of maternal common mental disorders (CMD) in an urban slum area
of Bangladesh.

4. Background
The prevalence of maternal CMDs
Bangladesh (49%)
Neglected public health problem
Poor mental health reduce mother’s capability
Mental health is associated not only with
biological factors but also socioeconomic and
environmental factors.

5. Methods
Study
Design
• Cross-sectional study
Study
Area
• Kamrangirchar, Dhaka District, Bangladesh. ( An urban slum)
Study
Period
• September to November, 2013
Study
Populat
ion
• 264 mothers having under-five children

6. Continued…
Data
Collection
• Structured questionnaire based on Self-Reporting Questionnaire-20 (SRQ-20) was used for
data collection
• Face-to-face interview
• Measurement of the height and weight of child and mother.
Research
instruments
• The SRQ-20, a screening tool was used to assess mental health of the mothers.
• Household Food Insecurity Access Scale (HFIAS) was used to measure household food
security.
• Modified Kuppuswamy’s socioeconomic status scale was used to assess socioeconomic
status.
• Child nutritional status was estimated using z-score and maternal undernutrition with
body mass index (BMI).
Statistical
Method
• Statistical software SPSS version 21 was used for data analysis
• Logistic Regression
• Bivariate analysis was used to find out the association.

7. Results In a Nutshell
Serial
Number
Characteristics Result
01. The age of the mothers 15 to 44 years
02. Mothers were educated up to primary level and more 40.9%
03. Fathers were illiterate or educated up to primary level 73.1%
04. Housewife mothers 89.8%
05. Working mothers 10.2%
06. Unskilled worker fathers 28.4%
07. Service and small businessman father 28.4%
Table 1: Baseline Characteristics of the Respondents

8. Continued…
Serial
Number
Characteristics Result
08. Respondents with low socioeconomic status 64.4%
09. Respondents with moderately food insecure 52.7%
10. Respondents with food secure state 12.9%
11. The monthly family income of the respondents range 2000 BDT - 50,000 BDT
12. Respondents with nuclear family 83%
13. Respondent’s family member range 3 - 12
14. Sex distribution ratio of the children 1: 1.2

9. Table 2: Factors Associated with Maternal CMD
Serial
Number
Associations Result
01. Common mental disorders (CMD) 46.2% and 122 in Number
02. Association between socioeconomic status and maternal mental health in
univariate analysis
Positive
03. Association between maternal CMD and lower socioeconomic class Positive
04. Mothers were likely to suffer from CMD in moderately food insecure families 5 times increased odds than in food secure
families
05. Mothers were likely to suffer from CMD severely food insecure families 12 times increased odds than in food secure
families
06. Association among age, sex and illness of the child Negative
08. Association between child nutrition and maternal CMD Significantly positive with enrich OR of 2.51
09. Association between of the underweight child and mothers suffering from CDM Significantly positive with enrich OR of 2.61
10. Association between underweight mothers and poor mental health of mothers Significantly positive with 2.5 times increased
odds

10. Strength
 There was minimal physical, mental or socioeconomic risk
or harm to the respondents was involved in this study.
 Approval of ethical review committee of National Institute
of Preventive and Social Medicine (NIPSOM), Bangladesh
was taken to conduct the research project.
 There used multiple variables to analyze the associations.
 BMI and Z-score were use for measuring nutritional status
respectively mothers and children.

11. Weakness
 Data were collected based on recall of the mothers, there may
present recall bias.
 Sample size is small this may not represent real scenario.
 The association found does not reflect causal association.
 SRQ-20 is a screening tool to assess mental health used in this
study, not a diagnostic one.
 Convenience sampling technique was applied to recruit the
respondents, which limits the generalizability of the results to
other population.

12. Conclusion
Higher prevalence of
maternal CMD
Bangladesh (49%)-2014
Bangladesh (46.2%)-2017
The best predictors of
maternal mental health
-Household food security
-Maternal nutrition
Maternal mental health as
a public health problem

13. Recommendation
Further research should take place with larger sample size for real scenario.
Steps should be taken to solve the associated problematic factors arise in
this study.
Further modification of the study for real reflection of causal association.

14. Similar Studies
Nguyen PH, Saha KK, Ali D, Menon P, Manohar S, Mai LT, et al. Maternal
mental health is associated with child undernutrition and illness in
Bangladesh, Vietnam and Ethiopia. Public health Nutr. 2014;17(06):1318–27.
Harpham T, Huttly S, De Silva MJ, Abramsky T. Maternal mental health and
child nutritional status in four developing countries. J Epidemiol Community
Health. 2005;59(12):1060–4.