Postpartum Depression Affects Many New Mothers in Rwanda
Chantal Neza, a resident of Kimironko, recently gave birth to a baby boy, but her joy has been overshadowed by unexpected emotional struggles. Despite having a support system, she often feels overwhelmed and alone, wondering if she is doing enough as a mother. Neza’s experience is not unique, as many women in Rwanda struggle with postpartum depression (PPD) after giving birth.
According to the World Health Organization (WHO), PPD is a serious health concern that can make it difficult for mothers to care for their babies and may affect the child’s development. In Rwanda, about one in ten mothers experience PPD, with symptoms often appearing between two and 12 months after delivery. Dr. David Tuyisenge, a gynecologist at Kabgayi Level 2 Teaching Hospital, notes that mothers who are experiencing their first pregnancy, those from middle-class backgrounds, and those who had difficult labor or traumatic deliveries are most at risk.
Support from partners, family, and the community is crucial in helping mothers cope with PPD. Dr. Tuyisenge emphasizes the importance of having someone available to help with tasks such as changing diapers, feeding, and taking care of the baby, allowing the mother to rest and heal. Rwanda’s mental health services, which have been integrated into primary health care, provide guidance and support for mothers with PPD. Community health workers are trained to recognize mental health problems and refer patients to health facilities when needed.
The Rwanda Biomedical Centre (RBC) has prioritized mental health by training community health workers and providing access to psychiatrists, psychologists, and mental health nurses. Public awareness campaigns aim to reduce stigma around mental illness and encourage families and communities to support mothers seeking help. Programmes such as the mobile mentorship initiative “MobiMenta” also support maternal, neonatal, and reproductive health care, which can benefit mothers’ mental health.
Treatment for PPD in Rwanda typically begins with evaluation by gynecologists, who involve family members and a team of mental health nurses and psychologists. Care may include sessions to discuss the mother’s feelings, thoughts, and behavior, and in some cases, antidepressants are used. Recovery can take from two weeks to a year, depending on the severity. With the right support and treatment, most mothers can recover from PPD and care for their babies. However, it is essential to recognize the signs of PPD and provide timely support to ensure the well-being of both mothers and their children.