Major Depressive Disorder (MDD) is associated with low rates of treatment and medication non-adherence, more so in low- and middle-income countries (LMICs). Mobile mental health (mHealth) interventions offer promise as a tool to address these problems. However, the feasibility and acceptability of mHealth interventions among rural women in LMICs is unknown. We examined barriers to accessing mental health treatment, reasons for non-adherence, and attitudes towards mHealth solutions among women with MDD in rural south India. Six focus groups were conducted among women with MDD (n = 69) who had been in treatment at a rural community health center. The discussion was transcribed and analyzed using a modified grounded-theory approach. Women perceived limited autonomy within their family structure, and experienced financial and systemic barriers as contributing to poor treatment access and non-adherence. Illiteracy, limited personal access to mobile phones, and preference for in-person clinical consultation were identified as barriers to use of mHealth. This is the first qualitative study, to our knowledge, that examines attitude towards mHealth among women with MDD in a rural setting in India. The study identified contextual barriers that will be important to address before implementing mHealth interventions.

严重抑郁症（MDD）与治疗率低和药物不依从有关，在中低收入国家（LMIC）尤其如此。移动精神卫生（mHealth）干预措施有望作为解决这些问题的工具。然而，在中低收入国家农村妇女中进行mHealth干预的可行性和可接受性尚不清楚。我们研究了印度南部农村MDD妇女获得心理健康治疗的障碍，不坚持治疗的原因以及对移动医疗解决方案的态度。在患有MDD的女性中进行了六个焦点小组（n = 69）在农村社区卫生中心接受过治疗的人。使用改进的扎根理论方法对讨论进行转录和分析。妇女认为自己在家庭结构中的自主权有限，并且经历了财务和系统障碍，导致难以获得治疗和不遵守规定。文盲，有限的个人手机使用权限以及对现场临床咨询的偏爱被确定为使用mHealth的障碍。据我们所知，这是第一项定性研究，研究了印度农村地区患有MDD的女性对移动健康的态度。该研究确定了背景障碍，这些障碍在实施mHealth干预措施之前必须解决。