The burden of depression is high globally. Maternal depression affects the mother, the child, and other family members. We aimed to measure the prevalence of maternal postpartum depressive (PPD) symptoms having a child aged 6–16 months, health-seeking behavior for general illness of all family members, out of pocket (OOP) payments for health care and cost coping mechanisms. We conducted a cross sectional study with 591 poor families in rural Bangladesh. The survey was conducted between August and October, 2017. Information was collected on maternal depressive symptoms using the Self Reporting Questionnaire (SRQ-20), health-seeking behavior, and related costs using a structured, pretested questionnaire. The prevalence of depressive symptoms was 51.7%. Multiple logistic regression analysis showed that PPD symptoms were independently associated with maternal age (p = 0.044), family food insecurity (p < 0.001) and violence against women (p < 0.001). Most (60%) ill persons sought health care from informal health providers. Out of pocket (OOP) expenditure was significantly higher (p = 0.03) in the families of depressed mothers, who had to take loan or sell their valuables to cope with expenditures (p < 0.001). Our results suggest that postpartum depressive symptoms are prevalent in the poor rural mothers. Community-based interventions including prevention of violence and income generation activities for these economically disadvantaged mothers should be designed to address risk factors. Health financing options should also be explored for the mothers with depressive symptoms

中文翻译：

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孟加拉国贫困家庭的产妇产后抑郁，寻求健康行为和自付费用的患病率和费用应对机制的普遍性：基于农村社区的研究。

全球范围内抑郁症的负担很高。产妇抑郁症会影响母亲，孩子和其他家庭成员。我们的目标是测量6-16个月大的孩子的产后抑郁（PPD）症状，所有家庭成员的一般疾病寻求健康行为，卫生保健的自费（OOP）支付和费用应对机制。我们对孟加拉国农村地区的591个贫困家庭进行了横断面研究。该调查于2017年8月至10月进行。使用自我报告调查表（SRQ-20）收集了有关母亲抑郁症状的信息，寻求健康的行为以及使用结构化，经过预先测试的问卷调查的相关费用。抑郁症状的患病率为51.7％。p = 0.044），家庭粮食不安全（p <0.001）和针对妇女的暴力行为（p <0.001）。大多数（60％）病人从非正式医疗机构寻求医疗服务。在沮丧的母亲的家庭中，自费支出（OOP）明显更高（p = 0.03），这些母亲不得不借贷或出售自己的贵重物品来应付支出（p <0.001）。我们的结果表明，贫困的农村母亲普遍存在产后抑郁症状。应设计基于社区的干预措施，包括为这些经济上处于不利地位的母亲预防暴力和创收活动，以应对风险因素。还应该为患有抑郁症症状的母亲探索卫生筹资方案