Understanding Knowledge Attitude and Practices of ASHA Workers in Addressing Maternal Mental Health: A Qualitative Study from Uttar Pradesh, India

Abstract Aim This study investigates the perceptions and experiences of Accredited Social Health Activists (ASHAs) concerning the mental health of pregnant and lactating women in Uttar Pradesh, India. Subject and Methods For this study, semi-structured in-depth interviews were conducted with 15 ASHA workers from rural and semi-urban areas. The study explores ASHAs' understanding of mental health, their roles specifically in Maternal health care, their awareness about mental health and the extent to which psychological well-being is addressed in their routine work. Result The findings reveal that ASHA workers primarily associate maternal health with physical indicators such as height-weight monitoring, tetanus injections, and the distribution of iron supplements. Mental health concerns, including stress, anxiety, and emotional distress, are largely overlooked, with no training or guidance provided to ASHAs in this area. The absence of mental health modules in existing maternal health programs reflects a broader systemic neglect. Conclusion This study underscores the urgent need to integrate mental health education into ASHA training and embed psychological screening and support within ANC protocols to ensure a more comprehensive and holistic approach to maternal healthcare in Uttar Pradesh.