Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan
Background Socioemotional life-skills to negotiate important life-transitions such as marriage and parenthood are critical for the wellbeing of young couples and their offspring, but programs addressing this issue are lacking in Low and Middle-Income Countries (LMICs). Objective This study describes...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2021.1982485 |
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| author | Najia Atif Atif Rahman Zill-e- Huma Syed Usman Hamdani |
| author_facet | Najia Atif Atif Rahman Zill-e- Huma Syed Usman Hamdani |
| author_sort | Najia Atif |
| collection | DOAJ |
| description | Background Socioemotional life-skills to negotiate important life-transitions such as marriage and parenthood are critical for the wellbeing of young couples and their offspring, but programs addressing this issue are lacking in Low and Middle-Income Countries (LMICs). Objective This study describes the development of a ‘life-skills’ program for young married women, their husbands and families, living in rural settings in Pakistan. Methods Our methods included: a) a targeted review of relevant literature on life-skills and mental health in young people, b) a qualitative study and, c) intervention development workshops with experts and stakeholders. The review showed that common life-skills employed as part of psychosocial interventions in LMICs were communication skills, problem-solving, assessing relations, stress management, emotional regulation, identifying/eliciting affect, and self-awareness. Results The qualitative study indicated that areas of particular need included interpersonal communication skills with significant others, coping with the pressures of parenthood, and mental well-being. Existing helpful practices included social support by family members and elders. Lack of empowerment in young married women and poor engagement of husbands were identified as a barrier to accessing a potential intervention. Our proposed intervention called ‘Preparing for Parenthood’ consisted of 10 core sessions and 10 follow-up sessions designed to be delivered by lay health workers. It synergistically combined evidence-based socioemotional life-skills (awareness, communication skills, assertiveness, decision-making skills, goal-setting, critical thinking, problem-solving, and coping with stress), with cognitive behavioural strategies (gently challenging existing thoughts and attitudes, behaviour activation and problem solving). The intervention focuses on engagement of the entire family, including husbands. Conclusions The intervention can supplement existing sexual and reproductive health programs by providing skills to prospective parents to effectively negotiate stressful life-transitions and life-events. We envisage the intervention would improve mental as well as sexual and reproductive health of young couples and plan to test this in future randomised trials. |
| first_indexed | 2024-12-22T16:37:14Z |
| format | Article |
| id | doaj.art-ddb5d6e34254446db1354943f95010eb |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-12-22T16:37:14Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-ddb5d6e34254446db1354943f95010eb2022-12-21T18:19:56ZengTaylor & Francis GroupGlobal Health Action1654-98802021-01-0114110.1080/16549716.2021.19824851982485Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural PakistanNajia Atif0Atif Rahman1Zill-e- Huma2Syed Usman Hamdani3Human Development Research FoundationUniversity of LiverpoolHuman Development Research FoundationHuman Development Research FoundationBackground Socioemotional life-skills to negotiate important life-transitions such as marriage and parenthood are critical for the wellbeing of young couples and their offspring, but programs addressing this issue are lacking in Low and Middle-Income Countries (LMICs). Objective This study describes the development of a ‘life-skills’ program for young married women, their husbands and families, living in rural settings in Pakistan. Methods Our methods included: a) a targeted review of relevant literature on life-skills and mental health in young people, b) a qualitative study and, c) intervention development workshops with experts and stakeholders. The review showed that common life-skills employed as part of psychosocial interventions in LMICs were communication skills, problem-solving, assessing relations, stress management, emotional regulation, identifying/eliciting affect, and self-awareness. Results The qualitative study indicated that areas of particular need included interpersonal communication skills with significant others, coping with the pressures of parenthood, and mental well-being. Existing helpful practices included social support by family members and elders. Lack of empowerment in young married women and poor engagement of husbands were identified as a barrier to accessing a potential intervention. Our proposed intervention called ‘Preparing for Parenthood’ consisted of 10 core sessions and 10 follow-up sessions designed to be delivered by lay health workers. It synergistically combined evidence-based socioemotional life-skills (awareness, communication skills, assertiveness, decision-making skills, goal-setting, critical thinking, problem-solving, and coping with stress), with cognitive behavioural strategies (gently challenging existing thoughts and attitudes, behaviour activation and problem solving). The intervention focuses on engagement of the entire family, including husbands. Conclusions The intervention can supplement existing sexual and reproductive health programs by providing skills to prospective parents to effectively negotiate stressful life-transitions and life-events. We envisage the intervention would improve mental as well as sexual and reproductive health of young couples and plan to test this in future randomised trials.http://dx.doi.org/10.1080/16549716.2021.1982485life-skillsadolescentssexual and reproductive healthmental healthlow resource settings |
| spellingShingle | Najia Atif Atif Rahman Zill-e- Huma Syed Usman Hamdani Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan Global Health Action life-skills adolescents sexual and reproductive health mental health low resource settings |
| title | Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan |
| title_full | Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan |
| title_fullStr | Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan |
| title_full_unstemmed | Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan |
| title_short | Preparing for parenthood: developing a life-skills and socioemotional health program for young married couples in rural Pakistan |
| title_sort | preparing for parenthood developing a life skills and socioemotional health program for young married couples in rural pakistan |
| topic | life-skills adolescents sexual and reproductive health mental health low resource settings |
| url | http://dx.doi.org/10.1080/16549716.2021.1982485 |
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