Nurses' Roles in Digital Perinatal Mental Health Interventions in LMICs: A Systematic Review

Fila Dalfianti Sahupala; Shanti Wardaningsih

doi:10.56741/IISTR.jphs.001557

Authors

Fila Dalfianti Sahupala
fila.dalfianti.psc24@mail.umy.ac.id
Universitas Muhammadiyah Yogyakarta
Shanti Wardaningsih Master of Nursing

Keywords:

Telemedicine, Digital CBT, Digital Interventions, Perinatal Mental Health, Community Nurses, LMICs

Abstract

Maternal morbidity and mortality are largely driven by perinatal mental health conditions, especially anxiety and depression, particularly in low- and middle-income countries with limited access to care. This review aims to examine the roles of community nurses in implementing digital interventions to enhance perinatal mental health in low- and middle-income countries. Searches for publications between 2020 and 2025 were conducted in the Scopus, ScienceDirect, Dimensions, and ProQuest databases. A total of 21 studies that met the inclusion criteria were included in the final synthesis. According to the findings, there are four primary types of digital therapies: telemedicine and remote counseling, digital cognitive behavioral therapy (CBT) and psychosocial interventions, mobile-based applications, and digital integration based on community health workers (CHW). It has been demonstrated that all of these strategies enhance screening, education, and psychosocial support for expectant and nursing mothers, and they are generally feasible and well-received in several LMIC contexts. Early detection, digital counseling, monitoring, and enabling technology-based services are all areas in which community nurses play a crucial role. Digital interventions decrease gaps in mental health care, improve service continuity, and empower moms and healthcare professionals. To ensure the sustainability and equitable provision of maternal mental health services, primary care systems must integrate policies, enhance digital literacy, and maintain ongoing oversight and monitoring to ensure effective service delivery.

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Author Biographies

Fila Dalfianti Sahupala, Universitas Muhammadiyah Yogyakarta

is a master’s student at the Faculty of Medicine and Health Sciences, Muhammadiyah University of Yogyakarta, Indonesia. Her academic interests focus on mental health nursing, maternal health, and community-based healthcare interventions. She is actively involved in academic writing and research activities related to nursing and public health issues, particularly in low-resource settings. Through her studies, she aims to contribute to the development of evidence-based nursing practices and improve healthcare quality for vulnerable populations. (email: fila.dalfianti.psc24@mail.umy.ac.id).

Shanti Wardaningsih, Master of Nursing

is a lecturer and researcher at Muhammadiyah University of Yogyakarta, Indonesia. She specializes in Psychiatric Mental Health Nursing and Transcultural Nursing. Her academic and research interests include mental health promotion, culturally sensitive nursing care, and community mental health interventions. She has contributed to various scientific publications and educational activities in the field of nursing. As an educator, she is committed to advancing nursing education and strengthening mental health services through research and professional development. (email: shanti.wardaningsih@umy.ac.id).

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