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Globally depression is among major causes of disability related to disease among women. Women are twice as likely to suffer from major depression as compared to men. The highest prevalence of depression occurs during the reproductive years and around menopause. The puberty followed by pregnancy especially the puerperium is the time of highest risk of new onset or recurrent depression. Most of the women from poorer segments of society seek care from the Government referral level facilities in Pakistan, as free of cost care is available. Lack of functional and properly staffed primary care centers in the public-sector results in the overburden of tertiary care obstetrics and gynecology facilities. Here too significant barriers to screening of depression include inadequate training and lack of resources for the overworked residents in the referral level hospitals.1

Syeda Batool Mazhar. (2017) The Obstetrician and Gynecologist and Unmet Mental Health Needs, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-07, Issue-3.
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