{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:03:20Z","timestamp":1790877800593,"version":"4.1.0"},"reference-count":104,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosmentalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Ment Health"],"abstract":"<jats:p>Maternal mental health (MMH) remains a critical public health issue across Sub-Saharan Africa (SSA). Despite the high burden, access to culturally appropriate and evidence-based mental health interventions remains limited. This scoping review examines interventions targeting mental health outcomes for pregnant and postpartum women across SSA countries. Guided by PRISMA-ScR and Arksey and O\u2019Malley\u2019s framework, a comprehensive search was conducted across 14 electronic databases for peer-reviewed intervention studies published in English between 2000 and March 2026. A total of 57 studies across 18 SSA countries were identified with interventions primarily focused on the individual or mother-infant level. The majority used strong research methods, with widely varying intervention content, including cognitive-behavioral therapy, problem-solving therapy, psychoeducation, and community-based programs, often delivered by community health workers, focusing on problem-solving skills, and involving cash transfers. While most studies reported reductions in depressive symptoms and improved psychosocial outcomes, few addressed scalability, health system integration, or cost-effectiveness. Few studies worked with health professionals or included technology interventions. A wide range of mental health interventions show promise in addressing perinatal mental health in SSA. However, gaps remain in scaling up sustainable, culturally relevant, and system-integrated interventions. Future efforts should prioritize provider education, health system strengthening, and evaluation of economic impact to enhance MMH outcomes across the region. To have a significant impact on perinatal mental health, future interventions that focus on cost-effectiveness, scalability, health professions education, and integration of technology are needed.<\/jats:p>","DOI":"10.1371\/journal.pmen.0000739","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:26:41Z","timestamp":1790875601000},"page":"e0000739","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unseen and underserved: A scoping review of perinatal mental health interventions in Sub-Saharan Africa"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4957-2136","authenticated-orcid":true,"given":"Basil H.","family":"Aboul-Enein","sequence":"first","affiliation":[{"name":"College of Arts & Sciences, Health & Society Program, University of Massachusetts Dartmouth","place":["North Dartmouth, Massachusetts, United States of 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