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Abstract Background One in five women experience psychological distress in the perinatal period. To support women appropriately, Australian guidelines recommend routine depression screening and psychosocial risk assessment by midwives in pregnancy. However, there is some evidence that current screening processes results in higher rates of false positives. The Perinatal Integrated Psychosocial Assessment (PIPA) Project compared two models of psychosocial assessment and referral – Usual Care and the PIPA model – with a view to improving referral decisions. This paper describes midwives’ perspectives on psychosocial assessment, depression screening and referral at the antenatal booking appointment and compares midwives’ experiences with, and perspectives on, the two models of care under investigation. Methods A two-phase, convergent mixed methods design was used. Midwives providing antenatal care completed a self-report survey in phase one prior to implementation of the new model of psychosocial assessment (n = 26) and again in phase two, following implementation (n = 27). Sixteen midwives also participated in two focus groups in phase two. Quantitative and qualitative data were compared and integrated in the presentation of results and interpretation of findings. Results Midwives supported psychosocial assessment believing it was a catalyst for ‘Opening the door” to conversations with women. Midwives were comfortable asking the questions and tailored their approach to build rapport and trust. Overall. midwives expressed favourable views towards the PIPA model. A greater proportion of midwives relied mostly or entirely on the suggested wording for the psychosocial questions in the PIPA model compared to Usual Care (44.4% vs 12.0%, χ 2=5.17, p=.023, φ =-.36). All midwives reported finding the referral or action message displayed at the end of the PIPA psychosocial assessment to be ‘somewhat’ or ‘very’ helpful, compared to 42.3% in Usual Care (χ2 = 18.36, p

Background: A community pharmacist is generally involved in the activities such as dispensing of drugs and medication aids, billing, patient counseling, and provision of pharmaceutical care. Even though there is huge scope to conduct research about all these aspects in India, community pharmacy-based research is found very rarely in literature. Aim: This study aims to assess dispensing pattern and economic aspects of antibiotics in a community pharmacy on an outpatient basis. Materials and Methods: A prospective, observational study was conducted in a community pharmacy of Pune city on outpatient basis. Patient demographics and antibiotics details with cost were obtained in a log book. Various average values and defined daily doses (DDD) were determined. Chi-square test was used to determine the association between different parameters. Results: A total of 460 patients were involved in the study. Important findings were average total cost of antibiotics – INR 61.42, highest total DDD – azithromycin (107.83 g), and highest antibiotic dispensed – amoxicillin + clavulanic acid (22.61%). The parameters, prescriber and duration, age and frequency, and prescriber and frequency showed statistically significant association (P < 0.05). Conclusion: This was one of the rare studies conducted in a community pharmacy setup on outpatient basis. Further studies are needed for better understanding and documentation of the data.