Limitations of the study
depression
It is notable that the reporting of some evaluation criteria, particularly those relating to the reasons behind unattendance was limited. Although THP had high acceptability, depression rates in the study sample was small, potentially suggesting limited interest or accessibility of the intervention for women with depression. Although all the women were from lower socioeconomic districts, all had access to technology. Online delivery will not address the digital divide in poorer women. Face to face delivery formats integrated into routine classes should also be tested.The study does not provide information on challenges to scale-up, which are likely to be formidable. Future studies should also include information on cost-effectiveness to assist policy-makers in making an economic case for the intervention to be integrated into existing health systems.