Globally mental health problems are a serious public health concern.
Currently four out of five people with severe mental illness in Low and
Middle Income Countries (LMIC) receive no effective treatment. There is
an urgent need to address this enormous treatment gap. Changing the
focus of specialist mental health workers (psychiatrists and
psychologists) from only service delivery to also designing and managing
mental health services; building clinical capacity of the primary health
care (PHC) workers, and providing supervision and quality assurance of
mental health services may help in scaling up mental health services in
LMICs. Little is known however, about the mental health policy and
services context for these strategies in fragile-state settings, such as
A standard situation analysis tool was developed by the PRogramme for
Improving Mental health carE (PRIME) consortium to systematically
analyze and describe the current gaps in mental health care in Nepal, in
order to inform the development of a district level mental health care
plan (MHCP). It comprised 6 sections; general information (e.g.
population, socio-economic conditions); mental health policies and
plans; mental health treatment coverage; district health services; and
community services. Data was obtained from secondary sources, including
scientific publications, reports, project documents and hospital
This study describes many challenges facing mental health care in Nepal.
Most of these challenges are not new, yet this study contributes to our
understanding of these difficulties by outlining the national and
district level factors that have a direct influence on the development
of a district level mental health care plan.
This research is supported by the Department for International Development’s Programme for Improving Mental Health Care (PRIME) which is led by University of Cape Town
Luitel, N.P.; Jordans, M.J.D.; Adhikari, A.; Upadhaya, N.; Hanlon, C.; Lund, C.; Komproe, I.H. Mental health care in Nepal: current situation and challenges for development of a district mental health care plan. Conflict and Health (2015) 9 (1) 11 pp. [DOI: 10.1186/s13031-014-0030-5]
Mental health care in Nepal: current situation and challenges for development of a district mental health care plan
Published 6 February 2015