Challenges of setting up psychiatric services in Nepal: Lessons from the first year of Janakpur Project

Jha, Alok; Ranjan, Sobhana; Pradhan, P.K.; Jha, Tulika

doi:10.1016/j.ajp.2011.10.004

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…Many health related researches that have been undertaken in Nepal are mainly about the prevalence of mental illnesses. A study carried out in Janakpur, Eastern Nepal reports that the commonest forms of disorder is schizophrenia 30% followed by bipolar disorder 25% 3 . Another research finding indicates that Schizophrenia 50.1% was the commonest psychiatric disorder followed by mood disorders 33.5% and substance use disorder 9.3% 4 whereas study conducted by Risal confirms that the commonest psychiatric disorder were anxiety disorder as seen in a primary care setting followed by depressive and unexplained somatic symptoms 5 .…”

Section: Introductionmentioning

confidence: 99%

Impact of ethnicity, unemployment and economy on mental disorders : A study from Western Nepal

Banerjee

et al. 2014

Nepal J Epidemiology

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BackgroundThe causes of mental health problems and ethnic variation are poorly understood. The main objective of the study was to find out about psychiatric diseases which frequently occur in Western Nepal for which hospitalization is required. The specific objective was to research about the economic condition of the psychiatric patients and the prevalence of common psychiatric disorder witnessed among hospitalized patients who belong to diverse ethnic and cultural groups in Western Nepal. Corresponding Author Materials and MethodsIt was a cross sectional study which was conducted in between 1 st October 2009 and 31th March 2010 between at Manipal teaching hospital, Pokhara, Nepal. Odds ratios and adjusted odds ratio and their 95% confidence intervals (95% CI) were calculated. p < 0.05 was considered as statistically significant. [OR 0.413(CI 0.199, 0.856) [OR 0.228(CI 0.089, 0.583)]as compared to employed patients(p=0.001). Results Out ConclusionSchizophrenia was the commonest psychiatric disorder among the low socio-economic class of like Dalits. The study showed that culture based differences concerning mental health is further mediated by poverty, unemployment and dearth of family income which leads to high prevalence of psychiatric illness among Nepalese population. Based on the finding of the study, interventions should target these factors to minimise the load of various psychiatric illness among poor Dalit Nepalese population.

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Section: Introductionmentioning

confidence: 99%

Impact of ethnicity, unemployment and economy on mental disorders : A study from Western Nepal

Banerjee

et al. 2014

Nepal J Epidemiology

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“…The Government of Nepal has attempted to include mental health services as a basic primary health care component. However, it still remains inaccessible to most of the population at primary care level [8]. There is only one psychiatric hospital which is located in capital, and therefore inaccessible to most of the rural population.…”

Section: Introductionmentioning

confidence: 99%

“…Although this indicates mental health as a significant issue, less than 1% of the health expenditure in Nepal is allocated to mental health [7]. There is still no national mental health programme or a division specialised in the Ministry of Health to implement the national health policy that was formulated in 2006 [8]. The Government of Nepal has attempted to include mental health services as a basic primary health care component.…”

Section: Introductionmentioning

confidence: 99%

Why Are So Many Nepali Women Killing Themselves? A Review Of Key Issues

Simkhada

Teijlingen

Winter

et al. 2015

J. Manmohan Memorial Inst. Health. Sci.

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For decades the maternal mortality in Nepal was the lead cause of death among women, with serious improvements in the maternal mortality ratio in the twentieth century the second most common cause has become more prominent. Suicide is now one of the leading causes of death for women of a reproductive age in Nepal.This scoping review brings together the key available literature to identify the causes of suicide among women in Nepal. Published and unpublished studies and the grey literature published on women and suicide related to Nepal between 2000 and 2014 were searched and included in this review.This review suggested a number of explanations for high rate of suicide among women including: partner violence, alcoholism and polygamy, the culture of silence, early age marriage and prolonged child bearing and dependency on men for financial security. This paper highlights some challenges and suggests ways forward in the improvement of mental health in Nepal.

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“…The Government of Nepal has attempted to include mental health services as a basic primary health care component, however it still remains inaccessible to most of the population at the primary care level.12Only 2% of medical and nursing training is dedicated to mental health, and most qualified doctors and nurses work in the cities [7]. The only programmes implemented at primary care level are community mental health interventions provided by Non-Governmental Organisation, Centre for Mental Health & Counselling (CMC) in 17 of the 75 districts in the country [12].…”

mentioning

confidence: 99%

“…There is still no National Mental Health programme or a division of mental health in the Ministry of Health & Population to implement the 2006 national health policy [12]. The Government of Nepal has attempted to include mental health services as a basic primary health care component, however it still remains inaccessible to most of the population at the primary care level.12Only 2% of medical and nursing training is dedicated to mental health, and most qualified doctors and nurses work in the cities [7].…”

mentioning

confidence: 99%