Mental health conditions are prevalent in low-income- countries like Nepal. It is reported that about 20% of the population has a mental health condition. Mental ill-health brings with it social stigma in Nepal, with more than 85% of people1 who are unable to access services for treatment, and experience increased risk of mental health problems in survivors of GBV, women, children and old aged people.
As per guided by the National Health Policy (2015), National Mental Health Policy (1997) and Act Relating to the Human Rights of Person with Disability (2017), CMC-Nepal works with the Social Welfare Council of the Government of Nepal to implement its community mental health and psychosocial programme. The aim of this programme is to enhance access to mental health and psychosocial services by integrating them into existing district hospitals, primary health centres and health posts. This programme will be implemented in 4 districts (Okhaldunga, Udayapur, Surkhet and Jajarkot) of Nepal.
CMC-Nepal is contributing to build the technical capacities of prescribers in mental health and non-prescribers in psychosocial support) through the training (basic and refresher), clinical supervision conducted at health facilities and from the distance coaching. In addition, the programme has the following components of work:
- Trained health workers within health facilities provide mental health and psychosocial services at the usual health care delivery systems.
- Trained health workers consult with CMC-Nepal's psychiatrist and supervisors if they experience challenges with the diagnosis and management of mental health problems.
- Supervisions are carried out by the psychiatrists and CMC-Nepal’s psychologists for knowledge and skill enhancement in mental health and psychosocial support of trained health workers.
- Running awareness campaigns through radio programmes, exhibitions, orientation to female community health volunteers, traditional healers, mothers' groups and community people
- Empowering persons with mental and psychosocial disabilities, their families and other stakeholders for the protection of fundamental rights for people with psychosocial disabilities and reduction in social inclusion
- Advocating at the central and provincial level for the integration of mental health services into the public health system
- Supporting people with mental health problems to access treatment at higher facilities and gain economic empowerment for livelihood support