Media, Social Media, and the Securitization of Mental Health Problems in Nepal

Uprety, Sudeep; Ghimire, Rajesh

doi:10.4018/978-1-5225-3808-0.ch003

Cited by 5 publications

(11 citation statements)

References 7 publications

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“…There are many reasons for this, including the absence of a child and adolescent mental health policy, poor child and adolescent mental health services (there is only one outpatient child and adolescent mental health clinic in the whole country and no inpatient facilities), as well as an acute shortage of child and adolescent psychiatrists and allied professionals (only one child and adolescent psychiatrist in the whole country). Furthermore, no specialized postgraduate training in child and adolescent psychiatry is available in Nepal and limited research is performed [4, 15–18]. The Government of Nepal has allocated less than 1% of its total health budget for mental health; child and adolescent mental health services receive a negligible portion of this amount [18, 19].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, no specialized postgraduate training in child and adolescent psychiatry is available in Nepal and limited research is performed [4, 15–18]. The Government of Nepal has allocated less than 1% of its total health budget for mental health; child and adolescent mental health services receive a negligible portion of this amount [18, 19].…”

Section: Introductionmentioning

confidence: 99%

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Child and adolescent mental health problems in Nepal: a scoping review

Chaulagain

Kunwar

Watts

et al. 2019

Int J Ment Health Syst

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Introduction Globally, 10–20% of children and adolescents suffer from mental disorders, with half of all them starting by the age of 14 and three-quarters before the age of 25. In Nepal, 40% of the population is younger than 18 years of age, and as such there is a large proportion of the population that is at risk of developing a mental disorder. There has been a recent recognition of child and adolescent mental health problems in Nepal, although prior to this it had remained almost invisible on the health agenda. In response to growing concern, there is a need to conduct a review on children and adolescent mental health problems in Nepal. Objective To review the existing studies on child and adolescent mental health problems in Nepal. Methodology A scoping review approach was used to identify studies on child and adolescent mental problems in Nepal. A search of Medline and PubMed databases for articles published from the database inception to August 2018 was conducted. Results Ten papers were identified, and they all together included 7876 participants. Two studies reported on Post traumatic Stress Symptoms (PTSS) and described a prevalence of 10.7% to 51% of earthquake-affected children and adolescents in the Kathmandu district of Nepal. Another study reported that 53.2% of former child soldiers met the cut-off score for PTSS. Two school surveys found that the prevalence of emotional and behavioural problems in school children ranged between 12.9 and 17.03%, whereas a study on emotional and behavioural disorders in homeless children reported a prevalence of 28.6%. The prevalence of Autism Spectrum Disorder (ASD) was estimated to be as high as three in every 1000 persons in Nepal by one study. The clinical prevalence of anxiety disorders was reported ranging from 18.8% to 24.4% while that of Attention Deficit Hyperactivity Disorder (ADHD) was 10–11.7% in various clinical samples of children and adolescents. Conclusion Only a few studies on the prevalence of child and adolescent mental health in Nepal have been conducted. Clearly, there is a need for better study design and larger studies to understand more fully the prevalence of child and adolescent mental health disorders in Nepal, in order to adequately plan public health services accordingly. Electronic supplementary material The online version of this article (10.1186/s13033-019-0310-y) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Child and adolescent mental health problems in Nepal: a scoping review

Chaulagain

Kunwar

Watts

et al. 2019

Int J Ment Health Syst

View full text Add to dashboard Cite

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“…Available mental health services in South-East Asia tend to be urban-centered and hospital-based, with the result that 80%-90% of the population has no access to treatment. The number of people who commit suicide is higher than the number who die because of road accidents, terrorism, and HIV/AIDS (Uprety & Lamichhane, 2016). The World Health Organization (2001) says that over 90% of suicide cases relate to mental disorders and that more than two-thirds of all suicides are preventable.…”

Section: Introductionmentioning

confidence: 99%

“…In a co-relational comparative study on knowledge and attitude towards mental illness and health among the urban and rural communities in Nepal, Singh et al (2013) found that adults residing in urban had more knowledge about mental illness than adults of rural communities. In Nepal, although there are no accurate data on the prevalence of mental illness, small-scale studies have indicated the prevalence to be as high as 37.5% in rural communities and approximately 30% of the population of Nepal suffers from psychiatric problems (Uprety & Lamichhane, 2016). According to Nepal police data (2074/75), 5346 people committed suicide and around 14-15 people died every day by committing suicide on average.…”

Section: Introductionmentioning

confidence: 99%

“…In Nepal, mental health services are also not organized, over 90% of the population who needs mental health services has no access to treatment, and mental health services are only concentrated in big cities, with 0.22 psychiatrists and 0.06% psychologists per population of 100, 00. Only 2% of medical and nursing training focuses on mental health issues (Uprety & Lamichhane, 2016). The available services are centered in urban areas, which are costly and inaccessible to the majority of the population.…”

Section: Introductionmentioning

confidence: 99%

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What Determines Indigenous Peoples’ Mental Health Awareness? A Descriptive Cross-Sectional Study From Nawalpur District

Koirala

Bhattarai

2021

QJMSS

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Background: The health status of indigenous people including Tharu is very poor. Despite several studies on indigenous communities, no previous studies were found about mental illness and its awareness among the Tharu people in Nepal. Objectives: This study aims to find out the awareness of mental illness among adults of the Tharu community. Within the objective the present study specific to identify the level of awareness on mental illness and to identify an association between selected socio-demographic characteristics and level of awareness on mental illness. Method: The study was based on the descriptive cross-sectional design and was conducted in 3, 4, 6, 8, and 15 wards of the Madhyabindu municipality of Nawalpur District as the majority of the Tharu's household are located in these wards. This research administered a structured questionnaire to assess awareness of Tharu adults on mental illness. Data were collected in September and October 2018. The collected data were analyzed by using descriptive statistical methods where the researcher calculated mean, standard deviation, percentage, and frequency. Chi-square test was used for inferential statistics.Result: Our analysis revealed that the socioeconomic status of the Tharu community is based on agriculture. The overall level of awareness of respondents, 35.5 % had adequate awareness of mental illness whereas 34 % had moderate awareness and 30.5 % respondents had inadequate awareness of the mental illness. The level of awareness of mental illness is statistically significant with the age of respondents, gender, marital status, education status, and occupation status. Conclusion: Based on the findings of the study, it concluded that nearly one-third of Tharu adults have an adequate level of awareness regarding mental illness. Further, the awareness level of Tharu adults tends to vary according to age, sex, education, occupation, and marital status.Implication: The findings of this study imply that mental awareness among the indigenous community is still low and the findings of the study could be used by a mental health organization to plan and implement mental health-related awareness programs in an indigenous community.

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Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

Deuba,

Shrestha,

Koju

et al. 2024

Health Policy and Planning

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Violence against women (VAW), particularly intimate partner violence (IPV) or domestic violence, is a major public health issue, garnering more attention globally post-COVID-19 lockdowns. Health providers often represent the first point of contact for IPV victims. Thus, health systems and health providers must be equipped to address survivors’ physical, sexual, and mental healthcare needs. However, there is a notable lack of evidence regarding such readiness in Nepal. This study, utilizing a concurrent triangulation design, evaluated the readiness of public health facilities in Nepal’s Madhesh Province in managing VAW, focusing on providers’ motivation to offer psychosocial counselling to survivors. A cross-sectional study was conducted across 11 hospitals and 17 primary health care centres, where 46 health care providers were interviewed in February-April 2022. The study employed the WHO’s tools for policy readiness and the Physician Readiness to Manage IPV Survey for data collection. Quantitative and qualitative data were collected via face-to-face interviews and analysed using descriptive and content analysis, respectively. Only around 28% of health facilities had trained their staff in the management of VAW. Two out of 11 hospitals had a psychiatrist, and a psychosocial counsellor was available in four hospitals and two out of 17 primary health care centres. Two-thirds of all health facilities had designated rooms for physical examinations, but only a minority had separate rooms for counselling. Though a few health facilities had guidelines for violence management, the implementation of these guidelines and the referral networks were notably weak. Hospitals with One-stop Crisis Management Centres demonstrated readiness in VAW management. Health providers acknowledged the burden of IPV or domestic violence and expressed motivation to deliver psychosocial counselling, but many had limited knowledge. This barrier can only be resolved through appropriate training and investment in violence management skills at all tiers of the health system.

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Media, Social Media, and the Securitization of Mental Health Problems in Nepal

Cited by 5 publications

References 7 publications

Child and adolescent mental health problems in Nepal: a scoping review

Child and adolescent mental health problems in Nepal: a scoping review

What Determines Indigenous Peoples’ Mental Health Awareness? A Descriptive Cross-Sectional Study From Nawalpur District

Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

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