Table 2 Summary of main themes
From: Demand and access to mental health services: a qualitative formative study in Nepal
Factors influencing demand and access | Strategies to improve demand and access | |
|---|---|---|
Health facility Level | - Service availability: lack of senior staff and insufficient trained village health workers | - Increasing training and resources |
- Mistreatment within health centers | - Building trust in services | |
- Protecting family status with increased confidentiality | ||
Community level | - Mental health stigma in the wider community | - Reducing the mind-body dichotomy in treatment: working with local notions of stigma around medication specifically for the mind. |
- Low mental health awareness across castes, negatively affecting detection and identification. | - Awareness-raising: Public vs. private information channels | |
- Lack of information about services | - Awareness-raising: Trusted and respected figures | |
- Conflicting roles of affected families: expected to support access but are in fact barriers. | ||
- Cultural norms of visiting traditional healers. | ||
- Religious practices (affecting women) |