Challenges and Barriers in Seeking, Accessing and Receiving Mental Health Services in Nepal

Abstract

Mental health services in Nepal encounter various challenges, impacting access and delivery of care. Barriers include stigma, limited awareness, and resource constraints. To understand these issues, a comprehensive review of quantitative and qualitative research studies in Nepal's mental health landscape was conducted. The review examined societal attitudes, infrastructure limitations, professional shortages, and cultural influences. The methodologies involved extensive database searches, rigorous screening, and qualitative synthesis methods. The findings reveal critical challenges, such as limited infrastructure and resources primarily concentrated in urban areas. Stigma and cultural beliefs significantly affect help-seeking behaviors, and a shortage of mental health professionals leads to long waiting times and compromised quality of care. Provider behavior, privacy concerns, and financial constraints further hinder effective service reception. In conclusion, Nepal faces significant challenges in mental health service delivery, rooted in stigma, limited resources, and professional shortages. Addressing these issues requires efforts focused on awareness, infrastructure development, and stigma reduction to promote accessible and inclusive mental health services.