ArticleBMC health services research2025
Mental health literacy among basic healthcare providers and community health volunteers of Lalitpur Metropolitan City, Nepal.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Translation, cultural adaptation, and content validity evaluation of a mental health literacy instrument in Bolivia.Frontiers in public health · 2026Article
- Mental health and suicide literacy among school nurses in Japan: A cross-sectional study.PloS one · 2026Article
- Adaptation and Validation of the Brazilian Portuguese Version of the Mental Health Knowledge Schedule (MAKS-BR) in the Context of Primary Health Care.International journal of environmental research and public health · 2025Article
- Mental health service readiness in Nepal: Insights from the 2021 Nepal Health Facility Survey.PLOS mental health · 2025Article
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5 authors.
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Abstract
backgroundMental health literacy (MHL) is particularly essential for primary healthcare providers for the early recognition and management of mental disorders. In Nepal, mid-level healthcare workers and Female Community Health Volunteers (FCHVs) play a vital role in community-based mental health services, yet their MHL remains insufficiently studied. This study assesses MHL among basic healthcare providers and health volunteers in Lalitpur Metropolitan City, Nepal and identifies factors associated with it.
methodsA cross-sectional study was conducted among 233 healthcare workers, including mid-level healthcare providers, FCHVs, and other community health volunteers. Participants were selected through simple random sampling. MHL was measured using the Mental Health Literacy Assessment Scale (MHLAS), with scores dichotomized at the median (≥ 75 = high MHL, < 75 = low MHL). Descriptive statistics summarized key variables, while Pearson's chi-square test and odds ratios (OR) with 95% confidence intervals (CI) were used to identify associations.
resultsThe MHLAS score ranged between 45 and 98, with a mean score of 76 ± 9.27 and a median of 75 (IQR: 11). Out of 233 participants, 129 (55%; 95% CI: 49-62%) were classified as having high MHL. Higher education levels (OR = 9.77, p < 0.001) and mid-level healthcare provider status (OR = 2.44, p = 0.020) were significantly associated with higher MHL. Participants with 5-10 years of experience (OR = 4.50, p = 0.029) and those who received mental health training during academic courses (OR = 1.99, p = 0.022) or on the job (OR = 1.90, p = 0.036) had significantly higher MHL. However, factors such as gender, marital status, and work experience beyond 10 years were not significantly associated with MHL.
conclusionDespite their critical role in community mental health, nearly half of the primary healthcare providers in Nepal had low MHL. This study highlights the urgent need to integrate MHL training into academic curricula and ensure continuous professional development among basic health care providers.
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