ReviewThe Lancet regional health. Southeast Asia2025
Nepal's mental health system from public health perspective: a thematic synthesis based on health system building blocks.
Review in The Lancet regional health. Southeast Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Strengthening Nonspecialist Health Care Providers' Capacity to Address Mental Health in the Context of Domestic Violence in Nepal: Pre-Post Mixed Methods Training Evaluation.JMIR formative research · 2026Trial
- Aging, Mental Health and Ethnic Disparities: Understanding Geriatric Mental Health in Western Nepal.Journal of geriatric psychiatry and neurology · 2026Article
- Knowledge, clinical preparedness, and stigma as predictors of career intentions in mental health nursing among nursing students in Nepal.BMC nursing · 2026Article
- Depression and quality of life (QoL) among older adults in Sudurpashchim Province, Nepal: findings from a cross-sectional community survey.BMC geriatrics · 2026Article
- Bringing severe non-communicable disease care to district-level hospitals in Nepal: PEN-Plus experience and regional policy implications.BMJ global health · 2026Article
- Breaking down barriers: A qualitative study of demand- and supply-side barriers to depression care in Nepal.Global mental health (Cambridge, England) · 2026Article
- Invisible scars and trauma: The psychological cost of youth-led protests in Nepal and the global imperative for trauma‑responsive mental-health systems.PLOS mental health · 2026Article
- Depressive symptoms among senior citizens in Baijanath Rural Municipality, Nepal: a community-based cross-sectional study.BMC geriatrics · 2025Article
- Policies, resource allocation, and interventions for child and adolescent mental health in low- and middle-income countries in the Western Pacific Region: a scoping review.The Lancet regional health. Western Pacific · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study evaluates Nepal's mental health system through the World Health Organization's six building blocks: governance, financing, workforce, service delivery, essential medicines, and information systems. Despite policy advances toward integrating mental health services within primary care, significant challenges persist, including governance fragmentation, workforce shortages, insufficient funding, inconsistent availability of essential psychotropic medications, and a weak health information infrastructure. Federalization has introduced both opportunities and challenges for mental health governance across the different tiers of government. Stigma, resource constraints, and limited coordination further hinder service accessibility. This study identifies actionable priorities, including strengthening workforce capacity, expanding community-based services, enhancing inter-sectoral collaboration, and improving access to essential medicines. Addressing these issues through targeted policies and increased funding is crucial to build a more equitable and effective mental health system in Nepal, capable of addressing the rising burden of mental health disorders.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.