ArticleBMC health services research2025
Exploring barriers and facilitators of mental health care in Sudurpaschim Province, Nepal: a socioecological qualitative study of patients with depression and anxiety and health care professionals.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- Feasibility and acceptability of a multi-level school-based intervention for adolescent mental health in Nepal: a mixed-methods study.Child and adolescent psychiatry and mental health · 2026Article
- Unmet Needs in Mental Health: A Cross-Sectional Study on Contact Coverage Gaps and Access to Care for Depression and Anxiety Among Adults in Kailali, Nepal.Brain and behavior · 2026Article
- Breaking down barriers: A qualitative study of demand- and supply-side barriers to depression care in Nepal.Global mental health (Cambridge, England) · 2026Article
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3 authors.
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Abstract
backgroundThe mental health burden and associated costs are considerable, which is posing challenges for public health delivery systems because of the increased treatment gap, especially in low- and middle-income countries. It is therefore important to investigate the factors influencing access to mental health care from the perspectives of different stakeholders to gain meaningful insights. This study was conducted to assess the existing barriers and facilitators using a socioecological model.
methodsA qualitative study involving in-depth interviews (IDIs) and focus group discussions (FGDs) at health care facilities was conducted with 24 service users (diagnosed with depression and anxiety) and 21 health care professionals. Thematic analysis was performed and presented using a socioecological model to enhance clarity and impart recommendations.
resultsThe results suggest that there are four levels of persisting impediments and facilitators while accessing mental health care in Sudurpaschim Province: (1) Individual level- education, exposure to mass media and women’s empowerment (facilitators) but unawareness and side effects of medication (barriers); (2) Community level: community involvement and awareness (facilitators) while stigma, discrimination, misconceptions, and adverse environments (barriers); (3) Organizational level: psychosocial counselling and effective communication (facilitators) while limited accessibility and availability of MHS (barriers); and (4) Policy level: existing policy and strategies (facilitators) while political indifference, implementation gap and low budget allocation (barriers).
conclusionsThis qualitative study presents a complex, interconnected set of multi-layered barriers and facilitators influencing access to mental health care in Sudurpaschim, Nepal. From the socioecological view, the findings suggest that a comprehensive approach that integrates efforts across all levels are equally essential to effectively address these barriers and facilitators.
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