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Bundled Intervention Integrating Mental Health Services in Nepal

Nepal Bibhav Acharya, MD (Co-PI)
Duncan Maru, MD, PhD (Co-PI)
David Citrin, PhD, MPH (Co-I)
Pragya Rimal, MA (Co-I)


To develop and pilot a culturally appropriate model of care for non-specialist providers (NSPs) to deliver high-quality mental health care over a period of 24 months in a primary care hospital in a rural district in Nepal.
We will employ a mixed methods framework to evaluate impact on depression outcomes, along with change in skills, knowledge, and attitude in NSP’s, identify key mechanisms for continuum of mental healthcare delivery, and efficacy and cost-effectiveness in care delivery through a public healthcare delivery system. This integrated approach will introduce a bundled intervention that includes: both an on-site care coordinator and off-site psychiatric supervisors based in Nepal’s capital, Kathmandu, weekly case conferences, and surveys of NSPs and clinical supervisors every six months during the study period.

Project dates