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Enhancing Mental Health Support for Vulnerable Populations
Mental disorders remain among the top ten global causes of disease burden, disproportionately impacting vulnerable populations such as women and sexual and gender minorities. In many low- and middle-income countries, stigma, limited services, and resources exacerbate mental health challenges. PERC Nepal is committed to understanding the burden of mental health issues and their underlying factors while developing interventions that train non-specialist health workers, peers, and lay providers to address psychological distress. Our work significantly improves mental health services and evaluates existing systems to better support vulnerable populations. Discover our related projects and publications below.
Unveiling the Hidden Challenges: Psychosocial Health, Service Access, and HIV Risk Among Sexual and Gender Minorities in Nepal
Dr. Keshab Deuba, the Senior Health Advisor at PERC, received funding in 2009/2010 through the Netherlands Development Organization (SNV) and the Social Inclusion Research Fund (SIRF), Nepal, supported by the Norwegian Embass...
Read MoreEffectiveness of peer counselling in addressing psychological distress and exposure to violence among sexual and gender minorities in Nepal: a study protocol for a randomized controlled trial
The burden of social stressors (discrimination, prejudice, violence, and stigmatization) is disproportionately high among LGBTIQA + (Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual) individuals. These stressors negatively influence the overall well-being of this population which in turn affects their health-seeking behaviours,...
https://link.springer.com/article/10.1186/s13063-026-09843-9Evaluating the Effectiveness of an Intimate Partner Violence Training Intervention on Healthcare Providers’ Preparedness, Knowledge, and Experiences: A Mixed-Methods Study From Nepal
Abstract Intimate partner violence (IPV) places a considerable burden on health systems globally due to its profound effects on women’s health, and women who experience violence often seek care from healthcare providers (HCPs). However, HCPs often lack the preparedness and confidence to respond effectively, resulting in missed opportunities f...
https://journals.sagepub.com/doi/10.1177/08862605261444014Strengthening Nonspecialist Health Care Providers’ Capacity to Address Mental Health in the Context of Domestic Violence in Nepal: Pre–Post Mixed Methods Training Evaluation
Objective:This study evaluated the impact of structured mental health training on the knowledge, attitudes, confidence, and psychosocial support skills of nonspecialist HCPs in Madhesh Province, Nepal. Methods:This study is a nested substudy within a larger domestic violence (DV) intervention trial and used a mixed method, pre–post interventi...
https://formative.jmir.org/2026/1/e72793Disease Burden Attributed to Drug use in the Nordic Countries: a Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors Study 2019
Abstract The Nordic countries share similarities in many social and welfare domains, but drug policies have varied over time and between countries. We wanted to compare differences in mortality and disease burden attributed to drug use over time. Using results from the Global Burden of Disease (GBD) study, we extracted age-standardized estimate...
https://link.springer.com/article/10.1007/s11469-023-01131-wBurden of intimate partner violence, mental health issues, and help-seeking behaviors among women in Nepal
Background Intimate partner violence (IPV) is the most common form of violence, presenting a significant public health concern, especially for women and girls. Help-seeking can reduce future IPV and mitigate adverse health outcomes, including mental health issues. Objectives This study is the first national assessment on IPV, mental healt...
https://pmc.ncbi.nlm.nih.gov/articles/PMC11921001/Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling
Abstract Violence against women (VAW), particularly intimate partner violence (IPV) or domestic violence, is a major public health issue, garnering more attention globally post-coronavirus disease 2019 (COVID-19) lockdown. Health providers often represent the first point of contact for IPV victims. Thus, health systems and health providers ...
https://academic.oup.com/heapol/article/39/2/198/7595865Perceived discrimination as an independent risk factor for suicidal ideation among sexual minorities in Nepal.
PLOS ONE. July 2016 Abstract Sexual and gender minorities experience an elevated burden of suicidality compared with the general population. Still, little is known about that burden and the factors generating it in the context of low- and middle-income countries. The present study assessed the prevalence of suicidal ideation, planned suicide...
https://www.ncbi.nlm.nih.gov/pubmed/27437996Psychosocial health problems associated with increased HIV risk behaviour among men who have sex with men in Nepal: a cross-sectional survey
PLoS ONE. March 2013. Abstract Background: Men who have sex with men (MSM) are marginalized, hidden, underserved and at high risk for HIV in Nepal. We examined the association between MSM sub-populations, psychosocial health problems and support, access to prevention and non-use of condoms. Methods: Between September...
http://www.ncbi.nlm.nih.gov/pubmed/23516434
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