Workshop on mental health indicators, forms and their uses

A one day workshop on ‘Mental health indicators, forms and their uses’ was conducted on 30th of August, 2015 at Kathmandu. The workshop was organized by Management Division; Department of Health Service; Ministry of Health and Population in collaboration with Transcultural Psychosocial Organization (TPO) Nepal. The aim of the workshop was to share the findings of Delphi study, review the proposed mental health indicators and data collection forms in terms of feasibility and acceptance for pilot study in a few districts of Nepal. A total of 39 participants attended the workshop. The participants included representatives from Tribhuwan University Teaching Hospital, government agencies (MoHP, DoHS/MD, HMIS and NHRC), mental health experts, hospitals and representatives from I/NGOs.

The opening session of the program was chaired by Mr. Ramesh Prasad Adhikari, Senior Public Health Administrator of Management Division, Department of Health Services, Teku, Kathmandu.  In this session, Mr. Mukti Khanal from HMIS section, Prof Shishir Subba from Tribhuwan University, Dr. Saroj Ojha from Department of Psychiatry/Institute of Medicine, Mr. Sunil Raj Sharma from National Health Education Information and Communication Center and Mr. Rajeev Pokharel from Ministry of Health and Population spoke about mental health situation in general and the need for the mental health indicators in particular.

The second session was followed by presentation from Mr. Ramesh Prasad Adhikari; Coordinator/Research Supervisor of TPO Nepal in which he shared how the indicators were developed and forms were drafted. Then, Mr. Nawaraj Upadhyaya; Project Manager of TPO Nepal presented on ‘Consultation process and proposed forms’. The third part of the workshop included discussion on the proposed forms in which the participants were divided into three groups. This session formulated discussion on the feasibility of the proposed forms and the indicators and on implementing the forms within the pilot district sites.  The last session of the program was followed by presentation of each of the groups. One participant from each group presented a short summary about their discussion and made recommendations. The participants recommended including all mental health HMIS indicators in the diagnosis category with certain changes in the naming of disorders. They suggested providing training to the health workers before they start filling the forms since health workers are not aware about CGI-S and GAF scoring. Some recommended using WHO disability scores instead of GAF which is comparatively easier to understand.  They also suggested removing ‘cost’ section of the form since it is not relevant to HMIS.

Mr. Nagendra Prasad Luitel; Research Manager of TPO-Nepal summarized the session of discussion. The program was then concluded by Mr. Ramesh Prasad Adhikari from Management Division.

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