Table 3 Comparisons of pathways to mental health care among Hilly, Terai and all centers of Nepal
From: Pathways to mental health care in Nepal: a 14-center nationwide study
Pathways parameters | Overall centers (n = 489) | Hilly centers (Kathmandu, Patan, Imadol, Jumla, Tansen, Dharan, Butwal) (n = 206) | Terai centers (Birgunj, Biratnagar, Nepalgunj, Birtamode, Dhangadhi, Janakpur, Bhairahawa) (n = 283) |
|---|---|---|---|
Most common first carer | Faith healer (28.2%) | Psychiatrist (30.1%) | Faith healer (32.86%) |
Duration of untreated illness | 30.72 ± 80.34 (M:4) weeks | 48.74 ± 113.50 (M:7) weeks | 17.54 ± 37.09 (4) weeks |
Journey to the first carer | 94.99 ± 274.58 (M:30) min | 121.69 ± 359.81 (M:30) min | 75.76 ± 189.34 (M:30) min |
The total duration of illness | 46.82 ± 101.88 (M:12) weeks | 66.84 ± 138.0 (M:16) | 27.41 ± 45.25 (M:10) |
Chief complaint | Sadness (14.9%) | Sadness (12.14%) | Sadness (16.96%) |
Main treatment | Antidepressants (22.1%) | Antidepressants (22.33%) | Antidepressants (21.91%) |
Most common diagnosis | Neurotic, stress-related somatoform disorders (34%) | Depressive illness (42.23%) | Neurotic, stress-related and somatoform disorders (30.74%) |