Nawaraj Upadhaya
Datos Biográficos
| ID | 74949 |
|---|---|
| NOMBRE | Nawaraj Upadhaya |
| NOMBRES | Nawaraj |
| APELLIDO | Upadhaya |
| FIRMA | UPADHAYA N |
| AFILIACIONES | NLR Nepal |
| VERIFICADO | No |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAS | 25 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
Empowering Ukrainian healthcare and humanitarian aid workers
In February 2022 Russia launched an invasion of Ukraine. National aid workers responded to the crisis, at the risk of their own wellbeing. This case study details the cocreation of a peer support intervention by a global public health non-profit working with national staff in Ukraine. As a first step in peer support wellbeing curriculum development, an online survey was developed and administered for 530 Ukrainian healthcare and humanitarian aid …
Global mental health and psychosocial support programming
The global mental health (GMH) field aims to equitably improve mental health and well-being everywhere. This article reviews persistent common challenges hindering sustained, high-quality delivery of mental health and psychosocial support (MHPSS). Our focus is on programming that is funded or implemented by external organizations, typically universities or international non-governmental organizations from high-income countries. It is a consensus …
Caregiver characteristics and behaviors
For refugee children, there are a number of risk factors for poor mental health and psychosocial well-being, many of them exacerbated for those refugee children living in low-resource settings. There is some evidence that caregiver warmth, parenting self-efficacy and positive relationships between caregivers and children can act as protective factors against poor mental health outcomes for children and adolescents. This study sought to assess if …
Caregiver and child perceptions of play in a refugee context in Uganda
Developing an explanatory model of alcohol misuse among South Sudanese refugees in northern Uganda
Alcohol misuse is a significant health problem among forcibly displaced populations including male South Sudanese refugees in northern Uganda, yet interventions are sorely lacking. Developing an explanatory model of alcohol misuse in this population is the first step to designing appropriate and effective interventions. The aim of the current study was to examine alcohol misuse in this setting and to conceptualize an explanatory model of alcohol …
Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda
Evidence on the effectiveness and implementation of mental health and psychosocial support (MHPSS) interventions for men in humanitarian settings is limited. Moreover, engagement and retention of men in such interventions has been challenging. Adaptations may therefore be required to improve the appropriateness and acceptability of these interventions for men. This study conducted formative research and examined the feasibility of combining an MH…
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
Should Children Be Enrolled in Clinical Research in Conflict Zones
This commentary examines 4 ethical issues in a case of clinicians considering conducting research on children in conflict zones: (1) whether any time or resources should be taken away from treating acute injuries in order to conduct research; (2) obtaining consent for children to participate in research, which is particularly challenging given that children can be separated from parents or guardians; (3) whether the research is feasible at the mo…
Traditional Healers and Mental Health in Nepal
Psychotropic drugs in Nepal
BACKGROUND: Psychotropic drugs play an important role in the treatment of mental, neurological and substance use disorders. Despite the advancement of the use of psycho-pharmaceuticals in the developed countries, the psychotropic drug production and supply chain management in low- and middle- income countries are still poorly developed. This study aims to explore the perceptions of stakeholders involved in all stages of the psychotropic drug supp…
Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal
The findings suggest that earthquake had negative impact on older people's psychosocial well-being; however, little support or treatment options have been made available to these individuals. The tailor-made community-based psychosocial and mental health programs for older people are needed
Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential st…
Indicators for routine monitoring of effective mental healthcare coverage in low- and middle-income settings
High-quality information to measure the need for, and the uptake, cost, quality and impact of care is essential in the pursuit of scaling up mental health care in low- and middle-income countries (LMIC). The aim of this study was to identify indicators for the measurement of effective coverage of mental health treatment. We conducted a two-round Delphi study (n = 93 experts from primarily LMIC countries Ethiopia, India, Nepal, Nigeria, South Afri…
Mental health care in Nepal
This study describes many challenges facing mental health care in Nepal. Most of these challenges are not new, yet this study contributes to our understanding of these difficulties by outlining the national and district level factors that have a direct influence on the development of a district level mental health care plan
Validation of cross-cultural child mental health and psychosocial research instruments
BACKGROUND: The lack of culturally adapted and validated instruments for child mental health and psychosocial support in low and middle-income countries is a barrier to assessing prevalence of mental health problems, evaluating interventions, and determining program cost-effectiveness. Alternative procedures are needed to validate instruments in these settings. METHODS: Six criteria are proposed to evaluate cross-cultural validity of child mental…
Resilience of refugees displaced in the developing world
Understanding how urban refugees cope by negotiating access to various forms of recognition in the absence of legal-recognition will enable organisations working with them to leverage such strengths and develop relevant programmes. In particular, building on these existing resources will lead to culturally compelling and sustainable care for these populations
Political violence and mental health
Social Ecology of Child Soldiers
This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At …
Culture in psychiatric epidemiology
Caste-based disparities in mental health in rural Nepal are statistically mediated by poverty, lack of social support, and stressful life events. Interventions should target these areas to alleviate the excess mental health burden born by Dalit/Nepali women and men
L'araire de Jumla. Un araire archaïque en Himalaya
De tous les araires actuellement en usage dans la chaîne himalayenne, celui du bassin supérieur de la Karnali est parmi les plus archaïques. Traditionnellement en bois, sans aucune partie métallique, cet instrument s’avère efficace pour ameublir les sols, enfouir le compost et recouvrir les semences. Sa chaîne opératoire de fabrication et son utilisation dans le système de production agraire sont examinées en détail, ainsi que le contexte social …
Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential st…
Social Ecology of Child Soldiers
This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At …
Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal
The findings suggest that earthquake had negative impact on older people's psychosocial well-being; however, little support or treatment options have been made available to these individuals. The tailor-made community-based psychosocial and mental health programs for older people are needed
L'araire de Jumla. Un araire archaïque en Himalaya
De tous les araires actuellement en usage dans la chaîne himalayenne, celui du bassin supérieur de la Karnali est parmi les plus archaïques. Traditionnellement en bois, sans aucune partie métallique, cet instrument s’avère efficace pour ameublir les sols, enfouir le compost et recouvrir les semences. Sa chaîne opératoire de fabrication et son utilisation dans le système de production agraire sont examinées en détail, ainsi que le contexte social …
Culture in psychiatric epidemiology
Caste-based disparities in mental health in rural Nepal are statistically mediated by poverty, lack of social support, and stressful life events. Interventions should target these areas to alleviate the excess mental health burden born by Dalit/Nepali women and men
Political violence and mental health
Social Ecology of Child Soldiers
This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At …
Validation of cross-cultural child mental health and psychosocial research instruments
BACKGROUND: The lack of culturally adapted and validated instruments for child mental health and psychosocial support in low and middle-income countries is a barrier to assessing prevalence of mental health problems, evaluating interventions, and determining program cost-effectiveness. Alternative procedures are needed to validate instruments in these settings. METHODS: Six criteria are proposed to evaluate cross-cultural validity of child mental…
Resilience of refugees displaced in the developing world
Understanding how urban refugees cope by negotiating access to various forms of recognition in the absence of legal-recognition will enable organisations working with them to leverage such strengths and develop relevant programmes. In particular, building on these existing resources will lead to culturally compelling and sustainable care for these populations
Mental health care in Nepal
This study describes many challenges facing mental health care in Nepal. Most of these challenges are not new, yet this study contributes to our understanding of these difficulties by outlining the national and district level factors that have a direct influence on the development of a district level mental health care plan
Indicators for routine monitoring of effective mental healthcare coverage in low- and middle-income settings
High-quality information to measure the need for, and the uptake, cost, quality and impact of care is essential in the pursuit of scaling up mental health care in low- and middle-income countries (LMIC). The aim of this study was to identify indicators for the measurement of effective coverage of mental health treatment. We conducted a two-round Delphi study (n = 93 experts from primarily LMIC countries Ethiopia, India, Nepal, Nigeria, South Afri…
Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal
The findings suggest that earthquake had negative impact on older people's psychosocial well-being; however, little support or treatment options have been made available to these individuals. The tailor-made community-based psychosocial and mental health programs for older people are needed
Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential st…
Psychotropic drugs in Nepal
BACKGROUND: Psychotropic drugs play an important role in the treatment of mental, neurological and substance use disorders. Despite the advancement of the use of psycho-pharmaceuticals in the developed countries, the psychotropic drug production and supply chain management in low- and middle- income countries are still poorly developed. This study aims to explore the perceptions of stakeholders involved in all stages of the psychotropic drug supp…
Traditional Healers and Mental Health in Nepal
Should Children Be Enrolled in Clinical Research in Conflict Zones
This commentary examines 4 ethical issues in a case of clinicians considering conducting research on children in conflict zones: (1) whether any time or resources should be taken away from treating acute injuries in order to conduct research; (2) obtaining consent for children to participate in research, which is particularly challenging given that children can be separated from parents or guardians; (3) whether the research is feasible at the mo…
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
Developing an explanatory model of alcohol misuse among South Sudanese refugees in northern Uganda
Alcohol misuse is a significant health problem among forcibly displaced populations including male South Sudanese refugees in northern Uganda, yet interventions are sorely lacking. Developing an explanatory model of alcohol misuse in this population is the first step to designing appropriate and effective interventions. The aim of the current study was to examine alcohol misuse in this setting and to conceptualize an explanatory model of alcohol …
Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda
Evidence on the effectiveness and implementation of mental health and psychosocial support (MHPSS) interventions for men in humanitarian settings is limited. Moreover, engagement and retention of men in such interventions has been challenging. Adaptations may therefore be required to improve the appropriateness and acceptability of these interventions for men. This study conducted formative research and examined the feasibility of combining an MH…
Empowering Ukrainian healthcare and humanitarian aid workers
In February 2022 Russia launched an invasion of Ukraine. National aid workers responded to the crisis, at the risk of their own wellbeing. This case study details the cocreation of a peer support intervention by a global public health non-profit working with national staff in Ukraine. As a first step in peer support wellbeing curriculum development, an online survey was developed and administered for 530 Ukrainian healthcare and humanitarian aid …
Global mental health and psychosocial support programming
The global mental health (GMH) field aims to equitably improve mental health and well-being everywhere. This article reviews persistent common challenges hindering sustained, high-quality delivery of mental health and psychosocial support (MHPSS). Our focus is on programming that is funded or implemented by external organizations, typically universities or international non-governmental organizations from high-income countries. It is a consensus …
Caregiver characteristics and behaviors
For refugee children, there are a number of risk factors for poor mental health and psychosocial well-being, many of them exacerbated for those refugee children living in low-resource settings. There is some evidence that caregiver warmth, parenting self-efficacy and positive relationships between caregivers and children can act as protective factors against poor mental health outcomes for children and adolescents. This study sought to assess if …
Caregiver and child perceptions of play in a refugee context in Uganda
Medicine (14 obras) · Mental health (13 obras) · Psychiatry (13 obras) · Psychology (12 obras) · Mental Health Treatment and Access (8 obras) · Clinical Psychology (7 obras) · Migration, Health and Trauma (7 obras) · Political science (7 obras) · Psychosocial (7 obras) · Environmental health (6 obras)