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Championing
nurses

In South Asia, nurses (who are predominantly female) are often best placed to provide direct mental health support to people and shape services so they are as effective as possible. But in the region, nurses, and especially psychiatric nurses, are greatly undervalued and sit at the bottom of a hierarchy of decision-making power that’s dominated by doctors (who are predominantly male).
To change this situation, we are providing mental health training to nurses and campaigning for decision makers to involve them in the shaping of services. We are also tackling the stigma and prejudice that often exists even in these healthcare settings, by improving knowledge and understanding about mental health support and therapies.

”Jaya Mental Health helped me understand the importance of offering person-centred care on the ward. Being a good listener and caring towards those we work with can really make a difference in their process of recovery”

Pratikshya Rai, Staff Nurse,
Psychiatric Inpatient Unit

Nursing Mentorship Project

We have developed a new, evidence-based mentorship framework for both newly registered and experienced nurses and successfully implemented this at Bhaktapur Hospital, Nepal. This initiative has played a key role in supporting nurses’ professional development, offering specialist training designed to strengthen nursing leadership capacity in Nepal.

This framework is significantly improving the experience of newly registered nurses at the hospital, whilst also supporting skill-sharing between junior and senior staff.  As a result, it has helped cultivate a more confident, capable, and resilient nursing workforce.

To learn more about the outcomes and insights from the Nursing Mentorship Project, please see our full report:

Report

Encouraged by the success of this initiative and with strong endorsement from local nursing bodies, we are now expanding this mentorship model to other healthcare providers and nursing employers across Nepal and into other countries in South Asia. Our goal is to build a stronger, more connected, and empowered nursing community throughout the region.

My Safe Space “Aafnai Thau” -
A platform led by nurses, for nurses

According to the Nepalese Department of Health Services, Nepal desperately needs an additional 45,000 nurses. However, Nepalese nurses are poorly paid, work in rigid hierarchical healthcare services dominated by doctors, and burnout is common.

Born out of the COVID-19 pandemic, the ‘My Safe Space’ project provides a platform for both qualified and student nurses to connect, get support, and to grow both personally and professionally. Nurses can access the first ever community-based information resource centre solely dedicated to the nursing profession in Nepal. They are also able to access one-to-one or group counselling therapy as well as workshops and training sessions focussing on mental health, confidence building and leadership.

”As nurses, our experience is not always recognised and appreciated by others. Jaya Mental Health has helped me realise that I am of value to myself and others.”

Rekha Karanjit, Staff Nurse

Reaching out to Nepal’s only mental health care hospital

The Mental Health Hospital, Lagankhel is the only public hospital dedicated to mental health in the whole of Nepal. There are only 47 beds to service a population of 29 million people and a total of 16 nurses and 7 ward attendants running the whole hospital.

To develop the staff here we have been delivering training on violence prevention, stress management and rapport building.

Our aim over the coming months, is to continue to offer a comprehensive, holistic training and development programme to the whole of the staff at the hospital and make this a centre of mental health clinical excellence in Nepal. This includes supporting the establishment of mental health clinical specialities that at present do not exist in Nepal, encouraging new health care approaches led by staff groups traditionally excluded from positions of leadership, and promoting care that treats all hospital’s service users as individuals and as equal partners in the process of recovery.

Under this project we also hope to establish a nursing-led community mental health service focusing on home visits to service users that have been discharged from the hospital and require further outpatient support, as well as to individuals at risk of developing complex mental health issues and that can benefit from being cared for in their own home environment.

”Taking part in this workshop on the importance of human rights-based care alongside colleagues from so many different backgrounds – doctors, nurses, health assistants, domestics, and security officers – made me realise how much we can learn from one another. It made me feel part of a real team, and how we are all equal”

Tika Rawat, Nursing Officer, Mental Health Officer Lagankhel

Some of our achivements

Trauma centre for trafficked and abused children, Kathmandu, Nepal

– we trained the centre’s staff to offer effective treatment which is non-confrontational, culturally, and age-appropriate and avoids over reliance on medication.

Dementia charity, Colombo, Sri Lanka

– we trained and supported staff to improve the services they offer to people living with Alzheimer’s and other types of dementias including counselling, a befriending scheme, memory screening, a helpline, and a support group for carers.

Rescue centre for the homeless, Kathmandu, Nepal

– we trained staff on violence prevention and how to prepare people for life after they leave the centre, many of whom struggle with severe mental illness such as schizophrenia or severe depression.

Rawalpindi, Pakistan

– we have delivered mental health awareness training to a range of hospital-based professionals – this included identifying mental illness, providing effective support, understanding the challenges of mental illness and the associated stigma and discrimination. As a result, patients who have mental health problems have their needs assessed and are provided with support that improves their quality of life.

Gokarneshwar training hospital

– We successfully trained a group of general and psychiatric nurses in Gokarneshwar training hospital , Nepal, helping them meet the mental health needs of their patients.

”Since working with Jaya Mental Health, the staff here feel much
more confident supporting those with severe mental health conditions.
We’ve also been able to significantly reduce the use of restraint which
has had a really positive affect on staff-patient relationships and
the recovery process.”

Sangita Laudari, Psychologist

Building bridges with NHS Foundations Trusts

There is a concerning shortage of nurses across the world, particularly in low and middle-income countries.

Nurses are at the centre of many of the projects we do as they sit on the forefront of mental health care delivery among the communities we work with.

One of our main objectives in the coming months and years, is to create more opportunities for nurses from different parts of the world to come together, learn from each other, and add strength to the global nursing advocacy movement.

Our future plans include expanding Jaya Mental Health’s nursing volunteer programme to encourage more nurses from the UK and beyond to join our overseas projects. But also to create opportunities for South Asian professionals to take part in knowledge exchange projects in the UK and share their expertise in a variety of nursing fields.

At present we are working on an array of activities that focus on connecting nurses from different parts of the world through online based platforms. This includes an exciting nursing buddying project between nursing staff from a large NHS Trust in England and nurses from a major general hospital in Nepal.

We are also exploring new partnerships with nursing groups from other areas of the world beyond South Asia, in particularly with staff based in Africa. When it comes to availability of resources and training opportunities, despite some significant differences, nurses working in Asia and in Africa have a lot in common.

Most of the community mental health work we are currently doing in South Asia is transferable to the African healthcare reality. Therefore, we are keen to invest in new learning exchange activities, and celebrate inter-continental partnerships traditionally ignored by the international aid agenda.

Strengthen mental health care delivery in urban areas

In low and middle-income countries, living in a major urban area does not necessarily equate to better access to free mental health care. This is particularly true for vulnerable social groups including women and children living in urban poverty, the elderly or homeless, who traditionally face greater obstacles in accessing health and social support than the general population.

According to the World Health Organisation, over 55% of the world’s population live in urban areas and this is set to rise to 68% by 2050.

One of the next steps in our community mental health approach, is to extend our support to urban-based vulnerable communities. This includes expanding our free community mental health clinics to densely populated regions, as well as to offer training and support to city based FCHVs and other health and social workers.

We will also be working in closer partnership with urban schools to promote mental health and to continue fighting the stigma that surrounds mental illness and emotional problems amongst younger generations.

Next
Steps

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Contact us in UK

hello@jayamentalhealth.org.uk

07843 275 373

124 Longberrys
Cricklewood Lane
London NW2 2TQ
United Kingdom

Contact us in Nepal

hello@jayamentalhealth.org.uk

+977 984-1519460

Unity in Health
Bhanimandal, Lalitpur, NEPAL
Registered Charity in Nepal (5670/2075)

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