Publications by authors named "Pooja Pokhrel"

Article Synopsis
  • This study investigates the prevalence and symptoms of depression in primary healthcare settings in Jhapa, Nepal, aiming to fill the gap in data regarding mental health in low- and middle-income countries.
  • Among 1,897 adult patients, 14.5% were identified as depressed using the PHQ-9, with key symptoms including loss of energy and sleep difficulties.
  • The findings highlight the need for mobile app-based clinical guidelines to enhance the detection and management of depression in primary care.
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This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of people with mental health conditions in Nepal. Health workers' perception of feasibility and acceptability of using mobile technology in mental health care was assessed during the inspiration phase ( 43); the ideation phase involved the creation of prototypes; and prototype testing was conducted over multiple rounds with 15 healthcare providers. The app provides provisional diagnoses and treatment options based on reported symptoms.

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Background: There is a growing global need for scalable approaches to training and supervising primary care workers (PCWs) to deliver mental health services. Over the past decade, the World Health Organization Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) and associated training and implementation guidance have been disseminated to more than 100 countries. On the basis of the opportunities provided by mobile technology, an updated electronic Mental Health Gap Action Programme Intervention Guide (e-mhGAP-IG) is now being developed along with a clinical dashboard and guidance for the use of mobile technology in supervision.

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