From: Psychotropic drugs in Nepal: perceptions on use and supply chain management
Stakeholders | Need | Quality / Effectiveness | Availability | Use/stigma |
---|---|---|---|---|
Producers, promoters and distributors | Medicine along with other alternative healing. | Both drugs produced in Nepal and imported from outside are of good quality and are effective. | Available where mental health services are being provided. | There is negative societal attitude towards people who use psychotropic drugs. |
Policy makers and government actors | Yes for severe cases only, for other cases as a last resort. | Drugs are of good quality, although people believe that foreign drugs are more effective. | Available at the district level where mental health services are available. | There is stigma for people with mental illness which affects the access and use of psychotropic drugs. |
Service providers | Medicine for severe cases, counseling and other therapy for minor cases. | Some medicines produced in Nepal are of low quality and less effective. | The availability of drugs have increased drastically, but not to all areas of Nepal. | There is not only stigma for those who use psychotropic drugs but also to those who provide mental health services. |
Service users and family members | For severe cases only Medicines with other therapies are needed. | Medicines are of good quality and are effective. | Drugs are available at the district or at regional centers only. | There is huge stigma for those who use psychotropic drugs. Consequently, patients and family members try to hide as much as possible. |