Pathways to mental health care in Bangladesh, India, Japan, Mongolia, and Nepal

Naoki Hashimoto, Daisuke Fujisawa, Noor Ahmed Giasuddin, Basanth Kumar Kenchaiah, Altanzul Narmandakh, Khongorzul Dugerragchaa, Sharad Man Tamrakar, Shailendra Raj Adhikari, Norman Sartorius

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


Introduction: As mental health systems are still developing in many Asian countries, knowledge of the pathways to mental health care (MHC) in this region would be very important. Aims: To clarify the pathways to MHC in 5 Asian countries. Method: A total of 50 new subjects attending each institution were interviewed. Pathway diagrams, the patterns and duration of care seeking, and the previous treatment were compared. Results: Four major pathways were direct access, referrals from private practitioners, referrals from general hospitals, and referrals from native or religious healers. General practitioners did not play a pivotal role in any of the areas, whereas native or religious healers had an important place in all areas except for Yokohama, Japan. Family members had a significant impact on the decision to seek MHC. Conclusions: Studies of pathways to MHC in Asian countries are feasible and can provide data of interest in the organization of care.

Original languageEnglish
Pages (from-to)NP1847-NP1857
JournalAsia-Pacific Journal of Public Health
Issue number2
Publication statusPublished - 2015 Mar 4
Externally publishedYes


  • Bangladesh
  • India
  • Japan
  • Mongolia
  • Nepal
  • help seeking
  • pathway
  • psychiatry

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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