20/08/2026
Refining indicators for tracking mental health policy implementation
How can we know whether mental health policies and programmes are actually making a difference? Having clear, practical and measurable indicators is an important part of the answer.
At a consultative workshop organized by the Epidemiology and Disease Control Division (EDCD), Ministry of Health and Food Safety (MoHFS), in partnership with us and University of Washington, 55 representatives from government agencies, academia, professional associations, hospitals and civil society organisations came together in Kathmandu to review and prioritise indicators for monitoring mental health policy implementation.
A highlight of the workshop was the hands-on review of the shortlisted indicators, with participants working in five groups to discuss their relevance and feasibility, followed by an individual indicator rating exercise to capture each participant’s assessment.
Opening the workshop, Dr Pomawati Thapa, Senior Consultant Physician and Chief of EDCD’s NCD and Mental Health Section, highlighted an important challenge: “We actually have a lot of data, but the challenge lies in how to get that data to the policymakers.”
Similarly, the research looks beyond the health sector, covering areas such as education, social security, law and criminal justice. Dr Krishna Aryal of NHEA and the University of Bergen, who leads the project, said the process is examining the feasibility of the proposed indicators, availability of data and coordination across sectors. An online stakeholder survey will also gather further feedback.
The consultation marked another important step in a wider process. An initial pool of more than 200 indicators has been narrowed to 27, with 10 priority indicators presented to stakeholders for detailed review, scoring and rating.
Dr Guna Nidhi Sharma, Chief of MoHFS' Policy, Planning and Research Division, stressed that indicators must be practical: “It’s not just about saying, ‘I wish we had this indicator.’ It also needs to be coordinated and should be feasible and usable.”
According to senior researcher Dr Binaya Chalise, feedback from the consultation will complement an ongoing landscape analysis of mental health policies, strategies and national guiding documents.
Implemented in Nepal, Colombia and Uganda, the research allows each country to adapt the indicators to its own context. The next stage will further refine the priority indicators based on stakeholder feedback, with the aim of strengthening how progress in mental health policy implementation is measured and used to inform decision-making.