“Student-Centered Approaches to Mental Health and Wellbeing in Low-Resource Academic Settings: Project Aasha, Nepal”
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1
Calm Corner, Kathmandu, Nepal
2
Maharajgunj Medical College, Institute of Medicine, Kathmandu, Nepal, Kathmandu, Nepal
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
INTRODUCTION:
mental health problems among adolescents and young adults represent a major public health challenge in nepal. national data indicate that approximately 18.3 percent of adolescents experience emotional or behavioural difficulties, and suicide remains a leading cause of death among individuals aged 15 to 29 years¹. limited mental health workforce capacity, stigma, and exam-oriented medical education further constrain access to practical coping support for medical students². evidence from nepal shows high stress levels among medical students, predominantly driven by academic stressors and maladaptive coping strategies³.
METHODS:
a mixed-methods program evaluation was conducted over two years. the intervention included peer advocate training, three in-person mental health workshops with pre- and post-assessments involving 120 medical students, and digital mental health advocacy activities. a consent-based online mental health needs assessment survey was conducted among 487 medical students. expert-led podcasts and virtual sessions addressed self-care, stress, anxiety, and depression. descriptive statistics and thematic analysis were used to assess mental health priorities, perceptions, and coping needs.
RESULTS:
survey findings showed that participants prioritized education and awareness workshops, counselling services, stress management programs, peer support groups, mental health screening, resilience training, work-life balance promotion, and supportive academic environments. qualitative responses revealed concerns related to emotional regulation, trauma-related self-sabotage, procrastination, overthinking, performance anxiety, and the need for private one-to-one counselling. post-intervention assessments indicated improved mental health awareness, reduced stigma, and increased readiness to seek support.
CONCLUSIONS:
a student-centred, low-resource, systems-based mental health advocacy model can strengthen awareness, coping capacity, and help-seeking behaviours among medical students in nepal. integrating peer leadership, expert collaboration, and digital advocacy offers a scalable public health approach for improving mental health and wellbeing in resource-constrained academic settings.