KOPILA-Nepal (KN) was established as a non-government social organization in 2001 with a vision towards a society in which the rights of all people are realized and basic needs are met.
The team at KOPILA-Nepal strives to ensure that the most marginalised people in their society can enjoy their fundamental human rights and psychosocial wellbeing. To achieve this mission, it has been working with the most marginalized women and children through developing and mobilising self-help groups, skill development training, education, psychosocial counselling, mental-health treatment, re-habitation & social re-integration and advocacy for rights. Kopila Nepal works with family, community members, school teachers, and policy maker/implementers to deliver these programmes.
Currently we are working in nine districts of Gandaki Province (Western Nepal).
Various studies, globally and in Nepal, have reported the reciprocal relationship between mental health and poverty. KOPILA also have similar experience that psychosocial and mental health affect peoples' socio-economic status of individuals and their family. Though there is no statistical evidence, we have experienced that many families living in chronic poverty are at the highest risk of developing poor mental health and psychosocial problems in the community.
During our work in the community we found several such examples and we realized that medication only does not heal mental health problems. Therefore, we need to find out the cause that triggered mental health or psychological problem and plan our intervention accordingly. As stated above, in the case of the community we found that poverty has significantly contributed to increased poor mental health and this has pushed the whole family into poverty. Poverty should not only be taken as economic poverty but powerlessness, poor social support network, discrimination, voiceless are different forms of poverty.
For example, in Nepal, there is huge gender discrimination. Women’s voices are not heard, they are not part of decision making. They may have money to spend but they are still poor. In rural Nepal people are discriminated based on gender, caste, ethnicity, disability and so on and they are at more risk of falling into mental health problems.
How poverty can affect mental health