Insufficient Water Supply
The municipal water supply to the hospital is extremely poor. In order to cater to this need, a deep boring water supply system with water treatment plant was developed. But just after one and a half years of its construction, this system became dysfunctional due to various technical reasons. Efforts that were carried out to rectify this problem were not effective, and it was really frustrating to see the investments being spent without any outcome.
At present, the water supply is still insufficient and is being maintained by the periodic supply of water tankers.

Insufficient Infrastructure
The current infrastructure of the hospital is grossly inadequate. There is lack of a multipurpose building for play and recreational activities for the patients, vocational trainings and social functions. Besides this, academic blocks for community mental health program, clinical psychology department, research activities, academic activities and trainings are also needed. A multi-storey building for the purpose of staff quarters is also required.
The hospital lacks investigation facilities like electroencephalography (EEG) and radio-imaging equipments. Similarly, the setup for modified (indirect) Electro Convulsive Therapy (ECT) is also non existent.

Insufficient Manpower
The number of psychiatrists and trained nursing staffs is extremely insufficient to provide quality mental health care services. There is no provision of the posts of clinical psychologists, psychiatric social workers or occupational therapists.

Inadequate Budget and Resources
As the mental health problems are still not taken as a priority public health issue in Nepal, the government allocates very little budget for mental health (less than 1% of the total health budget). In addition, the mental hospital itself doesn’t possess means of sufficient income generation. Thus, the hospital is mired with chronic constraints of budget and resources.