Abstract
The proportion of individuals with mental disorders receiving evidence based treatments in India is very small. In order to address this huge treatment gap, programme for improving mental health care is being implemented in Sehore district of Madhya Pradesh, India. The aim of this study was to complete the situational analysis consisting of two parts; document review of Sehore district mental health programme followed by a qualitative study. The findings suggest that there are major health system challenges in developing and implementing the mental health care plan to be delivered through primary health care system in Sehore district.
Highlights
University of North Carolina, Chapel Hill, NC, USA 6 London School of Hygiene and Tropical Medicine, London, UKMental disorders constitute around 7.4 % of the global burden of disease (Murray et al 2012)
Study Setting In India, programme for improving mental health care (PRIME) is implemented through a partnership between Sangath, the Public Health Foundation of India and the Ministry of Health, Government of Madhya Pradesh
Severe shortages of skilled mental health professionals in the public health system, very few capacity building initiatives for general health professionals and non-specialists health workers (NSHW) and low mental health literacy and stigma against people with mental disorders has resulted in nonintegration of mental health in primary care in Sehore district
Summary
University of North Carolina, Chapel Hill, NC, USA 6 London School of Hygiene and Tropical Medicine, London, UKMental disorders constitute around 7.4 % of the global burden of disease (Murray et al 2012). In India, the contribution of mental disorders to the overall burden of disease is 11.8 % and this burden is projected to increase during the 25 years as a consequence of the reduction in burden of communicable diseases and ageing of the population (Patel et al 2011). Suicide is a leading cause of death in young people in India (Patel et al 2012). Despite this huge burden and severe consequences, it is estimated that only 10 % of those with mental disorders are receiving evidence based interventions (Murthy 2011). The scarcity in availability of mental health services is compounded by huge inequity in access to care as most specialist services are concentrated in urban areas (Murthy 2011)
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