How Healthy Is State Mental Health System in Madhya Pradesh, India? An Assessment of Today to Plan for a Better Tomorrow.

Arun M Kokane,Gopalkrishna Gururaj,Sukanya Ray,Akash Ranjan,Kriti Yadav,Krishna Prasad M,Pankaj Mittal,Arun Mitra,Mathew Varghese,Vivek Benegal,Banavaram Anniappan Arvind,Rajni Chatterji,Abhijit P Pakhare,Mukesh Shukla,Girish N Rao,Luca Ferraro

doi:10.1155/2021/6364321

Abstract

Background Mental illness affects over one-third of the Indian population, and only a little is known about the exact situation of health systems in Madhya Pradesh, India. Therefore, the present research work provides an assessment of state mental health systems in Madhya Pradesh. Methods The present cross-sectional study was conducted as a part of National Mental Health Survey 2015-16 in 48 districts of Madhya Pradesh, to provide an overview of the status of mental health systems. Secondary data was also retrieved from the state office so as to present the situational analysis in a more comprehensive and inferential way. The proforma for the study was developed based on the experience gained from studies conducted earlier with World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) and with WHO's Mental Health Atlas as the base for thematic analysis. Results Out of 51 districts, 13.7% of the districts of the state have been covered under District Mental Health Program (DMHP) in 2015-16. Around 11.8% of district/general hospitals were involved in providing mental health services. The availability of psychiatrist was 0.05 per Lakh population. Around 0.2% of the total health budget was allocated by the state for the last financial year for mental health. The overall average score of Madhya Pradesh in the assessment of qualitative indicators was 31 out of 100 in the year 2015-16. Conclusion There is huge scope and an urgent need to increase mental healthcare facilities (with upgradation of existing one) along the availability of mental healthcare staff.

Highlights

Over 450 million people are expected to be suffering from neuropsychiatric conditions worldwide
There has been a substantial increase over the past few decades in the proportionate total Disability Adjusted Life Years (DALYs) lost due to all illnesses and injuries accountable to mental and neurological disorders
This study was conducted as a part of a National Mental Health Survey 2015-16 for the state of Madhya Pradesh, India

Summary

Introduction

Over 450 million people are expected to be suffering from neuropsychiatric conditions worldwide. There has been a substantial increase over the past few decades in the proportionate total Disability Adjusted Life Years (DALYs) lost due to all illnesses and injuries accountable to mental and neurological disorders. It has increased from 10% in 1990 to 12% in 2000 and is expected to further increase to 15% by the year 2020 [1]. The present research work provides an assessment of state mental health systems in Madhya Pradesh. The present cross-sectional study was conducted as a part of National Mental Health Survey 2015-16 in 48 districts of Madhya Pradesh, to provide an overview of the status of mental health systems. There is huge scope and an urgent need to increase mental healthcare facilities (with upgradation of existing one) along the availability of mental healthcare staff

Results

Discussion

Conclusion