Mental health services in rural India: challenges and prospects
Anant Kumar
DOI: 10.4236/health.2011.312126   PDF    HTML     13,545 Downloads   28,686 Views   Citations

Abstract

Mental health services in India are neglected area which needs immediate attention from the government, policymakers, and civil society organizations. Despite, National Mental Health Programme since 1982 and National Rural Health Mission, there has been a very little effort so far to provide mental health services in rural areas. With increase in population, changing life-style, unemployment, lack of social support and increasing insecurity, it is predicted that there would be a substantial increase in the number of people suffering from mental illness in rural areas. Considering the mental health needs of the rural community and the treatment gap, the paper is an attempt to remind and advocate for rural mental health services and suggest a model to reduce the treatment gap.

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Kumar, A. (2011) Mental health services in rural India: challenges and prospects. Health, 3, 757-761. doi: 10.4236/health.2011.312126.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] World Health Organization (1948) Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June 1946, signed on 22 July 1947 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100), and entered into force on 7 April 1948.
[2] World Health Organization (2006) Constitution of the World Health Organization-Basic Documents, 45th Edition, Supplement.
[3] Kumar, A. (2010) Mental health services in India: A case study of Jahangirpuri. LAP Lambert Academic Publishing, Germany.
[4] Kumar, A. (2001) Mental health in a public health perspective. The Bihar Times, Bihar.
[5] Thara, R., Padmavati, R. and Srinivasan, T. (2004) Focus on psychiatry in India. British Journal of Psychiatry, 184, 366-373. doi.org/10.1192/bjp.184.4.366
[6] Meltzer, M. (2008) Mental health care in India: Prescribing the right policy. Pepperdine Policy Review. http://publicpolicy.pepperdine.edu/policy-review/2008v1/mental-health-care.htm.
[7] Kumar, A. (2005) National rural health mission and mental health. Health Action, 18.
[8] Ministry of Health and Family Welfare, Government of India. (2005) National Rural Health Mission (2005-2012)―Mission Document. http://mohfw.nic.in/NRHM/Documents/Mission_Document.pdf.
[9] Government of India (1982) National Mental Health Programme for India. Ministry of Health and Family Welfare, Government of India, New Delhi.
[10] Director General of Health Services (1990) National Mental Health Programme: A progress report (1982-1990), New Delhi.
[11] National Mental Health Programme for India. (1982) Government of India, Nirman Bhavan, New Delhi.
[12] Isaac, M.K. (1988) ‘Bellary District Mental Health Programme’, Community Mental Health News, 11 & 12, ICMR-CAR on Community Mental Health. NIMHANS, Bangalore.
[13] Kumar, A. (2005). District Mental Health Program in India: A case study. Journal of Health and Development, 1, 24-25.
[14] Wig, N.N. and Murthy, R.S. (2009) Mental health care―need to expand its reach. The Tribune. http://www.tribuneindia.com/2009/20091010/edit.htm#6
[15] Pathare, S. (2011) Less than 1% of our health budget is spent on mental health. InfoChange News & Features. http://infochangeindia.org/agenda/access-denied/less-than-1-of-our-health-budget-is-spent-on-mental-health.html
[16] National Commission on Farmers (2006) Serving farmers and saving farmers, fifth and final report. Government of India, Ministry of Agriculture, Shastri Bhavan, New Delhi.
[17] Chatterjee, P. (2009) Economic crisis highlights mental health issues in India. The Lancet, 373, 1160-1161. doi:10.1016/S0140-6736(09)60666-8
[18] Pathare, S. (2011) Less than 1% of our health budget is spent on mental health. InfoChange News & Features. http://infochangeindia.org/agenda/access-denied/less-than-1-of-our-health-budget-is-spent-on-mental-health.html
[19] Report of the National Commission on Macroeconomics and Health (2005) National Commission on Macroeconomics and Health Ministry of Health & Family Welfare Government of India, New Delhi.
[20] Peters, D., Yazbeck, A., Ramana, G., Sharma, R., Pritchett, L. and Wagstaff. A. (2001) Raising the sights: Better health systems for India’s poor. The World Bank, Washington, DC.
[21] The World Health Report (2001) Mental health: New understanding, new hope. World Health Organization, Geneva.
[22] Gururaj, G. and Issac, M.K. (2004) Psychiatric epidemiology in India: Moving beyond numbers. In: Agarwaal, S.P., Goel, D.S., Salhan, R.N., Ichhpujani, R.L. and Shrivatsava, S., Eds., Mental Health―An Indian Perspective (1946-2003), Directorate General of Health Services, Ministry of Health and Family Welfare, New Delhi, 37-61.
[23] Murray, C.J.L. and Lopez, A.D. The global burden of disease. A comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. (GBD Series Vol. I. Harvard School of Public Health on behalf of the World Health Organization and the World Bank, Cambridge, Massachusetts, 1996).
[24] National Commission on Macroeconomics and Health Background Papers—Burden of Disease in India (New Delhi, India). (2005) Ministry of Health & Family Welfare, New Delhi. http://www.who.int/macrohealth/action/NCMH_Burden%20of%20disease_(29%20Sep%202005).pdf
[25] National Mental Health Programme (2010) National Institute of Health and Family Welfare. http://nihfw.org/NDC/DocumentationServices/NationalHealthProgramme/NATIONALMENTALHEALTHPROGRA MME.html
[26] Gururaj, G., Girish, N. and Isaac, M.K. (2005) Mental, neurological and substance abuse disorders: Strategies towards a systems approach. National Commission on Macroeconomics and Health Background Papers—Burden of Disease in India (New Delhi, India). Ministry of Health & Family Welfare, New Delhi.
[27] Yadav, K., Jarhyan, P., Gupta, V. and Pandav, C.S. (2009) Revitalizing rural health care delivery: Can rural health practitioners be the answer? Indian Journal of Community Medicine, 34, 3-5. doi.org/10.4103/0970-0218.45368
[28] Ministry of Health and Family Welfare, Government of India. Chapter I: Overview of the National Health System. In: Report: Task Force on Medical Education for the National Rural Health Mission.
[29] Ministry of Health and Family Welfare, Government of India (2007) Bulletin on rural health statistics. http://mohfw.nic.in/Bulletin%20on%20RHS%20%20March,%202007%20%20PDF%20Version/Title%20Page.htm.
[30] Ministry of Health and Family Welfare, Government of India (2007) Bulletin on rural health statistics. http://mohfw.nic.in/Bulletin%20on%20RHS%20%20March,%202007%20%20PDF%20Version/Title%20Page.htm
[31] WHO-AIMS Report on Mental Health System in Uttarkhand, India. (2006) WHO and Ministry of Health, Dehradun, Uttarkhand, India.
[32] Raguram, R., Weiss, M.G., Channabasavanna, S.M. and Devins, G.M. (1996) Stigma, depression, and somatization in South India. American Journal of Psychiatry, 153, 1043-1049.
[33] Saraceno, B., Van, O.M., Batniji, R., et al. (2007) Barriers to improvement of mental health services in low-income and middle-income countries. Lancet, 370, 1164- 1174. doi:10.1016/S0140-6736(07)61263-X
[34] WHO (2005) Mental health atlas. World Health Organisation, Geneva. http://www.who.int/mental_health/evidence/atlas/global_results.pdf
[35] WHO (2001) Atlas: Country profiles on mental health resources. World Health Organisation, Geneva. http://www.who.int/mental_health/media/en/243.pdf
[36] Thara, R. and Patel, V. (2010) Role of non-governmental organizations in mental health in India. Indian Journal of Psychiatry, 52, 389-395. doi.org/10.4103/0019-5545.69276
[37] Nav Bharat Jagriti Kendra (2010) Community Mental Health Programme. http://www.nbjk.org/our_work/health.htm.
[38] Shant Manas Trust (2010). http://www.shantmanas.org.
[39] The Richmond Fellowship Society (India) (2010). www.rfsindia.org
[40] Patel, V. and Thara, R. (2003) Meeting mental health needs in developing countries. NGO innovations in India, Sage (India), New Delhi.
[41] Mental Health Programme (2010) Source: National Portal Content Management Team, Reviewed on: 07-07- 2010. http://india.gov.in/sectors/health_family/mental_health.php

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