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Course: RGA 6280
    Instuctors : Bruce Grothan
            Stacy Ann Christan




1
Mental  Health in India and South Africa
Epidemiology
Barriers
Resources
Developments
Conclusion




 2                  Overview   India   Africa   Conclusion
A state of complete physical, mental and
social well-being, and not merely the
absence of disease.




3                Overview   India   Africa   Conclusion
4   Overview   India   Africa   Conclusion
 Population
 Treatments and Preventions
 Resources
 Barriers
 Socioeconomic



5                 Overview   India   Africa   Conclusion
6   Overview   India   Africa   Conclusion
 Population and Epidemiology Facts

 History of Mental Health

 Treatments and Preventions

 Resources, Barriers and Socioeconomic

 Future Initiatives

 7                     Overview   India   Africa   Conclusion
Psychiatric Beds per 10,000 world India
population

Total psychiatric beds             1.69         0.25
Psychiatric beds in mental         1.16         0.2
hospitals
Psychiatric beds in general        0.33         0.03
hospitals
Psychiatric beds in other          0.20         0.01
settings
 8                  Overview   India   Africa    Conclusion
Professionals per 100,000 world India
population

Number of psychiatrists        1.20           0.08

Number of neurosurgeons        0.20           0.06
Number of psychiatric          2.0            0.05
nurses
Number of psychologists        0.60           0.03
Number of social workers       0.40           0.03

 9                Overview   India   Africa    Conclusion
First Mental Hospital,15 beds– Chola Period
Mandu Hospital- 14th Century First Mental
 Asylum, Mahmood Khilji.
Indian Lunacy Act, Act 4 of 1912 modified
 from Lunatic Asylum act, Act 36 of 1856.
17th Century- Devils/witches
Modern Era- Mad and insane
 10                Overview   India   Africa   Conclusion
 Medicines

 Brain Stimulation Therapies

 Psychotherapy

 Patient Counseling


11                 Overview   India   Africa   Conclusion
 World Health Organization.
 World federal of Mental Health
 National Alliance on Mental Illness (NAMI)
 NIMHANS
 Action for Mental Illness (ACMI)


                                               (Cont.)
 12                Overview   India   Africa    Conclusion
 Snehi

 Antara

 Institute for Psychological Health

 Schizophrenia Research Foundation(SCARF)

 Centre for Advocacy in Mental Health


 13                 Overview   India   Africa   Conclusion
Patient-Related Factors

Pharmacist-Related Factor

Health-System Related Factor

Social or Cultural Related Factor

Other Factors
14                 Overview   India   Africa   Conclusion
Social/Cultural related Factor- Stigma

Financial Factor

Poor Maternal Mental Health

Other Factors – HIV


15                  Overview   India   Africa   Conclusion
Ameliorate:                   Truncate:
• Resources                    • Barriers
• Treatment Utilization        • Socioeconomic
• Hospital Staff and           • Social Myths
      Facilities                 and Culture.



 16                 Overview     India   Africa   Conclusion
17   Overview   India   Africa   Conclusion
 Population and Epidemiology Influencing
  Facts
 History of Mental Mealth
 Treatments and Preventions
 Resources, Barriers and Socioeconomic
 Future Initiatives

  18                   Overview   India   Africa   Conclusion
 Stigma
 Risk Behavior
 HIV/AIDS
 Alcohol Abuse
 Resettlements Camps


19                Overview   India   Africa   Conclusion
Psychiatric Beds per 10,000 population Africa

Total psychiatric beds                           4.5

Psychiatric beds in mental hospitals             4.0

Psychiatric beds in general hospitals            0.38

Psychiatric beds in other settings               0.12


 20                  Overview   India   Africa   Conclusion
Professionals per 100,000 population Africa

Number of psychiatrists                     1.2

Number of neurosurgeons                     2.3

Number of psychiatric nurses                7.5

Number of psychologists                     4.0

Number of social workers                    20.0


 21                 Overview   India   Africa     Conclusion
 Before 1994 Pre- Apartheid

 Post – Apartheid

 Primary Health Care (PHC)

 Alma Ata Declaration


22               Overview   India   Africa   Conclusion
Psychiatry
Faith based healing practices
Alma Ata Declaration Initiatives
Mental Health Recovery and Wellness
 Recovery Action Planning (WRAP)
Collaboration WHO/CDC
23                Overview   India   Africa   Conclusion
 World Health Organization (WHO)
 Alma Ata Declaration
 African Mental Health Foundation (AMHF)
 Kenya Medical Research Foundation
  (KEMRI)
 Groups of Transcultural Relations (GRT)

  24               Overview   India   Africa   Conclusion
 Stigma

 Faith Based Healing and Treatments

 Lack of Community Healthcare

 Infrastructure

 Funding
25                 Overview   India   Africa   Conclusion
 Poverty

 Rural Territories

 Lack of Employment

 Resettlement Camps



26               Overview   India   Africa   Conclusion
Alma Ata Foundation

AMHF

PHC System

Biomedical Treatment Model


27              Overview   India   Africa   Conclusion
28   Overview   India   Africa   Conclusion
Your Thoughts
           ??




29
Thank You for Your
Attention




30

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Mental Health in India and South Africa Course Comparison

  • 1. Course: RGA 6280 Instuctors : Bruce Grothan Stacy Ann Christan 1
  • 2. Mental Health in India and South Africa Epidemiology Barriers Resources Developments Conclusion 2 Overview India Africa Conclusion
  • 3. A state of complete physical, mental and social well-being, and not merely the absence of disease. 3 Overview India Africa Conclusion
  • 4. 4 Overview India Africa Conclusion
  • 5.  Population  Treatments and Preventions  Resources  Barriers  Socioeconomic 5 Overview India Africa Conclusion
  • 6. 6 Overview India Africa Conclusion
  • 7.  Population and Epidemiology Facts  History of Mental Health  Treatments and Preventions  Resources, Barriers and Socioeconomic  Future Initiatives 7 Overview India Africa Conclusion
  • 8. Psychiatric Beds per 10,000 world India population Total psychiatric beds 1.69 0.25 Psychiatric beds in mental 1.16 0.2 hospitals Psychiatric beds in general 0.33 0.03 hospitals Psychiatric beds in other 0.20 0.01 settings 8 Overview India Africa Conclusion
  • 9. Professionals per 100,000 world India population Number of psychiatrists 1.20 0.08 Number of neurosurgeons 0.20 0.06 Number of psychiatric 2.0 0.05 nurses Number of psychologists 0.60 0.03 Number of social workers 0.40 0.03 9 Overview India Africa Conclusion
  • 10. First Mental Hospital,15 beds– Chola Period Mandu Hospital- 14th Century First Mental Asylum, Mahmood Khilji. Indian Lunacy Act, Act 4 of 1912 modified from Lunatic Asylum act, Act 36 of 1856. 17th Century- Devils/witches Modern Era- Mad and insane 10 Overview India Africa Conclusion
  • 11.  Medicines  Brain Stimulation Therapies  Psychotherapy  Patient Counseling 11 Overview India Africa Conclusion
  • 12.  World Health Organization.  World federal of Mental Health  National Alliance on Mental Illness (NAMI)  NIMHANS  Action for Mental Illness (ACMI) (Cont.) 12 Overview India Africa Conclusion
  • 13.  Snehi  Antara  Institute for Psychological Health  Schizophrenia Research Foundation(SCARF)  Centre for Advocacy in Mental Health 13 Overview India Africa Conclusion
  • 14. Patient-Related Factors Pharmacist-Related Factor Health-System Related Factor Social or Cultural Related Factor Other Factors 14 Overview India Africa Conclusion
  • 15. Social/Cultural related Factor- Stigma Financial Factor Poor Maternal Mental Health Other Factors – HIV 15 Overview India Africa Conclusion
  • 16. Ameliorate: Truncate: • Resources • Barriers • Treatment Utilization • Socioeconomic • Hospital Staff and • Social Myths Facilities and Culture. 16 Overview India Africa Conclusion
  • 17. 17 Overview India Africa Conclusion
  • 18.  Population and Epidemiology Influencing Facts  History of Mental Mealth  Treatments and Preventions  Resources, Barriers and Socioeconomic  Future Initiatives 18 Overview India Africa Conclusion
  • 19.  Stigma  Risk Behavior  HIV/AIDS  Alcohol Abuse  Resettlements Camps 19 Overview India Africa Conclusion
  • 20. Psychiatric Beds per 10,000 population Africa Total psychiatric beds 4.5 Psychiatric beds in mental hospitals 4.0 Psychiatric beds in general hospitals 0.38 Psychiatric beds in other settings 0.12 20 Overview India Africa Conclusion
  • 21. Professionals per 100,000 population Africa Number of psychiatrists 1.2 Number of neurosurgeons 2.3 Number of psychiatric nurses 7.5 Number of psychologists 4.0 Number of social workers 20.0 21 Overview India Africa Conclusion
  • 22.  Before 1994 Pre- Apartheid  Post – Apartheid  Primary Health Care (PHC)  Alma Ata Declaration 22 Overview India Africa Conclusion
  • 23. Psychiatry Faith based healing practices Alma Ata Declaration Initiatives Mental Health Recovery and Wellness Recovery Action Planning (WRAP) Collaboration WHO/CDC 23 Overview India Africa Conclusion
  • 24.  World Health Organization (WHO)  Alma Ata Declaration  African Mental Health Foundation (AMHF)  Kenya Medical Research Foundation (KEMRI)  Groups of Transcultural Relations (GRT) 24 Overview India Africa Conclusion
  • 25.  Stigma  Faith Based Healing and Treatments  Lack of Community Healthcare  Infrastructure  Funding 25 Overview India Africa Conclusion
  • 26.  Poverty  Rural Territories  Lack of Employment  Resettlement Camps 26 Overview India Africa Conclusion
  • 27. Alma Ata Foundation AMHF PHC System Biomedical Treatment Model 27 Overview India Africa Conclusion
  • 28. 28 Overview India Africa Conclusion
  • 29. Your Thoughts ?? 29
  • 30. Thank You for Your Attention 30

Notas del editor

  1. Citations :http://www.who.int/mediacentre/factsheets/fs220/en/
  2. Citations:http://www.who.int/features/factfiles/mental_health/mental_health_facts/en/index9.html
  3. Citations:http://www.searo.who.int/LinkFiles/Mental_Health_Resources_WHO-AIMS_Report_MHS_Ind.pdf
  4. Citations:http://www.searo.who.int/LinkFiles/Mental_Health_Resources_WHO-AIMS_Report_MHS_Ind.pdf
  5. Citation:http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2001;volume=47;issue=1;spage=73;epage=6;aulast=Parkar
  6. Citation:http://nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml
  7. http://www.thebanyan.org/html/resources.html
  8. http://www.thebanyan.org/html/resources.html
  9. Citations:http://books.google.com/books?id=VVxlfDHGTFYC&pg=PA458&dq=mental+healthcare+treatment+in+india&hl=en&ei=QyCxTvbRBKXX0QGE9c2tAQ&sa=X&oi=book_result&ct=result&resnum=4&sqi=2&ved=0CFcQ6AEwAw#v=onepage&q=mental%20healthcare%20treatment%20in%20india&f=false
  10. Citations :http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2408399/http://heapol.oxfordjournals.org/content/21/3/157.full#sec-9
  11. Citations:http://books.google.com/books?id=KIGzZOKkuBEC&pg=PA5&dq=mental+healthcare+in+africa&hl=en&ei=-iqxTtXPHun40gHa-diwAQ&sa=X&oi=book_result&ct=result&resnum=1&ved=0CEcQ6AEwAA#v=onepage&q=mental%20healthcare%20in%20africa&f=false
  12. Citation:Understanding Mental health. Nursing Update July 2010:59-59
  13. Citation:http://apps.who.int/globalatlas/predefinedReports/MentalHealth/Files/za_Mental_Health_Profile.pdf
  14. Citations:http://apps.who.int/globalatlas/predefinedReports/MentalHealth/Files/za_Mental_Health_Profile.pdf
  15. Citation:http://www.hst.org.za/uploads/files/chap7_08.pdf
  16. Citations:Patel V. The British journal of Psychiatry. The movement of Global Health. http:bjp.research.org/content/198/2/88. Page 1-2.
  17. Citations:http://books.google.com/books?id=2SXuXnlz3PgC&pg=PA432&dq=africa+mental+healthcare&hl=en&ei=QCuxTtjZFaHV0QHhjIHdAQ&sa=X&oi=book_result&ct=result&resnum=3&ved=0CFUQ6AEwAg#v=onepage&q&f=false page 432http://www.hst.org.za/publications/south-african-health-review-2008
  18. Citations:Shah AA. Global Mental Needs, Services, Barriers and Challenges
  19. Citations:Patel V. The British journal of Psychiatry. The movement of Global Health. http:bjp.research.org/content/198/2/88. Page 1-2.
  20. Citations:http://books.google.com/books?id=KIGzZOKkuBEC&pg=PA5&dq=mental+healthcare+in+africa&hl=en&ei=-iqxTtXPHun40gHa-diwAQ&sa=X&oi=book_result&ct=result&resnum=1&ved=0CEcQ6AEwAA#v=onepage&q=mental%20healthcare%20in%20africa&f=false