Kokane Arun M, Pakhare Abhijit P, Gururaj Gopalkrishna, Varghese Mathew, Benegal Vivek, Rao Girish N, Anniappan Arvind Banavaram, Prasad M Krishna, Mitra Arun, Shukla Mukesh, Yadav Kriti, Ray Sukanya, Ranjan Akash, Chatterji Rajni, Mittal Pankaj
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, India.
Department of Epidemiology, Centre for Public Health, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Psychiatry J. 2021 Mar 10;2021:6364321. doi: 10.1155/2021/6364321. eCollection 2021.
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.
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.
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.
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.
精神疾病影响着超过三分之一的印度人口，而对于印度中央邦卫生系统的实际情况却知之甚少。因此，本研究工作对中央邦的州精神卫生系统进行了评估。
本横断面研究作为2015 - 16年全国精神卫生调查的一部分，在中央邦的48个区开展，以概述精神卫生系统的状况。还从该州办公室检索了二手数据，以便更全面、更具推断性地进行情况分析。该研究的表格是根据早期使用世界卫生组织精神卫生系统评估工具（WHO - AIMS）以及以世界卫生组织《精神卫生地图集》为主题分析基础开展的研究经验制定的。
在该州的51个区中，2015 - 16年有13.7%的区纳入了区精神卫生项目（DMHP）。约11.8%的区/综合医院参与提供精神卫生服务。精神科医生的可及性为每10万人口0.05名。该州在上一财政年度为精神卫生分配的资金约占卫生总预算的0.2%。2015 - 16年中央邦在定性指标评估中的总体平均得分为满分100分中的31分。
在增加精神卫生保健设施（升级现有设施）以及配备精神卫生保健工作人员方面，有很大的空间和迫切的需求。
