Das Anindya
Department of Psychiatry, AIIMS Rishikesh, Dehradun, Uttarakhand, India.
Indian J Psychiatry. 2025 Jul;67(7):700-706. doi: 10.4103/indianjpsychiatry_513_25. Epub 2025 Jul 15.
The population of some Indian states is equivalent to that of many low- and middle-income countries (LMICs). Due to India's federal administration system, states manage their health services independently, and their unique social, economic, and governance circumstances influence their development trajectories. The current practice of Global Mental Health is to scale up evidence-based interventions. In this research, scaling up is defined as the development of the mental health (MH) service system, which, in turn, is considered an organic part of health service systems strengthening within the enduring ethos of the and Sustainable Developmental Goals. The current analysis uses a comparative health system lens to explore the status of MH services in selected states of India with the development of the health system. The authors tentatively conclude that for India and similar LMICs, the advancement of the MH system/services is best addressed through health system development utilizing principles of Primary Health Care.
印度一些邦的人口数量与许多低收入和中等收入国家（LMICs）相当。由于印度的联邦行政管理体系，各邦独立管理其卫生服务，其独特的社会、经济和治理环境影响着它们的发展轨迹。全球精神卫生目前的做法是扩大循证干预措施。在本研究中，扩大规模被定义为精神卫生（MH）服务体系的发展，而这反过来又被视为在《[此处可能有缺失内容]》和可持续发展目标的持久理念下加强卫生服务体系的有机组成部分。当前的分析使用比较卫生系统的视角，随着卫生系统的发展来探索印度选定邦的精神卫生服务状况。作者初步得出结论，对于印度和类似的低收入和中等收入国家，精神卫生系统/服务的进步最好通过利用初级卫生保健原则进行卫生系统发展来实现。
