Table 1 Indicators of development, health resources, and the mental health system in the six Emerald countries
From: Strengthening mental health systems in low- and middle-income countries: the Emerald programme
Ethiopia | India | Nepal | Nigeria | South Africa | Uganda | |
|---|---|---|---|---|---|---|
Administrative Health Units (AHU) in which Emerald is implemented | Sodo | Sehore (Madhya Pradesh) | Chitwan | Oshogbo | Kenneth Kuanda Dist. NW Province | Kamuli |
Population of AHU | 165,000 | 1,311,008 | 575,058 | 288,455 | 632,790 | 740,700 |
Country-level indicators | ||||||
Economic and financial | ||||||
World Bank resource category | Low | Lower-middle | Low | Lower-middle | Upper-middle | Low |
% GDP spent on health | 5.9 | 4.2 ♦ | 5.3 ♦♦ | 5.0 | 8.4 | 7.3 |
% Health budget spent on mental health | Not known | 0.06 ♦ | 0.17 ♦♦ | 0.40 | 4.50 | 0.44 |
Service availability (per 100,000) | ||||||
Mental health outpatient facilities | 0.06 | 0.33 ♦ | 0.08 ♦ | 0.03 | 6.85 | 0.08 |
Psychiatric beds in general hospitals | 0.04 | 0.82 ♦ | 1.0 ♦♦ | 0.20 | 2.70 | 1.24 |
Beds in mental hospitals | 0.35 | 1.47 ♦ | 0.20 ♦♦ | 2.53 | 19.50 | 1.48 |
Human resources (per 100,000) | ||||||
Psychiatrists | 0.04 | 0.30 ♦ | 0.13 ♦♦ | 0.12 | 0.27 | 0.09 |
Nurses | 0.59 | 0.17 ♦ | 0.27 ♦♦ | 0.60 | 9.72 | 0.76 |
Psychologists | 0.02 | 0.05 ♦ | 0.02 ♦♦ | 0.02 | 0.31 | 0.02 |
Governance | ||||||
Mental health policy and/or legislation that is up-to-date (i.e., updated in last 10 years) and in accordance with international human rights | Yes (policy) No (legislation) | No | No | Yes | Yes | No |
Workforce capacity and training | ||||||
Most primary health care doctors had mental health training in last 5 years | No | No | No | No | Not known | Yes |
Primary care nurses can independently diagnose and treat mental disorders | No | No | No | Yes | No | Yes |
Information systems | ||||||
Data on number of outpatients with mental disorders | Not known | No | Yes | No | No | Yes |
Data on number of persons with mental disorders treated in primary health care | Yes | No | No | No | Yes | Yes |