National Mental Health Survey of India 2015-16

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NMHS Table 2: Administrative and economic characteristics in NMHS states North East South West North-east Central PB UP JH WB KL TN GJ RJ AS MN CG MP 1. Districts* 20 71 24 19 14 32 26 33 27 9 18 50 2. Districts as on 2016 # 3. Taluka/Subdistrict * 22 75 24 20 14 32 33 33 35 9 27 51 77 312 260 341 63 215 225 244 153 38 149 342 4. Villages* 12,581 1,06,773 32,394 40,203 1,018 15,979 18,225 44,672 26,395 2,582 20,126 54,903 5. Towns with 1 lakh to
NMHS The Health Management Information System (HMIS), an integral part of the monitoring and evaluation of any health related programme, enables and catalyses evidence based planning and programming. It also facilitates timely monitoring and early decision-making. The paper versions of HMIS are now being replaced with computerised systems in more states. All the NMHS states (except Assam) had an HMIS in place. The extent of computerisation of HMIS varied across the states and ranged from less than 25% in Punjab to nearly 100% in Jharkhand, Kerala, Madhya Pradesh and Tamil Nadu. Mental health was included as a part of existing HMIS in states of Chhattisgarh, Gujarat, Madhya Pradesh and Punjab (Table 3). 5.3 Health Care Facilities The health care system in India is complex with respect to the ownership pattern and is broadly categorised into public or private owned systems. Private health care providers, both in urban and rural areas, predominantly cater to provision of ambulatory curative services. Across the states, the availability of health care facilities varied from 14.85per 1,00,000 population in Uttar Pradesh to 46.45 per 1,00,000 population in Chhattisgarh (rates influenced by population size) (Table 4). The availability of government facilities outnumbered the private facilities in the surveyed states, attributed to the presence of a vast network of sub-centres and primary health centres. This information has to be interpreted with caution as data from the private health care establishments was not available despite best efforts and could have contributed for variations. Exceptionally, in the state of Punjab and Chhattisgarh private health care facilities are quantitatively nearer to the public health care facilities. With regard to tertiary care services, especially super specialty hospitals, privately owned facilities are the major service providers. With the significant presence of private facilities and in the era of publicprivate partnership, they are invaluable partners in meeting the health needs in our country. As complete information on private health care facilities is not readily available at one particular source due to the poor regulation of private facilities, they could have been underreported in this survey. In the context of mental health and its integration into the general health system, the existing scenario is positive and provides an unique opportunity to ensure universal coverage of mental health. Since public agencies are primarily involved in the implementation of national programmes, opportunities exist for strengthening these agencies for prevention / promotion, care and management and rehabilitation of mental health. The engagement of the private sector, though critical, primarily for care and management can systematically be examined. The traditional systems of medicine despite high community acceptance, have not been systematically examined. SMHSA 43
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National Mental Health Survey of In
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© National Institute of Mental Hea
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5.5 Coverage of District Mental Hea
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NATIONAL INSTITUTE OF MENTAL HEALTH
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esults, implications along with rec
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We are thankful to all the members
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NMHS NIMHANS Team Principal Investi
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7) Manipur: Regional Institute of M
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MADHYA PRADESH Mr. Narendra Sinha,
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1. Mr. Vijeta Das, Assist. Gr. II,
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PUNJAB 1. Dr. Bhag Mal, Chairman, D
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Tables Table 1 Demographic characte
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Page 28 and 29: Recommendations The organisation an
Page 30 and 31: • The DMHP is the key implementat
Page 32 and 33: legislations to guarantee mental he
Page 35 and 36: 1. Introduction A health system con
Page 37 and 38: NMHS outcomes. Thus, in the present
Page 39 and 40: NMHS limited in scope with the adve
Page 41 and 42: NMHS 2.1 National and District Ment
Page 43 and 44: NMHS deaconate, phenobarbitone and
Page 45 and 46: NMHS pointed out that some of the b
Page 47 and 48: NMHS of mental health systems in Gu
Page 49 and 50: NMHS employment, ownership of asset
Page 51 and 52: 3. Need for Mental Health System As
Page 53 and 54: NMHS Target: The rate of suicide in
Page 55 and 56: NMHS sample drawn from 12 states of
Page 57 and 58: NMHS Health Program and secondly, i
Page 59 and 60: NMHS 4.3 Methodology 4.3.1 Selectio
Page 61 and 62: NMHS management, training, quality
Page 63 and 64: NMHS b. Burden i. Mental Neurologic
Page 65 and 66: NMHS awareness about mental health
Page 67 and 68: NMHS • Mental health care facilit
Page 69 and 70: NMHS during the fortnightly monitor
Page 71 and 72: NMHS system, based on a scoring pat
Page 73 and 74: NMHS WestBengal Tamilnadu Punjab 4.
Page 75: 5. Results The National Mental Heal
Page 79 and 80: NMHS 5.4 Health Human Resources Tab
Page 81 and 82: NMHS The District Mental Health Pro
Page 83 and 84: NMHS role and are key resources in
Page 85 and 86: NMHS Table 9: Mental health science
Page 87 and 88: NMHS Among the NMHS states, the sta
Page 89 and 90: NMHS Information provided by States
Page 91 and 92: NMHS distribution, inadequate utili
Page 93 and 94: NMHS Drug availability at the PHC l
Page 95 and 96: NMHS 5.16 Mental Health Monitoring
Page 97 and 98: NMHS Figure 19: SMHSA Scores - Chha
Page 99 and 100: NMHS Figure: 27: SMHSA Scores - Pun
Page 101 and 102: 6. Implications The National Mental
Page 103 and 104: NMHS requires identifying instituti
Page 105 and 106: NMHS the stepped care model is incr
Page 107 and 108: NMHS Box 5: National Mental Health
Page 109 and 110: NMHS Box 7: Restrategised NMHP and
Page 111 and 112: NMHS mechanisms of integration, dev
Page 113 and 114: NMHS 8. Drug logistics system at st
Page 115 and 116: NMHS • Sample surveys on represen
Page 117 and 118: 9. References 1. World Health Organ
Page 119: NMHS 40. World Health Organization.
Page 122 and 123: NMHS Annexure 1: Indicators Quantit
Page 124 and 125: NMHS 10 11 12 13 Availability of Be
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NMHS Qualitative indicators Sl No D
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NMHS • State Mental Health Author
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NMHS 8 Intra and Intersectoral coll
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NMHS Public sector 3.General Health
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NMHS 10. Suicide rate (Per 1,00,000
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NMHS Public sector 3.General Health
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NMHS Public sector 3. General Healt
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NMHS 3. General Health Care Facilit
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National Mental Health Survey of India 2015-16

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