National Mental Health Survey of India 2015-16

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
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