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The Mental Health Act and Public Perception on Resource Allocation in Bangladesh

Received: 19 March 2021    Accepted: 7 April 2021    Published: 13 April 2021
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Abstract

The Bangladesh government passed a new Mental Health Act in 2018, which formally came into effect on November 14. In order to decrease the significance and endurance of the hundred-year-old statute, the Lunacy Act of 1912, the government enacted the new Act by reformation. The Act is designed to ensure the provision of health services, the preservation of dignity, property rights and rehabilitation, and the general wellbeing of individuals suffering from diseases and disorders associated with mental health. The purpose of this study was to explore the influence of public opinions around mental health with regard to resource allocation by policy makers in Bangladesh. By reviewing mental health policy documents and the political literature on resource allocation in mental health, this study finds that despite the provisions of the Act, the lack of public support in mental health often discourages policymakers from allocating appropriate medical resources in mental health services. Since Bangladeshis generally perceive mental illness as a divine punishment apportioned by devil spirit or jinee, public support for mental health services is lacking. Consequently, Bangladeshi policy makers are discouraged from allocating the necessary resources and services in mental health. At the time of the COVID-19 pandemic in Bangladesh, the shortage of facilities and funds for mental health was acute, creating a huge burden on families of people with mental illness. In order to provide psychological and mental welfare services to its mentally ill and disorder-related patients, the government of Bangladesh must allocate the required resources in mental health.

Published in American Journal of Psychiatry and Neuroscience (Volume 9, Issue 2)
DOI 10.11648/j.ajpn.20210902.13
Page(s) 38-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mental Health, Mental Illness, Resource Allocation, Bangladesh

References
[1] Worldometer. Bangladesh Population (2021) - Worldometer [Internet]. Woldometer. 2021 [cited 2021 Jan 23]. Available from: https://www.worldometers.info/world population/bangladesh-population/.
[2] MOHFW. Minister of Health releases first findings of National Mental Health Survey [Internet]. WHO. 2019 [cited 2021 Jan 23]. Available from: https://www.who.int/bangladesh/news/detail/27-11-2019-minister-of-health-releases-first-findings-of-national-mental-health-survey.
[3] Islam Anwar & Biswas Tuhin. Mental Health and the Health System in Bangladesh: Situation Analysis of a Neglected Domain. American Journal of Psychiatry and Neuroscience [Internet]. 2015; 3 (4): 57–62. Available from: http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=653&doi=10.11648/j.ajpn.20150304.11.
[4] GoB. The Constitution of the People’s Republic of Bangladesh [Internet]. Bangladesh: Legislative and Parliamentary Affiars Division; 1972. Available from: http://bdlaws.minlaw.gov.bd/act-367.html.
[5] GoB. Health Bulletin 2017 [Internet]. Government of Bangladesh. 2018 [cited 2020 Sep 2]. Available from: https://dghs.gov.bd/index.php/en/home/4364-health-bulletin-2017.
[6] Islam A. Health System in Bangladesh: Challenges and Opportunities. American Journal of Health Research [Internet]. 2014; 2 (6): 366–74. Available from: http://www.sciencepublishinggroup.com/journal/paperinfo.aspx?journalid=656&doi=10.11648/j.ajhr.20140206.18.
[7] World Bank. Current health expenditure (% of GDP) [Internet]. The World Bank Group. 2017 [cited 2020 Aug 21]. Available from: https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.
[8] Siraj MS, Dewey RS, Hassan ASMFU. The Infectious Diseases Act and Resource Allocation during the COVID-19 Pandemic in Bangladesh. Asian Bioethics Review. 2020.
[9] GoB. The Constitution of the People’s Republic of Bangladesh | 15. Provision of basic necessities [Internet]. GoB. 1972 [cited 2021 Jan 23]. Available from: http://bdlaws.minlaw.gov.bd/act-367/section-24563.html.
[10] Mamun MA, Misti JM, Griffiths MD, Gozal D. The dengue epidemic in Bangladesh: risk factors and actionable items. The Lancet. 2019.
[11] Islam MS, Ferdous MZ, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. Journal of affective disorders [Internet]. 2020 Nov 1; 276: 30–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0165032720324460.
[12] Banna MH Al, Sayeed A, Kundu S, Christopher E, Hasan MT, Begum MR, et al. The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: a nationwide cross-sectional study. International Journal of Environmental Health Research [Internet]. 2020 Aug 2; 1–12. Available from: https://www.tandfonline.com/doi/full/10.1080/09603123.2020.1802409.
[13] WHO. Bangladesh WHO Special Initiative for Mental Health Situational Assessment. 2020. [cited 2021 Jan 29]. Available from https://www.who.int/docs/default-source/mental-health/special-initiative/who-special-initiative-country-report---bangladesh---2020.pdf?sfvrsn=c2122a0e_2.
[14] Hossain MD, Ahmed HU, Chowdhury WA, Niessen LW, Alam DS. Mental disorders in Bangladesh: A systematic review. BMC Psychiatry. 2014; 14 (1): 1–8.
[15] Bangladesh Post. Declining mental health: Invest more in mental health services. Bangladesh Post. 2020 Oct 09. [cited 2021 Jan 29]. Available from https://bangladeshpost.net/posts/declining-mental-health-44293.
[16] Islam R. Foreign report Psychiatry in Bangladesh. Psychiatric Bulletin. 1993; 17: 492–4.
[17] GoB. Health Bulletin 2019 [Internet]. 2020 [cited 2021 Jan 25]. Available from: www.dghs.gov.bd.
[18] GoB. Health Bulletin [Internet]. 2017 [cited 2021 Jan 25]. Available from: www.dghs.gov.bd.
[19] GoB. Health Bulletin 2016 [Internet]. 2016 [cited 2021 Jan 25]. Available from: www.dghs.gov.bd.
[20] Kolappa K, Henderson DC, Kishore SP. No physical health without mental health: Lessons unlearned? [Internet]. Vol. 91, Bulletin of the World Health Organization. World Health Organization; 2013 [cited 2021 Jan 26]. p. 3-3a. Available from: http://www.un.org/en/sc/documents/resolutions/.
[21] Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Globalization and Health. 2020.
[22] Wang C, Pan R, Wan X, Tan Y, Xu L, McIntyre RS, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity. 2020.
[23] Corrigan PW, Watson AC, Warpinski AC, Gracia G. Stigmatizing attitudes about mental illness and allocation of resources to mental health services. Community Mental Health Journal. 2004; 40 (4): 297–307.
[24] WHO. WHO-AIMS REPORT ON MENTAL HEALTH SYSTEM IN BANGLADESH. 2007. [cited 2021 Jan 29]. Available from https://apps.who.int/iris/handle/10665/206149.
[25] The World Bank. Rural population (% of total population) - Bangladesh | Data [Internet]. The World Bank. 2019 [cited 2021 Jan 29]. Available from: https://data.worldbank.org/indicator/SP.RUR.TOTL.ZS?locations=BD.
[26] Corrigan PW, Watson AC. Factors that explain how policy makers distribute resources to mental health services [Internet]. Vol. 54, Psychiatric Services. Psychiatr Serv; 2003 [cited 2021 Jan 27]. p. 501–7. Available from: https://pubmed.ncbi.nlm.nih.gov/12663837/.
[27] Güven F. Madness and death in philosophy. Madness and Death in Philosophy. 2005. 1–220.
[28] Berthold-Bond D. Hegel, Nietzsche, and Freud on Madness and the Unconscious. The Journal of Speculative Philosophy. 1991; 5 (3): 193–213.
[29] Koss-Chioino JD. Jung, Spirits and Madness: Lessons for Cultural Psychiatry. Transcultural Psychiatry. 2003; 40 (2): 164–80.
[30] Foucault M. Madness and Civilization: A History of Insanity in the Age of Reason, trans. Richard Howard (New York: Pantheon, 1965). 1965.
[31] Felman S. Madness and the Literary: Toward the Question of the Book. Writing and Madness: Literature/Philosophy/Psychoanalysis. 2003. p. 251–5.
[32] Majumdar B. Poetry Written in the Hospital. Kabitirtha; 2003. 64 p.
[33] Chakravarty P. Madness and the art of a Bengali poet. Scroll. in. 2017.
[34] Ngui EM, Khasakhala L, Ndetei D, Roberts LW. Mental disorders, health inequalities and ethics: A global perspective. International Review of Psychiatry. 2010; 22 (3): 235–44.
[35] Skitka LJ, Tetlock PE. Allocating scarce resources: A contingency model of distributive justice. Journal of Experimental Social Psychology. 1992 Nov 1; 28 (6): 491–522.
Cite This Article
  • APA Style

    Md. Sanwar Siraj, Rebecca Susan Dewey, Md Ikhtiar Uddin Bhuiyan, Kamrul Hasan, Md Yousuf Ali, et al. (2021). The Mental Health Act and Public Perception on Resource Allocation in Bangladesh. American Journal of Psychiatry and Neuroscience, 9(2), 38-43. https://doi.org/10.11648/j.ajpn.20210902.13

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    ACS Style

    Md. Sanwar Siraj; Rebecca Susan Dewey; Md Ikhtiar Uddin Bhuiyan; Kamrul Hasan; Md Yousuf Ali, et al. The Mental Health Act and Public Perception on Resource Allocation in Bangladesh. Am. J. Psychiatry Neurosci. 2021, 9(2), 38-43. doi: 10.11648/j.ajpn.20210902.13

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    AMA Style

    Md. Sanwar Siraj, Rebecca Susan Dewey, Md Ikhtiar Uddin Bhuiyan, Kamrul Hasan, Md Yousuf Ali, et al. The Mental Health Act and Public Perception on Resource Allocation in Bangladesh. Am J Psychiatry Neurosci. 2021;9(2):38-43. doi: 10.11648/j.ajpn.20210902.13

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  • @article{10.11648/j.ajpn.20210902.13,
      author = {Md. Sanwar Siraj and Rebecca Susan Dewey and Md Ikhtiar Uddin Bhuiyan and Kamrul Hasan and Md Yousuf Ali and Ahnaf Tahmid Arnab},
      title = {The Mental Health Act and Public Perception on Resource Allocation in Bangladesh},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {9},
      number = {2},
      pages = {38-43},
      doi = {10.11648/j.ajpn.20210902.13},
      url = {https://doi.org/10.11648/j.ajpn.20210902.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20210902.13},
      abstract = {The Bangladesh government passed a new Mental Health Act in 2018, which formally came into effect on November 14. In order to decrease the significance and endurance of the hundred-year-old statute, the Lunacy Act of 1912, the government enacted the new Act by reformation. The Act is designed to ensure the provision of health services, the preservation of dignity, property rights and rehabilitation, and the general wellbeing of individuals suffering from diseases and disorders associated with mental health. The purpose of this study was to explore the influence of public opinions around mental health with regard to resource allocation by policy makers in Bangladesh. By reviewing mental health policy documents and the political literature on resource allocation in mental health, this study finds that despite the provisions of the Act, the lack of public support in mental health often discourages policymakers from allocating appropriate medical resources in mental health services. Since Bangladeshis generally perceive mental illness as a divine punishment apportioned by devil spirit or jinee, public support for mental health services is lacking. Consequently, Bangladeshi policy makers are discouraged from allocating the necessary resources and services in mental health. At the time of the COVID-19 pandemic in Bangladesh, the shortage of facilities and funds for mental health was acute, creating a huge burden on families of people with mental illness. In order to provide psychological and mental welfare services to its mentally ill and disorder-related patients, the government of Bangladesh must allocate the required resources in mental health.},
     year = {2021}
    }
    

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    AU  - Md. Sanwar Siraj
    AU  - Rebecca Susan Dewey
    AU  - Md Ikhtiar Uddin Bhuiyan
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    PB  - Science Publishing Group
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    AB  - The Bangladesh government passed a new Mental Health Act in 2018, which formally came into effect on November 14. In order to decrease the significance and endurance of the hundred-year-old statute, the Lunacy Act of 1912, the government enacted the new Act by reformation. The Act is designed to ensure the provision of health services, the preservation of dignity, property rights and rehabilitation, and the general wellbeing of individuals suffering from diseases and disorders associated with mental health. The purpose of this study was to explore the influence of public opinions around mental health with regard to resource allocation by policy makers in Bangladesh. By reviewing mental health policy documents and the political literature on resource allocation in mental health, this study finds that despite the provisions of the Act, the lack of public support in mental health often discourages policymakers from allocating appropriate medical resources in mental health services. Since Bangladeshis generally perceive mental illness as a divine punishment apportioned by devil spirit or jinee, public support for mental health services is lacking. Consequently, Bangladeshi policy makers are discouraged from allocating the necessary resources and services in mental health. At the time of the COVID-19 pandemic in Bangladesh, the shortage of facilities and funds for mental health was acute, creating a huge burden on families of people with mental illness. In order to provide psychological and mental welfare services to its mentally ill and disorder-related patients, the government of Bangladesh must allocate the required resources in mental health.
    VL  - 9
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Author Information
  • Department of Government and Politics, Jahangirnagar University, Dhaka, Bangladesh

  • Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK

  • Department of Government and Politics, Jahangirnagar University, Dhaka, Bangladesh

  • Department of Government and Politics, Jahangirnagar University, Dhaka, Bangladesh

  • Department of Government and Politics, Jahangirnagar University, Dhaka, Bangladesh

  • Department of Government and Politics, Jahangirnagar University, Dhaka, Bangladesh

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