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The Impact of Poverty on Mental Health

Impact of Poverty on Mental HealthPeople from lower-income countries are often overlooked as a target audience for mental health care. In impoverished countries, in particular, mental health care is crucial for breaking the cycle of potentially exacerbated mental illnesses that disproportionately affect underprivileged populations. According to the World Health Organization (WHO), 13% of people across the globe suffer from mental health disorders, varying in type and impact, with depression and anxiety being the most prevalent of them all. Poverty puts people at a higher risk for developing mental health disorders, and makes it difficult for those people to receive proper care. Only 33.33% of people suffering from depression around the world may have access to mental health care. The mental health care that is available is limited and poverty negatively affects it.     

The Impact of Poverty on Mental Health

According to research that Yihan Sun of the Department of Science at the University of British Columbia in Canada conducted, “mental illness … increasingly causes severe disability in both wealthy and underdeveloped countries,” and “poverty is one of the factors that affect mental health.” In short, the relationship between mental health and poverty is that of a snowball effect. 

Mental health as a result of poverty can make preexisting mental illness worse. More specifically, poverty can worsen symptoms of depression, anxiety and post-traumatic stress disorder (PTSD). Yihan Sun goes on to mention that depression can result from concerns about “erratic income and spending” related to poverty. For example, anxiety can increase due to people not being able to make bill payments on time. People may also experience PTSD when they live in locations that are “disaster-prone” to such things as “fire incidents, traffic fatalities, environmental hazards and gun-related violence.”

Non-Communicable Diseases and Mental Health

Mental health can be considered a non-communicable disease (NCD), which is a disease that is not transmissible from one person to another and often includes chronic diseases and conditions like diabetes, heart and kidney disease. Mental health disorders have links to various non-communicable diseases. People suffering from diabetes and cardiovascular disease can be more at risk of developing anxiety or depression.

Unfortunately, non-communicable diseases are a significant cause of death for low to middle income countries. According to the World Health Organization (WHO), for the countries of Angola and the Central African Republic, non-communicable diseases are the broader cause of at least 20% of the deaths of their population in 2021. For the countries of Bangladesh and Cambodia, NCDs are the cause of more than 60% of the deaths of their populations in 2021. These countries are all classified as being low-to-middle income countries according to WHO.  

Current Global Poverty Status

Despite the devastating impact of poverty on mental health, particularly in developing countries, there is hope on the horizon. In the past 30 years, poverty has steadily and significantly declined in regions such as Latin America and the Caribbean, Eastern and Southern Africa, sub-Saharan Africa and Western and Central Africa, with poverty rates decreasing by at least 13% in each region—some by as much as 28%. 

East Asia and the Pacific have experienced the most dramatic improvement, with poverty rates plummeting from 65.2% in 1990 to just 0.6% in 2024. Although Latin American and Caribbean countries haven’t seen as much of a decline in poverty as the rest of the world, their poverty rate has still diminished significantly compared to the ’90s. 

The MINDS Act

Where there is hope, solutions to persistent problems are often within reach and this holds for those living in poverty in low- and middle-income countries. One such solution is the Mental Health in International Development and Humanitarian Settings (MINDS) Act, which offers a pathway to addressing these challenges.

The MINDS Act aims to enhance investment in mental health care from high-income countries, such as the U.S. and the U.K., to establish or support programs focused on breaking the cycle of poverty worldwide. By doing so, it seeks to address the reciprocal impact of poverty and mental health, helping to disrupt the harmful connection between the two.

Children would benefit significantly, as the rate of their anxiety and depression (due to living in poverty) would lessen. They would also be less susceptible to developing psychiatric disorders in their adulthood.

Solutions in Rwanda

Another solution could be in the form of programs like the ones implemented in Rwanda, after the sovereign state’s genocide of 1994. Findings determined that around 94% of the survivors witnessed traumatic events that would affect them decades later in the form of PTSD, depression and panic disorder. In response to the aftermath of the genocide, the state created a community-based psychotherapy that allows for “healing and peacebuilding for survivors.” Rwanda then proceeded to create the Gacaca Courts through the Government of National Unity, which would provide justice for survivors while emphasizing accountability for the perpetrators. The sovereign state eventually acquired enough stability to be able to provide it’s citizens with universal health coverage for mental health to each citizen for $2 a year.

Through the implementation of these programs, Rwanda has successfully and significantly lessened the state’s suicide rate from 8.84 in 2005 to 5.57 in 2018 as a result of community-based psychotherapy.  More than 1.2 million cases were tried in more than 12,000 courts after the creation of the new judicial system of the Gacaca Courts. Life expectancy within the country has since risen from 56 to 70 after the implementation of universal health care and the inclusion of mental health.

Conclusion 

Rwanda is proof that mental health care is incredibly important to the health of a community, especially during the aftermath of traumatic and tragic events. With the implementation of programs that changed and incorporated mental health care into Rwanda’s judicial system, universal health care system, and community, the country has, since the genocide of 1994, been able to look forward to its future with much better days ahead. It is possible to provide mental health care and restore hope, and solutions can emerge with humanity at the wheel.

– Sadie Treadwell

Sadie is based in Grovetown, GA, USA and focuses on Business and Good News for The Borgen Project.

Photo: Pexels