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Laxmi Agarwal
On April 22 of 2005, 15-year-old Laxmi Agarwal waited patiently at the Khan Market bus stop. Moments later, she found herself losing consciousness. India ranks number one on the global charts when it comes to acid attacks on women. Each week, an estimated three individuals fall victim to this crime. Acid attacks against women, like other forms of violence against women, have roots in a deep level of misogyny. This is evident in Laxmi Agarwal’s story.

Laxmi Agarwal

Laxmi recounted the events of her acid attack in an interview with Vogue, “… A 32-year-old man proposed marriage to me. I said no. On April 19, he sent me a text proclaiming that he loves me and wants to marry me, and I didn’t respond. He texted me again, demanding a response, but I never did… He, along with his brother’s girlfriend stopped me outside the bus stand in Khan Market. The girl pushed me and threw the acid she was holding on my face.”

After undergoing a series of reconstructive surgeries, Laxmi could barely recognize herself, but this did not infringe on her perseverant drive to bring awareness to what had happened to her.

Change in Policy

The survivor took her case to India’s Supreme Court. Her case resulted in the institution of new regulations and penalties. Now, both federal and state governments are required to monitor the sales and purchases of acid. Laxmi Agarwal’s bravery prompted new, long-overdue conversations regarding the violence against women in India. As a result, legislation passed that continues to give harsher repercussions to rapists and offenders.

Change in Society

Laxmi fought long and hard to reclaim her face and life after her attack. She addressed the difficulties and struggles of trying to find a job after having society ostracize her for the burns on her face. To further normalize the rehabilitation process for acid attack survivors, Laxmi Agarwal joined and established numerous rehabilitation groups. One such group is a cafe that acid attack survivors run entirely. She works passionately to provide a safe space in which the girls who experienced acid burns can make friends and regain confidence without fear of societal judgment. She offers additional assistance, and encourages others to do the same through offering support to groups such as “Make Love, Not Scars.” This group hosts events such as fashion shows specifically for victims of acid attacks.

Besides donating to such organizations and educating people on the causes and effects of acid attacks, Laxmi Agarwal has entirely dedicated herself to spreading awareness. She worked alongside Bollywood superstar Deepika Padukone to turn her story into a movie, “Chhapaak,” released in Jan. 2020. Since then, Laxmi Agarwal has turned this seemingly negative experience into a learning opportunity. She has gone on to receive awards such as the International Women Empowerment Award. Her activism to better the treatment of women in her country has yielded tangible results, which have aided victims and raised awareness about the issue of acid attacks on women at large.

Meghana Nagendra
Photo: Wikipedia Commons

Mental Health in India
The COVID-19 pandemic has brought the crisis regarding mental health in India to the forefront. COVID-19 has led to various versions of isolation and insecurities for many Indian citizens.

Amid this crisis, the Indian Psychiatric Society’s survey has noted a significant increase in reported mental illness since the lockdown. This is an opportunity for the country to rework its mental healthcare system for its diverse population. The pandemic has affected the poor the most. The World Health Organization (WHO) has stated that mental health illness and poverty have a cyclical relationship in that extreme poverty triggers mental illness, which leads to further financial crises.

Government Initiatives

The government of India launched the National Mental Health Programme (NMHP) in 1982 and the Mental Health Care Act in 2017. The National Mental Health Programme focused mainly on increasing the reach of minimum mental health services for the poor. This encourages social development in general healthcare. After a gap of more than 20 years, the Mental Health Care Act mandated affordable mental health care, the right to make decisions and informed consent, the right to live in a community and the right to confidentiality. This Act more importantly decriminalized suicide.

The Mental Health Care Act is a step in the right direction with the aim of bringing mental healthcare to those who cannot afford it. Yet, almost 14% of the population still suffers from mental health disorders. While stigma and social stereotypes play a major role in the aggravation of these numbers, the nation’s budget invests very little into mental health. India as a developing country, spends only 0.05% of its subtotal health care budget on mental health.

De-stigmatizing Awareness

A study from 2017 suggested that 87% of the population was aware of mental illness and that 71% inculcated terms that propagate stigma. In 2015, Bollywood and Hollywood actress Deepika Padukone talked about her battle with depression on Indian television. By speaking about her struggles, she started a conversation about mental health in the nation. She also founded the Live Love Laugh Foundation which facilitates research and outreach on various levels. The Live Love Laugh Foundation provides free mental health care to the rural poor, educates caregivers and creates a community of awareness in rural Karnataka and Orissa. As of now, close to 3,000 direct beneficiaries have received treatment through the Foundation.

Organizations like The MINDS Foundation, Manas Foundation, The Banyan and Aasra along with many others are key in de-stigmatizing mental health in India. They often work as gap-fillers in a system that is out of reach for many. The World Health Organization (WHO) noted in a report in 2017 that there are less than two mental health professionals for every 100,000 people in the country. The Banyan, with its branches in Kerala, Tami Nadu and Maharashtra is an NGO that focuses on holistic mental health solutions for those who live in poverty in these states. It has over 16 centers and has reached a population of over 100,000.

Tele-health Initiatives

Universities, nonprofits and several hospitals have facilitated workshops, online counseling sessions and helplines. Tele-health calls have helped to bridge the gap between those who would normally shy away from in-person visits. However, it has been detrimental to those who lack access to these online facilities. The rural poor in India do not own the technology to be able to access facilities like e-prescriptions or telehealth calls. The transition of online healthcare into rural areas in India is a promising developmental venture.

Community-based Approaches

India’s allocated mental healthcare budget and prevalent social stigma surrounding it have emerged as the two major problem areas. Encouraging studies have paved the way for a community-oriented approach to practicing psychosocial therapy in the country. This will entail training community-based healthcare workers to serve as supervised non-specialist mental healthcare workers by following standard protocols. Sangath, an NGO based in Goa, New Delhi and Bhopal, is implementing this model through its programs. Sangath provides affordable mental healthcare by strengthening state and private sector services by training the community. Sangath is also working with policymakers to further develop as well as implement this model of care.

Resources During COVID-19

The India Research Center of the Harvard T.H. Chan School of Public Health has recounted a few tips for mental well-being during the pandemic. Mindfulness, breathing exercises, meditation, limiting news consumption, generosity and empathy are practices that are effective along with other useful resources that the school emphasizes. Here is a list of numbers one can contact during a mental health emergency in India.

In a country as plural as India, innovative approaches are essential factors of growth. The nation has a long way to go in order to climb up on the mental health and well-being ladder. However, NGOs and foundations are paving the way toward improved mental health in India.

– Anuja Mukherjee
Photo: Flickr