Posts

poverty in the Philippines
In the Philippines, mental health problems for those who are disabled have recently skyrocketed. As COVID-19 spread, disabled citizens living in the Philippines suffered from a lack of treatment and heightened health concerns. Furthermore, inequality rose, as there was a lack of healthcare data to help inform and protect the disabled. Disability and poverty in the Philippines are connected. Fortunately, the government is taking steps to help the disabled communities of the Philippines, with the hopes of decreasing poverty and increasing protection.

Poverty and Disability

Approximately 15% of the world’s population experiences a form of disability. In the Philippines, the 2016 National Disability Prevalence Survey (NDPS) revealed that 12% of Filipinos 15 and older suffer from severe disabilities. Furthermore, 47% of people have moderate conditions and 23% have mild disabilities. Compared to the global average, these rates are high. In part, this is due to the fact that developing countries are more likely to have a higher prevalence of disabilities.

COVID-19 had a major impact on the accessibility of healthcare for the disabled. The pandemic placed limits on those who needed sign language interpreters, braille translation and handicap services. Those with medical disabilities needed to be extra cautious as to not endanger themselves by contracting COVID-19. In many cases, poverty in the Philippines is related to disability. The disabled face a higher likelihood of poverty and lower rates of education, health and employment. Those with a secure job may also receive less pay than non-disabled persons despite the funds necessary for living with a disability.

Financial Support

In response to the COVID-19 pandemic, financial support is being provided to people with disabilities in the Philippines. In Cebu City, the government provided financial aid in the form of income, supplies and resources in May 2021. Essentials such as wheelchairs, hearing aids and medicine were given to eligible people in need. Each household received P5,000 in monetary assistance, covering January to May of 2021, a period of time where no income was given.

Josh Maglasang is one example of the program’s success. As someone with a disability, he expressed his happiness and relief regarding the recent financial assistance. He acknowledged that monthly payments will help him cover medical costs. Moreover, he was specifically grateful to receive the overdue assistance. Recent exposure to poverty in the Philippines is helping initiatives such as this one pass.

Government Measures

Disability legislation has aided the disabled in the Philippines for many years. The Magna Carta for Disabled Persons Act was passed in 2007, allowing all disabled citizens to receive a minimum 20% discount from stores and services. Dental and medical care, hotels, theater and travel are all included in this coverage.

Furthermore, in regards to education, the disabled have the right to primary, secondary and all higher levels of schooling, with the proper financial assistance granted. This comes in the form of aid packages, scholarships, full coverage and book and supply financing. For those who are physically or mentally unable to work, rights to benefits from the Social Security System (SSS) and Government Service Insurance System (GSIS) are provided.

In light of the COVID-19 pandemic, disability aid is particularly relevant. Regarding disability and poverty in the Philippines, providing care and support for disabled citizens will make a major difference in the success of the country. Strengthening the Mental Health Act is necessary to improve the quality of life for those who are disabled. Recent improvements in medical support, therapy and pandemic relief mark the beginning of helping those in need.

Selena Soto
Photo: Flickr

Mental Health in Bangladesh
Out of the entire Bangladeshi population, 4% of people suffer from depression. This statistic trails just around 2% behind the world’s most depressed country, Ukraine, with 6.3% of its population suffering from depression. The government, with the assistance of organizations, is taking positive action to address mental health in Bangladesh.

Mental Health in Bangladesh

In Bangladesh, there are only 270 psychiatrists and roughly 500 psychologists serving a population of more than 166 million. This equates to 216,000 people per specialist. Most mental health professionals are located in urban areas so people in rural areas have limited access to mental health services. Furthermore, the country’s one government-run mental hospital has only 500 beds. Mental health also has limited funding. Only 0.44% of the government health budget is allocated to the mental health sector.

Mental Health Stressors

Foreign and domestic stressors can contribute to the decline of mental health. For example, recurring natural disasters, the current refugee crisis and overpopulation all affect the mental states of the Bangladeshi population. The country faces recurring floods, tornados and cyclones. A 1996 infamous tornado left 66.6% of its victims psychologically traumatized and in need of emergency psychological assistance. This statistic illustrates the severe psychological effects of natural disasters and the need for more mental health resources.

Since 2007, Bangladesh has taken in nearly 1 million refugees from Myanmar following a military crackdown on Rohingya citizens. This upsurge in population weakened the country’s already limited capacity to respond to both regional disasters and mental health crises. Many of these refugees experienced acute stress and post-traumatic stress disorder, requiring immediate health assistance. This spur in overpopulation certainly strains resources, exacerbating mental health even further.

Mental Health Stigma in Bangladesh

An estimated 10,000 Bangladeshi people die by suicide annually. However, households and the greater public are reluctant to speak out about mental health problems in fear of societal judgment. Mental health stigma is common throughout Bangladesh and there are many superstitions surrounding mental health conditions. Some believe that evil spirits cause mental health issues.

Others often ostracize people suffering from mental health conditions, leading others to hide their mental struggles and suffer in silence without help. Some people turn to traditional healers for cures. These traditional practices sometimes amount to human rights abuses and may have fatal repercussions. Traditional healers are more prevalent in the countryside where a trained mental health specialist is hard to come by. In rural areas, “village doctors with no formal training provide 65% of healthcare.”

The Good News

Bangladesh passed a new Mental Health Act in 2018, replacing a 105-year-old piece of legislation. The act aims to protect the property rights of those suffering from mental illness and includes provisions for mental health services. However, the act does not address the issue of low mental health funding, which plays an important role in increasing mental health resources. While the act faces some criticism, increased attention on mental health through legislative action is an accomplishment nonetheless.

Bangladesh finalized its National Mental Health Strategic Plan in 2020 and started implementation. In support of this plan, the WHO Special Initiative for Mental Health provides assistance to the Ministry of Health in Bangladesh to ensure the effective implementation of the strategy.

Bangladesh is taking concrete action to address mental health in the country. With commitment and support, mental health in Bangladesh can improve.

Caroline Bersch
Photo: Flickr

Health Regulation in Ghana
Health regulation in Ghana has strengthened in recent years. Ghana has made great progress to improve its public health conditions, and the international community has also assisted in its endeavors to better health procedures and legislation. Below are five facts about health regulation in Ghana.

Facts about Health Regulation in Ghana

  1. Ghana passed its first Comprehensive Public Health Bill. This is a crucial milestone for public health within Ghana, and more generally, Africa. Ghana has domestically expanded programs for tobacco control, vaccinations, food and drugs, environmental sanitation, infectious diseases and more. The Public Health Bill essentially enhances the recognition and responses to public health issues. This bill emulates Public Health Institutions in Norway, which is one of the strongest healthcare systems in the world.
  2. Ghana and the International Association of National Public Health (IANPHI) have been allies since 2009. The IANPHI has helped Ghana create institutions, websites and legislation addressing new public health procedures. The IANPHI have helped health regulation in Ghana by providing resources to combat outbreaks, by assisting the creation of Ghana Health Service and by supporting ghanahealthservice.org. The site updates Ghanaians and the global sector about public health news.
  3. Health regulation in Ghana has been monitored by the World Health Organization (WHO). The WHO has listed a number of Ghana’s achievements since 2005. Ghana has passed many health bills that align with the values of International Health Regulation (IHR). The WHO has also trained public health officials and staff about IHR protocol. Ghana continues to stay in contact with WHO and abides by IHR.
  4. Ghana’s mental health system is improving rapidly. In 2012, Ghana enacted a new Mental Health Act. The provision includes that individuals with mental health issues retain their human rights and that the system mirrors modern mental health programs. The Mental Health Act provides protection and treatment for those who struggle with these issues. Additionally, the bill established the Mental Health Authority, Health Review Tribunals, Regional Visiting Committees and the Mental Health Fund.
  5. Fortunately, human rights are becoming highly entwined with public health practices in Ghana. IHR’s underlying principles are based on human rights. Ghana has inherited its values when implementing public health bills and programs. Each patient must be treated with dignity, particularly mental health patients since they were previously discriminated against. Prior to 2012, Ghanaians would shackle individuals who had mental health issues. Fortunately, the public is being educated, and the stigma is changing.

Ghana and the international community have made great strides to amend and better its healthcare system. Ghana has set a precedent for other Sub-Saharan countries — it could act as a beacon of hope for nations struggling with the implementation of public health legislation.

– Diana Hallisey
Photo: Flickr