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Few facilities and social stigma means misery for the mentally ill
World Mental Health Day means little in BangladeshAn estimated 90 percent of people who need it, have no access to mental health treatment
- ucanews.com reporter, Dhaka
- October 10, 2012
Government and private mental health facilities are paltry, with only two fully fledged state-run specialized mental hospitals with 700 beds. There are a further 813 beds in the mental health departments of the countryâ€™s state-run general hospitals. Unconfirmed sources say this supplemented by around 30 private hospitals, clinics and charitable centers that offer relevant facilities.
Yet the number of adults who need this kind of help is estimated at around 1.5 million.
To be a mentally impaired person in a poor country like Bangladesh, where 40 percent live below the poverty line, is nothing less than a curse. These people are generally seen as a troublesome burden by families and society and frequently thrown out of their homes.
Uttara Rani, 45, recalls how her family broke apart after one of their sons was diagnosed with mental illness 10 years ago.
â€śMy husband wanted to throw him out, but I protested. Then he forced both of us out of the home,â€ť she said.
Like many people with limited education and a legacy of village superstition, she believed mental illness was an â€śact of the devil.â€ť
â€śI went to several kabiraj [exorcists] and spent a lot of money, but nothing worked,â€ť she said.
Muhammad Alam is another living example of the ostracism that a behavioral disorder can provoke.
His attempts to get married have failed several times as he is considered â€śmad,â€ť a description his family uses.
His older brother Lutfor Rahman said Alam has â€śtalked wildly and physically attacked people when he gets angry,â€ť since he was 15. His family too believe him to be under the control of the devil.
â€śFor 20 years we haveÂ had village shamans treat him without any improvement. There are no mental health services in the area,â€ť said Rahman. â€śBut we came to Dhaka for better treatment and now he is improving.â€ť
Alam is one of the few lucky ones. Dr. Jalal Uddin of the National Institute of Mental Health estimates that about 90 percent of mental patients have no access to treatment facilities. He is also highly critical of the custom of using folk remedies.
â€śIn village areas people take patients to shamans who in fact torture them in the guise of treatment,â€ť he said. â€śThey beat them with brooms and make them smell burnt chilies to drive out the demons.â€ť
Dr. Belal Hossain, a private psychologist, agrees with that appraisal and says it adds a further complication: â€śWhen shamans can do nothing, thatâ€™s when people go to a doctor. By that time, the disease may beÂ beyond control.â€ť
Holy Cross nun, Sister Nirmol Cruze supervises a Church-run mental health center in Dhaka that serves about 100 patients, free of charge.
â€śMany families today canâ€™t accept and even hate mentally ill children,â€ť she said. â€śWe believe they can improve. They can evenÂ recover if theyâ€™re treated with love and care.â€ť