More than 60 million Nigerians are suffering from mental illnesses, according to the President of the Association of Psychiatrists in Nigeria, Prof. Taiwo Obindo.
Obindo, who is also Chairman, Faculty of Psychiatry at the West African College of Physicians (Nigeria Chapter), said to the News Agency of Nigeria on Sunday in Abuja: “Mental healthcare is in a sorry state given that we have more than 60 million Nigerians suffering from various mental illnesses and the fact that only about 10 per cent of them were able to access appropriate care.
“We are left with more than 90 per cent who are unable to access care and this group is called the treatment gap for mental illnesses”.
He said the gap was a result of various factors, which include a knowledge gap in which people do not have appropriate information about the causes and treatment for mental illnesses.
Obindo said some factors hindering the management of mental illness in Nigeria included myths and traditional beliefs; inadequate mental health facilities and the number of mental health professionals.
According to him, the few available mental health facilities were located in the city centres.
“Sixty per cent of Nigerians live in the rural areas. They do not have access to appropriate care and have to travel long distances to access facilities”, Obindo said.
He also said that the number of mental health practitioners was low as it fell below the ratio recommended by the World Health Organisation.
According to him, the few that were trained were often eager to leave the country.
“The environment in which we practice, the security situation and the remuneration that people were given in the country tend to push them out.
“And then, of course, the pull factor from the developed countries where they tend to poach on the already trained medical practitioners in the country, particularly the psychiatrists”, he said.
Obindo said that the cost of hiring practitioners in low medium-income countries was low. ”It was easier for developed countries to poach the already made products rather than training such professionals locally”, he explained.
He said there was a need for Nigeria to implement its Mental Health Policy on the practice of psychiatry.
Obindo added that although the document was last reviewed in 2013, it was not being implemented.
He said one major component of the policy was the integration of mental health into primary healthcare, which was yet to be achieved after nine years.
The psychiatrist added that the law operating in the country was the “lunacy act”, which was first enacted in 1916 and reviewed in 1958.
”The Mental Health Bill by the mental health stakeholders led by the Advanced Practice Nurse, in conjunction with the National Assembly and the Ministry of Health was yet to be assented to by the President.
”This is the most recent effort in 30 years”, he said.