《精神卫生法》和孟加拉国公众对资源分配的看法

M. Siraj, R. S. Dewey, Ikhtiar Uddin Bhuiyan, K. Hasan, Y. Ali, Ahnaf Tahmid Arnab
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引用次数: 0

摘要

孟加拉国政府于2018年通过了一项新的《精神卫生法》,并于11月14日正式生效。为了降低《1912年精神错乱法》这一百年法令的意义和持久性,政府通过改革制定了新的《精神错乱法》。该法旨在确保提供保健服务,维护尊严、财产权和康复,以及患有与精神健康有关的疾病和紊乱的个人的一般福利。本研究的目的是探讨公众舆论对孟加拉国决策者在资源分配方面的心理健康的影响。通过回顾精神卫生政策文件和有关精神卫生资源分配的政治文献,本研究发现,尽管有该法的规定,但缺乏公众对精神卫生的支持往往阻碍政策制定者在精神卫生服务中分配适当的医疗资源。由于孟加拉国人普遍认为精神疾病是魔鬼精神或jinee分配的神的惩罚,公众对精神卫生服务缺乏支持。因此,孟加拉国的决策者不愿在心理健康方面分配必要的资源和服务。在孟加拉国2019冠状病毒病大流行期间,精神卫生设施和资金严重短缺,给精神疾病患者的家庭造成了巨大负担。为了向精神病患者和与精神障碍有关的患者提供心理和精神福利服务,孟加拉国政府必须拨出必要的精神卫生资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Mental Health Act and Public Perception on Resource Allocation in Bangladesh
The Bangladesh government passed a new Mental Health Act in 2018, which formally came into effect on November 14. In order to decrease the significance and endurance of the hundred-year-old statute, the Lunacy Act of 1912, the government enacted the new Act by reformation. The Act is designed to ensure the provision of health services, the preservation of dignity, property rights and rehabilitation, and the general wellbeing of individuals suffering from diseases and disorders associated with mental health. The purpose of this study was to explore the influence of public opinions around mental health with regard to resource allocation by policy makers in Bangladesh. By reviewing mental health policy documents and the political literature on resource allocation in mental health, this study finds that despite the provisions of the Act, the lack of public support in mental health often discourages policymakers from allocating appropriate medical resources in mental health services. Since Bangladeshis generally perceive mental illness as a divine punishment apportioned by devil spirit or jinee, public support for mental health services is lacking. Consequently, Bangladeshi policy makers are discouraged from allocating the necessary resources and services in mental health. At the time of the COVID-19 pandemic in Bangladesh, the shortage of facilities and funds for mental health was acute, creating a huge burden on families of people with mental illness. In order to provide psychological and mental welfare services to its mentally ill and disorder-related patients, the government of Bangladesh must allocate the required resources in mental health.
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