RESULTS
RESULTS 17
RESULTS 1.GL○ BAL REPORTINO○N CORE MENTAL HEALTH INDICAT○RS
18 RESULTS 1. GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS
MENTAL HEALTHATLAS 2014 In total. 171 out of whos 194 Member States were able to Atlas 2014 asked countries to rate the availability or status of at least partially complete the questionnaire mental health reporting: Figure 1.2 summarises the findings For those countries responding to this question(155 out of As shown in Figure 1.1, the global and WHO Regional 194, or 80%),42% are in a position to regularly compile mental participation or submission rate for mental health Atlas 2014 health specific data that covers at least the public sector) this exceeded 80% in all WHO Regions and approaches 90% is equivalent to 33%of all Member States(42% 80% response overall Responding countries account for 97% of the global rate). However, nearly 20% of responding countries have not population (and at least 92% in all WHO Regions). This in itself compiled mental health data into any report for policy, planning is an important marker of countries' ability and willingness to or management purposes in the last two years. Arrange collect, share and report their mental health situation. World Bank income group, 60% of high-income countries who esponded are able to regularly compile mental health specific While reporting levels for many core mental health indicators ata that covers at least the public sector, compared to close to was high -including those relating to mental health policy and 40% of responding countries in other income groups(Figure 1. 3) law, workforce and service availability -there was a considerably lower response rate for other indicators, in Based on actual data submitted to WHo through Atlas 2014, particular items relating to mental health spending, social an assessment of countries' ability to report on a defined support for persons with mental disorders, and service set of core mental health indicators was also made. Included coverage as well as continuity of care for persons with severe indicators were as follows: 1)stand-alone mental health policy mental disorders. The lower response rate for these indicators or plan (yes or no); 2)stand-alone mental health law (yes or no reflects the difficulty of collecting or obtaining these data, and 3)mental health workforce(available data for at least some also the fact that some of these questions were being asked types of worker): 4) service availability(data for at least some for the first time as part of Atlas care settings); 5)mental health promotion and prevention (completion of inventory, including if no programmes present) Accordingly, much effort will be required to reach Target 4 of 17 countries(60% of all Member States)were able to report the Mental Health Action plan which states that 80% of on all five of these items. Adding a further key indicator to the countries will be routinely collecting and reporting at least a defined core set, such as the rate of suicide or service uptake core set of mental health indicators every two years through for severe mental disorders, reduces substantially the number their national health and social information systems( by the of countries able to report, to 91(47%)and 50(26%)respectively. year 2020). Put another way, the rate of overall completion for This latter, more stringent threshold produces a result quite successive rounds of atlas needs to increase considerabl similar to the one provided above giving the total number of over and above what has been achieved in this current rol countries who self-reported their ability to regularly compile mental health specific data covering at least the public sector 4 countries, equivalent to 33% of all Member States RESULTS I GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS
RESULTS | GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS 19 MENTAL HEALTH ATLAS 2014 In total, 171 out of WHO’s 194 Member States were able to at least partially complete the questionnaire. As shown in Figure 1.1, the global and WHO Regional participation or submission rate for mental health Atlas 2014 exceeded 80% in all WHO Regions and approaches 90% overall. Responding countries account for 97% of the global population (and at least 92% in all WHO Regions). This in itself is an important marker of countries’ ability and willingness to collect, share and report their mental health situation. While reporting levels for many core mental health indicators was high – including those relating to mental health policy and law, workforce and service availability – there was a considerably lower response rate for other indicators, in particular items relating to mental health spending, social support for persons with mental disorders, and service coverage as well as continuity of care for persons with severe mental disorders. The lower response rate for these indicators reflects the difficulty of collecting or obtaining these data, and also the fact that some of these questions were being asked for the first time as part of Atlas. Accordingly, much effort will be required to reach Target 4 of the Mental Health Action Plan, which states that 80% of countries will be routinely collecting and reporting at least a core set of mental health indicators every two years through their national health and social information systems (by the year 2020). Put another way, the rate of overall completion for successive rounds of Atlas needs to increase considerably over and above what has been achieved in this current round. Atlas 2014 asked countries to rate the availability or status of mental health reporting; Figure 1.2 summarises the findings. For those countries responding to this question (155 out of 194, or 80%), 42% are in a position to regularly compile mental health specific data that covers at least the public sector); this is equivalent to 33% of all Member States (42% * 80% response rate). However, nearly 20% of responding countries have not compiled mental health data into any report for policy, planning or management purposes in the last two years. Arranged by World Bank income group, 60% of high-income countries who responded are able to regularly compile mental health specific data that covers at least the public sector, compared to close to 40% of responding countries in other income groups (Figure 1.3). Based on actual data submitted to WHO through Atlas 2014, an assessment of countries’ ability to report on a defined set of core mental health indicators was also made. Included indicators were as follows: 1) stand-alone mental health policy or plan (yes or no); 2) stand-alone mental health law (yes or no); 3) mental health workforce (available data for at least some types of worker); 4) service availability (data for at least some care settings); 5) mental health promotion and prevention (completion of inventory, including if no programmes present). 117 countries (60% of all Member States) were able to report on all five of these items. Adding a further key indicator to the defined core set, such as the rate of suicide or service uptake for severe mental disorders, reduces substantially the number of countries able to report, to 91 (47%) and 50 (26%) respectively. This latter, more stringent threshold produces a result quite similar to the one provided above giving the total number of countries who self-reported their ability to regularly compile mental health specific data covering at least the public sector (64 countries, equivalent to 33% of all Member States)
RESULTS GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS 100% 100% 81% Global AMRO EMRO SEARO WPRO (171 out of 194) (38 out of 47) (30 out of 35) (21 out of 21) (48 out of 53) (10 out of 11)(24 out of 27) FIG. 1.1 Mental health Atlas 2014: submission rate by Member States Mental health specific data Mental health specific Mental health data No mental health data compiled in last two years data compiled in last two compiled only for compiled in last two years for public and private sector years for public sec general health statistics 21% 70% 36% 30% % 42% 28% 20% 14% 10% Global AMRO EMRO EURO SEARO WPRO (N=155 (N=29) FIG. 1.2 Mental health data availability and reporting, by WHO region MENTAL HEALTH ATLAS 2014
20 MENTAL HEALTH ATLAS 2014 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 19% 39% 21% 5% 5% 40% 13% 42% 30% 40% 46% 38% 36% 40% 42% 20% 31% 35% 28% 21% 30% 4% 10% 18% 20% 14% 3% 12% WPRO (N = 24) SEARO (N = 10) EURO (N = 39) EMRO (N = 20) AMRO (N = 29) AFRO (N = 33) Global (N = 155) Mental health specific data compiled in last two years for public and private sector Mental health specific data compiled in last two years for public sector Mental health data compiled only for general health statistics No mental health data compiled in last two years FIG. 1.2 Mental health data availability and reporting, by WHO region RESULTS GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS 0% 20% 40% 60% 80% 100% 89% 91% 91% 100% 86% 81% 88% WPRO (24 out of 27) SEARO (10 out of 11) EURO (48 out of 53) EMRO (21 out of 21) AMRO (30 out of 35) AFRO (38 out of 47) Global (171 out of 194) FIG. 1.1 Mental health Atlas 2014: submission rate by Member States
MENTAL HEALTHATLAS 2014 Mental health specific tal health data No mental health data compiled in last two years data compiled in last two piled only for compiled in last two years for public and private sector years for public sector ral health statistics 100% 31% 36% 80% 40% 33% 20% Lower-middle (N=44) FIG. 1.3 Mental health data availability and reporting, by World Bank income group RESULTS I GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS
RESULTS | GLOBAL REPORTING ON CORE MENTAL HEALTH INDICATORS 21 MENTAL HEALTH ATLAS 2014 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2% 31% 31% 17% 36% 43% 50% 33% 36% 33% 31% 12% 25% 7% 5% 8% High (N = 44) Upper-middle (N = 46) Lower-middle (N = 39) Low (N = 31) Mental health specific data compiled in last two years for public and private sector Mental health specific data compiled in last two years for public sector Mental health data compiled only for general health statistics No mental health data compiled in last two years FIG. 1.3 Mental health data availability and reporting, by World Bank income group