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The World Health Organization estimates that there are nearly four to five hundred million people living on our tiny planet who are affected by a mental illness. For me, what's truly sundar about the idea of task shifting, though, isn't that it simply makes health care more accessible and affordable but that it is also fundamentally empowering. Soon after my training, I found myself working first in Zimbabwe and then in India, and I was confronted by an altogether new reality. We need to unpack complex health care interventions into smaller components that can be more easily transferred to less-trained individuals. The most obvious example is suicide.
The idea is actually quite simple. The first is that we need to simplify the message that we're using, stripping away all the jargon that medicine has invented around itself.
Now when we do that, we discover some startling things about mental illness from a global perspective. To transform global mental health through education, research, innovation, relative age dating of sedimentary rocks and engagement.
And importantly, we need to reallocate the few specialists who are available to perform roles such as capacity-building and supervision. His primary interest, however, is in global mental health, specifically the improved treatment and care of people with mental disorders around the globe. Rahul is offered a cardiac procedure, but Rajiv is sent home. Lessons from Low- and Middle-Income Countries.
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This was a reality of a world in which there were almost no mental health professionals at all. What might explain the difference in the experience of these two nearly identical men? In the developing countries of the world, this gap is even larger.
And it struck me that if you could train ordinary people to deliver such complex health care interventions, then perhaps they could also do the same with mental health care. Nearly million people are affected by mental illness worldwide. Any case, I went on, I soldiered on with psychiatry, and found myself training in Britain in some of the best hospitals in this country. Indeed, for me, task shifting is the ultimate example of the democratization of medical knowledge, and therefore, medical power. We discover that, for example, mental illnesses are amongst the leading causes of disability around the world.
Rajiv suffers from a mental illness. Indeed, mental illnesses are also very damaging to people's lives, but beyond just the burden of disease, let us consider the absolute numbers. We need to deliver health care, not in large institutions, but close to people's homes, and we need to deliver health care using whoever is available and affordable in our local communities. We aim to inspire members of the Harvard community to elevate the profile of mental health as a fundamental public good and a university human right. It empowers ordinary people to be more effective in caring for the health of others in their community, and in doing so, to become better guardians of their own health.
But of course, mental illnesses can kill in more direct ways as well.
It was then that I came across these books, and in these books I discovered the idea of task shifting in global health. In India, I found the situation was not a lot better. Synthesis of research in global mental health for effective communication and uptake by a variety of stakeholders.
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