Wednesday, 12 July 2017

Living with mental disorder ……disease on the rise as one million Zambians fall victim


By ANN ZULU

THE increasing cases of mental disorder in Zambia has become a source of concern for mental health experts and many Zambians who are now calling for adequate mental health facilities and personnel to curb it.

Mental disorder, also called mental illness, psychological disorder or psychiatric disorder, is a mental or behavioral pattern that causes either suffering or poor ability to function in ordinary life.
The causes of mental disorder are often unclear but common causes include drug abuse, depression, dementia, schizophrenia, discrimination and sometimes it is genetic.
Some of the signs and symptoms are disturbed or disruptive behaviour, unkempt appearance, and disorientation, distortion in perception, poor judgment and orientation.
According to latest statistics, more than a million Zambians suffer from mild and acute mental illness.
A tour across the major cities and towns in the country may reveal a lot of mental patients both young and old on the streets.
There is no doubt that the number of mentally deranged people patrolling the streets especially in cities have increased.
These persons mostly drink from the gutters and eat from refuge dump sites. They often carry large luggages full of rubbish.
The dangers they pose
Mental patients can sometimes be violent and they must not be ignored.
According to Melody Mulenga, a maketeer at Lusaka’s Soweto Market, male mental patients were very dangerous.
She said many male mental patients found on the markets often tried to attack women and still walked around freely.
She noted that some women marketeers have fallen victim and nothing had been done to their violators.
“The markets are no longer safe for women because of the increasing  number of mental patients; women are getting raped that sometimes they are even ashamed to report to the police or talk about it. Moreover even if they report nothing will be done because the offender is a mental patient,” she said.
State of Mental Health care In Zambia
Mental health care still remains a challenge in Zambia due to inadequate mental health facilities and personnel.
At the moment, the country only has one psychiatry hospital in Lusaka: Chainama Hills Hospital, which is not sufficient considering the increase in population and the number of people with mental problems.
John Mwale, a psychiatrist, said there is need to give priority to the management of mental disorder because its burden outweighed that of HIV.
Mr Mwale said mental illness was one of the major contributors to disease burden globally.
He said it was regrettable that the country only had one mental health institution at a time when the number of mental health patients was increasing.
He advised Government to prioritize the construction of more mental hospitals in all the 10 provinces.
“In Zambia, one out of seven persons will have serious mental illnesses, while one in four persons will have some form of mental disorder; and this is a conservative estimate.
“Mental health is one of the health conditions that has been seriously neglected in Zambia, hence the urgent need to give it priority before more lives are lost.” he said.
Attitude of family members
Some family members of the mentally challenged are not helping matters as they abandon their sick relatives, which has led to many mental patients roaming the streets.
Others, isolate and discriminate against them, while some take them to prayer camps to seek spiritual healing and in most instances the treatment they go through include starvation, physical assault and chaining for days, which eventually compound their situation.
Need for funds
Mental Health care, as a matter of urgency, needs regular and constant release of funds. It also needs more doctors and more members of staff to help curb the situation.
Goodwill ambassador for persons living with disabilities Elijah Ngwale said the release of more funds would go a long way to help remove mental patients from the streets.
“Gradually we can get rid of all the mental patients from the streets because the rate at which mental patients continue to pour on the street is very outrageous and much attention has to be given to it,” he said.
Way forward
Mental health care is a shared responsibility and therefore Government, benevolent individuals, families and other stakeholders must give it immediate intervention to help fix the challenges.
It is imperative for families, relatives and friends to desist from neglecting their mentally ill relatives; they should give them the needed attention and care not leave them to their fate.

Government should also be able to design systematic programmes and liaison with relevant bodies to clear mental health patients from the streets for people to go about their daily activities without fear.

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