In 2015, 322 million ppl worldwide were affected by #depression. Of these, 57 million people or 18% were from India.
There is no single identifiable cause–several biological,social, economic,cultural & environmental factors can contribute to it. At its worst,depression can lead to suicide.
This report by the India office of the World Health Organization (WHO) examines the characteristics and impact of depression in the country, which affects people of all ages, genders, socio-economic groups and religions.
#Depression manifests in different ways depending on its severity, the individual’s socio-cultural context and his or her age. This, the report says, makes recognising it challenging. For instance, children with depression have different symptoms compared to adults.
Symptoms of depression include feelings of sadness, reduced interest inactivities, fatigue,loss of self-esteem, unreasonable guilt,recurrent thoughts of death/suicide,diminished ability to think, disturbed sleep, gloomy perceptions of the future,fluctuations in appetite &/weight.
The National Mental Health Survey 2015-16 by the @MoHFW_INDIA shows that rates of #depression are higher among women than among men across all age groups. The difference reaches its peak in the 40-49 age group – 4.19% of women & 3.04% of men have depressive disorders.
#Poverty & #Mentalhealth are part of a vicious cycle. People with common mental disorders like #anxiety & #depression are more likely to become poor due to increased health expenditure, loss of productivity,reduced social support & the stigma associated with their mental illness.
#Poverty, on the other hand,exposes individuals to social exclusion, #malnutrition, obstetric risks & a higher risk of violence, among other factors, that could lead to depression.A lack of access to good-quality & continued mental healthcare contributes to this vicious cycle.
The NMHS 2015-16 found over 50% of ppl who had #depression said that their condition interfered with daily activities. The survey also spoke to people caring for those with depression. Of these, 77% reported problems with finances,& their family’s leisure,routine and interaction.
A #Mentalhealth treatment gap refers to a situation in which individuals with psychiatric disorders remain untreated although effective treatments exist for them. In India, there is a treatment gap of 86% for depression & 80% for any ‘suicidal risk behaviour’.
India has an acute shortage of #Mentalhealth professionals – there are only 0.07 psychiatrists and 0.12 psychiatric nurses for every 1,00,000 people. Often, these professionals have insufficient or no training in dealing with #depression. #MentalHealthAwareness
The country also doesn’t have an uniterrupted supply of essential psychotropic drugs, efficient referral systems, counselling services and continued care for #patients. #MentalHealthAwareness
‘Who knew the lack of rain could kill my art?’ (a thread)
Three decades ago, no one wanted to teach a young Sanjay Kamble how to work with bamboo.
Today, when he wants to teach everyone his dying craft, no one wants to learn.
“It’s ironic how times have changed,” the 50-year-old says.
With the bamboo that grows in his one-acre field, Kamble mainly crafts irlas – a kind of raincoat used by paddy farmers in this region in western Maharashtra.
“My lungs feel like stone. I can barely walk,” says Manik Sardar.
In November, 2022, the 55-year-old was diagnosed with silicosis – an incurable pulmonary disease. “I have no interest in the upcoming elections,” he continues,
“I am only worried about my family’s condition.”
Naba Kumar Mandal is also a patient of silicosis. He adds, “elections are about false promises. For us, voting is a routine task. No matter who comes to power, things will not change for us.”
“I reach here by 8:45 a.m. and we start work by nine. By the time I am home, it is 7-7:30 in the evening,” says Madan Pal. ‘Here,’ is the tiny carrom board factory in Suraj Kund Sports Colony in Meerut city, Uttar Pradesh.
Karan, 32, who has been working here for 10 years, inspects each stick of wood and segregates those that are damaged and will be returned.
“It is not difficult to make a board, but it is not easy to make the coins glide on the playing surface.”
Lenindhasan, or Lenin– as he is called – and his friends, are trying to replace modern rice varieties and resist mono-cropping. Their plan is to restore lost diversity. And to germinate a rice revolution.
It's a different kind of revolution, led by another kind of Lenin.
Lenin cultivates 30 varieties of rice. He sells another 15 raised by fellow farmers. And he conserves 80 types of paddy seeds. All this, in his family’s six-acre farm in Tamil Nadu’s Tiruvanamalai district.
It seems as if he’s been farming and selling paddy for decades. But it’s only been six years.
Before he became a farmer, Lenin was a corporate employee in Chennai, with two degrees and a good salary.
Life has only become harder in the last 10 years (A thread)
India's poorest homes continue to rely on minor forest produce like mahua and tendu leaves, along with the assured Mahatma Gandhi National Rural Employment Guarantee (MGNREGA) programme.
As they prepare for voting today in the General Elections 2024, Adivasi villagers here in Arattondi village say their lives have only become harder in the last 10 years...