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Central Asian Mental Health Blog
Central Asian Mental Health Blog
MARWA RAHIMYAR
Introduction:
Mental Health in the heart of Asia is a complex matter shaped by the land’s dense history, rich
culture, and of course, a number of multilayered socio-economic factors. The region itself is the
breathing and thriving legacy of the Soviet Union in decades past, which undeniably left its imprint
on societal structures and attitudes, that encompasses the diverse nations of Kazakhstan,
Kyrgyzstan, Tajikistan, Turkmenistan, Afghanistan, and Uzbekistan. In the folds of Central Asia are
people of a wide variety of ethnicities, cultures, and traditions, and each demographic contributes
its own personal hue on the atmosphere of Asia’s core. Yet, despite this divergence lies a shared
journey marked by distinctive challenges that shape the mental well-being of its people. Studies had
concluded that 8.9% of people who reside in Central Asia have experienced mental health disorders,
almost double the global average, and were met with inadequate resources and support. Mental
health is not merely a matter of individual resilience and well-being but also a token of broader
efforts in healthcare, national policy formulation, and community support. Only by delving into the
depths of these complexities can steps towards fostering a mentally healthy Central Asia can
progress be made.
Current State:
The current state of mental health in Central Asian countries reflects a bigger and much deeper
issue at play. According to the World Health Organization (WHO), depression is a leading cause of
disability worldwide, and in Central Asia, it is estimated that approximately 4.6% of the population
suffers from depressive disorders. Moreover, anxiety disorders affect around 3.9% of the population
in the region as a result of the scars of war and conflict. Accessing mental health services remains a
significant challenge, with only limited resources allocated to mental health care. In Kazakhstan,
there are approximately 5.1 psychiatrists per 100,000 people, well below the global average of 9
psychiatrists per 100,000 people. Similarly, in Uzbekistan, mental health services are scarce, with
extremely limited space for mental health patients. Stigma surrounding mental illness also obstructs
efforts to address the issue effectively, leading to underreporting and reluctance to seek help.
Additionally, the region's transition in healthcare systems has resulted in gaps in mental health
infrastructure and a lack of integration of mental health services into primary healthcare. Addressing
the current state of mental health in Central Asia requires a multifaceted approach that addresses
not only healthcare infrastructure but also societal attitudes, stigma, and the societal determinants
of mental health.
Obstacles:
Among the numerous obstacles faced in addressing mental health in Central Asia, one of the most
prominent is the pervasive stigma and discrimination surrounding mental illness. Deep-rooted
cultural beliefs often view mental health issues as a personal failing or a taboo subject, leading to
reluctance in seeking help and blocking open discussions about mental well-being. This stigma
extends beyond societal perceptions to affect policy decisions and resources. Additionally, the
shortage of mental health professionals and limited access to specialized services pose significant
challenges in providing adequate care. Geographic disparities further exacerbate these obstacles,
with rural and remote areas often underserved and lacking in mental health resources. Furthermore,
the legacy of political instability and conflict in certain Central Asian countries has left deep scars on
communities, exacerbating trauma and mental health challenges among affected populations.
Overcoming these obstacles requires a concerted effort to destigmatize mental illness, improve
access to mental health services, and integrate mental health into broader healthcare systems and
policies.
What Needs to be Done:
Addressing the challenges of mental health in Central Asia requires an approach that takes into
consideration various levels of intervention. Firstly, there is an urgent need for increased investment
in mental health infrastructure and services. According to the WHO, as of 2019, the average number
of psychiatrists per 100,000 people in Central Asian countries ranged from as low as 0.7 in
Turkmenistan to 2.2 in Kazakhstan, significantly below the global average of 9 psychiatrists per
100,000 people. This shortage highlights the pressing need to train and recruit more mental health
professionals to meet the growing demand for services. Additionally, efforts should focus on
integrating mental health into primary healthcare systems to ensure broader access to care,
especially in rural and underserved areas. Beyond healthcare provision, raising public awareness and
combating stigma are crucial. According to a study published in the Asian Journal of Psychiatry,
stigma towards mental illness is prevalent in Central Asian societies, with misconceptions and
initiatives, and media campaigns can play a crucial role in dispelling myths and fostering a more
supportive environment for individuals living with mental health conditions. Moreover, addressing
the socio-economic determinants of mental health is essential. Unemployment, poverty, and social
inequality are significant risk factors for poor mental health outcomes. Investing in education,
employment opportunities, and social support systems can help alleviate these stressors and
promote resilience within communities. Finally, fostering regional cooperation and partnerships is
vital for sharing best practices, resources, and expertise in mental health promotion and treatment.
By addressing these challenges comprehensively, can we work towards building healthier and more
"Central Asian Countries Seek Secrets to Success in Community-based Mental Health Reform from
Trieste, Italy." World Health Organization (WHO), 19 Dec. 2023,
www.who.int/europe/news/item/19-12-2023-central-asian-countries-seek-secrets-to-success-in-
community-based-mental-health-reform-from-trieste--italy.
"Health Systems Policy Dialogue to Strengthen Mental Health in the Central Asian Republics." World
Health Organization (WHO), 25 Apr. 2023,
www.who.int/europe/news-room/events/item/2023/04/25/default-calendar/policy-dialogue-to
-strengthen-mental-health-in-the-central-asian-republics.
"Mental Health and Migration: Depression, Alcohol Abuse, and Access to Health Care Among
Migrants in Central Asia." PubMed Central (PMC),
www.ncbi.nlm.nih.gov/pmc/articles/PMC4008719/.
"Mental Health and Migration: Depression, Alcohol Abuse, and Access to Health Care Among
Migrants in Central Asia." SpringerLink, 2 Nov. 2013,
link.springer.com/article/10.1007/s10903-013-9942-1.
"Mental Health in Europe and Central Asia: Girls Fare Worse Than Boys." World Health Organization
(WHO), 10 Oct. 2023,
www.who.int/europe/news/item/10-10-2023-mental-health-in-europe-and-central-asia--girls-fa
re-worse-than-boys.
"Widespread Collapse, Glimpses of Revival: a Scoping Review of Mental Health Policy and Service
Development in Central Asia." SpringerLink, 18 Mar. 2021,
link.springer.com/article/10.1007/s00127-021-02064-2.