シンポジウム：Current Status of Psychiatry in Asian Countries

第133

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Current Status of Psychiatry in Pakistan
Saqib Bajwa（Fatima Jinnah Medical College, Ganga Ram Hospital, Lahore, Pakistan）

At present there are about 3,000 beds in

Solutionsstate sector（a little more than 2,000 in mental

As we know that a lot of progress have

hospitals and bout 1,000 in state run teaching

been done in the ﬁeld of mental health in Pakis-

medical institutions）. In private sector esti-

tan from its inception and now it is being recog-

mated beds are approximately2,000. There are

nized among medical professionals and general

300 psychiatrists in Pakistan mostly located in

population. But we must have to take some key

major cities.

steps in promotion of mental health in Pakis-

Current problems: At present large number of population is unattended as there is lessnumber of mental health professionals.

As

tan.
Behavioral sciences should be the compulsory subject at medical graduate under gradu-

most of the mental health professionals are inate level.

big cities there is non availability of mental

medical graduates in the ﬁeld of psychiatry.

health professionals in district,tehsils and rural

Posts of psychiatrists in general hospitals in-areas. Most of the mental health professionals

cluding district hospitals should be created so

are drifting towards foreign countries because

to make mental health services to reach at theof economic reasons. During the medical edu-

area of each district and at rural areas. Train-

cation there was not coverage of behaviouraling of Primary Care Physicians should be taken

sciences but some interest have been taken toin account as most of the patients ﬁrst present

include it in curriculum. Other problems into them.

clued :
・Less developed infrastructure i.e.psychiatric nurses, psychiatric social workers
・Psychiatry not well recognized as specialty
in undergraduate education
・Inadequate training of GPs
・Few psychiatric beds in general medical
hospitals
・Few research activities

And there should be training of

There should be exchange program between local and foreign mental health instituteand our mental health professional should have
exposure to foreign mental health expert regularly via conferences, web and teleconferences.
Already some psychiatrists are running
individual community program but it is need of
the hour that proper and regular community
programs should be conducted with special
focus on patients, caregivers, teachers, clergymen and media. Free camps should be con-

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134

精神経誌（2010）112 巻 2 号

ducted frequentlythat would help in community

trists but now there are psychiatric facilities

awareness and mental health services would

almost in every major city. As being a develop-

reach to unreached.

ing country we are striving hard to meet the

Although some psychiatrists are doing re-international standards in mental health but it

search but there should be standard research

is a ﬁrst step of long journey. We need constant

protocols that would equip the psychiatrist withstruggle and vigilance to improve our skill intool to do the research according to the circum-

this ﬁeld. We have to develop a better infras-

stances of Pakistan as social aspect havetructure for education,research and awarenessinﬂuence on presentation of psychiatric illness.

of mental health among medical professional

After inception of Pakistan there were only
two mental health institutes and few psychia-

and general population.
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