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Higher Rate of Deprivation Among People with Mental Disorders

Figures 19.1, 19.2 and 19.3 report deprivation rates by dimension of deprivation respectively in Afghanistan, India and Nepal. Results show higher rate of deprivation for persons with mental disorders, relative to the other categories, in 7 dimensions out of 13 in Afghanistan. We found higher rates (as indicated by larger bars on the bar-graphs) of deprivation for persons with mental disorders in 13 dimensions out of 17 in India. Yet the differences in levels of deprivation are not observed in the same dimensions. In Afghanistan, levels of deprivation are higher for persons with mental and associated disability in terms of physical safety, psychological wellbeing, employment and social participation compared to levels of deprivation for persons with other types of disabilities and non-disabled people. Levels of deprivation are smaller in terms of material wealth and education. The gap in level of deprivation between persons with mental disorders and the rest of the population is particularly significant for employment in India, and this is largely explained by the stigma

Deprivation rates by indicator and by disability status in Afghanistan

Fig. 19.1 Deprivation rates by indicator and by disability status in Afghanistan

Deprivation rates by indicator comparing persons with and without mental disabilities in New Delhi, India

Fig. 19.2 Deprivation rates by indicator comparing persons with and without mental disabilities in New Delhi, India

the former face that excludes them from the labour market (Trani et al. 2015). Literature has shown that in other contexts, including high-income countries, there is a widespread societal belief that persons with mental disorders cannot work or are less productive (Baldwin and Marcus 2006; Corrigan et al. 2006;

Deprivation rates by indicator and by disability status in Nepal

Fig. 19.3 Deprivation rates by indicator and by disability status in Nepal

Gulinelli et al. 2005). This gap in level of deprivation between both groups is also high for food security, individual income and asset ownership in India. Contrarily to Afghanistan, physical safety is not a major issue for persons with mental illness. In Nepal, there was little difference in levels of deprivation according to disability status and type of disability among women.

 
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