Page 244 - RUICHSS 2023 Proceeding

University of Ruhuna ISSN: 2706-0063
Matara, Sri Lanka

community mental health care, primary care integration, medication

availability, user involvement, and equity of access. Countries like
Bangladesh, Bhutan, Pakistan, India, and Sri Lanka have made progress in

implementing these components. Nepal focuses on basic medication,

protecting human rights, and raising awareness. The Maldives lacks a policy,
legislation, or plan. Studies show a large number of untreated patients in the

community, leading to seeking help from religious and traditional healing sites
(Thara & Padmavati, 2013). Thereby, along with more trained labor, better

resource allocation, and enhanced services, reform of the legal framework

governing mental health is crucial. It is crucial to conduct a community needs
assessment to allocate resources and focus community-based efforts.

However, there is a significant negative relationship between urbanisation and

mental disorders before a pivotal point in Nepal, Bangladesh, and Pakistan.
After the pivotal moment, the impact of urbanisation on mental disorders is

positively significant only in Nepal, Bangladesh, and Pakistan. The positive

impact may be due to the rapid urbanisation rate increases the psychosis and
depression rate for both men and women owing to social stress, environmental

pollution, and noise which arise from higher population densities reported

within urban areas or either being born or most of the childhood is spent within
urban areas (Trivedi et al., 2008). As supporting the positive impact, a study

found that residents in Dhaka mega city were living in inadequate housing
areas with insufficient infrastructure and lack of proper drainage, sanitation,

and garbage disposal services which led to a lack of self-reported mental
disorders (Fahmida et al., 2009). In addition, Tabassum et al. (2000) study
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