Bulletin of the World Health Organization

Service availability and utilization and treatment gap for schizophrenic disorders: a survey in 50 low- and middle-income countries

Antonio Lora, Robert Kohn, Itzhak Levav, Ryan McBain, Jodi Morris & Shekhar Saxena

Volume 90, Number 1, January 2012, 47-54B

Table 2. Descriptive statistics describing service utilization and level of treatment for each country, organized by World Bank income classifications

Income classification/country Population Estimated prevalence Treated prevalencea Facility utilization rateb (%)
Treatment gapc (%)
Outpatient Inpatient
Mental hospital General hospital psychiatric unit
Low-income
Afghanistan 23 627 000 338 15 53 10 37 95
Bangladesh 153 122 000 343 9 78 5 17 97
Burundi 7 603 000 329 16 74 26 0 95
Eritrea 4 631 000 329 13 49 51 0 96
Ethiopia 72 746 000 272 35 97 3 0 89
Kyrgyzstan 5 282 000 513 263 73 22 5 49
Mongolia 2 517 000 444 166 58 22 21 63
Myanmar 48 345 000 343 167 98 2 0 51
Nepal 27 222 000 343 36 94 3 3 90
Nigeria 27 386 609 329 178 96 4 0 35
Uzbekistan 26 320 000 495 339 69 30 1 31
Lower-middle-income
Albania 3 099 000 513 233 79 12 9 55
Armenia 3 068 000 513 487 80 18 2 5
Azerbaijan 8 538 000 495 245 84 16 0 50
Belize 288 000 427 131 77 16 7 69
Bolivia (Plurinational State of) 9 524 000 384 152 93 7 0 60
China (Hunan) 66 977 000 444 262 90 9 1 41
Congo 2 854 600 329 25 72 0 28 92
Djibouti 805 000 338 84 66 0 34 75
Ecuador 13 203 000 384 12 21 70 10 97
Egypt 75 718 000 338 84 70 27 4 75
El Salvador 6 037 000 384 108 89 11 0 75
Georgia 4 100 000 513 222 100 0 0 57
Guatemala 12 397 000 384 138 96 4 0 64
Guyana 764 000 427 119 45 12 42 72
Honduras 7 032 000 427 147 94 6 0 66
India (Gujarat) 51 000 000 343 24 81 12 6 93
Iran (Islamic Republic of) 69 982 000 424 84 65 26 9 80
Iraq 27 564 000 338 182 93 5 2 46
Kosovo 1 900 000 513 188 82 0 18 63
Maldives 288 000 343 108 99 0 1 68
Morocco 30 152 000 338 234 83 9 8 31
Nicaragua 5 386 000 427 25 70 28 1 94
Pakistan 176 952 000 338 13 25 24 51 96
Paraguay 5 793 000 427 130 78 21 1 70
Philippines 85 496 000 444 82 85 8 8 82
Sri Lanka 19 462 000 486 302 83 3 14 38
Sudan 39 545 000 338 23 77 1 22 93
Timor-Leste 927 000 343 210 100 0 0 39
Tunisia 9 790 000 424 89 59 24 17 79
West Bank and Gaza Strip 3 636 000 338 122 90 10 0 64
Upper-middle-income
Chile 16 127 000 427 188 84 7 9 56
Costa Rica 4 396 000 427 157 73 22 4 63
Dominica 71 286 427 421 24 0 76 1
Dominican Republic 9 674 000 427 79 92 6 1 82
Jamaica 2 696 000 427 52 27 55 18 88
Latvia 2 337 000 482 1069 70 29 1 0
Panama 3 232 000 427 51 68 14 18 88
Saint Lucia 169 000 427 275 37 62 1 36
Suriname 510 000 427 125 81 19 0 71

a Calculated as the number of people per 100 000 population who were treated annually for schizophrenic disorders in all types of mental health facilities.

b Calculated as the number of people treated annually for schizophrenic disorders in each type of mental health facility divided by the total number of patients with schizophrenic disorders treated annually in all mental health facilities.

c Defined as the proportion of individuals with schizophrenic disorders who failed to receive treatment.