Pakistan Me
Mental Health
Or Saqafati Rukawat!

Pakistan mein zehni sehat ka bohraan barhta ja raha hai. Aik andazay ke mutabiq 50 million afraad (har chaar mein se aik) shaks ko zehni sehat ke masail ka saamna karna par raha hai. Badnami, naaqis aagahi aur khidmaat ki kami ki wajah se bohat se log madad nahi letay hain, aur 90 % jin ko ilaaj ki zaroorat hai woh madad tak rasai haasil nahi kar satke. Covid-19 wabai bimari aur haliya tabah kun selaab ke baad se yeh bohat se logon ke liye mazeed kharab ho gaya hai.

241.5 million se ziyada abadi par mushtamil is mulk Pakistan mein zehni sehat ke masail aksar sharam aur khamoshi mein doobe rehtay hain. Abadi ke aik ahem hissay ko mutasir karne ke bawajood, yeh masail aksar ghair hal shuda rehtay hain. Is blog post ka maqsad is maslay ke mukhtalif pehluo ko talaash karkay behtar zehni sehat ki dekh bhaal ki ahem zaroorat par roshni daalna hai.

Pakistan me Darpesh Mushkilat

World Health Organization (WHO) ke mutabiq, aik andazay ke mutabiq 45. 5 million afraad zehni amraaz ka shikar hain, jin mei depression, anxiety aur schizophrenia sab se ziyada aam hain. Taham, dimaghi bemari mein mubtala afraad mein se sirf 10% hi ilaj hasil karte hain. Mukhtalif awamil ki wajah Pakistan mein bhi payi jati hain:

Badnuma daagh(Stigma): Zehni bemari ke gird geherai se jari hui masharti badnami afraad aur khandano ko faislay aur imtiazi sulooq ke khauf se madad talabb karne ki hosla shikni karti hai.

Aagahi ki kami: Zehni sehat ke masail ki mehdood samajh ghalat fehmiyan peda karti hai aur logon ko apne ya doosron mein alamaat ko pehchanne se rokti hai.

Na kafi wasail: Pakistan mein sehat ke nizam ko zehni sehat ke qabil peshawar afraad, qabil rasai sahuliyat, aur ilaaj ke sastay ikhtiyarat ki shadeed kami ka saamna hai.

Mehdood rasai: Kaas tor par dehi ilaqon mein, geographiyai rakawaten aur naqal o hamal ki kami afraad ke liye zehni sehat ki khidmaat tak pohanchna mushkil banati hai.

Pakistan mein, jahan dimaghi sehat ke masail ko aksar sharam se chupaya jata hai aur nazar andaaz kya jata hai, ese me un masail ko talaash karna aur un se nimatna or bhi zaroori hai. Dimaghi sehat ke das aam masail hain jo bohat se logon ke liye ilaj ka husool mushkil bana dete hain:

• Depression taqreeban 17 million logon ko mutasir karta hai, jo gurbat, berozgari aur samaji tanhai ki wajah se barhta hai.
• 12 million se ziyada log becheeni se mutasir hain jin ki khasusiyat zaroorat se ziyada pareshani aur jismani alamaat se hoti hai, jis mein samaji aur umomi tashweesh ki kharabi payi jati hai.
• PTSD qudrati aafat aur samaji badamni ki wajah se barray pemanay par phialta hai, jis se roz marrah ki zindagi aur taluqaat mutasir hotay hain.
• Taqreeban 6 % nashay ki zayadti ke sath jad-o-jehad karte hain aur woh aksar apne masail se nimatnay ke liye manshiyat ka istemal karte hain, jo ke opioids aur bhang ka masla hai.
• Khurak ke masail badh rahe hain, khaas tor par nojawan khawateen mein, jo samaji dabao aur khoubsurti ke ghair haqeeqi mayarat se munsalik hain.
• Bedari aur khusoosi khidmaat ki kami ki wajah se ADHD, ASD, aur bachpan ka depression ghair tashkhees shuda reh jata hai.
• Pedaishi dimaghi sehat maaon aur bapon ko mutasir karti hai, support system aur bedari ki kami ki wajah se barh jati hai.
• Sehat ke masail, samaji tanhai aur nighdasht ki na kafi sahuliyaat ki wajah se buzurgon mein dimaghi sehat ke masail paye jatay hain.
• Yeh dehi ilaqon aur pasmandah abadiyon mein bhi mehdood rasai, geographiyai rukawaton, gurbat aur saqafati badnami se jari hui hai.
• Taboo, madad tak mehdood rasai, aur wasee na umeedi ki wajah se khudkushi aik barhti hui tashweesh hai, khaas tor par nojawanon mein.

Pakistan mein taqreeban 500 mahir nafsiyat (psychologist) aur 400 psychiatrist hain, jin mein sirf chand bachon ke maahir nafsiat hain. Hum Pakistan mein zehni sehat ke manzar naame ko tabdeel karne ke liye sirf un chand peshawar afraad par bharosa nahi kar satke. Tabdeeli ko agay barhane ke liye is intehai ahem aur aksar nazar andaaz kiye jane wale maslay ko ujagar karne ke liye hum sab ko ikathay honay ki zaroorat hai.

Yeh seedhi si wazahat un challenges ka saamna karne ke liye ittehad ki appeal hai, dimaghi sehat ko sharam ka mauzo banana band karen, aur aik aisi nighdasht ki jagah banayen jahan har aik ko woh dekh bhaal mil sakay jis ke woh mustahiq hain.