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Table 3 Comparative need emerging from country comparison

From: Assessing the need for a mental health services reform in Moldova: a situation analysis

  Moldova Albania Bosnia and Herzegovina Bulgaria Croatia Macedonia Monte-negro Romania Serbia SEEHN Average EU 15 average
General information
 % Disability adjusted life years accounted for mental disorders* 8.03 6.82 6.68 5.06 6.72 5.92 6.99 5.43 5.9 6.39 10.25
 % Prevalence mental disorders* 17.34 14.38 15.81 14.79 15.46 14.61 14.76 14.28 14.89 15.15 18.04
 Suicide (age-standardized rate per 100,000) ** 13.8 NR 6.2 6.9 12.3 6.8 NR 8.8 10.6 9.34 8.94
 Existence of mental health policy Yes Yes Yes Yes *** Yes Yes Yes Yes Yes 100% 93%
 Implementation status Partial Partial Partial Partial *** Partial Partial Partial Partial Partial None, 0%; Partial, 100%; full 0% None, 0%; Partial, 46.6%; full 53.5%
Resources for mental health
 Total health expenditure as % of the GDP (WHO Estimates)**** 10.3 5.9 9.6 8.4 7.8 6.5 6.4 5.6 10.4 7.87 9.83
 Mental health spending per capita (US$) 4.77 NA 1.89 NR NA NA NA NA NA 3.33 293.72
 Total no of mental health workers per 100,000 65.2 13.5 23.4 NR NR NR 35.2 36.3 21.8 32.57 127.2
 No of psychiatrists per 100,000 5.92 1.32 4.00 NR NR NR 8.69 5.97 7.35 5.54 14.1
Institutional care
 Total no. of mental hospitals in 2011 (per 100,000)*** 3 (0.08) 2 (0.06) 6 (0.16) 12 (0.16) 7 (0.16) 4 (0.2) 3 (0.48) 39 (0.18) 5 (0.05) 9 (0.17) 73.62 (0.27)
 Total no. of beds in mental hospitals in 2011 (per 100,000)*** 2080 (58.17) 520 (16.41) 467 (12.42) 2705 (36.08) 3353 (76.04) 1150 (56.28) 332 (53.08) 8107 (38.26) 3880 (39.37) 2510.44 (42.90) 11,021.54 (44.72)
 No. of beds per mental hospital in 2011 *** 693.3 260 77.83 224.41 479 287.5 110.67 207.87 776 346.40 198.2
 Total no. of mental hospitals in 2014 (per 100,000) 3 (0.08) 2 (0.06) 3 (0.08) NR 8 (0.19) 4 (0.2) 2 (0.32) 35 (0.16) 8 (0.08) 8.13 (0.15) 102 (0.21)
 Total no. of beds in mental hospitals in 2014 (per 100,000) 2070 (59.8) 490 (15.4) NR NR 3375 (79.0) NR 261 (42.0) 10 950 (50.6) 3692.67 (39.0) 3473.12 (47.63) 13 373.3 (36.61)
 No. of beds per mental hospital in 2014 690 245 NR NR 421.87 NR 130.5 312.86 461.58 376.97 184.6
 Changes (%) in total no. of mental hospitals 2011–2014 (% per 100 000)***** 0% (0%) 0% (0%) − 50% (− 50%) NR 14.28% (18.75%) 0% (0%) − 33.34% (− 33.34%) − 10.26% (− 11.12%) 60% (60%) − 9.67% (− 11.77%) 38.5% (− 23.31%)
Changes (%) in total no. of beds in mental hospitals 2014–2011 (% per 100,000)***** − 0.49% (2.8%) − 5.77% (− 6.22%) NR NR 0.65% (3.89%) NR − 21.34% (− 20.88%) 35.06% (32.35%) − 4.83% (− 0.94%) 38.34% (11.02%) 21.33% (− 18.14%)
Changes (%) in total no. of beds per mental hospital 2014–2011***** − 0.48% − 5.77% NR NR − 11.93% NR 17.91% 50.5% − 40.52% 8.82% − 6.8%
  1. SEEHN—South Eastern European Health Network before its enlargement in 2011 with Israel (Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Montenegro, the Republic of Moldova, Romania, Serbia and the former Yugoslav Republic of Macedonia); EU15—15 member states of the European Union before its enlargement in 2004 (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxemburg, The Netherlands, Portugal, Spain, Sweden, the UK)
  2. NR, not reported; NA, item not applicable; UN, information unavailable
  3. * Data from the Global Health Data Exchange 2014: http://ghdx.healthdata.org/gbd-results-tool
  4. ** Data from WHO mortality database 2014: http://apps.who.int/healthinfo/statistics/mortality/whodpms
  5. *** Data from the WHO Mental Health Atlas 2011: http://www.who.int/mental_health/evidence/atlas/profiles/en/
  6. **** Data from the WHO HFA-DB 2014: https://gateway.euro.who.int/en/datasets/european-health-for-all-database/
  7. ***** Indicators and data for Moldova, Bulgaria and Romania from Krupchanka and Winkler [32]