Table 3 Comparative need emerging from country comparison
From: Assessing the need for a mental health services reform in Moldova: a situation analysis
| Â | 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% |