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Conflict (Rohingya, COVID-19, and coup) in Myanmar: unmet need of mental health

Published online by Cambridge University Press:  02 July 2021

Sheikh Shoib*
Affiliation:
LNM Hospital Srinagar – Psychiatry, India
S.M. Yasir Arafat
Affiliation:
Enam Medical College and Hospital Ringgold Standard Institution, Savar1340, Bangladesh
Myat Thuzar
Affiliation:
Mental Health Hospital, Mandalay, Myanmar
*
Author for correspondence: Sheikh Shoib, E-mail: [email protected]
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Abstract

Type
Letter to the Editor
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Myanmar is a Southeast Asian country with a population of 54 million and a history of the longest-running civil war due to rambling ethnic conflict. The situation has been worsened by issues like migration issues of Rohingyas, the coronavirus disease-2019 (COVID-19) pandemic, and the recent coup (1 February 2021). The conflict has both immediate and enduring effects on mental health. One recent systematic review found that the prevalence of psychiatric disorders [depressive disorder, anxiety disorder, post-traumatic stress disorder (PTSD), bipolar disorder, and schizophrenia] was 22⋅1% among conflict-affected people (Charlson et al., Reference Charlson, van Ommeren, Flaxman, Cornett, Whiteford and Saxena2019). Conflict has a clear negative impact on the mental health of children and adolescents also (Pritchard and Choonara, Reference Pritchard and Choonara2017). A higher prevalence of PTSD was found among the children and adolescents living in areas with armed conflict such as 23%–70% in Palestine, 10%–30% in Iraq, 5%–8% in Israel, and 54%–62% in Rwanda (Pritchard and Choonara, Reference Pritchard and Choonara2017). Mental health is an area in desperate need of attention in Myanmar at least in the current socio-political situation.

There is an instant need for the advance of mental health services in Myanmar complemented by public participation, awareness agendas, and mental health restoration services. Both the government and non-governmental organizations have implemented a community-based psychosocial intervention model for the provision of psychosocial support in the country (Vukovich and Mitchell, Reference Vukovich and Mitchell2015). However, it would be challenging to implement and to continue the same intervention model during an ongoing armed conflict. There is also an urgent need for researchers, clinicians, policymakers for devising policies and interventions in the context of the prevailing mental health status of the Myanmar population. Stability and piecing together the civil society are necessary to reduce the burden albeit; it is a further challenge during the current conflict of Myanmar. International humanitarian support is needed for ongoing conflict turmoil and COVID-19 response stirring in Myanmar. An emergency as well as easily accessible team with the ability to support acutely stressed and grieved people could be formulated as per the World Health Organization recommendation (Van Ommeren, Reference Van Ommeren2019). In Myanmar, the global mental health emergency imposed by the ongoing political conflict, and COVID-19 pandemic has met and exacerbated a complex humanitarian crisis, adding to the growing mental health burden in the country. The global health community and international organizations need to pay attention to Myanmar. It is both an issue of human health and human rights, and an essential need for the people in Myanmar.

References

Charlson, F, van Ommeren, M, Flaxman, A, Cornett, J, Whiteford, H and Saxena, S (2019) New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet (London, England) 394, 240248.CrossRefGoogle ScholarPubMed
Pritchard, E and Choonara, I (2017) Armed conflict and child mental health. BMJ Paediatr Open 1, e000087.CrossRefGoogle ScholarPubMed
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Vukovich, M and Mitchell, GV (2015) Learning from a community based psychosocial intervention model implemented with vulnerable populations in Myanmar. Intervention 13, 121134.CrossRefGoogle Scholar