Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-05T00:15:20.326Z Has data issue: false hasContentIssue false

The World Bank World Development Report 1993: Investing in Health: Reveals the burden of common mental disorders, but ignores its implications

Published online by Cambridge University Press:  02 January 2018

Ilona Blue
Affiliation:
London School of Hygiene and Tropical Medicine
Trudy Harpham*
Affiliation:
London School of Hygiene and Tropical Medicine
*
Dr Harpham, Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The annual World Development Report which the World Bank produces has for the first time focused upon health issues. Central to its 1993 report Investing in Health was an analysis of the “global burden of disease”, addressing both mortality and morbidity. Previous attempts to prioritise health problems on a worldwide scale have focused on mortality, so common mental disorders have not appeared to be significant. The method of measuring the burden of disease described here has highlighted neuropsychiatric disorders, particularly depression, which accounts for around 30% of neuropsychiatric disorders. Neuropsychiatric diseases account for 5.7% of the total burden of disease for women in the developing world, and rank fifth in this respect. In the rest of the world, they account for 13.3% of the total burden of disease for women, and rank third. Prioritising health interventions is crucial given the scarce resources available. Sufficient evidence now exists to warrant greater emphasis on common mental disorders.

Type
Editorial
Copyright
Copyright © Royal College of Psychiatrists, 1994 

References

Abas, M., Broadhead, J. A., Mbape, P., et al (1994) Defeating depression in the developing world: a Zimbabwean model. British Journal of Psychiatry, 164, 293296.Google Scholar
Murray, C. J. L. (1994) Quantifying the burden of disease: the technical basis for Disability Adjusted Life Years. Bulletin of the World Health Organization, 72, 429445.Google ScholarPubMed
Murray, C. J. L. & Lopez, A. D. (1994) Quantifying the burden of disability: data, methods and results. Bulletin of the World Health Organization, 72, 481494.Google ScholarPubMed
Murray, C. J. L., Lopez, A. D. & Jamison, D. T. (1994) Global burden of disease in 1990: summary results, sensitivity analysis and future directions. Bulletin of the World Health Organization, 72, 495509.Google Scholar
World Bank (1993) World Development Report 1993: Investing in Health. Oxford: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.