Chairman Senate Committee on Health, Senator Yahaya Oloriegbe, disclosed that about 50 million Nigerians suffer some form of mental disorder in his lead debate on the bill for an “Act to provide for the establishment and regulation of mental health and substance abuse services, protect persons with mental health needs and establishment of National Commission for Mental and Substance Abuse Services, for the effective management of mental health in Nigeria and for other related matters, 2019,” on the floor of the Senate.
The Bill which was read for the second time by the Senate in Abuja was sponsored by Senator Oloriegbe, representing Kwara Central Senatorial District.
Oloriegbe noted that “according to the World Health Organization (WHO), about 50 million people (i.e. one in every four persons) are suffering from some sort of mental illness in Nigeria!”
He added that as the seventh-largest country in the world, Nigeria has Africa’s highest rate of depression, and ranks fifth in the world in the frequency of suicide.
“There are less than 150 psychiatrists in this country of 200 million, and WHO estimates that fewer than 10 percent of mentally ill Nigerians have access to the care they need,” Oloriegbe said.
Oloriegbe lamented that there is no Mental Health Law in place in Nigeria other than the Regional Lunacy Law of 1958, “which in content and context violates fundamental human rights of persons with mental health and psychosocial disabilities.”
He added: “It is a law which lacks a focus on human rights and non-discrimination, access to services and least restrictive treatment alternatives.
“Its definitions are largely inadequate in terms of humanness and scope as it continues to employ denigrating terms such as ‘lunatic’, ‘idiot’ and ‘unsound’ mind while focusing almost entirely on custodial care, and the wordings are derogatory and highly stigmatizing.
“There is evident lack of public mental health promotion and mental illness prevention programs in Nigeria due to non-implementation of the National Mental Health Service Delivery Policy (2013), the current approach is only treatment directed.
“In addition to this, is the failure of the government to regulate treatment practices, religious belief and misconceptions about mental health and psychosocial disabilities.
“This has led to an increase in proliferation of unorthodox treatment and detention centers such as traditional healing homes and religious/spiritual centers that take advantage of the vulnerable in our society.
“There have been reported cases of deprivation (food and water), physical, sexual and emotional assaults on persons with mental health and psychosocial disabilities.
“There is an unprecedented level of myths and misconceptions which are further entrenched by ignorance, poverty, and wrong belief system about mental health and psychosocial disability.
“These beliefs, myths, and cultural practices contribute to human rights violations of persons with mental health and psychosocial disabilities.
“Parents and relatives give away their wards easily to some of these detention centers with the hope of getting help, succour, and solution to mental health issues.
“The lack of strategies for mental well-being promotion and mental health and psychosocial disability prevention activities has led to an overarching increase in the prevalence of mental health and psychosocial disabilities, increase in suicide (especially among the youths) and substance abuse disorders in Nigeria.”
He lamented that there is still a lack of equitable distribution of the few modern structures of service delivery for persons with mental health and psychosocial disabilities in Nigeria.
“It is non-existent in the rural areas where the vast majority of Nigerians who need it resides,” he said.
He noted that in general terms, several countries in Africa are better resourced in regard to mental health personnel.
“Countries such as South Africa, Egypt, and Kenya have more psychiatrists per 100,000 persons and also higher proportions of psychiatric beds.
“Many countries in Africa also give better official attention to mental health issues,” he said.
Senators in their contributions supported the Bill be read a second time.
Senate President Ahmad Lawan referred the bill to the Senate Committee on Health for further legislative work.