Depression affects 42% of people in Pakistan's Sindh as COVID-19 crisis drags on

People wait for their turn at a vaccination centre in Rawalpindi, Pakistan, on May 24, 2021. (AFP/File)
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Updated 17 July 2021
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Depression affects 42% of people in Pakistan's Sindh as COVID-19 crisis drags on

  • Sindh Mental Health Authority survey says 25 percent of respondents had suicidal thoughts
  • Over two-thirds of respondents said they did not have enough money to buy food

KARACHI: A survey on the psychological impact of the coronavrius crisis has revealed 42 percent of respondents in Pakistan's Sindh province have reported depression, a senior official said on Saturday.

All over the world, rates of mental illness have increased since the beginning of the pandemic.

While research on the psychological impact of COVID-19 across Pakistan is still limited, the outbreak, which started in February 2019, and ensuing restrictions have led to problems such as unemployment, closure of schools, limited socialization, and disruption in many routine activities — all likely to increase the psychological burden of the population.

The SMHA survey, conducted with the Edhi Foundation and researchers from four universities in Karachi, is the first such attempt in Pakistan to assess the situation.

During the two-month study in May and June, researchers interviewed 1,494 people — 757 in the province's rural areas and 737 in the cities. Some 48 percent of the respondents were men and 52 percent women.

"Around 42 percent people have been found with depression due different factors resulting from the coronavirus (pandemic)," Senator Dr. Karim Ahmed Khawaja, chairman of the SMHA, told Arab News.

The overall prevalence of self-reported anxiety was 85 percent, and 25 percent of the respondents admitted they have had suicidal thoughts.

In rural areas, the prevalence of self-reported depression was nearly twice higher, while anxiety levels were similar in both settings.

Neither depression nor anxiety, however, were directly related to the disease itself, as 87 percent of those surveyed said it posed "low risk." Some 20 percent of them have already had the virus.

Loss of income and food insecurity affected most of the respondents, especially in the countryside.

"Almost 62 percent reported major loss of income or earning," the SMHA report says —81 percent in the rural and 43 percent in the urban setting.

"Food source or security was also threatened with 72 percent reporting that they don’t have enough money to buy food."

Over 36 percent of the respondents reported borrowing money and 21 percent selling their property to make the ends meet.

While no earlier statistics regarding the prevalence of depression are available for comparison, doctors have noticed a surge during the pandemic, Prof. Iqbal Afridi, president of the Pakistan Psychiatric Association and head of the psychiatry department at the Jinnah Hospital in Karachi, told Arab News.

"The seriousness of this," he said, "can be gauged from the fact that we have been seeing over 400 patients at our OPD (outpatient department) every day, despite COVID-19 (restrictions)."


Pakistan seeks operationalization of World Bank’s $20 billion framework to advance reform priorities

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Pakistan seeks operationalization of World Bank’s $20 billion framework to advance reform priorities

  • Pakistan’s finance chief meets World Bank Country Director Bolormaa Amgaabazar in the capital
  • The Bank’s 10-year Country Partnership Agreement for Pakistan was approved in January last year

ISLAMABAD: Pakistan’s Finance Minister Muhammad Aurangzeb on Wednesday called for the operationalization of the World Bank Country Partnership Framework (CPF) to advance the government’s key reform priorities during a meeting with the Bank’s country director, according to a statement.

The Bank’s Board of Directors approved a 10-year CPF deal with Pakistan, indicating $20 billion in financing for Pakistan under the framework. The amount will include public and private financing from the World Bank Group, with roughly half expected to come from private-sector operations led by the International Finance Corporation (IFC).

“The Finance Minister emphasized the importance of effective operationalization of the CPF, particularly in priority areas such as population management and climate change,” the finance ministry said in a statement after Aurangzeb’s meeting with the Bank’s Country Director Bolormaa Amgaabazar.

“He underscored the need for strong coordination between federal and provincial governments to ensure coherence in policy design and implementation.”

Discussions focused on population, human capital development, climate resilience, agricultural reform and energy sector sustainability, it added.

The ministry said both sides exchanged views on enhancing institutional coordination, improving transparency in project design and strengthening monitoring mechanisms to deliver intended outcomes. It highlighted that the World Bank expressed readiness to continue supporting agricultural transformation efforts in collaboration with the IFC.

“Both sides agreed to continue technical-level engagements to explore feasible solutions in line with Pakistan’s reform agenda and fiscal framework,” the finance ministry added.

Climate resilience and population control are major concerns for policymakers in Pakistan, a country whose population exceeds 241 million, making it the world’s sixth-most populous country. Limited infrastructure, health care, and educational opportunities place added strain on public services, contributing to unemployment and poverty.

The South Asian nation is also among the countries most affected by climate change. Unusually heavy monsoon rains in 2022 killed more than 1,700 people and caused over $30 billion in damages. Torrential rains and floods since late June last year have claimed more than 1,000 lives, as authorities continue surveys to assess the full extent of the destruction.