Tanzida Haque,Tanvir Ahmed Siddique,Md Kaosar Yazdani Ibn Taz
Clinical Fellow, Stepping Hill Hospital, UK
Jahangirnagar University, Bangladesh
Monno Medical College and Hospital,Bangladesh
Scientific Tracks Abstracts: J Psychiatry
Introduction: Mental health constitutes a major public health challenge
undermining the social and economic development in the developing world
(WHO, 2007). In Bangladesh, for example, only about 0.5% of the total
health budget is allocated to mental health (Islam, 2015). Health systems
in Bangladesh are not fully organized to provide optimal care services to
patients with mental health problems. There is both a lack of resources
and a disproportional distribution of the available resources. To design an
equitable health system and plan interventions to improve access to care, a
better care pathway is crucial (Nuri et al., 2018). At this stage, e-health system
to provide mental health care can play an important role. Electronic health
(e-health or eHealth) is often defined as healthcare practices supported by
electronic processes and communication, and includes mHealth, which is
turn is often defined as the practice of medicine and public health supported
by mobile devices. The rapidly increasing coverage of smart mobile devices,
not only in developed regions of the world, but also in the world???s rural
communities and low to middle income countries (LMICs) have spurred
the development of mHealth solutions (Cliford, 2016).
Aims: The aim of the project is to develop a smart user-friendly mobile app
to ensure accessibility (making an appointment) to mental health specialist
doctors (Psychiatrist) in Bangladesh.
Methods: A mobile app will be created through which the users (patients)
who need mental health care will be connected to the psychiatrist through
a person to person (P2P) audio/video calling system. Firstly, users will
have to open an account in the app. A username and a password will be
required to open an account. Each time users need help they can log in their
account and talk about their medical problems. Secondly, the information
of active doctors will be shown in the mobile app. To make an appointment
with the specialist doctors, the users will have to pay via a mobile banking
system. Based on the transaction number and the payment time he/she
will be given a serial number, which will be updated in the mobile app and
according to that an appointment time will be provided to the users (for
example, 8:00pm-9:00pm). As it is a P2P calling system, patient must have
internet connection on his/her phone. During the exact appointment time,
our mental health specialist doctors will call back to that users using the app
(via audio/video) and required service will be provided. If any patient needs
any prescribed medicine, then further follow-up sessions will be arranged
in the specialist doctor???s clinic as soon as possible. Furthermore, if anyone
wants to take anonymous counselling support by psychiatrists, it will be
provided via audio/video calling.
Conclusion: Using this user-friendly mobile app will enhance the mental
health care services in Bangladesh as well as it will significantly reduce
the burden and hassle while making an appointment with mental health
specialist doctors.
Reference:
1. WHO-AIMS report on Mental Health System In Bangladesh.2007. Available on [https://
www.who.int/mental_health/bangladesh_who_aims_report.pdf]
2. Islam, Anwar. (2015). Mental Health and the Health System in Bangladesh: Situation
Analysis of a Neglected Domain. American Journal of Psychiatry and Neuroscience. 3.
57. 10.11648/j.ajpn.20150304.11.
3. Clifford GD. E-health in low to middle income countries. J Med Eng Technol. 2016;40(7-
8):336???341. doi:10.1080/03091902.2016.1256081
4. Nuri NN, Sarker M, Ahmed HU, Hossain MD, Beiersmann C, Jahn A. Pathways to care of
patients with mental health problems in Bangladesh. Int J Ment Health Syst. 2018;12:39.
Published 2018 Jul 18. doi:10.1186/s13033-018-0218-y
Tanzida Haque has completed MSc Public Health from University of the West of England, Bristol, UK and MBBS (Bachelor of Medicine and Bachelor of Surgery) from University of Dhaka. She is working as clinical fellow, Stroke medicine department, Stepping Hill Hospital, Stockport, Manchester. She is also actively involved in clinical trials (CONVINCE study) as co investigator in Stockport NHS FT. She is one of the young promising researchers and her reseach interest is stroke management, mental health for stroke survivours and old age psychiatry.
E-mail: tanzidah@gmail.com