Strengthening Child and Adolescent Mental Health Systems Across South Asia- a landscape analysis
As part of CAMHSAN’s mission to advance child and adolescent mental health across the region, a regional mapping initiative was undertaken to generate a foundational evidence base that can guide policy reform, investment, and service strengthening across South Asia. Conducted across Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka, and using the UNICEF Child and Adolescent Mental Health (CAMH) Mapping Tool, the assessment draws on policy reviews, service data, and expert consultations to profile existing systems and identify priority gaps and opportunities for action.
This landmark report underscores the urgent need to scale child and adolescent mental health responses in South Asia, where nearly 40% of the population is under 18. Findings reveal significant system challenges, including limited financing, a shortage of trained specialists, concentration of services in urban tertiary hospitals, and minimal community- and school-based programming. Despite growing recognition of mental health needs, most countries lack dedicated policies, trained human resource, evidence-based mental health programs/services, costed action plans, and integrated service pathways for early intervention and ongoing care.
Through this collaborative effort, CAMHSAN strengthens the regional agenda on child and adolescent mental health, supporting governments, partners, and practitioners to build equitable, community- anchored, and evidence-based mental health systems for every young person in South Asia.
Report Authors: Dr. Syed Usman Hamdani and Prof. Savita Malhotra