Mental health services in Scandinavia and Eurasia: comparison of financing and provision

Figures & data

Table 1. General healthcare and mental healthcare financing.

Country	GDP (per head of population^a)	Population (millions)^a	Health budget (billions)^b,c	Health budget (% GDP)^c	MHC budget (% of health budget)^c,d	CAMH budget (% of health budget)^c,d	CAMH budget (% of mental healthcare budget)^c,d
Sweden	51,615.0	10.23	60	11.0%	4.0%	0.6%	15.0%
Ukraine	3659.03	44.39	4.12	3.28%	2.5%
Georgia	4697.70	10.62	1.68	10.2%	1.8%	0.14%	8.1%
Armenia	4622.73	2.96	0.17	1.6%	3.3%
Kyrgyzstan	1309.39	6.46	0.24	3.4%	1.4%	0.04%	2.9%

CAMH: child and adolescent mental health; GDP: gross domestic product.

^aBased on data from the World Bank, in 2020 USD currency. United Nations, The World Bank Group. 2020. https://www.worldbank.org/.

^bCalculated and/or converted to 2020 USD by the author.

^cBased on the sources from the questionaire.

^dExcludes spending on prescription drugs.

Figure 1. Revenue sources for health systems. *To date, Armenia lacks information about out-of-pocket costs.

Figure 2. Distribution of mental health budgets, excluding medication.

Table 2. Mean cost of mental health services in Eurasia in USD.

Country	Per day in hospital		Outpatient visit to psychiatrist		Outpatient visit to psychologist
	Adult	Child	Adult	Child	Adult	Child
Ukraine	10–13	10–13	2	2	2^a/17.98^b	2/17.98
Georgia	7–20	17–20	10–30	10–30	10–40	10–40
Armenia	2.87	2.87	20–30^c	20–30^c	20–30^c	20–30^c
Kyrgyzstan	14.86	14.86	11.24	11.24	11.24	11.24

Based on the sources from the questionnaire.

^aIf the psychologist is hired by the outpatient system, this cost is covered by the state budget.

^bOut-of-pocket payment per private visit.

^cCost for private outpatient clinic, as state outpatient services are free.

Table 3. Facilities and staffing allocations by healthcare setting per 1000 population.

Country	Health care			Mental health care
	General Hospital Beds (N)	Family doctors (N)	Nurses & Midwives (N)	Psychiatric beds (N)	Psychiatrists (N)	Nurses (N)
Sweden	4.10	2.70	11.10	0.40	0.20	0.50
Ukraine	0.50	7.40	N/A	0.65	0.08	0.01
Georgia	0.60	4.30	5.10	0.32	0.07	0.07
Armenia	1.72	3.98^a	2.59^a	N/A	0.16	0.09
Kyrgyzstan	1.00	9.00	5.60	0.30	0.03	0.06

Based on the sources from the questionnaire.

^aCalculated by the author.

Table 4. Average income by specialty for professionals working in AMHS in Eurasia in USD.

Country	Mean income per month^a	1–3 years^b			4–10 years^b			10–20 years^b
		Psychiatrist^c	Psychologist^c	Nurse^c	Psychiatrist^c	Psychologist^c	Nurse^c	Psychiatrist^c	Psychologist^c	Nurse^c
Ukraine	381.13	193.13	236.11	134.95	207.25	N/A	N/A	N/A	N/A	N/A
Georgia	377.20	260	112	150	410	390	300	600	390	410
Armenia	365.94	258.33	162.56	129.17	258.33	162.56	129.17	258.33	162.56	129.17
Kyrgyzstan	218.08	153.85	142.01	130.18	153.85	142.01	130.18	201.18	195.27	171.60

^aData retrieved from State Statistics Service of Ukraine https://ukrstat.org/en, National Statistics Office of Georgia https://www.geostat.ge/en, Statistical Committee of the Republic of Armenia https://www.armstat.am/en/, National Statistical Committee of the Kyrgyz Republic http://stat.kg/en

^bLength of experience.

^cBased on the sources from the questionnaire.

Table 5. Average income by specialty for professional working in CAMHS in Eurasia in USD.

Country	Mean income per month^a	1–3 years^b			4–10 years^b			10–20 years^b
		Psychiatrist^c	Psychologist^c	Nurse^c	Psychiatrist^c	Psychologist^c	Nurse^c	Psychiatrist^c	Psychologist^c	Nurse^c
Ukraine	381.13	193.13	236.11	134.95	207.25	N/A	N/A	N/A	N/A	N/A
Georgia	377.20	260	112	150	410	390	300	600	390	410
Armenia	365.94	243.02	148.30	129.17	243.02	148.30	129.17	243.02	148.30	129.17
Kyrgyzstan	218.08	153.85	142.01	130.18	153.85	142.01	130.18	201.18	195.27	171.60

^aData retrieved from State Statistics Service of Ukraine https://ukrstat.org/en, National Statistics Office of Georgia https://www.geostat.ge/en, Statistical Committee of the Republic of Armenia https://www.armstat.am/en/, National Statistical Committee of the Kyrgyz Republic http://stat.kg/en

^bLength of experience.

^cBased on the questionnaire.