Table 2.
Population-level intervention effects (DALYs averted per year per one million population)
| World Bank Region | |||||||
|---|---|---|---|---|---|---|---|
| Sub-Saharan | Latin America | Middle East | Europe | South | East Asia | ||
| Africa | & Caribbean | & North Africa | & Central Asia | Asia | & Pacific | ||
| Total population (million) | 640 | 502 | 482 | 462 | 1,242 | 1,827 | |
| Coverage | |||||||
| Schizophrenia1 | |||||||
| Older (neuroleptic) antipsychotic drug | 80% | 149 | 219 | 214 | 254 | 177 | 231 |
| Newer antipsychotic drug | 80% | 160 | 235 | 230 | 273 | 190 | 248 |
| Older antipsychotic drug + | 80% | 254 | 373 | 364 | 353 | 300 | 392 |
| psychosocial treatment | |||||||
| Newer antipsychotic drug + | 80% | 261 | 383 | 373 | 364 | 308 | 403 |
| psychosocial treatment | |||||||
| Bipolar disorder1 | |||||||
| Older mood stabilising drug (lithium) | 50% | 292 | 336 | 296 | 381 | 319 | 389 |
| Newer mood stabilising drug (valproate) | 50% | 211 | 300 | 273 | 331 | 278 | 351 |
| Older mood stabilising drug + | 50% | 312 | 365 | 322 | 413 | 346 | 422 |
| psychosocial treatment | |||||||
| Newer mood stabilising drug + | 50% | 232 | 330 | 300 | 365 | 306 | 386 |
| psychosocial treatment | |||||||
| Depression | |||||||
| Episodic treatment: older | 50% | 599 | 995 | 920 | 874 | 987 | 891 |
| antidepressant drug (TCA) | |||||||
| Episodic treatment: newer | 50% | 632 | 1,049 | 971 | 925 | 1,042 | 941 |
| antidepressant drug (SSRI) | |||||||
| Episodic psychosocial treatment | 50% | 624 | 1,036 | 958 | 936 | 1,028 | 927 |
| Episodic psychosocial treatment + | 50% | 745 | 1,237 | 1,144 | 1,100 | 1,228 | 1,107 |
| older antidepressant | |||||||
| Episodic psychosocial treatment + | 50% | 745 | 1,237 | 1,144 | 1,100 | 1,228 | 1,107 |
| newer antidepressant | |||||||
| Maintenance psychosocial treatment + | 50% | 1,174 | 1,953 | 1,806 | 1,789 | 1,937 | 1,747 |
| older antidepressant | |||||||
| Maintenance psychosocial treatment + | 50% | 1,174 | 1,953 | 1,806 | 1,789 | 1,937 | 1,747 |
| newer antidepressant | |||||||
| Panic disorder | |||||||
| Anxiolytic drug (benzodiazepine) | 50% | 144 | 182 | 170 | 183 | 168 | 195 |
| Older antidepressant | 50% | 232 | 290 | 272 | 290 | 269 | 312 |
| drug (TCA) | |||||||
| Newer antidepressant drug | 50% | 245 | 307 | 287 | 307 | 284 | 330 |
| (SSRI; generic) | |||||||
| Psychosocial treatment (CBT) | 50% | 233 | 292 | 273 | 292 | 270 | 313 |
| Older antidepressant + | 50% | 262 | 329 | 308 | 329 | 304 | 353 |
| psychosocial treatment | |||||||
| Newer antidepressant + | 50% | 276 | 346 | 324 | 346 | 320 | 372 |
| psychosocial treatment | |||||||
Results for community-based service model presented here only (hospital-based service model not shown); CBT - cognitive behavioural therapy; DALYs - disability- adjusted life years; SSRI - selective serotonin reuptake inhibitor; TCA - tricyclic antidepressant