Transforming access to care for serious mental disorders in slums—The TRANSFORM BANGLADESH

Community provider training
Learned from the community over the years
Develop 2 different training process for 2 groups in the community
Trained 153 Traditional faith based healer, community workers and medicine sellers
Engaging a productive life
50+ supportive supervision done by the team
More than 5 times more patient visited NIMH after the training

Mental Health Crisis in BANGLADESH

> 30M
More than 30 million people suffering from Mental Disorder
90%+
People do not seek professional help
< 0.5
Psychiatrists per 100,000 people

Key Challenges in Slum Communities

High Mental Health Burden and Lower Awareness
Slum communities experience multiple and overlapping mental health problems, but low awareness and stigma leave many conditions unrecognized and untreated.
Dependence on Informal Providers
Traditional and faith based healers, local medicine sellers frequently act as the first contact, rather than seeking professional help.
Limited Access to Professional Care
Geographic, economic, and social barriers prevent slum residents from accessing formal mental health services when needed.

Key Pillers of TRANSFORM

Engaged Community: Gaining Trust

Worked alongside the community, sharing responsibilities and involving members in co-curricular activities to build trust

Working with Communities: Empathy and Equity

Co-developing training programs and resources with the community, ensuring every voice is heard

Developing Skills & Pathways: Shared Learning

Training traditional and faith-based healers, medicine sellers, and community health workers to identify serious mental disorders

Transforming Care: Improving Access & Support

Trained participants refer patients to the National Institute of Mental Health (NIMH) for biomedical care.

Community Engagement & Trust Building

Co-Design & Co-development

We didn't create in isolation—we listened, learned, and co-developed the training materials with community voices at the center. Their lived experience and suggestions shaped every page.

Transforming the Workforce

3 days long, 1 day per week training program for two groups

Training of Traditional & Faith-Based Healers

TFH Training Session

77 traditional and faith-based healers successfully completed training across four batches

TFH Participants

Gender distribution: 53 Male and 24 Female participants

Training of Community Health Workers & Medicine Sellers

CHW and MS Training

76 community health workers and medicine sellers successfully trained in four batches to identify serious mental disorders

CHW Training Coverage

Gender distribution: 37 Male and 39 Female participants

In four batches, a total of 153 traditional healers, community health workers, and medicine sellers were trained. These providers now serve as the first line of mental health support in Korail.

Care Transformation & Referral Pathways

Five time more patients from the slum were reffered to NIMH after the training

Before Training

33 patient visited NIMH
5x

Fivefold increased
in seeking biomedical care

After Training

157 patient visited NIMH

50+ Supportive Supervision visits conducted by the TRANSFORM team to ensure quality and continuity of care

Supportive supervision visit 1
Supportive supervision visit 2

Research Outputs & Resources

Journal Publications

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Policy Briefs

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Training Manual

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Audiobook

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Leaflet

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Recent Activities

Media Coverage & Newsletters

Acknowledgement & Disclaimer

This research was funded by the NIHR (NIHR200846) Transforming Access to Care for Serious Mental Disorders in Slums - the TRANSFORM Project using UK international development funding from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK government.

NIHR Funded UK International Development