Health Services Delivery by Shamans

Mental health services in Pakistan are still in the developing stages with less than 300 psychiatrists for a population of more than 140.5 million against the background of a low literacy rate, stigma, and the high cost of psychotropic medications that have disturbing side effects. Shamans are alternate therapists in whom people invest faith, and they approach shamans in growing numbers seeking cures from mental ill health. These therapists act as good counselors and in a way help the health system indirectly. Such therapists have a different concept about causations of mental illness and their treatment approaches are unique. This article examines health service delivery by these shamans against the background of Pakistan’s socio-economic system, and also identifies the need for collaboration with these therapists.