Our World in Data

Research and data to make progress against the world's largest problems.

Mental health care is scarce everywhere — but in poor countries, it barely exists

Mental health care is scarce everywhere — but in poor countries, it barely exists

Depression, anxiety, and other mental health problems are common everywhere. They are not confined to any particular income level.But access to care is rare. In much of the world, people who struggle with their mental health have almost no psychologists or psychiatrists to turn to.Mental health care is scarce in all places, but it is much scarcer in poor countries. Governments in high-income countries spend about $66 per person per year on mental health care, as the chart shows. In low-income countries, that figure is $0.04.This gap in spending reflects a gap in people. As the WHO’s latest Mental Health Atlas highlights, there is roughly one psychiatrist per million people in low-income countries. High-income countries have 70 times more.A recent study in the Lancet Psychiatry estimated that globally, only 9% of people with major depressive disorder receive a “minimally adequate treatment”. In high-income countries, it is 27%; in Sub-Saharan Africa, just 2%.Hundreds of millions of people in poorer countries live with treatable conditions and have no access to a psychologist or psychiatrist. It is one of the largest gaps in global health — and one that receives remarkably little attention or funding.There are efforts to close this gap without waiting for the workforce to catch up. One approach is to train lay counsellors — people without formal clinical qualifications who learn to provide psychological support. Randomized trials in India and Zimbabwe have shown this can be effective for depression.Another approach is to use technology: apps and, increasingly, AI-based tools that can extend the reach of limited clinical expertise. These are not substitutes for a functioning mental health system, but in places where that system barely exists, they offer a starting point.Read more on our page on mental health.

Our World in DataMar 31, 2026, 12:00 AM
Outside rich countries, widespread informal work means unemployment rates are low

Outside rich countries, widespread informal work means unemployment rates are low

Last year, three-quarters of the world’s countries had unemployment rates below 10%, according to data from the International Labour Organization. Colombia, where I come from, is in that group.I initially found Colombia’s relatively low unemployment rate surprising, because it didn’t match what I could see around me: many people doing extremely precarious work.This chart offers an explanation. It shows, for a selection of countries of different income levels, what share of workers hold informal jobs, meaning work that lacks social protection and basic employment rights (no guaranteed benefits, no formal safety net).As the chart shows, in Colombia, that share is almost 57%. In many lower-income countries, the share is far higher.The reality is that low unemployment and widespread informal work can, and often do, happen at the same time. The reason this isn't paradoxical comes down to how these statistics are defined.To count as employed in labor statistics, a person only needs to have worked for at least one hour during the survey’s reference period, often the past week. The definition is broad and includes self-employment, selling things on the street, and unpaid work in a family farm or family business. Both formal and informal jobs are included.This means the unemployment rate can remain relatively low in poor countries, not because most workers have found stable, protected jobs, but because many have been absorbed into informal employment.Read more about informal work and unemployment in our new Work & Employment topic page.

Our World in DataMar 26, 2026, 12:00 AM