Hemodynamic, neurological, and cognitive outcomes after surgical revascularisation in occlusive cerebrovascular disease: Study protocol for single-arm interventional cohort study.

Mental, neurological, and substance use disorders (MNS) are becoming a public health priority and major causes of morbidity. They are usually associated with significant distress in social, economic, or other important activities. Research findings indicated that 14% of the world’s disease burden measured in disability-adjusted life years (DALYs) can be attributed to MNS disorders, with a disproportionately high percentage in low and middle income countries (LMICs). This burden, a treatment gap of more than 75%, results from the fact that many LMICs devote less than 2% of their overall healthcare budgets to mental health []. Worldwide, more than 792 million people were diagnosed with mental health problems in 2017. This is somewhat more than one in ten people worldwide (10.7%) []. Around 80% of persons who have had a mental illness at some point in their lives come from low- and middle-income nations [,]. However, these nations paid little attention to important health issues []. To address the demand for healthcare services, mental healthcare services are integrated into the primary healthcare system []. In Ethiopia, mental disorders are becoming among the top non-communicable disorders in terms of burden. It accounts for about 4.0% of the country’s overall disease burden []. The burden of mental health problems, mainly in rural Ethiopia, constituted 11% of the total disease burden, with schizophrenia and depression included in the top ten most burdensome health problems lists []. The prevalence of mental disorders was 18% for adults and 15% for children []. Studies conducted in Hadiya and Kambata adult communities showed that the prevalence of mental illness was 17.2%, with 60% male and 40% female proportionality. Stress and family history were the most determining factors recognized [].