TENNIS

David Goffin upsets Novak Djokovic to reach semi-finals of the Monte Carlo Masters

The tenth-seeded Belgian fought back after losing his serve early in the third set to win 6-2, 3-6, 7-5.

World No 2 Novak Djokovic crashed out of the Monte Carlo Masters after losing 2-6, 6-3, 5-7 to 10th seed David Goffin in their quarter-final encounter on Friday.

Djokovic and Goffin traded a number of blows, with both players contesting numerous break points, in a match that relentlessly swayed from one end to the other. The contest reached its peak in the third set as Djokovic fended off seven deuces and five break points to take a 4-2 lead before the players traded another five deuces and five match points as Goffin emerged victorious in the keenly-contested encounter.

Djokovic began in disastrous fashion, losing the opening game of the match on his serve. He came back strongly and forced Goffin to concede a break point in his first service game. Goffin, though, held on to take the game and with it a 2-0 lead.

Both players were part of long rallies at the start of the match, but it was Goffin, who was cutting away at his more celebrated opponent. He soon broke the Serb for the second time in the set to take a 4-1 lead. The 10th-seeded Goffin kept his calm to take the first set 6-2.

Djokovic gave away two break points early in the second game. But, remained calm enough to hold serve. The second seed made most of the break and broke his Belgian opponent to take a 3-1 lead in the second. He eventually closed out the set 6-3 to take the match into the decider.

He rode on the momentum in the third and broke Goffin to take the early advantage. Goffin, though, staged a dramatic fightback to earn a memorable win and advance to the semi-final.

Giant-killer Ramos-Vinolas strikes again

Earlier, Albert Ramos-Vinolas scored his second straight upset at the Monte Carlo Masters as the 15th seed beat fifth-seed Marin Cilic 6-2, 6-7(5), 6-2.

After dumping out world number one Andy Murray in the third round the day before, the diminutive Spaniard returned to knock-out mode as he tamed Cilic to surge into the first Masters 1000 semi-final of his career.

On Saturday, he will face Frenchman Lucas Pouille who came from behind in the final set to overhaul Pablo Cuevas 6-0, 3-6, 7-5 in two hours; the Uruguayan lost serve seven times.

Andy Murray to play Barcelona after Monte Carlo misery

Stuttering world number one Andy Murray will attempt to get his season back on track after the Scot accepted an invitation to compete at the Barcelona Open next week.

Murray’s Monte Carlo Masters campaign came to a premature end on Thursday when he lost to Spain’s 15th seed Albert Ramos-Vinolas in the third round to get his clay-court campaign off to a poor start in the build-up to Roland Garros.

Murray, 29, who has played Barcelona four times and never won the ATP 500 title, joins Rafael Nadal, the defending champion, Kei Nishikori and Dominic Thiem from the world top 10 in the tournament.

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Removing the layers of complexity that weigh down mental health in rural India

Patients in rural areas of the country face several obstacles to get to treatment.

Two individuals, with sombre faces, are immersed in conversation in a sunlit classroom. This image is the theme across WHO’s 2017 campaign ‘Depression: let’s talk’ that aims to encourage people suffering from depression or anxiety to seek help and get assistance. The fact that depression is the theme of World Health Day 2017 indicates the growing global awareness of mental health. This intensification of the discourse on mental health unfortunately coincides with the global rise in mental illness. According to the latest estimates from WHO, more than 300 million people across the globe are suffering from depression, an increase of 18% between 2005 and 2015.

In India, the National Mental Health Survey of India, 2015-16, conducted by the National Institute of Mental Health and Neurosciences (NIMHANS) revealed the prevalence of mental disorders in 13.7% of the surveyed population. The survey also highlighted that common mental disorders including depression, anxiety disorders and substance use disorders affect nearly 10% of the population, with 1 in 20 people in India suffering from depression. Perhaps the most crucial finding from this survey is the disclosure of a huge treatment gap that remains very high in our country and even worse in rural areas.

According to the National Mental Health Programme, basic psychiatric care is mandated to be provided in every primary health centre – the state run rural healthcare clinics that are the most basic units of India’s public health system. The government provides basic training for all primary health centre doctors, and pays for psychiatric medication to be stocked and available to patients. Despite this mandate, the implementation of mental health services in rural parts of the country continues to be riddled with difficulties:

Attitudinal barriers

In some rural parts of the country, a heavy social stigma exists against mental illness – this has been documented in many studies including the NIMHANS study mentioned earlier. Mental illness is considered to be the “possession of an evil spirit in an individual”. To rid the individual of this evil spirit, patients or family members rely on traditional healers or religious practitioners. Lack of awareness on mental disorders has led to further strengthening of this stigma. Most families refuse to acknowledge the presence of a mental disorder to save themselves from the discrimination in the community.

Lack of healthcare services

The average national deficit of trained psychiatrists in India is estimated to be 77% (0.2 psychiatrists per 1,00,000 population) – this shows the scale of the problem across rural and urban India. The absence of mental healthcare infrastructure compounds the public health problem as many individuals living with mental disorders remain untreated.

Economic burden

The scarcity of healthcare services also means that poor families have to travel great distances to get good mental healthcare. They are often unable to afford the cost of transportation to medical centres that provide treatment.

After focussed efforts towards awareness building on mental health in India, The Live Love Laugh Foundation (TLLLF), founded by Deepika Padukone, is steering its cause towards understanding mental health of rural India. TLLLF has joined forces with The Association of People with Disability (APD), a non-governmental organisation working in the field of disability for the last 57 years to work towards ensuring quality treatment for the rural population living with mental disorders.

APD’s intervention strategy starts with surveys to identify individuals suffering from mental illnesses. The identified individuals and families are then directed to the local Primary Healthcare Centres. In the background, APD capacity building programs work simultaneously to create awareness about mental illnesses amongst community workers (ASHA workers, Village Rehabilitation Workers and General Physicians) in the area. The whole complex process involves creating the social acceptance of mental health conditions and motivating them to approach healthcare specialists.

Participants of the program.
Participants of the program.

When mental health patients are finally free of social barriers and seeking help, APD also mobilises its network to make treatments accessible and affordable. The organisation coordinates psychiatrists’ visits to camps and local healthcare centres and ensures that the necessary medicines are well stocked and free medicines are available to the patients.

We spent a lot of money for treatment and travel. We visited Shivamogha Manasa and Dharwad Hospital for getting treatment. We were not able to continue the treatment for long as we are poor. We suffered economic burden because of the long- distance travel required for the treatment. Now we are getting quality psychiatric service near our village. We are getting free medication in taluk and Primary Healthcare Centres resulting in less economic stress.

— A parent's experience at an APD treatment camp.

In the two years TLLLF has partnered with APD, 892 and individuals with mental health concerns have been treated in the districts of Kolar, Davangere, Chikkaballapur and Bijapur in Karnataka. Over 4620 students participated in awareness building sessions. TLLLF and APD have also secured the participation of 810 community health workers including ASHA workers in the mental health awareness projects - a crucial victory as these workers play an important role in spreading awareness about health. Post treatment, 155 patients have resumed their previous occupations.

To mark World Mental Health Day, 2017, a team from TLLLF lead by Deepika Padukone visited program participants in the Davengere district.

Sessions on World Mental Health Day, 2017.
Sessions on World Mental Health Day, 2017.

In the face of a mental health crisis, it is essential to overcome the treatment gap present across the country, rural and urban. While awareness campaigns attempt to destigmatise mental disorders, policymakers need to make treatment accessible and cost effective. Until then, organisations like TLLLF and APD are doing what they can to create an environment that acknowledges and supports people who live with mental disorders. To know more, see here.

This article was produced by the Scroll marketing team on behalf of The Live Love Laugh Foundation and not by the Scroll editorial team.