Globally, mental health disorders have claimed more than 14% of age-standardized years living with disability for three decades and have >10% prevalence in all geographical regions (GBD 2017(GBD , 2018. These findings substantiate an immediate need for strengthening mental health systems. Given large demands for mental health services, the mental health systems in low-and middle-income countries appear inadequate due to low public investment and limited health workforces which result in poor access to care.High out-of-pocket payment is a key barrier to access to mental health services, leading to delayed treatment and poor mental health outcomes. Worldwide, the median mental health expenditure was as low as US$2.5 per capita, with a large variation across low-, middleand high-income countries. Per capita spending on mental health was US$21.7 in the European region, which is 200 times higher than in African and South-East Asian regions (US$0.1). Low spending by governments on mental health services results in high levels of out-of-pocket payments; 43% of countries in the African region and 40% in the South-East Asia region reported that the costs of mental health services were mostly or entirely paid out-of-pocket [World Health Organization (WHO), 2018a].Globally in 2018, the median numbers of mental health workers per 100 000 of the population was 9 but with a wide range: less than 2 in low-income countries and more than 70 in high-income countries (WHO, 2018b). Further, fewer than half of WHO Member States can produce and maintain mental health statistics such as prevalence, financing, health personnel and access to services. Over 65% of WHO Member States in low-and lower-middle income countries do not have or have non-functioning national authority responsible for mental health.The COVID-19 pandemic is having profound mental health and psychological consequences on both the general population and health care workers. Death tolls and COVID-19 infections, as well as unintended consequences from public health and social measures notably social, physical distancing and isolation, have huge impact on human well-being and the economies of countries. Stresses from fear of infection, loss of loved ones, physical and mental isolation, job loss and income uncertainty have major mental consequences for people. Long working hours in providing COVID-19 services and in some cases with inadequate occupational protection, such as personal protection equipment for front-line health professionals, create additional stress and psychological consequences.