The Silent Struggle: Sierra Leone’s Deepening Mental Health Crisis in Pujehun District

By Brima Sannoh (ATJLF/MRCG Fellow 2025)

In the remote southern district of Pujehun, Sierra Leone, a silent crisis continues to take root, one that rarely captures headlines but affects countless lives: mental health. A recent World Health Organization (WHO) study reveals that nearly one in four residents in the district has experienced some form of mental health condition, including depression, anxiety, or Post-Traumatic Stress Disorder (PTSD). Nationally, the WHO estimates that 10% of Sierra Leone’s population of seven million suffers from mental health issues, a figure believed to be a significant undercount due to pervasive underreporting and social stigma.

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