Mauritania is a country located in northwestern Africa and it severely lacks mental health care. The absence of basic necessities, ongoing economic instability and weak social support systems contribute to the development of mental health issues. Additionally, existing vulnerabilities such as discrimination and social stigma often intensify these struggles.

As of 2025, there is no publicly available data more recent than the 2004 joint study by Mauritania’s Ministry of Health and the World Health Organization (WHO). According to The New Humanitarian, the study found that approximately 34% of the country’s population had experienced a mental health issue. This encompasses a range of conditions including stress, depression and schizophrenia.

Poverty’s Effect on Mental Health

According to the United Nations Children’s Fund (UNICEF), as of 2022, one in four children lives in extreme poverty and 80% are exposed to some form of violence. This contributes to chronic stress and a heightened risk of mental health disorders.

Poverty remains one of the most significant barriers to both physical and mental health in Mauritania. According to the World Bank, rural areas bear the brunt of deprivation due to underdeveloped infrastructure and limited access to essential services. Many Mauritanians rely on informal or subsistence work, which offers little to no financial security, health insurance or protection against job loss.

This instability contributes to chronic stress, especially in households already dealing with illness, trauma or displacement. According to the World Bank, in these communities, even basic health services can be financially and geographically inaccessible, making mental health in Mauritana support a distant priority. The lack of income, combined with social stigma and institutional neglect, keeps many individuals trapped in a cycle where untreated mental health in Mauritania conditions both stem from and contribute to extreme poverty.

Having only one psychiatric hospital, the Nouakchott Centre for Specialised Medicine, with a limited number of beds, the population of Mauritania has very limited access to mental health care. According to Radio France Internationale (RFI), most patients only stay for a few days due to there being a limited number of beds and staff. The hospital only has 20 rooms, according to RFI.

Economic Toll of Untreated Mental Illnesses

The consequences of untreated mental illness in Mauritania extend far beyond individual suffering. They create a significant, long-term burden on the nation’s already fragile economy. Mental health disorders often limit a person’s ability to attend school, maintain employment or care for family members. In a country where 90.9% of Mauritania’s total employment is informal as of 2017, according to the Global Economy, any loss in productivity can have immediate and devastating effects on household income. This is especially damaging for families living at or below the poverty line, who lack savings, insurance or access to consistent medical care.

According to the National Institutes of Health (NIH), it is estimated that depression and anxiety cost the global economy more than $1 trillion each year in lost productivity. Individuals experiencing mental illness often drop out of school or are unable to secure jobs, reducing their lifelong earning potential. According to the United Nations Foundations, in many cases, caregiving responsibilities fall to women and girls, who may leave school or the workforce to support relatives, further entrenching gender and economic inequalities.

Long-Term Impact

According to a study conducted by the Tacoma-Pierce County Health Department in 2016, untreated mental illness can lead to higher health care costs in the long term, as conditions worsen and require more intensive interventions.

Untreated mental illnesses can also lead to social issues such as homelessness. The NIH reported that in 2021, more than 20% of people who experience homelessness also have a mental illness.

Expanding access to mental health care in Mauritania, training professionals locally and integrating psychological support into primary care could reduce long-term public spending while improving workforce participation and overall quality of life. According to the WHO, “every $1 invested in scaling up treatment for depression and anxiety leads to a return of $4 in improved health and productivity.”

Voices From Nouakchott

Despite limited staff, visitors and patients of the Nouakchott Centre for Specialised Medicine are satisfied with their visits. For example, in 2007, according to TNH, Dianaba Dia took her child to see a psychiatrist at the hospital for violent seizures.

“He was a doctor just like any other,” Dia told TNH. “What counts for me though is that since we saw him my daughter has got better.”

Additionally, the scarcity of mental health resources also profoundly affects individuals like Sidi Lemen after a failed attempt to emigrate to the United States in 2025. According to RFI, this setback led to depression and subsequent substance abuse. He sought help from the Nouakchott Centre for Specialised Medicine. However, due to limited resources, he was only admitted for a few days, highlighting the pressing need for expanded mental health services in Mauritania.

“We need to increase the number of beds,” Dr. Mohamed Lemine Abeidi told RFI. “Lots of patients travel long distances to come here, and there’s no other psychiatric care infrastructure.”

Mauritania faces significant challenges in providing mental health care not only because of the limited number of beds, but also due to a scarcity of trained professionals. According to France 24, all of the country’s psychiatrists have received their training abroad, highlighting the absence of local educational programs in this field.

Hope for Health Care

Mauritania’s mental health crisis is deeply intertwined with poverty. However, recent initiatives offer a glimmer of hope. The World Bank has launched a national program aimed at improving health services for approximately 2.5 million people, focusing on women, children and adolescents in underserved communities. This program aims to improve primary health care and increase access to mental health services.

Additionally, the United Nations High Commissioner for Refugees (UNHCR) is working closely with the Mauritanian government to integrate refugees into national healthcare systems, including mental health support. These collaborative efforts aim to build a more inclusive and resilient health infrastructure.

Despite these promising developments, significant challenges remain. According to Alima, the Mbera refugee camp is operating beyond its capacity, housing more than 116,000 refugees in a space designed for 80,000. This overcrowding exacerbates the strain on already limited mental health resources.

– Clarissa Dean

Clarissa is based in Bowling Green, KY, USA and focuses on Good News and Celebs for The Borgen Project.

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