From Pain to Policy: Why Mental Health Must Be at the Heart of Africa’s Development Agenda
I once sat with a teacher in Nimule, South Sudan, who admitted she often taught while grieving. Her husband had been killed during conflict, but every morning she stood before her students with a smile. “If I break, they break,” she told me. That is the silent weight our workforce carries—and why ignoring mental health in the workplace costs us more than we see.
Mental health is not a luxury or a side conversation. It is central to governance, productivity, and leadership effectiveness.
Too often in Africa, mental health is treated as a personal issue—a challenge for individuals to “manage on their own.” Yet evidence shows untreated trauma, depression, and stress significantly affect workplace performance, institutional resilience, and even national development goals. According to the World Health Organization, Africa has one of the highest suicide rates in the world, yet mental health budgets in many countries account for less than 1% of national health spending.
The economic cost is staggering. The World Bank estimates that depression and anxiety alone cost the global economy over $1 trillion annually in lost productivity. For Africa, where fragile economies cannot afford inefficiency, mental health is not just personal—it is a development issue.
Mental Health is a Governance and Leadership Issue
When a teacher struggles with trauma, children lose learning opportunities. When a mother experiences depression without support, family systems weaken. When humanitarian workers burn out, relief operations collapse.
In short, mental health affects human capital, organizational resilience, and national productivity. Leaders cannot treat it as secondary; it is central to governance and sustainable development.
Cordaid South Sudan: A Model in Action
In South Sudan, Cordaid is leading by example, integrating mental health and psychosocial support (MHPSS) into their projects and operations. Under the leadership of Tom Otieno, Country Director, Cordaid has made mental health a priority for both staff and communities.
Tom Otieno emphasizes:
“Mental health is important for our humanitarian team because without resilience, compassion burns out. Our people cannot pour from an empty cup.”

Since 2022, Cordaid has conducted annual MHPSS training for all staff, ensuring teams are equipped to manage stress, trauma, and workplace pressures. This is not a one-time workshop—it is a deliberate, systematic investment in resilience, acknowledging that sustainable development requires sustainable, mentally healthy teams.
How Leaders Can Detect Burnout in Their Teams
Cordaid’s model highlights an important lesson: leaders must proactively identify and respond to burnout before it becomes crisis-level. Here are actionable steps:
- Watch for Emotional and Behavioral Shifts
- Withdrawal from team discussions
- Irritability, mood swings, or unusual silence
- Loss of motivation for tasks they once enjoyed
- Monitor Performance Patterns
- Declining quality of work or increased mistakes
- Missed deadlines despite effort
- Frequent sick days or unexplained absences
- Ask the Right Questions in One-on-One Check-ins
- “What part of your workload feels most overwhelming right now?”
- “What support would make your week easier?”
- “On a scale of 1–10, how emotionally drained do you feel?”
- Use Quick, Anonymous Pulse Surveys
- A simple monthly survey can highlight stress levels before they escalate
- Questions should cover workload, emotional exhaustion, and access to support
- Encourage Peer Check-ins
- Teams often notice stress before leaders do
- Cultivating a culture of mutual support helps catch early warning signs
- Normalize Conversations about Stress
- Leaders sharing their own coping strategies builds psychological safety
- Regularly discuss mental health as part of team culture, not only in crises
As Tom Otieno wisely says:
“Our humanitarian work requires resilience, but resilience is not infinite. Leaders must create systems that refill the cup before it runs dry.”
From Policy to Practice: Scaling Mental Health across Africa
Cordaid South Sudan’s model demonstrates that mainstreaming mental health is both feasible and effective. Governments, NGOs, and African leaders can replicate these lessons:
- Integrate mental health and psychosocial support (MHPSS) into every humanitarian and development project
- Conduct regular, structured training for staff
- Implement monitoring systems for burnout and stress
- Ensure leadership models empathy and support, making mental health a visible priority
By doing so, Africa can reduce productivity losses, strengthen community resilience, and build a workforce capable of sustaining the continent’s development agenda.
Conclusion: Africa Cannot Afford to Ignore Mental Health
Mental health is not a luxury, charity, or private concern. It is a development accelerator, a governance issue, and a human rights obligation.
Cordaid South Sudan and Country Director Tom Otieno show that investing in mental health pays off for teams, communities, and the effectiveness of development programs.
It is time for African governments, NGOs, and leaders to take notice, adopt these practices, and place mental health at the center of the development agenda.
Because until we heal the mind, we cannot truly build the nation.
Join the Movement: Partner with Maryben Foundation
At the Maryben Foundation, we believe mental health is not only a personal journey—it is a collective responsibility. From supporting young mothers and survivors of gender-based violence to creating safe spaces for youth to advocating for mental health policies across Africa, our work stands at the intersection of healing and development.
But this is bigger than one foundation. It will take governments, NGOs, businesses, and individuals working together to put mental health at the center of Africa’s future.
If your organization is ready to integrate mental health and psychosocial support (MHPSS) into leadership, workplaces, and community programs, we invite you to partner with us.
Partner with the Maryben Foundation, and let’s build resilient teams, stronger communities, and a healthier Africa—together.