The hairdresser, Tele da Silveira, is one of about 150 women who have received mental health training in West and Central African cities from a nonprofit trying to fill a critical gap: provide mental health care in one of the world's poorest regions, where counseling remains barely accessible, let alone accepted.
People need attention in this world, said Ms. da Silveira. They need to talk. Ms. de Lima was wandering the dusty alleys of her working-class neighborhood in the capital when Ms. da Silveira realized that she was struggling.
Togo and many other African countries face an urgent need for more, and better mental health therapy: The World Health Organization classifies its Africa region as the one with the highest suicide rate in the world and some of the lowest public expenditures on mental health.
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