Integrating Mental Health Support into the Sustainable Development Programmes in Nigeria
DOI:
https://doi.org/10.47081/njn2025.16.3/001Keywords:
Mental health, Sustainable Development Goals, Nigeria, Education, AdvocacyAbstract
Mental health is an essential component of well-being, yet it remains overlooked in Nigeria, despite the significant challenges in health and education. As Africa’s most populous nation and largest economy, Nigeria faces a mental health crisis that impedes progress toward the Sustainable Development Goals (SDGs), particularly SDG 3 (good health and well-being) and SDG 4 (quality education). This review examines the integration of mental health support into Nigeria’s sustainable development programmes, addressing gaps in infrastructure, funding, and awareness. An analysis of the current state of mental health services reveals a critical lack of resources and systemic support. Comparative evaluations with other African countries highlight best practices and adaptable strategies. Cultural stigma, inadequate policy frameworks, and systemic barriers remain major challenges to mental health inclusion in healthcare and education systems. The societal and economic costs of untreated mental health issues aggravate poverty and inequality, emphasising the urgent need for action. To address these challenges, the review proposes evidence-based solutions, including legislative reforms, community-based interventions, and the inclusion of mental health education in schools. The comprehensive route map outlines the key steps, stakeholders, and measurable milestones for effective implementation. Urgent investment in mental health is essential for Nigeria to unlock its human capital, enhance educational outcomes, and promote societal equity. Thus, prioritising mental health within the sustainable development agenda will address the pressing crisis and position Nigeria as a model for integrating health and education in national development.
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Abdulmalik, J., Kola, L., Fadahunsi, W., Adebayo, K., Yasamy, M. T., Musa, E., et al. (2013). Country contextual-ization of the mental health gap action programme inter-vention guide: a case study from Nigeria. PLoS Med 10(8), e1001501. doi: 10.1371/journal.pmed.1001501
Abdulmalik, J., Ogunwale, A., and Akinkunmi, A. (2017). Mental health legislation in sub-Saharan Africa. Contempo-rary Issues in Mental Health Care in sub-Saharan Africa (p. 233). doi: 10.2307/j.ctvhn09vq.5
Adelowo, N. O. F., Bello, S. A., and Oyewusi, B. M. (2024). The impact of'japa syndrome'on human capital availability in Nigeria's Medical Industry. Global Scientific and Academic Research Journal of Economics, Business and Management 3(12), 107-115.
Adewuya, A. O., Oladipo, O., Ajomale, T., Adewumi, T., Momodu, O., Olibamoyo, O., et al. (2022). Epidemiology of depression in primary care: Findings from the Mental Health in Primary Care (MeHPriC) project, Lagos, Nigeria. Int J Psychiatry Med 57(1), 6-20. doi: 10.1177/0091217 421996089
Afunugo, K. N. (2023). Japa syndrome and its challenges to the Nigeria's labour force: A search for religious solutions. Ohazurume-Unizik Journal of Culture and Civilization 2(2).
Akinbobola, O. A. (2024). Stigma on Mental Illness and Help-Seeking among Nigerians in the United States. Doctor of Psychology (Psy.D.) dissertation, Walden University [accessed on 16 Feb 2024]. Available from: https://scholarworks.wal denu.edu/dissertations /15526/
Arinze-Umobi, S. O., and Chiweta-Oduah, O. (2021). Mental health perceptions in Nigeria: The role of mass media. Global Journal of Arts Humanity and Social Sciences 2(12), 935-941.
Asido Foundation (2025). Mental health advocacy and in-terventions in Nigeria. Ibadan (NG): Asido Foundation; [accessed on 13 Jun 2025]. Available from: https://asido foundation.com/about-us/
Atewologun, F., Adigun, O. A., Okesanya, O. J., Hassan, H. K., Olabode, O. N., Micheal, A. S., et al. (2025). A com-prehensive review of mental health services across selected countries in sub-Saharan Africa: assessing progress, challenges, and future direction. Discov Ment Health 5(1), 1-19. doi: 10.1007/s44192-025-00177-7
Atilola, O. (2015). Level of community mental health literacy in sub-Saharan Africa: current studies are limited in number, scope, spread, and cognizance of cultural nuances. Nordic J Psychiatry 69(2), 93-101. doi: 10.3109/0803 9488.2014.947319
Bakare, M. O., Igwe, M. N., Odinka, P. C., and Iteke, O. (2011). Neuropsychiatric diagnosis and psychotropic med-ication prescription patterns in a mental hospital-based child and adolescent psychiatric service in Nigeria. J Health Care Poor Underserved 22(3), 751-755. doi: 10.1353/hpu.2011.0078
Bertolote, J. (2008). The roots of the concept of mental health. World Psychiatry 7(2), 113. doi: 10.1002/j.2051-5545.2008.tb00172.x
Chibanda, D., Bowers, T., Verhey, R., Rusakaniko, S., Ab-as, M., Weiss, H. A., et al. (2015). The Friendship Bench programme: a cluster randomised controlled trial of a brief psychological intervention for common mental disorders delivered by lay health workers in Zimbabwe. International Journal of Mental Health Systems 9, 1-7. doi: 10.1186/s13033-015-0013-y
Chu, C., Roxas, N., Aguocha, C. M., Nwefoh, E., Wang, K., Dike, C., et al. (2022). Integrating mental health into primary care: evaluation of the health action for psychiatric problems in Nigeria including epilepsy and substances (HAPPINESS) pilot project. BMC Health Serv Res 22(1), 333. doi: 10.1186/s12913-022-07703-1
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45(1), 11-27. doi: 10.1017/S003 3291714000129
Cummins, I. (2020). Mental health services and community care: a critical history. 1 edn. Bristol University Press, Poli-cy Press. doi.org/10.2307/j.ctv10crbz9
De Silva, M. (2015). Making mental health an integral part of sustainable development: the contribution of a social determinants framework. Epidemiol Psychiatr Sci 24(2), 100-106. doi: 10.1017/S2045796015000049
Dixon, A., McDaid, D., Knapp, M., and Curran, C. (2006). Financing mental health services in low-and middle-income countries. Health Policy and Planning 21(3), 171-182.doi: 10.1093/heapol/czl004
Eaton, J., McCay, L., Semrau, M., Chatterjee, S., Baingana, F., Araya, R., et al. (2011). Scale up of services for mental health in low-income and middle-income coun-tries. Lancet 378(9802), 1592-1603. doi: 10.1016/S0140-6736(11)60891-X
Fadele, K. P., Igwe, S. C., Toluwalogo, N.-O., Udokang, E. I., Ogaya, J. B., and Lucero-Prisno, D. E. (2024). Mental health challenges in Nigeria: Bridging the gap between demand and resources. Glob Ment Health 11, e29. doi: 10.1017/gmh.2024.19
Fekadu, A., and Thornicroft, G. (2014). Global mental health: perspectives from Ethiopia. Glob Health Action 7(1), 25447. doi: 10.3402/gha.v7.25447
Fekadu, A., Hanlon, C., Medhin, G., Alem, A., Selamu, M., Giorgis, T. W., et al. (2016). Development of a scalable mental healthcare plan for a rural district in Ethiopia. B J Psych 208(s56), s4-s12. doi: 10.1192/bjp.bp.114.153676
Gbadamosi, I. T., Henneh, I. T., Aluko, O. M., Yawson, E. O., Fokoua, A. R., Koomson, A., et al. (2022). Depression in sub-saharan Africa. IBRO Neurosci Rep 12, 309-322. doi: 10.1016/j.ibneur.2022.03.005
Greene, M. C., Yangchen, T., Lehner, T., Sullivan, P. F., Pato, C. N., McIntosh, A., et al. (2021). The epidemiology of psychiatric disorders in Africa: a scoping review. Lancet Psychiatry 8(8), 717-731. doi: 10.1016/S2215-0366(21) 00009-2
Gureje, O., Lasebikan, V. O., Kola, L., and Makanjuola, V. A. (2006). Lifetime and 12-month prevalence of mental disorders in the Nigerian survey of mental health and well-being. BJPsych 188(5), 465-471. doi: 10.1192/bjp.188. 5.465
Hailemariam, M., Fekadu, A., Selamu, M., Medhin, G., Prince, M., and Hanlon, C. (2016). Equitable access to integrated primary mental healthcare for people with severe mental disorders in Ethiopia: a formative study. Int J Equity Health 15, 1-10.doi: 10.1186/s12939-016-0410-0
Harper, M. (2017). Migration and Mental Health. Past and Present. doi: 10.1057/978-1-137-52968-8
Herman, H., and Jané-Llopis, E. (2005). Mental health promotion in public health. Promot Educ 12(2_suppl), 42-47. doi: 10.1177/10253823050120020107
Ibrahim, Y. A., Usman, U. M., Tomori, B. A., Bako, A. S., Ahmad, A., Amira, B., et al. (2025). Factors associated with the duration of untreated mental illness among patients with mental disorders in northwestern Nigeria: a cross-sectional study. J Public Health Community Med 4(1), 15–21. doi:10.5455/JPHCM.20241127074145
Ikwuka, U., Galbraith, N., Manktelow, K., Chen‑Wilson, J., Oyebode, F., Muomah. R. C., et al. (2016). Ideological vs. instrumental barriers to accessing formal mental health care in south‑eastern Nigeria: a community‑based study. J Health Care Poor Underserved 27(1), 157–175. doi:10.1353/hpu.2016.0025
Jacob, K., Sharan, P., Mirza, I., Garrido-Cumbrera, M., Seedat, S., Mari, J. J., et al. (2007). Mental health systems in countries: where are we now? Lancet 370(9592), 1061-1077. doi: 10.1016/S0140-6736(07)61241-0
Jorm, A. F. (2012). Mental health literacy: empowering the community to take action for better mental health. Am Psy-chol 67(3), 231. doi: 10.1037/a0025957
Kakuma, R., Minas, H., Van Ginneken, N., Dal Poz, M. R., Desiraju, K., Morris, J. E., et al. (2011). Human resources for mental health care: current situation and strategies for action. Lancet, 378(9803), 1654-1663. doi: 10.1016/S0140 -6736(11)61093-3
Kirmayer, L. J., and Ramstead, M. J. D. (2017). Embodi-ment and enactment in cultural psychiatry. In Durt, C., Fuchs, T., and Tewes, C. (Eds.), Embodiment, Enaction, and Culture: Investigating the Constitution of the Shared World (pp. 397–422). Cambridge, MA: MIT Press.
Kutcher, S., Wei, Y., and Coniglio, C. (2016). Mental health literacy: Past, present, and future. Can J Psychiatry 61(3), 154-158. doi: 10.1177/0706743715616609
MANI. (2024). Mentally Aware Nigeria Initiative. About Us. Ibadan (NG): Mentally Aware Nigeria Initiative. [accessed on 13 Jun 2025]. Available from: https://mentallyaware.org /about/
Meyer, A. C., and Ndetei, D. (2016). Providing sustainable mental health care in Kenya: a demonstration project. In: Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop summary. Washington (DC): National Academies Press (US); [accessed on 25 Feb 2016]. Available from: https://www.ncbi.nlm.nih. gov/books/ NBK350312/
Munetsi, E., Chibanda, D., and Dzapasi, L. (2021). The friendship bench project. In Innovations in Global Mental Health (pp. 1009-1025): Springer. doi: 10.1007/978-3-030-57296-9_31
MyTherapist (2021). Mental Healthcare Solutions Ltd. Lagos (NG): [accessed on 13 Jun 2025]. Available from: https://www.mytherapist.ng/
Ndayizigamiye, P. (2016). Potential adoption of mobile health technologies for public healthcare in Burundi. PhD dissertation, University of KwaZulu‑Natal; [accessed on 18 Jan 2025]. Available from: https://researchspace.ukzn.ac. za/items/15b60ee0-d7b3-4969-b475-bebbe01d1551/
Ng'oma, M., Bitew, T., Kaiyo-Utete, M., Hanlon, C., Honikman, S., and Stewart, R. C. (2020). Perinatal mental health around the world: priorities for research and service development in Africa. BJPsych International 17(3), 56–59. doi: 10.1192/bji.2020.16
Nimoh, G. (2024). Mental health systems and policy in Ghana: a systematic review and meta-analyses. MSc the-sis, University of Manitoba [accessed on 19 Aug 2024]. Available from: https://mspace.lib.umanitoba.ca/handle/ 1993/38419
Odusote, A. (2023). National Mental Health Act 2021 as a Silver Lining for the Protection of the Fundamental Rights of the Mentally Ill Patient in Nigeria. Law and Social Justice Review 4(3), 48-55.
Ogunwale, A. (2023). Implementation of the Nigerian Mental Health Act 2021. Lancet Psychiatry 10(11), 826-828. doi: 10.1016/S2215-0366(23)00261-4
Okocha, A. A., Alika, H., and Bamgbose, O. O. (2020). Culture and mental health in Nigeria. In The Routledge International Handbook of Race, Culture and Mental Health (pp. 422-433): Routledge. doi: 10.4324/978131527 6168-42
Okrah, K. A. (2014). Ghana's Mental Health Act 2012: A study of the actors and strategies in setting the public policy agenda. MA thesis, University of Bergen. [cited 18 Jan 2025]. https://bora.uib.no/bora-xmlui/handle/1956/8350
Okunade, S. K., and Awosusi, O. E. (2023). The Japa syn-drome and the migration of Nigerians to the United Kingdom: an empirical analysis. Comparative Migration Studies 11(1), 27. doi: 10.1186/s40878-023-00351-2
Olorunfemi, O., Oyinloye, M. A., Peace, T. O., Abosede, A. O., Oluwaseun, O. D., and Funmilola, O. M. (2024). Effec-tive strategies to address "japa syndrome" among nigerian nurses for better workforce retention. Journal of Nursing Science and Professional Practice 1(4), 146-151. doi: 10.4103/JNSPP.JNSPP_31_24
Oshodi, O., Aina, O., and Onajole, A. (2010). Substance use among secondary school students in an urban setting in Nigeria: prevalence and associated factors. Afr J Psychiatry 13(1), 52-57. doi: 10.4314/ajpsy.v13i1.53430
Ozota, G. O., Sabastine, R. N., Uduji, F. C., and Okonkwo, V. C. (2024). Nigeria mental health law: Challenges and implications for mental health services. S Afr J Psychiatry 30, 2134. doi: 10.4102/sajpsychiatry.v30i0.2134
Patalay, P., Gondek, D., Moltrecht, B., Giese, L., Curtin, C., Stanković, M., et al. (2017). Mental health provision in schools: approaches and interventions in 10 European countries. Glob Mental Health 4, e10. doi: 10.1017/gmh.2017.6
Patel, V., Flisher, A. J., Hetrick, S., and McGorry, P. (2007). Mental health of young people: a global public-health challenge. Lancet 369(9569), 1302-1313. doi: 10.1016/S0140-6736(07)60368-7
Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., et al. (2018). The Lancet Commission on global mental health and sustainable development. Lancet 392(10157), 1553-1598. doi: 10.1016/S0140-6736(18)316 12-X
Petersen, I., Lund, C., Bhana, A., Flisher, A. J., Health, M., and Consortium, P. R. P. (2012). A task shifting approach to primary mental health care for adults in South Africa: human resource requirements and costs for rural settings. Health Policy and Planning 27(1), 42-51. doi: 10.1093/heapol/czr012
Prociow, P., Wac, K., and Crowe, J. (2012). Mobile psy-chiatry: towards improving the care for bipolar disorder. Int J Mental Health Syst 6, 1-10. doi: 10.1186/1752-4458-6-5
Ramos, G., and Chavira, D. A. (2022). Use of technology to provide mental health care for racial and ethnic minorities: evidence, promise, and challenges. Cognitive and Behavioral Practice 29(1), 15-40. doi: 10.1016/j.cbpra. 2019.10.004
Rössler, W. (2016). The stigma of mental disorders: A mil-lennia‐long history of social exclusion and prejudices. EM-BO Rep 17(9), 1250-1253. doi: 10.15252/embr.201643041
Rusatira, J. C., Tomaszewski, B., Dusabejambo, V., Ndayiragije, V., Gonsalves, S., Sawant, A., et al. (2016). Enabling access to medical and health education in Rwanda using mobile technology: needs assessment for the development of mobile medical educator apps. JMIR Medical Education 2(1), e5336. doi: 10.2196/mededu.5336
Ruzek, J. I., and Yeager, C. M. (2017). Internet and mobile technologies: addressing the mental health of trauma sur-vivors in less resourced communities. Glob Mental Health 4, e16. doi: 10.1017/gmh.2017.11
Safe Place Nigeria (She Writes Woman). Walk-in mental health clinic for young people in Lagos. Lagos (NG): Safe Place Nigeria; 2016 [accessed on 13 Jun 2025]. Available from: https://borgenproject.org/mental-health-in-nigeria/.
Saied, A. A. (2023). Nigeria's National Mental Health Act 2021: Any challenges ahead? Lancet, 401(10381), 997-999. doi: 10.1016/S0140-6736(23)00345-8
Saxena, S., Thornicroft, G., Knapp, M., and Whiteford, H. (2007). Resources for mental health: scarcity, inequity, and inefficiency. Lancet 370(9590), 878-889. doi: 10.1016/ S0140-6736(07)61239-2
Semrau, M., Evans-Lacko, S., Koschorke, M., Ashenafi, L., and Thornicroft, G. (2015). Stigma and discrimination related to mental illness in low-and middle-income coun-tries. Epidemiol Psychiatr Sci 24(5), 382-394. doi: 10.1017/S2045796015000359
Simblett, S. (2017). Behavioral health care and technology: using science-based innovations to transform practice. J Mental Health 26(5), 483. doi: 10.1080/09638237.2017. 1294747.
Spagnolo, J., and Lal, S. (2021). Implementation and use of the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): A review of the grey literature. J Glob Health 11, 04022. doi: 10.7189/jogh.11.04022
Subu, M. A., Holmes, D., Arumugam, A., Al-Yateem, N., Maria Dias, J., Rahman, S. A., et al. (2022). Traditional, religious, and cultural perspectives on mental illness: A qualitative study on causal beliefs and treatment use. In-ternational Journal of Qualitative Studies on Health and Well-Being 17(1), 2123090. doi: 10.1080/17482631.2022. 2123090
SURPIN (2017). Suicide Research and Prevention Initiative (SURPIN). Suicide prevention and crisis support in Nigeria. Lagos (NG): [accessed on 13 June 2025]. Available from: https://www.surpinng.com/
Turvey, C. L., and Roberts, L. J. (2015). Recent develop-ments in the use of online resources and mobile technolo-gies to support mental health care. Int Rev Psychiatry 27(6), 547-557. doi: 10.3109/09540261.2015.1087975
Wakoli, C. (2024). Exploring the barriers to mental health care and mitigation strategies in Kenya. IJRISS 8(1), 2227–2247. doi:10.47772/IJRISS.2024.801163
Waruguru, M., Kingori, J., Lackey, D., Musomi, J., Ngugi, J. G., and Okpaku, S. O. (2021). Mental health care in no-madic populations: the case of Kenya. In Innovations in Global Mental Health (pp. 347-361): Springer. doi: 10.1007/978-3-030-57296-9_30
Wei, Y., Hayden, J. A., Kutcher, S., Zygmunt, A., and McGrath, P. (2013). The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early intervention in psy-chiatry 7(2), 109-121. doi: 10.1111/eip.12010
WHO (2000). Women’s Mental Health: An Evidence‑Based Review. Geneva: World Health Organization. WHO Refer-ence Number: WHO/MSD/MDP/00.1. [accessed on 21 Nov 2024]. Available from: https://iris.who.int/handle/10665/ 66539
WHO (2005). World Health Organization Assessment In-strument for Mental Health Systems (WHO-AIMS), version 2.2. Geneva: World Health Organization. [accessed on 21 Nov 2024]. Available from: https://www.who.int/publi cati-ons/i/item/WHO-MSD-MER-05.02
WHO (2017). Depression and other common mental disor-ders: global health estimates. Geneva: World Health Or-ganization. WHO Reference Number: WHO/MSD/MER/ 2017.2. [accessed on 21 Nov 2024]. Available from: https://apps.who.int/iris/handle/10665/254 610
WHO (2019). Monitoring mental health systems and ser-vices in the WHO European Region: Mental Health Atlas. Copenhagen: World Health Organization Regional Office for Europe. [accessed on 21 Nov 2024]. Available from: https://www.euro.who.int/en/publications/abstracts/monitoring-mental-health-systems-and-services-in-the-who-europe an-region-mental-health-atlas-2017
WHO (2023). Mental Health Gap Action Programme (mhGAP) Guideline for Mental, Neurological and Substance use Disorders: Geneva: World Health Organization. [accessed on 21 Nov 2024]. Available from: https://www. who.int/publications/i/item/9789240084278
WHO. (2014). Working Arrangements for Implementing the “Shrinking the Map and Accelerating Elimination of LF and other NTDs” Project: WHO Regional Office for Africa, APOC and Task Force for Global Health summary report. Brazzaville: WHO Regional Office for Africa. [accessed on 21 Nov 2024]. Available from: https://www.afro.who.int /sites/default/files/2017-06/regional-strategy-on-neglected-tropical-diseases-in-the-who-african-region-2014–2020.pdf
Williams, S. M., Chapman, D., and Lando, J. (2005). The role of public health in mental health promotion. Morbidity and Mortality Weekly Report 54(34), 841-843.
Yu, S. (2018). Uncovering the hidden impacts of inequality on mental health: a global study. Transl Psychiatry 8(1), 98.doi: 10.1038/s41398-018-0148-0
Zayat, N., and Hoskins, I. A. (2025). Understanding mental health as a public health issue. Obstet Gynecol Clin North Am 52(1), 1-9. doi: 10.1016/j.ogc.2024.09.002
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