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Open Letter To Health Minister, Prof. Muhammad Ali Pate On Nigeria’s Mental Health Crisis, By Halima Layeni

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According to Halima Layeni, less than 10% of mentally ill Nigerians have access to the care they need. This is not just a statistic; it is a damning indictment of our collective failure to prioritize mental health as a fundamental aspect of overall well-being.

Dear Honorable Minister for Health,

I pen this letter to you with a heavy heart, but also with a fervent hope for change. As the Minister for Health and Social Welfare, you shoulder the immense responsibility of safeguarding the well-being of every Nigerian. Yet, amidst the myriad challenges we face as a nation, one issue stands out as a glaring indictment of our collective failure: the state of mental health care in Nigeria.

In a country of over 200 million people, we have fewer than 150 psychiatrists. Let that sobering fact sink in. Less than 150 specialists are tasked with addressing the mental health needs of a population grappling with the stresses of modern life, compounded by poverty, conflict, and inequality.

According to the WHO, less than 10% of mentally ill Nigerians have access to the care they need. This is not just a statistic; it is a damning indictment of our collective failure to prioritize mental health as a fundamental aspect of overall well-being.

To put this into perspective, let us compare our situation to that of other nations: In the United States, there are approximately 28,000 psychiatrists serving a population of 330 million people. In the United Kingdom, there are 12,300 psychiatrists for a population of 68 million. The disparity is stark, and it is unacceptable.

Numbers alone do not tell the full story. We must also confront the systemic issues that have hampered our efforts to provide adequate mental health care.

First and foremost, we must address the chronic underfunding of mental health services. Year after year, mental health budgets languish at the bottom of the priority list, starved of the resources they need to function effectively. This must change. We cannot hope to build a healthy, prosperous society without investing in the mental well-being of our citizens.

Equally pressing is the issue of inadequate facilities and infrastructure. Too often, those in need of mental health care are forced to travel long distances to access overstretched hospitals and clinics, only to find that essential medications and treatments are in short supply. We must invest in the expansion and modernization of our mental health infrastructure, ensuring that care is accessible to all who need it.

But perhaps most damning of all is the failure to implement existing laws and policies designed to protect the rights of individuals with mental health conditions. Our National Mental Health Policy, enacted in 2013, lays out a comprehensive framework for promoting mental health and ensuring access to quality care. Yet, too often, these lofty aspirations remain unrealized.

We cannot ignore the issue of men’s mental health. Traditional gender norms dictate that men should be stoic and strong, leading many to suffer in silence rather than seek help for their mental health issues. We must work to dismantle these harmful stereotypes and create a culture where men feel comfortable seeking support when they need it most.

As Minister for Health and Social Welfare, you have the power to effect change. You have the opportunity to reshape our nation’s approach to mental health care, to tear down the barriers that have long stood in the way of progress. But you cannot do it alone.

I call upon you to marshal the resources of your ministry, to rally support from across the government and civil society, and to lead by example in the fight for mental health equity. Together, we can build a future where every Nigerian has access to the care and support they need to thrive—a future where mental health is not just an afterthought, but a fundamental pillar of our national identity.

The time for action is now. The stakes could not be higher. Let us rise to the challenge, and in doing so, create a brighter, healthier future for all Nigerians.

Halima Layeni

Founder & Executive Director

Life After Abuse Foundation

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Health

Federal Ministry of Health Orders Immediate Retirement of Directors After 8-Year Tenure

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The Federal Ministry of Health has directed the immediate retirement of all directors who have served at least eight years in the directorate cadre, effective from December 31, 2025.

The directive, outlined in a memo signed by Tetshoma Dafeta, Director overseeing the Office of the Permanent Secretary, enforces the eight-year tenure policy for directors as stipulated in Section 020909 of the Revised Public Service Rules 2021.

It applies to directors across the ministry, federal hospitals, agencies, and parastatals under its supervision.

The move aligns with a broader Federal Government circular from the Office of the Head of the Civil Service of the Federation, which reiterated the compulsory retirement rule for directors (Grade Level 17 or equivalent) after eight years in the position, as part of efforts to ensure compliance across all Ministries, Departments, and Agencies (MDAs).

The policy has sparked concerns from the Joint Health Sector Unions (JOHESU), which has criticized what it describes as selective implementation of retirement age reviews in the health sector.

JOHESU argues that such policies favor certain cadres over others, potentially undermining equity, teamwork, morale, and overall efficiency in healthcare delivery.

The ministry’s action follows recent government-wide enforcement of tenure limits for senior civil servants, including permanent secretaries. Affected directors are to be disengaged immediately, with institutions required to implement the directive without delay.

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More than 95,000 died of suicide so far in 2026 — WHO

Certain vulnerable populations face disproportionately higher risks, including refugees and migrants, indigenous peoples, LGBTI persons, prisoners, and others who experience discrimination, social exclusion or limited access to support services.

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World Health Organization (WHO) data reported that more than 95,000 people have died by suicide globally since the start of 2026.

According to Worldometer, the figure as of the time of this report, stands at 95, 406 so far in 2026.

The early-year toll highlights the continuing scale of suicide as a major global public health challenge.

WHO estimates show that about 727, 000 people die by suicide every year worldwide, with millions more attempting to take their own lives.

Health experts note that while annual suicide figures are usually released with a reporting delay, real-time counters help illustrate how frequently lives are lost to a largely preventable cause.

Suicide occurs across all regions and age groups, but WHO data indicate that it remains one of the leading causes of death among young people aged 15 to 29, ranking third globally in that age group in 2021.

The impact extends far beyond individuals, leaving long-lasting emotional, social and economic consequences for families, communities and entire nations.

Contrary to common assumptions, suicide is not limited to high-income countries.

WHO reports that nearly three-quarters (73%) of global suicides occur in low- and middle-income countries, where access to mental health care and social support services is often limited.

While suicide is closely linked to mental health conditions such as depression and alcohol use disorders, particularly in high-income countries,WHO notes that many suicides occur impulsively during moments of acute crisis.

These crises may stem from financial stress, relationship conflicts, chronic pain, illness, exposure to violence, displacement, or a profound sense of isolation.

Certain vulnerable populations face disproportionately higher risks, including refugees and migrants, indigenous peoples, LGBTI persons, prisoners, and others who experience discrimination, social exclusion or limited access to support services.

WHO stresses that suicide is preventable and requires a coordinated public health response rather than isolated interventions.

Evidence-based and often low-cost measures, such as restricting access to lethal means, promoting responsible media reporting, strengthening life skills among adolescents, and ensuring early identification and follow-up care for those at risk, have been shown to save

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Health

WHO: United States membership withdrawal takes effect

Reacting to the development, WHO Director-General, Dr Tedros Adhanom Ghebreyesus, expressed regret over the decision and urged the United States to reconsider.

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The United States’ withdrawal from the World Health Organisation (WHO) officially took effect on Thursday, exactly one year after President Donald Trump ordered the country to pull out of the global health body.

Under the terms governing WHO membership, a withdrawal becomes effective after a mandatory one-year notice period, which expired on Thursday 22 January, following the executive order signed by Trump shortly after he took office in 2025.

Although the agreement requires the United States to settle all outstanding financial obligations before withdrawal, that condition has not been met. However, the WHO has no legal mechanism to enforce payment or prevent a member state from exiting the organisation.

Reacting to the development, WHO Director-General, Dr Tedros Adhanom Ghebreyesus, expressed regret over the decision and urged the United States to reconsider.

“The withdrawal is a loss for the United States and also a loss for the rest of the world,” Tedros said, adding that the organisation remains open to the country’s return.

President Trump had justified the decision by accusing the WHO of mishandling the COVID-19 pandemic, which originated in Wuhan, China, as well as other global health emergencies.

He also cited the organisation’s alleged failure to implement necessary reforms and its inability to operate independently of political influence from member states.

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