Political Determinants of Mental Health in Africa: why it matters and the way forward

Abstract

While global health discourse increasingly recognises social determinants of health, the profound and pervasive role of political structures, governance, and policy in shaping mental health outcomes remains critically under-analysed, particularly in Africa. This commentary argues that political determinants, including legacies of colonial violence, state fragility, discriminatory legislation, and under-resourced health systems, are fundamental drivers of the continent's mental health burden. Addressing these determinants is not merely a clinical or public health imperative, but a prerequisite for sustainable development, social justice, and the realisation of universal health coverage.