The 1970s is the decade when Dr. Dia Al Housseynou first brought mental healthcare to Mauritania, an arid, predominantly Muslim country deeply attached to the Sahara, both geographically and culturally.
As a young man, he studied abroad in Senegal, completed internships in several European countries and wrote his thesis on family therapy before returning to Mauritania in 1975 and convincing authorities of the importance of mental healthcare.
He set up the traditional desert tents known as “khaimas” in the courtyard of the national hospital, where families could bring their loved ones for doctor’s appointments.
Three years later, the hospital opened a dedicated psychiatric service. The Center for Specialized Medicine was inaugurated in 1990.
But Housseynou said he was nostalgic for the days of tents.
“Architecture is key in caring for the ill. When we build closed wards, everyone in their own room, it becomes a prison,” he said, adding that Mauritania did not need “Western-style psychiatry.”
Inside the psychiatric ward, many patients deemed violent are chained to their beds.
“It’s not hospital policy, but it’s up to families whether to restrain their loved one or not,” said chief security officer Ramadan Mohamed.