Mental health is a crucial but frequently neglected aspect of general health and well-being that faces numerous challenges, including underfunding, shortage of trained professionals, pervasive stigma, inadequate infrastructure, and
insufficient policies in sub-Saharan Africa. This review reports the significant progress and initiatives that have been made
in this region. South Africa, Nigeria, Uganda, Kenya, Tanzania, Ethiopia, Rwanda, and Ghana have developed national
policies and integrated mental health services into primary healthcare, marking a shift towards community-based care
and reducing stigma through awareness campaigns. Countries such as South Africa and Rwanda have robust infrastructure, while Ethiopia and Kenya emphasize training primary healthcare providers and community-based models. Ghana’s
Mental Health Act and Uganda’s collaboration with NGOs has enhanced awareness and resource mobilization. Mental
healthcare-targeted programs, such as Kenya’s Friendship Bench and Ethiopia’s Health Extension Program, have demonstrated the efficacy of community-based interventions. South Africa has leveraged innovative approaches, such as
telepsychiatry, to expand access to holistic mental health services, particularly in rural areas. Partnerships with traditional
healers in Uganda and Rwanda have enhanced early identification and referral. Despite these advancements, challenges
persist. Common issues include a severe shortage of mental health professionals, inadequate budget allocation, limited
access to services in rural areas, and the need for comprehensive policy frameworks that continue to stall the desired
goals. Urban-centric services in Nigeria, financial constraints in Tanzania, and resource limitations in Ethiopia and Rwanda
have hindered equitable access. While public–private partnerships and technological innovations are emerging, the dominance of institutionalized care in several regions limits community outreach. To chart the path forward, improving
mental health services in Sub-Saharan Africa requires increased funding, expanded training programs for mental health
professionals, and incorporation of mental health into basic healthcare systems. Utilizing technology such as telemedicine
and mobile health applications holds promise for overcoming geographical barriers and supporting ongoing education. Community-based models and advocacy efforts are essential for reducing stigma, promoting sustainable mental
healthcare, and enhancing the overall well-being of citizens insub-Saharan Africa.