22/10/2026
Mahad*, 18, was brought to Bay Regional Hospital in Baidoa by his uncle in August 2026 after his mental health condition returned. He barely slept, was restless and irritable, talked nonstop and wandered long distances without knowing where he was going. His first episode, in 2023, had ended his schooling, and the condition later kept him from working in his shop. “My family would be waiting for me at home with dinner prepared, and I would suddenly find myself in another village, or another town,” he says. People called him “the madman,” a label he hated.
After his family tried other forms of help, MSF mental health counsellors assessed Mahad and began medication and counselling. His family learned about his condition and supported his care, and he attended four follow-up sessions. “Doctors welcomed me here, and then I was given medication, which benefited me greatly,” he says. Mahad now sleeps well, is calmer, communicates more easily and has returned to work. “I was sick for quite some time, but since I started receiving treatment at this hospital, I am getting better,” he says.
MSF works with the Ministry of Health at Bay Regional Hospital to provide free, confidential mental health care, including counselling, psychiatric consultations, medication and follow-up. Through the World Health Organization’s MHGAP programme, doctors from several hospital departments have been trained to diagnose and treat mental health conditions, allowing patients with severe conditions to receive care locally without referral elsewhere. Between January and June 2026, MSF teams conducted 5,267 mental health consultations in Baidoa and Mudug.
*Name changed to protect privacy.