Theme 4 · ACGMH 2027

Cultural, Gender, and Social Determinants of Mental Health in African Contexts

Examining how mental health is understood, experienced, and addressed within diverse African settings — challenging universalized models in favor of culturally grounded, gender-responsive, and socially informed approaches.

7 - 9 April 2027Culture, Gender & Equity

Overview

About This Theme

This theme is part of the broader conference focus on community-based mental health systems, innovation, equity, and resilience across Africa and low- and middle-income countries.

← All Themes

Mental health does not exist in a vacuum — it is shaped by the cultural, social, and structural realities within which people live. In African contexts, experiences of distress, well-being, help-seeking, and recovery are deeply influenced by cultural beliefs, gender norms, economic conditions, and historical forces.

This theme challenges universalized models of care that may overlook local realities and instead emphasizes culturally grounded, gender-responsive, and socially informed approaches to mental health.

By examining the intersection of identity, culture, and inequality, this theme seeks to advance more inclusive, equitable, and contextually relevant mental health systems.

Significance

Why This Theme Matters

This theme addresses urgent and interconnected challenges in mental health systems, with direct implications for research, policy, practice, and communities.

Improves relevance of care: interventions must align with local beliefs, languages, and practices to be effective.

Addresses inequality: social determinants such as poverty, gender inequality, and marginalization directly shape mental health outcomes.

Reduces stigma: understanding cultural narratives helps inform better anti-stigma strategies.

Enhances access: gender-sensitive and culturally adapted services increase help-seeking behaviors.

Promotes equity: ensures that mental health systems serve all populations, especially the most vulnerable.

Key Areas of Focus

Areas of Exploration

Submissions may address any of the following focus areas, or propose related topics aligned with the conference vision.

Cultural Conceptualizations of Mental Health

Local understandings of distress, suffering, and healing

Indigenous knowledge systems and explanatory models of mental illness

Role of spirituality, religion, and traditional healing practices

Integrating cultural competence into clinical and community care

Gender and Mental Health

Impact of gender norms on mental health experiences and help-seeking

Gender-based violence and its psychological consequences

Masculinity norms and mental health (silence, risk-taking, suicide)

Economic and caregiving burdens disproportionately affecting women

Poverty, Inequality, and Social Determinants

Relationship between poverty and mental health

Effects of unemployment, food insecurity, and economic instability

Urbanization and changing social structures

Intergenerational transmission of disadvantage and distress

Stigma, Discrimination, and Exclusion

Cultural stigma surrounding mental illness

Discrimination in families, communities, and institutions

Community-driven stigma reduction strategies

Role of language and narrative in shaping public attitudes

Intersectionality and Vulnerable Populations

Mental health at the intersection of gender, age, disability, and socioeconomic status

Marginalized populations: refugees, persons with disabilities, ethnic minorities

Elderly populations and social isolation

Intersectional approaches to service design and delivery

Family, Community, and Cultural Interventions

Role of family structures in mental health and recovery

Collective versus individual approaches to wellbeing

Adapting evidence-based interventions to local contexts

Community co-creation and gender-responsive delivery models

Cross-Cutting Considerations

Key Considerations

Equity and Inclusion

Ensuring that all groups are represented and served

Human Rights

Protecting dignity and addressing structural injustice

Localization

Shifting from externally driven models to locally owned solutions

Participation

Involving communities in designing and delivering services

Ethics

Respecting cultural practices while safeguarding against harm

Guiding Questions

Key Questions for Exploration

How do cultural beliefs shape the way mental health is understood and addressed in African contexts?

What are the implications of gender norms for mental health outcomes and access to care?

How can mental health interventions be adapted to reflect local realities without losing effectiveness?

What strategies effectively address stigma and discrimination at the community level?

How can systems better respond to the needs of marginalized and vulnerable populations?

What role do families and communities play in promoting mental health and recovery?

What We Invite

Expected Contributions

Qualitative and ethnographic research on cultural understandings of mental healthGender-focused analyses and intervention studiesResearch on social determinants and structural inequalitiesCase studies of culturally adapted mental health programsCommunity-led and participatory approaches to mental health carePolicy and advocacy work addressing equity and inclusion

Strategic Importance

Why This Matters for the Conference

This theme ensures that mental health systems are contextually grounded rather than externally imposed, equitable rather than exclusionary, and responsive rather than generic. Effective mental health care must reflect the lived realities of the people it serves.

Ready to contribute?

Submit your abstract for Theme 4

ACGMH 2027Africa at the Center of Global Mental Health Conference  ·  Kampala, Uganda© 2027 Makerere University