A study found that 30 per cent of women surveyed in Togo turn
to their hairdressers first when facing personal difficulties, while fewer than
one per cent initially seek help from health professionals.
The
findings highlight the role of trusted community relationships in mental health
support in a country with fewer than 10 psychiatrists serving a population of
more than nine million, according to the World Health Organisation (WHO).
The study,
conducted by the Bluemind Foundation, involved 576 women, comprising 205 salon
clients and 371 hairdressers, in Lomé, Kara, Sokodé and Dapaong between April
and June 2026.
Released ahead of World Mental Health Day on October 10, the Trust Study
examined whom women approach first when dealing with personal difficulties and how trust could help connect them to professional mental health services.According
to the findings, family members remain the first source of support for 41 per
cent of the clients surveyed, followed by hairdressers at 30 per cent and
friends at 11 per cent.
The study also found that 89 per cent of clients in
in-depth interviews disclosed things to their hairdressers that they did not
share with anyone else.
All the hairdressers interviewed said they had noticed
signs of distress among clients before the women spoke about their difficulties.
The survey
also found that 99 per cent of clients surveyed would either accept or consider
a referral to professional support from their hairdressers. Of those, 69 per
cent said they would accept such referrals, and 30 per cent said they would
consider them.
Founder
and President of the Bluemind Foundation, Marie-Alix de Putter, said trust
could encourage women to discuss their difficulties and seek professional help
when necessary.
“Trust can
make speaking possible, provide an initial form of support and, when more help
is needed, open a path toward care. But a referral is only as useful as the
care available at the other end,” she said.
Since
2021, the foundation has operated its Heal by Hair programme, which trains
hairdressers to listen without judgement, maintain confidentiality, recognise
signs of emotional distress, respond safely to disclosures of violence and
refer clients to appropriate professionals.
The
foundation said the study examined the relationships underpinning the programme
but did not measure its therapeutic impact or establish that the approach
directly improves mental health outcomes.
It
stressed that hairdressers were not expected to replace trained mental health
professionals, adding that community-based support must be backed by accessible
professional services, effective referral systems, and investment in the mental
health workforce.
The study
cited estimates that nearly 150 million people in Africa live with mental
health conditions, with fewer than one in 10 receiving any form of support.
It said
mental health research remained limited in francophone Africa and called for
further studies to determine whether trusted community relationships could help
people access formal care in other settings.
The
research used 440 questionnaires, 53 in-depth interviews, and five focus group
discussions with 83 participants.
The
foundation described the findings as exploratory and descriptive, noting that
they could not be generalised to all women in Togo or other countries without
further research.
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