By — Victoria Fleischer Victoria Fleischer Leave your feedback Share Copy URL https://www.pbs.org/newshour/arts/mentally-ill-shackled-and-neglected-in-africas-crisis-regions Email Facebook Twitter LinkedIn Pinterest Tumblr Share on Facebook Share on Twitter Mentally ill shackled and neglected in Africa’s crisis regions Arts Jul 10, 2014 3:17 PM EDT Robin Hammond has photographed strife in Africa for a dozen years, from life in Zimbabwe under Robert Mugabe to the use of rape as a weapon of war in the Congo. The Paris-based photographer doesn’t shy away from difficult stories. In January of 2011 he was on assignment to document the Sudanese referendum for independence, which led to the creation of South Sudan. While driving through Juba, what would become the capital of the new country, Hammond spotted a young mentally disabled girl on the side of the road that gave him pause. Hammond turned to his driver, a local journalist, and asked him what happens to mentally ill people in Sudan. “He very casually replied, ‘well, we put them in prisons,’” Hammond told Art Beat. “The story became about, yes, this is a very hopeful time for a potentially new country, but at what price had the people paid to reach this point?” This 14-year-old boy had been tied up for six years in Gulu, Northern Uganda. His mother refused to have him admitted to Gulu Hospital, only two kilometers away. April 2011 photo by Robin Hammond/Panos That’s when the photographer realized that he had stumbled upon an important story to tell. The project became his new mission and is now collected in a book titled “Condemned,” published this past year. “After all these many years of war and all these deaths, with the government spending money on bullets and bombs rather than social welfare and development, the people who are most vulnerable in society, there’s nothing for them other than to put them in prison and shackle them to the floor.” S.B. Esanwi treats people with mental illness with prayer and traditional medicines which usually consist of roots and leaves crushed in water. He claims to have cured hundreds of patients. Many stay for months in his compound. Some are chained throughout their time there in the Niger Delta, Nigeria. October 2012 photo by Robin Hammond/Panos Hammond had never considered the long-term mental health effects on the Africans whose stories of war, famine, and conflict he had previous covered. But this story — the story of the mentally disabled girl on the side of the road — made the photographer realize there was much more to be told. “We (as journalists) go, we cover famine or conflict or massive displacement and then when the flood waters recede or when the peace treaty is signed or when the people settle down in their refugee camps, we leave as if it’s over.” Abdi Rahman Shukri Ali, 26, has lived in a locked tin shack for two years. He stays with his family in Dadaab in Eastern Kenya, the world’s largest refugee camp, where Somalis fleeing conflict and famine have sought safety. June 2011 photo by Robin Hammond/Panos But, Hammond explained, it’s not over for the people who live through the disaster. “What is the mental health impact of living through conflict, living through famine, living through disaster?” said Hammond. “When soldiers from our countries go and fight in wars, they come back and we know post-traumatic stress disorder is a common impact of being involved in those conflicts … People in Africa don’t suffer any less because they are African, but we don’t often think about the psychological impacts of the issues that they’re living through.” Due to insufficient staff, family members are encouraged to stay with patients at Brothers of Charity Sante Mental, in Goma, Democratic Republic of Congo. This relative would often beat, tie up and drag the patient when she did not obey his instructions. June 2011 photo by Robin Hammond/Panos But the New Zealand-born photographer didn’t only focus on the impact of crises on mental health, he also looked at those impacts on the structures set up to care for the mentally disabled. “What happens to that infrastructure of care when there’s a war or when there’s massive poverty or in a refugee camp? Where are the staff? Where are the facilities?” Hammond went back to countries where he had often been to document famine and conflict and focused on the mental health impacts of the stories in which he was already versed. In addition to South Sudan, he documented the care for mentally disabled people in Uganda, Somalia and the Democratic Republic of Congo. He also photographed in Dadaab refugee camp in Kenya, in Port Harcourt, Nigeria, where most of Nigeria’s oil comes from, in Sierra Leone and Liberia. The mentally ill men and women in Juba Central Prison in Sudan (now South Sudan) are held in separate cells at night but during the day will mingle with the general prison population. January 2011 photo by Robin Hammond/Panos He found that mental health services don’t exist. Some have been destroyed. Oftentimes the experts — the doctors and nurses — leave their native countries because they have the resources to get out. Instead, Hammond found that most people with mental illness are sent to prisons and, in almost every country he visited, the photographer saw people chained to the floor. “That’s why the project is called ‘Condemned,’ because, for a lot of these people in these societies, that is what they are.” Native Doctor Lekwe Deezia claims to heal mental illness through the power of prayer and traditional herbal medicines. While receiving treatment, which can sometimes take months, his patients are chained to trees in his courtyard in Niger Delta, Nigeria. They are not given shelter or protection from the elements. They are visibly terrified of the doctor. Away from the doctor the patients beg the photographer for food. They say they are only fed once a day, sometimes only once every 3 days. In a society that cannot trust corrupt government organizations, churches have become a sanctuary from the perceived wickedness and greed of the modern culture. In regions where both fortune and sickness are attributed to the spirit world, mental illness is considered a curse. October 2012 photo by Robin Hammond/Panos The cover of his book makes that evident. It pictures a young man, about 18 or 19 years old, whom he met in the prison in Juba. “He was shackled to the floor in this big thick iron that looked like pre-colonial slave trade shackles. The chain is only about 10 inches long so he can’t move around. He eats and sleeps and defecates all in the same place.” Many Somalis will take their mentally ill relative to traditional healers or imams for treatment in facilities such as this one in Mogadishu, Somalia. May 2011 photo by Robin Hammond/Panos Hammond saw the same kind of abuse everywhere he went, but for some reason this man stuck with him. Hammond thinks it might be because this was the photographer’s first time seeing a mentally ill man shackled to the floor with no place to move. Two years later, Hammond ran into a field worker from Handicap International who had just been to the prison and had recognized the man in the photo. For the photographer, that is the hardest part. “That guy that I photographed in that prison in Sudan, he is likely still there. And that little kid that I met in Somalia in the refugee camp who has been tied to a stick for the last 10 years, I’m sure he is still there. The young former child soldiers are still self-medicating with drugs because they’re still waking up in the middle of the night screaming,” said Hammond. “It’s an ongoing thing. In a way, I feel like if my job is to raise awareness, if my job is to make a difference with this, then I feel like I’ve completely failed because these guys are in exactly the same place. If they haven’t died yet, they haven’t moved.” But the photographer hasn’t given up on helping the subjects of his images. Former child soldier Mamie Denis, 33, in the informal settlement known as Trench Town in Liberia’s capital Monrovia “We used to kill people who we were not suppose to kill and did a lot of wicked things which is a bad experience for me… In the war when we were fighting, whenever we go and attack, we use to get a lot of things to enjoy ourselves. But since the war is over, we are just suffering. …” January/February 2013 photo by Robin Hammond/Panos “I have a real deep belief in the power of art and media to shape how we see and regard the world and treat the people in it … the whole point of the work — of any real art of photography — is to somehow make a connection with the viewer.” Hammond doesn’t want this project to simply be a piece of journalism; he wants it to be a piece of activism and he hopes that his photographs will spur action. He receives weekly emails from people asking how they can help and he has a laundry list of ways that he is expanding the scope and reach of the project. Last year, he received the W. Eugene Smith award, which will help fund continued work in the region. He plans to use that money to revisit the same countries and go deeper into the project, including telling the stories of the people on the ground who are fighting for the dignity of the mentally ill. “While there aren’t that many of them and while there are little-to-no resources, there are some people who are working very hard under very difficult circumstances to make a difference on this … It would provide a little bit of hope, which to be honest, is really hard to find with this issue.” The gutted Euro Bank building in Liberia’s capital Monrovia has become a home to ex-combatants of Liberia’s civil wars. January/February 2013 photo by Robin Hammond/Panos Hammond is also hoping to raise money for an anti-stigma campaign in Africa. He believes that it’s important to raise awareness not just in the western world, but in the places where these issues are taking place. In the end, Hammond wants his viewers to know that most of the mentally disabled people he interacted with were coherent and aware of both their condition and their often cruel treatment. “For some of them, it was the first time they were able to express what was going on and they had someone to listen to them,” said Hammond. This so called Rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, holds more than 170 people with mental illness or mental disability. Run by the government, it was originally designed as a facility to assist widows, but in 1999 it was turned into a place of incarceration for homeless people with mental illness that were cleared off the streets in a “clean up” in anticipation of the FIFA World Youth Soccer Championship. October 2012 photo by Robin Hammond/Panos “Mental health is an incredibly neglected issue everywhere, but especially in countries like this, where there are so many competing priorities.” Hammond just returned from another trip to Africa, this time in the hope of combating Western conceptions of the continent. He flew to Lagos — a mega-city with growing wealth and prosperity — to provide an alternative to the “death and misery” often displayed in his work. “I really hope that if we, as in the West, can see Africans having the same hopes and aspirations as us, that hopefully we can connect with them a bit more,” said Hammond. “And, when the bad stuff does happen, we can have the same empathy for them as we would if it happened in any European or American community.” See more photographs from “Condemned” below: While the staff at this Rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, denied that they house children, the photographer found, one mentally impaired child (around 8 years old) sleeping on the floor in the room for the “high risk” male inmates. The child had been there for 3 months. Another, around 14 years old was also sleeping on the floor in the same room. In another room the photographer found a young man who had one leg amputated (below). His other leg looked to be rotting. The smell was confirmation. He had a catheter leading to a urine bag but he was sleeping in soaked trousers. Many patients were in chains and one in handcuffs that were so tight his wrist either side of the cuff was severely swollen. The oil industry that has brought billions of dollars into the Nigerian economy has arguably been a disaster for the Delta region from where it is extracted. Corruption, mass inequality and violence have plagued the region ever since the discovery of the resource. October 2012 photo by Robin Hammond/Panos A young man who had one leg amputated, lays on a mat while his other leg appears to be rotting at a rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, the same place as is pictured above. October 2012 photo by Robin Hammond/Panos This government-run facility in the Niger Delta town of Eket, Nigeria, is meant to be a psychiatric hospital. In reality it is a merely a place of incarceration for people with mental disability. October 2012 photo by Robin Hammond/Panos A female patient at Galkayo Mental Health Centre in Puntland, Somalia, tries to escape the hospital. The World Health Organisation says one in three Somalis suffer from some kind of mental illness. May, June 2011 photo by Robin Hammond/Panos Pastor Richard Mika of Eglise Evangelique Au Service de L’Eternal travels door to door praying over mentally ill/disabled children in Goma, Democratic Republic of Congo. June 2011 photo by Robin Hammond/Panos A chained patient awaits treatment at the clinic of traditional healer Dr Serwadda Hassan in Kampala, Uganda. April 2011 photo by Robin Hammond/Panos Mineyro Jean-Marie describes to Médécines Sans Frontières Psychologist Serge Nzuya Mbwibwi in Niangara, Democratic Republic of Congo, how he felt when The Lord’s Resistance Army attacked his family and attempted to kidnap his daughter. June 2011 photo Robin Hammond/Panos A witch doctor in Northern Uganda diagnoses a patient with mental illness by reading the way pieces of bone and shell fall on a goats skin. March 2011 photo by Robin Hammond/Panos By — Victoria Fleischer Victoria Fleischer @vlfleischer
Robin Hammond has photographed strife in Africa for a dozen years, from life in Zimbabwe under Robert Mugabe to the use of rape as a weapon of war in the Congo. The Paris-based photographer doesn’t shy away from difficult stories. In January of 2011 he was on assignment to document the Sudanese referendum for independence, which led to the creation of South Sudan. While driving through Juba, what would become the capital of the new country, Hammond spotted a young mentally disabled girl on the side of the road that gave him pause. Hammond turned to his driver, a local journalist, and asked him what happens to mentally ill people in Sudan. “He very casually replied, ‘well, we put them in prisons,’” Hammond told Art Beat. “The story became about, yes, this is a very hopeful time for a potentially new country, but at what price had the people paid to reach this point?” This 14-year-old boy had been tied up for six years in Gulu, Northern Uganda. His mother refused to have him admitted to Gulu Hospital, only two kilometers away. April 2011 photo by Robin Hammond/Panos That’s when the photographer realized that he had stumbled upon an important story to tell. The project became his new mission and is now collected in a book titled “Condemned,” published this past year. “After all these many years of war and all these deaths, with the government spending money on bullets and bombs rather than social welfare and development, the people who are most vulnerable in society, there’s nothing for them other than to put them in prison and shackle them to the floor.” S.B. Esanwi treats people with mental illness with prayer and traditional medicines which usually consist of roots and leaves crushed in water. He claims to have cured hundreds of patients. Many stay for months in his compound. Some are chained throughout their time there in the Niger Delta, Nigeria. October 2012 photo by Robin Hammond/Panos Hammond had never considered the long-term mental health effects on the Africans whose stories of war, famine, and conflict he had previous covered. But this story — the story of the mentally disabled girl on the side of the road — made the photographer realize there was much more to be told. “We (as journalists) go, we cover famine or conflict or massive displacement and then when the flood waters recede or when the peace treaty is signed or when the people settle down in their refugee camps, we leave as if it’s over.” Abdi Rahman Shukri Ali, 26, has lived in a locked tin shack for two years. He stays with his family in Dadaab in Eastern Kenya, the world’s largest refugee camp, where Somalis fleeing conflict and famine have sought safety. June 2011 photo by Robin Hammond/Panos But, Hammond explained, it’s not over for the people who live through the disaster. “What is the mental health impact of living through conflict, living through famine, living through disaster?” said Hammond. “When soldiers from our countries go and fight in wars, they come back and we know post-traumatic stress disorder is a common impact of being involved in those conflicts … People in Africa don’t suffer any less because they are African, but we don’t often think about the psychological impacts of the issues that they’re living through.” Due to insufficient staff, family members are encouraged to stay with patients at Brothers of Charity Sante Mental, in Goma, Democratic Republic of Congo. This relative would often beat, tie up and drag the patient when she did not obey his instructions. June 2011 photo by Robin Hammond/Panos But the New Zealand-born photographer didn’t only focus on the impact of crises on mental health, he also looked at those impacts on the structures set up to care for the mentally disabled. “What happens to that infrastructure of care when there’s a war or when there’s massive poverty or in a refugee camp? Where are the staff? Where are the facilities?” Hammond went back to countries where he had often been to document famine and conflict and focused on the mental health impacts of the stories in which he was already versed. In addition to South Sudan, he documented the care for mentally disabled people in Uganda, Somalia and the Democratic Republic of Congo. He also photographed in Dadaab refugee camp in Kenya, in Port Harcourt, Nigeria, where most of Nigeria’s oil comes from, in Sierra Leone and Liberia. The mentally ill men and women in Juba Central Prison in Sudan (now South Sudan) are held in separate cells at night but during the day will mingle with the general prison population. January 2011 photo by Robin Hammond/Panos He found that mental health services don’t exist. Some have been destroyed. Oftentimes the experts — the doctors and nurses — leave their native countries because they have the resources to get out. Instead, Hammond found that most people with mental illness are sent to prisons and, in almost every country he visited, the photographer saw people chained to the floor. “That’s why the project is called ‘Condemned,’ because, for a lot of these people in these societies, that is what they are.” Native Doctor Lekwe Deezia claims to heal mental illness through the power of prayer and traditional herbal medicines. While receiving treatment, which can sometimes take months, his patients are chained to trees in his courtyard in Niger Delta, Nigeria. They are not given shelter or protection from the elements. They are visibly terrified of the doctor. Away from the doctor the patients beg the photographer for food. They say they are only fed once a day, sometimes only once every 3 days. In a society that cannot trust corrupt government organizations, churches have become a sanctuary from the perceived wickedness and greed of the modern culture. In regions where both fortune and sickness are attributed to the spirit world, mental illness is considered a curse. October 2012 photo by Robin Hammond/Panos The cover of his book makes that evident. It pictures a young man, about 18 or 19 years old, whom he met in the prison in Juba. “He was shackled to the floor in this big thick iron that looked like pre-colonial slave trade shackles. The chain is only about 10 inches long so he can’t move around. He eats and sleeps and defecates all in the same place.” Many Somalis will take their mentally ill relative to traditional healers or imams for treatment in facilities such as this one in Mogadishu, Somalia. May 2011 photo by Robin Hammond/Panos Hammond saw the same kind of abuse everywhere he went, but for some reason this man stuck with him. Hammond thinks it might be because this was the photographer’s first time seeing a mentally ill man shackled to the floor with no place to move. Two years later, Hammond ran into a field worker from Handicap International who had just been to the prison and had recognized the man in the photo. For the photographer, that is the hardest part. “That guy that I photographed in that prison in Sudan, he is likely still there. And that little kid that I met in Somalia in the refugee camp who has been tied to a stick for the last 10 years, I’m sure he is still there. The young former child soldiers are still self-medicating with drugs because they’re still waking up in the middle of the night screaming,” said Hammond. “It’s an ongoing thing. In a way, I feel like if my job is to raise awareness, if my job is to make a difference with this, then I feel like I’ve completely failed because these guys are in exactly the same place. If they haven’t died yet, they haven’t moved.” But the photographer hasn’t given up on helping the subjects of his images. Former child soldier Mamie Denis, 33, in the informal settlement known as Trench Town in Liberia’s capital Monrovia “We used to kill people who we were not suppose to kill and did a lot of wicked things which is a bad experience for me… In the war when we were fighting, whenever we go and attack, we use to get a lot of things to enjoy ourselves. But since the war is over, we are just suffering. …” January/February 2013 photo by Robin Hammond/Panos “I have a real deep belief in the power of art and media to shape how we see and regard the world and treat the people in it … the whole point of the work — of any real art of photography — is to somehow make a connection with the viewer.” Hammond doesn’t want this project to simply be a piece of journalism; he wants it to be a piece of activism and he hopes that his photographs will spur action. He receives weekly emails from people asking how they can help and he has a laundry list of ways that he is expanding the scope and reach of the project. Last year, he received the W. Eugene Smith award, which will help fund continued work in the region. He plans to use that money to revisit the same countries and go deeper into the project, including telling the stories of the people on the ground who are fighting for the dignity of the mentally ill. “While there aren’t that many of them and while there are little-to-no resources, there are some people who are working very hard under very difficult circumstances to make a difference on this … It would provide a little bit of hope, which to be honest, is really hard to find with this issue.” The gutted Euro Bank building in Liberia’s capital Monrovia has become a home to ex-combatants of Liberia’s civil wars. January/February 2013 photo by Robin Hammond/Panos Hammond is also hoping to raise money for an anti-stigma campaign in Africa. He believes that it’s important to raise awareness not just in the western world, but in the places where these issues are taking place. In the end, Hammond wants his viewers to know that most of the mentally disabled people he interacted with were coherent and aware of both their condition and their often cruel treatment. “For some of them, it was the first time they were able to express what was going on and they had someone to listen to them,” said Hammond. This so called Rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, holds more than 170 people with mental illness or mental disability. Run by the government, it was originally designed as a facility to assist widows, but in 1999 it was turned into a place of incarceration for homeless people with mental illness that were cleared off the streets in a “clean up” in anticipation of the FIFA World Youth Soccer Championship. October 2012 photo by Robin Hammond/Panos “Mental health is an incredibly neglected issue everywhere, but especially in countries like this, where there are so many competing priorities.” Hammond just returned from another trip to Africa, this time in the hope of combating Western conceptions of the continent. He flew to Lagos — a mega-city with growing wealth and prosperity — to provide an alternative to the “death and misery” often displayed in his work. “I really hope that if we, as in the West, can see Africans having the same hopes and aspirations as us, that hopefully we can connect with them a bit more,” said Hammond. “And, when the bad stuff does happen, we can have the same empathy for them as we would if it happened in any European or American community.” See more photographs from “Condemned” below: While the staff at this Rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, denied that they house children, the photographer found, one mentally impaired child (around 8 years old) sleeping on the floor in the room for the “high risk” male inmates. The child had been there for 3 months. Another, around 14 years old was also sleeping on the floor in the same room. In another room the photographer found a young man who had one leg amputated (below). His other leg looked to be rotting. The smell was confirmation. He had a catheter leading to a urine bag but he was sleeping in soaked trousers. Many patients were in chains and one in handcuffs that were so tight his wrist either side of the cuff was severely swollen. The oil industry that has brought billions of dollars into the Nigerian economy has arguably been a disaster for the Delta region from where it is extracted. Corruption, mass inequality and violence have plagued the region ever since the discovery of the resource. October 2012 photo by Robin Hammond/Panos A young man who had one leg amputated, lays on a mat while his other leg appears to be rotting at a rehabilitation facility outside the Niger Delta city of Port Harcourt, Nigeria, the same place as is pictured above. October 2012 photo by Robin Hammond/Panos This government-run facility in the Niger Delta town of Eket, Nigeria, is meant to be a psychiatric hospital. In reality it is a merely a place of incarceration for people with mental disability. October 2012 photo by Robin Hammond/Panos A female patient at Galkayo Mental Health Centre in Puntland, Somalia, tries to escape the hospital. The World Health Organisation says one in three Somalis suffer from some kind of mental illness. May, June 2011 photo by Robin Hammond/Panos Pastor Richard Mika of Eglise Evangelique Au Service de L’Eternal travels door to door praying over mentally ill/disabled children in Goma, Democratic Republic of Congo. June 2011 photo by Robin Hammond/Panos A chained patient awaits treatment at the clinic of traditional healer Dr Serwadda Hassan in Kampala, Uganda. April 2011 photo by Robin Hammond/Panos Mineyro Jean-Marie describes to Médécines Sans Frontières Psychologist Serge Nzuya Mbwibwi in Niangara, Democratic Republic of Congo, how he felt when The Lord’s Resistance Army attacked his family and attempted to kidnap his daughter. June 2011 photo Robin Hammond/Panos A witch doctor in Northern Uganda diagnoses a patient with mental illness by reading the way pieces of bone and shell fall on a goats skin. March 2011 photo by Robin Hammond/Panos