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Dr. Abdullahi Jawobah takes us deep into the critically overlooked world of maternal mental health, where his groundbreaking research reveals a staggering statistic: approximately 50% of pregnant and lactating mothers in Sierra Leone experience psychological distress. This silent epidemic has far-reaching consequences not only for mothers but for their unborn children, as Dr. Jawobah explains how stress hormones cross the placenta to affect gene expression in developing fetuses. Addressing this is a pathway to reducing stillbirths, preeclampsia, infant malnutrition, and physical health outcomes.

The conversation illuminates how mothers in Sierra Leone express their psychological suffering through culturally specific language—describing their distress as "my heart is spoiled" or "my heart is crying"—rather than using Western terms like depression or anxiety. Dr. Jawobah shares the heartbreaking cultural context where women who undergo cesarean sections may be viewed as "not fit to be women" and mothers whose babies develop malnutrition might be accused of infidelity, creating significant barriers to seeking mental health support.

What makes this episode particularly powerful is Dr. Jawobah's innovative solution: adapting Zimbabwe's "Friendship Bench" intervention for Sierra Leone. By training elderly women from existing mother-to-mother support groups to provide problem-solving therapy, his team created a culturally appropriate support system that produced "phenomenal" results. These elderly women, once feeling marginalized themselves, find new purpose in guiding younger mothers through their challenges, creating a beautiful intergenerational healing model. (Research)

Abdulai Jawo Bah completed his PhD in Global Mental Health at Queen Margaret University in Scotland. He is an NIH Diversity Supplement Research Fellow and Research Associate at Boston College's Department of Research Program on Children and Adversity (RPCA), investigating transmission of trauma from former child soldiers to their offspr

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