Five reports focus on patients and their care in African countries. Rachel Jenkins, F.R.C.Psych., M.D., and colleagues describe efforts to ensure that the development agenda for sub-Saharan Africa includes mental health as a priority. A particular challenge is to raise awareness of the links between mental disorders and morbidity and mortality in a region where donor countries often focus narrowly on controlling the spread of major communicable diseases (page 229). A study by Crick Lund, M.Soc.Sci., Ph.D., and colleagues in South Africa found that community-based services created since the mid-1990s, when deinstitutionalization greatly reduced the number of psychiatric hospital beds, are inadequate to prevent hospitalization of people with severe mental illness (page 235). In another study from South Africa, where there are 11 official languages, Sanja Kilian, M.A., and colleagues found that the skills of hospital interpreters varied widely and some did not understand basic psychiatric concepts and terms (page 309). In a commentary on this study, Joseph Westermeyer, M.D., Ph.D., notes that the authors have made a valuable contribution to cross-language psychiatric care by documenting a problem that exists in many countries—inequities in care that result from a lack of attention to interpreters' skills and training (page 313). A study in Nigeria found that outpatients with schizophrenia expressed high levels of life satisfaction even though their objective living conditions were poor. Authors Abiodun O. Adewuya, F.W.A.C.P., F.M.C.Psych., and Roger O. Makanjuola, F.W.A.C.P., Ph.D., call for efforts to improve work opportunities and transportation options for these patients (page 314). The Public-Academic Partnerships column describes a collaboration between institutions in the United Kingdom and an array of agencies in Somaliland to strengthen the fragile mental health care sector in that country (page 225).