Our Foundations

Background

1) Mental health challenges for women in coffee farming

A person riding a skateboard balancing on a dollar sign, with icons representing mental health awareness and education surrounding her.

Women in coffee farming face unique and often overlooked mental health challenges. Globally, 1 in 5 women experience mental illness—compared to 1 in 8 men—but women coffee farmers are at even greater risk. Systemic gender inequities—including income disparity, unpaid labor, limited leadership opportunities, and higher rates of domestic violence—exacerbate their mental health struggles., Additionally, the stigma surrounding mental health in these rural communities makes it difficult for these women to seek the support they need.

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2) Limited mental health resources

Most Latin American countries allocate less than 2% of their total health budget to mental health. With only 2.8 psychologists per 100,000 people—mostly concentrated in urban areas—access to care is severely limited, especially compared to the 30 psychologists per 100,000 in the United States. Even when mental health services exist in coffee-growing regions, women often struggle to access them due to the dual burden of farmwork and household responsibilities, leaving them with little time and fewer resources to seek support. 


An illustration of a mountain with a plant growing from its peak. A watering can is pouring water onto the plant.

3) The economic impact of investment in mental health

In agricultural sectors, including coffee production, not providing mental health accessibility, especially for women, can lead to lower productivity, increased absenteeism, and overall economic instability for farming households, fueling higher rates of depression and anxiety for these women., The World Health Organization estimates that “every $1 invested in mental health care yields a $4 return in improved health and productivity.”

Illustration of a woman sitting on a chair, looking at her phone, with a connected headset and a video call with a doctor icon in the background.

4) Effectiveness of teletherapy

Given the barriers and lack of in-person mental health services in rural areas, teletherapy presents a viable solution to the mental health resource gap faced by these rural women. A review of over 60 studies found that virtual sessions with psychologists are as effective as in-person sessions for most people with anxiety, depression, and PTSD. Additionally, teletherapy reduces travel costs and time, increasing accessibility and overcoming geographical barriers by allowing women to receive support from their homes.

Resources

Lan, L., Jain, S., Patel, K., Crist, K., & Borba, C. (2022, January 31). Perspectives on Global Women’s Mental Health. Psychiatric Time

International Coffee Organization. (2018). (rep.). Gender Equality in the Coffee Sector (Vol. ICC-122–11). London, United Kingdom.

World Health Organization. (2024). (rep.). Violence Against Women.

Alarcón R. D. (2003, February 2). Mental health and mental health care in Latin America. World psychiatry: official journal of the World Psychiatric Association.

Specialty Coffee Association. (2018). (rep.). Gender Equality and Coffee: Minimizing the Gender Gap in Agriculture. Essex, United Kingdom. 

Zimmerman, A., Lund, C., Araya, R., Hessel, P., Sanchez, J., Garman, E., Evans-Lacko, S., Diaz, Y., & Avendano-Pabon, M. (2022). The relationship between Multidimensional Poverty, income poverty and youth depressive symptoms: Cross-sectional evidence from Mexico, South Africa and Colombia. BMJ Global Health, 7(1).

Meylan, P., Schmidt, I., Alam, M., & Bustos, H. (2023). (rep.). Toward a Paradigm Shift on Mental Health in Latin America. FP Analytics.

The Lancet Global Health. (2020). Mental health matters, 8(11).

UCLA Health. (2021, November 29). Is online therapy right for you?

madx.digital. (n.d.). Pilot program. In Glossary. Retrieved May 22, 2025.

DeWalt, D. A., Berkman, N. D., Sheridan, S., Lohr, K. N., & Pignone, M. P. (2004). Literacy and health outcomes. In Health literacy (pp. 13–47). Agency for Healthcare Research and Quality (US).

World Health Organization. (2021). Guidance on community mental health services: Promoting person-centred and rights-based approaches (WHO/MSD/20.1).

Singhal, S., & Tarp, F. (2025). Commodity price volatility and the psychological well-being of farmers. American Journal of Agricultural Economics, 107(1), 269–289.