not intended to cater for situations where persons in need of medical assistance or help are
institutionalised.
69. The Complainants also allege that institutionalisation of detainees under the LDA who are not
afforded any opportunity of being heard or represented prior to or after their detention violates Articles
7(1)(a) and 7(1)(c) of the African Charter.
70. Articles 7(1)(a) and 7(1)(c) of the African Charter provides:
“1. Every individual shall have the right to have his cause heard. This comprises: (a) The right to an
appeal to competent national organs against acts of violating his fundamental rights as recognised
and guaranteed by conventions, laws, regulations and customs in force; (c) The right to defence,
including the right to be defended by counsel of his choice.”
71. It is evident that the LDA does not contain any provisions for the review or appeal against an
order of detention or any remedy for detention made in error or wrong diagnosis or treatment. Neither
do the patients have the legal right to challenge the two separate medical certificates, which constitute
the legal basis of their detention. These omissions in the LDA clearly violate Articles
7(1)(a) and 7(1)(c) of the African Charter.
72. The guarantees in Article 7(1) extend beyond hearings in the normal context of judicial
determinations or proceedings. Thus Article 7(1) necessitates that in circumstances where persons
are to be detained, such persons should at the very least be presented with the opportunity to
challenge the matter of their detention before the competent jurisdictions that should have ruled on
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their detention. The entitlement of persons with mental illness or persons being treated as such to
be heard and to be represented by Counsel in determinations affecting their lives, livelihood, liberty,
property or status, is particularly recognised in Principles 16, 17 and 18 of the UN Principles for the
Protection of Persons with Mental Illness and the Improvement of Mental Care.
73. The Complainants submit that the failure of the Respondent State to provide for and enable the
detainees under the LDA to exercise their civic rights and obligations, including the right to vote,
violates Article 13(1) of the African Charter which provides:
“Every citizen shall have the right to participate freely in the government of his country, either directly
or through freely chosen representatives in accordance with the provisions of the law.”
74. In its earlier submissions, the Respondent State admits that persons detained at Campama are
not allowed to vote because they believe that allowing mental health patients to vote would open the
country’s democratic elections to much controversy as to the mental ability of these patients to make
an informed choice as to which candidate to vote for. Subsequently, the Respondent State in its more
recent submissions suggests that there are limited rights for some mentally disabled persons to vote;
however this has not been clearly explained.
75. The right provided for under Article 13(1) of the African Charter is extended to ‘every citizen’ and
its denial can only be justified by reason of legal incapacity or that the individual is not a citizen of a
particular State. Legal incapacity may not necessarily mean mental incapacity. For example a State
may fix an age limit for the legibility of its own citizens to participate in its government. Legal
incapacity, as a justification for denying the right under Article 13(1) can only come into play by
invoking provisions of the law that conform to internationally acceptable norms and standards.
76. The provisions of Article 13(1) of the African Charter are similar in substance to those provided
for under Article 25 of theInternational Covenant on Civil and Political Rights]. In interpreting Article
13(1) of the African Charter, the African Commission would like to endorse the clarification provided by
the [UN] Human Rights Committee in relation to Article 25 . The [UN] Human Rights Committee has
expressed that any conditions applicable to the exercise of Article 25 rights should be based on
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objective and reasonable criteria established by law. Besides the view held by the Respondent
State questioning the mental ability of mentally disabled patients to make informed choices in relation
to their civic duties and obligations, it is very clear that there are no objective bases within the legal
system of the Respondent State to exclude mentally disabled persons from political participation.
77. The Complainants submit that the scheme and operation of the LDA both violate the right to
health provided for in Article 16 of the African Charter when read with Article 18(4) of the African
Charter.
78. Article 16 of the African Charter provides: