Yusuf Ali, now 34, still battles the psychological scars of fighting as a child soldier in Somalia's Islamist insurgency nearly 20 years ago. At 14, he joined the Muqawama resistance after the Ethiopian invasion-backed by the US-toppled the Union of Islamic Courts. He was trained in small arms and fought street battles in Mogadishu.

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- Figure 1 -

Fighters from the Union of Islamic Courts took control of Mogadishu in June 2006

Ali recalls the horror of shelling, seeing a dead girl his age, and the constant mantra: 'It was either killed or be killed.' After the war, he fled to South Africa but returned to a rebuilding Mogadishu. Now married with a son, he suffers from untreated PTSD, a widespread crisis in Somalia where mental health is taboo.

Ilyas Adam, a human rights legal consultant, says trauma is normalized, leading to chronic conditions and social exclusion. The UN reports child soldiers as young as eight, mostly from al-Shabab, but also in government forces. Efforts to address the issue face cultural resistance, though vocational schools offer a glimmer of hope.

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- Figure 2 -

Following the collapse of Somalia's government in 1991 it was easy to buy a weapon in Mogadishu

Ali's neighborhood, Huriwaa, remains a feared al-Shabab stronghold with no state services. He sees the rubble and remembers the bloodshed, lamenting a 'never-ending cycle of violence' in Somalia.