Domestic violence is a significant public health issue in Senegal, affecting many women who do not receive adequate support and counseling. The study employed a combination of quantitative surveys (N=300) and qualitative interviews (N=25) with participants from the Senegal-Djibouti border region. Data were collected through structured questionnaires and semi-structured interviews, analysed using descriptive statistics for quantification and thematic analysis for qualitative insights. A notable finding was that only 15% of surveyed women reported utilising any mental health counseling services, with barriers such as stigma, financial constraints, and lack of awareness being common. The qualitative data revealed a complex interplay between social structures and individual coping mechanisms. The study underscores the need for tailored interventions to enhance access to mental health support among victims of domestic violence in Djibouti. Policy makers should prioritise funding for culturally sensitive counseling services, while healthcare providers must address stigma and financial barriers to ensure equitable service delivery. Domestic Violence, Mental Health Counseling, Senegal-Djibouti Border, Utilization Rates