Evidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda.
To describe the processes of developing a district mental healthcare plan (MHCP) in rural Uganda that facilitates integration of mental health into primary care.
Mixed methods using a situational analysis, qualitative studies, theory of change workshops and partial piloting of the plan at two levels informed the MHCP.
A MHCP was developed with packages of care to facilitate integration at the organisational, facility and community levels of the district health system, including a specified human resource mix. The partial embedding period supports its practical application. Key barriers to scaling up the plan were identified.
A real-world plan for the district was developed with involvement of stakeholders. Pilot testing demonstrated its feasibility and implications for future scaling up.
Kigozi, F.N.; Kizza, D.; Nakku, J.; Ssebunnya, J.; Ndyanabangi, S.; Nakiganda, B.; Lund, C.; Patel, V. Development of a district mental healthcare plan in Uganda. British Journal of Psychiatry (2015) 208 (s56) s40-s46. [DOI: 10.1192/bjp.bp.114.153742]