Background: Evidence is needed for the integration of mental health into primary
care advocated by the national health sector strategic investment plan
Aims: To describe the processes of developing a district mental healthcare
plan (MHCP) in rural Uganda that facilitates integration of mental
health into primary care.
Method: Mixed methods using a situational analysis, qualitative studies, theory
of change workshops and partial piloting of the plan at two levels
informed the MHCP.
Results: 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.
Conclusions: A real-world plan for the district was developed with involvement of
stakeholders. Pilot testing demonstrated its feasibility and
implications for future scaling up.
This research is supported by the Department for International Development’s Programme for Improving Mental Health Care (PRIME) which is led by University of Cape Town
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]
Development of a district mental healthcare plan in Uganda