Background: Developing evidence for the implementation and scaling up of mental
healthcare in low- and middle-income countries (LMIC) like Ethiopia is
an urgent priority.
Aims: To outline a mental healthcare plan (MHCP), as a scalable template for
the implementation of mental healthcare in rural Ethiopia.
Method: A mixed methods approach was used to develop the MHCP for the 3
levels of the district health system (community, health facility and
Results: The community packages were community case detection, community
reintegration and community inclusion. The facility packages included
capacity building, decision support and staff well-being. Organisational
packages were programme management, supervision and sustainability.
Conclusions: The MHCP focused on improving demand and access at the community level,
inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.
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
Fekadu, A.; Hanlon, C.; Medhin, G.; Alem, A.; Selamu, M.; Giorgis, T.W.; Shibre, T.; Teferra, S.; Tegegn, T.; Breuer, E.; Patel, V.; Tomlinson, M.; Thornicroft, G.; Prince, M.; Lund, C. Development of a scalable mental healthcare plan for a rural district in Ethiopia. British Journal of Psychiatry (2015) 208 (s56) s4-s12. [DOI: 10.1192/bjp.bp.114.153676]
Development of a scalable mental healthcare plan for a rural district in Ethiopia