Background: Little is known about the service and system interventions required for
successful integration of mental healthcare into primary care across
diverse low- and middle-income countries (LMIC).
Aims: To examine the commonalities, variations and evidence gaps in
district-level mental healthcare plans (MHCPs) developed in Ethiopia,
India, Nepal, Uganda and South Africa for the PRogramme for Improving
Mental health carE (PRIME).
Method: A comparative analysis of MHCP components and human resource
Results: A core set of MHCP goals was seen across all countries. The MHCPs
components to achieve those goals varied, with most similarity in
countries within the same resource bracket (low income v. middle
income). Human resources for advanced psychosocial interventions were
only available in the existing health service in the best-resourced
Conclusions: Application of a standardised methodological approach to MHCP across
five LMIC allowed identification of core and site-specific interventions
needed for implementation.
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
Hanlon, C.; Fekadu, A.; Jordans, M.; Kigozi, F.; Petersen, I.; Shidhaye, R.; Honikman, S.; Lund, C.; Prince, M.; Raja, S.; Thornicroft, G.; Tomlinson, M.; Patel, V. District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps. The British Journal of Psychiatry Jan 2016, 208 (s56) s47-s54; DOI: 10.1192/bjp.bp.114.153767
District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps