Background: There is little practical guidance on how contextually relevant mental
healthcare plans (MHCPs) can be developed in low-resource settings.
Aims: To describe how theory of change (ToC) was used to plan the development
and evaluation of MHCPs as part of the PRogramme for Improving Mental
health carE (PRIME).
Method: ToC development occurred in 3 stages: (a) development of a
cross-country ToC by 15 PRIME consortium members; (b) development of
country-specific ToCs in 13 workshops with a median of 15 (interquartile
range 13–22) stakeholders per workshop; and (c) review and refinement of
the cross-country ToC by 18 PRIME consortium members.
Results: One cross-country and 5 district ToCs were developed that outlined
the steps required to improve outcomes for people with mental disorders
in PRIME districts.
Conclusions: ToC is a valuable participatory method that can be used to develop MHCPs
and plan their evaluation.
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
Breuer, E.; de Silva, M.J.; Shidaye, R.; Petersen, I.; Nakku, J.; Jordans, M.J.D.; Fekadu, A.; Lund, C. Planning and evaluating mental health services in low- and middle-income countries using theory of change. British Journal of Psychiatry (2015) 208 (s56) s55-s62. [DOI: 10.1192/bjp.bp.114.153841]
Planning and evaluating mental health services in low- and middle-income countries using theory of change