Development of a district mental healthcare plan in Uganda

Br J Psychiatry. 2016 Jan;208 Suppl 56(Suppl 56):s40-6. doi: 10.1192/bjp.bp.114.153742. Epub 2015 Oct 7.

Abstract

Background: Evidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda.

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.

MeSH terms

  • Community Mental Health Services / organization & administration*
  • Developing Countries
  • Health Services Accessibility
  • Health Workforce*
  • Humans
  • Mental Disorders / therapy*
  • Patient Care Planning / standards*
  • Primary Health Care / organization & administration*
  • Program Evaluation
  • Qualitative Research
  • Rural Population
  • Uganda