Table 2.

Summary of main themes

	Factors influencing demand and access	Strategies to improve demand and access
Health facility Level	- Service availability: lack of senior staff and insufficient trained village health workers	- Increasing training and resources
	- Mistreatment within health centers	- Building trust in services
		- Protecting family status with increased confidentiality
Community level	- Mental health stigma in the wider community	- Reducing the mind-body dichotomy in treatment: working with local notions of stigma around medication specifically for the mind.
	- Low mental health awareness across castes, negatively affecting detection and identification.	- Awareness-raising: Public vs. private information channels
	- Lack of information about services	- Awareness-raising: Trusted and respected figures
	- Conflicting roles of affected families: expected to support access but are in fact barriers.
	- Cultural norms of visiting traditional healers.
	- Religious practices (affecting women)