Table 2.
Overview training and supervision
| Human resource allocation estimatesa |
Training |
Supervision |
||||
|---|---|---|---|---|---|---|
| Level and package | Service provider | Type | Duration | Frequency | Supervisor | |
| Health facility | ||||||
| Awareness raising and stigma reduction |
All facility personnel | –b | Introduction (level 1)c | 2 days | n/a | n/a |
| Basic psychosocial support | Healthcare providersd | –b | Support skills (level 2)c | 2 days | Monthly | Community counsellor |
| Assessment | Prescribers | 2.4 FTE/100 000 (for 0.08 FTE per provider) |
mhGAP (level 3a)c | 5 days | Monthly case conference |
Psychiatrist |
| Pharmacological treatment | Once every 2 months managerial |
District public health office |
||||
| Focused psychosocial support |
Non-prescribers | 2.4 FTE/100 000 (for 0.08 FTE per provider) |
Brief psychological treatments (level 3b)c |
5 days | Monthly group supervision |
Community counsellor |
| Community | ||||||
| Community case detection | Targeted community memberse |
4.5 FTE/100 000 (for 0.05 FTE per provider) |
CIDT and community mobilisation |
2 days | Monthly group monitoring |
Community counsellor |
| Mass sensitisation and stigma reduction |
1 day | |||||
| Advanced psychosocial support |
Community counsellors | 5.0 FTE/100 000 (for 1.0 FTE per provider) |
Course for generic counselling skills Protocolised psychological treatments |
5 months 20 days |
Once per month |
Psychologist |
| User group mobilisation | Service users | N/A | Peer support group formation |
5 days | Ongoing contact |
Community counsellor |
FTE, full-time equivalent; mhGAP, World Health Organization (WHO) Mental Health Gap Action Programme; CIDT, community informant detection tool ; N/A, not applicable.
a.
During the PRogramme for Improving Mental health carE (PRIME) implementation phase, 81 health workers and 6 counsellors will be involved in service delivery for a catchment population of approximately 130000.
b.
Included in calculations below.
c.
The levels refer to the accumulating training structure, wherein all health facility personnel receive level 1, all healthcare providers an additional level 2, and some health workers an additional level 3.
d.
Prescribers and non-prescribers combined.
e.
Female community health volunteers and mothers group members.