Table 3.

Theory of change (ToC) indicators at health organisation level

ToC outcome	Indicator(s)	Study design
a. Programme approved and budget     available at district level	Mental health integrated into the district health plan % increase in financial resources allocated to mental health released on time and available to spend	Case study: district profile
b. Functioning medication supply chain	Number of stockouts in past 30 days for essential psychotropic medications outlined in the mental healthcare plan	Case study: facility profile
c. Programme coordinator in post	Mental health programme coordinator in post prior to mental healthcare plan implementation	Case study: district profile
d. Essential medications are available     in health facilities	Medications are available at all clinics 95% of time (disaggregated by clinic and type of medication)	Case study: facility profile
e. Adequate ongoing management, quality     control and clinical supervision in place	All staff receive quality supervision on a regular basis as defined by the mental healthcare plan and guidelines	Case study: training and supervision evaluation Case study: process evaluation