Table 4.

Issues constraining the capacity in Bougainville to address current MHPS issues

Constraints on the capacity in Bougainville to address MHPS issues
No formal assessment of MHPS needs across Bougainville
Limited access to evidence based training and professional supervision of workers
Limited opportunity to build institutional capacity
Insecure and intermittent funding
Lack of resources and support to build a strong organizational framework to achieve consistent co-ordination and integration of services
Inadequate resources to implement and monitor evidence-based practice, lack of capacity and resources to undertake systematic treatment outcome assessments
The absence of an overarching and integrated plan to advance the mainstreaming of mental health services as an essential component of overall health service development