Table 1. Steps of the Collaborative Stepped Care Intervention.

Step	For whom	Timing	Treatment	Human Resource
Treatment Initiation	Patients screened with CMD	At first consultation	Advice regarding screening questionnaire results; advice regarding seeing LHC	Primary care physician
			Psycho-education	LHC
Managing moderate or severe cases	Patients who are severely ill at first consultation, or whose symptoms persist at follow-up	At first consultation or at follow up if not responding to Step 1	Antidepressants	Primary care physician
			Adherence Management	LHC
Monitoring outcomes	Patients who remain unwell, or are not adherent	Patients who do not respond to Step 2 despite taking the treatment	Antidepressants &	Primary care physician
			IPT &	LHC
			Adherence Management	LHC
Referral to specialists	Patients who do not respond despite good adherence or are judged to be at high suicide risk	Patients who do not respond to Step 2 or 3 despite taking the treatment & Patients who are at high suicidal risk at any time	Continue all existing treatments Referral to clinical specialist	LHC & Primary care physician Clinical specialist