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No mental health focal person/unit in the MoH
Mental health was lower in priority in the government system
No separate budget allocated for mental health
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Appointment of a senior-level MoH officer as a focal person to coordinate PRIME activities
Involvement of MoH in the implementation process
Implementation of the evidence-based intervention packages
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Logistics for the training (daily allowance etc.)
Frequent transfer of trained health workers
Mental health stigma among PHC workers
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Lack of confidential place for assessment and consultation in the health facilities
Lack of sufficient time provided by health workers for assessment because of heavy client flow
Frequent transfer of trained health workers
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Easy and user-friendly flow chart in the mhGAP Intervention Guide
Motivation of health workers to learn about mental health
Supportive role of psychiatrists to provide phone supervision to the trained health workers
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Psychologists/clinical supervisors conducted 4 days training on communication skills and basic psychosocial support to both prescribers and non-prescribers
Sufficient role-plays and practice session were conducted
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Initially PRIME procured and distributed of the medicines
After necessary revision in the essential drugs list, medicines were distributed by DPHO through the existing system
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Financial support for drugs
Distribution and record-keeping
Monitored stock register and buffer stock
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FCHVs and community counsellors conducted 2–3 h sensitisation programmes in the community
Posters, leaflets and brochures were distributed
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Logistics management
Supervision of FCHVs
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Huge stigma associated with mental illness
Low mental health literacy
Myths and misconception on mental illness
Cultural beliefs and practices
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