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Table 2 Summary of PRIME ToC workshops

From: Using workshops to develop theories of change in five low and middle income countries: lessons from the programme for improving mental health care (PRIME)

Country Level Location Length Structure
Ethiopia     
Workshop 1. (ET1) Community and district level representatives Sodo* ½ day a Introduction to PRIME
b Explanation of the ToC process
c Agreement on impact
d Worked forwards to development of the ToC discussing current services, needs and potential outcomes of the ToC to reach the desired impact.
Workshop 2. (ET2) National level planners Addis Ababa 1 day a Introduction of Ethiopian mental health strategy by national ministry of health representative
c Introduction to ToC and the ToC process
c Review and refinement of the ToC developed in ET1.
India     
Workshop 1. (IN1) District and health Facility Sehore* 1 day a Introduction to mental health and PRIME
b Introduction to ToC
c Mental health presentation
d Group work where each group developed the outcomes pathway for the ToC
e Feedback from group work
Workshop 2. (IN2) District and health Facility Sehore* 1 day a Summary of IN1
b Group work: details of interventions and assumptions at community, health facility and health organisation level in the existing ToC map.
c Presentation and discussion of the integrated mental health care plan developed from the ToC.
Nepal     
Workshop 1. (NE1) Health Facility and District Chitwan* 1 day a Introduction to PRIME
b Introduction to ToC
c Agreement on long-term impact and worked the group agreed on the long term impact then worked backwards to determine the outcomes, interventions and assumptions needed to achieve this.
Workshop 2. (NE2) National level planners Kathmandu ½ day a Introduction to PRIME
b Introduction to ToC
c ToC from NE1 was presented, reviewed and refined by the group.
Workshop 3. (NE3) Health Facility and District Chitwan* ½ day a Review of the ToC developed in NE1 and NE2
b Discussion of potential adaptation for specific disorder and indicators to measure outcomes.
Workshop 4. (NE4) National level planners Kathmandu ½ day c Review of the ToC refined in NE3
d Discussion of potential adaptation for specific disorders and indicators to measure outcomes.
South Africa     
Workshop 1. (SA1) Health facility, district, provincial and national level representatives Dr Kenneth Kuanda* 2 days a Introduction to PRIME
b Introduction to ToC
c Used part of the PRIME cross country ToC and worked forward adding detail to each outcome for all four disorders.
Workshop 2. (SA2) Community Dr Kenneth Kuanda* 1 day a Introduction to PRIME
b Introduction to ToC
c Used part of the PRIME cross country ToC and worked forward adding detail to each outcome for all four disorders.
Workshop 3. (SA3) Health facility, district, provincial and national level representatives Dr Kenneth Kuanda* 1 day a SA1 workshop was reviewed briefly.
   b Disorder specific integrated mental health care plan based on SA1 was presented and discussed in detail.
     c PRIME evaluation plan and next steps were discussed.
Uganda     
Workshop 1. (UG1) District and health facility level Kamuli* 1 day a PRIME, mhGAP, challenges for mental health care and the ToC were introduced.
b The impact was agreed on and the group worked backwards to develop the ToC.
Workshop 2. (UG2) District and health facility level Kamuli* 1 day a The group was oriented to the ToC process, PRIME and planned work.
b The ToC map from UG1 was reviewed and refined.
  1. Locations marked with * indicate the PRIME district in the respective countries.