Table 4 Issues constraining the capacity in Bougainville to address current 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