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Table 1 Governance principles and associated themes.

From: Current situations and future directions for mental health system governance in Nepal: findings from a qualitative study

Governance principles Broader themes included in the study
Strategic vision Facilitative factors and barriers to development and implementation of plans and policies
Participation and consensus orientation Facilitative factors and barriers to coordination and consultation with service providers, service users and other sectors outside of health
Rule of law Facilitative factors and barriers to the development and enforcement of laws, as well as synergy between laws
Transparency Facilitating factors and barriers to ensuring transparency in resources allocation, decision making, appointment and transfer of staff
Responsiveness and integration of care Facilitating factors and barriers to integration of mental health in the health facility as well as in the community. Burden of mental illness, priority given to mental health
Equity and inclusiveness Facilitating factors and barriers to mental health financing, access to services and anti-stigma programs
Effectiveness and efficiency Facilitating factors and barriers to human resources capacity building, mental health infrastructure development and supply chain management of psychotropic drugs
Accountability Facilitating factors and barriers to ensuring effective enforcement of accountability measures. The role of press, elected bodies and judiciary in ensuring accountability
Intelligence and information Facilitating factors and barriers to mental health data recording, reporting, analysis and dissemination
Ethics Facilitating factors and barriers to service user satisfaction and quality assurance, as well as mechanisms for safeguards against unethical research