Table 1 Governance principles and associated themes.
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 |