Table 2 Quantitative Items with average scores less than 50% (●) or 67% (○) of the optimal scorea indicating potential barriers
Domain/item | Client | Provider | Non-MH staff | Director |
|---|---|---|---|---|
Autonomy | ||||
Mental health care decisions are made by others in the family | ● | |||
Accessibility | ||||
Service accessibility for most people in the community | ○ | ○ | ○ | |
Service accessibility for the poorest people in the community | ○ | ● | ● | |
Service accessibility for women who need them | ○ | ○ | ● | ○ |
Service accessibility for men who need them | ○ | ○ | ||
There are groups in the community that are unable to access the servicesb | ● | ● | ● | ● |
Acceptability | ||||
Services are a priority for the government | ● | ● | ○ | |
Services are acceptable to the community | ○ | ○ | ○ | |
Your job negatively affects your family life | ○ | |||
Feasibility | ||||
Difficulty attending weekly treatment sessions for 8–12 weeks | ○ | |||
Sufficient access to computer/internet equipment | ● | |||
Sufficient access to private space to meet with clients | ○ | ● | ● | |
Enough counselors to implement step-by-step psychotherapy | ○ | ○ | ||
Enough counselor time to implement step-by-step psychotherapy | ○ | ○ | ||
Sufficient budget to implement step-by-step psychotherapy | ● | ● | ||
Enough other necessary resources (e.g.: support staff, administrative time, transportation money, etc.) | ● | ● | ||
Feasibility of integrating step-by-step psychotherapy into primary health centers | ○ | ○ | ||
Positive organizational structure (not included in client interviews) | ||||
Feeling overworked | ○ | ● | ● | |
Satisfaction with salary | ○ | |||
Enough learning opportunities available | ○ | ○ | ||
Clinic promotes professional growth | ○ | |||
Positive working environment | ○ | |||
Regularly paid on time | ○ | ● | ● | |