Table 5 Suggestions to improve mental health service delivery reported across stakeholder levels

Change/improve facilities

Designated space for services

A private place should be allocated for mental health sections (S)

A special (private) place be allocated for the CMHW (C)

16

13

33

9

71

Larger center

A larger mental health hospital should be available (P)

We need a large hospital to be built for us (D)

6

5

3

2

15

Beautify facilities

The place [should] be in a garden surrounded by green areas (C)

A library to be available in the center (C)

5

–

1

–

6

Staffing changes

Increased specialist/trained staff

More expert psychotherapist and staff should be employed (S)

Provision of smart and trained psychotherapist (D)

9

16

25

3

53

Increase staff numbers

More staff should be employed in this centre (S)

Provide better number of doctors and staff (D)

3

4

21

8

36

Providers of matched gender

Both gender staff should be available in mental health section (S)

More CMHW be available of both genders (C)

6

8

11

4

29

Protected time for providing services

No other jobs imposed on psychotherapists but the service only (P)

Staff should carry out only this task in the hospital, not do any other tasks (S)

–

6

3

–

8

Raise awareness

Mental health literacy

Media methods like TV, radio and newspapers should play their role on circulating awareness on mental health and this programme as well (P)

To publicize more information about mental illnesses (D)

–

19

29

10

57

Educate about program

This treatment become known through media (C)

This service should be introduced through media methods, symposiums and seminars (S)

9

14

8

2

34

Increase support for program

Increase government support

Government and concerned authorities should take mental health more seriously (P)

The government have to have a special plan for paying more attention to this program (C)

3

23

29

6

62

Financial/material support

Government and ministry to provide financial and moral support (P)

If the government provide transportation means it will make the programme continue (S)

–

13

24

5

42

Formal recognition/integration

Government should recognize it formally (P)

This programme to be included within ministry structure (D)

–

13

17

5

35

Expand services

To all regions/centers

Now it is only available in one area I wish it was available in districts and sub-districts (C)

More centres should be established for those who live far away (S)

19

6

17

1

43

Mobile teams

A mobile team to be available to visit remote areas (P)

Mobile psychotherapist teams should visit patients in their homes (S)

2

3

13

3

21

Embed in schools/offices

Psychotherapist to be employed in schools (P)

If they put CMHW in the schools it would make it easy (C)

1

1

3

1

6

Program changes

Involve family

Family of patient should be talked with to support and cooperate the patient (S)

If possible, patients’ families to participate in this treatment (P)

–

5

5

–

10

Adapt for illiterate clients

It is better to make a CD version for illiterate people (C)

I prefer that the program use colors for illiterate people; for example, for something bad use a black color (C)

9

–

–

–

8

Treat patients carefully/with respect

Patients should be treated with respect (S)

–

–

8

1

8

Decrease sessions/time

Lessening the sessions (P)

The sessions be reduced because it is difficult that the patient comes every week (C)

5

2

1

–

8

Encourage client adherence

It should be clear for the patient that the programme takes long time (S)

In the beginning the programme should be explained for the patient (S)

–

–

6

–

6

Financial supports

Allocate budget/resources for program

Budgets should be allocated for the programme (S)

Money, staff, place, required equipment and transportation methods make continuity (D)

–

19

20

7

46

Accommodations for staff

Transportation and communication methods should provide for psychotherapists (S)

–

–

9

–

8

Financial support

Attempt to provide financial facilitation for patients (P)

Financial support should be provided for patients (S)

4

6

5

4

20

Transportation support

Provide transportation fees for patients (P)

It is necessary that means of transport be arranged for patients (C)

5

5

8

1

20

Training

Provide trainings on the intervention

CETA to be inserted into college studies (P)

More training courses should be arranged for the staff (S)

3

14

13

2

32