Fig. 2

ToC map for developing service user and caregiver involvement in mental health system strengthening in rural Ethiopia. Example assumptions: Willingness to (1) involve in ToC workshop, (2) undergo consultative workshop on service user and caregiver mobilization and support, (3) undergo participatory capacity building training(4) form collaborative community (5) involve in participatory action plan development, implementation and evaluating the ToC for service user and caregiver involvement ;(6) Availability of reliable medication supply; (7) CAB’s willingness to mobilize resources to service user and caregiver; (8) Non-governmental organization support to service user and caregiver. Example indicators: i. Number of people participated in ToC workshop, consultative workshop, capacity building training and involvement plan. ii. Changes in knowledge and perception pre and post training, experiences gained developing and evaluating the plan for service user and caregiver involvement. iii. Service user and caregiver groups established, and support generated. iv. Experience of involvement in participatory action plan development, implementation and evaluation. Example interventions a. Conduct (a) ToC workshop, (b) consultative workshop (c) capacity building participatory training, (d) facilitate participatory involvement in mental health system, (e) Assist service user and caregiver and their group