An evaluation of the Mental Health Facilitator programme in rural Uganda: Successes and recommendations for future implementation

Abstract

This study evaluated the impact of a Mental Health Facilitator training protocol conducted with individuals from a local community in rural Uganda. The training programme is designed to facilitate the development and delivery of basic mental health services in under-served communities globally. This article aims to communicate the best practices and limitations of the training programme in the affected area. Using semi-structured interviews, the investigators interviewed 19 Ugandans who participated in the Mental Health Facilitator training programme. Participants’ occupations included head teachers and headmasters (n = 7), hospitality industry employees (n = 5), comprehensive health nurses (n = 3), religious leaders (n = 2), a vocational school director (n = 1), and a community chairperson (n = 1). Following transcription, the data were analysed for recurring patterns and themes. Results suggest that the participants achieved a better understanding of local mental health referral from the curriculum as well as knowledge of strategies to improve service delivery and access to services. Limitations to the mental health facilitator role included resource barriers, setting expectations with community members, and stigmas related to mental health. The best practices in a developing country setting should seek input from local community members.

Keywords:

• mental health facilitator
• Uganda
• rural community development
• Global Livingston Institute

Authors’ notes

This research was supported by a grant from the NBCC Foundation. Wendi K. Schweiger is the lead administrator of the MHF programme for NBCC International.