Co-creating systems change for mental health: a theory of change approach from the MeHPriC initiative in Lagos, Nigeria.

ABSTRACT:

Background

Integrating mental health services into primary health care (PHC) in low- and middle-income countries (LMICs) is a complex systems-change challenge that requires robust, contextually adapted frameworks. The Mental Health in Primary Care (MeHPriC) initiative in Lagos, Nigeria, aimed to scale up Mental Health Gap Action Programme (mhGAP) based task-sharing for depression, psychosis, and epilepsy. To guide this complex intervention, a participatory Theory of Change (ToC) approach was adopted as a planning, implementation, and governance tool.

Methods

Using a participatory action research design guided by the Consolidated Framework for Implementation Research (CFIR), the MeHPriC ToC was co-created over an 18-month period (2013-2014). The process involved three structu

SUBMITTER: Adewuya AO 

PROVIDER: S-EPMC12584243 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature