Table 2 Ranking of multi-group outputs of opportunities for integrating mental health services into HIV/AIDS care

Group 1

1. Integrating mental health care into existing HIV screening/testing and counselling 2. Including mental health outcomes into HIV/AIDS progress reports

3. Existing support groups, screening tools and data

4. Availability of National Task-shifting policy

5. Existing counselling session and psychosocial support on STIs, mental health

7. Existing human resource, infrastructure and services

Group 2

1. School-based and in-service training of health workers

2. Including mental health integration to HIV/AIDS in funding proposals

3. Revision of existing HIV treatment policy to include mental health

4. Optimizing HIV training opportunities for mental health program

5. Existing policy in support of mental health

6. Existing skilled health workers (Doctors, nurses and counsellors).

7. Clinical evaluation of PLWHA Mental health assessment in HTS services

Group 3

1. Leveraging existing traditional and faith-based structures to create awareness on mental health

2. Using existing frameworks for monitoring and evaluation

3. Referrals from ART clinics to Mental Health Department and vice-versa

Group 4

1. Integrating ‘mental health basic questions during routine patient care

2. Presence of established referral systems within and between facilities and mental health professionals

3. Engaging faith-based organizations and traditional leaders

4. Prior integration experience; available and provides evidence for integration of mental health intervention

5. Inclusion of mental health in the training curriculum of health workers

6. Existing commitment to HIV elimination

7. Existing support for HIV/Mental health awareness through community partners

Group 5

1. Screening for mental health during provision of ANC, PMTCT, Postpartum, Adolescent and Young Adult services

2. Services are available in one place

3. Growing awareness of mental health issues provides an opportunity for integration 4. Attraction for more research and program grants for mental health and HIV/AIDS 5. Support groups implementing mental health education into adolescent friendship centers

Group 6

1. Integrating mental health care into patient follow-up/tracking

2. Availability of adolescents and youth clubs in the communities aligned with HIV services