A key principle of PRIME is a partnership between researchers and the Ministries of Health in each of the PRIME countries. As part of this partnership, the human resources for the implementation of PRIME are largely provided by the Ministries of Health while the researchers provide training, technical support and evaluation.
PRIME includes a strong emphasis on capacity building and the translation of research findings into policy and practice, thus contributing to the global scale up of mental health care, particularly for poor and vulnerable populations.
PRIME has 3 overlapping phases over 6 years:
- Phase 1: Inception (May 2011 – March 2012)
PRIME has developed draft MHCPs including packages of care for depression, alcohol use disorders, psychosis (and additionally epilepsy in Ethiopia and Uganda). The MHCPs are broadly based on mhGAP with extensive local contextualization and additional interventions. These will be implemented within three levels of the health system: healthcare organization, health facility and community.
- Phase 2: Implementation (April 2012 – March 2015)
PRIME is evaluating the feasibility, acceptability and impact of the MHPCs in primary health care and maternal health care in one low-resource district in each country. While the goal of each package of the intervention is similar across settings (e.g., to improve mental health outcomes), the content of the package (e.g., which human resource cadre delivers the component) is informed by local needs in each setting.
- Phase 3: Scaling Up (April 2015 – April 2017)
PRIME will evaluate the scaling up of these MHCPs to other districts.