Factors driving implementation success of mental health gap action programme (mhGAP) in Colombia: a cross-sectional...

There are gaps in people's access to mental health recovery. To this end, global programs have been outlined to strengthen primary health care and community settings. However, there are implementation challenges and a lack of monitoring.

to determine key variables for the effective implementation of the mhGAP guides within the framework of primary health care (mhGAP-IG) and in connection with community actions (mhGAP community toolkit).

A cross-sectional study was conducted with the participation of 447 individuals trained for the application of the mhGAP program. To assess facilitators, accessibility, adaptability, and acceptability of the program, as well as national and territorial capacity for training and supervision, the Implementation Drivers Scale was used. The scale is based on the Active Implementation Framework, and incorporates drivers for to ensure that evidence-based practices are faithfully implemented. These drivers include staff selection, training, supervision, intervention adaptation, and organizational support.

Significant and relevant correlations for the maintenance of the program between monitoring and effectiveness. Exist significant differences between the groups with and without follow-up in all evaluated variables: Total IDS (U = 11569.000, p < 0.001), System (U = 13028.000, p < 0.001), Access (U = 15953.500, p < 0.001), Adaptation/Access (U = 15280.500, p < 0.001), and Training/Supervision (U = 12605.000, p < 0.001).

Among the globally proposed strategies, the Mental Health Gap Action Programme (mhGAP) stands out. The importance of adequate and complete program implementation is emphasized, supported by a monitoring process that facilitates progressive appropriation and promotes intersectoral coordination processes to address barriers related to lack of resources and resistance to change.