What did we learn from a pilot trial to inform the scale-up of a training based on the Mental Health Gap Action Programme in Tunisia?

The EMR has developed a regional framework that identifies feasible and cost-effective solutions to better mental health care, including the further integration of mental health into primary care settings (4) through, for example, the involvement of primary care physicians (PCPs) in mental health care (5). The training has been used in the Region to enhance the mental health capacity of for example physicians, social workers, nurses, community health workers, family volunteers, psychosocial staff of humanitarian agencies, and pregnant women (13-20). [...]Tunisian experts are elaborating a national strategy for the early detection of autism spectrum disorders by PCPs. [...]the accompanying training material for the mhGAP module on conditions specifically related to stress (23) was not available in the working languages of Tunisia during the first mhGAP-based implementation (21).