ArticleBMJ open2026
Bridging the gap: to what extent are mental health services available in HIV Care and Treatment Centres in Tanzania? A cross-sectional facility-based baseline survey.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo evaluate the availability of mental health services and resources across a stratified multistage sample of care and treatment clinics (CTCs) delivering HIV care from eight geographical zones of Tanzania.
designCross-sectional facility-based baseline survey.
setting81 CTCs representing national geographical zones and service delivery tiers.
participantsHealth facility in-charges or service providers with knowledge of HIV/non-communicable disease (NCD) services (Tier 1: n=11; Tier 2: n=13; Tier 3: n=9; Tier 4: n=48).
main outcome measuresAvailability of (1) trained mental health professionals, (2) screening/assessment tools for mental health and (3) educational materials.
resultsMental health services were unevenly distributed across facility tiers. Over half of Tier 1 facilities reported having trained mental health professionals (6/11; 54.5%) and screening tools (6/11; 54.5%), compared with only 35.4% (17/48) and 2.1% (1/48), respectively, in Tier 4 facilities. No Tier 2 or Tier 3 facilities reported availability of trained staff or screening tools. Educational materials were present in only 18.2% (2/11) of Tier 1 facilities and 8.3% (4/48) of Tier 4 facilities. Overall, more than two-thirds of facilities lacked any mental health resource assessed.
conclusionsMental health services remain limited across all facility levels, with nearly complete absence at lower-tier facilities. Urgent investment is required to integrate mental health into HIV and NCD care, especially at primary care settings.
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