Evidence map›Paper›PMID 42599893›Full record

ArticlePloS one2026

"Just trying to make it work:" A qualitative exploration of healthcare provider implementation considerations for integrating mental health and HIV care in central Uganda.

Divya Gumudavelly, John Baptist Kiggundu, Florence Ayebare, Christine Kiwala, Joel Senfuma, Anne Katahoire, Carol Birungi, Jeremy Schwartz, Isaac Ssinabulya, Noeline Nakasujja and 4 more

Abstract read
In one paragraph

Article in PloS one, 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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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Divya GumudavellyYale School of Public Health, Department of Social and Behavioral Sciences, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0002-6024-0298
John Baptist KiggunduInfectious Diseases Research Collaboration, Kampala, Uganda.
Florence AyebareInfectious Diseases Research Collaboration, Kampala, Uganda.
Christine KiwalaInfectious Diseases Research Collaboration, Kampala, Uganda.
Joel SenfumaInfectious Diseases Research Collaboration, Kampala, Uganda.
Anne KatahoireMakerere University, College of Health Sciences, Kampala, Uganda.
Carol BirungiMakerere University, Joint AIDS Program, Kampala, Uganda.
Jeremy SchwartzYale School of Medicine, Section of General Internal Medicine, New Haven, Connecticut, United States of America.
Isaac SsinabulyaUganda Initiative for Integrated Management of Noncommunicable Diseases, Kampala, Uganda.
Noeline NakasujjaMakerere University, College of Health Sciences, Department of Psychiatry, Kampala, Uganda.ORCID https://orcid.org/0000-0002-8163-4376
Chris T LongeneckerUniversity of Washington, Division of Cardiology and Department of Global Health, Seattle, Washington, United States of America.
Ashley HagamanYale School of Public Health, Department of Social and Behavioral Sciences, New Haven, Connecticut, United States of America.
Fred C SemitalaMakerere University, College of Health Sciences, Department of Internal Medicine, Infectious Diseases Research Collaboration, Kampala, Uganda.
PULESA-Uganda study

Funding

PULESA-UGANDA-Strengthening the Blood Pressure Care and Treatment cascade for Ugandans living with HIV-ImpLEmentation Strategies to SAve livesUG3HL154501 · NHLBI · INFECTIOUS DISEASES RES COLLABORATION · PI LONGENECKER, CHRIS TODD, SEMITALA, FRED C · 2020 to 2021
$1.5M
NHLBI NIH HHS UG3 HL154501
6 · The paper itself

Abstract

backgroundThere is a growing push to integrate mental health services within HIV care in Uganda. Given the limited mental healthcare infrastructure in the country and growing burden of mental health issues among the HIV positive patients, there is a critical need to understand 1) What are the current practices, routines, barriers, and facilitators that influence providers' ability to address their patients' mental health needs? 2) How do providers navigate this environment to provide mental healthcare?

methodsSemi-structured qualitative interviews were conducted with 16 healthcare providers at two HIV clinics to understand current practices, routines, barriers, and facilitators to implementing mental health care services within HIV care. Abductive thematic analysis, drawing from Consolidated Framework for Implementation Research (CFIR) and Theoretical Domains Framework (TDF) frameworks, was used in conjunction with inductive analytical approaches to explore this research question. Both frameworks guided the development of the interview guide and the creation of the codebook. The CFIR was used to elucidate and understand systemic and institutional barriers and facilitators to mental health service integration and the TDF was used to determine provider level processes that impact the uptake of mental health protocols in practice.

findingsIn lieu of formalized integrated mental health services, HIV care providers navigate a complicated implementation climate and experience tension with both the clinic they work for and the patients they serve. They overcome these complications with a range of adaptive processes, collectively summarized as "making it work."

conclusionsThese findings highlight the hidden mechanisms HIV care providers engage in to cater for patients' mental health needs and demonstrate the impact of this work on their own wellbeing as well.

Indexed as

Delivery of Health Care, IntegratedHealth PersonnelHIV InfectionsMental HealthMental Health ServicesAdultFemaleHumansMaleQualitative ResearchUganda

Identifiers

PMID42599893
PMCPMC13475888

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.