What question did this study set out to answer?

To evaluate provider practices, institutional barriers, facilitators, and coping strategies regarding the integration of mental health services into HIV care in central Uganda.

August 16, 2026PLoS ONEOpen Access

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

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Authors

DGDivya GumudavellyYale University JKJohn Baptist KiggunduInfectious Diseases Research Collaboration FAFlorence AyebareInfectious Diseases Research Collaboration

Discussion

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Implication

Qualitative study reveals systemic barriers and informal provider adaptations in HIV clinics, highlighting the urgent need for structured mental health integration.

Key Points

To evaluate provider practices, institutional barriers, facilitators, and coping strategies regarding the integration of mental health services into HIV care in central Uganda.
Conducted semi-structured qualitative interviews with 16 healthcare providers across two HIV clinics in central Uganda.
Applied abductive thematic analysis combining inductive methods with the Consolidated Framework for Implementation Research (CFIR) and the Theoretical Domains Framework (TDF).
Healthcare providers operated without formalized integrated mental health protocols, creating systemic tensions with clinic administration and patients.
Providers engaged in informal adaptive strategies categorized as 'making it work' to address unmet psychiatric needs, which adversely affected their own wellbeing.

Cite This Study

Gumudavelly et al. (2026) studied this question.

synapsesocial.com/papers/6a817a4cf2fb91fc834ae08d https://doi.org/10.1371/journal.pone.0353859

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Implication

Qualitative study reveals systemic barriers and informal provider adaptations in HIV clinics, highlighting the urgent need for structured mental health integration.

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

Discussion

Member takes

Implication

Key Points

Cite This Study

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

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider