Thirdly, capacity building in HMIS human resources needstobestrengthened[25]andstaffshouldbetrained in mental health, to collect and report data correctly. Given the lack of HMIS specialists and trainers available in-country across the sites, the regular onsite supervision of junior staff is not realistic. An alternative could be the implementation of a training of trainers (ToT) program in mental health information sub-systems within HMIS. Support to the newly-trained trainers through distance supervision, using modern telecommunication needs to be considered. Fourthly, a data handling mechanism should be developed or strengthened at all levels of the health care system. Finally, a culture of information use at each level of health facilities needs to be encouraged and in that capacity senior level health managers and decision makers could play an exemplary role by using and encour- aging the use of health information