A 3-day mhGAP refresher training was held in Kohat (April 6-8, 2026) for primary care physicians to strengthen mental health service delivery. Supported by Deutsche Gesellschaft fur Internationale Zusammenarbeit and International Medical Corps, the training reinforced clinical skills, improved adherence to mhGAP guidelines, and enhanced coordination among healthcare providers.' Despite challenges like workload and time constraints, the workshop helped strengthen referral pathways and sustain quality MHPSS services in the district.

The Ministry of Planning, Development and Special Initiatives set up a Mental Health, Strategic Planning and Coordination Unit (MHSP&C Unit) on 14th April, 2025, with the support of the German Federal Ministry for Economic Cooperation and Development (BMZ) through Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) and their partner International Medical Corps in Pakistan. Since then, the MHSP&C Unit has provided technical support to health departments of Khyber Pakhtunkhwa, Balochistan and Baltistan to implement MHPSS Services.

The national roundtable on mental health legislation focussed on reviewing the status of mental health legislations and identify practical pathways for implementation. The discussion highlighted key gaps between legislative intent and on-ground realities, including weak enforcement, limitations in rights-based appraoch, limited institutional mechanisms, resource constraints, and insufficient capacity for implementation and monitoring.