INTRODUCTION:
Expanded access to Antiretroviral therapy has substantially improved survival among adults living with HIV in Africa. however sub-optimal adherence remains common and is strongly influenced by co-occurring mental health conditions such as depression anxiety trauma related disorders and substance use. Health Facilities are increasingly used as platforms to integrate mental health care into HIV services but evidence on facility-based interventions remains fragmented across settings and countries. a comprehensive synthesis is needed to inform policy practice and implementation.

METHODS:
This scoping review will map facility-based interventions that aim to improve ART adherence and mental health outcomes among adults living with HIV in Africa. the review will follow the Arksey and O Malley framework with enhancements by Levac et al and will be reported according to Prisma SCR. peer reviewed and grey literature published between January 2010 and December 2024 will be identified from PubMed Scopus web of science Cinahl psycinfo and selected organizational sources. eligible studies will include qualitative quantitative mixed methods and programme evaluations conducted in African healthcare facilities. data will be charted on intervention types delivery models outcomes implementation strategies facilitators and barriers. descriptive numerical summaries and thematic synthesis will be used.

RESULTS:
The review will map the range of facility-based mental health and HIV integration approaches including screening task sharing counseling peer support and digital interventions. findings will describe settings populations outcomes measured and reported implementation experiences. key gaps in geographic coverage intervention design and outcome measurement will be identified.