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Mental, neurological and substance use (MNS) disorders are prevalent in Africa, and most African Health systems agree that optimal mental health outcomes are best achieved through integration of Mental Health services (MHS) into the general framework of existing Primary Health Care (PHC) Services. But the integration efforts across the continent have so far largely excluded family doctors who are the physicians closest to where the people live. The authors posit that non-inclusion of family doctors while integrating mental health into PHC is an aberration that slows down access of patients to quality mental health care at this crucial first contact level. This is in contrast to the situation in countries where family doctors are fully involved in managing mental health conditions in primary care. The case is made for urgent and deliberate policy to train African Family doctors on how to continuously provide effective mental care at the PHC level through task-shifting or other methods of scaling up of mental health care treatment.