Table 1.
Summary of data collection methods
Tool | Number (n) | With whom? | Topics explored/Purpose |
---|---|---|---|
1. In-depth interviews |
29 |
District health managers (n = 3) |
1. Malaria situation in the district |
2. Role in policy communication and implementation | |||
3. Uptake of AL in the district | |||
4. Effectiveness of communication strategies | |||
Managers (in-charges) at primary health facilities (n = 6) |
1. Role in policy communication and implementation |
||
2. Perceived effectiveness of policy communication strategies | |||
3. Barriers and facilitators to policy changes/implementation at the local level | |||
4. Perceived community response to policy changes, attitudes to recommended drug | |||
Community leaders (n = 17) and mothers who had recently used a health facility (n = 3) |
1. Experiences with malaria |
||
2. Types of health provision available | |||
3. Views on malaria drugs | |||
4. Views on recent changes in malaria drug | |||
5. Role in the change of drugs | |||
6. Sources of health information and preferred sources | |||
7. Usefulness of the information received | |||
2. Focus Group Discussions (FGDs) |
14 |
Young parents (male and female) |
1. Views on recent malaria drug policy changes |
2. Communication about recent drug policy changes; | |||
3. What sort of communication, who got the communication, from what sources; usefulness of the communication, and what reactions to the communication. | |||
4. Influences over choice of health care | |||
5. Views over new drugs. | |||
3. Informal conversations |
11 |
Convenience sample from all age groups, both male and female |
1. Experiences with various malaria drugs |
2. Perceptions about policy changes on 1st-line treatment for uncomplicated malaria | |||
3. Sources of information on government and facility matters | |||
4. Patient narratives |
8 |
Convenience sample of patients asked to talk about their experiences |
Real life experiences when seeking treatment including experience with various drugs, the reactions to policy change and communication received about the new policies |
5. Document reviews |
6 |
Selected with the help of the hospital administrator |
To enhance familiarity with content of policy documents and discussions, and to feedback on policy implementation process |
6. Diary | 1 | Researchers’ experiences/observations | To enable constant reflection on the researchers’ experiences as well as helping in identifying emerging thoughts about issues and ideas that were followed up in subsequent interviews. |