Table 2.

Guideline and intervention factors influencing uptake and use of pediatric hospital guidelines in Lao PDR

Theme	Subtheme	Exemplar quotation
Filling a void	Lack of existing guidelines	“It is my first guideline!”(Pediatrician 5, central hospital 1)
		“And in Laos, because we lack books for medical students, for the staff, for the medical books for reading, so I think that it is very good.” (Pediatrician 4, central hospital 2)
		“If they [provincial and district hospitals] have the Pocketbook to use it is better to treat patients in the province. [The existing guidelines] are not complete and they are not for children.”(Pediatrician 15, central hospital 3)
	Broad, relevant content	“Ah...so many things there [in the Pocketbook] for children. Everything is already there, only you use that. (Pediatrician 3, central hospital 2)
Accessibility	Physical availability	“You use that [the Pocketbook] for reading and not for that [demonstrates putting the book in shelf] and to read if you have a problem. All of them have it in their pocket.” (Pediatrician 4, central hospital 2)
	Language and comprehensibility	“Before, many people had this book. But many people do not understand English well, and they may interpret correctly or incorrectly.” (Pediatrician 14, central hospital 1)
		“Some medical words are difficult to understand in Lao. Some people understand English then translate to Lao and understand, but in the provincial and district hospitals they don’t understand English, but I am not sure they understand the Lao meaning.” (Pediatric resident 3)
	Simplicity	“If possible, simplify the book...and to start, what to simplify? Many things in there are for us, everything is important so what to keep, what to cut out, to simplify?” (Pediatrician 3, central hospital 2)
	Training in use	“[Before training] I had the book but we don’t know how to use...We read page by page. Difficult” (Pediatrician 10, central hospital 1)
		“…when we compare physicians who have trained before with people who did not get training, for the people who have trained they understand better, to use, and understand better the contents of the book. But the people who did not receive training they still find difficulties.” (Pediatrician 13, central hospital 2)