Table 4.
Prioritized problems, solutions and actions taken by the community groups*.
| Problem (Phase 1) | No of groups (%) | Solution (Phase 2) | No of groups (%) | Actions (Phase 3) | No of groups (%) | Evaluation (Phase 4) | No of groups (%) | |
|---|---|---|---|---|---|---|---|---|
| 1 | Health services too far | 19 (25) | Providing health education | 29 (38) | Providing health education to individuals/families, at health facility or during meetings | 63 (82) | Behavioural change women/husbands (e.g. women are more prepared, more ANC visits) | 47 (61) |
| 2 | Lack of service in health facility (e.g. equipment, medication) | 15 (19) | Construct health facility | 19 (25) | Setting up a community health fund | 33 (43) | Increase of knowledge (of women, men, community) | 44 (57) |
| 3 | Lack of health workers at the health facility | 14 (18) | Increase health seeking behaviour for ANC | 19 (25) | Collaborating with the government (inform leaders, have meetings, write letters, ask for help) | 21 (27) | Behavioural change health workers (e.g. less corruption, better behaviour, transfer of HCW) | 18 (23) |
| 4 | Medical problems related to pregnancy (e.g. bleeding, convulsions) | 11 (14) | Promote facility birth | 17 (22) | Preparing and taking action for construction work (e.g. collecting stones, water, cement) | 18 (23) | Health outcomes improved (e.g. less maternal deaths, less still births) | 17 (22) |
| 5 | Lack of health worker housing | 10 (13) | Promote health insurance | 9 (12) | Raising awareness on disrespectful behaviour of health providers | 11 (14) | Good response from or collaboration with the community | 17 (22) |
| 6 | Disrespectful behaviour of health providers | 10 (13) | Construct health care worker housing | 9 (12) | Encouraging community member to join the health insurance | 9 (12) | Services improved (e.g. more equipment, supplies, shorter waiting time) | 14 (18) |
| 7 | Lack of health education (e.g. poor knowledge or awareness) | 8 (10) | Renovate existing health facility | 4 (5) | Generating income for the community (chicken program/honey business) | 7 (9) |
* Some groups had indicated more than 1 prioritized problem or solution so the total percentage can be more than 100%. Not all groups prioritized problems aligned with prioritised solutions. Rows are ordered based on percentages of groups and therefore do not always relate to one topic. No = Number. HCW = Health care worker. ANC = Antenatal care.