Table 3. Reflections on appropriate forms of approach.

Approach factor	Focus groups noting the suggestion	Focus Group Suggestions
Sensitization of broader community	Hospital support staff Mothers (Round 1) Fathers (Round 1)	Civic education about MITS through community awareness campaigns
Sensitization of parents/families of children admitted to hospital	Hospital support staff Mothers (Round 2) Fathers (Round 2)	Conduct sensitization with parents/families after hospital admission and before death
	HCWs	Avoid sensitization with parents/families in hospital before death to reduce the risk of parents/families taking the child out of the hospital against medical advice
	CHAIN team
Introducing MITS to parents/caregivers
Who approaches	HCWs	Introduction to MITS study team by familiar HCW
	Mothers (Round 2)
	Fathers (Round 2)
Timing	HCWs	Families will need time to grieve—timing will depend on individual family needs
	CHAIN team
	Mothers (Round 1)
Consent
Information to share	HCWs	General information about MITS should be presented with the opportunity for potential participants to ask questions
	Hospital support staff
	Fathers (Round 2)
Who should be present	HCWs	Ideally, fathers will be present as they will have the ultimate authority to consent to MITS
	Hospital support staff
	CHAIN team
	Mothers (Rounds 1,2)
	Fathers (Rounds 1, 2)
	HCWs	In some instances, extended family members (especially maternal uncles) should be contacted
	Hospital support staff
	Mothers (Rounds 1,2)
	Fathers (Rounds 1,2)