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Table 2 Themes and sub-themes from focus group discussions (FGDs) with facilitators and maternal and newborn health groups (MNHGs)

From: Lessons learned from stakeholders in a facilitation intervention targeting neonatal health in Quang Ninh province, Vietnam

  Themes and sub-themes from FGD with facilitators Themes and sub-themes from FGDs with MNHGs
Barriers Money Lack of money – a challenge for implementing a project successfully A rare project without money
• Reimbursing all a necessity • Salaries are needed, especially for low paid group members
• Money a part of project culture in
• A lack of resources to include all • Funds are necessary for running a project
• Managing without money
Support / Obstacles MNHGs Support – an imperfect necessity  
• Facilitator training did not fit recipients needs
• Facilitators are supported by supervision if appropriately provided
• Lack of proper top-down support reduces the good spirit
  Obstacles for MNHGs to fully function
• Barriers to reach population and for population to reach health care
• NeoKIP unknown to people
• The MNHG did not function fully
• MNHG members lacking knowledge
• Organisations’ support needed for MNHGs
Process The facilitators Being the facilitator is challenging, complex and requires versatility The Facilitator – a new yet aporetic role
• Performance and skills increase over time • The facilitator involves in meetings and activities in an enthusiastic way
• Being a successful facilitator requires various skills and commitment • The facilitator should be local and not change frequently
• Lacking medical knowledge – an aggravating factor • The facilitator - a person with surprising lack of clinical knowledge
• Lacking confidence in the ability to function as facilitator • The facilitator, an unnecessary person that neither provides nor receives support of importance
• Adapting to local culture is key
• A good relationship between facilitator and MNHG, particularly the chair, facilitates a project
The MNHGs Facilitating a diverse group with conservative and hierarchical characteristics Meet regularly, identify problems and choose communication strategies
• Joining several organisations in collaboration • Regular meetings involving all, with chair as a decision maker
• Facing negative attitudes and actions • Targeting pregnant women first then newborns
• Chairs’ behaviour influence group behaviour • Communication – a universal solution for most targeted problems
• Engagement and enthusiasm increased over time
Impact   Nothing new and time-consuming, yet positive outcomes
• Nothing provided but words
• Not new, but time-consuming
• Increasing focus, knowledge and skills through collaborative group
• Increased awareness and use of health care among population