| 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 | Â | 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 |