Table 2 Themes, categories and codes
Themes | Categories | Codes |
|---|---|---|
Acceptability of screening at health centre | Disease perception | Fear of diabetes complications |
Fear of insulin | ||
GDM not considered diabetes | ||
Stigma | ||
Provider choice | Preference of the private sector | |
Communication barrier | Use of diabetes terminology | |
Service barriers | Extra workload | |
Waiting times | ||
Provider attitude | Welcoming | |
Familiarity with provider | ||
Added value to existing service | Increasing value of ANC | |
Availability of tests in facility | ||
Demand induced | Increasing demand for testing | |
Time gain | Organised referrals | |
Reducing delays of external testing | ||
Reducing expenses | Reduced/no costs for tests | |
Accessibility of testing | Service availability | Testing material in place |
Providers trained | ||
IEC at health centre | ||
Geographical accessibility | Short distance to the health facility | |
Transport available | ||
Financial accessibility | No expenses for testing | |
Transport affordable | ||
Cultural accessibility | Pre-defined role of women | |
Lack of decision making power | ||
Household responsibilities | ||
Testing preconditions limiting | Consent | |
Fasting | ||
ANC timing | ||
Management challenges | Diet | Extra expenses for food |
Adaptation to local food | ||
Isolation through diet | ||
Time required for counselling | ||
Medication (Insulin) | Fear of insulin | |
Under-prescription | ||
Unavailability | ||
Material | Test-strips for self-testing expensive | |
Diet brochures not adapted | ||
Referral | Delay in getting appointments | |
Communication/ Collaboration needs | Transparency of providers | Provision of information & education |
Counselling of family members | ||
Use of mobile phone | Linkage to specialist | |
Used for follow-up | ||
Husband and family support | Acceptance of diagnosis | |
Adherence to follow-up | ||
Meeting peers | Exchange of experience | |
Anxiety reduction | ||
Information on diet | ||
Feeling of belonging | ||
Provision of support | ||
Exposure to positive examples | ||
Private sector involvement | Different diagnostic thresholds used | |
Conflicting information provided | ||
Sensitization | Need for more training | |
Importance of the role of media | ||
Information on prevalence | ||
Raising awareness of treatment | ||
Including postpartum testing | ||
Gain in motivation | Professional gains | Knowledge |
Autonomy | ||
Decision making | ||
Performance | ||
Empowerment | ||
Teamwork | ||
Patient acknowledgement | Trust | |
Patient-provider relationship | ||
Recognition | ||
Personal gains | Self-esteem | |
Responsibility | ||
Service re-organization | Re-organisation | Limiting number of tests |
Organising additional sessions | ||
Task-shifting | ||
Integration into existing service | ||
Constraints for screening integration | Documentation need | |
Service interruption | ||
Extra workload | ||
Lack of clarity about continuation after study |