‘Is that what I Said?’ Interview Transcript Approval by Participants: An Aspect of Ethics in Qualitative Research

Mero-Jaffe, Irit

doi:10.1177/160940691101000304

Cited by 194 publications

(82 citation statements)

References 26 publications

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“…Participants were interviewed in their offices or health facilities. Interviews, which lasted about 60–90 min, were conducted in English, audiotaped, transcribed verbatim and transcripts sent back to participants to confirm the credibility of the transcripts [50]. …”

Section: Methodsmentioning

confidence: 99%

Implementation of free maternal and child healthcare policies: assessment of influence of context and institutional capacity of health facilities in South-east Nigeria

Ogbuabor

Onwujekwe

2018

Global Health Action

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Background: Studies examining how the capacity of health facilities affect implementation of free healthcare policies in low and middle-income countries are limited.Objective: This study describes how the context and institutional capacity of health facilities influenced implementation of the free maternal and child health programme (FMCHP) in Enugu state, South-east Nigeria.Methods: We conducted a qualitative case study at the state level and in two health districts (Isi-Uzo and Enugu Metropolis) in Enugu State. Data were collected through document review and semi-structured, in-depth interviews with policymakers (n = 16), healthcare providers (n = 16) and health facility committee leaders (n = 12) guided by an existing capacity framework and analysed using a thematic framework approach.Results: The findings reveal that active health facility committees, changes in provider payment process, supportive supervision, drug revolving fund, availability of medical equipment, electronic data transmission and staff sanction system enhanced the capacity of health facilities to offer free healthcare. However, ineffective decentralisation, irregular supervision and weak citizen participation limited this capacity. Uncertain provider payment, evidence of tax payment policy and a co-existing fee-exempt scheme constrained health facilities in following the FMCHP guidelines. Poor recording and reporting skills and lack of support from district officials constrained providers’ adherence to claims’ submission timeline. Poor funding, weak drug supply system, inadequate infrastructure and lack of participatory decision-making constrained delivery of free healthcare. Insufficient trained workforce, mission-inconsistent postings and transfers, and weak staff disciplinary system limited the human resource capacity.Conclusions: Effectiveness of FMCHP at the health facility level depends on the extent of decentralisation, citizen participation, concurrent and conflictive policies, timely payment of providers, organisation of service delivery and human resources practices. Attention to these contextual and institutional factors will enhance responsiveness of health facilities, sustainability of free healthcare policies and progress towards universal health coverage.

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Section: Methodsmentioning

confidence: 99%

Implementation of free maternal and child healthcare policies: assessment of influence of context and institutional capacity of health facilities in South-east Nigeria

Ogbuabor

Onwujekwe

2018

Global Health Action

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“…All interviews were audiotaped and transcribed verbatim. The transcripts were sent back to participants to verify accuracy of transcription [29]. …”

Section: Methodsmentioning

confidence: 99%

Scaling-up strategic purchasing: analysis of health system governance imperatives for strategic purchasing in a free maternal and child healthcare programme in Enugu State, Nigeria

Ogbuabor¹,

Onwujekwe²

2018

BMC Health Serv Res

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BackgroundSignificant knowledge gaps exist in the functioning of institutional designs and organisational practices in purchasing within free healthcare schemes in low resource countries. The study provides evidence of the governance requirements to scale up strategic purchasing in free healthcare policies in Nigeria and other low-resource settings facing similar approaches.MethodsThe study was conducted at the Ministry of Health and in two health districts in Enugu State, Nigeria, using a qualitative case study design. Semi-structured interviews were conducted with 44 key health system actors (16 policymakers, 16 providers and 12 health facility committee leaders) purposively selected from the Ministry of Health and the two health districts. Data collection and analysis were guided by Siddiqi and colleagues’ health system governance framework. Data were analysed using a framework approach.ResultsThe key findings show that supportive governance practices in purchasing included systems to verify questionable provider claims, pay providers directly for services, compel providers to procure drugs centrally and track transfer of funds to providers. However, strategic vision was undermined by institutional conflicts, absence of purchaser-provider split and lack of selective contracting of providers. Benefit design was not based on stakeholder involvement. Rule of law was limited by delays in provider payment. Benefits and obligations to users were not transparent. The criteria and procedure for resource allocation were unclear. Some target beneficiaries seemed excluded from the scheme. Effectiveness and efficiency was constrained by poor adherence to purchasing rules. Accountability of purchasers and providers to users was weak. Intelligence and information is constrained by paper-based system. Rationing of free services by providers and users’ non-adherence to primary gate-keeping role hindered ethics.ConclusionWeak governance of purchasing function limits potential of FMCHP to contribute towards universal health coverage. Appropriate governance model for strengthening strategic purchasing in the FMCHP and possibly free healthcare interventions in other low-resource countries must pay attention to the creation of an autonomous purchasing agency, clear framework for selective contracting, stakeholder involvement, transparent benefit design, need-based resource allocation, efficient provider payment methods, stronger roles for citizens, enforcement of gatekeeping rules and use of data for decision-making.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3078-x) contains supplementary material, which is available to authorized users.

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“…Afterwards, the transcripts were sent to interviewees, thus providing them with copies with which to confirm the interview content. This procedure follows the ethical standards of qualitative social science [33,34].…”

Section: Data Collection Methods and Empirical Materialsmentioning

confidence: 99%

The Acceptability of Land Pools for the Sustainable Revalorisation of Wetland Meadows in the Spreewald Region, Germany

Busse

Heitepriem²,

Siebert

2019

Sustainability

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To successfully implement sustainability innovations, it is crucial to gain knowledge about their acceptability by potential users. This paper addresses the acceptability of land pools for the sustainable revalorization of wetland meadows using two case studies in a cultural landscape (CL) in Germany. The aim of this study is to analyse factors that influence the decisions of landowners and farmers towards these land pools. Therefore, we developed a sociologically driven framework of acceptability. We applied structured qualitative text analysis for analysing qualitative interviews. The results show that acceptability differs between the two case study areas and between interviewees. The value-based appreciation of the CL is high, but does not lead "per se" to a positive acceptance of the land pools. Reasons for this are the lack of shared values and the existence of diverging opinions about the objectives of land pools. Additional important factors are previous experiences, level of participation, and trust in actors or institutions. A recommendation is that discussion of values of nature supports the identification of shared values. A clear description of the problem and embedding the concept in a systematic strategy for regional development could enhance acceptability. For the success of similar sustainability innovations, it is essential to design a fair innovation process (transparent communication and active actors' involvement). A theoretical-conceptual conclusion is that the acceptability framework supports qualitative, in-depth and actor-centred analyses focussing on linkages between values and arguments on different levels. The framework also reveals diverse and previously unknown factors.

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‘Is that what I Said?’ Interview Transcript Approval by Participants: An Aspect of Ethics in Qualitative Research

Cited by 194 publications

References 26 publications

Implementation of free maternal and child healthcare policies: assessment of influence of context and institutional capacity of health facilities in South-east Nigeria

Implementation of free maternal and child healthcare policies: assessment of influence of context and institutional capacity of health facilities in South-east Nigeria

Scaling-up strategic purchasing: analysis of health system governance imperatives for strategic purchasing in a free maternal and child healthcare programme in Enugu State, Nigeria

The Acceptability of Land Pools for the Sustainable Revalorisation of Wetland Meadows in the Spreewald Region, Germany

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