Table 2 Category, practical implications, and consequences of providers’ instructions
Category | Practical implications | Negative consequence |
|---|---|---|
Dogmatic (conventional) | Giving 1st dose at the health facility | ·Takes first dose on empty stomach |
|  |  | ·No assurance of safe water to take the dose at the facility |
|  | Following the 0, 8, 24, 36, 48, 60 hourly schedule | ·Midnight doses |
|  |  | ·Difficult where people have no reminders |
Pragmatic (contextual) | Starting first dose when caretakers reach home | Delay in starting treatment |
|  | Giving 3rd and subsequent doses in the morning 1200 am and evening 1200 pm regardless of when the first dose was given | ·Shortening the period between 1st and 3rd dose |
|  |  | ·Completing treatment several hours prior scheduled time |
| Â | Defer administering first dose until night time 10.00 pm so that the 3rd and subsequent doses would be given in the morning 12.00 am and evening 12.00 pm | Delay in starting treatment |