Table 1 Coding procedure and evolving research analysis
Action | Development of case study ideas | |
|---|---|---|
Raw data | 8 FGDs – gender segregated; urban and rural 8 IDIs – Directors CHC, urban and rural | Hospital utilisation pro-wealthy Determine if barriers to hospital care exist. |
Coding | Code data (interviews) by topic, frequency, sub-group (gender, rurality) | Descriptive coding to identify barriers: individual, community, health facility. |
Themes | Group codes into categories | Develop coding framework: group consistent and related themes to identify systemic barriers into categories. |
Concepts | Investigate relevant conceptual frameworks, related research; select analytical framework | Align coding categories to Peters et al. [29] framework of access criteria: geographic accessibility, availability, financial affordability, social acceptability. |
Theory | Universal health care requires universal access: determined by health and non-health related factors. | Case study demonstrates direct costs for health care are only one factor determining access. Demand and supply side interventions are needed to address barriers. |