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Table 2 Coding framework

From: Diabetes care in a complex humanitarian emergency setting: a qualitative evaluation

Theme

Category

Codes

Undermine programme effectiveness

Promote programme effectiveness

Community awareness, knowledge and family support

Acceptance of DM

Adherence to DM treatment

Knowledge

Accessibility of treatment

Ignorance regarding DM

Word-of-mouth only DM awareness

Reliance on traditional healers

Fear of diagnosis

Feeling of emasculation among men relating to diagnosis

Recommended foods difficult to obtain, expensive

Transportation to clinic challenging in conflict

Long distance to clinic

Perception of traditional medicines as more effective

Acceptance of chronic nature of disease

View of medicine as the difference between life and death

Awareness of consequences of not treating

Support of family in DM diet and treatment adherence

Bonding with other DM patients

Appreciation of importance of regular appointments

Patient education as empowerment

Sustainable treatment approach

Implementation of DM programme

Staff investment and capacity

Ownership and certainty of programme

Maintenance of DM programme

Heavy workload for staff compromises quality

Low expectations for programme capacity

No dedicated programme resources

Dependence on NGO to maintain programme

Low institutional investment in programme

Staff pride in programme

Motivation from increased skills and responsibility

  1. DM diabetes mellitus, NGO non-governmental organisation