Table 4 Summary of findings
Enabling and motivation factors | Barriers and demotivating factors | |
|---|---|---|
Professional factors | - The belief that PMC is useful - Gaining new knowledge - Maintain recognition from the government and NGOs - Genuine love for the job, altruism, sense of obligation | - Sense of PMC not being part of regular work duties - No personal reward - No provision of earmarked financial incentives or other incentives like air time, bicycle or additional training with allowances |
Structural factors | - Ease of the task - Short distance to child’s home - Knowing participant location and family - Being able to combine with other duties in the same area | - High workload - Not knowing participant or family location - Long distance to child’s home, lack of transport - Inadequate information and lack of supervision - No refresher trainings - Not receiving SMS/No phone - Had not seen the study medication, fear of losing care takers’ respect because of this |
Community factors | - To maintain community trust and respect as ‘doctors’ - “Love for the community” - Care takers see the benefit for their child - Being informed by the care taker about the dosing schedule | - Curiousness and suspicion from neighbours - Caretakers may fear stigmatisation - Fear that the study medicine may be harmful |