Table 2 Table showing listed verbatim quotes from participants (I = Interviewer; R = Respondent)
No | Setting | Participant description | Verbatim quote |
|---|---|---|---|
1 | FGD, GH | Laboratory and clinical staff | “We only test for the falciparum. So, if we say…if the results come from the lab says it’s negative, we don’t test for the others so we wouldn’t know if it’s really negative for the others or it’s a different condition presenting like that we wouldn’t know...” |
2 | FGD, GH | Laboratory and clinical staff | “R: I think some work has been done but estimated about 7%, is that right? I: Between 6 and 7%, between 6 and 7%... How accurate do you think the RDTs are? R: I think that brand is also important. Some of them are very accurate in picking but some…err I don’t know. But some don’t usually give you the positive that you want but if you do the microscopy you realize the organisms are there, but you don’t get the report from the RDTs.” |
3 | Interview, GH | Laboratory staff | “That’s what they used to say that oh we checked conjunctiva; it is pale. We checked the palms; the patient is pale and your Hb is… your Hb is not corresponding to the patient. But you see, if it happens like that we can’t do otherwise. If you repeat the test and the machine gives you the same value, there’s nothing you can do. You have to write that way so it’s left to the clinician to judge.” |
4 | Interview, GHC | Laboratory Manager | “I: Do you think that the doctors here trust the RDTs? R: I don’t know anything about it whether they trust it or not.” |
5 | Interview, GHC | Clinic staff | “I- So someone could come to you with symptoms of anaemia but doesn’t actually have anaemia. Does that ever happen…? R – No I – …So those symptoms are always anaemia? R – Yes” |
6 | Interview, GH | Laboratory staff | “I think so because some people can be colour blind. If they use this their judgement will be different from what’s really happening… sometimes too the RDTs when you use them, when you use the RDTs there can be very faint lines. I might see it but you might not see it.” |
7 | Interview, PMC | Clinical staff | “The people from the insurance office came to talk with us about that. If a person’s test comes out not positive, we should not treat it but if we should treat, we are to write the reason why we are treating it.” |
8 | Interview, GH | Laboratory staff | “She doesn’t understand, that’s how I see it. Sometimes, it’s a different sickness. It can be a different sickness but not malaria.” |
9 | Interview, PMC | Laboratory staff | “Yeah that one is a problem because these, if you have fever or your temperature is high, not only malaria can cause that so there is a problem. That what we know. We have a problem…. I think even the teaching hospitals they are doing it so there’s a problem.” |
10 | Interview, GH | Laboratory staff | “Eheee, they bring the request, we do it, there’s no malaria, they still continue to treat; not for all patients anyway. But for some of them they still continue to treat. We always complain, we always talk about that. They are trying to stop but they still do it anyway.” |
11 | Interview GH | Laboratory staff | “… sometimes we ask the prescribers and the nurses to give us feedback…maybe within a week, within a day or two if they are getting some, a particular range of Hbs that they doubt they should just let us know so that we…they draw our attention to the fact that maybe we may be having problems with the machine that we do not even know.” |
12 | Interview, GH | Clinical staff | “…they said the Hb was 9.4. but when you look at the face, conjunctiva and everything, I mean, there’s no blood at all. So, we gave 2 units and now she has been discharged this morning.” |
13 | FGD, GH | Laboratory staff statement during FGD | “… lab people will monitor its usage in the sense that maternity, we can give maternity a full pack [pack of POCT]. We want to monitor its usage because they will know how to use it, of course, but if it’s getting finished there they will have to account for it either sense because if we just bring it into the system just like that people will be doing it and some staff can even steal it and take it home; to do it for others for money meanwhile anything can happen so it has to be monitored but it would help.” |
14 | FGD, GH | Clinical staff statement during FGD | “I: How do you feel about the monitoring aspect that the lab is talking about? R: The monitoring she is talking about, I agree with her in some part but I disagree with her in a statement she made. We are unique individuals. You don’t know how people would…it is true, some people can take something outside, but I don’t think the ward in charge will just put the thing on the table that everybody can use it. I don’t think so. So, I agree with her but some statement I don’t agree with her.” |
15 | FGD, GHC | Clinic staff | “Aah, after I have done mine and seen that it is negative but still the client is insisting, I’ll let the lab man also come in.” |
16 | FGD, GHC | 30 y/o, pregnant woman | “She places it under and sets it to see which colour matches… Please we saw that she was doing it like that, but she didn’t tell us what she was doing …. She did not say anything to us. She just pulled the paper and began to write.” |
17 | Interview, GH | Clinical staff | “No because when the patient comes, they expect to get something. At least if you give them... if nothing at all if you give them paracetamol, if you treat symptomatically without targeting the main cause of disease they would prefer it rather than telling them go, get worse and come back.” |
18 | FGD, GH | 21 y/o, pregnant woman | “So, sometimes the fault is from us. Some people when admitted will rush and tell the doctor to discharge them when she is not even well.” |
19 | Interview, GH | Clinical staff | “At times when you do the test and it’s negative, it is nothing, no MPs seen, you can’t give the malaria treatment. If you give, they won’t pay, to be frank. They won’t pay so the protocol here is, when the mother presents the symptoms, then you can start the malaria [treatment].” |
20 | FGD, PMC | 23 y/o, pregnant woman | “Please as long as we are human, if you argue with her about taking it, she will be angry. And when you come, what she has to do for you she will be reluctant and the love she has to demonstrate for you, she wouldn’t have that for you.” |
21 | FGD, GHC | 30y/o, pregnant woman | “Just as she said. If there was one here and every time you came you knew where your blood level was, when you go home you will take care of yourself in terms of your diet.” |
22 | Interview, GHC | Laboratory staff | “It helps her too. When you are done you will show it to her, telling her that this is the amount of blood I got during the test. Then I will explain the colours for her to see whether her blood level is high or low… It helps them so that if they were not planning on taking the drugs, they take them this time.” |
23 | FGD, GHC | Facilitator discussing with pregnant women during FGDs | “Ok. Now you’ve told me that when you come here you report to the midwife. The midwife takes you through a lot of things and then directs you to the lab. The lab man also pricks your finger and asks you to wait outside after which he gives you your paper when it is ready, for you to take back to the midwife. You usually don’t know what requests for you to do at the lab. The particular disease, you are not aware of.” |