Table 3 Illustrating identified themes and sub-themes mapped into seven constructs of the TFA
Theme | Sub-theme | TFA construct | Stakeholders to whom this theme was relevant |
|---|---|---|---|
1. Perceived comparative advantages of IV iron are critical for acceptability | 1.1. For iron supplementation, anything is better than taking pills | Affective attitude Perceived effectiveness Opportunity cost | Pregnant women, domestic decision-makers, and HCPs |
1.2. Reduction of anaemia-related complications could ease HCP workload | Opportunity cost Perceived effectiveness | HCPs | |
1.3. Preferred alternative to blood transfusion | Affective attitude Ethicality | HCPs and apex HCPs | |
2. Existing infrastructure in the health facility could be leveraged and strengthened to sustainably provide IV iron | 2.1. Existing processes of care provision to integrate information on IV iron therapy into antenatal health talk sessions | Burden Intervention coherence Self-efficacy | Pregnant women, domestic decision-makers, and HCPs |
2.2. HCPs lack confidence but are optimistic to safely administer IV iron with further training | Burden Self-efficacy | Pregnant women, domestic decision-makers, HCPs and apex HCPs | |
2.3. Local health system infrastructure, resources and supplies are insufficient | Burden | HCPs and facility managers | |
2.4. High out-of-pocket costs might make IV iron out of reach for the most vulnerable and socio-economically disadvantaged women | Burden Perceived effectiveness | Pregnant women, domestic decision-makers, and HCPs | |
3. Existing trust between pregnant women and HCPs can avert misconceptions of IV iron therapy | 3.1. Pregnant women trust HCPs, but vulnerable to misconceptions | Burden | Pregnant women, domestic decision-makers, and HCPs |