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Table 1 Formative research methods and data sources

From: Formative research to design an implementation strategy for a postpartum hemorrhage initial response treatment bundle (E-MOTIVE): study protocol

Method Research question Data generated Sites Participants and sampling Analysis methods Forms required
Qualitative research (IDIs) How is primary PPH during vaginal birth (a) currently detected and managed; and (b) to what extent are the E-MOTIVE bundle components implemented?
What are the factors influencing (a) current PPH detection and management; (b) implementation of the E-MOTIVE bundle?
Audio recordings
Written transcriptions with field notes
n = 9 facilities total
n = 3 per country:
Kenya
Nigeria
South Africa
n = 45 providers total purposively sampled:
Per country (n = 15):
3 administrators
6 doctors
6 midwives/nurses
Framework analysis using combined deductive framework and inductive thematic analysis Information sheet
Consent form
In-depth interview guide
Online Survey How is primary and refractory PPH during vaginal birth (a) currently detected and managed; and (b) to what extent are the E-MOTIVE bundle components implemented?
What are the factors influencing (a) current PPH detection and management; (b) implementation of the E-MOTIVE bundle
Electronic survey data n = 80 health facilities total
Kenya
Nigeria
South Africa
Sri Lanka
Tanzania
n = 630–700 healthcare providers total
Per facility (n = 9–10)
1–2 obstetricians
3 medical officers/ residents/junior doctors
5 midwives/nurses
Descriptive statistics
Content analysis (open ended questions)
Information sheet
Consent form
Survey questionnaire
Stakeholder consultation and design workshops What are the common and unique factors influencing PPH detection and management across (a) data sources [qualitative and survey]; and (b) countries/sites?
To what extent is the proposed E-MOTIVE implementation strategy feasible and acceptable to key stakeholders?
How might the proposed strategy be adapted to the local context in each country?
Audio recordings
Written transcriptions with field notes
Quantitative ranking exercise about feasibility and acceptability
Stakeholder consultation and design workshops will be facilitated for each country E-MOTIVE international research team, E-MOTIVE country teams, hospital representatives (doctors, midwives) Thematic analysis & descriptive statistics Information sheet
Consent form
Ranking scales