[System] Act as an information elicitation agent for academic interviews.

[User] Yes, it’s where I see the patients from.

[Assistant] So tell me about the demographics of the patients you see here; what kind of patients do you see and what kind of diseases do they present with?

[User] Okay. It depends on the season; during this dry season people mostly come with cough, flu, fever, sore throat and skin infections, but when it’s the rainy season that’s when you will find that they come mostly with fevers and diarrheal diseases. We have a slum here called ... the hygienic condition of that place is not good that in during the rainy season we get the most diarrheal cases.

[Assistant] what kind of age groups do you usually have of the patients that come here?

[User] We have young children from let me say, 2 months up to 90 years, because we have a diabetic clinic on Thursday and Friday and also an eye clinic on Thursdays. So mostly on Thursdays the elderly come mainly because they know that there is a diabetic clinic where we test them; for the eyes, we do eye screening on that day. So on Thursdays, the elderly are many but on the other days you would find the children and middle aged.

[Assistant] Tell me about your training in RHD; do you have any training on Rheumatic Heart Disease?


[System] Act as an information elicitation agent for academic interviews.

[User] Okay. It depends on the season; during this dry season people mostly come with cough, flu, fever, sore throat and skin infections, but when it’s the rainy season that’s when you will find that they come mostly with fevers and diarrheal diseases. We have a slum here called ... the hygienic condition of that place is not good that in during the rainy season we get the most diarrheal cases.

[Assistant] what kind of age groups do you usually have of the patients that come here?

[User] We have young children from let me say, 2 months up to 90 years, because we have a diabetic clinic on Thursday and Friday and also an eye clinic on Thursdays. So mostly on Thursdays the elderly come mainly because they know that there is a diabetic clinic where we test them; for the eyes, we do eye screening on that day. So on Thursdays, the elderly are many but on the other days you would find the children and middle aged.

[Assistant] Tell me about your training in RHD; do you have any training on Rheumatic Heart Disease?

[User] Just as a special training?

[Assistant] Well any training, whether in school or ...


[System] Act as an information elicitation agent for academic interviews.

[User] We have young children from let me say, 2 months up to 90 years, because we have a diabetic clinic on Thursday and Friday and also an eye clinic on Thursdays. So mostly on Thursdays the elderly come mainly because they know that there is a diabetic clinic where we test them; for the eyes, we do eye screening on that day. So on Thursdays, the elderly are many but on the other days you would find the children and middle aged.

[Assistant] Tell me about your training in RHD; do you have any training on Rheumatic Heart Disease?

[User] Just as a special training?

[Assistant] Well any training, whether in school or ...

[User] In school, we were trained; when we were in medical school we were trained about RHD but after qualification, I have not had any special training for Rheumatic Heart Disease.

[Assistant] So you have not had specific training!


[System] Act as an information elicitation agent for academic interviews.

[User] Just as a special training?

[Assistant] Well any training, whether in school or ...

[User] In school, we were trained; when we were in medical school we were trained about RHD but after qualification, I have not had any special training for Rheumatic Heart Disease.

[Assistant] So you have not had specific training!

[User] No.

[Assistant] But you had some training during school!


[System] Act as an information elicitation agent for academic interviews.

[User] In school, we were trained; when we were in medical school we were trained about RHD but after qualification, I have not had any special training for Rheumatic Heart Disease.

[Assistant] So you have not had specific training!

[User] No.

[Assistant] But you had some training during school!

[User] During school, yes.

[Assistant] But after that you haven’t!


[System] Act as an information elicitation agent for academic interviews.

[User] No.

[Assistant] But you had some training during school!

[User] During school, yes.

[Assistant] But after that you haven’t!

[User] Yes.

[Assistant] Okay. So have you received any training since graduation? I mean since graduation when you became a medical officer?


[System] Act as an information elicitation agent for academic interviews.

[User] During school, yes.

[Assistant] But after that you haven’t!

[User] Yes.

[Assistant] Okay. So have you received any training since graduation? I mean since graduation when you became a medical officer?

[User] On what?

[Assistant] On Rheumatic Heart Disease.


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] Okay. So have you received any training since graduation? I mean since graduation when you became a medical officer?

[User] On what?

[Assistant] On Rheumatic Heart Disease.

[User] No, I have not.

[Assistant] You haven’t! So how many patients of Rheumatic Heart Disease do you often see in a day, week or month?


[System] Act as an information elicitation agent for academic interviews.

[User] No, I have not.

[Assistant] You haven’t! So how many patients of Rheumatic Heart Disease do you often see in a day, week or month?

[User] huh, it’s very rare. Here! It is very rare, or maybe sometimes, let me say in a year I can see maybe two.

[Assistant] In year?

[User] Yes.

[Assistant] What about patients who come with Acute Rheumatic Fever?


[System] Act as an information elicitation agent for academic interviews.

[User] huh, it’s very rare. Here! It is very rare, or maybe sometimes, let me say in a year I can see maybe two.

[Assistant] In year?

[User] Yes.

[Assistant] What about patients who come with Acute Rheumatic Fever?

[User] Acute? The problem with that is that sometimes we miss them because people come with fever, they come with a sore throat, and they come with maybe general body weakness ... Because when I auscultated the heart sound, I was hearing some murmurs. So what I did, I referred that patient Uganda Heart institute. I think that was last year.

[Assistant] That was last year!


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] What about patients who come with Acute Rheumatic Fever?

[User] Acute? The problem with that is that sometimes we miss them because people come with fever, they come with a sore throat, and they come with maybe general body weakness ... Because when I auscultated the heart sound, I was hearing some murmurs. So what I did, I referred that patient Uganda Heart institute. I think that was last year.

[Assistant] That was last year!

[User] Yes

[Assistant] So what is the average age of patients you usually see with Rheumatic Heart Disease? Although you see them rarely, what is the average age of patients you usually see?


[System] Act as an information elicitation agent for academic interviews.

[User] Acute? The problem with that is that sometimes we miss them because people come with fever, they come with a sore throat, and they come with maybe general body weakness ... Because when I auscultated the heart sound, I was hearing some murmurs. So what I did, I referred that patient Uganda Heart institute. I think that was last year.

[Assistant] That was last year!

[User] Yes

[Assistant] So what is the average age of patients you usually see with Rheumatic Heart Disease? Although you see them rarely, what is the average age of patients you usually see?

[User] They are just young people, like in 20s. Most of them are in 20s.

[Assistant] So most of them are in twenties! Are they working or not? Are they in school or?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes

[Assistant] So what is the average age of patients you usually see with Rheumatic Heart Disease? Although you see them rarely, what is the average age of patients you usually see?

[User] They are just young people, like in 20s. Most of them are in 20s.

[Assistant] So most of them are in twenties! Are they working or not? Are they in school or?

[User] They are working and also some are students. Most of those we have seen are students.

[Assistant] What kind of symptoms do they usually describe?


[System] Act as an information elicitation agent for academic interviews.

[User] They are just young people, like in 20s. Most of them are in 20s.

[Assistant] So most of them are in twenties! Are they working or not? Are they in school or?

[User] They are working and also some are students. Most of those we have seen are students.

[Assistant] What kind of symptoms do they usually describe?

[User] Some of them come with fevers, headaches, sore throat and then the general body weakness, and because of the sore throat that’s why they have painful swallowing and so on.

[Assistant] Okay. So generally, what about follow up and adherence; for those you have seen although they are few, do they usually adhere to treatment?


[System] Act as an information elicitation agent for academic interviews.

[User] They are working and also some are students. Most of those we have seen are students.

[Assistant] What kind of symptoms do they usually describe?

[User] Some of them come with fevers, headaches, sore throat and then the general body weakness, and because of the sore throat that’s why they have painful swallowing and so on.

[Assistant] Okay. So generally, what about follow up and adherence; for those you have seen although they are few, do they usually adhere to treatment?

[User] yeah, they adhere to treatment because what I usually do is that when I maybe give them amoxicillin and so on, because I may sometimes give them PFStat for maybe five days, when they have completed treatment I usually tell them to come back and then I review again. When I see that there is improvement, I tell them to ensure that if there’s more or the symptoms persist or if they get that same sore throat within 1 or 2 months, so when they come back again, what I do is to just give them Benzathine.

[Assistant] So what sort of barriers do they usually or commonly state to taking the care they need?


[System] Act as an information elicitation agent for academic interviews.

[User] Some of them come with fevers, headaches, sore throat and then the general body weakness, and because of the sore throat that’s why they have painful swallowing and so on.

[Assistant] Okay. So generally, what about follow up and adherence; for those you have seen although they are few, do they usually adhere to treatment?

[User] yeah, they adhere to treatment because what I usually do is that when I maybe give them amoxicillin and so on, because I may sometimes give them PFStat for maybe five days, when they have completed treatment I usually tell them to come back and then I review again. When I see that there is improvement, I tell them to ensure that if there’s more or the symptoms persist or if they get that same sore throat within 1 or 2 months, so when they come back again, what I do is to just give them Benzathine.

[Assistant] So what sort of barriers do they usually or commonly state to taking the care they need?

[User] Here the barrier, in most cases is that sometimes they are mismanaged. Because, somebody can come here with maybe a sore throat but you give an antibiotic with no Penicillin in it! But we also attribute that to maybe lack of enough knowledge for some of the staff. Then the other barrier is that they sometimes come when we don’t have any antibiotic in the facility. If you had come here last week, because we got our supplies on Friday, but if you had come here on Wednesdays, we didn’t have Benzathine, Amoxillin and even Septrine was not there. I think we had only remained with a few stocks of ampicillin injections. That also brings about the issue of mainly the supplies.

[Assistant] So the main issue you have is mainly the supplies!


[System] Act as an information elicitation agent for academic interviews.

[User] yeah, they adhere to treatment because what I usually do is that when I maybe give them amoxicillin and so on, because I may sometimes give them PFStat for maybe five days, when they have completed treatment I usually tell them to come back and then I review again. When I see that there is improvement, I tell them to ensure that if there’s more or the symptoms persist or if they get that same sore throat within 1 or 2 months, so when they come back again, what I do is to just give them Benzathine.

[Assistant] So what sort of barriers do they usually or commonly state to taking the care they need?

[User] Here the barrier, in most cases is that sometimes they are mismanaged. Because, somebody can come here with maybe a sore throat but you give an antibiotic with no Penicillin in it! But we also attribute that to maybe lack of enough knowledge for some of the staff. Then the other barrier is that they sometimes come when we don’t have any antibiotic in the facility. If you had come here last week, because we got our supplies on Friday, but if you had come here on Wednesdays, we didn’t have Benzathine, Amoxillin and even Septrine was not there. I think we had only remained with a few stocks of ampicillin injections. That also brings about the issue of mainly the supplies.

[Assistant] So the main issue you have is mainly the supplies!

[User] Yes.

[Assistant] Because my next question was like; what kind of barriers do you perceive they face in getting the care they need? And like you said earlier that the main issue they face is when they come here, sometimes the drugs are not there.


[System] Act as an information elicitation agent for academic interviews.

[User] Here the barrier, in most cases is that sometimes they are mismanaged. Because, somebody can come here with maybe a sore throat but you give an antibiotic with no Penicillin in it! But we also attribute that to maybe lack of enough knowledge for some of the staff. Then the other barrier is that they sometimes come when we don’t have any antibiotic in the facility. If you had come here last week, because we got our supplies on Friday, but if you had come here on Wednesdays, we didn’t have Benzathine, Amoxillin and even Septrine was not there. I think we had only remained with a few stocks of ampicillin injections. That also brings about the issue of mainly the supplies.

[Assistant] So the main issue you have is mainly the supplies!

[User] Yes.

[Assistant] Because my next question was like; what kind of barriers do you perceive they face in getting the care they need? And like you said earlier that the main issue they face is when they come here, sometimes the drugs are not there.

[User] Yes

[Assistant] So besides that, do they find the health workers there all that kind of stuff?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes

[Assistant] So besides that, do they find the health workers there all that kind of stuff?

[User] In most times we are there, because we ensure that there is staff at the facility 24/7.

[Assistant] Mm?

[User] Yes

[Assistant] Okay. Now I am going to ask you about the local system barriers; which of these pieces is not working from you and why? I am asking about administration and leadership at the district in regards to RHD.


[System] Act as an information elicitation agent for academic interviews.

[User] In most times we are there, because we ensure that there is staff at the facility 24/7.

[Assistant] Mm?

[User] Yes

[Assistant] Okay. Now I am going to ask you about the local system barriers; which of these pieces is not working from you and why? I am asking about administration and leadership at the district in regards to RHD.

[User] Okay, the district ... because I am sure what they would have done maybe, because you are telling us that at the Uganda Heart Institute there are many cases from Wakiso, and I am sure that when they go for these National Health Assemblies, some of these findings are shared and the DHO attends. So I think from attending those health assemblies and they find out that we have many cases at the Uganda Heart Institute, I think they would have come and informed us about it, but they have been informing us about immunization and so on. However, with the heart, if they had informed us about it, I think we would be vigilant and if you see any patients with sore throat to make sure that they get the right treatment, or that instead of giving them other antibiotics without Penicillin, we make sure that everyone ... because sometimes you may find that maybe it is the nurse who is seeing the patient, we ensure that we empower them also. So the district had that weakness but good enough you came on board and educated them and they called us also. So I am sure that we are also on board now.

[Assistant] So funding for health care in general, how do you see funding? How do you see funding of this health Centre in general and in regards to RHD?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes

[Assistant] Okay. Now I am going to ask you about the local system barriers; which of these pieces is not working from you and why? I am asking about administration and leadership at the district in regards to RHD.

[User] Okay, the district ... because I am sure what they would have done maybe, because you are telling us that at the Uganda Heart Institute there are many cases from Wakiso, and I am sure that when they go for these National Health Assemblies, some of these findings are shared and the DHO attends. So I think from attending those health assemblies and they find out that we have many cases at the Uganda Heart Institute, I think they would have come and informed us about it, but they have been informing us about immunization and so on. However, with the heart, if they had informed us about it, I think we would be vigilant and if you see any patients with sore throat to make sure that they get the right treatment, or that instead of giving them other antibiotics without Penicillin, we make sure that everyone ... because sometimes you may find that maybe it is the nurse who is seeing the patient, we ensure that we empower them also. So the district had that weakness but good enough you came on board and educated them and they called us also. So I am sure that we are also on board now.

[Assistant] So funding for health care in general, how do you see funding? How do you see funding of this health Centre in general and in regards to RHD?

[User] The funding, like government for example, for us with supplies and so on, the government puts money in National Medical Stores and the funding was not good because for this financial year, they have put there 22million for the whole financial year!

[Assistant] For this facility?


[System] Act as an information elicitation agent for academic interviews.

[User] Okay, the district ... because I am sure what they would have done maybe, because you are telling us that at the Uganda Heart Institute there are many cases from Wakiso, and I am sure that when they go for these National Health Assemblies, some of these findings are shared and the DHO attends. So I think from attending those health assemblies and they find out that we have many cases at the Uganda Heart Institute, I think they would have come and informed us about it, but they have been informing us about immunization and so on. However, with the heart, if they had informed us about it, I think we would be vigilant and if you see any patients with sore throat to make sure that they get the right treatment, or that instead of giving them other antibiotics without Penicillin, we make sure that everyone ... because sometimes you may find that maybe it is the nurse who is seeing the patient, we ensure that we empower them also. So the district had that weakness but good enough you came on board and educated them and they called us also. So I am sure that we are also on board now.

[Assistant] So funding for health care in general, how do you see funding? How do you see funding of this health Centre in general and in regards to RHD?

[User] The funding, like government for example, for us with supplies and so on, the government puts money in National Medical Stores and the funding was not good because for this financial year, they have put there 22million for the whole financial year!

[Assistant] For this facility?

[User] Yes, just for this facility.

[Assistant] For these number of patients!


[System] Act as an information elicitation agent for academic interviews.

[User] The funding, like government for example, for us with supplies and so on, the government puts money in National Medical Stores and the funding was not good because for this financial year, they have put there 22million for the whole financial year!

[Assistant] For this facility?

[User] Yes, just for this facility.

[Assistant] For these number of patients!

[User] Yes, 22 million, but they have promised us that in the next financial year, we shall get the health Centre IV kit and they would have increased our funding from 22 to 150 million. So I’m sure that come this July this year, I think the funding would have improved.

[Assistant] But that’s in general.


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, just for this facility.

[Assistant] For these number of patients!

[User] Yes, 22 million, but they have promised us that in the next financial year, we shall get the health Centre IV kit and they would have increased our funding from 22 to 150 million. So I’m sure that come this July this year, I think the funding would have improved.

[Assistant] But that’s in general.

[User] Yes.

[Assistant] But in budget is there funding for Rheumatic Heart Disease?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, 22 million, but they have promised us that in the next financial year, we shall get the health Centre IV kit and they would have increased our funding from 22 to 150 million. So I’m sure that come this July this year, I think the funding would have improved.

[Assistant] But that’s in general.

[User] Yes.

[Assistant] But in budget is there funding for Rheumatic Heart Disease?

[User] Yeah, because now when they went for the procurement plan, what they were emphasizing is that they looked at non-communicable diseases. They told us we have to ensure that we plan for those diseases like hypertension, diabetes, and screening for cancers and so on, and also Rheumatic ... I am sure Rheumatic Heart Disease will be taken in that same category.

[Assistant] So health workers; how many health workers do you have here? What are their numbers, qualifications and how long do the patients take to wait?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] But in budget is there funding for Rheumatic Heart Disease?

[User] Yeah, because now when they went for the procurement plan, what they were emphasizing is that they looked at non-communicable diseases. They told us we have to ensure that we plan for those diseases like hypertension, diabetes, and screening for cancers and so on, and also Rheumatic ... I am sure Rheumatic Heart Disease will be taken in that same category.

[Assistant] So health workers; how many health workers do you have here? What are their numbers, qualifications and how long do the patients take to wait?

[User] Okay, now in this facility we have 32 health workers. Okay, 30 because 2 are cleaners. So its 30 health workers and 3 of them are on study leave. So we have got 2 senior clinical officers; we are two, and then we have a Senior Nursing Officer. With the nurses, we have 2 Nursing officers; one is nursing and one is a counselor. We had a midwifery nursing officer but she left; she went to nursing school and is now a tutor. Then we have like 5 enrolled nurses including those with enrolled psychiatry. Then we have like 4 Enrolled Midwives because of the heaviness of this facility. Then we have got a Dental officer, etymology officer, we have a Health Educator. Good enough our health educator is also a clinical officer by training, so she also helps us when we are clerking patients. Then we only have 3 Nursing Assistants but we make sure that we don’t allow a Nursing Assistant to see a patient; we make sure that we have a nurse or a clinical officer around all the time. Nursing Assistants are usually at the dispensing side, immunization and so on.

[Assistant] So which means that according to the numbers of health workers you have, you are not badly off!


[System] Act as an information elicitation agent for academic interviews.

[User] Yeah, because now when they went for the procurement plan, what they were emphasizing is that they looked at non-communicable diseases. They told us we have to ensure that we plan for those diseases like hypertension, diabetes, and screening for cancers and so on, and also Rheumatic ... I am sure Rheumatic Heart Disease will be taken in that same category.

[Assistant] So health workers; how many health workers do you have here? What are their numbers, qualifications and how long do the patients take to wait?

[User] Okay, now in this facility we have 32 health workers. Okay, 30 because 2 are cleaners. So its 30 health workers and 3 of them are on study leave. So we have got 2 senior clinical officers; we are two, and then we have a Senior Nursing Officer. With the nurses, we have 2 Nursing officers; one is nursing and one is a counselor. We had a midwifery nursing officer but she left; she went to nursing school and is now a tutor. Then we have like 5 enrolled nurses including those with enrolled psychiatry. Then we have like 4 Enrolled Midwives because of the heaviness of this facility. Then we have got a Dental officer, etymology officer, we have a Health Educator. Good enough our health educator is also a clinical officer by training, so she also helps us when we are clerking patients. Then we only have 3 Nursing Assistants but we make sure that we don’t allow a Nursing Assistant to see a patient; we make sure that we have a nurse or a clinical officer around all the time. Nursing Assistants are usually at the dispensing side, immunization and so on.

[Assistant] So which means that according to the numbers of health workers you have, you are not badly off!

[User] We are not badly off.

[Assistant] So the medications like Benzathine penicillin, anti-coagulation and heart failure drugs, do have those?


[System] Act as an information elicitation agent for academic interviews.

[User] Okay, now in this facility we have 32 health workers. Okay, 30 because 2 are cleaners. So its 30 health workers and 3 of them are on study leave. So we have got 2 senior clinical officers; we are two, and then we have a Senior Nursing Officer. With the nurses, we have 2 Nursing officers; one is nursing and one is a counselor. We had a midwifery nursing officer but she left; she went to nursing school and is now a tutor. Then we have like 5 enrolled nurses including those with enrolled psychiatry. Then we have like 4 Enrolled Midwives because of the heaviness of this facility. Then we have got a Dental officer, etymology officer, we have a Health Educator. Good enough our health educator is also a clinical officer by training, so she also helps us when we are clerking patients. Then we only have 3 Nursing Assistants but we make sure that we don’t allow a Nursing Assistant to see a patient; we make sure that we have a nurse or a clinical officer around all the time. Nursing Assistants are usually at the dispensing side, immunization and so on.

[Assistant] So which means that according to the numbers of health workers you have, you are not badly off!

[User] We are not badly off.

[Assistant] So the medications like Benzathine penicillin, anti-coagulation and heart failure drugs, do have those?

[User] We don’t have. We Benzathine but we don’t have these anti-coagulation drugs because, even Aspirin is one of them but we don’t even get Aspirin.

[Assistant] You don’t get Aspirin from NMS?


[System] Act as an information elicitation agent for academic interviews.

[User] We are not badly off.

[Assistant] So the medications like Benzathine penicillin, anti-coagulation and heart failure drugs, do have those?

[User] We don’t have. We Benzathine but we don’t have these anti-coagulation drugs because, even Aspirin is one of them but we don’t even get Aspirin.

[Assistant] You don’t get Aspirin from NMS?

[User] We don’t; this facility doesn’t get Aspirins.

[Assistant] What about the Warfarin?


[System] Act as an information elicitation agent for academic interviews.

[User] We don’t have. We Benzathine but we don’t have these anti-coagulation drugs because, even Aspirin is one of them but we don’t even get Aspirin.

[Assistant] You don’t get Aspirin from NMS?

[User] We don’t; this facility doesn’t get Aspirins.

[Assistant] What about the Warfarin?

[User] Warfarin, we don’t.

[Assistant] Is it because it’s a Health Centre IV or?


[System] Act as an information elicitation agent for academic interviews.

[User] Warfarin, we don’t.

[Assistant] Is it because it’s a Health Centre IV or?

[User] It’s a Health Centre IV but getting the supplies of a Health Center III.

[Assistant] Wow!

[User] Now even in our hypertensive clinic they (patients) just buy Cardiac Aspirin. Because if it was there we could have been packing for them, but the rest like Nifedipine and so on, we give them.

[Assistant] So one of the main issues you have is supplies!


[System] Act as an information elicitation agent for academic interviews.

[User] It’s a Health Centre IV but getting the supplies of a Health Center III.

[Assistant] Wow!

[User] Now even in our hypertensive clinic they (patients) just buy Cardiac Aspirin. Because if it was there we could have been packing for them, but the rest like Nifedipine and so on, we give them.

[Assistant] So one of the main issues you have is supplies!

[User] Yes.

[Assistant] And they give you Benzathine but in limited amount!


[System] Act as an information elicitation agent for academic interviews.

[User] Now even in our hypertensive clinic they (patients) just buy Cardiac Aspirin. Because if it was there we could have been packing for them, but the rest like Nifedipine and so on, we give them.

[Assistant] So one of the main issues you have is supplies!

[User] Yes.

[Assistant] And they give you Benzathine but in limited amount!

[User] Yes, they give us in limited amounts.

[Assistant] Because you are at a different level but getting drugs of a different level!


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] And they give you Benzathine but in limited amount!

[User] Yes, they give us in limited amounts.

[Assistant] Because you are at a different level but getting drugs of a different level!

[User] Yes.

[Assistant] Okay. So Health Information and medical records; how is your medical records system, integration within the facility for in and out patients? Do you have registers?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] Okay. So Health Information and medical records; how is your medical records system, integration within the facility for in and out patients? Do you have registers?

[User] We have registers.

[Assistant] Medical registers?

[User] Yes, medical registers in all the departments.

[Assistant] And how do you save your information or data?


[System] Act as an information elicitation agent for academic interviews.

[User] We have registers.

[Assistant] Medical registers?

[User] Yes, medical registers in all the departments.

[Assistant] And how do you save your information or data?

[User] Which one? The monthly or?

[Assistant] For example, now you are seeing patients, where do you keep your data?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, medical registers in all the departments.

[Assistant] And how do you save your information or data?

[User] Which one? The monthly or?

[Assistant] For example, now you are seeing patients, where do you keep your data?

[User] Now this information is put in a register and after the register is full, we have a place where we keep all the registers. The Health Information Assistants keeps them.

[Assistant] Okay. Do you have an electronic system where you keep all data or you only use the books?


[System] Act as an information elicitation agent for academic interviews.

[User] Which one? The monthly or?

[Assistant] For example, now you are seeing patients, where do you keep your data?

[User] Now this information is put in a register and after the register is full, we have a place where we keep all the registers. The Health Information Assistants keeps them.

[Assistant] Okay. Do you have an electronic system where you keep all data or you only use the books?

[User] The electronic is done for the reports; after extracting the reports, we put it in the system. Then the electronic for patients is only done at the HIV clinic; from there we have a computer where we enter all the details.

[Assistant] Only at the HIV clinic?


[System] Act as an information elicitation agent for academic interviews.

[User] Now this information is put in a register and after the register is full, we have a place where we keep all the registers. The Health Information Assistants keeps them.

[Assistant] Okay. Do you have an electronic system where you keep all data or you only use the books?

[User] The electronic is done for the reports; after extracting the reports, we put it in the system. Then the electronic for patients is only done at the HIV clinic; from there we have a computer where we enter all the details.

[Assistant] Only at the HIV clinic?

[User] Yes. That one we use it.

[Assistant] Do you have any registers for Acute Rheumatic Fever?


[System] Act as an information elicitation agent for academic interviews.

[User] The electronic is done for the reports; after extracting the reports, we put it in the system. Then the electronic for patients is only done at the HIV clinic; from there we have a computer where we enter all the details.

[Assistant] Only at the HIV clinic?

[User] Yes. That one we use it.

[Assistant] Do you have any registers for Acute Rheumatic Fever?

[User] We don’t have a special register

[Assistant] You don’t have specific registers for specific patients?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes. That one we use it.

[Assistant] Do you have any registers for Acute Rheumatic Fever?

[User] We don’t have a special register

[Assistant] You don’t have specific registers for specific patients?

[User] No, we don’t have; it’s a general register.

[Assistant] Okay. Has the health ministry provided any guidelines or protocols for Rheumatic Heart Disease and care?


[System] Act as an information elicitation agent for academic interviews.

[User] We don’t have a special register

[Assistant] You don’t have specific registers for specific patients?

[User] No, we don’t have; it’s a general register.

[Assistant] Okay. Has the health ministry provided any guidelines or protocols for Rheumatic Heart Disease and care?

[User] No, not yet.

[Assistant] Okay. What are the local health system enablers? Which of these pieces is working for you; Perception of patient outcomes? Generally, do you think the patients are getting the care they need or not?


[System] Act as an information elicitation agent for academic interviews.

[User] No, we don’t have; it’s a general register.

[Assistant] Okay. Has the health ministry provided any guidelines or protocols for Rheumatic Heart Disease and care?

[User] No, not yet.

[Assistant] Okay. What are the local health system enablers? Which of these pieces is working for you; Perception of patient outcomes? Generally, do you think the patients are getting the care they need or not?

[User] They do. Now when a patient comes, I can see that patient very well, I even health-educate the patient very well and tell him/her what they are suffering from, give a prescription and also health- educate. For example, for sore throat I can say, “I am going to give you these antibiotics but there are other things you can do like using salty water which can work.” Then I take them to get the injection, pain killers and so on. But sometimes when the supplies are not there, I can do all this, but at the other side where they are supposed to get the medicine, that’s where the charges comes in.

[Assistant] So that’s when they have to buy the medicine?


[System] Act as an information elicitation agent for academic interviews.

[User] No, not yet.

[Assistant] Okay. What are the local health system enablers? Which of these pieces is working for you; Perception of patient outcomes? Generally, do you think the patients are getting the care they need or not?

[User] They do. Now when a patient comes, I can see that patient very well, I even health-educate the patient very well and tell him/her what they are suffering from, give a prescription and also health- educate. For example, for sore throat I can say, “I am going to give you these antibiotics but there are other things you can do like using salty water which can work.” Then I take them to get the injection, pain killers and so on. But sometimes when the supplies are not there, I can do all this, but at the other side where they are supposed to get the medicine, that’s where the charges comes in.

[Assistant] So that’s when they have to buy the medicine?

[User] Yes.

[Assistant] So this means that the patient would have got the care but would not have got the medication!


[System] Act as an information elicitation agent for academic interviews.

[User] They do. Now when a patient comes, I can see that patient very well, I even health-educate the patient very well and tell him/her what they are suffering from, give a prescription and also health- educate. For example, for sore throat I can say, “I am going to give you these antibiotics but there are other things you can do like using salty water which can work.” Then I take them to get the injection, pain killers and so on. But sometimes when the supplies are not there, I can do all this, but at the other side where they are supposed to get the medicine, that’s where the charges comes in.

[Assistant] So that’s when they have to buy the medicine?

[User] Yes.

[Assistant] So this means that the patient would have got the care but would not have got the medication!

[User] Yes, but sometimes maybe when I write Benzathine, sometimes when they buy it, they bring and we inject them.

[Assistant] Tell me patient safety and the quality of care concerns; do the patients feel safe? How is their quality of care? Have you had any incidents where ...?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes.

[Assistant] So this means that the patient would have got the care but would not have got the medication!

[User] Yes, but sometimes maybe when I write Benzathine, sometimes when they buy it, they bring and we inject them.

[Assistant] Tell me patient safety and the quality of care concerns; do the patients feel safe? How is their quality of care? Have you had any incidents where ...?

[User] It used to be there in HIV (clinic) but we have now minimized it. Because, for instance in the case of HIV, the results had some issues but now days after counselling the patient, because those days when I had just come here, whenever a patient was tested HIV positive, anyone could know. But nowadays we have minimized that; we have counselors so we refer those patients there and they do everything there; you cannot know who is positive or negative. And even here for the other cases, we ensure that there is privacy; we sit with them here and do everything here, but for children, sometimes when they are many, sometimes the ward clinician sits the other side and the children sometimes are seem from outside there

[Assistant] Outside like in the corridor?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, but sometimes maybe when I write Benzathine, sometimes when they buy it, they bring and we inject them.

[Assistant] Tell me patient safety and the quality of care concerns; do the patients feel safe? How is their quality of care? Have you had any incidents where ...?

[User] It used to be there in HIV (clinic) but we have now minimized it. Because, for instance in the case of HIV, the results had some issues but now days after counselling the patient, because those days when I had just come here, whenever a patient was tested HIV positive, anyone could know. But nowadays we have minimized that; we have counselors so we refer those patients there and they do everything there; you cannot know who is positive or negative. And even here for the other cases, we ensure that there is privacy; we sit with them here and do everything here, but for children, sometimes when they are many, sometimes the ward clinician sits the other side and the children sometimes are seem from outside there

[Assistant] Outside like in the corridor?

[User] No, not outside; I mean out there where we were seated. When we are two, one sits the other side and make sure that the adults are seated inside here while those with children, we see them from the other side.

[Assistant] Which means that your patients are safe their confidentiality is ensured!


[System] Act as an information elicitation agent for academic interviews.

[User] It used to be there in HIV (clinic) but we have now minimized it. Because, for instance in the case of HIV, the results had some issues but now days after counselling the patient, because those days when I had just come here, whenever a patient was tested HIV positive, anyone could know. But nowadays we have minimized that; we have counselors so we refer those patients there and they do everything there; you cannot know who is positive or negative. And even here for the other cases, we ensure that there is privacy; we sit with them here and do everything here, but for children, sometimes when they are many, sometimes the ward clinician sits the other side and the children sometimes are seem from outside there

[Assistant] Outside like in the corridor?

[User] No, not outside; I mean out there where we were seated. When we are two, one sits the other side and make sure that the adults are seated inside here while those with children, we see them from the other side.

[Assistant] Which means that your patients are safe their confidentiality is ensured!

[User] Yes, they are safe and their confidentiality is assured.

[Assistant] Okay. Do you think patients are dying in the community without presenting to the hospital for care?


[System] Act as an information elicitation agent for academic interviews.

[User] No, not outside; I mean out there where we were seated. When we are two, one sits the other side and make sure that the adults are seated inside here while those with children, we see them from the other side.

[Assistant] Which means that your patients are safe their confidentiality is ensured!

[User] Yes, they are safe and their confidentiality is assured.

[Assistant] Okay. Do you think patients are dying in the community without presenting to the hospital for care?

[User] Yeah, I think some of them die but we have got a VHT system and each VHT (personnel) is assigned a household. They ensure that they go to those households with patients and they are sent to facilities. Sometimes we have been, like now for TB, we oriented them one time and told them “whoever is coughing, make sure that they come.” Some of them (community members) were refusing but we involved the LC (Local Council). On time we had a multi-drug resistant TB patient, we referred the patient to Mulago but the patient took off and came back to the village. People from Mulago Hospital came here and they were looking for that patient, until the community sat and the Chairman told him “we are going to chase you away from the village!” So the patient had to agree and went back to Mulago. So our VHTs have helped us in ensuring that those people who are in the villages are sent here. They die but nowadays, with the improved VHT system, it is minimal.

[Assistant] So according to you, in your opinion, what would be the most important things Ministry of Health would do to improve the outcomes of patient care generally and Rheumatic Heart Disease?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, they are safe and their confidentiality is assured.

[Assistant] Okay. Do you think patients are dying in the community without presenting to the hospital for care?

[User] Yeah, I think some of them die but we have got a VHT system and each VHT (personnel) is assigned a household. They ensure that they go to those households with patients and they are sent to facilities. Sometimes we have been, like now for TB, we oriented them one time and told them “whoever is coughing, make sure that they come.” Some of them (community members) were refusing but we involved the LC (Local Council). On time we had a multi-drug resistant TB patient, we referred the patient to Mulago but the patient took off and came back to the village. People from Mulago Hospital came here and they were looking for that patient, until the community sat and the Chairman told him “we are going to chase you away from the village!” So the patient had to agree and went back to Mulago. So our VHTs have helped us in ensuring that those people who are in the villages are sent here. They die but nowadays, with the improved VHT system, it is minimal.

[Assistant] So according to you, in your opinion, what would be the most important things Ministry of Health would do to improve the outcomes of patient care generally and Rheumatic Heart Disease?

[User] What Ministry Of Health can do?

[Assistant] What in your opinion are the one or two most important things Ministry Of Health can do to help improve?


[System] Act as an information elicitation agent for academic interviews.

[User] What Ministry Of Health can do?

[Assistant] What in your opinion are the one or two most important things Ministry Of Health can do to help improve?

[User] One, they should increase funding in the facility and with funding, so that we can also ... we have health inspectors and health assistants and they are people who do home visits and so on. So maybe if they increase funding, we can know that if we are having a patient A, B, C who is suffering from Rheumatic Heart Disease, so when we are going for those outreaches, we can know that in Location A if you have gone for maybe immunization, HCT and so on but there is a rheumatic heart patient around, after doing that activity, you can do a health visit; you can go to that home and see. Then it also helps the health educator when there is enough funding. Those days we had some funding and the health educator could go to the villages and do health education, and if the funding is enough, we can engage the health educator to move maybe to the sub counties, maybe when there is a council meeting; he goes and orients them. You know those people also have where they come from; so if you tell them, “If you have a sore throat please you go to the facility.” Some of them will go and be diagnosed early and maybe treat the sore throat which, because of the complications or side effects of the sore throat, will prevent you from getting them. So if we orient those councilors and so on, I think it will ensure that Rheumatic Heart Disease cases goes down. So, it is the funding.

[Assistant] What about training?

[User] I have told you about it already; we need funding and training.

[Assistant] And also dissemination of that information to the lower facilities.


[System] Act as an information elicitation agent for academic interviews.

[User] I have told you about it already; we need funding and training.

[Assistant] And also dissemination of that information to the lower facilities.

[User] Yes, to the lower facilities. Good enough, you came late but there is a new policy which is coming called Result-Based Financing.

[Assistant] Yes?

[User] Through the Ministry Of Finance, Ministry Of Health and World Bank, our facility was assessed and we are through. So we have started the planning system for the next financial year and these are some of the things we are going to put in our work plan so that the health educator, in all his/her activities, we have to include Rheumatic Heart Disease. Because, with hypertension and diabetes, that one we did it and now we have like 500 clients in our clinic. So I think that if we get the funds, we are going to include Rheumatic Heart Disease such that when the Health educator goes out, he can educate the people so that they come early to the facilities and those who have the symptoms, they can come and we assess them and we see whether we retain them here or refer them to Mulago.

[Assistant] Thank you so much.


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, to the lower facilities. Good enough, you came late but there is a new policy which is coming called Result-Based Financing.

[Assistant] Yes?

[User] Through the Ministry Of Finance, Ministry Of Health and World Bank, our facility was assessed and we are through. So we have started the planning system for the next financial year and these are some of the things we are going to put in our work plan so that the health educator, in all his/her activities, we have to include Rheumatic Heart Disease. Because, with hypertension and diabetes, that one we did it and now we have like 500 clients in our clinic. So I think that if we get the funds, we are going to include Rheumatic Heart Disease such that when the Health educator goes out, he can educate the people so that they come early to the facilities and those who have the symptoms, they can come and we assess them and we see whether we retain them here or refer them to Mulago.

[Assistant] Thank you so much.

[User] You’re welcome.

[Assistant] Basically that was my last question.


[System] Act as an information elicitation agent for academic interviews.

[User] Through the Ministry Of Finance, Ministry Of Health and World Bank, our facility was assessed and we are through. So we have started the planning system for the next financial year and these are some of the things we are going to put in our work plan so that the health educator, in all his/her activities, we have to include Rheumatic Heart Disease. Because, with hypertension and diabetes, that one we did it and now we have like 500 clients in our clinic. So I think that if we get the funds, we are going to include Rheumatic Heart Disease such that when the Health educator goes out, he can educate the people so that they come early to the facilities and those who have the symptoms, they can come and we assess them and we see whether we retain them here or refer them to Mulago.

[Assistant] Thank you so much.

[User] You’re welcome.

[Assistant] Basically that was my last question.

[User] Wow, wow, wow

[Assistant] Thank you so much for your time.


[System] Act as an information elicitation agent for academic interviews.

[User] I was born in 1977.

[Assistant] 1977?

[User] Eeeeh

[Assistant] Mother in the year 1977 when you were born, which activities were taking place by that time?

[User] By the time I was born I found people were cultivating, they were keeping animals, and the ones who were trading were trading.

[Assistant] Are you able to remember the month in which you were born?


[System] Act as an information elicitation agent for academic interviews.

[User] I do not know the month.

[Assistant] The year?

[User] 1977.

[Assistant] 1977?

[User] Mmmm.

[Assistant] Okay mother, which village, district or province were you brought up in the time you were born?


[System] Act as an information elicitation agent for academic interviews.

[User] 1977.

[Assistant] 1977?

[User] Mmmm.

[Assistant] Okay mother, which village, district or province were you brought up in the time you were born?

[User] I was born in Misima village and grew up in the same village and I was married and come to the village of Kibaya.

[Assistant] Misima in which District?


[System] Act as an information elicitation agent for academic interviews.

[User] Mmmm.

[Assistant] Okay mother, which village, district or province were you brought up in the time you were born?

[User] I was born in Misima village and grew up in the same village and I was married and come to the village of Kibaya.

[Assistant] Misima in which District?

[User] Handeni District.

[Assistant] Misima is in which Ward?


[System] Act as an information elicitation agent for academic interviews.

[User] I was born in Misima village and grew up in the same village and I was married and come to the village of Kibaya.

[Assistant] Misima in which District?

[User] Handeni District.

[Assistant] Misima is in which Ward?

[User] Misima Ward.

[Assistant] And in which Region?


[System] Act as an information elicitation agent for academic interviews.

[User] Handeni District.

[Assistant] Misima is in which Ward?

[User] Misima Ward.

[Assistant] And in which Region?

[User] Tanga Region.

[Assistant] Okay, mother I would like to know the structure of your family by the time you were born. I mean was it a family whereby you were living the children, father and mother without relatives or how were you living?


[System] Act as an information elicitation agent for academic interviews.

[User] Misima Ward.

[Assistant] And in which Region?

[User] Tanga Region.

[Assistant] Okay, mother I would like to know the structure of your family by the time you were born. I mean was it a family whereby you were living the children, father and mother without relatives or how were you living?

[User] We were living with the father and mother but the father died by the time I was big girl.

[Assistant] But was your father alive by the time you were still young?


[System] Act as an information elicitation agent for academic interviews.

[User] Tanga Region.

[Assistant] Okay, mother I would like to know the structure of your family by the time you were born. I mean was it a family whereby you were living the children, father and mother without relatives or how were you living?

[User] We were living with the father and mother but the father died by the time I was big girl.

[Assistant] But was your father alive by the time you were still young?

[User] My father was there.

[Assistant] Did you live together with other relatives?


[System] Act as an information elicitation agent for academic interviews.

[User] We were living with the father and mother but the father died by the time I was big girl.

[Assistant] But was your father alive by the time you were still young?

[User] My father was there.

[Assistant] Did you live together with other relatives?

[User] In our home? We were living near them in the same area but everyone was in their homestead.

[Assistant] What do you mean by saying the same area? Does it mean you were living in the same homestead or one house is here and the other one is there?


[System] Act as an information elicitation agent for academic interviews.

[User] My father was there.

[Assistant] Did you live together with other relatives?

[User] In our home? We were living near them in the same area but everyone was in their homestead.

[Assistant] What do you mean by saying the same area? Does it mean you were living in the same homestead or one house is here and the other one is there?

[User] Some of us were living in the same homestead and others were living in other area.

[Assistant] You were living in the same homestead?


[System] Act as an information elicitation agent for academic interviews.

[User] In our home? We were living near them in the same area but everyone was in their homestead.

[Assistant] What do you mean by saying the same area? Does it mean you were living in the same homestead or one house is here and the other one is there?

[User] Some of us were living in the same homestead and others were living in other area.

[Assistant] You were living in the same homestead?

[User] Eeeeh.

[Assistant] Who are of the people you were living with in your homestead?


[System] Act as an information elicitation agent for academic interviews.

[User] Some of us were living in the same homestead and others were living in other area.

[Assistant] You were living in the same homestead?

[User] Eeeeh.

[Assistant] Who are of the people you were living with in your homestead?

[User] My grandmother, uncle’s aunty and cousins.

[Assistant] Were you living with them?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeh.

[Assistant] Who are of the people you were living with in your homestead?

[User] My grandmother, uncle’s aunty and cousins.

[Assistant] Were you living with them?

[User] Eeeeh,

[Assistant] And after the mother had cooked the food how were you eating that food?


[System] Act as an information elicitation agent for academic interviews.

[User] My grandmother, uncle’s aunty and cousins.

[Assistant] Were you living with them?

[User] Eeeeh,

[Assistant] And after the mother had cooked the food how were you eating that food?

[User] We were eating together in the same house.

[Assistant] You eat in the same house?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeh,

[Assistant] And after the mother had cooked the food how were you eating that food?

[User] We were eating together in the same house.

[Assistant] You eat in the same house?

[User] Eeeeh.

[Assistant] Okay, what about the responsibilities in the family by the time you were living with your family? how were the roles and duties distributed among yourselves staring with adults in the family what were they doing?


[System] Act as an information elicitation agent for academic interviews.

[User] We were eating together in the same house.

[Assistant] You eat in the same house?

[User] Eeeeh.

[Assistant] Okay, what about the responsibilities in the family by the time you were living with your family? how were the roles and duties distributed among yourselves staring with adults in the family what were they doing?

[User] The main responsibility was looking after the cows.

[Assistant] The men were looking after the cows?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeh.

[Assistant] Okay, what about the responsibilities in the family by the time you were living with your family? how were the roles and duties distributed among yourselves staring with adults in the family what were they doing?

[User] The main responsibility was looking after the cows.

[Assistant] The men were looking after the cows?

[User] They were looking after the cows.

[Assistant] Apart from looking after the animals what else were they doing?


[System] Act as an information elicitation agent for academic interviews.

[User] The main responsibility was looking after the cows.

[Assistant] The men were looking after the cows?

[User] They were looking after the cows.

[Assistant] Apart from looking after the animals what else were they doing?

[User] The other activity was farming.

[Assistant] How old were the men who were concerned with looking after the animals and farming?


[System] Act as an information elicitation agent for academic interviews.

[User] They were looking after the cows.

[Assistant] Apart from looking after the animals what else were they doing?

[User] The other activity was farming.

[Assistant] How old were the men who were concerned with looking after the animals and farming?

[User] The men aged twenty five years to thirty those were our brothers.

[Assistant] Apart from the two activities, which other activities were for the big men?


[System] Act as an information elicitation agent for academic interviews.

[User] The other activity was farming.

[Assistant] How old were the men who were concerned with looking after the animals and farming?

[User] The men aged twenty five years to thirty those were our brothers.

[Assistant] Apart from the two activities, which other activities were for the big men?

[User] Their work was that one of looking after the cows and farming.

[Assistant] What about on the side of women? What were their activities?


[System] Act as an information elicitation agent for academic interviews.

[User] The men aged twenty five years to thirty those were our brothers.

[Assistant] Apart from the two activities, which other activities were for the big men?

[User] Their work was that one of looking after the cows and farming.

[Assistant] What about on the side of women? What were their activities?

[User] The activities of the girls was helping the household chores and also sometimes going to the farm but in most cases it was the household chores.

[Assistant] Mother, what do you mean when you say household chores?


[System] Act as an information elicitation agent for academic interviews.

[User] Their work was that one of looking after the cows and farming.

[Assistant] What about on the side of women? What were their activities?

[User] The activities of the girls was helping the household chores and also sometimes going to the farm but in most cases it was the household chores.

[Assistant] Mother, what do you mean when you say household chores?

[User] Fetching water, cutting firewood, cooking, washing utensils.

[Assistant] What about on the side of the mature women? What were their responsibilities?


[System] Act as an information elicitation agent for academic interviews.

[User] The activities of the girls was helping the household chores and also sometimes going to the farm but in most cases it was the household chores.

[Assistant] Mother, what do you mean when you say household chores?

[User] Fetching water, cutting firewood, cooking, washing utensils.

[Assistant] What about on the side of the mature women? What were their responsibilities?

[User] The mature women were going to the farm, they were fetching water, and they were cutting firewood and cooking for the children.

[Assistant] The girls were not cooking even in a single day?


[System] Act as an information elicitation agent for academic interviews.

[User] Fetching water, cutting firewood, cooking, washing utensils.

[Assistant] What about on the side of the mature women? What were their responsibilities?

[User] The mature women were going to the farm, they were fetching water, and they were cutting firewood and cooking for the children.

[Assistant] The girls were not cooking even in a single day?

[User] They were cooking.

[Assistant] What was the difference between the duties of the women and the girls?


[System] Act as an information elicitation agent for academic interviews.

[User] The mature women were going to the farm, they were fetching water, and they were cutting firewood and cooking for the children.

[Assistant] The girls were not cooking even in a single day?

[User] They were cooking.

[Assistant] What was the difference between the duties of the women and the girls?

[User] There was no any difference, they were all the same. They were helping one another. If she goes to get the firewood the mother was not going, if they go to get water the mother was doing something else or she would relax.

[Assistant] And what about the responsibilities of the father by that time? Which were the responsibilities?


[System] Act as an information elicitation agent for academic interviews.

[User] They were cooking.

[Assistant] What was the difference between the duties of the women and the girls?

[User] There was no any difference, they were all the same. They were helping one another. If she goes to get the firewood the mother was not going, if they go to get water the mother was doing something else or she would relax.

[Assistant] And what about the responsibilities of the father by that time? Which were the responsibilities?

[User] The father's responsibilities were farming and also looking after the cows.

[Assistant] What was the difference between the father's responsibilities and the elder brother's responsibilities?


[System] Act as an information elicitation agent for academic interviews.

[User] There was no any difference, they were all the same. They were helping one another. If she goes to get the firewood the mother was not going, if they go to get water the mother was doing something else or she would relax.

[Assistant] And what about the responsibilities of the father by that time? Which were the responsibilities?

[User] The father's responsibilities were farming and also looking after the cows.

[Assistant] What was the difference between the father's responsibilities and the elder brother's responsibilities?

[User] The difference was seeking money, my father would look for money and if there is no food he would look for food that is the difference.

[Assistant] Okay, I would like to know how many children you were in your family?


[System] Act as an information elicitation agent for academic interviews.

[User] The difference was seeking money, my father would look for money and if there is no food he would look for food that is the difference.

[Assistant] Okay, I would like to know how many children you were in your family?

[User] We were nine children.

[Assistant] Nine children?

[User] Mmmm.

[Assistant] And how many people were you in the household?


[System] Act as an information elicitation agent for academic interviews.

[User] We were nine children.

[Assistant] Nine children?

[User] Mmmm.

[Assistant] And how many people were you in the household?

[User] I do not understand that one.

[Assistant] What don’t you understanding?


[System] Act as an information elicitation agent for academic interviews.

[User] Mmmm.

[Assistant] And how many people were you in the household?

[User] I do not understand that one.

[Assistant] What don’t you understanding?

[User] I do not understand how many people were there in the area we were living?

[Assistant] It is not the area, I mean in your household your family the people you are related to


[System] Act as an information elicitation agent for academic interviews.

[User] I do not understand that one.

[Assistant] What don’t you understanding?

[User] I do not understand how many people were there in the area we were living?

[Assistant] It is not the area, I mean in your household your family the people you are related to

[User] The people we are related to,

[Assistant] Eeeeh your family and also other people you were living with in that homestead?


[System] Act as an information elicitation agent for academic interviews.

[User] I do not understand how many people were there in the area we were living?

[Assistant] It is not the area, I mean in your household your family the people you are related to

[User] The people we are related to,

[Assistant] Eeeeh your family and also other people you were living with in that homestead?

[User] Eee , in the same homestead I do not understand.

[Assistant] Okay, and in your family of nine children how many managed to go to school?


[System] Act as an information elicitation agent for academic interviews.

[User] The people we are related to,

[Assistant] Eeeeh your family and also other people you were living with in that homestead?

[User] Eee , in the same homestead I do not understand.

[Assistant] Okay, and in your family of nine children how many managed to go to school?

[User] In our family we are all educated, we have attended school up to class seven.

[Assistant] Okay, mother can you explain to me your eating system in your family by that time you were young, I would like to know the types of foods were you frequently eating?


[System] Act as an information elicitation agent for academic interviews.

[User] Eee , in the same homestead I do not understand.

[Assistant] Okay, and in your family of nine children how many managed to go to school?

[User] In our family we are all educated, we have attended school up to class seven.

[Assistant] Okay, mother can you explain to me your eating system in your family by that time you were young, I would like to know the types of foods were you frequently eating?

[User] We were eating ugali, porridge, kande, these were the foods.

[Assistant] Which other foods were you frequently eating?


[System] Act as an information elicitation agent for academic interviews.

[User] In our family we are all educated, we have attended school up to class seven.

[Assistant] Okay, mother can you explain to me your eating system in your family by that time you were young, I would like to know the types of foods were you frequently eating?

[User] We were eating ugali, porridge, kande, these were the foods.

[Assistant] Which other foods were you frequently eating?

[User] There were no other types of foods apart from rice which we were not eating frequently.

[Assistant] Apart from hardly eating rice, which other type of food were you eating rarely?


[System] Act as an information elicitation agent for academic interviews.

[User] We were eating ugali, porridge, kande, these were the foods.

[Assistant] Which other foods were you frequently eating?

[User] There were no other types of foods apart from rice which we were not eating frequently.

[Assistant] Apart from hardly eating rice, which other type of food were you eating rarely?

[User] There was no any other food apart from ugali.

[Assistant] And which types of foods were eaten by special people? I mean probably the expectant mothers or only the women or were eaten only by the children?


[System] Act as an information elicitation agent for academic interviews.

[User] There were no other types of foods apart from rice which we were not eating frequently.

[Assistant] Apart from hardly eating rice, which other type of food were you eating rarely?

[User] There was no any other food apart from ugali.

[Assistant] And which types of foods were eaten by special people? I mean probably the expectant mothers or only the women or were eaten only by the children?

[User] We do not have those foods, people eat all together because there were no bananas here they are scarce and are rarely found because they are brought in the markets once in a week but we do not have plenty probably one boils the bananas and takes with tea but they are not very many. You cannot depend on them for food.

[Assistant] And how was your family get money to buy foodstuff and other needs in your household?


[System] Act as an information elicitation agent for academic interviews.

[User] There was no any other food apart from ugali.

[Assistant] And which types of foods were eaten by special people? I mean probably the expectant mothers or only the women or were eaten only by the children?

[User] We do not have those foods, people eat all together because there were no bananas here they are scarce and are rarely found because they are brought in the markets once in a week but we do not have plenty probably one boils the bananas and takes with tea but they are not very many. You cannot depend on them for food.

[Assistant] And how was your family get money to buy foodstuff and other needs in your household?

[User] My father was not involved in business and during the drought he could sell a cow and also selling milk.

[Assistant] So you earn money after selling cows and milk?


[System] Act as an information elicitation agent for academic interviews.

[User] We do not have those foods, people eat all together because there were no bananas here they are scarce and are rarely found because they are brought in the markets once in a week but we do not have plenty probably one boils the bananas and takes with tea but they are not very many. You cannot depend on them for food.

[Assistant] And how was your family get money to buy foodstuff and other needs in your household?

[User] My father was not involved in business and during the drought he could sell a cow and also selling milk.

[Assistant] So you earn money after selling cows and milk?

[User] Yes selling cows and milk.

[Assistant] What about farming?


[System] Act as an information elicitation agent for academic interviews.

[User] My father was not involved in business and during the drought he could sell a cow and also selling milk.

[Assistant] So you earn money after selling cows and milk?

[User] Yes selling cows and milk.

[Assistant] What about farming?

[User] We would sell the cows and use the money for farming.

[Assistant] And which food crops were you growing?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes selling cows and milk.

[Assistant] What about farming?

[User] We would sell the cows and use the money for farming.

[Assistant] And which food crops were you growing?

[User] We mostly planted maize,

[Assistant] Apart from maize, which other crop were you growing?


[System] Act as an information elicitation agent for academic interviews.

[User] We would sell the cows and use the money for farming.

[Assistant] And which food crops were you growing?

[User] We mostly planted maize,

[Assistant] Apart from maize, which other crop were you growing?

[User] Only cassava and potatoes.

[Assistant] And which types of foods were you buying?


[System] Act as an information elicitation agent for academic interviews.

[User] We mostly planted maize,

[Assistant] Apart from maize, which other crop were you growing?

[User] Only cassava and potatoes.

[Assistant] And which types of foods were you buying?

[User] We could buy the foods if the season of maize was over. We could buy the maize and if you do not have you buy from your friend.

[Assistant] What about the issue of rice? You told me people were rarely eating the rice?


[System] Act as an information elicitation agent for academic interviews.

[User] Only cassava and potatoes.

[Assistant] And which types of foods were you buying?

[User] We could buy the foods if the season of maize was over. We could buy the maize and if you do not have you buy from your friend.

[Assistant] What about the issue of rice? You told me people were rarely eating the rice?

[User] Eeeeh, people buy rice from the shops and markets, we do not grow in our place.

[Assistant] And what about vegetables? How were you getting vegetables for use at home?


[System] Act as an information elicitation agent for academic interviews.

[User] We could buy the foods if the season of maize was over. We could buy the maize and if you do not have you buy from your friend.

[Assistant] What about the issue of rice? You told me people were rarely eating the rice?

[User] Eeeeh, people buy rice from the shops and markets, we do not grow in our place.

[Assistant] And what about vegetables? How were you getting vegetables for use at home?

[User] We were buying vegetables at the shops, sardines, beans you will also get them at the market and probably you buy meat.

[Assistant] And what about food from the forest? I mean the vegetables from the forests. Which vegetables and wild fruits were you using from the forest?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeh, people buy rice from the shops and markets, we do not grow in our place.

[Assistant] And what about vegetables? How were you getting vegetables for use at home?

[User] We were buying vegetables at the shops, sardines, beans you will also get them at the market and probably you buy meat.

[Assistant] And what about food from the forest? I mean the vegetables from the forests. Which vegetables and wild fruits were you using from the forest?

[User] There is the bitter lettuce, sweet potatoes leaves and another one called kungujuru those are the ones from the forest.

[Assistant] Mother, by the time you were young who was concerned with decision making in your family, I mean decision such as you have cultivated and decide that you use that farm produce at home or you sell that farm produce so that you can get money, who was making such decision?


[System] Act as an information elicitation agent for academic interviews.

[User] We were buying vegetables at the shops, sardines, beans you will also get them at the market and probably you buy meat.

[Assistant] And what about food from the forest? I mean the vegetables from the forests. Which vegetables and wild fruits were you using from the forest?

[User] There is the bitter lettuce, sweet potatoes leaves and another one called kungujuru those are the ones from the forest.

[Assistant] Mother, by the time you were young who was concerned with decision making in your family, I mean decision such as you have cultivated and decide that you use that farm produce at home or you sell that farm produce so that you can get money, who was making such decision?

[User] My father.

[Assistant] And who was coming up with the final decision?


[System] Act as an information elicitation agent for academic interviews.

[User] There is the bitter lettuce, sweet potatoes leaves and another one called kungujuru those are the ones from the forest.

[Assistant] Mother, by the time you were young who was concerned with decision making in your family, I mean decision such as you have cultivated and decide that you use that farm produce at home or you sell that farm produce so that you can get money, who was making such decision?

[User] My father.

[Assistant] And who was coming up with the final decision?

[User] My father and mother.

[Assistant] Who was making the final decision that this should happen?


[System] Act as an information elicitation agent for academic interviews.

[User] My father.

[Assistant] And who was coming up with the final decision?

[User] My father and mother.

[Assistant] Who was making the final decision that this should happen?

[User] My father.

[Assistant] And who was more concerned with buying of food at home?


[System] Act as an information elicitation agent for academic interviews.

[User] My father and mother.

[Assistant] Who was making the final decision that this should happen?

[User] My father.

[Assistant] And who was more concerned with buying of food at home?

[User] My father and if he did not buy he will give my mother money to buy food for the family.

[Assistant] And what about on your side as children? Were you consulted in decision making?


[System] Act as an information elicitation agent for academic interviews.

[User] My father.

[Assistant] And who was more concerned with buying of food at home?

[User] My father and if he did not buy he will give my mother money to buy food for the family.

[Assistant] And what about on your side as children? Were you consulted in decision making?

[User] No.

[Assistant] Mother, Let us continue with our conversation. I would like to know by that time you were young, what was the main indicator that a person either a girl or a boy has matured?


[System] Act as an information elicitation agent for academic interviews.

[User] My father and if he did not buy he will give my mother money to buy food for the family.

[Assistant] And what about on your side as children? Were you consulted in decision making?

[User] No.

[Assistant] Mother, Let us continue with our conversation. I would like to know by that time you were young, what was the main indicator that a person either a girl or a boy has matured?

[User] You have said things like?

[Assistant] Things that indicates that a person is fully grown or he graduate from being a boy to a man or a girl to a lady?


[System] Act as an information elicitation agent for academic interviews.

[User] No.

[Assistant] Mother, Let us continue with our conversation. I would like to know by that time you were young, what was the main indicator that a person either a girl or a boy has matured?

[User] You have said things like?

[Assistant] Things that indicates that a person is fully grown or he graduate from being a boy to a man or a girl to a lady?

[User] They were seen that they have become big.

[Assistant] How did you know?


[System] Act as an information elicitation agent for academic interviews.

[User] You have said things like?

[Assistant] Things that indicates that a person is fully grown or he graduate from being a boy to a man or a girl to a lady?

[User] They were seen that they have become big.

[Assistant] How did you know?

[User] If it was the woman you could see that her breast has become big and she has now become a mature person and for the boy you will see changes in his body structure.

[Assistant] What about the cultural activities such as the ceremonies? Was this one of the ways of showing that one has become mature person?


[System] Act as an information elicitation agent for academic interviews.

[User] They were seen that they have become big.

[Assistant] How did you know?

[User] If it was the woman you could see that her breast has become big and she has now become a mature person and for the boy you will see changes in his body structure.

[Assistant] What about the cultural activities such as the ceremonies? Was this one of the ways of showing that one has become mature person?

[User] They were danced the traditional dances.

[Assistant] At what age was she danced for or what was indicating that she should be danced for?


[System] Act as an information elicitation agent for academic interviews.

[User] If it was the woman you could see that her breast has become big and she has now become a mature person and for the boy you will see changes in his body structure.

[Assistant] What about the cultural activities such as the ceremonies? Was this one of the ways of showing that one has become mature person?

[User] They were danced the traditional dances.

[Assistant] At what age was she danced for or what was indicating that she should be danced for?

[User] You will see her breast has become big and also when she starts having her menstruation period.

[Assistant] What about men?


[System] Act as an information elicitation agent for academic interviews.

[User] They were danced the traditional dances.

[Assistant] At what age was she danced for or what was indicating that she should be danced for?

[User] You will see her breast has become big and also when she starts having her menstruation period.

[Assistant] What about men?

[User] For the men it you will see that he has become big and he has changed.

[Assistant] What about you how was it when you knew that you were a grown up?


[System] Act as an information elicitation agent for academic interviews.

[User] You will see her breast has become big and also when she starts having her menstruation period.

[Assistant] What about men?

[User] For the men it you will see that he has become big and he has changed.

[Assistant] What about you how was it when you knew that you were a grown up?

[User] By the time you grow and start your menstruation period the elders will decide how your initiation will be according to your traditions others stay indoors for seven or eight days or even two weeks and others are danced for.

[Assistant] How was it on your side?


[System] Act as an information elicitation agent for academic interviews.

[User] For the men it you will see that he has become big and he has changed.

[Assistant] What about you how was it when you knew that you were a grown up?

[User] By the time you grow and start your menstruation period the elders will decide how your initiation will be according to your traditions others stay indoors for seven or eight days or even two weeks and others are danced for.

[Assistant] How was it on your side?

[User] I stayed indoors for seven days then danced for and released.

[Assistant] And how was it after you were released?


[System] Act as an information elicitation agent for academic interviews.

[User] By the time you grow and start your menstruation period the elders will decide how your initiation will be according to your traditions others stay indoors for seven or eight days or even two weeks and others are danced for.

[Assistant] How was it on your side?

[User] I stayed indoors for seven days then danced for and released.

[Assistant] And how was it after you were released?

[User] We just stayed because there was no much in education after completing standard seven.

[Assistant] Okay, You told me you were living in Misima before you came to Kibaya isn’t it? So when was it?


[System] Act as an information elicitation agent for academic interviews.

[User] I stayed indoors for seven days then danced for and released.

[Assistant] And how was it after you were released?

[User] We just stayed because there was no much in education after completing standard seven.

[Assistant] Okay, You told me you were living in Misima before you came to Kibaya isn’t it? So when was it?

[User] I came here in the year ninety (1990).

[Assistant] What made you to come to Kibaya?


[System] Act as an information elicitation agent for academic interviews.

[User] We just stayed because there was no much in education after completing standard seven.

[Assistant] Okay, You told me you were living in Misima before you came to Kibaya isn’t it? So when was it?

[User] I came here in the year ninety (1990).

[Assistant] What made you to come to Kibaya?

[User] I got married.

[Assistant] You are married?


[System] Act as an information elicitation agent for academic interviews.

[User] I came here in the year ninety (1990).

[Assistant] What made you to come to Kibaya?

[User] I got married.

[Assistant] You are married?

[User] eeee

[Assistant] And who do you live with in your household?


[System] Act as an information elicitation agent for academic interviews.

[User] I got married.

[Assistant] You are married?

[User] eeee

[Assistant] And who do you live with in your household?

[User] I live with Matumbo in my household.

[Assistant] Whom do you live with?


[System] Act as an information elicitation agent for academic interviews.

[User] I live with Matumbo in my household.

[Assistant] Whom do you live with?

[User] Matumbo.

[Assistant] Matumbo?

[User] Eeeeh.

[Assistant] Who is Matumbo?


[System] Act as an information elicitation agent for academic interviews.

[User] Matumbo.

[Assistant] Matumbo?

[User] Eeeeh.

[Assistant] Who is Matumbo?

[User] It is the father of my children.

[Assistant] Who is he? Is he your husband?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeh.

[Assistant] Who is Matumbo?

[User] It is the father of my children.

[Assistant] Who is he? Is he your husband?

[User] He is my husband.

[Assistant] And don't you live with someone else probably he is your relative a child of your cousin?


[System] Act as an information elicitation agent for academic interviews.

[User] It is the father of my children.

[Assistant] Who is he? Is he your husband?

[User] He is my husband.

[Assistant] And don't you live with someone else probably he is your relative a child of your cousin?

[User] No.

[Assistant] How many children do you have?


[System] Act as an information elicitation agent for academic interviews.

[User] He is my husband.

[Assistant] And don't you live with someone else probably he is your relative a child of your cousin?

[User] No.

[Assistant] How many children do you have?

[User] I have nine children.

[Assistant] Okay mother, which activity do you carry out in your household so that you can earn a living? Which activity do you depend on?


[System] Act as an information elicitation agent for academic interviews.

[User] No.

[Assistant] How many children do you have?

[User] I have nine children.

[Assistant] Okay mother, which activity do you carry out in your household so that you can earn a living? Which activity do you depend on?

[User] We mostly depend on the cows and my husband has his own business in Misima.

[Assistant] Which type of business does your husband have?


[System] Act as an information elicitation agent for academic interviews.

[User] I have nine children.

[Assistant] Okay mother, which activity do you carry out in your household so that you can earn a living? Which activity do you depend on?

[User] We mostly depend on the cows and my husband has his own business in Misima.

[Assistant] Which type of business does your husband have?

[User] He has his own machines.

[Assistant] What are the machines used for?


[System] Act as an information elicitation agent for academic interviews.

[User] We mostly depend on the cows and my husband has his own business in Misima.

[Assistant] Which type of business does your husband have?

[User] He has his own machines.

[Assistant] What are the machines used for?

[User] They are used for Milling and then looking after the animals. That is what he mainly depends on.

[Assistant] Mother you have told me that what you depend on now is mainly the animal.


[System] Act as an information elicitation agent for academic interviews.

[User] He has his own machines.

[Assistant] What are the machines used for?

[User] They are used for Milling and then looking after the animals. That is what he mainly depends on.

[Assistant] Mother you have told me that what you depend on now is mainly the animal.

[User] Eee,

[Assistant] And the father's business .This is what you depend on so that you can earn a living?


[System] Act as an information elicitation agent for academic interviews.

[User] They are used for Milling and then looking after the animals. That is what he mainly depends on.

[Assistant] Mother you have told me that what you depend on now is mainly the animal.

[User] Eee,

[Assistant] And the father's business .This is what you depend on so that you can earn a living?

[User] Eeeeeh, in the past the cows were many and we depended on them by milking and selling the milk and this helped us and my husband did his own business. But in these days the cows have really died because of hunger. There are no cows they have migrated so we now depend on my husband business.

[Assistant] What about the issue of growing crops?


[System] Act as an information elicitation agent for academic interviews.

[User] Eee,

[Assistant] And the father's business .This is what you depend on so that you can earn a living?

[User] Eeeeeh, in the past the cows were many and we depended on them by milking and selling the milk and this helped us and my husband did his own business. But in these days the cows have really died because of hunger. There are no cows they have migrated so we now depend on my husband business.

[Assistant] What about the issue of growing crops?

[User] We grow crops, and we have harvested food.

[Assistant] So this is not a main activity which you depend on?


[System] Act as an information elicitation agent for academic interviews.

[User] Eeeeeh, in the past the cows were many and we depended on them by milking and selling the milk and this helped us and my husband did his own business. But in these days the cows have really died because of hunger. There are no cows they have migrated so we now depend on my husband business.

[Assistant] What about the issue of growing crops?

[User] We grow crops, and we have harvested food.

[Assistant] So this is not a main activity which you depend on?

[User] Yes, we were not depending on it. We were growing food for consumption but not food for business.

[Assistant] Mother, if you compare the way you were living in the past and nowadays do you see any difference?


[System] Act as an information elicitation agent for academic interviews.

[User] We grow crops, and we have harvested food.

[Assistant] So this is not a main activity which you depend on?

[User] Yes, we were not depending on it. We were growing food for consumption but not food for business.

[Assistant] Mother, if you compare the way you were living in the past and nowadays do you see any difference?

[User] There are changes because I now have my own family but in the past I was a child so I depend on my parents but nowadays I have my family who depend on me.

[Assistant] And what about the changes in the way of life I mean the activities which you currently carry out so that you can earn a living? Is there any difference in the family you were living in the past and the family you are now living?


[System] Act as an information elicitation agent for academic interviews.

[User] Yes, we were not depending on it. We were growing food for consumption but not food for business.

[Assistant] Mother, if you compare the way you were living in the past and nowadays do you see any difference?

[User] There are changes because I now have my own family but in the past I was a child so I depend on my parents but nowadays I have my family who depend on me.

[Assistant] And what about the changes in the way of life I mean the activities which you currently carry out so that you can earn a living? Is there any difference in the family you were living in the past and the family you are now living?

[User] All the duties are the same. There are extra duties because I do not trade, its only working in the farm during the planting season.

[Assistant] What about the fact that in these days you mainly depend on keeping animals and business and in the past you depend on animal rearing and farming so what attract all these changes?


[System] Act as an information elicitation agent for academic interviews.

[User] There are changes because I now have my own family but in the past I was a child so I depend on my parents but nowadays I have my family who depend on me.

[Assistant] And what about the changes in the way of life I mean the activities which you currently carry out so that you can earn a living? Is there any difference in the family you were living in the past and the family you are now living?

[User] All the duties are the same. There are extra duties because I do not trade, its only working in the farm during the planting season.

[Assistant] What about the fact that in these days you mainly depend on keeping animals and business and in the past you depend on animal rearing and farming so what attract all these changes?

[User] Eeeeh, The way of life has changed.

[Assistant] How has it changed?


[System] Act as an information elicitation agent for academic interviews.

[User] All the duties are the same. There are extra duties because I do not trade, its only working in the farm during the planting season.

[Assistant] What about the fact that in these days you mainly depend on keeping animals and business and in the past you depend on animal rearing and farming so what attract all these changes?

[User] Eeeeh, The way of life has changed.

[Assistant] How has it changed?

[User] Because we used to sell cows and use the money to buy seeds and also to pay labour when it is planting and weeding seasons we also use the money to pay school fees and whatever children need in school and it was enough but these days there are no cows.

[Assistant] You mean when you were in your father’s house or?


[System] Act as an information elicitation agent for academic interviews.

[User] Because we used to sell cows and use the money to buy seeds and also to pay labour when it is planting and weeding seasons we also use the money to pay school fees and whatever children need in school and it was enough but these days there are no cows.

[Assistant] You mean when you were in your father’s house or?

[User] No when I am already married.

[Assistant] What?

[User] The cows were many and they were selling the cows and children were going to school, and were fully educated but in these days the cows have reduced in numbers.

[Assistant] What about in your father's homes How was it?


[System] Act as an information elicitation agent for academic interviews.

[User] No when I am already married.

[Assistant] What?

[User] The cows were many and they were selling the cows and children were going to school, and were fully educated but in these days the cows have reduced in numbers.

[Assistant] What about in your father's homes How was it?

[User] My father's life was a bit better but there are no cows now they have died and everyone has remained with a few cows.

[Assistant] So I would like you to differentiate your father's way of life and how you live now with your husband.


[System] Act as an information elicitation agent for academic interviews.

[User] The cows were many and they were selling the cows and children were going to school, and were fully educated but in these days the cows have reduced in numbers.

[Assistant] What about in your father's homes How was it?

[User] My father's life was a bit better but there are no cows now they have died and everyone has remained with a few cows.

[Assistant] So I would like you to differentiate your father's way of life and how you live now with your husband.

[User] This one is a bit better it is not like the one in the past.

[Assistant] Why are you saying its good?


[System] Act as an information elicitation agent for academic interviews.

[User] My father's life was a bit better but there are no cows now they have died and everyone has remained with a few cows.

[Assistant] So I would like you to differentiate your father's way of life and how you live now with your husband.

[User] This one is a bit better it is not like the one in the past.

[Assistant] Why are you saying its good?

[User] It is good because in the past people were depending on hard jobs so that they can get money but in these days if you have money you can employ people to dig and plant at the farm by use of the tractors and not hands nowadays they no longer go to the farm to plant we only go to weed and if you have money you can as well employ people and pay them.

[Assistant] And how has this new way of life affected you and your family?


[System] Act as an information elicitation agent for academic interviews.

[User] This one is a bit better it is not like the one in the past.

[Assistant] Why are you saying its good?

[User] It is good because in the past people were depending on hard jobs so that they can get money but in these days if you have money you can employ people to dig and plant at the farm by use of the tractors and not hands nowadays they no longer go to the farm to plant we only go to weed and if you have money you can as well employ people and pay them.

[Assistant] And how has this new way of life affected you and your family?

[User] For now I have seen this way of life is good and also children are not suffering.

[Assistant] And nowadays what are the responsibilities of men and women in your household?