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

[User]
Oh, you know, I guess it's you know, it's hazy. I mean, I know there was at some point I realized, you know, this is going to be a big problem. I had a child like you who is overseas. You know, I decided she had to come home. But that, you know, all that was later. You know, there was stuff that was done to the clinic, you know, a head of the institution, you know, which wasn't prepared to deal with, which we dealt with.

I mean, we were sort of ahead of the institutional changes, but we were so late I can't remember. I can't help you with the timeline. I'm sorry. You know, when it was.

[Assistant] It’s OK, I don't I don't need so much of a timeline. I'm more interested in the psychological mechanisms.

[User]
Yeah. And I can't remember what it was that other than, you know, it was actually spreading, you know, but that that was probably, you know, you know, when people were starting to get sick and starting to die, you know, it was just… I mean, I flew. I remember I think, you know, in January or February, you know, when I probably should know, you know, when people knew already.

I mean, like, the person next to me, you know, was wiping the seat down with alcohol, you know, had a mask on or whatever.

[Assistant] Where'd you go?

[User] Florida.

[Assistant] And where was your kid?


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

[User]
Yeah. And I can't remember what it was that other than, you know, it was actually spreading, you know, but that that was probably, you know, you know, when people were starting to get sick and starting to die, you know, it was just… I mean, I flew. I remember I think, you know, in January or February, you know, when I probably should know, you know, when people knew already.

I mean, like, the person next to me, you know, was wiping the seat down with alcohol, you know, had a mask on or whatever.

[Assistant] Where'd you go?

[User] Florida.

[Assistant] And where was your kid?

[User] England.

[Assistant] Well, look, I flew in. I flew back here in back of the back to the U.S. in March. And I remember being on line in the airport in in Boston Customs. And, I mean, I had my mask and some people were wearing the the eye coverings from the plane over their nose and mouth.


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

[User] Florida.

[Assistant] And where was your kid?

[User] England.

[Assistant] Well, look, I flew in. I flew back here in back of the back to the U.S. in March. And I remember being on line in the airport in in Boston Customs. And, I mean, I had my mask and some people were wearing the the eye coverings from the plane over their nose and mouth.

[User] Yeah.

[Assistant] And the customs agent wasn't wearing anything.


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

[User] England.

[Assistant] Well, look, I flew in. I flew back here in back of the back to the U.S. in March. And I remember being on line in the airport in in Boston Customs. And, I mean, I had my mask and some people were wearing the the eye coverings from the plane over their nose and mouth.

[User] Yeah.

[Assistant] And the customs agent wasn't wearing anything.

[User] Yeah. And I'm sure that was probably, you know, it was right before they closed the borders, you know, in England, so I must've been March, you know, when my kid came back.

[Assistant] What do you think the clinic was ahead of the institution?


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

[User] Yeah.

[Assistant] And the customs agent wasn't wearing anything.

[User] Yeah. And I'm sure that was probably, you know, it was right before they closed the borders, you know, in England, so I must've been March, you know, when my kid came back.

[Assistant] What do you think the clinic was ahead of the institution?

[User]
I think it was able to to move quicker. I mean, the institution we- like some of the things we did. It's like we got hold of N-95 masks and distributed them. I got hold of some and distributed to the nurses and the medical professionals before the institutions had them or was willing to. in fact, the institutions said the nurses couldn't use them because they were saving them essentially for for the docs, which was ridiculous because they were the ones who were seeing patients you know, they distributed the methadone to the patients, the nurses, not the docs or the VA's.

So and they wouldn't let them wear the N95 masks. And then we put up plexiglass in for the at the Medicaid windows, which we got a hold of it. When they drilled that in, they yelled at us for destroying the, the, you know, the counters or that where they went to get medicated because we drilled into the wood. you know, we put tape down on the ground to keep people six feet apart, you know, colored masking tape, things like that, you know, that the staff did themselves, where the institution hadn't reacted yet.

[Assistant] Did you do anything personally to react or change your behavior?


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

[User] Yeah. And I'm sure that was probably, you know, it was right before they closed the borders, you know, in England, so I must've been March, you know, when my kid came back.

[Assistant] What do you think the clinic was ahead of the institution?

[User]
I think it was able to to move quicker. I mean, the institution we- like some of the things we did. It's like we got hold of N-95 masks and distributed them. I got hold of some and distributed to the nurses and the medical professionals before the institutions had them or was willing to. in fact, the institutions said the nurses couldn't use them because they were saving them essentially for for the docs, which was ridiculous because they were the ones who were seeing patients you know, they distributed the methadone to the patients, the nurses, not the docs or the VA's.

So and they wouldn't let them wear the N95 masks. And then we put up plexiglass in for the at the Medicaid windows, which we got a hold of it. When they drilled that in, they yelled at us for destroying the, the, you know, the counters or that where they went to get medicated because we drilled into the wood. you know, we put tape down on the ground to keep people six feet apart, you know, colored masking tape, things like that, you know, that the staff did themselves, where the institution hadn't reacted yet.

[Assistant] Did you do anything personally to react or change your behavior?

[User]
Yeah, I started wearing the masks at one point. I also, since I really wasn't aware of how serious things were being and I we weren't 100% sure on transmission, I moved out of the house where I was living, because I didn't want to bring COVID home to my partner or my kid who had come home from England for a couple of weeks.

And then I then I moved back. But for two weeks, I just moved out of the house.

[Assistant] Because you were afraid of bringing it back from the clinic?


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

[User]
I think it was able to to move quicker. I mean, the institution we- like some of the things we did. It's like we got hold of N-95 masks and distributed them. I got hold of some and distributed to the nurses and the medical professionals before the institutions had them or was willing to. in fact, the institutions said the nurses couldn't use them because they were saving them essentially for for the docs, which was ridiculous because they were the ones who were seeing patients you know, they distributed the methadone to the patients, the nurses, not the docs or the VA's.

So and they wouldn't let them wear the N95 masks. And then we put up plexiglass in for the at the Medicaid windows, which we got a hold of it. When they drilled that in, they yelled at us for destroying the, the, you know, the counters or that where they went to get medicated because we drilled into the wood. you know, we put tape down on the ground to keep people six feet apart, you know, colored masking tape, things like that, you know, that the staff did themselves, where the institution hadn't reacted yet.

[Assistant] Did you do anything personally to react or change your behavior?

[User]
Yeah, I started wearing the masks at one point. I also, since I really wasn't aware of how serious things were being and I we weren't 100% sure on transmission, I moved out of the house where I was living, because I didn't want to bring COVID home to my partner or my kid who had come home from England for a couple of weeks.

And then I then I moved back. But for two weeks, I just moved out of the house.

[Assistant] Because you were afraid of bringing it back from the clinic?

[User] Yeah, because we weren't sure, you know, the mode of transmission, how, you know, how easily you know, I was being exposed at work, how well the masks were going to work.

[Assistant] So at work, were there any meetings or group discussions.


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

[User]
Yeah, I started wearing the masks at one point. I also, since I really wasn't aware of how serious things were being and I we weren't 100% sure on transmission, I moved out of the house where I was living, because I didn't want to bring COVID home to my partner or my kid who had come home from England for a couple of weeks.

And then I then I moved back. But for two weeks, I just moved out of the house.

[Assistant] Because you were afraid of bringing it back from the clinic?

[User] Yeah, because we weren't sure, you know, the mode of transmission, how, you know, how easily you know, I was being exposed at work, how well the masks were going to work.

[Assistant] So at work, were there any meetings or group discussions.

[User] Oh, I think mostly we you know, we got edicts, I think from the institution on occasion, but basically at the very beginning, um, you know, it was mostly following the CDC.

[Assistant] Was anyone trying to push for early action? Or raising the alarm early?


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

[User] Yeah, because we weren't sure, you know, the mode of transmission, how, you know, how easily you know, I was being exposed at work, how well the masks were going to work.

[Assistant] So at work, were there any meetings or group discussions.

[User] Oh, I think mostly we you know, we got edicts, I think from the institution on occasion, but basically at the very beginning, um, you know, it was mostly following the CDC.

[Assistant] Was anyone trying to push for early action? Or raising the alarm early?

[User]
you know, I don't think we acted early. You know, we acted quickly quicker than the institution once the guidelines were laid down. Right. So that we could adhere to them but I don't know that we acted much quicker. We you know, the institution had shortage of supplies and was trying to make rules so that people who, who they felt were biggest risk would get the supplies, I think, was their reasoning.

I mean, I don't know this for a fact for not letting you know, the nurses were in N95s and if they brought it themselves. So we district you know, it was the staff distributed it to them. I distributed to them because I had a bunch of them from construction.

[Assistant] Was there like a memo saying nurses know N95 like someone.


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

[User] Oh, I think mostly we you know, we got edicts, I think from the institution on occasion, but basically at the very beginning, um, you know, it was mostly following the CDC.

[Assistant] Was anyone trying to push for early action? Or raising the alarm early?

[User]
you know, I don't think we acted early. You know, we acted quickly quicker than the institution once the guidelines were laid down. Right. So that we could adhere to them but I don't know that we acted much quicker. We you know, the institution had shortage of supplies and was trying to make rules so that people who, who they felt were biggest risk would get the supplies, I think, was their reasoning.

I mean, I don't know this for a fact for not letting you know, the nurses were in N95s and if they brought it themselves. So we district you know, it was the staff distributed it to them. I distributed to them because I had a bunch of them from construction.

[Assistant] Was there like a memo saying nurses know N95 like someone.

[User] Making so there was a memo on who could wear I mean because the nurses said they that the the head of nursing wouldn't let them wear ‘em after we distributed.

[Assistant] So what happened? They pulled them off their faces or they told.


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

[User]
you know, I don't think we acted early. You know, we acted quickly quicker than the institution once the guidelines were laid down. Right. So that we could adhere to them but I don't know that we acted much quicker. We you know, the institution had shortage of supplies and was trying to make rules so that people who, who they felt were biggest risk would get the supplies, I think, was their reasoning.

I mean, I don't know this for a fact for not letting you know, the nurses were in N95s and if they brought it themselves. So we district you know, it was the staff distributed it to them. I distributed to them because I had a bunch of them from construction.

[Assistant] Was there like a memo saying nurses know N95 like someone.

[User] Making so there was a memo on who could wear I mean because the nurses said they that the the head of nursing wouldn't let them wear ‘em after we distributed.

[Assistant] So what happened? They pulled them off their faces or they told.

[User] Me yeah most of them just regular masks, not N95 they didn't wear gloves.

[Assistant] Is that something that you think the institution should have done differently?


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

[User] Making so there was a memo on who could wear I mean because the nurses said they that the the head of nursing wouldn't let them wear ‘em after we distributed.

[Assistant] So what happened? They pulled them off their faces or they told.

[User] Me yeah most of them just regular masks, not N95 they didn't wear gloves.

[Assistant] Is that something that you think the institution should have done differently?

[User]
Yeah. I mean, in retrospect, if someone had access to an N95, you know, to, to make them withhold it, it wasn't the institution that was distributing it.

And to what end? I'm not sure what they were trying to do except, you know, obviously conserve resources, you know, internally. I guess they wanted everybody to be treated the same some way. I mean, I'm not sure what their reasoning is 100%. I mean, I know they had a shortage, so they couldn't give it to all the nurses possibly.

And they felt they were second in line to receive them.

At least at our clinic.

[Assistant] So anything else like that where you're really unsure of what the logic was?


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

[User] Me yeah most of them just regular masks, not N95 they didn't wear gloves.

[Assistant] Is that something that you think the institution should have done differently?

[User]
Yeah. I mean, in retrospect, if someone had access to an N95, you know, to, to make them withhold it, it wasn't the institution that was distributing it.

And to what end? I'm not sure what they were trying to do except, you know, obviously conserve resources, you know, internally. I guess they wanted everybody to be treated the same some way. I mean, I'm not sure what their reasoning is 100%. I mean, I know they had a shortage, so they couldn't give it to all the nurses possibly.

And they felt they were second in line to receive them.

At least at our clinic.

[Assistant] So anything else like that where you're really unsure of what the logic was?

[User] Well, I think, you know, other that was I think I'm guessing because there was a shortage and that's how they decided, you know, to control at least the men in the institution distributing things. You know, they set a hierarchy and kept at it. Why they they forbid I mean, it could have been just the a decision made by the head of nursing at that particular location and a poor one; I'm not sure, you know, if it was an institutional decision or or a local decision.

[Assistant] So is there anything that you would have done differently as an individual?


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

[User]
Yeah. I mean, in retrospect, if someone had access to an N95, you know, to, to make them withhold it, it wasn't the institution that was distributing it.

And to what end? I'm not sure what they were trying to do except, you know, obviously conserve resources, you know, internally. I guess they wanted everybody to be treated the same some way. I mean, I'm not sure what their reasoning is 100%. I mean, I know they had a shortage, so they couldn't give it to all the nurses possibly.

And they felt they were second in line to receive them.

At least at our clinic.

[Assistant] So anything else like that where you're really unsure of what the logic was?

[User] Well, I think, you know, other that was I think I'm guessing because there was a shortage and that's how they decided, you know, to control at least the men in the institution distributing things. You know, they set a hierarchy and kept at it. Why they they forbid I mean, it could have been just the a decision made by the head of nursing at that particular location and a poor one; I'm not sure, you know, if it was an institutional decision or or a local decision.

[Assistant] So is there anything that you would have done differently as an individual?

[User]
You know, I mean, knowing what I know now or yeah, I guess try to do some of the things that we did earlier, maybe put up a bigger stink regarding people who are who are clearly at risk, probably the highest risk, you know, getting better protection I wouldn't waste little time like cleaning things when I came into the house, when food came into the house or something, you know, but washing it down. you know, I think at some point when you don't really know, you know, you are on the side of caution.

When you realize there's a serious problem. first you have to realize it's a serious problem. And then when you don't have the full information, you know, it probably pays to are on the side of caution.

[Assistant] Well, yes. But…


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

[User] Well, I think, you know, other that was I think I'm guessing because there was a shortage and that's how they decided, you know, to control at least the men in the institution distributing things. You know, they set a hierarchy and kept at it. Why they they forbid I mean, it could have been just the a decision made by the head of nursing at that particular location and a poor one; I'm not sure, you know, if it was an institutional decision or or a local decision.

[Assistant] So is there anything that you would have done differently as an individual?

[User]
You know, I mean, knowing what I know now or yeah, I guess try to do some of the things that we did earlier, maybe put up a bigger stink regarding people who are who are clearly at risk, probably the highest risk, you know, getting better protection I wouldn't waste little time like cleaning things when I came into the house, when food came into the house or something, you know, but washing it down. you know, I think at some point when you don't really know, you know, you are on the side of caution.

When you realize there's a serious problem. first you have to realize it's a serious problem. And then when you don't have the full information, you know, it probably pays to are on the side of caution.

[Assistant] Well, yes. But…

[User] You know, the psychological kind of why you know, why you're less risk averse, more risk averse. I you know, what's that about? I guess it's partially your personal history of adverse events, right? It probably plays a huge role.

[Assistant] Your fear of physical harm is fear.


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

[User]
You know, I mean, knowing what I know now or yeah, I guess try to do some of the things that we did earlier, maybe put up a bigger stink regarding people who are who are clearly at risk, probably the highest risk, you know, getting better protection I wouldn't waste little time like cleaning things when I came into the house, when food came into the house or something, you know, but washing it down. you know, I think at some point when you don't really know, you know, you are on the side of caution.

When you realize there's a serious problem. first you have to realize it's a serious problem. And then when you don't have the full information, you know, it probably pays to are on the side of caution.

[Assistant] Well, yes. But…

[User] You know, the psychological kind of why you know, why you're less risk averse, more risk averse. I you know, what's that about? I guess it's partially your personal history of adverse events, right? It probably plays a huge role.

[Assistant] Your fear of physical harm is fear.

[User] I mean, like my family, I probably wouldn't walk wash down food that came in the house, but my family members would were, you know, risk averse. So they were washing everything down.

[Assistant] But I mean, you're in the medical field. You're used to operating under uncertainty, right?


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

[User] You know, the psychological kind of why you know, why you're less risk averse, more risk averse. I you know, what's that about? I guess it's partially your personal history of adverse events, right? It probably plays a huge role.

[Assistant] Your fear of physical harm is fear.

[User] I mean, like my family, I probably wouldn't walk wash down food that came in the house, but my family members would were, you know, risk averse. So they were washing everything down.

[Assistant] But I mean, you're in the medical field. You're used to operating under uncertainty, right?

[User] I guess you don't have to be in the medical field to be used to operating under uncertainty. I mean, that's I think that's part of life right? I don't think that's something we're special about. You, do you think medical people are more risk averse or less risk averse?

[Assistant] Well, from what what my dad has said, probably less, actually. I mean, you've said I mean, you used the word cavalier so did he.


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

[User] I mean, like my family, I probably wouldn't walk wash down food that came in the house, but my family members would were, you know, risk averse. So they were washing everything down.

[Assistant] But I mean, you're in the medical field. You're used to operating under uncertainty, right?

[User] I guess you don't have to be in the medical field to be used to operating under uncertainty. I mean, that's I think that's part of life right? I don't think that's something we're special about. You, do you think medical people are more risk averse or less risk averse?

[Assistant] Well, from what what my dad has said, probably less, actually. I mean, you've said I mean, you used the word cavalier so did he.

[User]
Yeah. Yeah, I think to some extent, maybe. But, you know, I don’t think everybody was. Some of my colleagues… I don't think everyone is as cavalier. I think there's probably a cross section much I don't think as a profession, people are less risk averse because they're in medicine. But you're the one who's interviewing all these people's medicine.

You tell me.

[Assistant] Well, it seems like some people are risk averse. You know, I feel I think you're right. I think it depends on your personal characteristics.


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

[User] I guess you don't have to be in the medical field to be used to operating under uncertainty. I mean, that's I think that's part of life right? I don't think that's something we're special about. You, do you think medical people are more risk averse or less risk averse?

[Assistant] Well, from what what my dad has said, probably less, actually. I mean, you've said I mean, you used the word cavalier so did he.

[User]
Yeah. Yeah, I think to some extent, maybe. But, you know, I don’t think everybody was. Some of my colleagues… I don't think everyone is as cavalier. I think there's probably a cross section much I don't think as a profession, people are less risk averse because they're in medicine. But you're the one who's interviewing all these people's medicine.

You tell me.

[Assistant] Well, it seems like some people are risk averse. You know, I feel I think you're right. I think it depends on your personal characteristics.

[User] Right.

[Assistant] But I mean but you said, though, that, you know, when it's uncertain, you know, you want to err on the side of caution. Right? But also, you know, you also say that psychologically speaking, you don't want to face something so negative.


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

[User]
Yeah. Yeah, I think to some extent, maybe. But, you know, I don’t think everybody was. Some of my colleagues… I don't think everyone is as cavalier. I think there's probably a cross section much I don't think as a profession, people are less risk averse because they're in medicine. But you're the one who's interviewing all these people's medicine.

You tell me.

[Assistant] Well, it seems like some people are risk averse. You know, I feel I think you're right. I think it depends on your personal characteristics.

[User] Right.

[Assistant] But I mean but you said, though, that, you know, when it's uncertain, you know, you want to err on the side of caution. Right? But also, you know, you also say that psychologically speaking, you don't want to face something so negative.

[User] Yeah, that's true. So, you know, just like many humans, I guess I'm not consistent, you know, what you probably should want to do and what you do are probably always the same thing. But I think that and why you swing on one issue one way and another issue another way, I'm not so sure I know why.

[Assistant] Well, people are inconsistent, I suppose. Yeah.


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

[User] Right.

[Assistant] But I mean but you said, though, that, you know, when it's uncertain, you know, you want to err on the side of caution. Right? But also, you know, you also say that psychologically speaking, you don't want to face something so negative.

[User] Yeah, that's true. So, you know, just like many humans, I guess I'm not consistent, you know, what you probably should want to do and what you do are probably always the same thing. But I think that and why you swing on one issue one way and another issue another way, I'm not so sure I know why.

[Assistant] Well, people are inconsistent, I suppose. Yeah.

[User]
Yeah.

I agree. I'm sure I'm inconsistent, too. But at some point, you know, I think obviously when you start to see people get sicker it's more palpable. Right. And you get more cautious. You know, it's hard to be cavalier when facts are thrown in front of you and you experience, your experiences dictate, You know, often I think, you know, your reactions, your personal experience is that the overall statistics disproportionately affect how you react.

[Assistant]
As a society or on a larger level, yeah. I mean, we had plenty of unknowns in plenty of facts in early in 2020 before the wave hit us, with plenty of facts in January and February. And I mean, so what I, what I'm really trying to get at is why didn't we err on the side of caution?

Why were we taken by surprise?


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

[User] Yeah, that's true. So, you know, just like many humans, I guess I'm not consistent, you know, what you probably should want to do and what you do are probably always the same thing. But I think that and why you swing on one issue one way and another issue another way, I'm not so sure I know why.

[Assistant] Well, people are inconsistent, I suppose. Yeah.

[User]
Yeah.

I agree. I'm sure I'm inconsistent, too. But at some point, you know, I think obviously when you start to see people get sicker it's more palpable. Right. And you get more cautious. You know, it's hard to be cavalier when facts are thrown in front of you and you experience, your experiences dictate, You know, often I think, you know, your reactions, your personal experience is that the overall statistics disproportionately affect how you react.

[Assistant]
As a society or on a larger level, yeah. I mean, we had plenty of unknowns in plenty of facts in early in 2020 before the wave hit us, with plenty of facts in January and February. And I mean, so what I, what I'm really trying to get at is why didn't we err on the side of caution?

Why were we taken by surprise?

[User]
And not wanting to to face negative negative facts, you know, not giving them their full due because of the psychological, psychological tendency, I think not to wanna face negative facts and discounting them more. You know, I don't know when we all did this. I mean, you've interviewed other people's from my institution and they may be better on the timing.

You know, like I know you.

[Assistant] I mean, I think to be honest, the time the timelines are fairly consistent.


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

[User]
Yeah.

I agree. I'm sure I'm inconsistent, too. But at some point, you know, I think obviously when you start to see people get sicker it's more palpable. Right. And you get more cautious. You know, it's hard to be cavalier when facts are thrown in front of you and you experience, your experiences dictate, You know, often I think, you know, your reactions, your personal experience is that the overall statistics disproportionately affect how you react.

[Assistant]
As a society or on a larger level, yeah. I mean, we had plenty of unknowns in plenty of facts in early in 2020 before the wave hit us, with plenty of facts in January and February. And I mean, so what I, what I'm really trying to get at is why didn't we err on the side of caution?

Why were we taken by surprise?

[User]
And not wanting to to face negative negative facts, you know, not giving them their full due because of the psychological, psychological tendency, I think not to wanna face negative facts and discounting them more. You know, I don't know when we all did this. I mean, you've interviewed other people's from my institution and they may be better on the timing.

You know, like I know you.

[Assistant] I mean, I think to be honest, the time the timelines are fairly consistent.

[User] Yeah.

[Assistant] They see the news out of China. They're a little worried. They put it in the back of their minds. They see the news out of Italy. They freak out.


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

[User]
And not wanting to to face negative negative facts, you know, not giving them their full due because of the psychological, psychological tendency, I think not to wanna face negative facts and discounting them more. You know, I don't know when we all did this. I mean, you've interviewed other people's from my institution and they may be better on the timing.

You know, like I know you.

[Assistant] I mean, I think to be honest, the time the timelines are fairly consistent.

[User] Yeah.

[Assistant] They see the news out of China. They're a little worried. They put it in the back of their minds. They see the news out of Italy. They freak out.

[User] Right.

[Assistant] They don't freak out. But they're like, uh oh.


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

[User] Yeah.

[Assistant] They see the news out of China. They're a little worried. They put it in the back of their minds. They see the news out of Italy. They freak out.

[User] Right.

[Assistant] They don't freak out. But they're like, uh oh.

[User] Yeah.

[Assistant] They then they see the visible disruption coming to New York and then they freak out.


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

[User] Right.

[Assistant] They don't freak out. But they're like, uh oh.

[User] Yeah.

[Assistant] They then they see the visible disruption coming to New York and then they freak out.

[User] Yeah.

[Assistant] But none of those points is that does it seem like there's and maybe I'm interviewing the wrong people, but it none of those points does seem like there's any concern. It doesn't translate into planning. It doesn't translate into behavioral change or pushing for organizational action.


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

[User] Yeah.

[Assistant] They then they see the visible disruption coming to New York and then they freak out.

[User] Yeah.

[Assistant] But none of those points is that does it seem like there's and maybe I'm interviewing the wrong people, but it none of those points does seem like there's any concern. It doesn't translate into planning. It doesn't translate into behavioral change or pushing for organizational action.

[User]
Yeah, I think that's true. I mean, I think only when it was thrown in your face, you know, that that we and then I think we leapt into action quickly, you know, when it became apparent. But of course, you know, in some some sense, the the cow had gotten out of the barn before we we reacted. But once we saw the cow out of the barn, we you know, that's when we jumped into action, so to speak.

Yeah. I don't know. And to tell you is really the doc one of the docs in our office, you know, who is the prime mover of a lot of these things, you know, putting up the plexiglass, you know, and all this stuff. I mean, he was the one you know, who sort of took things in under, you know, made the decisions to do things. I mean, that wasn't my decision.

That was his- other than bringing in masks as the only thing to distribute to the nurses because I've seen, you know, I had access to, you know, early. I mean, I really personally did, you know, made no decisions. I mean, I supported, helped did things that other people said we should do, which made a lot of sense.

But I wasn't the the force, you know what I'm saying? To do it and take take control. It was really the doc I worked with.

[Assistant] How do you make those decisions? How did he make those happen?


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

[User]
Well, I mean, he bought Plexiglas. We screwed it in you know, we all he called this. You have tape. We all had tape. We put tape on the floor and outside front of a clinic where people used to line up to get in, you know, and the masks I had, you know, that I did sort of on my own because I worked at a nonprofit that did construction.

I knew we had the basement. You know, it was a bunch of N-95 masks. So I brought in a couple of boxes, you know, to distribute. That was you know, the only things I did at work, really, and try to keep people, you know, like I would walk into the clinic early before it opened. I'd see people very close to each other.

I’d try to get them to separate, you know, for the first several weeks but that's probably, you know, all I did. I did nothing else.

[Assistant] Did you get sick?

[User] No, I never got sick.

[Assistant] So something worked.

[User]
Yeah. Yeah. Or mask, did I never? You know, it's funny. There there when it was very early, I was in the laundry room with someone in the building, you know, and this is before people were being careful, those wearing masks. And he was one of the early people. I mean, there was he was written up the times he was on a respirator for 56 days, you know, and survived.

I mean, they were going to pull the plug on him, you know, and I was in the laundry room the day before he went to the hospital or two, you know, so, you know, why things happen. You know, you get lucky, though, in those either so.

[Assistant] You know, just a few rapid questions because you're getting up there on time.


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

[User] No, I never got sick.

[Assistant] So something worked.

[User]
Yeah. Yeah. Or mask, did I never? You know, it's funny. There there when it was very early, I was in the laundry room with someone in the building, you know, and this is before people were being careful, those wearing masks. And he was one of the early people. I mean, there was he was written up the times he was on a respirator for 56 days, you know, and survived.

I mean, they were going to pull the plug on him, you know, and I was in the laundry room the day before he went to the hospital or two, you know, so, you know, why things happen. You know, you get lucky, though, in those either so.

[Assistant] You know, just a few rapid questions because you're getting up there on time.

[User] OK? Do you have a theory in your study?

[Assistant] I do get this. I guess that after these questions.


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

[User]
Yeah. Yeah. Or mask, did I never? You know, it's funny. There there when it was very early, I was in the laundry room with someone in the building, you know, and this is before people were being careful, those wearing masks. And he was one of the early people. I mean, there was he was written up the times he was on a respirator for 56 days, you know, and survived.

I mean, they were going to pull the plug on him, you know, and I was in the laundry room the day before he went to the hospital or two, you know, so, you know, why things happen. You know, you get lucky, though, in those either so.

[Assistant] You know, just a few rapid questions because you're getting up there on time.

[User] OK? Do you have a theory in your study?

[Assistant] I do get this. I guess that after these questions.

[User] Yeah, yeah. Citizen, finish what you have to do first.

[Assistant] Though, what would you like to tell me about the way you felt? In early 2020?


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

[User] Yeah, yeah. Citizen, finish what you have to do first.

[Assistant] Though, what would you like to tell me about the way you felt? In early 2020?

[User]
Well, I like to tell you I mean, I've told you sort of what I mean in retrospect, you know, I guess you know, I would have been more forceful, particularly for the nurses, you know, and should have should have done something about that.

I mean, that probably is the thing I regret the most.

[Assistant] But emotionally?

[User] Emotionally, I probably should have made my kid come home earlier from England but that's not emotionally. That's just you know.

[Assistant] It's I mean, like, were you curious? You scared? Were you excited? Oh.


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

[User] I'm sorry.

[Assistant] Normalcy bias.

[User] Yeah.

[Assistant]
So I mean, it's the idea that things are going to stay relatively the same. And with medical workers, this has been, you know, this is kind of influenced by the experience of SARS and which never really came to America. All right. H1N1, Ebola you know, all H1N1 Ebola and swine flu all caused fear. Well, they never really disrupted, they didn’t have that level of disruption that Covid did.

And then once people see this visible disruption, you know, they see the morgue trucks, they see the tents, they realize that this is real. This is a thing happening in America.

But I still feel like I'm missing something.

[User] Sensitivity when I had a spy phone going off. Go ahead. I I.

[Assistant] Go, that's my work. That's my theory. It's these you know, they see the they have this informational input coming from overseas and they use- And the power of these heuristics, this distrust in the hierarchy organizations and the global see that those somehow outweigh the, you know, the risk, the desire to do the numbers, the impetus to assess risk rationally working here.


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

[User] Yeah.

[Assistant]
So I mean, it's the idea that things are going to stay relatively the same. And with medical workers, this has been, you know, this is kind of influenced by the experience of SARS and which never really came to America. All right. H1N1, Ebola you know, all H1N1 Ebola and swine flu all caused fear. Well, they never really disrupted, they didn’t have that level of disruption that Covid did.

And then once people see this visible disruption, you know, they see the morgue trucks, they see the tents, they realize that this is real. This is a thing happening in America.

But I still feel like I'm missing something.

[User] Sensitivity when I had a spy phone going off. Go ahead. I I.

[Assistant] Go, that's my work. That's my theory. It's these you know, they see the they have this informational input coming from overseas and they use- And the power of these heuristics, this distrust in the hierarchy organizations and the global see that those somehow outweigh the, you know, the risk, the desire to do the numbers, the impetus to assess risk rationally working here.

[User]
I think that's true. Yeah.

I think, you know, and only when it's thrown in your face, you know, do you really look, you know, even at the end, our own government, if you listen to Trump right? based on this, is all going to be over.

Well.

[Assistant] That's another thing.


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

[User]
I think that's true. Yeah.

I think, you know, and only when it's thrown in your face, you know, do you really look, you know, even at the end, our own government, if you listen to Trump right? based on this, is all going to be over.

Well.

[Assistant] That's another thing.

[User]
You listen to that. It's just it does go to the same feelings, you know, that the you know, we can take care of our stuff and, you know, we'll take care of it.

You know, we didn't do so well in 1917 or 1914, whatever it was. Uh, yeah, let's look at that. 1918 right I mean obviously you know, we have more armaments than, than they did at that time, but you know, it's sort of playing out, I suspect in some ways the same way as the flu epidemic.

[Assistant]
Well I read this fascinating book called Journal of the Plague Year about the plague in London in 1666. And the parallels are incredible. I mean you have these people saying, oh well it's in, it's over there, but it's not over here. And then you have people saying, oh, when it comes to wonder, they say, Oh, it’s in that neighborhood?

In this neighborhood like that matters. At that point and then, you know, you have people trying to sanitize their house by fumigating it. And then they blow up the house. They put in, they only have coins, so they put the coins in vinegar to sanitize them. So a lot of parallels. So maybe part of this is just human nature.

[User] Excuse me?

[Assistant] Maybe it's just human nature. You know, maybe it's some kind of hard coded pandemic response.


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

[User]
You listen to that. It's just it does go to the same feelings, you know, that the you know, we can take care of our stuff and, you know, we'll take care of it.

You know, we didn't do so well in 1917 or 1914, whatever it was. Uh, yeah, let's look at that. 1918 right I mean obviously you know, we have more armaments than, than they did at that time, but you know, it's sort of playing out, I suspect in some ways the same way as the flu epidemic.

[Assistant]
Well I read this fascinating book called Journal of the Plague Year about the plague in London in 1666. And the parallels are incredible. I mean you have these people saying, oh well it's in, it's over there, but it's not over here. And then you have people saying, oh, when it comes to wonder, they say, Oh, it’s in that neighborhood?

In this neighborhood like that matters. At that point and then, you know, you have people trying to sanitize their house by fumigating it. And then they blow up the house. They put in, they only have coins, so they put the coins in vinegar to sanitize them. So a lot of parallels. So maybe part of this is just human nature.

[User] Excuse me?

[Assistant] Maybe it's just human nature. You know, maybe it's some kind of hard coded pandemic response.

[User] I think, you know, I don't know. It's not everyone, but I think certainly there's a large group, right? It's like anything. There's probably some bell curve where most people fall in the middle. And that's the common reaction. And then there's outliers on both sides. I mean, right. You still have people who will wear masks, you know, even late into the epidemic.

[Assistant] OK. So is there any question that you think I should ask that I didn't.


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

[User] Excuse me?

[Assistant] Maybe it's just human nature. You know, maybe it's some kind of hard coded pandemic response.

[User] I think, you know, I don't know. It's not everyone, but I think certainly there's a large group, right? It's like anything. There's probably some bell curve where most people fall in the middle. And that's the common reaction. And then there's outliers on both sides. I mean, right. You still have people who will wear masks, you know, even late into the epidemic.

[Assistant] OK. So is there any question that you think I should ask that I didn't.

[User]
Yeah, I don't you know, if you're trying to I guess you just try to figure out what are thinking, why react, why we reacted the way we did. And when we reacted, I mean, that's the goal, right? I mean, I'm trying to figure out what your goal is. Then I can maybe come up with a question that you left out I'm not.

So I'm still not clear on what what you're what you're trying to find out.

[Assistant] Well, I'm trying to find out why we were so surprised why we had this information in really in January. The logic existed, and yet we did not act on it until it was in our faces in March.


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

[User] I think, you know, I don't know. It's not everyone, but I think certainly there's a large group, right? It's like anything. There's probably some bell curve where most people fall in the middle. And that's the common reaction. And then there's outliers on both sides. I mean, right. You still have people who will wear masks, you know, even late into the epidemic.

[Assistant] OK. So is there any question that you think I should ask that I didn't.

[User]
Yeah, I don't you know, if you're trying to I guess you just try to figure out what are thinking, why react, why we reacted the way we did. And when we reacted, I mean, that's the goal, right? I mean, I'm trying to figure out what your goal is. Then I can maybe come up with a question that you left out I'm not.

So I'm still not clear on what what you're what you're trying to find out.

[Assistant] Well, I'm trying to find out why we were so surprised why we had this information in really in January. The logic existed, and yet we did not act on it until it was in our faces in March.

[User]
Yeah. I mean, I think we may have it was before March that we acted. I don't think it was that late because I remember it was pretty damn cold outside when people were lining up, you know, and we were doing stuff. So I think we reacted before March, but it was still late, you know, it feels like even though we reacted, it was late. I don't know if it was quite March, but it was late.

And you spoke to other people, institutions. They may be better on the timeline, but in thinking about it only based on the weather, I think it was earlier than March, but but I could be wrong. It was late in any event.

[Assistant] Like I was in Bangkok through this whole chunk of time. So I can't speak as to weather.


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

[User]
Yeah, I don't you know, if you're trying to I guess you just try to figure out what are thinking, why react, why we reacted the way we did. And when we reacted, I mean, that's the goal, right? I mean, I'm trying to figure out what your goal is. Then I can maybe come up with a question that you left out I'm not.

So I'm still not clear on what what you're what you're trying to find out.

[Assistant] Well, I'm trying to find out why we were so surprised why we had this information in really in January. The logic existed, and yet we did not act on it until it was in our faces in March.

[User]
Yeah. I mean, I think we may have it was before March that we acted. I don't think it was that late because I remember it was pretty damn cold outside when people were lining up, you know, and we were doing stuff. So I think we reacted before March, but it was still late, you know, it feels like even though we reacted, it was late. I don't know if it was quite March, but it was late.

And you spoke to other people, institutions. They may be better on the timeline, but in thinking about it only based on the weather, I think it was earlier than March, but but I could be wrong. It was late in any event.

[Assistant] Like I was in Bangkok through this whole chunk of time. So I can't speak as to weather.

[User] But I mean, Bangkok, I mean, people in Asia, I mean, they were taking temperatures of people before they walked into, you know, buildings. Right. And they were way ahead of us. I mean, they may not have been right, but they were more cautious than us in a lot of ways.

[Assistant] I mean, we were all wearing masks on the subway in Bangkok.


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

[User]
Yeah. I mean, I think we may have it was before March that we acted. I don't think it was that late because I remember it was pretty damn cold outside when people were lining up, you know, and we were doing stuff. So I think we reacted before March, but it was still late, you know, it feels like even though we reacted, it was late. I don't know if it was quite March, but it was late.

And you spoke to other people, institutions. They may be better on the timeline, but in thinking about it only based on the weather, I think it was earlier than March, but but I could be wrong. It was late in any event.

[Assistant] Like I was in Bangkok through this whole chunk of time. So I can't speak as to weather.

[User] But I mean, Bangkok, I mean, people in Asia, I mean, they were taking temperatures of people before they walked into, you know, buildings. Right. And they were way ahead of us. I mean, they may not have been right, but they were more cautious than us in a lot of ways.

[Assistant] I mean, we were all wearing masks on the subway in Bangkok.

[User] Right? Yeah. Well, people in Asia were wearing masks before there was government. I mean, you'd see them at least in New York, right? I mean, it's part of the culture because of the other viruses probably that have gone through there. So they're more sensitive to it.

[Assistant] I mean, I think that's when it was really thrown in my face, you know, I mean, the fear was palpable.


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

[User] But I mean, Bangkok, I mean, people in Asia, I mean, they were taking temperatures of people before they walked into, you know, buildings. Right. And they were way ahead of us. I mean, they may not have been right, but they were more cautious than us in a lot of ways.

[Assistant] I mean, we were all wearing masks on the subway in Bangkok.

[User] Right? Yeah. Well, people in Asia were wearing masks before there was government. I mean, you'd see them at least in New York, right? I mean, it's part of the culture because of the other viruses probably that have gone through there. So they're more sensitive to it.

[Assistant] I mean, I think that's when it was really thrown in my face, you know, I mean, the fear was palpable.

[User] Yeah.

[Assistant] All right. So anything else you'd like to tell me?


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

[User] Right? Yeah. Well, people in Asia were wearing masks before there was government. I mean, you'd see them at least in New York, right? I mean, it's part of the culture because of the other viruses probably that have gone through there. So they're more sensitive to it.

[Assistant] I mean, I think that's when it was really thrown in my face, you know, I mean, the fear was palpable.

[User] Yeah.

[Assistant] All right. So anything else you'd like to tell me?

[User] I think that's it. I got I got no more help for you. I'm sorry. Khkhkh

[Assistant] No, no. You were really very helpful. And you really like your explicit mentions of the, you know, like people not wanting to face these negative things. That that's very helpful. Yeah. So thank you for that. And also the Central Park Field Hospital, the field. I forgot about that. But.


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

[User] Yeah.

[Assistant] All right. So anything else you'd like to tell me?

[User] I think that's it. I got I got no more help for you. I'm sorry. Khkhkh

[Assistant] No, no. You were really very helpful. And you really like your explicit mentions of the, you know, like people not wanting to face these negative things. That that's very helpful. Yeah. So thank you for that. And also the Central Park Field Hospital, the field. I forgot about that. But.

[User]
Yeah, I mean, that to me was probably you know, of all the things, you know, I mean, I that was, that was that was scary.

And that was really just, you know, literally, I had to walk by it every day because my partner and I, we'd meet in the park like an Orthodox couple walk around and hold hands and then separate.

[Assistant] The old times then, huh?


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

[User] I think that's it. I got I got no more help for you. I'm sorry. Khkhkh

[Assistant] No, no. You were really very helpful. And you really like your explicit mentions of the, you know, like people not wanting to face these negative things. That that's very helpful. Yeah. So thank you for that. And also the Central Park Field Hospital, the field. I forgot about that. But.

[User]
Yeah, I mean, that to me was probably you know, of all the things, you know, I mean, I that was, that was that was scary.

And that was really just, you know, literally, I had to walk by it every day because my partner and I, we'd meet in the park like an Orthodox couple walk around and hold hands and then separate.

[Assistant] The old times then, huh?

[User] Yeah.

[Assistant] OK, so thank you very much for this. Know, this was really very helpful. Seriously.


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

[User]
Yeah, I mean, that to me was probably you know, of all the things, you know, I mean, I that was, that was that was scary.

And that was really just, you know, literally, I had to walk by it every day because my partner and I, we'd meet in the park like an Orthodox couple walk around and hold hands and then separate.

[Assistant] The old times then, huh?

[User] Yeah.

[Assistant] OK, so thank you very much for this. Know, this was really very helpful. Seriously.

[User] Well, that's good. And how many people are you interviewing?

[Assistant] You’re number 11.


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

[User] Yeah.

[Assistant] OK, so thank you very much for this. Know, this was really very helpful. Seriously.

[User] Well, that's good. And how many people are you interviewing?

[Assistant] You’re number 11.

[User] How many do you plan to interview?

[Assistant] I just told my advisor 20.


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

[User] Well, that's good. And how many people are you interviewing?

[Assistant] You’re number 11.

[User] How many do you plan to interview?

[Assistant] I just told my advisor 20.

[User] You're halfway there.

[Assistant]
We’ll see what actually happens.

I have one that I'm really looking forward to on Thursday. And hopefully get her and her husband, because I think they're going to have a pretty different perspective on things.


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

[User] How many do you plan to interview?

[Assistant] I just told my advisor 20.

[User] You're halfway there.

[Assistant]
We’ll see what actually happens.

I have one that I'm really looking forward to on Thursday. And hopefully get her and her husband, because I think they're going to have a pretty different perspective on things.

[User] Well, I mean, if you get an E.R. doc or you know someone, right. You're going to get different perspectives, I'm sure, as well. Yeah.

[Assistant] Well, I have had an ER doc, and he was very, we had his own perspective. He was a I mean, his own perspective, but also not really, you know, he had the same timeline as everyone. And, you know, he talked about his e.R. Response. He's very proud of his organizational response.


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

[User] You're halfway there.

[Assistant]
We’ll see what actually happens.

I have one that I'm really looking forward to on Thursday. And hopefully get her and her husband, because I think they're going to have a pretty different perspective on things.

[User] Well, I mean, if you get an E.R. doc or you know someone, right. You're going to get different perspectives, I'm sure, as well. Yeah.

[Assistant] Well, I have had an ER doc, and he was very, we had his own perspective. He was a I mean, his own perspective, but also not really, you know, he had the same timeline as everyone. And, you know, he talked about his e.R. Response. He's very proud of his organizational response.

[User] Right. That's, you know, you have the same intonations as your father when you speak.

[Assistant] I know I also have a really nasty tendency to start sentences four or five times.


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

[User] Well, I mean, if you get an E.R. doc or you know someone, right. You're going to get different perspectives, I'm sure, as well. Yeah.

[Assistant] Well, I have had an ER doc, and he was very, we had his own perspective. He was a I mean, his own perspective, but also not really, you know, he had the same timeline as everyone. And, you know, he talked about his e.R. Response. He's very proud of his organizational response.

[User] Right. That's, you know, you have the same intonations as your father when you speak.

[Assistant] I know I also have a really nasty tendency to start sentences four or five times.

[User] That I didn't notice. But it just, you know, the way you're phrasing your intonation, your pace is just it's like listening to your dad.

[Assistant] Thank you. I guess I'm also trying to make a deliberate effort to get my sentences out on the first try too. I really don't like how I look on the transcripts.


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

[User] I am 38 years old

[Assistant] And then what are your qualification?’

[User] I am a nursing officer

[Assistant] Ok, where did you complete from?

[User] From lira school of comprehensive nursing

[Assistant] How long ago where you, when did you qualify?


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

[User] 2009

[Assistant] 2009?

[User] Diploma, I qualified in 2013 December, Certificate I qualified in 2009, may

[Assistant] Ok

[User] Yes

[Assistant] Which health center are you working in?


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

[User] Diploma, I qualified in 2013 December, Certificate I qualified in 2009, may

[Assistant] Ok

[User] Yes

[Assistant] Which health center are you working in?

[User] I am working in Alik health center II

[Assistant] Ok and how long have you been working there?


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

[User] I am working in Alik health center II

[Assistant] Ok and how long have you been working there?

[User] Since 2015

[Assistant] 2015?

[User] Yes

[Assistant] And if you look at the demographics of your patients in your centre, which are the..., if you look at the ages that you see, which department are you working in now?


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

[User] Since 2015

[Assistant] 2015?

[User] Yes

[Assistant] And if you look at the demographics of your patients in your centre, which are the..., if you look at the ages that you see, which department are you working in now?

[User] First of all, am the in charge of that unit, so you know I come to almost across to all department

[Assistant] You cut across?


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

[User] Yes

[Assistant] And if you look at the demographics of your patients in your centre, which are the..., if you look at the ages that you see, which department are you working in now?

[User] First of all, am the in charge of that unit, so you know I come to almost across to all department

[Assistant] You cut across?

[User] Yes

[Assistant] So when you look at the demographics of your patients, which age groups do you see mainly?


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

[User] First of all, am the in charge of that unit, so you know I come to almost across to all department

[Assistant] You cut across?

[User] Yes

[Assistant] So when you look at the demographics of your patients, which age groups do you see mainly?

[User] Between 4 years to 30 years

[Assistant] To 30 years?


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

[User] Yes

[Assistant] So when you look at the demographics of your patients, which age groups do you see mainly?

[User] Between 4 years to 30 years

[Assistant] To 30 years?

[User] Yes

[Assistant] Do you mainly see adults or children?


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

[User] Between 4 years to 30 years

[Assistant] To 30 years?

[User] Yes

[Assistant] Do you mainly see adults or children?

[User] Yes

[Assistant] And then are they women or men


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

[User] Yes

[Assistant] And then are they women or men

[User] Women are the majority group but with children below 4 years, male children again are the majority

[Assistant] Male children?

[User] Yes

[Assistant] Wow! What do you think explains that?


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

[User] Women are the majority group but with children below 4 years, male children again are the majority

[Assistant] Male children?

[User] Yes

[Assistant] Wow! What do you think explains that?

[User] With children, I can’t explain well but when you look at the number of male children that come to seek the health center, they are quite more than the female children, I always try to think that maybe males are weak some how

[Assistant] And then when it comes to adults, you said it’s mainly women, why?


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

[User] With children, I can’t explain well but when you look at the number of male children that come to seek the health center, they are quite more than the female children, I always try to think that maybe males are weak some how

[Assistant] And then when it comes to adults, you said it’s mainly women, why?

[User] It’s the contrary laughs..., females are three times more than the males that come to the hospital

[Assistant] Why?

[User] So to me I think males have a poor health seeking behavior because even in the village, people who die most are the males, secondly, they always come to the hospital when the condition has worsened, when the man is not feeling really bad, this man does not really come but women, they have really good health seeking behavior, they fear sicknesses, when a woman feels anything to the extent that even some of them come to me when they are feeling ovulation laughs...,the monthly usual pains, somebody will come. You see musawo, I feel pain by my side, then when you like try to access, you will find this woman not sick because you go back and dig past history, she will say even last months it pained me, then you just know, sometimes you just have to counsel and assure but I don’t blame them, am happy with such kind of a person

[Assistant] Wow! And then what are the common illnesses that are treated at your health centers?


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

[User] It’s the contrary laughs..., females are three times more than the males that come to the hospital

[Assistant] Why?

[User] So to me I think males have a poor health seeking behavior because even in the village, people who die most are the males, secondly, they always come to the hospital when the condition has worsened, when the man is not feeling really bad, this man does not really come but women, they have really good health seeking behavior, they fear sicknesses, when a woman feels anything to the extent that even some of them come to me when they are feeling ovulation laughs...,the monthly usual pains, somebody will come. You see musawo, I feel pain by my side, then when you like try to access, you will find this woman not sick because you go back and dig past history, she will say even last months it pained me, then you just know, sometimes you just have to counsel and assure but I don’t blame them, am happy with such kind of a person

[Assistant] Wow! And then what are the common illnesses that are treated at your health centers?

[User] The most common ones used to be malaria but now days with the issues of IRS, malaria has reduced although it has started shooting abit ehh...but not much but now the most common ones are the respiratory tract disease infections,yes,many of them come feeling cough, pain in the throat, chest pains, those things

[Assistant] So the sore throat cases, are they diagnosed?


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

[User] So to me I think males have a poor health seeking behavior because even in the village, people who die most are the males, secondly, they always come to the hospital when the condition has worsened, when the man is not feeling really bad, this man does not really come but women, they have really good health seeking behavior, they fear sicknesses, when a woman feels anything to the extent that even some of them come to me when they are feeling ovulation laughs...,the monthly usual pains, somebody will come. You see musawo, I feel pain by my side, then when you like try to access, you will find this woman not sick because you go back and dig past history, she will say even last months it pained me, then you just know, sometimes you just have to counsel and assure but I don’t blame them, am happy with such kind of a person

[Assistant] Wow! And then what are the common illnesses that are treated at your health centers?

[User] The most common ones used to be malaria but now days with the issues of IRS, malaria has reduced although it has started shooting abit ehh...but not much but now the most common ones are the respiratory tract disease infections,yes,many of them come feeling cough, pain in the throat, chest pains, those things

[Assistant] So the sore throat cases, are they diagnosed?

[User] Sorry?

[Assistant] Sore throat cases, how are they, what are the burdens?


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

[User] The most common ones used to be malaria but now days with the issues of IRS, malaria has reduced although it has started shooting abit ehh...but not much but now the most common ones are the respiratory tract disease infections,yes,many of them come feeling cough, pain in the throat, chest pains, those things

[Assistant] So the sore throat cases, are they diagnosed?

[User] Sorry?

[Assistant] Sore throat cases, how are they, what are the burdens?

[User] Yes they are there, they always come with the issue of sore throat hmm

[Assistant] Ok, how about RHD, do you get some here?


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

[User] Yes they are there, they always come with the issue of sore throat hmm

[Assistant] Ok, how about RHD, do you get some here?

[User] Acute rheumatic fevers?

[Assistant] RHD

[User] RHD, yes, I have seen, I have been referring people here and a good number of them were found positive

[Assistant] If you remember in the last one year, have you received any?


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

[User] Acute rheumatic fevers?

[Assistant] RHD

[User] RHD, yes, I have seen, I have been referring people here and a good number of them were found positive

[Assistant] If you remember in the last one year, have you received any?

[User] Except I have not kept the records but they can reach even more than 10

[Assistant] And you refer them?


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

[User] RHD, yes, I have seen, I have been referring people here and a good number of them were found positive

[Assistant] If you remember in the last one year, have you received any?

[User] Except I have not kept the records but they can reach even more than 10

[Assistant] And you refer them?

[User] Yes and I used to get the feedback and always when am referring them, I also tell them, please after there, you can also come back to me although some of them do not go but whether they go or not, the people who work there in the institute always when they visit, sometimes we always interact on phones, they tell me but for me always when am referring, I first call ahead to like avoid bouncing, I always don’t like my clients to bounce.

[Assistant] Ok, that is nice to hear, that means there is a way you communicate to these people


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

[User] Except I have not kept the records but they can reach even more than 10

[Assistant] And you refer them?

[User] Yes and I used to get the feedback and always when am referring them, I also tell them, please after there, you can also come back to me although some of them do not go but whether they go or not, the people who work there in the institute always when they visit, sometimes we always interact on phones, they tell me but for me always when am referring, I first call ahead to like avoid bouncing, I always don’t like my clients to bounce.

[Assistant] Ok, that is nice to hear, that means there is a way you communicate to these people

[User] Yes I do

[Assistant] Wow! Has it helped in the..., do you see the advantage in that when you make the follow up calls?


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

[User] Yes and I used to get the feedback and always when am referring them, I also tell them, please after there, you can also come back to me although some of them do not go but whether they go or not, the people who work there in the institute always when they visit, sometimes we always interact on phones, they tell me but for me always when am referring, I first call ahead to like avoid bouncing, I always don’t like my clients to bounce.

[Assistant] Ok, that is nice to hear, that means there is a way you communicate to these people

[User] Yes I do

[Assistant] Wow! Has it helped in the..., do you see the advantage in that when you make the follow up calls?

[User] Yes, I have found it really very important because out of the client I do send, they have helped me find out the other diseases like for instance there was a child I sent, I was very happy with that child, the..., he was..., the acute rheumatic fever was negative but they found the child had sickle cell disease and up to now am managing the child, the child has improved compared to the way he came to me

[Assistant] Wow! Let’s talk about your training on RHD, have you ever received any training on RHD during school days?


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

[User] Yes I do

[Assistant] Wow! Has it helped in the..., do you see the advantage in that when you make the follow up calls?

[User] Yes, I have found it really very important because out of the client I do send, they have helped me find out the other diseases like for instance there was a child I sent, I was very happy with that child, the..., he was..., the acute rheumatic fever was negative but they found the child had sickle cell disease and up to now am managing the child, the child has improved compared to the way he came to me

[Assistant] Wow! Let’s talk about your training on RHD, have you ever received any training on RHD during school days?

[User] During school days?

[Assistant] Yes, have they ever introduced a topic about RHD?


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

[User] In school?

[Assistant] Yes

[User] No,

[Assistant] They didn’t?

[User] No

[Assistant] How did you get the information that you know?


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

[User] No,

[Assistant] They didn’t?

[User] No

[Assistant] How did you get the information that you know?

[User] I got the information through these people who are working in the acute rheumatic fever, I was called for a short training in lira hotel, then they briefed us, by the way I was working and I think I used to like make them pass a lot of them minus me realizing their conditions because you find someone every time having cough, we could but not having that in mind, after interacting with these people, I went back with the forms, started now accessing them, somebody comes, there is fever, joint pains, cough, what...that has not been treated, whether treated but with no improvement, so such are the cases I have been sending here

[Assistant] So before you got that message, what would you do with those patients who had those symptoms?


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

[User] I got the information through these people who are working in the acute rheumatic fever, I was called for a short training in lira hotel, then they briefed us, by the way I was working and I think I used to like make them pass a lot of them minus me realizing their conditions because you find someone every time having cough, we could but not having that in mind, after interacting with these people, I went back with the forms, started now accessing them, somebody comes, there is fever, joint pains, cough, what...that has not been treated, whether treated but with no improvement, so such are the cases I have been sending here

[Assistant] So before you got that message, what would you do with those patients who had those symptoms?

[User] what I would do with those patients, I used to treat them first at contact, when they come back again with no improvement, I would find them referrals and refer them

[Assistant] To where?

[User] To the exact place, the way I do it now days, those days I could just say, you go to lira regional hospital but you know, when they come, they go to OPD and even those days lira used to miss, the regional referral used to miss because they used to come to OPD and then the doctors may see the treatment I have given and also change to stronger anti biotic,.

[Assistant] Ok, so that is how it is?


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

[User] what I would do with those patients, I used to treat them first at contact, when they come back again with no improvement, I would find them referrals and refer them

[Assistant] To where?

[User] To the exact place, the way I do it now days, those days I could just say, you go to lira regional hospital but you know, when they come, they go to OPD and even those days lira used to miss, the regional referral used to miss because they used to come to OPD and then the doctors may see the treatment I have given and also change to stronger anti biotic,.

[Assistant] Ok, so that is how it is?

[User] Yes

[Assistant] And then after graduation, these people of RHD who trained you about RHD?


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

[User] To the exact place, the way I do it now days, those days I could just say, you go to lira regional hospital but you know, when they come, they go to OPD and even those days lira used to miss, the regional referral used to miss because they used to come to OPD and then the doctors may see the treatment I have given and also change to stronger anti biotic,.

[Assistant] Ok, so that is how it is?

[User] Yes

[Assistant] And then after graduation, these people of RHD who trained you about RHD?

[User] pardon

[Assistant] Since you graduated, is the project here?


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

[User] Yes

[Assistant] And then after graduation, these people of RHD who trained you about RHD?

[User] pardon

[Assistant] Since you graduated, is the project here?

[User] Yes

[Assistant] Who trained you?


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

[User] pardon

[Assistant] Since you graduated, is the project here?

[User] Yes

[Assistant] Who trained you?

[User] Sorry?

[Assistant] Have you had any CMEs on RHD management or prevention?


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

[User] Sorry?

[Assistant] Have you had any CMEs on RHD management or prevention?

[User] From my unit?

[Assistant] Yes

[User] Yes, I always have CMEs with my staffs

[Assistant] But have you ever introduced a topic on RHD?


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

[User] From my unit?

[Assistant] Yes

[User] Yes, I always have CMEs with my staffs

[Assistant] But have you ever introduced a topic on RHD?

[User] Yes, now days even if am not in the facility, any staff give health education to the OPD about that

[Assistant] Have they all been trained?


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

[User] Yes, I always have CMEs with my staffs

[Assistant] But have you ever introduced a topic on RHD?

[User] Yes, now days even if am not in the facility, any staff give health education to the OPD about that

[Assistant] Have they all been trained?

[User] No, they have not all been trained but I have been hinting the information through CME

[Assistant] Ok, wonderful, now before you came to these guys, you didn’t have this kind of CMEs?


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

[User] Yes, now days even if am not in the facility, any staff give health education to the OPD about that

[Assistant] Have they all been trained?

[User] No, they have not all been trained but I have been hinting the information through CME

[Assistant] Ok, wonderful, now before you came to these guys, you didn’t have this kind of CMEs?

[User] No

[Assistant] Ok thank you, so you made a record at all times?


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

[User] No, they have not all been trained but I have been hinting the information through CME

[Assistant] Ok, wonderful, now before you came to these guys, you didn’t have this kind of CMEs?

[User] No

[Assistant] Ok thank you, so you made a record at all times?

[User] Yes

[Assistant] In what times


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

[User] No

[Assistant] Ok thank you, so you made a record at all times?

[User] Yes

[Assistant] In what times

[User] sorry?

[Assistant] In what period?


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

[User] Yes

[Assistant] In what times

[User] sorry?

[Assistant] In what period?

[User] Sometimes even in a day, I could transfer ,it depends on how they come like in a week, I could send 3-4 like that ,ok you said that you have asked only for the last one year but in total, those that I have sent here are more than 30 even

[Assistant] They are more than 30?


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

[User] sorry?

[Assistant] In what period?

[User] Sometimes even in a day, I could transfer ,it depends on how they come like in a week, I could send 3-4 like that ,ok you said that you have asked only for the last one year but in total, those that I have sent here are more than 30 even

[Assistant] They are more than 30?

[User] Actually I interacted with her at one point and she told me that I am the one who has been sending the highest number

[Assistant] The highest number?


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

[User] Actually I interacted with her at one point and she told me that I am the one who has been sending the highest number

[Assistant] The highest number?

[User] I got even the motivation laughs...

[Assistant] Wow! Wow!

[User] I was motivated

[Assistant] Good to her that, so in a month, you can send how many?


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

[User] I got even the motivation laughs...

[Assistant] Wow! Wow!

[User] I was motivated

[Assistant] Good to her that, so in a month, you can send how many?

[User] In a month, it depends, sometimes I even get 1 or 2 but sometimes they come even 5-6

[Assistant] And what are the age group?


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

[User] In a month, it depends, sometimes I even get 1 or 2 but sometimes they come even 5-6

[Assistant] And what are the age group?

[User] The age I have been sending is 4..., 5-18.

[Assistant] 5-18?

[User] I think below 5 is hard

[Assistant] Ok and the...then so, they come as outpatients in your place ehh and then you send them?


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

[User] The age I have been sending is 4..., 5-18.

[Assistant] 5-18?

[User] I think below 5 is hard

[Assistant] Ok and the...then so, they come as outpatients in your place ehh and then you send them?

[User] They come in as outpatient, then I access them and I rule out other things and I send them

[Assistant] Ok, wonderful, now am interested in what you are taught about RHD, what do you think are the causes of RHD?


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

[User] I think below 5 is hard

[Assistant] Ok and the...then so, they come as outpatients in your place ehh and then you send them?

[User] They come in as outpatient, then I access them and I rule out other things and I send them

[Assistant] Ok, wonderful, now am interested in what you are taught about RHD, what do you think are the causes of RHD?

[User] I think is the ..., I could say it is congenital, some people are born with it but some due to the exposure of other things like sometimes for instance, those who come with too much cough which maybe sometimes its poorly or untreated respiratory tract disease, so that is what I think and also sometimes I also think maybe some poisoning due to chemicals and others

[Assistant] Ok and the are you aware of the link between the sore throat and RHD


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

[User] They come in as outpatient, then I access them and I rule out other things and I send them

[Assistant] Ok, wonderful, now am interested in what you are taught about RHD, what do you think are the causes of RHD?

[User] I think is the ..., I could say it is congenital, some people are born with it but some due to the exposure of other things like sometimes for instance, those who come with too much cough which maybe sometimes its poorly or untreated respiratory tract disease, so that is what I think and also sometimes I also think maybe some poisoning due to chemicals and others

[Assistant] Ok and the are you aware of the link between the sore throat and RHD

[User] Yes

[Assistant] Are the two of them associated or related in anyway, sore throat and RHD?


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

[User] I think is the ..., I could say it is congenital, some people are born with it but some due to the exposure of other things like sometimes for instance, those who come with too much cough which maybe sometimes its poorly or untreated respiratory tract disease, so that is what I think and also sometimes I also think maybe some poisoning due to chemicals and others

[Assistant] Ok and the are you aware of the link between the sore throat and RHD

[User] Yes

[Assistant] Are the two of them associated or related in anyway, sore throat and RHD?

[User] Yes

[Assistant] How are they related?


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

[User] Yes

[Assistant] Are the two of them associated or related in anyway, sore throat and RHD?

[User] Yes

[Assistant] How are they related?

[User] I can’t explain much but to me I know there is some relation between the two

[Assistant] They are related?


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

[User] Yes

[Assistant] How are they related?

[User] I can’t explain much but to me I know there is some relation between the two

[Assistant] They are related?

[User] Yes

[Assistant] what were you taught that can prevent RHD, how can people prevent it?


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

[User] I can’t explain much but to me I know there is some relation between the two

[Assistant] They are related?

[User] Yes

[Assistant] what were you taught that can prevent RHD, how can people prevent it?

[User] I think first of all to prevent this RHD does not start from now but it starts even when the mother is preparing for conception, how the mother is fed and how the mother takes medications like the folic acid and also these pregnant mothers are not supposed to take any drugs anyhow minus medical consent and then finally how the child is kept from birth.

[Assistant] Ok and then what were you taught are the treatment option for RHD? How is it treated?


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

[User] Yes

[Assistant] what were you taught that can prevent RHD, how can people prevent it?

[User] I think first of all to prevent this RHD does not start from now but it starts even when the mother is preparing for conception, how the mother is fed and how the mother takes medications like the folic acid and also these pregnant mothers are not supposed to take any drugs anyhow minus medical consent and then finally how the child is kept from birth.

[Assistant] Ok and then what were you taught are the treatment option for RHD? How is it treated?

[User] I may not know all but I know of PPF given once in a month and the time duration depends, it will be given but with a review, but for some people can take like 6 months, and some can go like a year or others even 2 years

[Assistant] when they are...?


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

[User] I may not know all but I know of PPF given once in a month and the time duration depends, it will be given but with a review, but for some people can take like 6 months, and some can go like a year or others even 2 years

[Assistant] when they are...?

[User] When they are still getting their treatment

[Assistant] OK

[User] Yes

[Assistant] so do they ever stop?


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

[User] When they are still getting their treatment

[Assistant] OK

[User] Yes

[Assistant] so do they ever stop?

[User] I have not yet known someone whom they have stopped the treatment because the program has not yet taken long here but for me I think they stop, that is my thinking, when the fault is corrected

[Assistant] Does it cure. The RHD?


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

[User] I have not yet known someone whom they have stopped the treatment because the program has not yet taken long here but for me I think they stop, that is my thinking, when the fault is corrected

[Assistant] Does it cure. The RHD?

[User] Yes to me

[Assistant] To you?

[User] Yes

[Assistant] And then, what do you understand by the long term prognosis of having RHD?


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

[User] Yes to me

[Assistant] To you?

[User] Yes

[Assistant] And then, what do you understand by the long term prognosis of having RHD?

[User] The long term prognosis of RHD depends, for those who have realized and taken care of, the prognosis may not be very bad but for those ones that go unrealized, they end up with a poor prognosis

[Assistant] Ok, now tell me about your encounter with patients who have RHD, when did you last see one?


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

[User] The long term prognosis of RHD depends, for those who have realized and taken care of, the prognosis may not be very bad but for those ones that go unrealized, they end up with a poor prognosis

[Assistant] Ok, now tell me about your encounter with patients who have RHD, when did you last see one?

[User] I last saw one this year

[Assistant] This year?

[User] I think around September

[Assistant] September? Tell me, when that person came, how old is that person?


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

[User] I last saw one this year

[Assistant] This year?

[User] I think around September

[Assistant] September? Tell me, when that person came, how old is that person?

[User] This girl is 12 -13 years there

[Assistant] What symptoms did she have?


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

[User] I think around September

[Assistant] September? Tell me, when that person came, how old is that person?

[User] This girl is 12 -13 years there

[Assistant] What symptoms did she have?

[User] She was having cough with chest pain and then I told the mother to bring her here, she was brought and when tested, she was found to be having it, the RHD and she was put on treatment, she normally comes back monthly

[Assistant] ok so you have told me you see many, you have not seen kids below 5 years, you only see those...


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

[User] She was having cough with chest pain and then I told the mother to bring her here, she was brought and when tested, she was found to be having it, the RHD and she was put on treatment, she normally comes back monthly

[Assistant] ok so you have told me you see many, you have not seen kids below 5 years, you only see those...

[User] I think they are there, of course they are there maybe how they explain themselves is not easy but I have seen from 5 and above

[Assistant] Above to?

[User] Up to 18 mostly, last year or early this year, most of them I was finding people of around 16 to 17 years most common

[Assistant] Where they in school children?


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

[User] I think they are there, of course they are there maybe how they explain themselves is not easy but I have seen from 5 and above

[Assistant] Above to?

[User] Up to 18 mostly, last year or early this year, most of them I was finding people of around 16 to 17 years most common

[Assistant] Where they in school children?

[User] Yes they were school children

[Assistant] Ok and then do you think these patients, do they know the link or relationship between sore throat, acute rheumatic fevers and then RHD? Do they know the association?


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

[User] Up to 18 mostly, last year or early this year, most of them I was finding people of around 16 to 17 years most common

[Assistant] Where they in school children?

[User] Yes they were school children

[Assistant] Ok and then do you think these patients, do they know the link or relationship between sore throat, acute rheumatic fevers and then RHD? Do they know the association?

[User] For them they do not know

[Assistant] So when they come to you, what do they say, what do they think is the problem?


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

[User] Yes they were school children

[Assistant] Ok and then do you think these patients, do they know the link or relationship between sore throat, acute rheumatic fevers and then RHD? Do they know the association?

[User] For them they do not know

[Assistant] So when they come to you, what do they say, what do they think is the problem?

[User] And the worst thing in the village, once someone has the sore throat, this person will go to the old woman, who will open the throat and do anything, yes, so to them they think the throat is having either the pus or its growing the oedemal and there is that local tonsillectomy they do in the village but we are trying to health educate them, others are understanding but others still go for it up to now. Like last week ah...,somebody was just about to take the child for that local tonsillectomy, then I told her, you don’t have to take ,what you do, you first use these antibiotics, I gave, I gave metronidazole and Amoxicillin plus the pain killers and after two days, she came back to me and said the child took the medicine for two days and vomited pus and there was already improvement, I told her, did you take to the other woman, she said no, I didn’t, so that child improved on that medication but its most common in the villages that by the time they are bringing a child to you, sometimes for me always when they come at times they hide it but the moment the mother talks about coughs and maybe ear and pain in the throat, I always ask have you done anything in the throat, and in most cases they would have done it

[Assistant] why do they always prefer going to that old woman, why do you think they go there. Why don’t they believe they can be treated in the health center?


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

[User] For them they do not know

[Assistant] So when they come to you, what do they say, what do they think is the problem?

[User] And the worst thing in the village, once someone has the sore throat, this person will go to the old woman, who will open the throat and do anything, yes, so to them they think the throat is having either the pus or its growing the oedemal and there is that local tonsillectomy they do in the village but we are trying to health educate them, others are understanding but others still go for it up to now. Like last week ah...,somebody was just about to take the child for that local tonsillectomy, then I told her, you don’t have to take ,what you do, you first use these antibiotics, I gave, I gave metronidazole and Amoxicillin plus the pain killers and after two days, she came back to me and said the child took the medicine for two days and vomited pus and there was already improvement, I told her, did you take to the other woman, she said no, I didn’t, so that child improved on that medication but its most common in the villages that by the time they are bringing a child to you, sometimes for me always when they come at times they hide it but the moment the mother talks about coughs and maybe ear and pain in the throat, I always ask have you done anything in the throat, and in most cases they would have done it

[Assistant] why do they always prefer going to that old woman, why do you think they go there. Why don’t they believe they can be treated in the health center?

[User] I think its ignorance and how people started, they see that it helps but to me it doesn’t because at times when that local tonsillectomy is done from home, at times it goes to some serious cases of septicemia and sometimes even the way it is cut, anemia sets in and even it claims the lives of very many children

[Assistant] They are dying?


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

[User] And the worst thing in the village, once someone has the sore throat, this person will go to the old woman, who will open the throat and do anything, yes, so to them they think the throat is having either the pus or its growing the oedemal and there is that local tonsillectomy they do in the village but we are trying to health educate them, others are understanding but others still go for it up to now. Like last week ah...,somebody was just about to take the child for that local tonsillectomy, then I told her, you don’t have to take ,what you do, you first use these antibiotics, I gave, I gave metronidazole and Amoxicillin plus the pain killers and after two days, she came back to me and said the child took the medicine for two days and vomited pus and there was already improvement, I told her, did you take to the other woman, she said no, I didn’t, so that child improved on that medication but its most common in the villages that by the time they are bringing a child to you, sometimes for me always when they come at times they hide it but the moment the mother talks about coughs and maybe ear and pain in the throat, I always ask have you done anything in the throat, and in most cases they would have done it

[Assistant] why do they always prefer going to that old woman, why do you think they go there. Why don’t they believe they can be treated in the health center?

[User] I think its ignorance and how people started, they see that it helps but to me it doesn’t because at times when that local tonsillectomy is done from home, at times it goes to some serious cases of septicemia and sometimes even the way it is cut, anemia sets in and even it claims the lives of very many children

[Assistant] They are dying?

[User] Yes

[Assistant] Is there anything done maybe to educate those old ladies, have you had the interaction with the old ladies where they do that?