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

[User] My father’s money.

[Assistant] Mama you told me you were born in Melela Village isn’t?

[User] Yes.

[Assistant] So in your Melela community how did you know when a girl has matured and was there an initiation ceremony like the dances or what are the things or indicator of her maturity?

[User] You will see the breasts developing are like the breasts are becoming big and also she will become big then she will be initiated to adulthood.

[Assistant] And what about boys what were the signs or indicators that he is now are mature man?


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

[User] Yes.

[Assistant] So in your Melela community how did you know when a girl has matured and was there an initiation ceremony like the dances or what are the things or indicator of her maturity?

[User] You will see the breasts developing are like the breasts are becoming big and also she will become big then she will be initiated to adulthood.

[Assistant] And what about boys what were the signs or indicators that he is now are mature man?

[User] He becomes tall and big.

[Assistant] Do men have initiation ceremony?


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

[User] You will see the breasts developing are like the breasts are becoming big and also she will become big then she will be initiated to adulthood.

[Assistant] And what about boys what were the signs or indicators that he is now are mature man?

[User] He becomes tall and big.

[Assistant] Do men have initiation ceremony?

[User] Ohh yes even men are danced for just like women.

[Assistant] And at what age are the boys initiated to adulthood?


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

[User] He becomes tall and big.

[Assistant] Do men have initiation ceremony?

[User] Ohh yes even men are danced for just like women.

[Assistant] And at what age are the boys initiated to adulthood?

[User] When they are 15- 16 years.

[Assistant] And what about girls?


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

[User] Ohh yes even men are danced for just like women.

[Assistant] And at what age are the boys initiated to adulthood?

[User] When they are 15- 16 years.

[Assistant] And what about girls?

[User] Still the same 15-16 years.

[Assistant] What if she reaches 16 years and her breast is not big will she be danced for?


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

[User] When they are 15- 16 years.

[Assistant] And what about girls?

[User] Still the same 15-16 years.

[Assistant] What if she reaches 16 years and her breast is not big will she be danced for?

[User] Yes, she will be danced for.

[Assistant] You normally count the years or you look at the changes in his/her body structure?


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

[User] Still the same 15-16 years.

[Assistant] What if she reaches 16 years and her breast is not big will she be danced for?

[User] Yes, she will be danced for.

[Assistant] You normally count the years or you look at the changes in his/her body structure?

[User] Changes in their body structure. There are some who grows very fast.

[Assistant] What about you how did you know that you are now a mature girl what were the signs?


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

[User] Yes, she will be danced for.

[Assistant] You normally count the years or you look at the changes in his/her body structure?

[User] Changes in their body structure. There are some who grows very fast.

[Assistant] What about you how did you know that you are now a mature girl what were the signs?

[User] By then there were no schools so I saw my breast became big and I started my menstruation period.

[Assistant] Mother, you told me that you were born in Melela and when did you came to Mela?


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

[User] Changes in their body structure. There are some who grows very fast.

[Assistant] What about you how did you know that you are now a mature girl what were the signs?

[User] By then there were no schools so I saw my breast became big and I started my menstruation period.

[Assistant] Mother, you told me that you were born in Melela and when did you came to Mela?

[User] I have six years now.

[Assistant] What made you to come to Mela?


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

[User] By then there were no schools so I saw my breast became big and I started my menstruation period.

[Assistant] Mother, you told me that you were born in Melela and when did you came to Mela?

[User] I have six years now.

[Assistant] What made you to come to Mela?

[User] We bought land here in Mela so we decide to come here and rear our livestock.

[Assistant] And who else are you living with in your household?


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

[User] I have six years now.

[Assistant] What made you to come to Mela?

[User] We bought land here in Mela so we decide to come here and rear our livestock.

[Assistant] And who else are you living with in your household?

[User] It is me, my children, my husband and my co-wife.

[Assistant] Do you live in the same house with your co wife?


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

[User] We bought land here in Mela so we decide to come here and rear our livestock.

[Assistant] And who else are you living with in your household?

[User] It is me, my children, my husband and my co-wife.

[Assistant] Do you live in the same house with your co wife?

[User] No, she has her own house.

[Assistant] How old is your co-wife?


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

[User] It is me, my children, my husband and my co-wife.

[Assistant] Do you live in the same house with your co wife?

[User] No, she has her own house.

[Assistant] How old is your co-wife?

[User] She is younger than me she is about 22years old.

[Assistant] Which activities do you engage yourselves in order to earn a living?


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

[User] No, she has her own house.

[Assistant] How old is your co-wife?

[User] She is younger than me she is about 22years old.

[Assistant] Which activities do you engage yourselves in order to earn a living?

[User] Livestock rearing; we rear cattle, goats and chicken.

[Assistant] What about when you were living with your parents what kind of livestock were you rearing?


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

[User] She is younger than me she is about 22years old.

[Assistant] Which activities do you engage yourselves in order to earn a living?

[User] Livestock rearing; we rear cattle, goats and chicken.

[Assistant] What about when you were living with your parents what kind of livestock were you rearing?

[User] Cattle and goats.

[Assistant] What about chicken? I was told in the past Maasai were not rearing chicken is that so?


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

[User] Livestock rearing; we rear cattle, goats and chicken.

[Assistant] What about when you were living with your parents what kind of livestock were you rearing?

[User] Cattle and goats.

[Assistant] What about chicken? I was told in the past Maasai were not rearing chicken is that so?

[User] They were there but for sale not for consumption.

[Assistant] What made you to eat chicken nowadays?


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

[User] Cattle and goats.

[Assistant] What about chicken? I was told in the past Maasai were not rearing chicken is that so?

[User] They were there but for sale not for consumption.

[Assistant] What made you to eat chicken nowadays?

[User] I do not know may be people are changing I thinks we are somehow enlightened because nowadays were eating eggs, chicken we even sell chicken.

[Assistant] What is it that made you change?


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

[User] They were there but for sale not for consumption.

[Assistant] What made you to eat chicken nowadays?

[User] I do not know may be people are changing I thinks we are somehow enlightened because nowadays were eating eggs, chicken we even sell chicken.

[Assistant] What is it that made you change?

[User] May be because we interact with Swahili people.

[Assistant] Is there any difference in your lifestyle nowadays as compared with the past when you were living with your parents?


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

[User] I do not know may be people are changing I thinks we are somehow enlightened because nowadays were eating eggs, chicken we even sell chicken.

[Assistant] What is it that made you change?

[User] May be because we interact with Swahili people.

[Assistant] Is there any difference in your lifestyle nowadays as compared with the past when you were living with your parents?

[User] Yes there is, because when I was living with my parent I was a child depending on my parent but now I am a mother with children who depend on me so my responsibilities has increased.

[Assistant] Are there any side affects you got from these changes in your lifestyle?


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

[User] May be because we interact with Swahili people.

[Assistant] Is there any difference in your lifestyle nowadays as compared with the past when you were living with your parents?

[User] Yes there is, because when I was living with my parent I was a child depending on my parent but now I am a mother with children who depend on me so my responsibilities has increased.

[Assistant] Are there any side affects you got from these changes in your lifestyle?

[User] No there is no any bad effect?

[Assistant] And what about benefits?


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

[User] Yes there is, because when I was living with my parent I was a child depending on my parent but now I am a mother with children who depend on me so my responsibilities has increased.

[Assistant] Are there any side affects you got from these changes in your lifestyle?

[User] No there is no any bad effect?

[Assistant] And what about benefits?

[User] There are so many benefits, the fact that you’re living in your house with your husband and children, you have your own cows and goats, you can do your own things without depending on your parents.

[Assistant] What are the duties and responsibilities of men and women in your household starting with men?


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

[User] No there is no any bad effect?

[Assistant] And what about benefits?

[User] There are so many benefits, the fact that you’re living in your house with your husband and children, you have your own cows and goats, you can do your own things without depending on your parents.

[Assistant] What are the duties and responsibilities of men and women in your household starting with men?

[User] Men main responsibilities is to provide for the family so he must work and our main source of income is selling of livestock so he we will sell the cow or goats so as to cater for the family.

[Assistant] And what are the duties and responsibilities of women in your household, now that you are two what are your responsibilities?


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

[User] There are so many benefits, the fact that you’re living in your house with your husband and children, you have your own cows and goats, you can do your own things without depending on your parents.

[Assistant] What are the duties and responsibilities of men and women in your household starting with men?

[User] Men main responsibilities is to provide for the family so he must work and our main source of income is selling of livestock so he we will sell the cow or goats so as to cater for the family.

[Assistant] And what are the duties and responsibilities of women in your household, now that you are two what are your responsibilities?

[User] Household chores like washing dishes, cooking, feeding and bathing our children, fetching water and firewood.

[Assistant] Do you think lifestyle changes have caused differences in the duties and responsibilities of women of nowadays as compared to responsibilities of women in the past?


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

[User] Men main responsibilities is to provide for the family so he must work and our main source of income is selling of livestock so he we will sell the cow or goats so as to cater for the family.

[Assistant] And what are the duties and responsibilities of women in your household, now that you are two what are your responsibilities?

[User] Household chores like washing dishes, cooking, feeding and bathing our children, fetching water and firewood.

[Assistant] Do you think lifestyle changes have caused differences in the duties and responsibilities of women of nowadays as compared to responsibilities of women in the past?

[User] It is still the same.

[Assistant] What about Men are any difference on duties and responsibilities of men of nowadays and in the past?


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

[User] Household chores like washing dishes, cooking, feeding and bathing our children, fetching water and firewood.

[Assistant] Do you think lifestyle changes have caused differences in the duties and responsibilities of women of nowadays as compared to responsibilities of women in the past?

[User] It is still the same.

[Assistant] What about Men are any difference on duties and responsibilities of men of nowadays and in the past?

[User] No, the there is no differences.

[Assistant] Most of people in Mela are now involved in farming are your household also involved in farming?


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

[User] It is still the same.

[Assistant] What about Men are any difference on duties and responsibilities of men of nowadays and in the past?

[User] No, the there is no differences.

[Assistant] Most of people in Mela are now involved in farming are your household also involved in farming?

[User] Yes we are growing Maize, vegetables.

[Assistant] You told me earlier that you were not farming but now you do farming, is there any benefit you got out of these lifestyle changes.


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

[User] No, the there is no differences.

[Assistant] Most of people in Mela are now involved in farming are your household also involved in farming?

[User] Yes we are growing Maize, vegetables.

[Assistant] You told me earlier that you were not farming but now you do farming, is there any benefit you got out of these lifestyle changes.

[User] Yes, before we were buying food but now we grow our own food so it is a benefit to us.

[Assistant] How many children do you have?


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

[User] Yes we are growing Maize, vegetables.

[Assistant] You told me earlier that you were not farming but now you do farming, is there any benefit you got out of these lifestyle changes.

[User] Yes, before we were buying food but now we grow our own food so it is a benefit to us.

[Assistant] How many children do you have?

[User] Two children.

[Assistant] And how old is your first child?


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

[User] Yes, before we were buying food but now we grow our own food so it is a benefit to us.

[Assistant] How many children do you have?

[User] Two children.

[Assistant] And how old is your first child?

[User] He is 20 years old.

[Assistant] What are his duties and responsibilities here at home?


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

[User] Two children.

[Assistant] And how old is your first child?

[User] He is 20 years old.

[Assistant] What are his duties and responsibilities here at home?

[User] He is still in school.

[Assistant] So what are his duties here at home?


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

[User] He is 20 years old.

[Assistant] What are his duties and responsibilities here at home?

[User] He is still in school.

[Assistant] So what are his duties here at home?

[User] Mhh may be my husband will tell him to go and look after the cattle when he is available.

[Assistant] Mother, do you have a daughter.


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

[User] He is still in school.

[Assistant] So what are his duties here at home?

[User] Mhh may be my husband will tell him to go and look after the cattle when he is available.

[Assistant] Mother, do you have a daughter.

[User] No, I don’t.

[Assistant] Okay, and what about your co-wife does she have a daughter?


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

[User] Mhh may be my husband will tell him to go and look after the cattle when he is available.

[Assistant] Mother, do you have a daughter.

[User] No, I don’t.

[Assistant] Okay, and what about your co-wife does she have a daughter?

[User] Yes but she is still young.

[Assistant] Mother when we were here before we were told nowadays people of Mela changed the food they eat these days they eat fish, chicken, eggs and even chips enriched with eggs and the way they prepare the food has also changed nowadays they fry most of the food unlike in the past were most of the food were boiled so mother I would like to know if you have seen or experienced these changes in the way food is prepared, or changes on the feeding habits or changes on the types of food?


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

[User] No, I don’t.

[Assistant] Okay, and what about your co-wife does she have a daughter?

[User] Yes but she is still young.

[Assistant] Mother when we were here before we were told nowadays people of Mela changed the food they eat these days they eat fish, chicken, eggs and even chips enriched with eggs and the way they prepare the food has also changed nowadays they fry most of the food unlike in the past were most of the food were boiled so mother I would like to know if you have seen or experienced these changes in the way food is prepared, or changes on the feeding habits or changes on the types of food?

[User] Yes there are changes, in the past we used to boil meat or vegetables everything was boiled but nowadays we know how to fry meat.

[Assistant] What are the reasons for these changes?


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

[User] Yes but she is still young.

[Assistant] Mother when we were here before we were told nowadays people of Mela changed the food they eat these days they eat fish, chicken, eggs and even chips enriched with eggs and the way they prepare the food has also changed nowadays they fry most of the food unlike in the past were most of the food were boiled so mother I would like to know if you have seen or experienced these changes in the way food is prepared, or changes on the feeding habits or changes on the types of food?

[User] Yes there are changes, in the past we used to boil meat or vegetables everything was boiled but nowadays we know how to fry meat.

[Assistant] What are the reasons for these changes?

[User] Nowadays we are enlightened we know God, we pray and you know the word of God open up your mind,

[Assistant] Apart from knowing God what else has changes you’re eating lifestyle?


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

[User] Yes there are changes, in the past we used to boil meat or vegetables everything was boiled but nowadays we know how to fry meat.

[Assistant] What are the reasons for these changes?

[User] Nowadays we are enlightened we know God, we pray and you know the word of God open up your mind,

[Assistant] Apart from knowing God what else has changes you’re eating lifestyle?

[User] Mhhhh.

[Assistant] Do you think interaction with of other tribes can contribute to the changes in your eating lifestyle?


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

[User] Nowadays we are enlightened we know God, we pray and you know the word of God open up your mind,

[Assistant] Apart from knowing God what else has changes you’re eating lifestyle?

[User] Mhhhh.

[Assistant] Do you think interaction with of other tribes can contribute to the changes in your eating lifestyle?

[User] Because nowadays we are interacting with Swahili people?

[Assistant] So what have you learnt from Swahili people?


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

[User] Mhhhh.

[Assistant] Do you think interaction with of other tribes can contribute to the changes in your eating lifestyle?

[User] Because nowadays we are interacting with Swahili people?

[Assistant] So what have you learnt from Swahili people?

[User] We have learnt how to prepare good food, eating variety of food, hygiene.

[Assistant] What about availability of food do you think it has contributed to the changes of your eating lifestyle?


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

[User] Because nowadays we are interacting with Swahili people?

[Assistant] So what have you learnt from Swahili people?

[User] We have learnt how to prepare good food, eating variety of food, hygiene.

[Assistant] What about availability of food do you think it has contributed to the changes of your eating lifestyle?

[User] No.

[Assistant] What about price of food do you think it has contributed to the changes of your eating lifestyle?


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

[User] We have learnt how to prepare good food, eating variety of food, hygiene.

[Assistant] What about availability of food do you think it has contributed to the changes of your eating lifestyle?

[User] No.

[Assistant] What about price of food do you think it has contributed to the changes of your eating lifestyle?

[User] No.

[Assistant] What about availability of firewood may be?


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

[User] No.

[Assistant] What about price of food do you think it has contributed to the changes of your eating lifestyle?

[User] No.

[Assistant] What about availability of firewood may be?

[User] No.

[Assistant] Mother you have mentioned so many reasons including religion, interaction with other tribes, and availability of food so which among these reasons is the first one?


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

[User] No.

[Assistant] What about availability of firewood may be?

[User] No.

[Assistant] Mother you have mentioned so many reasons including religion, interaction with other tribes, and availability of food so which among these reasons is the first one?

[User] I think education and drought also contribute to these changes.

[Assistant] Okay Mother, among religion, education, drought, and interaction with other tribe which is the major reason that contribute to the changes in your eating lifestyle?


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

[User] No.

[Assistant] Mother you have mentioned so many reasons including religion, interaction with other tribes, and availability of food so which among these reasons is the first one?

[User] I think education and drought also contribute to these changes.

[Assistant] Okay Mother, among religion, education, drought, and interaction with other tribe which is the major reason that contribute to the changes in your eating lifestyle?

[User] Mhhh

[Assistant] How have these changes affected you and your family: starting with men, a male child, you and a girl child?


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

[User] I think education and drought also contribute to these changes.

[Assistant] Okay Mother, among religion, education, drought, and interaction with other tribe which is the major reason that contribute to the changes in your eating lifestyle?

[User] Mhhh

[Assistant] How have these changes affected you and your family: starting with men, a male child, you and a girl child?

[User] No.

[Assistant] There are no changes that had occurred?


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

[User] Mhhh

[Assistant] How have these changes affected you and your family: starting with men, a male child, you and a girl child?

[User] No.

[Assistant] There are no changes that had occurred?

[User] No,

[Assistant] What about low production of milk?


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

[User] No.

[Assistant] There are no changes that had occurred?

[User] No,

[Assistant] What about low production of milk?

[User] Low production of milk has affected us you know we like taking milk so nowadays we do not have enough milk for our children and also adults, you know our children even if they have ugali with vegetable they will request for milk.

[Assistant] So how has your traditions and culture affected with these changes in the eating lifestyle?


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

[User] No,

[Assistant] What about low production of milk?

[User] Low production of milk has affected us you know we like taking milk so nowadays we do not have enough milk for our children and also adults, you know our children even if they have ugali with vegetable they will request for milk.

[Assistant] So how has your traditions and culture affected with these changes in the eating lifestyle?

[User] It has not affected us.

[Assistant] What are the benefits that you got out of these changes?


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

[User] Low production of milk has affected us you know we like taking milk so nowadays we do not have enough milk for our children and also adults, you know our children even if they have ugali with vegetable they will request for milk.

[Assistant] So how has your traditions and culture affected with these changes in the eating lifestyle?

[User] It has not affected us.

[Assistant] What are the benefits that you got out of these changes?

[User] Nowadays you eat food and you feel satisfied.

[Assistant] What kind of food you eat and feel satisfied?


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

[User] It has not affected us.

[Assistant] What are the benefits that you got out of these changes?

[User] Nowadays you eat food and you feel satisfied.

[Assistant] What kind of food you eat and feel satisfied?

[User] Like rice and meat.

[Assistant] In the past were you eating rice and meat?


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

[User] Nowadays you eat food and you feel satisfied.

[Assistant] What kind of food you eat and feel satisfied?

[User] Like rice and meat.

[Assistant] In the past were you eating rice and meat?

[User] Yes were eating meats but not rice.

[Assistant] Mother I would like to know if milk is important to you?


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

[User] Like rice and meat.

[Assistant] In the past were you eating rice and meat?

[User] Yes were eating meats but not rice.

[Assistant] Mother I would like to know if milk is important to you?

[User] Yes.

[Assistant] Why is it important?


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

[User] Yes were eating meats but not rice.

[Assistant] Mother I would like to know if milk is important to you?

[User] Yes.

[Assistant] Why is it important?

[User] Because when you eat ugali with fresh milk or fermented milk you get filled up quickly.

[Assistant] How is milk important to your body?


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

[User] Yes.

[Assistant] Why is it important?

[User] Because when you eat ugali with fresh milk or fermented milk you get filled up quickly.

[Assistant] How is milk important to your body?

[User] It is important because you will be healthy and boost your blood counts

[Assistant] How is milk important to your family?


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

[User] Because when you eat ugali with fresh milk or fermented milk you get filled up quickly.

[Assistant] How is milk important to your body?

[User] It is important because you will be healthy and boost your blood counts

[Assistant] How is milk important to your family?

[User] Because children are satisfied when they take milk.

[Assistant] Mother I would like to know if milk is less important or important or very important to your family?


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

[User] It is important because you will be healthy and boost your blood counts

[Assistant] How is milk important to your family?

[User] Because children are satisfied when they take milk.

[Assistant] Mother I would like to know if milk is less important or important or very important to your family?

[User] Milk is very important to Maasai because if we do not take milk our body is weakened.

[Assistant] When we were here last February people told us that milk is not available as it is used to be and also there changes in price I would like to know what the cause’s unavailability of milk is?


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

[User] Because children are satisfied when they take milk.

[Assistant] Mother I would like to know if milk is less important or important or very important to your family?

[User] Milk is very important to Maasai because if we do not take milk our body is weakened.

[Assistant] When we were here last February people told us that milk is not available as it is used to be and also there changes in price I would like to know what the cause’s unavailability of milk is?

[User] Drought is the reason why we do not have milk,

[Assistant] How does drought causes unavailability of milk?


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

[User] Milk is very important to Maasai because if we do not take milk our body is weakened.

[Assistant] When we were here last February people told us that milk is not available as it is used to be and also there changes in price I would like to know what the cause’s unavailability of milk is?

[User] Drought is the reason why we do not have milk,

[Assistant] How does drought causes unavailability of milk?

[User] Milk is not available during dry season because there is no pasture for cows to feed on.

[Assistant] What is another reason?


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

[User] Drought is the reason why we do not have milk,

[Assistant] How does drought causes unavailability of milk?

[User] Milk is not available during dry season because there is no pasture for cows to feed on.

[Assistant] What is another reason?

[User] cows move to a far place looking for pastures so that makes us not to milk them.

[Assistant] Mother I would like to know who is responsible for buying food in your household?


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

[User] Milk is not available during dry season because there is no pasture for cows to feed on.

[Assistant] What is another reason?

[User] cows move to a far place looking for pastures so that makes us not to milk them.

[Assistant] Mother I would like to know who is responsible for buying food in your household?

[User] My husband.

[Assistant] And who is going to the market to buy food?


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

[User] cows move to a far place looking for pastures so that makes us not to milk them.

[Assistant] Mother I would like to know who is responsible for buying food in your household?

[User] My husband.

[Assistant] And who is going to the market to buy food?

[User] Me (Mother)

[Assistant] And what type of food do you normally buy?


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

[User] My husband.

[Assistant] And who is going to the market to buy food?

[User] Me (Mother)

[Assistant] And what type of food do you normally buy?

[User] Rice, vegetables, maize flour.

[Assistant] And who is making decision on amount of money to be used to buy food?


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

[User] Me (Mother)

[Assistant] And what type of food do you normally buy?

[User] Rice, vegetables, maize flour.

[Assistant] And who is making decision on amount of money to be used to buy food?

[User] My husband.

[Assistant] And who else is involved?


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

[User] Rice, vegetables, maize flour.

[Assistant] And who is making decision on amount of money to be used to buy food?

[User] My husband.

[Assistant] And who else is involved?

[User] Me (mother)

[Assistant] Who has the final decision on the amount of money to be spent on foodstuff?


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

[User] My husband.

[Assistant] And who else is involved?

[User] Me (mother)

[Assistant] Who has the final decision on the amount of money to be spent on foodstuff?

[User] My husband.

[Assistant] Which type of food does your husband normally buy at the market?


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

[User] Me (mother)

[Assistant] Who has the final decision on the amount of money to be spent on foodstuff?

[User] My husband.

[Assistant] Which type of food does your husband normally buy at the market?

[User] He buys maize and mill then then he brought flour home.

[Assistant] What about vegetables and beans, who normally make decision of buying them?


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

[User] My husband.

[Assistant] Which type of food does your husband normally buy at the market?

[User] He buys maize and mill then then he brought flour home.

[Assistant] What about vegetables and beans, who normally make decision of buying them?

[User] It is my husband who gives me money to buy vegetables.

[Assistant] If you compare the distance form your place to the market and your parents’ house to the market which one is far?


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

[User] He buys maize and mill then then he brought flour home.

[Assistant] What about vegetables and beans, who normally make decision of buying them?

[User] It is my husband who gives me money to buy vegetables.

[Assistant] If you compare the distance form your place to the market and your parents’ house to the market which one is far?

[User] My parents’ house to the market is very far and those days we did not have transport like now.

[Assistant] Which types of food were available those days but are not available in the market nowadays?


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

[User] It is my husband who gives me money to buy vegetables.

[Assistant] If you compare the distance form your place to the market and your parents’ house to the market which one is far?

[User] My parents’ house to the market is very far and those days we did not have transport like now.

[Assistant] Which types of food were available those days but are not available in the market nowadays?

[User] Mhhh.

[Assistant] What about cow fats were they available in the markets during those days?


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

[User] My parents’ house to the market is very far and those days we did not have transport like now.

[Assistant] Which types of food were available those days but are not available in the market nowadays?

[User] Mhhh.

[Assistant] What about cow fats were they available in the markets during those days?

[User] No.

[Assistant] And what about ghee?


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

[User] Mhhh.

[Assistant] What about cow fats were they available in the markets during those days?

[User] No.

[Assistant] And what about ghee?

[User] No.

[Assistant] I would like us to discuss about food preparation, which type of food do you prepare for your family?


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

[User] No.

[Assistant] And what about ghee?

[User] No.

[Assistant] I would like us to discuss about food preparation, which type of food do you prepare for your family?

[User] I prepare ugali, green vegetables and milk.

[Assistant] What about rice, cassava, bananas and potatoes?


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

[User] No.

[Assistant] I would like us to discuss about food preparation, which type of food do you prepare for your family?

[User] I prepare ugali, green vegetables and milk.

[Assistant] What about rice, cassava, bananas and potatoes?

[User] Yes we prepare cassava and have them with tea in the morning.

[Assistant] What is it that influences you to cook the type of food you cook for your family?


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

[User] I prepare ugali, green vegetables and milk.

[Assistant] What about rice, cassava, bananas and potatoes?

[User] Yes we prepare cassava and have them with tea in the morning.

[Assistant] What is it that influences you to cook the type of food you cook for your family?

[User] You just decide to eat a particular food example you ate ugali yesterday then you may decide to eat rice today.

[Assistant] What else influences you?


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

[User] Yes we prepare cassava and have them with tea in the morning.

[Assistant] What is it that influences you to cook the type of food you cook for your family?

[User] You just decide to eat a particular food example you ate ugali yesterday then you may decide to eat rice today.

[Assistant] What else influences you?

[User] If you can afford to buy the food you can prepare the food for your family.

[Assistant] And what is another reason?


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

[User] You just decide to eat a particular food example you ate ugali yesterday then you may decide to eat rice today.

[Assistant] What else influences you?

[User] If you can afford to buy the food you can prepare the food for your family.

[Assistant] And what is another reason?

[User] I think if you have money you can buy the food you want.

[Assistant] Between affordability and your decision to eat a particular food, what influences you most?


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

[User] If you can afford to buy the food you can prepare the food for your family.

[Assistant] And what is another reason?

[User] I think if you have money you can buy the food you want.

[Assistant] Between affordability and your decision to eat a particular food, what influences you most?

[User] I think if you feel like eating a particular food you buy and eat with your family.

[Assistant] What about easiness of preparing that particular food?


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

[User] I think if you have money you can buy the food you want.

[Assistant] Between affordability and your decision to eat a particular food, what influences you most?

[User] I think if you feel like eating a particular food you buy and eat with your family.

[Assistant] What about easiness of preparing that particular food?

[User] No.

[Assistant] Okay mother, we have completed that part, we are coming to another part which is concerned with the strategies and ways of withstanding food shortage, have you ever experienced food shortage both when you were living with you parents and now you have your own home?


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

[User] I think if you feel like eating a particular food you buy and eat with your family.

[Assistant] What about easiness of preparing that particular food?

[User] No.

[Assistant] Okay mother, we have completed that part, we are coming to another part which is concerned with the strategies and ways of withstanding food shortage, have you ever experienced food shortage both when you were living with you parents and now you have your own home?

[User] Yes.

[Assistant] When was it?


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

[User] Yes.

[Assistant] When was it?

[User] It was during dry season.

[Assistant] Which year?

[User] Mhh I do not remember the year.

[Assistant] Which type of food was not available?


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

[User] It was during dry season.

[Assistant] Which year?

[User] Mhh I do not remember the year.

[Assistant] Which type of food was not available?

[User] Even Ugali we were not eating every day, there are some days we did not have food so we used to drink milk and sleep.

[Assistant] Which months was that?


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

[User] Mhh I do not remember the year.

[Assistant] Which type of food was not available?

[User] Even Ugali we were not eating every day, there are some days we did not have food so we used to drink milk and sleep.

[Assistant] Which months was that?

[User] September, October, November.

[Assistant] How long did it last?


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

[User] Even Ugali we were not eating every day, there are some days we did not have food so we used to drink milk and sleep.

[Assistant] Which months was that?

[User] September, October, November.

[Assistant] How long did it last?

[User] I do not remember, it was the time I was living with my parents.

[Assistant] What about the entire Melela community did they also experience food shortage?


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

[User] September, October, November.

[Assistant] How long did it last?

[User] I do not remember, it was the time I was living with my parents.

[Assistant] What about the entire Melela community did they also experience food shortage?

[User] Yes.

[Assistant] What was the main reason for the food shortage?


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

[User] I do not remember, it was the time I was living with my parents.

[Assistant] What about the entire Melela community did they also experience food shortage?

[User] Yes.

[Assistant] What was the main reason for the food shortage?

[User] It was drought; the rains did not come on time.

[Assistant] How did your family overcame the situation?


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

[User] Yes.

[Assistant] What was the main reason for the food shortage?

[User] It was drought; the rains did not come on time.

[Assistant] How did your family overcame the situation?

[User] My father used to go out there and seeking for food.

[Assistant] What was he doing so that he can get food for the family?


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

[User] It was drought; the rains did not come on time.

[Assistant] How did your family overcame the situation?

[User] My father used to go out there and seeking for food.

[Assistant] What was he doing so that he can get food for the family?

[User] He used to sell cows and buy food for the family he did not have any other job.

[Assistant] What about slaughtering a cow so that you can get food?


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

[User] My father used to go out there and seeking for food.

[Assistant] What was he doing so that he can get food for the family?

[User] He used to sell cows and buy food for the family he did not have any other job.

[Assistant] What about slaughtering a cow so that you can get food?

[User] Eeeeh

[Assistant] How many times?


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

[User] He used to sell cows and buy food for the family he did not have any other job.

[Assistant] What about slaughtering a cow so that you can get food?

[User] Eeeeh

[Assistant] How many times?

[User] Few times: it was once in a while.

[Assistant] And when there was a food shortage, how was your feeding like both children and adult in your household?


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

[User] Eeeeh

[Assistant] How many times?

[User] Few times: it was once in a while.

[Assistant] And when there was a food shortage, how was your feeding like both children and adult in your household?

[User] Children were eating in the morning and afternoon: in the morning they were having milk then in the afternoon they eat ugali with milk and as for adult they were having fermented milk in the morning and also ugali in the afternoon

[Assistant] During dry season when there was a food shortage how was you feed like; did you eat less or it was just normal as compare when there is plenty of food.


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

[User] Few times: it was once in a while.

[Assistant] And when there was a food shortage, how was your feeding like both children and adult in your household?

[User] Children were eating in the morning and afternoon: in the morning they were having milk then in the afternoon they eat ugali with milk and as for adult they were having fermented milk in the morning and also ugali in the afternoon

[Assistant] During dry season when there was a food shortage how was you feed like; did you eat less or it was just normal as compare when there is plenty of food.

[User] When there is plenty of food they eat thrice a day and when there is shortage of food they eat twice a day.

[Assistant] Who was the main victim of hunger?


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

[User] When there is plenty of food they eat thrice a day and when there is shortage of food they eat twice a day.

[Assistant] Who was the main victim of hunger?

[User] My husband.

[Assistant] Why him?

[User] Because he is the one who is providing food for us so he must work hard so that he can be able to provide food for the family.

[Assistant] Were you able to borrow food from your neighbour?


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

[User] My husband.

[Assistant] Why him?

[User] Because he is the one who is providing food for us so he must work hard so that he can be able to provide food for the family.

[Assistant] Were you able to borrow food from your neighbour?

[User] Yes, we used to do that.

[Assistant] Which type of food did you normally borrow?


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

[User] Because he is the one who is providing food for us so he must work hard so that he can be able to provide food for the family.

[Assistant] Were you able to borrow food from your neighbour?

[User] Yes, we used to do that.

[Assistant] Which type of food did you normally borrow?

[User] Maize flour.

[Assistant] What about going to the forest to pick wild vegetable?


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

[User] Yes, we used to do that.

[Assistant] Which type of food did you normally borrow?

[User] Maize flour.

[Assistant] What about going to the forest to pick wild vegetable?

[User] No.

[Assistant] Was your husband working in exchange of food?


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

[User] Maize flour.

[Assistant] What about going to the forest to pick wild vegetable?

[User] No.

[Assistant] Was your husband working in exchange of food?

[User] No.

[Assistant] What about exchanging food with other people example you exchange a cow with maize flour?


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

[User] No.

[Assistant] Was your husband working in exchange of food?

[User] No.

[Assistant] What about exchanging food with other people example you exchange a cow with maize flour?

[User] No.

[Assistant] And now that you have your own home when did you experience food shortage?


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

[User] No.

[Assistant] And now that you have your own home when did you experience food shortage?

[User] When it was dry season.

[Assistant] Which year?

[User] Last year (2016)

[Assistant] From which month did you experience food shortage?


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

[User] When it was dry season.

[Assistant] Which year?

[User] Last year (2016)

[Assistant] From which month did you experience food shortage?

[User] From January February and March.

[Assistant] For how long did it last?


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

[User] Last year (2016)

[Assistant] From which month did you experience food shortage?

[User] From January February and March.

[Assistant] For how long did it last?

[User] Six months.

[Assistant] What was the reason for food shortage?


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

[User] From January February and March.

[Assistant] For how long did it last?

[User] Six months.

[Assistant] What was the reason for food shortage?

[User] Rain did not fall on time.

[Assistant] And what is another reason?


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

[User] Six months.

[Assistant] What was the reason for food shortage?

[User] Rain did not fall on time.

[Assistant] And what is another reason?

[User] No, It is only that.

[Assistant] So what measures did you take to overcome hunger?


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

[User] Rain did not fall on time.

[Assistant] And what is another reason?

[User] No, It is only that.

[Assistant] So what measures did you take to overcome hunger?

[User] It is only my husband who sold the cows and bought maize.

[Assistant] You told me your children are in school, do you think that is the reason for taking them to school?


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

[User] No, It is only that.

[Assistant] So what measures did you take to overcome hunger?

[User] It is only my husband who sold the cows and bought maize.

[Assistant] You told me your children are in school, do you think that is the reason for taking them to school?

[User] No.

[Assistant] What about you doing small businesses so as to earn money to buy food?


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

[User] It is only my husband who sold the cows and bought maize.

[Assistant] You told me your children are in school, do you think that is the reason for taking them to school?

[User] No.

[Assistant] What about you doing small businesses so as to earn money to buy food?

[User] No.

[Assistant] What measures did you take to overcome hunger now as compared to when you were living with your parents?


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

[User] No.

[Assistant] What about you doing small businesses so as to earn money to buy food?

[User] No.

[Assistant] What measures did you take to overcome hunger now as compared to when you were living with your parents?

[User] Yes it is different, at least now you can get food not like when I was in my father’s house.

[Assistant] I am talking about measures that you took to get food you told me last year you sold cows to buy maize so what did you do then to overcame hunger?


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

[User] No.

[Assistant] What measures did you take to overcome hunger now as compared to when you were living with your parents?

[User] Yes it is different, at least now you can get food not like when I was in my father’s house.

[Assistant] I am talking about measures that you took to get food you told me last year you sold cows to buy maize so what did you do then to overcame hunger?

[User] It is the same.

[Assistant] Thank you Mother for your good answer.


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

[User] Yes it is different, at least now you can get food not like when I was in my father’s house.

[Assistant] I am talking about measures that you took to get food you told me last year you sold cows to buy maize so what did you do then to overcame hunger?

[User] It is the same.

[Assistant] Thank you Mother for your good answer.

[User] Thank you.

[Assistant] Mother, what do you know about nutrition, eating lifestyle and good health, how has people of Mela get to know about the nutrition, healthy eating lifestyle so as to have good health?


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

[User] It is the same.

[Assistant] Thank you Mother for your good answer.

[User] Thank you.

[Assistant] Mother, what do you know about nutrition, eating lifestyle and good health, how has people of Mela get to know about the nutrition, healthy eating lifestyle so as to have good health?

[User] We have not heard of any?

[Assistant] Mhh, you have not heard of nutrition, good health?


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

[User] Thank you.

[Assistant] Mother, what do you know about nutrition, eating lifestyle and good health, how has people of Mela get to know about the nutrition, healthy eating lifestyle so as to have good health?

[User] We have not heard of any?

[Assistant] Mhh, you have not heard of nutrition, good health?

[User] No.

[Assistant] Did you ever gone to the clinic when you were pregnant and after delivery of the baby?


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

[User] We have not heard of any?

[Assistant] Mhh, you have not heard of nutrition, good health?

[User] No.

[Assistant] Did you ever gone to the clinic when you were pregnant and after delivery of the baby?

[User] Yes, they told us so many things including eating healthy food.

[Assistant] Apart from clinic were else did you hear about nutrition, healthy lifestyle?


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

[User] No.

[Assistant] Did you ever gone to the clinic when you were pregnant and after delivery of the baby?

[User] Yes, they told us so many things including eating healthy food.

[Assistant] Apart from clinic were else did you hear about nutrition, healthy lifestyle?

[User] There is no any other place.

[Assistant] What about schools?


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

[User] Yes, they told us so many things including eating healthy food.

[Assistant] Apart from clinic were else did you hear about nutrition, healthy lifestyle?

[User] There is no any other place.

[Assistant] What about schools?

[User] They teach our children.

[Assistant] Did your children told you about what they were taught in school and sometimes advice you to cook a certain food?


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

[User] There is no any other place.

[Assistant] What about schools?

[User] They teach our children.

[Assistant] Did your children told you about what they were taught in school and sometimes advice you to cook a certain food?

[User] Sometimes they say sometimes they forgot.

[Assistant] What about your family where did you get the information about nutrition and healthy eating lifestyle?


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

[User] They teach our children.

[Assistant] Did your children told you about what they were taught in school and sometimes advice you to cook a certain food?

[User] Sometimes they say sometimes they forgot.

[Assistant] What about your family where did you get the information about nutrition and healthy eating lifestyle?

[User] We have heard from people who come to our homes.

[Assistant] What did they tell you?


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

[User] Sometimes they say sometimes they forgot.

[Assistant] What about your family where did you get the information about nutrition and healthy eating lifestyle?

[User] We have heard from people who come to our homes.

[Assistant] What did they tell you?

[User] They ask what we normally eat.

[Assistant] And then what do they do or say?


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

[User] We have heard from people who come to our homes.

[Assistant] What did they tell you?

[User] They ask what we normally eat.

[Assistant] And then what do they do or say?

[User] Nothing.

[Assistant] You mean they do not advice you?


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

[User] They ask what we normally eat.

[Assistant] And then what do they do or say?

[User] Nothing.

[Assistant] You mean they do not advice you?

[User] They ask you and leave they did not tell us anything.

[Assistant] The information what you have received so far are they useful to you?


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

[User] Nothing.

[Assistant] You mean they do not advice you?

[User] They ask you and leave they did not tell us anything.

[Assistant] The information what you have received so far are they useful to you?

[User] Yes it is important because you now I know if you eat good food and if you eat variety of food you will be healthy.

[Assistant] Where did you hear that information?


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

[User] They ask you and leave they did not tell us anything.

[Assistant] The information what you have received so far are they useful to you?

[User] Yes it is important because you now I know if you eat good food and if you eat variety of food you will be healthy.

[Assistant] Where did you hear that information?

[User] From people who normally comes to talk to us.

[Assistant] Do you think this information is useful to you?


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

[User] From people who normally comes to talk to us.

[Assistant] Do you think this information is useful to you?

[User] Yes,

[Assistant] How?

[User] Because we know if you eat this kind of food is good for your health.

[Assistant] How can the information reach out to you, how do you think it should be conducted so that people of Mela can get this information about nutrition and healthy eating lifestyle?


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

[User] Yes,

[Assistant] How?

[User] Because we know if you eat this kind of food is good for your health.

[Assistant] How can the information reach out to you, how do you think it should be conducted so that people of Mela can get this information about nutrition and healthy eating lifestyle?

[User] May be they should conduct seminar and teach us.

[Assistant] Who is supposed to conduct the seminar so that all of you can get the knowledge, do you think village chairman should conduct the seminar or Ward executive officer or village secretary?


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

[User] Because we know if you eat this kind of food is good for your health.

[Assistant] How can the information reach out to you, how do you think it should be conducted so that people of Mela can get this information about nutrition and healthy eating lifestyle?

[User] May be they should conduct seminar and teach us.

[Assistant] Who is supposed to conduct the seminar so that all of you can get the knowledge, do you think village chairman should conduct the seminar or Ward executive officer or village secretary?

[User] Even Ward executive officer we will appreciate.

[Assistant] What about you’re Maasai Leader?


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

[User] May be they should conduct seminar and teach us.

[Assistant] Who is supposed to conduct the seminar so that all of you can get the knowledge, do you think village chairman should conduct the seminar or Ward executive officer or village secretary?

[User] Even Ward executive officer we will appreciate.

[Assistant] What about you’re Maasai Leader?

[User] It is okay even him?

[Assistant] Between your Maasai leader and Ward executive officer who you will all be comfortable to deliver the information.


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

[User] Even Ward executive officer we will appreciate.

[Assistant] What about you’re Maasai Leader?

[User] It is okay even him?

[Assistant] Between your Maasai leader and Ward executive officer who you will all be comfortable to deliver the information.

[User] I think our Maasai leader will be good because he will teach us both in Kiswahili and in Maasai language so it will be good because most of us will understand him.

[Assistant] What about health centres?


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

[User] It is okay even him?

[Assistant] Between your Maasai leader and Ward executive officer who you will all be comfortable to deliver the information.

[User] I think our Maasai leader will be good because he will teach us both in Kiswahili and in Maasai language so it will be good because most of us will understand him.

[Assistant] What about health centres?

[User] Even there is okay because if you go to the hospital you will get the information.

[Assistant] What if we broadcast it in the radios?


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

[User] I think our Maasai leader will be good because he will teach us both in Kiswahili and in Maasai language so it will be good because most of us will understand him.

[Assistant] What about health centres?

[User] Even there is okay because if you go to the hospital you will get the information.

[Assistant] What if we broadcast it in the radios?

[User] Yes, it is okay because we normally listen to the news

[Assistant] And what of churches?


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

[User] Even there is okay because if you go to the hospital you will get the information.

[Assistant] What if we broadcast it in the radios?

[User] Yes, it is okay because we normally listen to the news

[Assistant] And what of churches?

[User] Even Churches we will get the information because we go to church every Sundays.

[Assistant] So between churches, health centres, and radios where can we do it so that most of you can get information?


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

[User] Yes, it is okay because we normally listen to the news

[Assistant] And what of churches?

[User] Even Churches we will get the information because we go to church every Sundays.

[Assistant] So between churches, health centres, and radios where can we do it so that most of you can get information?

[User] Health centres.

[Assistant] What about churches?


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

[User] Even Churches we will get the information because we go to church every Sundays.

[Assistant] So between churches, health centres, and radios where can we do it so that most of you can get information?

[User] Health centres.

[Assistant] What about churches?

[User] Yes, churches.

[Assistant] Between churches and your Maasai leaders whom do you trust will deliver the information?


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

[User] Health centres.

[Assistant] What about churches?

[User] Yes, churches.

[Assistant] Between churches and your Maasai leaders whom do you trust will deliver the information?

[User] Pastor.

[Assistant] Thank you very much for your time we have to the end of our interview.


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

[User] I am Doctor ..., 30 years old, Bachelor of Science in Medicine and Surgery and I work with Wakiso district Local Government.

[Assistant] Where did you train from?

[User] Kampala international University.

[Assistant] Okay, thank you so much. How long have you been qualified?

[User] Its now two years.

[Assistant] And how long have you been working in Wakiso Health Center IV?


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

[User] Kampala international University.

[Assistant] Okay, thank you so much. How long have you been qualified?

[User] Its now two years.

[Assistant] And how long have you been working in Wakiso Health Center IV?

[User] I have been here for almost a year.

[Assistant] You are a government worker?


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

[User] Its now two years.

[Assistant] And how long have you been working in Wakiso Health Center IV?

[User] I have been here for almost a year.

[Assistant] You are a government worker?

[User] Yes.

[Assistant] So you have been working at Wakiso for almost a year!


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

[User] I have been here for almost a year.

[Assistant] You are a government worker?

[User] Yes.

[Assistant] So you have been working at Wakiso for almost a year!

[User] Yes.

[Assistant] So tell me about the demographics of the patients you see in practice and the commonest illnesses.


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

[User] Yes.

[Assistant] So you have been working at Wakiso for almost a year!

[User] Yes.

[Assistant] So tell me about the demographics of the patients you see in practice and the commonest illnesses.

[User] We see patients from neonates up to old ages but we commonly see patients with upper respiratory tract infections, infections which cause fevers like malaria and skin infections normally in OPD. But we have certain illnesses that are separated, like non-communicable diseases like hypertensions and diabetes on different days. We have an HIV clinic where we see clients and we have a post-operative ward where we do Caesarian sections. So we do most of the cases and those we can’t isolate, we refer to higher places where they can get better specialists.

[Assistant] These patients that you see, tell me about their age groups; what specific conditions are common in different age groups? For example, 0-5, the young ones and teenagers. What common illnesses are in the different age groups?


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

[User] Yes.

[Assistant] So tell me about the demographics of the patients you see in practice and the commonest illnesses.

[User] We see patients from neonates up to old ages but we commonly see patients with upper respiratory tract infections, infections which cause fevers like malaria and skin infections normally in OPD. But we have certain illnesses that are separated, like non-communicable diseases like hypertensions and diabetes on different days. We have an HIV clinic where we see clients and we have a post-operative ward where we do Caesarian sections. So we do most of the cases and those we can’t isolate, we refer to higher places where they can get better specialists.

[Assistant] These patients that you see, tell me about their age groups; what specific conditions are common in different age groups? For example, 0-5, the young ones and teenagers. What common illnesses are in the different age groups?

[User] Commonly, if I start with the neonates, it is normally neonatal sepsis. Then outside neonatal period, 1 and 2 months to 5 years, they commonly present with upper respiratory tract infections, pneumonias, cough, and then sometimes with other fever conditions like malaria and febrile convulsions. Then from around 6 years to 15, they normally also present with upper respiratory infections, cough sometimes those fevers, flu and malaria. Then the adults like I told you, we have many with HIV, so there’s no separate group of ages. With hypertension, our patients are always above four years and we also have a few with diabetic children. I think we have one day a week where we carry out DM clinics; we can have one or two in a week that we see, so we find that most of the hypertensives are about 40 years. HAART clinic is general, then as I told you, the labor suite are normally for mothers.

[Assistant] Okay, thank you so much. Tell me a little bit about your training in Rheumatic Heart Disease; have you received any training in school about Rheumatic Heart Disease?


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

[User] Commonly, if I start with the neonates, it is normally neonatal sepsis. Then outside neonatal period, 1 and 2 months to 5 years, they commonly present with upper respiratory tract infections, pneumonias, cough, and then sometimes with other fever conditions like malaria and febrile convulsions. Then from around 6 years to 15, they normally also present with upper respiratory infections, cough sometimes those fevers, flu and malaria. Then the adults like I told you, we have many with HIV, so there’s no separate group of ages. With hypertension, our patients are always above four years and we also have a few with diabetic children. I think we have one day a week where we carry out DM clinics; we can have one or two in a week that we see, so we find that most of the hypertensives are about 40 years. HAART clinic is general, then as I told you, the labor suite are normally for mothers.

[Assistant] Okay, thank you so much. Tell me a little bit about your training in Rheumatic Heart Disease; have you received any training in school about Rheumatic Heart Disease?

[User] It was not specific, just the normal lectures. There wasn't anything specific about it.

[Assistant] Okay, was it like a course unit or it was like when you do a problem based learning where they give you a topic to research on? How was it?

[User] Some topics I can’t remember what we did for that, but I do remember we did problem-based and others in lecture, but I do recall we covered that although am not sure if it was under problem-based or lecture.

[Assistant] Okay. So since you graduated, have you received any training in Rheumatic Heart Disease?


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

[User] Some topics I can’t remember what we did for that, but I do remember we did problem-based and others in lecture, but I do recall we covered that although am not sure if it was under problem-based or lecture.

[Assistant] Okay. So since you graduated, have you received any training in Rheumatic Heart Disease?

[User] No.

[Assistant] You haven’t!

[User] We haven’t.

[Assistant] Okay, so in Wakiso Health Center, how many patients with Rheumatic Heart Disease do you often see in maybe a day, week or month?


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

[User] No.

[Assistant] You haven’t!

[User] We haven’t.

[Assistant] Okay, so in Wakiso Health Center, how many patients with Rheumatic Heart Disease do you often see in maybe a day, week or month?

[User] Particularly for the time I have been here I have not diagnosed any patient with Rheumatic Heart Disease. It’s not that I have not seen, I just can’t confirm. But it takes time to diagnose that kind of condition because sometimes you feel that someone has heart anomalies, irregular heartbeats but then you have to refer that patient for confirmatory; you can’t just diagnose that this is Rheumatic Heart Disease because maybe of some abnormalities like irregular heartbeat. There are other things you have to investigate and confirm to get the diagnosis.

[Assistant] In training where you able to see any during your training?


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

[User] Particularly for the time I have been here I have not diagnosed any patient with Rheumatic Heart Disease. It’s not that I have not seen, I just can’t confirm. But it takes time to diagnose that kind of condition because sometimes you feel that someone has heart anomalies, irregular heartbeats but then you have to refer that patient for confirmatory; you can’t just diagnose that this is Rheumatic Heart Disease because maybe of some abnormalities like irregular heartbeat. There are other things you have to investigate and confirm to get the diagnosis.

[Assistant] In training where you able to see any during your training?

[User] Yes.

[Assistant] During?

[User] My internship.

[Assistant] You saw but since you came in Wakiso you haven’t seen any specifically?


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

[User] Yes.

[Assistant] During?

[User] My internship.

[Assistant] You saw but since you came in Wakiso you haven’t seen any specifically?

[User] Yeah, I have not seen to confirm to myself that without reasonable doubt this is Rheumatic Heart Disease.

[Assistant] Which means that they have the symptoms but you have not yet confirmed that they have Rheumatic Heart Disease?


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

[User] My internship.

[Assistant] You saw but since you came in Wakiso you haven’t seen any specifically?

[User] Yeah, I have not seen to confirm to myself that without reasonable doubt this is Rheumatic Heart Disease.

[Assistant] Which means that they have the symptoms but you have not yet confirmed that they have Rheumatic Heart Disease?

[User] Yes.

[Assistant] Are those in-patients or out-patients?


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

[User] Yeah, I have not seen to confirm to myself that without reasonable doubt this is Rheumatic Heart Disease.

[Assistant] Which means that they have the symptoms but you have not yet confirmed that they have Rheumatic Heart Disease?

[User] Yes.

[Assistant] Are those in-patients or out-patients?

[User] Out-patients.

[Assistant] They are usually out-patients! Okay, thank you so much. Now, as a medical officer what is your understanding on the causes of Rheumatic Heart Disease?


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

[User] Yes.

[Assistant] Are those in-patients or out-patients?

[User] Out-patients.

[Assistant] They are usually out-patients! Okay, thank you so much. Now, as a medical officer what is your understanding on the causes of Rheumatic Heart Disease?

[User] The way I understand Rheumatic Heart Disease; it mainly starts with infections in the group A Beta-hemolytic streptococci which affects the upper respiratory infections, then leads to auto-immune reactions which affects the heart which then causes valvular problems, which are micro and then you get micro deficiency, then stenosis, and then end up with heart failure.

[Assistant] Okay. You as a health officer, are you aware of the link between sore throat and Rheumatic Heart Disease?


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

[User] Out-patients.

[Assistant] They are usually out-patients! Okay, thank you so much. Now, as a medical officer what is your understanding on the causes of Rheumatic Heart Disease?

[User] The way I understand Rheumatic Heart Disease; it mainly starts with infections in the group A Beta-hemolytic streptococci which affects the upper respiratory infections, then leads to auto-immune reactions which affects the heart which then causes valvular problems, which are micro and then you get micro deficiency, then stenosis, and then end up with heart failure.

[Assistant] Okay. You as a health officer, are you aware of the link between sore throat and Rheumatic Heart Disease?

[User] Yes please.

[Assistant] How do you know that link?


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

[User] The way I understand Rheumatic Heart Disease; it mainly starts with infections in the group A Beta-hemolytic streptococci which affects the upper respiratory infections, then leads to auto-immune reactions which affects the heart which then causes valvular problems, which are micro and then you get micro deficiency, then stenosis, and then end up with heart failure.

[Assistant] Okay. You as a health officer, are you aware of the link between sore throat and Rheumatic Heart Disease?

[User] Yes please.

[Assistant] How do you know that link?

[User] Because the group A beta streptococci I have talked about will affect the upper respiratory tract infarctions so the body in means of trying to eliminate the bacteria, it will also cause an effect on the valves of the heart. So it will be an auto-immune reaction because the body will be the one destroying the valves as it tries to destroy bacteria from the throat so then you get problems from the valves.

[Assistant] Okay, thank you very much. So, what were you taught can be done to prevent Rheumatic Heart Disease?


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

[User] Because the group A beta streptococci I have talked about will affect the upper respiratory tract infarctions so the body in means of trying to eliminate the bacteria, it will also cause an effect on the valves of the heart. So it will be an auto-immune reaction because the body will be the one destroying the valves as it tries to destroy bacteria from the throat so then you get problems from the valves.

[Assistant] Okay, thank you very much. So, what were you taught can be done to prevent Rheumatic Heart Disease?

[User] So, me what I remember is, one; treating the upper respiratory infections as fast as you can by giving proper diagnosis and giving antibiotics to patients. Then after that diagnosis of Rheumatic Heart Disease, maybe we can give them prophylaxis antibiotics like pen-v, like penicillin-V to the patients for a specific period of time depending on the stage of presentation of the patient.

[Assistant] Anything else?

[User] That’s what I know.

[Assistant] Okay, so according to you, what can be done to treat? What were you taught can be done to treat RHD?


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

[User] So, me what I remember is, one; treating the upper respiratory infections as fast as you can by giving proper diagnosis and giving antibiotics to patients. Then after that diagnosis of Rheumatic Heart Disease, maybe we can give them prophylaxis antibiotics like pen-v, like penicillin-V to the patients for a specific period of time depending on the stage of presentation of the patient.

[Assistant] Anything else?

[User] That’s what I know.

[Assistant] Okay, so according to you, what can be done to treat? What were you taught can be done to treat RHD?

[User] First all treatment depends on presentation of the patient after doing your confirmatory tests, so you have to treat to eliminate the bacteria itself. For that one, you give penicillin-V and then also benzyl penicillin can be a start dose. Then if someone has presented with urethritis, then you can give anti-inflammatory like acetyl salicylic acid and then that’s when you can give the dose of steroids. Then if it presents with pericarditis, then we follow the protocol of heart failure and manage according to what the patient has presented. Then if someone has presented with St. Peters rash, then you give anticonvulsants like sodium vulgate. If it fails, you can go to Pen-do and then give preventive measures thereafter.

[Assistant] Okay. Now are there aspects of Rheumatic Heart Disease management in which you need more training?


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

[User] That’s what I know.

[Assistant] Okay, so according to you, what can be done to treat? What were you taught can be done to treat RHD?

[User] First all treatment depends on presentation of the patient after doing your confirmatory tests, so you have to treat to eliminate the bacteria itself. For that one, you give penicillin-V and then also benzyl penicillin can be a start dose. Then if someone has presented with urethritis, then you can give anti-inflammatory like acetyl salicylic acid and then that’s when you can give the dose of steroids. Then if it presents with pericarditis, then we follow the protocol of heart failure and manage according to what the patient has presented. Then if someone has presented with St. Peters rash, then you give anticonvulsants like sodium vulgate. If it fails, you can go to Pen-do and then give preventive measures thereafter.

[Assistant] Okay. Now are there aspects of Rheumatic Heart Disease management in which you need more training?

[User] Yes.

[Assistant] Like which ones?


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

[User] First all treatment depends on presentation of the patient after doing your confirmatory tests, so you have to treat to eliminate the bacteria itself. For that one, you give penicillin-V and then also benzyl penicillin can be a start dose. Then if someone has presented with urethritis, then you can give anti-inflammatory like acetyl salicylic acid and then that’s when you can give the dose of steroids. Then if it presents with pericarditis, then we follow the protocol of heart failure and manage according to what the patient has presented. Then if someone has presented with St. Peters rash, then you give anticonvulsants like sodium vulgate. If it fails, you can go to Pen-do and then give preventive measures thereafter.

[Assistant] Okay. Now are there aspects of Rheumatic Heart Disease management in which you need more training?

[User] Yes.

[Assistant] Like which ones?

[User] One; diagnosis.

[Assistant] Explain diagnosis. Which specific part of diagnosis do you want training in?


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

[User] Yes.

[Assistant] Like which ones?

[User] One; diagnosis.

[Assistant] Explain diagnosis. Which specific part of diagnosis do you want training in?

[User] In diagnosis, some of the symptoms we might be talking about them but we have never appreciated them to the patients, and sometimes you may see them but not know that they are the symptoms we are talking about, like the St. Peters rash. I have seen some in videos but not on a patient myself, so if you get maybe a patient and you look at it, because you may be seeing them on a patient but you don’t know that it’s what you have been reading about. Maybe the skin presentation; I have also never appreciated it on a patient. I mainly base on the history and yet sometimes patients have even forgotten if they had an upper respiratory infection. I base on history like heart irregularity and then I send for more investigations. So at least if I get more training in those symptoms of the patients, then it can be good for me.

[Assistant] What other diagnostics do you need training in to help you as a health officer?


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

[User] One; diagnosis.

[Assistant] Explain diagnosis. Which specific part of diagnosis do you want training in?

[User] In diagnosis, some of the symptoms we might be talking about them but we have never appreciated them to the patients, and sometimes you may see them but not know that they are the symptoms we are talking about, like the St. Peters rash. I have seen some in videos but not on a patient myself, so if you get maybe a patient and you look at it, because you may be seeing them on a patient but you don’t know that it’s what you have been reading about. Maybe the skin presentation; I have also never appreciated it on a patient. I mainly base on the history and yet sometimes patients have even forgotten if they had an upper respiratory infection. I base on history like heart irregularity and then I send for more investigations. So at least if I get more training in those symptoms of the patients, then it can be good for me.

[Assistant] What other diagnostics do you need training in to help you as a health officer?

[User] Interpretation of the ECG. I know a bit but I need more on how to interpret those electro-cardiograms so that I can relate them to the presentation of the patient.

[Assistant] Anything else, maybe about the x-ray or echo-cardiography?


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

[User] In diagnosis, some of the symptoms we might be talking about them but we have never appreciated them to the patients, and sometimes you may see them but not know that they are the symptoms we are talking about, like the St. Peters rash. I have seen some in videos but not on a patient myself, so if you get maybe a patient and you look at it, because you may be seeing them on a patient but you don’t know that it’s what you have been reading about. Maybe the skin presentation; I have also never appreciated it on a patient. I mainly base on the history and yet sometimes patients have even forgotten if they had an upper respiratory infection. I base on history like heart irregularity and then I send for more investigations. So at least if I get more training in those symptoms of the patients, then it can be good for me.

[Assistant] What other diagnostics do you need training in to help you as a health officer?

[User] Interpretation of the ECG. I know a bit but I need more on how to interpret those electro-cardiograms so that I can relate them to the presentation of the patient.

[Assistant] Anything else, maybe about the x-ray or echo-cardiography?

[User] Yes maybe just x-ray you can. They all present with cardio-maggoty because I know people who have been in this field; the people of heart institute know features which can help you to interpret. So at least if someone can equip you with the skills on how to diagnose a person, then it can be easier for you to do others.

[Assistant] Okay, so according to you, what is your understanding on the long term prognosis of RHD?


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

[User] Yes maybe just x-ray you can. They all present with cardio-maggoty because I know people who have been in this field; the people of heart institute know features which can help you to interpret. So at least if someone can equip you with the skills on how to diagnose a person, then it can be easier for you to do others.

[Assistant] Okay, so according to you, what is your understanding on the long term prognosis of RHD?

[User] The long term prognosis, I think sometimes it’s poor.

[Assistant] Why poor?

[User] It is a poor, one; because sometimes when you have Rheumatic Heart Disease, you end up with heart failure and the prognosis of heart failure, we know it’s almost around five years depending on the stage of heart failure, which is sometimes not good. Two; most times we the health workers may not give the proper care and advice because you find that they are supposed to take prophylaxis, but you find most them are not taking prophylaxis as they are supposed to. Sometimes it’s on patients; you tell them to come for injections but ... because, I remember during my internship in Masaka you could tell the patient to come back for injections but wouldn’t come back or even come back after two years only to tell you (by the nurses), "we told that patient to come for injections but now he has come back after two years with heart failure!” So probably it can be the disease itself and sometimes we health workers can contribute due to lack of knowledge. Then it can be patient-based if he has not done what he is supposed to do or take advice seriously.

[Assistant] Okay, anything else?


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

[User] It is a poor, one; because sometimes when you have Rheumatic Heart Disease, you end up with heart failure and the prognosis of heart failure, we know it’s almost around five years depending on the stage of heart failure, which is sometimes not good. Two; most times we the health workers may not give the proper care and advice because you find that they are supposed to take prophylaxis, but you find most them are not taking prophylaxis as they are supposed to. Sometimes it’s on patients; you tell them to come for injections but ... because, I remember during my internship in Masaka you could tell the patient to come back for injections but wouldn’t come back or even come back after two years only to tell you (by the nurses), "we told that patient to come for injections but now he has come back after two years with heart failure!” So probably it can be the disease itself and sometimes we health workers can contribute due to lack of knowledge. Then it can be patient-based if he has not done what he is supposed to do or take advice seriously.

[Assistant] Okay, anything else?

[User] Um, yeah I think if everything is done in the correct way, we can have a good diagnosis if we follow what we are supposed to do.

[Assistant] Which is?

[User] Like, if you do early diagnosis of the patient, then initiate what you are supposed to do like counseling and prophylaxis of the anti-biotic you are supposed to give to the patient. I think we can try to stop the poor prognosis of the patient.

[Assistant] Now tell me about your encounters with patients with Rheumatic Heart Disease; that is, in training and at your work place. Do you remember the last patient you saw and how was that visit? How did this patient present?


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

[User] Um, yeah I think if everything is done in the correct way, we can have a good diagnosis if we follow what we are supposed to do.

[Assistant] Which is?

[User] Like, if you do early diagnosis of the patient, then initiate what you are supposed to do like counseling and prophylaxis of the anti-biotic you are supposed to give to the patient. I think we can try to stop the poor prognosis of the patient.

[Assistant] Now tell me about your encounters with patients with Rheumatic Heart Disease; that is, in training and at your work place. Do you remember the last patient you saw and how was that visit? How did this patient present?

[User] The last patient I saw with rheumatic was during my internship. That patient came with heart failure and I think that’s what the patient was talking about were signs of heart failure; difficulty in breathing, swelling of the lower limbs and arthritis. Otherwise, we were just managing it as a heart failure by that time.

[Assistant] Okay, the patient already had Rheumatic Heart Disease, so you were treating the complications!


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

[User] Like, if you do early diagnosis of the patient, then initiate what you are supposed to do like counseling and prophylaxis of the anti-biotic you are supposed to give to the patient. I think we can try to stop the poor prognosis of the patient.

[Assistant] Now tell me about your encounters with patients with Rheumatic Heart Disease; that is, in training and at your work place. Do you remember the last patient you saw and how was that visit? How did this patient present?

[User] The last patient I saw with rheumatic was during my internship. That patient came with heart failure and I think that’s what the patient was talking about were signs of heart failure; difficulty in breathing, swelling of the lower limbs and arthritis. Otherwise, we were just managing it as a heart failure by that time.

[Assistant] Okay, the patient already had Rheumatic Heart Disease, so you were treating the complications!

[User] Yes.

[Assistant] So what do you think has been the average age of those RHD patients you have been seeing? Where they working, in school or not?


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

[User] The last patient I saw with rheumatic was during my internship. That patient came with heart failure and I think that’s what the patient was talking about were signs of heart failure; difficulty in breathing, swelling of the lower limbs and arthritis. Otherwise, we were just managing it as a heart failure by that time.

[Assistant] Okay, the patient already had Rheumatic Heart Disease, so you were treating the complications!

[User] Yes.

[Assistant] So what do you think has been the average age of those RHD patients you have been seeing? Where they working, in school or not?

[User] I can’t remember whether they were in school or not but at least the two patients I have properly seen that they have heart failure, because I have seen heart failure secondary to Rheumatic Heart Disease, both of them were less than twenty years old. One was around 15 years and the other girl was around 18 years, but less than twenty, around there.

[Assistant] So do you think those patients are generally aware of the link between sore throat, acute rheumatic fever and Rheumatic Heart Disease?


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

[User] Yes.

[Assistant] So what do you think has been the average age of those RHD patients you have been seeing? Where they working, in school or not?

[User] I can’t remember whether they were in school or not but at least the two patients I have properly seen that they have heart failure, because I have seen heart failure secondary to Rheumatic Heart Disease, both of them were less than twenty years old. One was around 15 years and the other girl was around 18 years, but less than twenty, around there.

[Assistant] So do you think those patients are generally aware of the link between sore throat, acute rheumatic fever and Rheumatic Heart Disease?

[User] I don’t think they are because even some health workers don’t know, so I don’t expect those patients to be aware.

[Assistant] So you think the patients don’t know because the health workers are not aware?


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

[User] I can’t remember whether they were in school or not but at least the two patients I have properly seen that they have heart failure, because I have seen heart failure secondary to Rheumatic Heart Disease, both of them were less than twenty years old. One was around 15 years and the other girl was around 18 years, but less than twenty, around there.

[Assistant] So do you think those patients are generally aware of the link between sore throat, acute rheumatic fever and Rheumatic Heart Disease?

[User] I don’t think they are because even some health workers don’t know, so I don’t expect those patients to be aware.

[Assistant] So you think the patients don’t know because the health workers are not aware?

[User] Yes. Because, most times like the way you see Uganda, they are not like those countries where patients read a lot. There are a few patients that can read a lot because it’s us who read and give that information to patients, so if you find that 30 of us are not aware, then you expect around 70% of patients are not aware. First, they should empower us the health workers and then we can empower the people.

[Assistant] So just to remind me, what kind of symptoms do these patients describe when they come in? Those you saw, you told me they came with heart failure?


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

[User] I don’t think they are because even some health workers don’t know, so I don’t expect those patients to be aware.

[Assistant] So you think the patients don’t know because the health workers are not aware?

[User] Yes. Because, most times like the way you see Uganda, they are not like those countries where patients read a lot. There are a few patients that can read a lot because it’s us who read and give that information to patients, so if you find that 30 of us are not aware, then you expect around 70% of patients are not aware. First, they should empower us the health workers and then we can empower the people.

[Assistant] So just to remind me, what kind of symptoms do these patients describe when they come in? Those you saw, you told me they came with heart failure?

[User] Yes.

[Assistant] Difficulty in breathing?


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

[User] Yes. Because, most times like the way you see Uganda, they are not like those countries where patients read a lot. There are a few patients that can read a lot because it’s us who read and give that information to patients, so if you find that 30 of us are not aware, then you expect around 70% of patients are not aware. First, they should empower us the health workers and then we can empower the people.

[Assistant] So just to remind me, what kind of symptoms do these patients describe when they come in? Those you saw, you told me they came with heart failure?

[User] Yes.

[Assistant] Difficulty in breathing?

[User] Difficulty in breathing, Apnea, couldn’t sit on bed, swollen limbs, swelling, abdominal distension and arthritis. That’s what the patient would tell you but when you check, you get irregular heartbeats.

[Assistant] So according to you, do you think those patients are good to follow up and adherent to treatment? Were they good to follow up?


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

[User] Yes.

[Assistant] Difficulty in breathing?

[User] Difficulty in breathing, Apnea, couldn’t sit on bed, swollen limbs, swelling, abdominal distension and arthritis. That’s what the patient would tell you but when you check, you get irregular heartbeats.

[Assistant] So according to you, do you think those patients are good to follow up and adherent to treatment? Were they good to follow up?

[User] Yes. They must be followed up.

[Assistant] But do they go for follow-up?


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

[User] Yes. They must be followed up.

[Assistant] But do they go for follow-up?

[User] No, the health workers or patients?

[Assistant] The patients.

[User] They don’t, that one I can’t lie to you whether they follow the treatment prescribed or not, but during the hospital we could try, but when you discharge them you don’t know.

[Assistant] Which means you are not aware if they are adherent to treatment or not?