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

[User] Yeah.

[Assistant] You did as well, even previous? Ok so now you do check. Let’s hear from the ladies as well, so Serene what is your habit in writing of essays nowadays?

[User] I’m not sure I haven’t really been writing essays. But habit is just...I just had the WA2 ? writing can I talk about that?

[Assistant] Yeah that will be great.

[User]
For me I just...for that writing, because FA there’s no format, and this situational writing there’s not much format other than the...while writing it I just remember the main thing, the format, what to write. And then write the proposal and stuff.

Then the rest I just construct it when I see the poster, the insert that they give. I just quickly plan and write it down, but mostly after I write finish I’ll just take a look at what I missed out. But when I check I don’t see my grammar mistakes or spelling mistakes.

Because most of the time I would say my words used are very simple and it is most likely impossible to get it wrong. But then I still got some wrong. But mostly I won’t be able to find my grammar mistake because I don’t see any of them, I don’t know how to check them also.

[Assistant] Okay. Thank you Serene. How about Samantha? What’s your habit now when it comes to writing essays?


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

[User] I think my habit is for example, if there’s a structure or something, if teacher do some example, maybe I’ll try to remember the example...and if I need to write for compo, then maybe I’ll just write it in my compo. For example like a starting point.

[Assistant]
So you try and remember what you have seen and you try and duplicate that. Okay thank you so much. It’s been great chatting with y’all, what I will do is I’ll release the 3 of y’all, Samuel you stay because I need to hear from you. The other three of y’all can y’all go back to the main room please?

But before I do that, is there anything that you want to tell me that I didn’t ask you about? That you feel is very important that you want to tell me? If not, thank you so much Serene Samantha and Simon, you can go back to the main room.

Okay Samuel, this is our one-to-one time. I will just ask you 3 main things, the first question you’ve already heard some of your friends talking about it, how has your approach to writing compositions changed compared to when before you came on the CDAC program?

[User] Yeah my grammar is better, and I can use bigger words.

[Assistant] Okay that’s great. Did your teacher notice the change?

[User] Yeah.

[Assistant] She did? How did she tell you that? Was it something she wrote or she showed you directly?


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

[User] Yeah my grammar is better, and I can use bigger words.

[Assistant] Okay that’s great. Did your teacher notice the change?

[User] Yeah.

[Assistant] She did? How did she tell you that? Was it something she wrote or she showed you directly?

[User] She wrote on the paper.

[Assistant] Can you recall what she wrote specifically?


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

[User] Yeah.

[Assistant] She did? How did she tell you that? Was it something she wrote or she showed you directly?

[User] She wrote on the paper.

[Assistant] Can you recall what she wrote specifically?

[User] Not really but she just say I improved a lot, like my vocabulary is better already.

[Assistant] Oh congratulations that’s great! In fact earlier on one of the questions I asked the rest was also how do they feel in terms of confidence in writing compositions nowadays. Very more confident, or no change in confidence, or little change in confidence? What about you Samuel?


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

[User] She wrote on the paper.

[Assistant] Can you recall what she wrote specifically?

[User] Not really but she just say I improved a lot, like my vocabulary is better already.

[Assistant] Oh congratulations that’s great! In fact earlier on one of the questions I asked the rest was also how do they feel in terms of confidence in writing compositions nowadays. Very more confident, or no change in confidence, or little change in confidence? What about you Samuel?

[User] I’m more confident.

[Assistant] What makes you say that? Why do you say that you feel more confident?


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

[User] Not really but she just say I improved a lot, like my vocabulary is better already.

[Assistant] Oh congratulations that’s great! In fact earlier on one of the questions I asked the rest was also how do they feel in terms of confidence in writing compositions nowadays. Very more confident, or no change in confidence, or little change in confidence? What about you Samuel?

[User] I’m more confident.

[Assistant] What makes you say that? Why do you say that you feel more confident?

[User] Because now when I’m writing I can express myself better.

[Assistant] Okay. Do you find that you are writing longer essays now?


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

[User] I’m more confident.

[Assistant] What makes you say that? Why do you say that you feel more confident?

[User] Because now when I’m writing I can express myself better.

[Assistant] Okay. Do you find that you are writing longer essays now?

[User] Yeah, but it’s not as long as last time. Because now I wont put a lot of irrelevant information inside.

[Assistant] Okay so now it’s not like vomiting, you are more careful of what you write. Do y’all have editing exercises as part of the test? There’s editing in the paragraph, and you find the errors and all that?


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

[User] Because now when I’m writing I can express myself better.

[Assistant] Okay. Do you find that you are writing longer essays now?

[User] Yeah, but it’s not as long as last time. Because now I wont put a lot of irrelevant information inside.

[Assistant] Okay so now it’s not like vomiting, you are more careful of what you write. Do y’all have editing exercises as part of the test? There’s editing in the paragraph, and you find the errors and all that?

[User] WA2 don’t have.

[Assistant] WA2 don’t have. But earlier in class you all would have that as homework?


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

[User] Yeah, but it’s not as long as last time. Because now I wont put a lot of irrelevant information inside.

[Assistant] Okay so now it’s not like vomiting, you are more careful of what you write. Do y’all have editing exercises as part of the test? There’s editing in the paragraph, and you find the errors and all that?

[User] WA2 don’t have.

[Assistant] WA2 don’t have. But earlier in class you all would have that as homework?

[User] Yeah.

[Assistant] How have you been doing? Not so good? Okay?


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

[User] WA2 don’t have.

[Assistant] WA2 don’t have. But earlier in class you all would have that as homework?

[User] Yeah.

[Assistant] How have you been doing? Not so good? Okay?

[User] Usually it’s 1 or 2 mistakes.

[Assistant] Oh that’s very good, 1 or 2 out of 5 or 10?


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

[User] Yeah.

[Assistant] How have you been doing? Not so good? Okay?

[User] Usually it’s 1 or 2 mistakes.

[Assistant] Oh that’s very good, 1 or 2 out of 5 or 10?

[User] 10.

[Assistant] Oh wow 2 mistakes out of 10. Has that always been the case in Sec 2?


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

[User] Usually it’s 1 or 2 mistakes.

[Assistant] Oh that’s very good, 1 or 2 out of 5 or 10?

[User] 10.

[Assistant] Oh wow 2 mistakes out of 10. Has that always been the case in Sec 2?

[User] No, Sec 2 I usually get 5 or 6 wrongs.

[Assistant] Oh, that seems you’ve improved from 5 or 6 to 1 or 2. That’s great! So I’m just gonna ask you one last question which is what I asked your friends just now. If I were to ask you to write a composition now, what would be your habit? What would be the things that you do?


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

[User] 10.

[Assistant] Oh wow 2 mistakes out of 10. Has that always been the case in Sec 2?

[User] No, Sec 2 I usually get 5 or 6 wrongs.

[Assistant] Oh, that seems you’ve improved from 5 or 6 to 1 or 2. That’s great! So I’m just gonna ask you one last question which is what I asked your friends just now. If I were to ask you to write a composition now, what would be your habit? What would be the things that you do?

[User] Write down the relevant information and put it in a simple way for people to understand.

[Assistant] Okay. Do you go through to check for grammar?


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

[User] No, Sec 2 I usually get 5 or 6 wrongs.

[Assistant] Oh, that seems you’ve improved from 5 or 6 to 1 or 2. That’s great! So I’m just gonna ask you one last question which is what I asked your friends just now. If I were to ask you to write a composition now, what would be your habit? What would be the things that you do?

[User] Write down the relevant information and put it in a simple way for people to understand.

[Assistant] Okay. Do you go through to check for grammar?

[User] Yeah. Sometimes when I got extra time.

[Assistant] And when you check through do you find that you can detect the mistakes?


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

[User] Write down the relevant information and put it in a simple way for people to understand.

[Assistant] Okay. Do you go through to check for grammar?

[User] Yeah. Sometimes when I got extra time.

[Assistant] And when you check through do you find that you can detect the mistakes?

[User] Yeah sometimes.

[Assistant] Can you give me one example? Recently? What was your WA2?


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

[User] Yeah. Sometimes when I got extra time.

[Assistant] And when you check through do you find that you can detect the mistakes?

[User] Yeah sometimes.

[Assistant] Can you give me one example? Recently? What was your WA2?

[User] Essay writing.

[Assistant] So during that essay writing, WA2, did you remember anything of Ms O’s class that you tried to apply?


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

[User] Yeah sometimes.

[Assistant] Can you give me one example? Recently? What was your WA2?

[User] Essay writing.

[Assistant] So during that essay writing, WA2, did you remember anything of Ms O’s class that you tried to apply?

[User] WA2 I never do. I didn’t do WA2.

[Assistant] Okay, why didn’t you do WS2? Because you were not well or what?


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

[User] Essay writing.

[Assistant] So during that essay writing, WA2, did you remember anything of Ms O’s class that you tried to apply?

[User] WA2 I never do. I didn’t do WA2.

[Assistant] Okay, why didn’t you do WS2? Because you were not well or what?

[User] Because I submitted it late, my Google Docs had problems then I didn’t submit.

[Assistant] Oh so you didn’t submit. Let me just check through...okay I’ll just ask you one last question then...so do you feel that being on this Scribo program benefited you? How so?


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

[User] WA2 I never do. I didn’t do WA2.

[Assistant] Okay, why didn’t you do WS2? Because you were not well or what?

[User] Because I submitted it late, my Google Docs had problems then I didn’t submit.

[Assistant] Oh so you didn’t submit. Let me just check through...okay I’ll just ask you one last question then...so do you feel that being on this Scribo program benefited you? How so?

[User] Yeah. I can detect grammar easier, and my vocabulary also became better.

[Assistant] Why is it easier to detect?


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

[User] Because I submitted it late, my Google Docs had problems then I didn’t submit.

[Assistant] Oh so you didn’t submit. Let me just check through...okay I’ll just ask you one last question then...so do you feel that being on this Scribo program benefited you? How so?

[User] Yeah. I can detect grammar easier, and my vocabulary also became better.

[Assistant] Why is it easier to detect?

[User] Because last time I couldn’t see what’s wrong with my work,

[Assistant] Now it’s because you can hit “check” and it’ll immediately tell you is it?


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

[User] To a point, I think there are lots of similarities and there have been loads of learnings brought across from Australia and in terms of the way in which the mechanism can work in a streamlined way so that sites can be banked and credits can be sold to a number of small developers that aren't having quite small impacts and how you get quite big gains in that way. So, there are quite a few learnings. But there is also quite a lot about the context or baseline of where a country starts. So, if you have a country and I guess Australia is an example where you have a higher baseline of what is being expected of a developer, so regulations are a bit stricter.

[Assistant] Sorry, do you think that is because it is administered in the public sector as opposed to the private sector?

[User] In a mandatory way?

[Assistant] Yes

[User] Yes, to a degree, it is also about what the framework is already for preventing habitat loss and then you add this tool, this mechanism and this kind of... this way to properly assess the impact and to properly broker offsets then you find yes - it can be a kind of streamlined system. Here, where actually we are going from a system where impacts are largely ignored actually, to something that is quite a big step up. So, where your starting point it, I think that's what people struggle with - in comparing the differences between different countries. So that's the long answer.

[Assistant] That's very interesting. So, going onto the next question which you already delved into. Based on your experience, do you think offsetting should be mandatory?


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

[User] In a mandatory way?

[Assistant] Yes

[User] Yes, to a degree, it is also about what the framework is already for preventing habitat loss and then you add this tool, this mechanism and this kind of... this way to properly assess the impact and to properly broker offsets then you find yes - it can be a kind of streamlined system. Here, where actually we are going from a system where impacts are largely ignored actually, to something that is quite a big step up. So, where your starting point it, I think that's what people struggle with - in comparing the differences between different countries. So that's the long answer.

[Assistant] That's very interesting. So, going onto the next question which you already delved into. Based on your experience, do you think offsetting should be mandatory?

[User] Yes I do, I come from that mandatory system in Victoria in Australia and I can see how it really means there is a level playing field, there is accreditation of assessors who are doing their calculations and there is accreditation for the brokers such as us. So, the standards are brought up because of that mandatory system. Developers welcome being treated the same across the country and welcome being treated the same as other developers are. We speak to a number of developers here who are very concerned by a system where they are made to pay more than they have before, but at the same time they really do welcome standards and they will budget for those additional costs if they upfront know what the rules are and they are treated equally. So, it also allows landowners that want to put forward offsets confidence that there is a market that is there to sell it - that there is going to be demand for their supply.

[Assistant] So, do you think the uptake will be higher across the board?


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

[User] Yes, to a degree, it is also about what the framework is already for preventing habitat loss and then you add this tool, this mechanism and this kind of... this way to properly assess the impact and to properly broker offsets then you find yes - it can be a kind of streamlined system. Here, where actually we are going from a system where impacts are largely ignored actually, to something that is quite a big step up. So, where your starting point it, I think that's what people struggle with - in comparing the differences between different countries. So that's the long answer.

[Assistant] That's very interesting. So, going onto the next question which you already delved into. Based on your experience, do you think offsetting should be mandatory?

[User] Yes I do, I come from that mandatory system in Victoria in Australia and I can see how it really means there is a level playing field, there is accreditation of assessors who are doing their calculations and there is accreditation for the brokers such as us. So, the standards are brought up because of that mandatory system. Developers welcome being treated the same across the country and welcome being treated the same as other developers are. We speak to a number of developers here who are very concerned by a system where they are made to pay more than they have before, but at the same time they really do welcome standards and they will budget for those additional costs if they upfront know what the rules are and they are treated equally. So, it also allows landowners that want to put forward offsets confidence that there is a market that is there to sell it - that there is going to be demand for their supply.

[Assistant] So, do you think the uptake will be higher across the board?

[User] Yes, definitely, many many landowners are waiting to see what will happen with the system at government level before they really come forward.

[Assistant] So is there quite an interest from landowners leasing their land for offsets?


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

[User] Yes, definitely, many many landowners are waiting to see what will happen with the system at government level before they really come forward.

[Assistant] So is there quite an interest from landowners leasing their land for offsets?

[User] You mean farmers...

[Assistant] Yes

[User] There are many many landowners that would do, would revert from farming or even just manage their non-productive areas far far better if they had the appropriate funding, the financial incentives. We have definitely got a large number of landowners that would be interested.

[Assistant] Yes, the point on the landowners probably brings me quite well onto the next question on equity considerations, which is, if I could ask: When undertaking offsets do you think compensating affected communities is always necessary and practical? Perhaps in the context of access to nature between the development site and the offset site;.


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

[User] You mean farmers...

[Assistant] Yes

[User] There are many many landowners that would do, would revert from farming or even just manage their non-productive areas far far better if they had the appropriate funding, the financial incentives. We have definitely got a large number of landowners that would be interested.

[Assistant] Yes, the point on the landowners probably brings me quite well onto the next question on equity considerations, which is, if I could ask: When undertaking offsets do you think compensating affected communities is always necessary and practical? Perhaps in the context of access to nature between the development site and the offset site;.

[User] Yes, it's a big issue in this country as well because you do have a lot of local communities with small areas remaining and nature nearby. So, certainly, it's important to make sure those local wildlife sites are really recognised in the planning system when impacts are being assessed. So, for example in our Essex pilot local wildlife sites are scored the highest, as high as priority habitats, even if they don't contain priority habitats because of that important. So, those sort of tweeks to the metric can be applied for local communities or at least local wildlife sites. We try to get local offsets for local losses. So, within local authority boundaries that is a requirement usually with the authority anyone and as close to the development as possible. So, even if, ideally adjacent, linked, but it could still be 10km away. We tend to be asked to find something within a radius from the development, so hopefully there is going to still be some access to that new site for local communities but you can never, obviously when you are removing something we are losing, we can't already get it right on site or adjacent within the same local community. I think if you asked how to compensate them - I don't know how financially how that would work and have not really come across that. There may be ways...

[Assistant] And having worked globally within the offsetting profession do you think social compensation within the context of biodiversity offsetting is something that is being considered?


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

[User] In the current metric it is a pretty simple metric currently. Have you had a look at it yet?

[Assistant] Yes, I have had a look at some of the parameters, but I am unclear which have been formalised.

[User] I guess they are not really formalised - they were formalised somewhat for the pilots in that they were given to the pilot projects and we were told to apply this metric and test it and let us know how you get on. However, it is still based on a similar metric we have in Australia and internationally. It is the area times the habitat type times the condition. So, it is rather simple, which is useful. The improvements that are needed and the government is well aware from the pilot evaluation already - the background assessment information for condition in particular needs to be more robust so there is less guess work around some habitat types such are arable land which isn't even in the current kind of assessment at all. So, some of the rigor around how to assess habitats or their condition and adding potentially more categories can actually make it quicker or easier to apply because you actually... there is a bit less guesswork if you can put it into a more specific category. It doesn't incorporate any social aspects or ecosystem services or anything like that.

[Assistant] Do you think it should incorporate ecosystem services as ecosystem processes?

[User] I think sometimes habitats is quite a good way to cover quite a few... If you are creating a new lowland meadow close by you would hopefully assume that it would have the same ecosystem resources available as the site that was lost and then you could actually start to look at whether that is happening or not.

[Assistant] Do you think measuring ecosystem function between the two sites is a bit too sophisticated.


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

[User] I am an enrolled midwife

[Assistant] Where did you train from?

[User] Where I trained from?

[Assistant] Yeah

[User] Mbarara, and by that time it was school of Midwifery and nursing but now it is a university

[Assistant] Okay. So how long ago did you qualify?


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

[User] Where I trained from?

[Assistant] Yeah

[User] Mbarara, and by that time it was school of Midwifery and nursing but now it is a university

[Assistant] Okay. So how long ago did you qualify?

[User] I have worked for so many years; I started here in 1986, July

[Assistant] Okay, and you have been here since then?


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

[User] Mbarara, and by that time it was school of Midwifery and nursing but now it is a university

[Assistant] Okay. So how long ago did you qualify?

[User] I have worked for so many years; I started here in 1986, July

[Assistant] Okay, and you have been here since then?

[User] Yes, it was my first postage and it is where I have been working all this time.

[Assistant] So doing your practice, what are the common illnesses that you have seen around here?


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

[User] I have worked for so many years; I started here in 1986, July

[Assistant] Okay, and you have been here since then?

[User] Yes, it was my first postage and it is where I have been working all this time.

[Assistant] So doing your practice, what are the common illnesses that you have seen around here?

[User] In this unit we have the NCDs and those are non-communicable diseases, Diabetes mellitus, tonsillitis, hypertension, umm and also other diseases associated with those problems.

[Assistant] And when you look at the demographics of the patients, which are the common? By demographics I talk about age, sex. So the common patients you get lie in which age group?


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

[User] Yes, it was my first postage and it is where I have been working all this time.

[Assistant] So doing your practice, what are the common illnesses that you have seen around here?

[User] In this unit we have the NCDs and those are non-communicable diseases, Diabetes mellitus, tonsillitis, hypertension, umm and also other diseases associated with those problems.

[Assistant] And when you look at the demographics of the patients, which are the common? By demographics I talk about age, sex. So the common patients you get lie in which age group?

[User] Now, we have also like in the DM, we also have young kids but at Wakiso they have a clinic for DM for young ones so we always send them there but here we have from ages up to 70 years.

[Assistant] And then, how about heart disease; is it a seen in many patients?


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

[User] In this unit we have the NCDs and those are non-communicable diseases, Diabetes mellitus, tonsillitis, hypertension, umm and also other diseases associated with those problems.

[Assistant] And when you look at the demographics of the patients, which are the common? By demographics I talk about age, sex. So the common patients you get lie in which age group?

[User] Now, we have also like in the DM, we also have young kids but at Wakiso they have a clinic for DM for young ones so we always send them there but here we have from ages up to 70 years.

[Assistant] And then, how about heart disease; is it a seen in many patients?

[User] At times, because here in our setting like tomorrow in the HT clinic, we always have a doctor here who always assesses them and they give her their complaints and then she prescribes accordingly.

[Assistant] So the clinic is always on Tuesday!


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

[User] Now, we have also like in the DM, we also have young kids but at Wakiso they have a clinic for DM for young ones so we always send them there but here we have from ages up to 70 years.

[Assistant] And then, how about heart disease; is it a seen in many patients?

[User] At times, because here in our setting like tomorrow in the HT clinic, we always have a doctor here who always assesses them and they give her their complaints and then she prescribes accordingly.

[Assistant] So the clinic is always on Tuesday!

[User] Yeah, on Tuesday, the one for hypertension.

[Assistant] Do you participate in that clinic?


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

[User] At times, because here in our setting like tomorrow in the HT clinic, we always have a doctor here who always assesses them and they give her their complaints and then she prescribes accordingly.

[Assistant] So the clinic is always on Tuesday!

[User] Yeah, on Tuesday, the one for hypertension.

[Assistant] Do you participate in that clinic?

[User] Yeah, we do participate.

[Assistant] And then, tell me a little bit about your training in Rheumatic Heart Disease; have you ever received any specific training at school?


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

[User] Yeah, on Tuesday, the one for hypertension.

[Assistant] Do you participate in that clinic?

[User] Yeah, we do participate.

[Assistant] And then, tell me a little bit about your training in Rheumatic Heart Disease; have you ever received any specific training at school?

[User] Umm, I do recall. Anyway I think we passed through it but not in details.

[Assistant] Okay, but you have not had any training?


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

[User] Yeah, we do participate.

[Assistant] And then, tell me a little bit about your training in Rheumatic Heart Disease; have you ever received any specific training at school?

[User] Umm, I do recall. Anyway I think we passed through it but not in details.

[Assistant] Okay, but you have not had any training?

[User] No.

[Assistant] How about after training; have you had any training, any workshop where they talk about RHD


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

[User] Umm, I do recall. Anyway I think we passed through it but not in details.

[Assistant] Okay, but you have not had any training?

[User] No.

[Assistant] How about after training; have you had any training, any workshop where they talk about RHD

[User] umm we have gone for workshops but not majorly in this rheumatic whatever, but in other cases

[Assistant] So you have never had any training in RHD?


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

[User] No.

[Assistant] How about after training; have you had any training, any workshop where they talk about RHD

[User] umm we have gone for workshops but not majorly in this rheumatic whatever, but in other cases

[Assistant] So you have never had any training in RHD?

[User] Yes

[Assistant] So since you started practicing, or you have been here for a while, have you encountered any RHD patients?


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

[User] Yes

[Assistant] So since you started practicing, or you have been here for a while, have you encountered any RHD patients?

[User] Yeah, I think in the HT clinic we have some like four because at times doctors always send them for whatever ... I have forgotten the name. They send them for checking their hearts although I have forgotten the term they use, then they come back for results and those ones are already on treatment.

[Assistant] Okay

[User] So they always send them there in they bring back the results since they are already on treatment.

[Assistant] So you see them!


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

[User] Yeah, I think in the HT clinic we have some like four because at times doctors always send them for whatever ... I have forgotten the name. They send them for checking their hearts although I have forgotten the term they use, then they come back for results and those ones are already on treatment.

[Assistant] Okay

[User] So they always send them there in they bring back the results since they are already on treatment.

[Assistant] So you see them!

[User] Yeah, I see them

[Assistant] When do you remember last seeing the last patient? In a week you see like how many?


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

[User] So they always send them there in they bring back the results since they are already on treatment.

[Assistant] So you see them!

[User] Yeah, I see them

[Assistant] When do you remember last seeing the last patient? In a week you see like how many?

[User] At times we can have none in a week and at times we can get, like tomorrow on a clinic day, there can be like two or three, but not always like on a daily basis.

[Assistant] So in a month you can see how many?


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

[User] Yeah, I see them

[Assistant] When do you remember last seeing the last patient? In a week you see like how many?

[User] At times we can have none in a week and at times we can get, like tomorrow on a clinic day, there can be like two or three, but not always like on a daily basis.

[Assistant] So in a month you can see how many?

[User] In a month they can be either 5 or 6 around there

[Assistant] And then, are they mainly inpatient or outpatient?


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[User] At times we can have none in a week and at times we can get, like tomorrow on a clinic day, there can be like two or three, but not always like on a daily basis.

[Assistant] So in a month you can see how many?

[User] In a month they can be either 5 or 6 around there

[Assistant] And then, are they mainly inpatient or outpatient?

[User] It depends on somebody’s condition; if he is very ill we always admit. If she can go back home, they prescribe for her and she goes and buys the drugs and they keep at home.

[Assistant] Now I am interested in what you have been taught about RHD; what is your understanding of the causes of Rheumatic Heart Disease? What do you think causes that disease?


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

[User] In a month they can be either 5 or 6 around there

[Assistant] And then, are they mainly inpatient or outpatient?

[User] It depends on somebody’s condition; if he is very ill we always admit. If she can go back home, they prescribe for her and she goes and buys the drugs and they keep at home.

[Assistant] Now I am interested in what you have been taught about RHD; what is your understanding of the causes of Rheumatic Heart Disease? What do you think causes that disease?

[User] Causes, do I know the causes? [Laughs] I am not sure of them but maybe like someone with mainly high blood pressure and they put her on treatment but she doesn't respond well to the treatment, I think maybe people like that one may have that problem.

[Assistant] Do you know any link between sore throat and RHD? Are those two associated in any way?


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

[User] It depends on somebody’s condition; if he is very ill we always admit. If she can go back home, they prescribe for her and she goes and buys the drugs and they keep at home.

[Assistant] Now I am interested in what you have been taught about RHD; what is your understanding of the causes of Rheumatic Heart Disease? What do you think causes that disease?

[User] Causes, do I know the causes? [Laughs] I am not sure of them but maybe like someone with mainly high blood pressure and they put her on treatment but she doesn't respond well to the treatment, I think maybe people like that one may have that problem.

[Assistant] Do you know any link between sore throat and RHD? Are those two associated in any way?

[User] I think they may be related but I am not very sure whether they are.

[Assistant] You are not sure if they are related!


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

[User] Causes, do I know the causes? [Laughs] I am not sure of them but maybe like someone with mainly high blood pressure and they put her on treatment but she doesn't respond well to the treatment, I think maybe people like that one may have that problem.

[Assistant] Do you know any link between sore throat and RHD? Are those two associated in any way?

[User] I think they may be related but I am not very sure whether they are.

[Assistant] You are not sure if they are related!

[User] Yes

[Assistant] Okay, so what were you thought that could be done to prevent Rheumatic Heart Disease during school?


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

[User] I think they may be related but I am not very sure whether they are.

[Assistant] You are not sure if they are related!

[User] Yes

[Assistant] Okay, so what were you thought that could be done to prevent Rheumatic Heart Disease during school?

[User] [laughs] let me see if I remember. But any way I think people should go for checkups to know their status, they check their blood pressure, you have to do exercises and diet also matters. Umm those ones who always have worries, okay that one you can’t miss to be there but I think people should not be worried every time because it hikes the blood pressure which may bring problems for them.

[Assistant] What were you told about how to treat a patient with Rheumatic Heart Disease?


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

[User] Yes

[Assistant] Okay, so what were you thought that could be done to prevent Rheumatic Heart Disease during school?

[User] [laughs] let me see if I remember. But any way I think people should go for checkups to know their status, they check their blood pressure, you have to do exercises and diet also matters. Umm those ones who always have worries, okay that one you can’t miss to be there but I think people should not be worried every time because it hikes the blood pressure which may bring problems for them.

[Assistant] What were you told about how to treat a patient with Rheumatic Heart Disease?

[User] This being a big hospital, we always get patients that have been already seen, like we have a physician here and if the case is for him they are always sent there and a doctor prescribes for them. Then for us we just give the treatment.

[Assistant] What treatment do you usually give these patients who have Rheumatic Heart Disease?


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

[User] [laughs] let me see if I remember. But any way I think people should go for checkups to know their status, they check their blood pressure, you have to do exercises and diet also matters. Umm those ones who always have worries, okay that one you can’t miss to be there but I think people should not be worried every time because it hikes the blood pressure which may bring problems for them.

[Assistant] What were you told about how to treat a patient with Rheumatic Heart Disease?

[User] This being a big hospital, we always get patients that have been already seen, like we have a physician here and if the case is for him they are always sent there and a doctor prescribes for them. Then for us we just give the treatment.

[Assistant] What treatment do you usually give these patients who have Rheumatic Heart Disease?

[User] Umm, it depends; we just give according to the prescription but I think most of their drugs, like maybe Trovas and what. Some of them we don’t have them at the hospital. They are sent to go and buy them. But if they are prescribed what we have, we always give them.

[Assistant] Okay, is there any that you have that you know treats this disease?


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

[User] This being a big hospital, we always get patients that have been already seen, like we have a physician here and if the case is for him they are always sent there and a doctor prescribes for them. Then for us we just give the treatment.

[Assistant] What treatment do you usually give these patients who have Rheumatic Heart Disease?

[User] Umm, it depends; we just give according to the prescription but I think most of their drugs, like maybe Trovas and what. Some of them we don’t have them at the hospital. They are sent to go and buy them. But if they are prescribed what we have, we always give them.

[Assistant] Okay, is there any that you have that you know treats this disease?

[User] No because it is always a combination of the hypertension drugs and the other. So for us we just give what we have and we tell them to go and buy what we don’t have.

[Assistant] Do you stock Benzathine?


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

[User] Umm, it depends; we just give according to the prescription but I think most of their drugs, like maybe Trovas and what. Some of them we don’t have them at the hospital. They are sent to go and buy them. But if they are prescribed what we have, we always give them.

[Assistant] Okay, is there any that you have that you know treats this disease?

[User] No because it is always a combination of the hypertension drugs and the other. So for us we just give what we have and we tell them to go and buy what we don’t have.

[Assistant] Do you stock Benzathine?

[User] Benzathine injection? Yeah; in our outpatient we have but here we don’t

[Assistant] What about Warfarin?


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

[User] No because it is always a combination of the hypertension drugs and the other. So for us we just give what we have and we tell them to go and buy what we don’t have.

[Assistant] Do you stock Benzathine?

[User] Benzathine injection? Yeah; in our outpatient we have but here we don’t

[Assistant] What about Warfarin?

[User] That one I don’t know whether we have it because for us we always order what we supply to our patients. So some of the drugs are being supplied through the pharmacy at the OPD

[Assistant] So you don’t have those drugs!


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

[User] Benzathine injection? Yeah; in our outpatient we have but here we don’t

[Assistant] What about Warfarin?

[User] That one I don’t know whether we have it because for us we always order what we supply to our patients. So some of the drugs are being supplied through the pharmacy at the OPD

[Assistant] So you don’t have those drugs!

[User] No

[Assistant] Then, are there any aspects of Rheumatic Heart Disease management which you think you need more training in?


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

[User] That one I don’t know whether we have it because for us we always order what we supply to our patients. So some of the drugs are being supplied through the pharmacy at the OPD

[Assistant] So you don’t have those drugs!

[User] No

[Assistant] Then, are there any aspects of Rheumatic Heart Disease management which you think you need more training in?

[User] Yeah; if there is a chance of being trained, we want to be trained

[Assistant] Which areas would you want to be trained in managing Rheumatic Heart Disease?


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

[User] No

[Assistant] Then, are there any aspects of Rheumatic Heart Disease management which you think you need more training in?

[User] Yeah; if there is a chance of being trained, we want to be trained

[Assistant] Which areas would you want to be trained in managing Rheumatic Heart Disease?

[User] Umm, management throughout the management, the drugs, the dose and how to talk to these patients to give them advice accordingly.

[Assistant] So what is your understanding about the long-term prognosis of Rheumatic Heart Disease?


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

[User] Yeah; if there is a chance of being trained, we want to be trained

[Assistant] Which areas would you want to be trained in managing Rheumatic Heart Disease?

[User] Umm, management throughout the management, the drugs, the dose and how to talk to these patients to give them advice accordingly.

[Assistant] So what is your understanding about the long-term prognosis of Rheumatic Heart Disease?

[User] What I understand is that if someone has that problem for so long, either she is not getting the drugs properly or taking them properly and the thing just continues to be there.

[Assistant] Okay, tell me about your encounters with these patients who have Rheumatic Heart Disease. Do you remember the last one you saw?


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

[User] Umm, management throughout the management, the drugs, the dose and how to talk to these patients to give them advice accordingly.

[Assistant] So what is your understanding about the long-term prognosis of Rheumatic Heart Disease?

[User] What I understand is that if someone has that problem for so long, either she is not getting the drugs properly or taking them properly and the thing just continues to be there.

[Assistant] Okay, tell me about your encounters with these patients who have Rheumatic Heart Disease. Do you remember the last one you saw?

[User] Umm, usually when they are given the prescription to go and buy the drugs, they always complain that they have no money. Others may say, "I am a lone; I have no one of my kids because they all died." They always have complaints.

[Assistant] Okay. And umm, the last one you saw, was it a female or a male? How old was the last patient you saw?


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

[User] What I understand is that if someone has that problem for so long, either she is not getting the drugs properly or taking them properly and the thing just continues to be there.

[Assistant] Okay, tell me about your encounters with these patients who have Rheumatic Heart Disease. Do you remember the last one you saw?

[User] Umm, usually when they are given the prescription to go and buy the drugs, they always complain that they have no money. Others may say, "I am a lone; I have no one of my kids because they all died." They always have complaints.

[Assistant] Okay. And umm, the last one you saw, was it a female or a male? How old was the last patient you saw?

[User] Umm, the last one was a lady

[Assistant] How old was she?


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

[User] Umm, usually when they are given the prescription to go and buy the drugs, they always complain that they have no money. Others may say, "I am a lone; I have no one of my kids because they all died." They always have complaints.

[Assistant] Okay. And umm, the last one you saw, was it a female or a male? How old was the last patient you saw?

[User] Umm, the last one was a lady

[Assistant] How old was she?

[User] She was between 60 and 70

[Assistant] What did she complain of? What symptoms did she describe when she came here?


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

[User] Umm, the last one was a lady

[Assistant] How old was she?

[User] She was between 60 and 70

[Assistant] What did she complain of? What symptoms did she describe when she came here?

[User] So some have different matters: others are weak and they complain of having sleepless nights at times, no appetite, and palpitations

[Assistant] when you look at these patients do you think they know of an association between RHD and sore throat?


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

[User] She was between 60 and 70

[Assistant] What did she complain of? What symptoms did she describe when she came here?

[User] So some have different matters: others are weak and they complain of having sleepless nights at times, no appetite, and palpitations

[Assistant] when you look at these patients do you think they know of an association between RHD and sore throat?

[User] I don’t think.

[Assistant] They don’t know!


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

[User] So some have different matters: others are weak and they complain of having sleepless nights at times, no appetite, and palpitations

[Assistant] when you look at these patients do you think they know of an association between RHD and sore throat?

[User] I don’t think.

[Assistant] They don’t know!

[User] Yeah

[Assistant] And then, when you give them the drugs and treatment do you think they adhere to the treatment? Do they come back for follow up?


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

[User] I don’t think.

[Assistant] They don’t know!

[User] Yeah

[Assistant] And then, when you give them the drugs and treatment do you think they adhere to the treatment? Do they come back for follow up?

[User] Yeah, they always come back because we always give them a return date.

[Assistant] And what motivates them to come back?


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

[User] Yeah

[Assistant] And then, when you give them the drugs and treatment do you think they adhere to the treatment? Do they come back for follow up?

[User] Yeah, they always come back because we always give them a return date.

[Assistant] And what motivates them to come back?

[User] They care about their life:they do care. When you tell them to come back on such a day they always come back.

[Assistant] Do you have some who miss?


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

[User] Yeah, they always come back because we always give them a return date.

[Assistant] And what motivates them to come back?

[User] They care about their life:they do care. When you tell them to come back on such a day they always come back.

[Assistant] Do you have some who miss?

[User] Not usually. Maybe someone can miss if she is weak and don’t have any one to bring her. That’s when one misses.

[Assistant] And the distance they travel; where do they come from normally?


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

[User] They care about their life:they do care. When you tell them to come back on such a day they always come back.

[Assistant] Do you have some who miss?

[User] Not usually. Maybe someone can miss if she is weak and don’t have any one to bring her. That’s when one misses.

[Assistant] And the distance they travel; where do they come from normally?

[User] Within Entebbe, others may come like from Kajjansi, Ndejje around there. Even some can come from Kampala, because we have cases which changed from Mulago and started to come here.

[Assistant] Although they stay in Kampala?


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

[User] Not usually. Maybe someone can miss if she is weak and don’t have any one to bring her. That’s when one misses.

[Assistant] And the distance they travel; where do they come from normally?

[User] Within Entebbe, others may come like from Kajjansi, Ndejje around there. Even some can come from Kampala, because we have cases which changed from Mulago and started to come here.

[Assistant] Although they stay in Kampala?

[User] Yes.

[Assistant] Why do you think?


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

[User] Within Entebbe, others may come like from Kajjansi, Ndejje around there. Even some can come from Kampala, because we have cases which changed from Mulago and started to come here.

[Assistant] Although they stay in Kampala?

[User] Yes.

[Assistant] Why do you think?

[User] Maybe they are comfortable coming here because at times they were saying the numbers in Mulago are overwhelming so they decided to come to Entebbe or they don't stay long like in Mulago.

[Assistant] Now, you know for Rheumatic Heart Disease, patients have to come monthly to get their treatment. So for those who don't come why do you think they miss coming for their doses? Why do you think some people stay in the community?


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

[User] Yes.

[Assistant] Why do you think?

[User] Maybe they are comfortable coming here because at times they were saying the numbers in Mulago are overwhelming so they decided to come to Entebbe or they don't stay long like in Mulago.

[Assistant] Now, you know for Rheumatic Heart Disease, patients have to come monthly to get their treatment. So for those who don't come why do you think they miss coming for their doses? Why do you think some people stay in the community?

[User] Some may get tired, others may have someone to buy the same drugs if they have the prescription. They may tell someone, "you go to the drug shop and buy those drugs" and they continue taking.

[Assistant] Any other reason why some people choose not to come?


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

[User] Maybe they are comfortable coming here because at times they were saying the numbers in Mulago are overwhelming so they decided to come to Entebbe or they don't stay long like in Mulago.

[Assistant] Now, you know for Rheumatic Heart Disease, patients have to come monthly to get their treatment. So for those who don't come why do you think they miss coming for their doses? Why do you think some people stay in the community?

[User] Some may get tired, others may have someone to buy the same drugs if they have the prescription. They may tell someone, "you go to the drug shop and buy those drugs" and they continue taking.

[Assistant] Any other reason why some people choose not to come?

[User] Others its poverty; transport can fail them, others maybe be very weak and they can't come alone and there’s no one to help bring them.

[Assistant] Okay, for those few who you said do not come on time, which other reasons do they say for missing doses?


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

[User] Some may get tired, others may have someone to buy the same drugs if they have the prescription. They may tell someone, "you go to the drug shop and buy those drugs" and they continue taking.

[Assistant] Any other reason why some people choose not to come?

[User] Others its poverty; transport can fail them, others maybe be very weak and they can't come alone and there’s no one to help bring them.

[Assistant] Okay, for those few who you said do not come on time, which other reasons do they say for missing doses?

[User] Some are just reluctant; someone may have no reason and they say "doctor I didn’t come, I couldn't." So like that, when there’s no major problem. At times when they feel okay they just relax but there are others who are very active, when you tell them to come on such a day, they do.

[Assistant] Why do some people come when they are very sick?


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

[User] Others its poverty; transport can fail them, others maybe be very weak and they can't come alone and there’s no one to help bring them.

[Assistant] Okay, for those few who you said do not come on time, which other reasons do they say for missing doses?

[User] Some are just reluctant; someone may have no reason and they say "doctor I didn’t come, I couldn't." So like that, when there’s no major problem. At times when they feel okay they just relax but there are others who are very active, when you tell them to come on such a day, they do.

[Assistant] Why do some people come when they are very sick?

[User] That one at times when the drugs are finished they stay without taking them so someone can spend like a month without taking the drug and when they feel very sick, they are like "let me go back to the hospital, I am going to die from here."

[Assistant] Okay and then, what sort of barriers do you face when providing services to these patients like those who come with Rheumatic Heart Disease or even other conditions?


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

[User] Some are just reluctant; someone may have no reason and they say "doctor I didn’t come, I couldn't." So like that, when there’s no major problem. At times when they feel okay they just relax but there are others who are very active, when you tell them to come on such a day, they do.

[Assistant] Why do some people come when they are very sick?

[User] That one at times when the drugs are finished they stay without taking them so someone can spend like a month without taking the drug and when they feel very sick, they are like "let me go back to the hospital, I am going to die from here."

[Assistant] Okay and then, what sort of barriers do you face when providing services to these patients like those who come with Rheumatic Heart Disease or even other conditions?

[User] Others are too poor; they may come when we have stock outs so you tell them we have prescribed a list of drugs then they say, “doctor!! I won’t be able to buy it because I do not have any money. Even the transport to get here someone just helped me with it!”. Such things; poverty, no transport, no care takers. It being a chronic disease, others are just neglected by those who can buy them drugs. They say “hold on there’s no money, I will buy when I get money.”

[Assistant] Okay, and then let’s look at the local health system barriers on the side of the providers. I am going to be mentioning some of the things and tell me if they are working for you or not and tell me why. Let’s look at the administration here; is working for you? Is it helping you do your work well?


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

[User] That one at times when the drugs are finished they stay without taking them so someone can spend like a month without taking the drug and when they feel very sick, they are like "let me go back to the hospital, I am going to die from here."

[Assistant] Okay and then, what sort of barriers do you face when providing services to these patients like those who come with Rheumatic Heart Disease or even other conditions?

[User] Others are too poor; they may come when we have stock outs so you tell them we have prescribed a list of drugs then they say, “doctor!! I won’t be able to buy it because I do not have any money. Even the transport to get here someone just helped me with it!”. Such things; poverty, no transport, no care takers. It being a chronic disease, others are just neglected by those who can buy them drugs. They say “hold on there’s no money, I will buy when I get money.”

[Assistant] Okay, and then let’s look at the local health system barriers on the side of the providers. I am going to be mentioning some of the things and tell me if they are working for you or not and tell me why. Let’s look at the administration here; is working for you? Is it helping you do your work well?

[User] It would have but at times the stocks in this hospital is always not enough because they may think the drugs they are supplying will take us for three months but within one month the drugs are out of stock.

[Assistant] What is hindering those people who ask for the drugs to have do better projection so that they ask for enough drugs?


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

[User] Others are too poor; they may come when we have stock outs so you tell them we have prescribed a list of drugs then they say, “doctor!! I won’t be able to buy it because I do not have any money. Even the transport to get here someone just helped me with it!”. Such things; poverty, no transport, no care takers. It being a chronic disease, others are just neglected by those who can buy them drugs. They say “hold on there’s no money, I will buy when I get money.”

[Assistant] Okay, and then let’s look at the local health system barriers on the side of the providers. I am going to be mentioning some of the things and tell me if they are working for you or not and tell me why. Let’s look at the administration here; is working for you? Is it helping you do your work well?

[User] It would have but at times the stocks in this hospital is always not enough because they may think the drugs they are supplying will take us for three months but within one month the drugs are out of stock.

[Assistant] What is hindering those people who ask for the drugs to have do better projection so that they ask for enough drugs?

[User] They always limit them, like they can say we want this and this but they go on cutting the budget, and the money they are supposed to use to order for things is not enough.

[Assistant] Okay, and then what else is not working for you with the administration or what is working for you in administration?


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

[User] It would have but at times the stocks in this hospital is always not enough because they may think the drugs they are supplying will take us for three months but within one month the drugs are out of stock.

[Assistant] What is hindering those people who ask for the drugs to have do better projection so that they ask for enough drugs?

[User] They always limit them, like they can say we want this and this but they go on cutting the budget, and the money they are supposed to use to order for things is not enough.

[Assistant] Okay, and then what else is not working for you with the administration or what is working for you in administration?

[User] Umm, any way it’s always the stock outs but we used to have some people, like MRC guys who used to give us some drugs which was doing good for us because at that time apart from insulin from the DM patients, we used to have the tablets for hypertension, the DM drugs were always in plenty but these days they withdrew. They had come in for five years and now that they are over, like now the insulin is out of stock and we don’t have any, so the people coming on Wednesday will cry from here. First of all insulin is very expensive, some can afford and some can’t afford to buy. Even the tablets, like now they brought only 30,000. So already we are... it’s not even a month but the drugs are already finished. So such problems are there, mainly stock outs.

[Assistant] How about leadership in the district; is it working for you?


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

[User] They always limit them, like they can say we want this and this but they go on cutting the budget, and the money they are supposed to use to order for things is not enough.

[Assistant] Okay, and then what else is not working for you with the administration or what is working for you in administration?

[User] Umm, any way it’s always the stock outs but we used to have some people, like MRC guys who used to give us some drugs which was doing good for us because at that time apart from insulin from the DM patients, we used to have the tablets for hypertension, the DM drugs were always in plenty but these days they withdrew. They had come in for five years and now that they are over, like now the insulin is out of stock and we don’t have any, so the people coming on Wednesday will cry from here. First of all insulin is very expensive, some can afford and some can’t afford to buy. Even the tablets, like now they brought only 30,000. So already we are... it’s not even a month but the drugs are already finished. So such problems are there, mainly stock outs.

[Assistant] How about leadership in the district; is it working for you?

[User] Huh, that one [Laughs] ... I don’t know but for us if things are there, we always order and we give our patients and they become happy.

[Assistant] How about the funding for health care in general?


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

[User] Umm, any way it’s always the stock outs but we used to have some people, like MRC guys who used to give us some drugs which was doing good for us because at that time apart from insulin from the DM patients, we used to have the tablets for hypertension, the DM drugs were always in plenty but these days they withdrew. They had come in for five years and now that they are over, like now the insulin is out of stock and we don’t have any, so the people coming on Wednesday will cry from here. First of all insulin is very expensive, some can afford and some can’t afford to buy. Even the tablets, like now they brought only 30,000. So already we are... it’s not even a month but the drugs are already finished. So such problems are there, mainly stock outs.

[Assistant] How about leadership in the district; is it working for you?

[User] Huh, that one [Laughs] ... I don’t know but for us if things are there, we always order and we give our patients and they become happy.

[Assistant] How about the funding for health care in general?

[User] But the funding I think they are limited so much, they don’t give them enough. They should add on because the patients are increasing every day. Like here in our clinic, we always get new cases every Wednesday, those of DM on Wednesday and those of blood pressure every Tuesday.

[Assistant] How about funding for Rheumatic Heart Disease in particular. How do you see it here in the hospital?


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

[User] Huh, that one [Laughs] ... I don’t know but for us if things are there, we always order and we give our patients and they become happy.

[Assistant] How about the funding for health care in general?

[User] But the funding I think they are limited so much, they don’t give them enough. They should add on because the patients are increasing every day. Like here in our clinic, we always get new cases every Wednesday, those of DM on Wednesday and those of blood pressure every Tuesday.

[Assistant] How about funding for Rheumatic Heart Disease in particular. How do you see it here in the hospital?

[User] That one I really don’t know maybe you can get a better from pharmacist who always orders for drugs. I think he knows the better answer for that.

[Assistant] Okay, if you look at the health care worker numbers and qualifications, how are they? Let’s start with numbers; are they working for you? The staff numbers!


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

[User] But the funding I think they are limited so much, they don’t give them enough. They should add on because the patients are increasing every day. Like here in our clinic, we always get new cases every Wednesday, those of DM on Wednesday and those of blood pressure every Tuesday.

[Assistant] How about funding for Rheumatic Heart Disease in particular. How do you see it here in the hospital?

[User] That one I really don’t know maybe you can get a better from pharmacist who always orders for drugs. I think he knows the better answer for that.

[Assistant] Okay, if you look at the health care worker numbers and qualifications, how are they? Let’s start with numbers; are they working for you? The staff numbers!

[User] The staff numbers, when we are so busy we get some assistance from other staffs but the hospital is going to be lifted to a referral status, so we are expecting to be given more nurses and other professionals.

[Assistant] How about the qualifications of health workers here, is it working for you?


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

[User] That one I really don’t know maybe you can get a better from pharmacist who always orders for drugs. I think he knows the better answer for that.

[Assistant] Okay, if you look at the health care worker numbers and qualifications, how are they? Let’s start with numbers; are they working for you? The staff numbers!

[User] The staff numbers, when we are so busy we get some assistance from other staffs but the hospital is going to be lifted to a referral status, so we are expecting to be given more nurses and other professionals.

[Assistant] How about the qualifications of health workers here, is it working for you?

[User] The qualifications, I think it’s good because most people have gone back to school so they have added on books.

[Assistant] Waiting time for patients; how is it?


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

[User] The staff numbers, when we are so busy we get some assistance from other staffs but the hospital is going to be lifted to a referral status, so we are expecting to be given more nurses and other professionals.

[Assistant] How about the qualifications of health workers here, is it working for you?

[User] The qualifications, I think it’s good because most people have gone back to school so they have added on books.

[Assistant] Waiting time for patients; how is it?

[User] We are trying to limit it because like here now when we have very many patients, we try to give them numbers so they don’t complain “I came first, or you are passing me.” So we give them numbers and we are in different whatever, so someone may be taking the blood pressure, others weighing, recording the NCD books, clinical officers prescribing, others dispense and record in the books. The way we follow the orders, they don’t over stay.

[Assistant] How about the quality of care you give them; how do you look at it?


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

[User] The qualifications, I think it’s good because most people have gone back to school so they have added on books.

[Assistant] Waiting time for patients; how is it?

[User] We are trying to limit it because like here now when we have very many patients, we try to give them numbers so they don’t complain “I came first, or you are passing me.” So we give them numbers and we are in different whatever, so someone may be taking the blood pressure, others weighing, recording the NCD books, clinical officers prescribing, others dispense and record in the books. The way we follow the orders, they don’t over stay.

[Assistant] How about the quality of care you give them; how do you look at it?

[User] We always give them health talks and we always tell them to ask questions where they don’t understand.

[Assistant] And the medicine you have talked about, tell me about the heart failure drugs. Do you have them in stock here?


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

[User] We are trying to limit it because like here now when we have very many patients, we try to give them numbers so they don’t complain “I came first, or you are passing me.” So we give them numbers and we are in different whatever, so someone may be taking the blood pressure, others weighing, recording the NCD books, clinical officers prescribing, others dispense and record in the books. The way we follow the orders, they don’t over stay.

[Assistant] How about the quality of care you give them; how do you look at it?

[User] We always give them health talks and we always tell them to ask questions where they don’t understand.

[Assistant] And the medicine you have talked about, tell me about the heart failure drugs. Do you have them in stock here?

[User] At times we have, there are some promoters who always come and supply us some. They have done a lot because they give us some and we give to them (patients). At times we give a full dose and at times we give some and tell them “if these ones get done make sure you buy and finish the dose”

[Assistant] How about the anti-coagulation drugs; do you have them here?


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

[User] At times we have, there are some promoters who always come and supply us some. They have done a lot because they give us some and we give to them (patients). At times we give a full dose and at times we give some and tell them “if these ones get done make sure you buy and finish the dose”

[Assistant] How about the anti-coagulation drugs; do you have them here?

[User] I think they are there.

[Assistant] You have!

[User] They might be there in the pharmacy or the stores because other drugs we can’t know because we don’t know much.

[Assistant] How about BPG, do you have it?


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

[User] I think they are there.

[Assistant] You have!

[User] They might be there in the pharmacy or the stores because other drugs we can’t know because we don’t know much.

[Assistant] How about BPG, do you have it?

[User] What is that?

[Assistant] How about diagnostics like echo-cardiography?


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

[User] They might be there in the pharmacy or the stores because other drugs we can’t know because we don’t know much.

[Assistant] How about BPG, do you have it?

[User] What is that?

[Assistant] How about diagnostics like echo-cardiography?

[User] That one I am not very sure.

[Assistant] How about the heart patients here, do they get examined?


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

[User] What is that?

[Assistant] How about diagnostics like echo-cardiography?

[User] That one I am not very sure.

[Assistant] How about the heart patients here, do they get examined?

[User] The doctors examine and then at times they refer them to physicians to be checked. At times they are given whatever to go and check.

[Assistant] Okay, and then when you look at the health information system or the medical record system you have here, is it working for you? The way you keep records, the way information flows from in-patient to out-patient, or in case you need information from another department is it easy to access that information and does it flow ...


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

[User] That one I am not very sure.

[Assistant] How about the heart patients here, do they get examined?

[User] The doctors examine and then at times they refer them to physicians to be checked. At times they are given whatever to go and check.

[Assistant] Okay, and then when you look at the health information system or the medical record system you have here, is it working for you? The way you keep records, the way information flows from in-patient to out-patient, or in case you need information from another department is it easy to access that information and does it flow ...

[User] I think that one is easy although now we are starting a system of using computers in every unit, so we are starting that system here. We are not yet used to it and the computers are not enough but every unit is being given a computer. I think it will be good.

[Assistant] Okay, and then do you have registers for different diseases like for Acute Rheumatic fever, and Rheumatic Heart Disease?


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

[User] The doctors examine and then at times they refer them to physicians to be checked. At times they are given whatever to go and check.

[Assistant] Okay, and then when you look at the health information system or the medical record system you have here, is it working for you? The way you keep records, the way information flows from in-patient to out-patient, or in case you need information from another department is it easy to access that information and does it flow ...

[User] I think that one is easy although now we are starting a system of using computers in every unit, so we are starting that system here. We are not yet used to it and the computers are not enough but every unit is being given a computer. I think it will be good.

[Assistant] Okay, and then do you have registers for different diseases like for Acute Rheumatic fever, and Rheumatic Heart Disease?

[User] We have one for NCD and the general one.

[Assistant] And do you have guidelines and protocols for Rheumatic Heart Disease care here?


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

[User] I think that one is easy although now we are starting a system of using computers in every unit, so we are starting that system here. We are not yet used to it and the computers are not enough but every unit is being given a computer. I think it will be good.

[Assistant] Okay, and then do you have registers for different diseases like for Acute Rheumatic fever, and Rheumatic Heart Disease?

[User] We have one for NCD and the general one.

[Assistant] And do you have guidelines and protocols for Rheumatic Heart Disease care here?

[User] Umm these promoters used to give us some but as we are having 5As, those that are not laminated are not supposed to put on the wall to stick, but we have some.

[Assistant] For which diseases?


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

[User] We have one for NCD and the general one.

[Assistant] And do you have guidelines and protocols for Rheumatic Heart Disease care here?

[User] Umm these promoters used to give us some but as we are having 5As, those that are not laminated are not supposed to put on the wall to stick, but we have some.

[Assistant] For which diseases?

[User] Like that one for DM.

[Assistant] How about for Rheumatic Heart Disease; do you have any?


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

[User] Umm these promoters used to give us some but as we are having 5As, those that are not laminated are not supposed to put on the wall to stick, but we have some.

[Assistant] For which diseases?

[User] Like that one for DM.

[Assistant] How about for Rheumatic Heart Disease; do you have any?

[User] There was a time they gave us some but we had nowhere to hang them.

[Assistant] Who gave you those ones?


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

[User] Like that one for DM.

[Assistant] How about for Rheumatic Heart Disease; do you have any?

[User] There was a time they gave us some but we had nowhere to hang them.

[Assistant] Who gave you those ones?

[User] Those promoters they come and distribute their drugs.

[Assistant] But have you seen any guidelines on how to manage Rheumatic Heart Disease?


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

[User] There was a time they gave us some but we had nowhere to hang them.

[Assistant] Who gave you those ones?

[User] Those promoters they come and distribute their drugs.

[Assistant] But have you seen any guidelines on how to manage Rheumatic Heart Disease?

[User] I think others but not our unit. I think in the ward, those people who admit patients might have some but for us here we don’t have because for us we don't admit; we just work on them and they go.

[Assistant] I understand, so for these things I have mentioned what has worked for you? Administration, funding, health care workers, drugs, information flow and guidelines, what is working for you here?


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

[User] Those promoters they come and distribute their drugs.

[Assistant] But have you seen any guidelines on how to manage Rheumatic Heart Disease?

[User] I think others but not our unit. I think in the ward, those people who admit patients might have some but for us here we don’t have because for us we don't admit; we just work on them and they go.

[Assistant] I understand, so for these things I have mentioned what has worked for you? Administration, funding, health care workers, drugs, information flow and guidelines, what is working for you here?

[User] But I think a combination of all; it is good if it is in the system.

[Assistant] But currently is it working for you?


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

[User] I think others but not our unit. I think in the ward, those people who admit patients might have some but for us here we don’t have because for us we don't admit; we just work on them and they go.

[Assistant] I understand, so for these things I have mentioned what has worked for you? Administration, funding, health care workers, drugs, information flow and guidelines, what is working for you here?

[User] But I think a combination of all; it is good if it is in the system.

[Assistant] But currently is it working for you?

[User] There are some loopholes somewhere. It is not 100%, but they are try.

[Assistant] So where do you want them to put more effort?


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

[User] But I think a combination of all; it is good if it is in the system.

[Assistant] But currently is it working for you?

[User] There are some loopholes somewhere. It is not 100%, but they are try.

[Assistant] So where do you want them to put more effort?

[User] I think the stock outs; if the drugs are there and the patient comes and you give him everything, it will be good.

[Assistant] So what makes you to keep working despite those short comings?


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

[User] There are some loopholes somewhere. It is not 100%, but they are try.

[Assistant] So where do you want them to put more effort?

[User] I think the stock outs; if the drugs are there and the patient comes and you give him everything, it will be good.

[Assistant] So what makes you to keep working despite those short comings?

[User] It is positive attitude, and then the umm, and good working relationship and team work.

[Assistant] Now let’s look at your perception of patient outcomes; generally do you think patients get the care they need here?


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

[User] I think the stock outs; if the drugs are there and the patient comes and you give him everything, it will be good.

[Assistant] So what makes you to keep working despite those short comings?

[User] It is positive attitude, and then the umm, and good working relationship and team work.

[Assistant] Now let’s look at your perception of patient outcomes; generally do you think patients get the care they need here?

[User] Yeah, they always appreciate and at times they bring us some things and be like, “doctors, thanks for treating us. You are so caring.” They appreciate.

[Assistant] Okay, do you have any patient safety or quality of care concerns here?


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

[User] It is positive attitude, and then the umm, and good working relationship and team work.

[Assistant] Now let’s look at your perception of patient outcomes; generally do you think patients get the care they need here?

[User] Yeah, they always appreciate and at times they bring us some things and be like, “doctors, thanks for treating us. You are so caring.” They appreciate.

[Assistant] Okay, do you have any patient safety or quality of care concerns here?

[User] Umm ... no

[Assistant] You don’t have any!


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

[User] Yeah, they always appreciate and at times they bring us some things and be like, “doctors, thanks for treating us. You are so caring.” They appreciate.

[Assistant] Okay, do you have any patient safety or quality of care concerns here?

[User] Umm ... no

[Assistant] You don’t have any!

[User] We don’t have any except that they are too forgetful; at times they forget their things here and we give them back but stealing here in our place, no.

[Assistant] How about when you are providing them with services, do you feel like people do whatever it takes to make sure they are given services in a hygienic and safest way?


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

[User] Umm ... no

[Assistant] You don’t have any!

[User] We don’t have any except that they are too forgetful; at times they forget their things here and we give them back but stealing here in our place, no.

[Assistant] How about when you are providing them with services, do you feel like people do whatever it takes to make sure they are given services in a hygienic and safest way?

[User] Yeah, for us here I am sure the cleanliness is okay. We don't have any issues.

[Assistant] Okay, so if you look at the quality of care for your patients here, how is it?


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

[User] Yeah, for us here I am sure the cleanliness is okay. We don't have any issues.

[Assistant] Okay, so if you look at the quality of care for your patients here, how is it?

[User] The quality, it is good.

[Assistant] Why?

[User] Because first of all we are clean and we always work in a clean environment, we do the needful. We have drug envelops where we always pack for them; we have no problem.

[Assistant] Have you seen any preventable deaths here occurring here? A death which wouldn’t have occurred but it occurred.


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

[User] The quality, it is good.

[Assistant] Why?

[User] Because first of all we are clean and we always work in a clean environment, we do the needful. We have drug envelops where we always pack for them; we have no problem.

[Assistant] Have you seen any preventable deaths here occurring here? A death which wouldn’t have occurred but it occurred.

[User] No, maybe on the wards when they are admitted but here we have never had such.

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


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

[User] No, maybe on the wards when they are admitted but here we have never had such.

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

[User] Yeah, there are there who are dying.

[Assistant] Why?

[User] Some of them have that thinking that they are being bewitched and they just use local herbs assuming they have been bewitched, so they can die from there. Others are too poor; transport is a problem or someone to escorts them is at times the problem.

[Assistant] And then in your opinion what are the two main things Ministry of health can do to improve outcomes in our hospitals?


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

[User] Yeah, there are there who are dying.

[Assistant] Why?

[User] Some of them have that thinking that they are being bewitched and they just use local herbs assuming they have been bewitched, so they can die from there. Others are too poor; transport is a problem or someone to escorts them is at times the problem.

[Assistant] And then in your opinion what are the two main things Ministry of health can do to improve outcomes in our hospitals?

[User] I think they should do outreaches deep in the villages and just talk to those people as they come to know such diseases, the signs and symptoms and what they should do. Umm ... I think that can work.

[Assistant] Okay, anything else before we stop?


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

[User]
Changes in diet have been caused by social and tribal interaction, for instance the coming of Arusha people to our village has contributed to the increase of some food items at the market such as bananas, cabbage, pineapples, while in the past years, there was no bananas at our market.

Factors for changes in diet are shortage of grazing land, decreased number of livestock and increased crop farms; all these have led to adaptation of new food items.

Factors for changes in diet include shortage of grazing land, decreased number of livestock and increased crop farms; all these have led to adaptation of new food items.

[Assistant] Which foods did you use to eat in the past period?

[User] In the past years, the Maasai used to eat milk, more especially fermented milk, but nowadays we just eat stiff porridge, vegetables such as amaranth leaves, pumpkin leaves sweet potatoes leaves, cow peas leaves, cassava leaves, as well as other relish such as beans.

[Assistant] How have changes in diet become different to women, men and children?

[User] We all eat the same food together.

[Assistant] How was it in the past?


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

[User] In the past years, the Maasai used to eat milk, more especially fermented milk, but nowadays we just eat stiff porridge, vegetables such as amaranth leaves, pumpkin leaves sweet potatoes leaves, cow peas leaves, cassava leaves, as well as other relish such as beans.

[Assistant] How have changes in diet become different to women, men and children?

[User] We all eat the same food together.

[Assistant] How was it in the past?

[User]
Nowadays everything has changed completely, in the past we all ate milk, but nowadays we eat stiff porridge.

In the past children also ate milk but nowadays children eat bulrush millet porridge.

[Assistant] How do you prepare and cook bulrush millet porridge


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

[User] We all eat the same food together.

[Assistant] How was it in the past?

[User]
Nowadays everything has changed completely, in the past we all ate milk, but nowadays we eat stiff porridge.

In the past children also ate milk but nowadays children eat bulrush millet porridge.

[Assistant] How do you prepare and cook bulrush millet porridge

[User] We mix flour, water and milk, and then we stir up and boil.

[Assistant] Why there is change in food preparation methods, for instance in the past period, you used to boil food but nowadays you prepare food by frying, roasting, boiling, etc?


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

[User]
Nowadays everything has changed completely, in the past we all ate milk, but nowadays we eat stiff porridge.

In the past children also ate milk but nowadays children eat bulrush millet porridge.

[Assistant] How do you prepare and cook bulrush millet porridge

[User] We mix flour, water and milk, and then we stir up and boil.

[Assistant] Why there is change in food preparation methods, for instance in the past period, you used to boil food but nowadays you prepare food by frying, roasting, boiling, etc?

[User]
Education is one of the reasons why people have changed methods in preparation of foods, for instance in the past most people had primary school education but nowadays people do attend school to secondary school and college levels, so when people of different ethnic background meet together, they share different experiences, customs, traditions and techniques, so most people learn new things from their fellows.

Another reason is social interaction which enables most people to share different experiences whereby some people do adapt new things in their lives.

[Assistant] How was diet system among the Zigua people?


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

[User] We mix flour, water and milk, and then we stir up and boil.

[Assistant] Why there is change in food preparation methods, for instance in the past period, you used to boil food but nowadays you prepare food by frying, roasting, boiling, etc?

[User]
Education is one of the reasons why people have changed methods in preparation of foods, for instance in the past most people had primary school education but nowadays people do attend school to secondary school and college levels, so when people of different ethnic background meet together, they share different experiences, customs, traditions and techniques, so most people learn new things from their fellows.

Another reason is social interaction which enables most people to share different experiences whereby some people do adapt new things in their lives.

[Assistant] How was diet system among the Zigua people?

[User]
The Zigua people used to prepare and eat porridge in the morning, stiff porridge for lunch and dinner, this would last for a month, but nowadays you may prepare stiff porridge for lunch, rice for dinner or cracked and cooked maize for lunch and bananas for dinner.

We used to drink tea during breakfast, stiff porridge for lunch and dinner.

[Assistant] How has education changed you?


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

[User]
Education is one of the reasons why people have changed methods in preparation of foods, for instance in the past most people had primary school education but nowadays people do attend school to secondary school and college levels, so when people of different ethnic background meet together, they share different experiences, customs, traditions and techniques, so most people learn new things from their fellows.

Another reason is social interaction which enables most people to share different experiences whereby some people do adapt new things in their lives.

[Assistant] How was diet system among the Zigua people?

[User]
The Zigua people used to prepare and eat porridge in the morning, stiff porridge for lunch and dinner, this would last for a month, but nowadays you may prepare stiff porridge for lunch, rice for dinner or cracked and cooked maize for lunch and bananas for dinner.

We used to drink tea during breakfast, stiff porridge for lunch and dinner.

[Assistant] How has education changed you?

[User] Education has brought big changes, for instance in the past girls were not taken to school but nowadays they are taken to schools, they get educated and get employed in different places, this is a change.

[Assistant] How has this helped girl?


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

[User]
The Zigua people used to prepare and eat porridge in the morning, stiff porridge for lunch and dinner, this would last for a month, but nowadays you may prepare stiff porridge for lunch, rice for dinner or cracked and cooked maize for lunch and bananas for dinner.

We used to drink tea during breakfast, stiff porridge for lunch and dinner.

[Assistant] How has education changed you?

[User] Education has brought big changes, for instance in the past girls were not taken to school but nowadays they are taken to schools, they get educated and get employed in different places, this is a change.

[Assistant] How has this helped girl?

[User] Taking girls to school has helped them to be confident, independent, free and to sustain their families

[Assistant] Is education very important to girls and women?


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

[User] Education has brought big changes, for instance in the past girls were not taken to school but nowadays they are taken to schools, they get educated and get employed in different places, this is a change.

[Assistant] How has this helped girl?

[User] Taking girls to school has helped them to be confident, independent, free and to sustain their families

[Assistant] Is education very important to girls and women?

[User] Yes, it is very important because if you have education, you will help your family and develop your society, because if you have education there are some development issues which will be achieved, moreover you will educate and help your brothers and sisters.

[Assistant] How has provision of education to girls contributed to changes in diet?


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

[User] Taking girls to school has helped them to be confident, independent, free and to sustain their families

[Assistant] Is education very important to girls and women?

[User] Yes, it is very important because if you have education, you will help your family and develop your society, because if you have education there are some development issues which will be achieved, moreover you will educate and help your brothers and sisters.

[Assistant] How has provision of education to girls contributed to changes in diet?

[User] Education has contributed to changes in diet, for instance in the past mother used to give food left over to their children without warming it, but nowadays it is a different case, children do eat warmed food stuffs.

[Assistant] What is the importance of education to Maasai people?


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

[User] Yes, it is very important because if you have education, you will help your family and develop your society, because if you have education there are some development issues which will be achieved, moreover you will educate and help your brothers and sisters.

[Assistant] How has provision of education to girls contributed to changes in diet?

[User] Education has contributed to changes in diet, for instance in the past mother used to give food left over to their children without warming it, but nowadays it is a different case, children do eat warmed food stuffs.

[Assistant] What is the importance of education to Maasai people?

[User]
Education has helped them to change their daily lives, for instance they used to keep lots of livestock, but nowadays due to limited grazing land, most Maasai have reduced their livestock.

Education also has helped people to change mind wise, for instance nowadays many Maasai people do take their children to schools.

In the past most Maasai men used to take their livestock to 'lonjo' but nowadays most of them have changed their minds and they have started going to school and performing other activities.

Education helps the Maasai to read letters.

Education has helped the Maasai to resolve and overcome the occurring conflicts and challenges in livestock keeping.

[Assistant] What is your perception towards the educated Maasai people?


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

[User] Education has contributed to changes in diet, for instance in the past mother used to give food left over to their children without warming it, but nowadays it is a different case, children do eat warmed food stuffs.

[Assistant] What is the importance of education to Maasai people?

[User]
Education has helped them to change their daily lives, for instance they used to keep lots of livestock, but nowadays due to limited grazing land, most Maasai have reduced their livestock.

Education also has helped people to change mind wise, for instance nowadays many Maasai people do take their children to schools.

In the past most Maasai men used to take their livestock to 'lonjo' but nowadays most of them have changed their minds and they have started going to school and performing other activities.

Education helps the Maasai to read letters.

Education has helped the Maasai to resolve and overcome the occurring conflicts and challenges in livestock keeping.

[Assistant] What is your perception towards the educated Maasai people?

[User]
We always witness good living styles and development to the educated Maasai people.

There is no any bad thing for the educated Maasai people.

The educated Maasai people do abandon some Maasai traditions and customs, they do not follow them accordingly, and this is a disadvantage of taking Maasai children to school.

[Assistant] IG What is the importance of knowledge and understanding acquired from schools by the Maasai people?