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

[User] Honestly, I can’t put my finger on a specific one, since they were pretty similar. I had to endure ad hominem attacks on me and the project, without having the liberty to respond in a fully open and honest way. I guess the part about me being from HR and smelling like death really struck a chord with me and rubbed me the wrong way, especially coming from a person with low emotional intelligence.

[Assistant] Could you recall an anecdote covering the regression of change recipients from the stage of accepting change towards resisting change again.

[User] Well that’s definitely an extension of this growing resentment and questioning if we’ve even done anything or if we were just clicking through all of those excel sheets. The biggest regression moment was when we had to report our progress and we realized that the rest of the organization in other countries was facing similar problems, where this project didn’t really make sense on a larger scale. All that work appeared to have been done for nothing, and all those people were laid off without a meaningful reason. Everything quickly turned into a meaningless effort.

[Assistant] What were the most important insights from this stage in your opinion?

[User] I guess I wasn’t aware of how important it was to manage expectations on a more frequent basis, instead of just rushing through results and “riding the momentum”, as Kotter suggests in the model. I guess that momentum was actually just the first spark which needed a bit more tending to, instead of rushing into the project. I guess a bit more ownership could have made this phase more successful, or at least minimize the damage done.

[Assistant] Who was the most resilient and how did you handle this challenge?


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

[User] Well that’s definitely an extension of this growing resentment and questioning if we’ve even done anything or if we were just clicking through all of those excel sheets. The biggest regression moment was when we had to report our progress and we realized that the rest of the organization in other countries was facing similar problems, where this project didn’t really make sense on a larger scale. All that work appeared to have been done for nothing, and all those people were laid off without a meaningful reason. Everything quickly turned into a meaningless effort.

[Assistant] What were the most important insights from this stage in your opinion?

[User] I guess I wasn’t aware of how important it was to manage expectations on a more frequent basis, instead of just rushing through results and “riding the momentum”, as Kotter suggests in the model. I guess that momentum was actually just the first spark which needed a bit more tending to, instead of rushing into the project. I guess a bit more ownership could have made this phase more successful, or at least minimize the damage done.

[Assistant] Who was the most resilient and how did you handle this challenge?

[User] Quite a lot of people showed tremendous resilience, and I think the biggest surprise was how HR was useless and had enjoyed the perception of “incompetent bad guys that only think about money”. There wasn’t a lot that I could do honestly, I felt that the whole world was against me, and that there was simply no way that I could win this project. I sincerely thought about quitting as it didn’t make any sense for me.

[Assistant] Talk me through the process of reawakening change acceptance within change recipients.


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

[User] I guess I wasn’t aware of how important it was to manage expectations on a more frequent basis, instead of just rushing through results and “riding the momentum”, as Kotter suggests in the model. I guess that momentum was actually just the first spark which needed a bit more tending to, instead of rushing into the project. I guess a bit more ownership could have made this phase more successful, or at least minimize the damage done.

[Assistant] Who was the most resilient and how did you handle this challenge?

[User] Quite a lot of people showed tremendous resilience, and I think the biggest surprise was how HR was useless and had enjoyed the perception of “incompetent bad guys that only think about money”. There wasn’t a lot that I could do honestly, I felt that the whole world was against me, and that there was simply no way that I could win this project. I sincerely thought about quitting as it didn’t make any sense for me.

[Assistant] Talk me through the process of reawakening change acceptance within change recipients.

[User] To tell you the truth, I think this was only reported for political reasons, and wasn’t truly happening when I was working on that project. In fact, retrospectively, I think that this change acceptance is still going on, even though the project has been “finished” for over 9 months now. A political acceptance and formal end of implementation was completed, but I’m thinking it will be accepted when there won’t be any other options available.

[Assistant] How did you manage to achieve it and what were the early signs of them experiencing reawakening?


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

[User] Quite a lot of people showed tremendous resilience, and I think the biggest surprise was how HR was useless and had enjoyed the perception of “incompetent bad guys that only think about money”. There wasn’t a lot that I could do honestly, I felt that the whole world was against me, and that there was simply no way that I could win this project. I sincerely thought about quitting as it didn’t make any sense for me.

[Assistant] Talk me through the process of reawakening change acceptance within change recipients.

[User] To tell you the truth, I think this was only reported for political reasons, and wasn’t truly happening when I was working on that project. In fact, retrospectively, I think that this change acceptance is still going on, even though the project has been “finished” for over 9 months now. A political acceptance and formal end of implementation was completed, but I’m thinking it will be accepted when there won’t be any other options available.

[Assistant] How did you manage to achieve it and what were the early signs of them experiencing reawakening?

[User] There was not formal reawakening, it was just a formal checkpoint where employees had to demonstrate their software use know-how, and that’s where the story ended.

[Assistant] Who was your strongest ally at this stage?


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

[User] To tell you the truth, I think this was only reported for political reasons, and wasn’t truly happening when I was working on that project. In fact, retrospectively, I think that this change acceptance is still going on, even though the project has been “finished” for over 9 months now. A political acceptance and formal end of implementation was completed, but I’m thinking it will be accepted when there won’t be any other options available.

[Assistant] How did you manage to achieve it and what were the early signs of them experiencing reawakening?

[User] There was not formal reawakening, it was just a formal checkpoint where employees had to demonstrate their software use know-how, and that’s where the story ended.

[Assistant] Who was your strongest ally at this stage?

[User] I guess HR, coincidentally the most despised department in the organization, was my strongest ally since we were relying on formal coercion, which forced the people to start talking about actual results and getting things done. Sadly, but I guess they never got a clear understanding of what the benefits were supposed to be…

[Assistant] Could you recall an anecdote which could illuminate how this final stage of reacceptance was unfolding within the organization?


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

[User] There was not formal reawakening, it was just a formal checkpoint where employees had to demonstrate their software use know-how, and that’s where the story ended.

[Assistant] Who was your strongest ally at this stage?

[User] I guess HR, coincidentally the most despised department in the organization, was my strongest ally since we were relying on formal coercion, which forced the people to start talking about actual results and getting things done. Sadly, but I guess they never got a clear understanding of what the benefits were supposed to be…

[Assistant] Could you recall an anecdote which could illuminate how this final stage of reacceptance was unfolding within the organization?

[User] Nothing special, to be honest… Coercion was in full motion and everyone played along, nominally complying, but continuing to report all the negative aspects of the software.

[Assistant] What were the first signs of successful transformation with change recipients?


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

[User] I guess HR, coincidentally the most despised department in the organization, was my strongest ally since we were relying on formal coercion, which forced the people to start talking about actual results and getting things done. Sadly, but I guess they never got a clear understanding of what the benefits were supposed to be…

[Assistant] Could you recall an anecdote which could illuminate how this final stage of reacceptance was unfolding within the organization?

[User] Nothing special, to be honest… Coercion was in full motion and everyone played along, nominally complying, but continuing to report all the negative aspects of the software.

[Assistant] What were the first signs of successful transformation with change recipients?

[User] I can’t say the transformation was successful, it was more of a facade…

[Assistant] How did you recognize the occurrence of true mastery in accepting change?


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

[User] Nothing special, to be honest… Coercion was in full motion and everyone played along, nominally complying, but continuing to report all the negative aspects of the software.

[Assistant] What were the first signs of successful transformation with change recipients?

[User] I can’t say the transformation was successful, it was more of a facade…

[Assistant] How did you recognize the occurrence of true mastery in accepting change?

[User] This true mastery you mention wasn’t present, I guess my mastery was more relevant, since I managed to control my emotions and deal with these people who were continuously sabotaging my project. But this is a company that has no true consequences for blockers, as long as you demonstrate “some” work and effort, you’re good to go.

[Assistant] What is the main point you managed to get across?


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

[User] I can’t say the transformation was successful, it was more of a facade…

[Assistant] How did you recognize the occurrence of true mastery in accepting change?

[User] This true mastery you mention wasn’t present, I guess my mastery was more relevant, since I managed to control my emotions and deal with these people who were continuously sabotaging my project. But this is a company that has no true consequences for blockers, as long as you demonstrate “some” work and effort, you’re good to go.

[Assistant] What is the main point you managed to get across?

[User] I’m just doing my job, and you are punishing me because of the issues you are having with the management team. Your dissatisfaction shouldn’t be manifested by blocking my project…

[Assistant] What do you think is the most important thing to highlight here?


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

[User] This true mastery you mention wasn’t present, I guess my mastery was more relevant, since I managed to control my emotions and deal with these people who were continuously sabotaging my project. But this is a company that has no true consequences for blockers, as long as you demonstrate “some” work and effort, you’re good to go.

[Assistant] What is the main point you managed to get across?

[User] I’m just doing my job, and you are punishing me because of the issues you are having with the management team. Your dissatisfaction shouldn’t be manifested by blocking my project…

[Assistant] What do you think is the most important thing to highlight here?

[User] Allies are super important, however they don’t guarantee success. You have to manage to portray yourself as one of them, and not as another pawn that the management has installed to control the mass. Politics, politics.

[Assistant] OK, I think we got everything, thanks again for taking the time to do this.


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

[User] OK cool, that sounds good.

[Assistant] OK, great. Let me pull up my question list. So, Fred, how old are you?

[User] I am 31.

[Assistant] And where are you located?

[User] I'm in Philadelphia, Pennsylvania. The United States.

[Assistant] And what is your current job?


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

[User] I am 31.

[Assistant] And where are you located?

[User] I'm in Philadelphia, Pennsylvania. The United States.

[Assistant] And what is your current job?

[User] I'm a paramedic at an ambulance company, a private ambulance company.

[Assistant] And how long have you been there?


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

[User] I'm in Philadelphia, Pennsylvania. The United States.

[Assistant] And what is your current job?

[User] I'm a paramedic at an ambulance company, a private ambulance company.

[Assistant] And how long have you been there?

[User] I've been there for about six years.

[Assistant] Is this your only job?


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

[User] I'm a paramedic at an ambulance company, a private ambulance company.

[Assistant] And how long have you been there?

[User] I've been there for about six years.

[Assistant] Is this your only job?

[User] Yes. Yes, it is.

[Assistant] You volunteer anywhere?


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

[User] I've been there for about six years.

[Assistant] Is this your only job?

[User] Yes. Yes, it is.

[Assistant] You volunteer anywhere?

[User] No. No, I did have like two jobs going on for a little while, but I just I just stick to this now.

[Assistant] So what was your job in January of 2020?


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

[User] Yes. Yes, it is.

[Assistant] You volunteer anywhere?

[User] No. No, I did have like two jobs going on for a little while, but I just I just stick to this now.

[Assistant] So what was your job in January of 2020?

[User] I was still a paramedic at the same ambulance company that I'm at now, dealing with a covid outbreak.

[Assistant] So when did you first hear about covid?


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

[User] No. No, I did have like two jobs going on for a little while, but I just I just stick to this now.

[Assistant] So what was your job in January of 2020?

[User] I was still a paramedic at the same ambulance company that I'm at now, dealing with a covid outbreak.

[Assistant] So when did you first hear about covid?

[User]
I guess it was around that time. Must have been January. February. I don't keep up with news too much. It's pretty much just stuff I see mostly Facebook. So I guess I was like, run the first time that I heard about it was in January. I guess I was like everybody else. It was a it was something that was like new.

It seemed really scary. It seemed something to be taken seriously. And I guess I was just as much up in arms about it as everybody else.

[Assistant] Can you expand on that?


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

[User]
I'd say it was definitely earlier than it was later because like the highest fear was at the beginning. So it was around that time where, you know, it became it became it's it became seen that like we were, you know, we're not going to be the ones who are going to be sent home to stay home; we're going to be the people who are still open.

Right. So we still essential employees. So, you know, we still had to show up. We had to show up at work. We still had to deal with those patients. So it was around that time that people were like they were really just like Self-reflecting and being like, should I be out here putting myself at risk when I'm still putting my family members at risk, too?

So people were, you know, deciding whether they wanted to stay or not.

[Assistant] you said these were a lot of the older…?

[User] Correct? Yeah. The people who might have had some some co-morbidities like diabetes or anything like that or people who were taking care of their elderly family members.

[Assistant] Did that change at all how you perceived the crisis?

[User]
Yeah, it did. It changed over time. Like everyone else at the beginning, I was I was pretty fearful since I'm in the front lines anyway.

I guess I guess my opinion changed on a line when it started to be when I started to become like really politicized. I really didn't like it, it seemed that we were just well, like I said before, it just seemed like people were kind of like taking sides. And it started to be like not a medical issue. It started to be like, not a medical question.

I mean, and I don't know, it just, it just got really it got really nuts.

[Assistant] When sort of when, do you think the politization started?


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

[User] Wow, yeah. Yeah. I mean, even, even faced with death, they still have to. You should still be able to decide for yourself what you want your medical interventions to be.

[Assistant] So speaking of deciding for yourself, actually, in this period of like January to March, the early, early period before it hit, did you change your behavior at all.

[User] As far as like socially?

[Assistant] Anything?

[User]
I’m trying to think. Well, I definitely saw my friends less. I mean, I don't know if that was a result of me choosing to do that or just because it was important for people not to leave the house or, you know, being like being like forced to not leave essentially. I definitely I guess I definitely took my time to give more distance between, you know, me and whoever I'm standing with online, but that's probably about it.

I guess I didn't change too much.

[Assistant] So again, like you said, you you were keeping up on things. It seems scary early.


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

[User] As far as like socially?

[Assistant] Anything?

[User]
I’m trying to think. Well, I definitely saw my friends less. I mean, I don't know if that was a result of me choosing to do that or just because it was important for people not to leave the house or, you know, being like being like forced to not leave essentially. I definitely I guess I definitely took my time to give more distance between, you know, me and whoever I'm standing with online, but that's probably about it.

I guess I didn't change too much.

[Assistant] So again, like you said, you you were keeping up on things. It seems scary early.

[User] Yeah.

[Assistant] And again, just in the January to March period, did your perception of COVID change at all over that time?


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

[User]
I’m trying to think. Well, I definitely saw my friends less. I mean, I don't know if that was a result of me choosing to do that or just because it was important for people not to leave the house or, you know, being like being like forced to not leave essentially. I definitely I guess I definitely took my time to give more distance between, you know, me and whoever I'm standing with online, but that's probably about it.

I guess I didn't change too much.

[Assistant] So again, like you said, you you were keeping up on things. It seems scary early.

[User] Yeah.

[Assistant] And again, just in the January to March period, did your perception of COVID change at all over that time?

[User]
At the time, I think I really dug my heels in and I don't think my opinion really changed until later, probably later in the year. OK, but from January to March, it seemed to be it was pretty much the same. It was something to be to be not taken lightly. It seemed to be something I was like really dangerous and you see firsthand the fucking hospitals are just full.

So I don't think it was I don't think my opinion of it changed at that point. I was still like scared. I was still like, man, people aren't take it serious enough. I think I was still in that mindset.

[Assistant] Did you have a eureka moment, or an oh shit moment when you realized how bad it was going to be?


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

[User]
For them. Yeah, I would imagine because you just, you're just going from place to place and you don't really have any patient contact. It's pretty much just like, you know, they gowned you up and then they cleaned the truck afterwards. And I think they also handled paperwork from the facility that you're sending to the facility that you're ending up at.

But I don't think they actually had any patient contact.

[Assistant] Was there any- were there any meetings or group discussions?

[User]
Not informally, but we did have meetings for just like say, well, this this was also all part of the one meeting that we had, and it was to go and get training for the PAPR. So I guess they sent out they did send out emails about what we should and should not be doing as far as isolation is concerned.

And then we had a meeting for PAPR and like what we're supposed to do with the PAPR and stuff, but we didn't have there was no discussion about whether or not hey, this is the right thing to do or wrong thing to do as far as like socially or morally, we didn't have those kind of direct discussions as far as that.

[Assistant] Do you remember when the PAPR thing was?

[User] I’m trying to think, I think it was pretty early on that became came upon that stuff. I guess it was a I want to say like March, April, something like that.

[Assistant] OK, so after, after it had hit.


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

[User]
Not informally, but we did have meetings for just like say, well, this this was also all part of the one meeting that we had, and it was to go and get training for the PAPR. So I guess they sent out they did send out emails about what we should and should not be doing as far as isolation is concerned.

And then we had a meeting for PAPR and like what we're supposed to do with the PAPR and stuff, but we didn't have there was no discussion about whether or not hey, this is the right thing to do or wrong thing to do as far as like socially or morally, we didn't have those kind of direct discussions as far as that.

[Assistant] Do you remember when the PAPR thing was?

[User] I’m trying to think, I think it was pretty early on that became came upon that stuff. I guess it was a I want to say like March, April, something like that.

[Assistant] OK, so after, after it had hit.

[User] Yeah, it was, it was, it was afterwards. And if we were I guess they were trying to look for something that would be some kind of a good answer. So they, it took some time to find it, but don't call me on it. Don’t quote me on it but I want to say, I believe it was around March or April.

[Assistant] OK, so is there anything that you wish that your employer had done differently?


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

[User] I’m trying to think, I think it was pretty early on that became came upon that stuff. I guess it was a I want to say like March, April, something like that.

[Assistant] OK, so after, after it had hit.

[User] Yeah, it was, it was, it was afterwards. And if we were I guess they were trying to look for something that would be some kind of a good answer. So they, it took some time to find it, but don't call me on it. Don’t quote me on it but I want to say, I believe it was around March or April.

[Assistant] OK, so is there anything that you wish that your employer had done differently?

[User] No, I mean I mean, they were pretty thorough and or I mean, at least thorough as they could be. some things seemed like they didn't really make sense. But I guess at the end of the day, it's kind of just like, well, you know, no one really has a perfect answer. So this is the best thing that we could do.

[Assistant] And what about you personally as an individual.


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

[User] Yeah, it was, it was, it was afterwards. And if we were I guess they were trying to look for something that would be some kind of a good answer. So they, it took some time to find it, but don't call me on it. Don’t quote me on it but I want to say, I believe it was around March or April.

[Assistant] OK, so is there anything that you wish that your employer had done differently?

[User] No, I mean I mean, they were pretty thorough and or I mean, at least thorough as they could be. some things seemed like they didn't really make sense. But I guess at the end of the day, it's kind of just like, well, you know, no one really has a perfect answer. So this is the best thing that we could do.

[Assistant] And what about you personally as an individual.

[User] About as far as I what.

[Assistant] In doing things differently. In, you know, the January to March period.


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

[User] No, I mean I mean, they were pretty thorough and or I mean, at least thorough as they could be. some things seemed like they didn't really make sense. But I guess at the end of the day, it's kind of just like, well, you know, no one really has a perfect answer. So this is the best thing that we could do.

[Assistant] And what about you personally as an individual.

[User] About as far as I what.

[Assistant] In doing things differently. In, you know, the January to March period.

[User]
Oh, I definitely cleaned my stuff a whole lot more. You know, I bring like a I bring a bag of stuff in and now from the job, we also carry around another bag that has all these different masks inside. So I bring a lot of stuff in. So it's important for me to keep that stuff sanitary before I bring it home, because I'm not trying to you know, I'm not trying to end up in court because I'm not trying to lose my job.

You know, I don't want somebody, you know, ended up sick, basically, because of something stupid I did. So I definitely sanitize more. I wipe down my boots more than than I ever did before. Even my car I wipe down the steering wheel a whole lot more than I used to. So I just tried to I guess I brought those kind of ideas back home with me.

As far as like keeping everything super sanitary.

[Assistant] So I have a few wrap up questions. So what would you like to tell me about the way you were feeling in this January? To March period?


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

[User]
I guess I guess you as like a layperson who may not be involved in EMS, even though I know you were but I'm saying like, I guess figuratively so. Yeah. So I guess just it's not something I don't think you should be taking it lightly as far as like conversations now where it's like mask mandates or not. I would say look, the mask help.

If you want to wear one, please do. Most people in the country right now, I believe are vaccinated. So the cases are I think I'm pretty sure the less now than they were, at least at the beginning. Hospitals are being you know, they're they're being packed no matter what. And it seems like we just don't have the resources to handle everything.

But I would say, listen, man, if you want to wear masks where one I would say you can't really tell other people what to do as far as medical interventions are concerned. I would say do whatever you can yourself to keep yourself safe.

[Assistant] Right. But it's over- the you have your position on what you should do to keep yourself safe, right?

[User] Sure.

[Assistant] And you realized that this was going to be a big deal pretty early.

[User] Yeah.

[Assistant] So how did you arrive at that conclusion?


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

[User] Sure.

[Assistant] And you realized that this was going to be a big deal pretty early.

[User] Yeah.

[Assistant] So how did you arrive at that conclusion?

[User] Oh, so so my position at the beginning as far as now, that's what you're saying.

[Assistant] Not not from here to now. Just tell me about how it was.


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

[User] Yeah.

[Assistant] So how did you arrive at that conclusion?

[User] Oh, so so my position at the beginning as far as now, that's what you're saying.

[Assistant] Not not from here to now. Just tell me about how it was.

[User]
I mean, it was not it was it was really crazy. It was something that I'd never experienced before. You know, this isn't the first time that we've had that contagious thing going around, right? I mean, we have we have so many things that are contagious and how we're dealing with it. Now, as far as COVID, I guess it's just because it was something new and something to be feared, and media and political parties, we lit a fire under it to to really have this this response of like we really need to take care of this thing.

And I find it to be odd because like so many things, so many things that we know are contagious and really has a pretty high mortality rate. But I don't know, I guess I like I said before, I think it's something that that you shouldn't take lightly, but you should do whatever you can to keep yourself safe.

And as far as my position on being a medical personnel, you can't tell somebody what to do with their body as far as medical interventions, you know, you just you just can't.

[Assistant] Is there any question that you think I should have asked that I didn't?


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

[User] Oh, so so my position at the beginning as far as now, that's what you're saying.

[Assistant] Not not from here to now. Just tell me about how it was.

[User]
I mean, it was not it was it was really crazy. It was something that I'd never experienced before. You know, this isn't the first time that we've had that contagious thing going around, right? I mean, we have we have so many things that are contagious and how we're dealing with it. Now, as far as COVID, I guess it's just because it was something new and something to be feared, and media and political parties, we lit a fire under it to to really have this this response of like we really need to take care of this thing.

And I find it to be odd because like so many things, so many things that we know are contagious and really has a pretty high mortality rate. But I don't know, I guess I like I said before, I think it's something that that you shouldn't take lightly, but you should do whatever you can to keep yourself safe.

And as far as my position on being a medical personnel, you can't tell somebody what to do with their body as far as medical interventions, you know, you just you just can't.

[Assistant] Is there any question that you think I should have asked that I didn't?

[User] No, I feel like I feel like it was pretty was pretty thorough. I feel like you did a pretty good job.

[Assistant] Thank you. And anything else you want to tell me?


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

[User] No, I feel like I feel like it was pretty was pretty thorough. I feel like you did a pretty good job.

[Assistant] Thank you. And anything else you want to tell me?

[User]
I guess not. I guess I guess. Just stay safe, man. Just stay out there and stay safe. Try to knock, not dig your heels in as far as which side you want to take on it because I know it's it's a very political it's a very politically charged question or issue, rather. So I think that you should really, everybody should take a step back and really have an open mind about the new information that's coming out.

And you shouldn't dig your heels in, make a decision, and then just stay with that decision when new information is coming out. I think you should always be open minded to different stuff that's coming in that's reputable and really taken into consideration as far as your health and your family's health. And you shouldn't. I just want people to be open minded.

It's OK to change your opinion on stuff as information comes out. So like me, I was very scared at the beginning, you know, now I see that things have really died down. Like I haven't worn a PAPR since then, you know what I mean? So it's you know, I think it's that people just should be very open minded and they should take care of themselves.

[Assistant] I mean, it seems like this was a pretty clear goal for you from the beginning.

[User] Yeah. I mean, you know, the goal is, the goal is to stay safe. It really is regardless of what stance you have or like what God you pray to, man. You just got to stay safe out there and just you just just just have an open mind as far as information is coming out. As far as this virus stuff, it's important to keep an open mind and keep yourself objective and keep yourself looking at the facts.

[Assistant] A lot of the- there was a lot of new information coming out from January to March.


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

[User]
Yeah, I did. I was I definitely changed. It's- I definitely changed how I interacted on Facebook a lot. So at the beginning, I felt that it was important to get information out because it was very it was a very popular opinion to be like against it. It seemed like a lot of people were. And some people, you know, a lot of people just seemed to be like, you know, this is something that the politicians should cook up.

It's not something that's that big of a deal. And so from a medical standpoint, I just shared a lot of meme about like about like about I guess I guess the end point being that people should take it more importantly than they were. I remember one, right? I remember I shared to me and it was like it was like a picture of the dinosaurs and a fucking asteroid is coming down.

And it was like something like it was something like the dinosaurs are saying like, oh shit. The economy when like they're fucking dude. So the joke was they're arguing about the economy, but the fucking world is going to end. So like I shared, something like that. But, so, but that was the kind of shit that I would put up, and I probably, I probably shouldn't have, I probably should have been like looked at it more professionally, but the time I like, I just thought it was absurd that people weren't taking it as seriously as they were.

So I don't know, I wouldn't have done that shit now. I fucking- I try to keep my Facebook more professional than I try to.

[Assistant] I've haven’t posted on Facebook in years.

[User] I haven't seen you on there ever.

[Assistant] I only use Instagram now.

[User] I should probably do that too, move to Instagram. A lot of people have.

[Assistant] It's the same company. So I mean, they already have you data. Anyway.


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

[User] I haven't seen you on there ever.

[Assistant] I only use Instagram now.

[User] I should probably do that too, move to Instagram. A lot of people have.

[Assistant] It's the same company. So I mean, they already have you data. Anyway.

[User] That's a good point. Yeah.

[Assistant] OK. Yeah, I think that's everything, so I think I’m going to stop recording, unless you have something else to add?


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

[User] Let’s use English

[Assistant] So we are going to ask you a few questions. In this study we want to know how we can provide better care for RHD. There are no right or wrong answers and we ask you to be frank and share your opinion. The data we gather is confidential and will not link your identity to any of the comments in any report that we produce. So first tell me about yourself; how old are you?

[User] I am 52 years old.

[Assistant] And what are your qualifications?

[User] first of all I was an enrolled nurse and then I went for a training of a nursing assistant and then I went back to upgrade for a certificate of a medical officer

[Assistant] Nice to meet you. So where did you train from?


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

[User] first of all I was an enrolled nurse and then I went for a training of a nursing assistant and then I went back to upgrade for a certificate of a medical officer

[Assistant] Nice to meet you. So where did you train from?

[User] You mean for my nursing or ...

[Assistant] Nursing

[User] I trained from Masaka School of nursing and midwifery.

[Assistant] And then you went on to do a ...


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

[User] You mean for my nursing or ...

[Assistant] Nursing

[User] I trained from Masaka School of nursing and midwifery.

[Assistant] And then you went on to do a ...

[User] Still I went back to Masaka School of ...

[Assistant] Eh, you went back to Masaka!


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

[User] I trained from Masaka School of nursing and midwifery.

[Assistant] And then you went on to do a ...

[User] Still I went back to Masaka School of ...

[Assistant] Eh, you went back to Masaka!

[User] It was introduced there in 2001 from the Mulago Anesthetic Department.

[Assistant] How long have you been working here at Buwambo?


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

[User] Still I went back to Masaka School of ...

[Assistant] Eh, you went back to Masaka!

[User] It was introduced there in 2001 from the Mulago Anesthetic Department.

[Assistant] How long have you been working here at Buwambo?

[User] This is the fourth year

[Assistant] Where were you before you came here?


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

[User] It was introduced there in 2001 from the Mulago Anesthetic Department.

[Assistant] How long have you been working here at Buwambo?

[User] This is the fourth year

[Assistant] Where were you before you came here?

[User] I started in Entebbe hospital. This program was started so that we can start individual health centers. So we started this program and when we finished they told us to come back to our health center points. So we came back and we were referred to Masaka and from there I came to Kasangati and then I came to Buwambo.

[Assistant] So when you look at the demographics of the patients for those years that you have practiced, how are they distributed; the age groups? Whom have you been seeing mainly in terms of age group or sex among the patients? Have you been seeing more women or more men?


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

[User] This is the fourth year

[Assistant] Where were you before you came here?

[User] I started in Entebbe hospital. This program was started so that we can start individual health centers. So we started this program and when we finished they told us to come back to our health center points. So we came back and we were referred to Masaka and from there I came to Kasangati and then I came to Buwambo.

[Assistant] So when you look at the demographics of the patients for those years that you have practiced, how are they distributed; the age groups? Whom have you been seeing mainly in terms of age group or sex among the patients? Have you been seeing more women or more men?

[User] It is more women because I am mainly on cases of mothers with caesarean section

[Assistant] So you mainly work on mothers!


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

[User] I started in Entebbe hospital. This program was started so that we can start individual health centers. So we started this program and when we finished they told us to come back to our health center points. So we came back and we were referred to Masaka and from there I came to Kasangati and then I came to Buwambo.

[Assistant] So when you look at the demographics of the patients for those years that you have practiced, how are they distributed; the age groups? Whom have you been seeing mainly in terms of age group or sex among the patients? Have you been seeing more women or more men?

[User] It is more women because I am mainly on cases of mothers with caesarean section

[Assistant] So you mainly work on mothers!

[User] yes, maybe ...

[Assistant] What are the common illnesses that you have treated here?


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

[User] It is more women because I am mainly on cases of mothers with caesarean section

[Assistant] So you mainly work on mothers!

[User] yes, maybe ...

[Assistant] What are the common illnesses that you have treated here?

[User] It is malaria and maybe respiratory tract infections and diarrhea but most especially much of the malaria and respiratory tract infections.

[Assistant] So how often do you get children presenting with sore throat, adults presenting with sore throat?


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

[User] yes, maybe ...

[Assistant] What are the common illnesses that you have treated here?

[User] It is malaria and maybe respiratory tract infections and diarrhea but most especially much of the malaria and respiratory tract infections.

[Assistant] So how often do you get children presenting with sore throat, adults presenting with sore throat?

[User] We get them.

[Assistant] So tell me about your training in RHD; have you had any specific training in Rheumatic Heart Disease when in school?


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

[User] It is malaria and maybe respiratory tract infections and diarrhea but most especially much of the malaria and respiratory tract infections.

[Assistant] So how often do you get children presenting with sore throat, adults presenting with sore throat?

[User] We get them.

[Assistant] So tell me about your training in RHD; have you had any specific training in Rheumatic Heart Disease when in school?

[User] I was still in nursing.

[Assistant] But you had some bit of training?


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

[User] We get them.

[Assistant] So tell me about your training in RHD; have you had any specific training in Rheumatic Heart Disease when in school?

[User] I was still in nursing.

[Assistant] But you had some bit of training?

[User] Yes.

[Assistant] And then, after school did you have any training about Rheumatic Heart Disease?


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

[User] I was still in nursing.

[Assistant] But you had some bit of training?

[User] Yes.

[Assistant] And then, after school did you have any training about Rheumatic Heart Disease?

[User] Not really.

[Assistant] Any CME, seminars where they talk about it?


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

[User] Yes.

[Assistant] And then, after school did you have any training about Rheumatic Heart Disease?

[User] Not really.

[Assistant] Any CME, seminars where they talk about it?

[User] Maybe the CMEs when we have some conferences in the field

[Assistant] But not RHD


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

[User] Not really.

[Assistant] Any CME, seminars where they talk about it?

[User] Maybe the CMEs when we have some conferences in the field

[Assistant] But not RHD

[User] No

[Assistant] So in a month how many RHD patients do you see here in Buwambo?


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

[User] Maybe the CMEs when we have some conferences in the field

[Assistant] But not RHD

[User] No

[Assistant] So in a month how many RHD patients do you see here in Buwambo?

[User] I have never seen any.

[Assistant] So when did you last see an RHD patient?


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

[User] No

[Assistant] So in a month how many RHD patients do you see here in Buwambo?

[User] I have never seen any.

[Assistant] So when did you last see an RHD patient?

[User] I was still in training

[Assistant] And in which hospital was that?


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

[User] I have never seen any.

[Assistant] So when did you last see an RHD patient?

[User] I was still in training

[Assistant] And in which hospital was that?

[User] Mulago hospital.

[Assistant] So here you have never had any one.


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

[User] I was still in training

[Assistant] And in which hospital was that?

[User] Mulago hospital.

[Assistant] So here you have never had any one.

[User] No.

[Assistant] And then umm, I am now interested in the things they taught you about RHD; so what is your understanding of the causes of RHD?


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

[User] Mulago hospital.

[Assistant] So here you have never had any one.

[User] No.

[Assistant] And then umm, I am now interested in the things they taught you about RHD; so what is your understanding of the causes of RHD?

[User] A patient will come with complaints of sore throat and if not treated properly, it can send to the heart maybe and start complaining of heart problems.

[Assistant] And have you had such patients complaining about sore throat which is not normal?


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

[User] No.

[Assistant] And then umm, I am now interested in the things they taught you about RHD; so what is your understanding of the causes of RHD?

[User] A patient will come with complaints of sore throat and if not treated properly, it can send to the heart maybe and start complaining of heart problems.

[Assistant] And have you had such patients complaining about sore throat which is not normal?

[User] There are there.

[Assistant] How do you handle those patients?


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

[User] A patient will come with complaints of sore throat and if not treated properly, it can send to the heart maybe and start complaining of heart problems.

[Assistant] And have you had such patients complaining about sore throat which is not normal?

[User] There are there.

[Assistant] How do you handle those patients?

[User] We give them some antibiotics, we start with oral if it's acute, and we give the IV injections and then continue with oral antibiotics, maybe capsules.

[Assistant] Do those patients come early or they usually present in late stages?


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

[User] There are there.

[Assistant] How do you handle those patients?

[User] We give them some antibiotics, we start with oral if it's acute, and we give the IV injections and then continue with oral antibiotics, maybe capsules.

[Assistant] Do those patients come early or they usually present in late stages?

[User] They don't come early because we may ask the patient and they say, ‘I've been swallowing some herbs’ these native drugs.

[Assistant] So they first use herbs before they come!


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

[User] We give them some antibiotics, we start with oral if it's acute, and we give the IV injections and then continue with oral antibiotics, maybe capsules.

[Assistant] Do those patients come early or they usually present in late stages?

[User] They don't come early because we may ask the patient and they say, ‘I've been swallowing some herbs’ these native drugs.

[Assistant] So they first use herbs before they come!

[User] And at times it starts with flu, so they be like, ‘I have been taking some tablets’ maybe tablets with some Panadol

[Assistant] This one you have answered it. It was asking; are you aware of any link between RHD and sore throat? Are they associated?


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

[User] They don't come early because we may ask the patient and they say, ‘I've been swallowing some herbs’ these native drugs.

[Assistant] So they first use herbs before they come!

[User] And at times it starts with flu, so they be like, ‘I have been taking some tablets’ maybe tablets with some Panadol

[Assistant] This one you have answered it. It was asking; are you aware of any link between RHD and sore throat? Are they associated?

[User] I don't know. I think there maybe but I wasn't aware.

[Assistant] So what were you told can be done to prevent RHD? What can we do?


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

[User] And at times it starts with flu, so they be like, ‘I have been taking some tablets’ maybe tablets with some Panadol

[Assistant] This one you have answered it. It was asking; are you aware of any link between RHD and sore throat? Are they associated?

[User] I don't know. I think there maybe but I wasn't aware.

[Assistant] So what were you told can be done to prevent RHD? What can we do?

[User] Maybe to give some health information to the public on how someone can approach the health worker very quickly so that she can get treatment early.

[Assistant] And then those that have not gotten RHD, what can they do to prevent it?


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

[User] I don't know. I think there maybe but I wasn't aware.

[Assistant] So what were you told can be done to prevent RHD? What can we do?

[User] Maybe to give some health information to the public on how someone can approach the health worker very quickly so that she can get treatment early.

[Assistant] And then those that have not gotten RHD, what can they do to prevent it?

[User] I don't know.

[Assistant] Okay. And how can we treat RHD? What were you taught about the treatment of RHD?


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

[User] Maybe to give some health information to the public on how someone can approach the health worker very quickly so that she can get treatment early.

[Assistant] And then those that have not gotten RHD, what can they do to prevent it?

[User] I don't know.

[Assistant] Okay. And how can we treat RHD? What were you taught about the treatment of RHD?

[User] I don't know.

[Assistant] You don't know how it's treated!


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

[User] I don't know.

[Assistant] Okay. And how can we treat RHD? What were you taught about the treatment of RHD?

[User] I don't know.

[Assistant] You don't know how it's treated!

[User] I don't know.

[Assistant] And then, if they offered training in RHD would you like it?


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

[User] I don't know.

[Assistant] You don't know how it's treated!

[User] I don't know.

[Assistant] And then, if they offered training in RHD would you like it?

[User] Yeah.

[Assistant] Which areas would you want to?


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

[User] I don't know.

[Assistant] And then, if they offered training in RHD would you like it?

[User] Yeah.

[Assistant] Which areas would you want to?

[User] umm in that ... where you can ask the patient, “have you had any past problems?” before giving medicine to that patient. I would like to have that training; to have some questions before you review that patient. It is also good to review the health of that patient.

[Assistant] Which other area would you want to be trained in as far as RHD management? Like what topics?


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

[User] Yeah.

[Assistant] Which areas would you want to?

[User] umm in that ... where you can ask the patient, “have you had any past problems?” before giving medicine to that patient. I would like to have that training; to have some questions before you review that patient. It is also good to review the health of that patient.

[Assistant] Which other area would you want to be trained in as far as RHD management? Like what topics?

[User] Topics like respiratory tract infections, sore throat, even sore mouth; diseases to do with this system of maybe with the alimentary system.

[Assistant] So what is your understanding of the long term prognosis of RHD?


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

[User] umm in that ... where you can ask the patient, “have you had any past problems?” before giving medicine to that patient. I would like to have that training; to have some questions before you review that patient. It is also good to review the health of that patient.

[Assistant] Which other area would you want to be trained in as far as RHD management? Like what topics?

[User] Topics like respiratory tract infections, sore throat, even sore mouth; diseases to do with this system of maybe with the alimentary system.

[Assistant] So what is your understanding of the long term prognosis of RHD?

[User] Someone has a chronic heart which can even cause stroke.

[Assistant] Can RHD heal?


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

[User] Topics like respiratory tract infections, sore throat, even sore mouth; diseases to do with this system of maybe with the alimentary system.

[Assistant] So what is your understanding of the long term prognosis of RHD?

[User] Someone has a chronic heart which can even cause stroke.

[Assistant] Can RHD heal?

[User] I don’t know but if not treated properly well it can cause heart attack which cannot be cured.

[Assistant] Have you encountered any RHD patients? You said here no!


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

[User] Someone has a chronic heart which can even cause stroke.

[Assistant] Can RHD heal?

[User] I don’t know but if not treated properly well it can cause heart attack which cannot be cured.

[Assistant] Have you encountered any RHD patients? You said here no!

[User] No.

[Assistant] Where did you encounter them?


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

[User] I don’t know but if not treated properly well it can cause heart attack which cannot be cured.

[Assistant] Have you encountered any RHD patients? You said here no!

[User] No.

[Assistant] Where did you encounter them?

[User] In Mulago.

[Assistant] So when as the last time you encountered an RHD patient?


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

[User] No.

[Assistant] Where did you encounter them?

[User] In Mulago.

[Assistant] So when as the last time you encountered an RHD patient?

[User] About thirteen years back.

[Assistant] Do you remember how that patient presented? What were the complaints?


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

[User] In Mulago.

[Assistant] So when as the last time you encountered an RHD patient?

[User] About thirteen years back.

[Assistant] Do you remember how that patient presented? What were the complaints?

[User] That had a disease that she complained about difficulty in breathing plus pain, that whenever she would sleep she would feel uncomfortable.

[Assistant] So how did you manage that patient?


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

[User] About thirteen years back.

[Assistant] Do you remember how that patient presented? What were the complaints?

[User] That had a disease that she complained about difficulty in breathing plus pain, that whenever she would sleep she would feel uncomfortable.

[Assistant] So how did you manage that patient?

[User] We referred that patient to the consultancy room.

[Assistant] During that time how many RHD patients did you see?


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

[User] That had a disease that she complained about difficulty in breathing plus pain, that whenever she would sleep she would feel uncomfortable.

[Assistant] So how did you manage that patient?

[User] We referred that patient to the consultancy room.

[Assistant] During that time how many RHD patients did you see?

[User] I don’t remember.

[Assistant] Were they many or few?


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

[User] We referred that patient to the consultancy room.

[Assistant] During that time how many RHD patients did you see?

[User] I don’t remember.

[Assistant] Were they many or few?

[User] They were few.

[Assistant] And if you look at their demographics; how were they? Where they children, adults?


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

[User] I don’t remember.

[Assistant] Were they many or few?

[User] They were few.

[Assistant] And if you look at their demographics; how were they? Where they children, adults?

[User] Some were children, some were adults.

[Assistant] But what were they mostly?


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

[User] They were few.

[Assistant] And if you look at their demographics; how were they? Where they children, adults?

[User] Some were children, some were adults.

[Assistant] But what were they mostly?

[User] They were adults.

[Assistant] Working or not working? Were they working adults or mostly at home?


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

[User] Some were children, some were adults.

[Assistant] But what were they mostly?

[User] They were adults.

[Assistant] Working or not working? Were they working adults or mostly at home?

[User] People who were mostly at home.

[Assistant] Do you think these patients know the link between sore throat, acute rheumatic fever and RHD? Do they know that those three are associated?


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

[User] They were adults.

[Assistant] Working or not working? Were they working adults or mostly at home?

[User] People who were mostly at home.

[Assistant] Do you think these patients know the link between sore throat, acute rheumatic fever and RHD? Do they know that those three are associated?

[User] No, they don’t know unless they are taught.

[Assistant] So for the symptoms you said that they complained of chest pain and difficulty in breathing!


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

[User] People who were mostly at home.

[Assistant] Do you think these patients know the link between sore throat, acute rheumatic fever and RHD? Do they know that those three are associated?

[User] No, they don’t know unless they are taught.

[Assistant] So for the symptoms you said that they complained of chest pain and difficulty in breathing!

[User] Yes

[Assistant] How about their follow up did they come back when you told them to?


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

[User] No, they don’t know unless they are taught.

[Assistant] So for the symptoms you said that they complained of chest pain and difficulty in breathing!

[User] Yes

[Assistant] How about their follow up did they come back when you told them to?

[User] Yes they would come back.

[Assistant] What would motivate them to come back?


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

[User] Yes

[Assistant] How about their follow up did they come back when you told them to?

[User] Yes they would come back.

[Assistant] What would motivate them to come back?

[User] When they see they are still ... they are not comfortable with the treatment, of course they come back.

[Assistant] What things motivated you?


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

[User] Yes they would come back.

[Assistant] What would motivate them to come back?

[User] When they see they are still ... they are not comfortable with the treatment, of course they come back.

[Assistant] What things motivated you?

[User] I don’t have.

[Assistant] Did you have some that were missing treatment or missing appointments?


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

[User] When they see they are still ... they are not comfortable with the treatment, of course they come back.

[Assistant] What things motivated you?

[User] I don’t have.

[Assistant] Did you have some that were missing treatment or missing appointments?

[User] Yes they were there because we would ask them, “Why have you not come back?” and they be like, “you see I had some problems” or “I didn’t have transport and yet they are coming from far.

[Assistant] Okay, what else?


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

[User] I don’t have.

[Assistant] Did you have some that were missing treatment or missing appointments?

[User] Yes they were there because we would ask them, “Why have you not come back?” and they be like, “you see I had some problems” or “I didn’t have transport and yet they are coming from far.

[Assistant] Okay, what else?

[User] ‘I had some social problems at home.’

[Assistant] ‘Social’ like which problem?


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

[User] Yes they were there because we would ask them, “Why have you not come back?” and they be like, “you see I had some problems” or “I didn’t have transport and yet they are coming from far.

[Assistant] Okay, what else?

[User] ‘I had some social problems at home.’

[Assistant] ‘Social’ like which problem?

[User] Like some problem at their home ... I don’t know how I can explain it. Someone might have an issue at home or a wrangles at home that she has to settle.

[Assistant] Did you have the drugs for RHD?


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

[User] ‘I had some social problems at home.’

[Assistant] ‘Social’ like which problem?

[User] Like some problem at their home ... I don’t know how I can explain it. Someone might have an issue at home or a wrangles at home that she has to settle.

[Assistant] Did you have the drugs for RHD?

[User] No, we used to give drugs that were available.

[Assistant] Like which ones did you give? Do you know the names of the drugs that used to be available?


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

[User] Like some problem at their home ... I don’t know how I can explain it. Someone might have an issue at home or a wrangles at home that she has to settle.

[Assistant] Did you have the drugs for RHD?

[User] No, we used to give drugs that were available.

[Assistant] Like which ones did you give? Do you know the names of the drugs that used to be available?

[User] Antibiotics

[Assistant] So for those are the barriers they were telling you; transport, social problems. So how about you; what do you think were the barriers they faced getting treatment?


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

[User] No, we used to give drugs that were available.

[Assistant] Like which ones did you give? Do you know the names of the drugs that used to be available?

[User] Antibiotics

[Assistant] So for those are the barriers they were telling you; transport, social problems. So how about you; what do you think were the barriers they faced getting treatment?

[User] The drugs which are ... maybe there needs to be more enlightenment in the CMEs to know how to treat the patient.

[Assistant] What else? What are the other barriers that you can think of?


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

[User] Antibiotics

[Assistant] So for those are the barriers they were telling you; transport, social problems. So how about you; what do you think were the barriers they faced getting treatment?

[User] The drugs which are ... maybe there needs to be more enlightenment in the CMEs to know how to treat the patient.

[Assistant] What else? What are the other barriers that you can think of?

[User] Maybe and some motivation

[Assistant] in what way?


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

[User] The drugs which are ... maybe there needs to be more enlightenment in the CMEs to know how to treat the patient.

[Assistant] What else? What are the other barriers that you can think of?

[User] Maybe and some motivation

[Assistant] in what way?

[User] Some motivation in maybe transport

[Assistant] Do you think that when you give them drugs they take them?


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

[User] Maybe and some motivation

[Assistant] in what way?

[User] Some motivation in maybe transport

[Assistant] Do you think that when you give them drugs they take them?

[User] I think so; they take them because they are the ones who are suffering so they have to take them.

[Assistant] Now let us look at the local system barriers; we want to know which pieces are working for you and why you think so. Let’s look at the administration; let’s start with the district; is that one working for you as you do your work here? Do you deal with them here?


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

[User] Some motivation in maybe transport

[Assistant] Do you think that when you give them drugs they take them?

[User] I think so; they take them because they are the ones who are suffering so they have to take them.

[Assistant] Now let us look at the local system barriers; we want to know which pieces are working for you and why you think so. Let’s look at the administration; let’s start with the district; is that one working for you as you do your work here? Do you deal with them here?

[User] No

[Assistant] But with other things when you are working, do you see the administration ... does it contribute to you doing your work? Do you see it motivating you to do your work?


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

[User] No

[Assistant] But with other things when you are working, do you see the administration ... does it contribute to you doing your work? Do you see it motivating you to do your work?

[User] Not much

[Assistant] Why?

[User] They don’t give enough supplies, the drugs are not there and you have to explain to the patients, ‘that drug is not there so maybe you have to go and buy it’ and yet that patient doesn’t have much. We have problem in our health centers IIIs and IVs; those drugs are not there.

[Assistant] Where’s the problem; is it the people who bring it in or its coming from ...


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

[User] Not much

[Assistant] Why?

[User] They don’t give enough supplies, the drugs are not there and you have to explain to the patients, ‘that drug is not there so maybe you have to go and buy it’ and yet that patient doesn’t have much. We have problem in our health centers IIIs and IVs; those drugs are not there.

[Assistant] Where’s the problem; is it the people who bring it in or its coming from ...

[User] I don’t know where the main problem is, but we put in the requisition but it doesn’t come. I have been in the store but the drugs am supposed use have not yet appeared.

[Assistant] So what are you going to do with your patient?


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

[User] They don’t give enough supplies, the drugs are not there and you have to explain to the patients, ‘that drug is not there so maybe you have to go and buy it’ and yet that patient doesn’t have much. We have problem in our health centers IIIs and IVs; those drugs are not there.

[Assistant] Where’s the problem; is it the people who bring it in or its coming from ...

[User] I don’t know where the main problem is, but we put in the requisition but it doesn’t come. I have been in the store but the drugs am supposed use have not yet appeared.

[Assistant] So what are you going to do with your patient?

[User] I will tell them my in-charge that we don’t have drugs or maybe we look for another way we can anaesthetize the patient because there are those which can be available, for example when mothers are going for anesthesia, these days we use general methods but these days they are not available.

[Assistant] So what is your view about the administration within here? Is it working for you?


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

[User] I don’t know where the main problem is, but we put in the requisition but it doesn’t come. I have been in the store but the drugs am supposed use have not yet appeared.

[Assistant] So what are you going to do with your patient?

[User] I will tell them my in-charge that we don’t have drugs or maybe we look for another way we can anaesthetize the patient because there are those which can be available, for example when mothers are going for anesthesia, these days we use general methods but these days they are not available.

[Assistant] So what is your view about the administration within here? Is it working for you?

[User] [chuckles] I am always in touch with my in-charge. I request for drugs and if they are not there then, she says that they are supposed to be sent by the district.

[Assistant] So are you happy? Is it working for you?


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

[User] I will tell them my in-charge that we don’t have drugs or maybe we look for another way we can anaesthetize the patient because there are those which can be available, for example when mothers are going for anesthesia, these days we use general methods but these days they are not available.

[Assistant] So what is your view about the administration within here? Is it working for you?

[User] [chuckles] I am always in touch with my in-charge. I request for drugs and if they are not there then, she says that they are supposed to be sent by the district.

[Assistant] So are you happy? Is it working for you?

[User] Not really.

[Assistant] Okay, if you look at the funding for health care is it working for you?


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

[User] [chuckles] I am always in touch with my in-charge. I request for drugs and if they are not there then, she says that they are supposed to be sent by the district.

[Assistant] So are you happy? Is it working for you?

[User] Not really.

[Assistant] Okay, if you look at the funding for health care is it working for you?

[User] No, but they have tried.

[Assistant] Where do they need to improve?


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

[User] Not really.

[Assistant] Okay, if you look at the funding for health care is it working for you?

[User] No, but they have tried.

[Assistant] Where do they need to improve?

[User] In areas where we are finding problems, maybe in supply of drugs and others.

[Assistant] Apart from drugs which other supplies do you normally lack?


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

[User] No, but they have tried.

[Assistant] Where do they need to improve?

[User] In areas where we are finding problems, maybe in supply of drugs and others.

[Assistant] Apart from drugs which other supplies do you normally lack?

[User] Now some of the machines are down; they are not working because they are old so we need to replace them.

[Assistant] Like what machines?


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

[User] In areas where we are finding problems, maybe in supply of drugs and others.

[Assistant] Apart from drugs which other supplies do you normally lack?

[User] Now some of the machines are down; they are not working because they are old so we need to replace them.

[Assistant] Like what machines?

[User] Our operating table has taken not even ...

[Assistant] And what do they say? Do you raise the issues? What do they say?


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

[User] Now some of the machines are down; they are not working because they are old so we need to replace them.

[Assistant] Like what machines?

[User] Our operating table has taken not even ...

[Assistant] And what do they say? Do you raise the issues? What do they say?

[User] We raised the issue but they say they are still working on it, so maybe they need some time. So if we have a patient with a referral, we don’t have the magnet although it is really not in good condition. Blood bank; we don’t have access to the blood in case a patient needs blood.

[Assistant] What do you do?


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

[User] Our operating table has taken not even ...

[Assistant] And what do they say? Do you raise the issues? What do they say?

[User] We raised the issue but they say they are still working on it, so maybe they need some time. So if we have a patient with a referral, we don’t have the magnet although it is really not in good condition. Blood bank; we don’t have access to the blood in case a patient needs blood.

[Assistant] What do you do?

[User] We really suffer, and indeed we have to get some mortality rates.

[Assistant] What is the nearest health you send them to?


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

[User] We raised the issue but they say they are still working on it, so maybe they need some time. So if we have a patient with a referral, we don’t have the magnet although it is really not in good condition. Blood bank; we don’t have access to the blood in case a patient needs blood.

[Assistant] What do you do?

[User] We really suffer, and indeed we have to get some mortality rates.

[Assistant] What is the nearest health you send them to?

[User] Of course we take them to Kawempe. It is either to Kawempe or Bombo Hospital, in the barracks.

[Assistant] And then when you look at funding for RHD, how is it? Is it working?


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

[User] We really suffer, and indeed we have to get some mortality rates.

[Assistant] What is the nearest health you send them to?

[User] Of course we take them to Kawempe. It is either to Kawempe or Bombo Hospital, in the barracks.

[Assistant] And then when you look at funding for RHD, how is it? Is it working?

[User] Not really because I am not so much into technical issues.

[Assistant] How about the number of health workers; how are they?


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

[User] Of course we take them to Kawempe. It is either to Kawempe or Bombo Hospital, in the barracks.

[Assistant] And then when you look at funding for RHD, how is it? Is it working?

[User] Not really because I am not so much into technical issues.

[Assistant] How about the number of health workers; how are they?

[User] They are few, in fact we need some more. We need more staffs according to the numbers which are supposed to be in a Health Centre IV.

[Assistant] Okay, how about the qualifications of the health workers around? Do you have enough qualified workers?


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

[User] Not really because I am not so much into technical issues.

[Assistant] How about the number of health workers; how are they?

[User] They are few, in fact we need some more. We need more staffs according to the numbers which are supposed to be in a Health Centre IV.

[Assistant] Okay, how about the qualifications of the health workers around? Do you have enough qualified workers?

[User] Yes, we have enough.

[Assistant] Do you have any cadre of a health worker who can work on RHD patients here?


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

[User] They are few, in fact we need some more. We need more staffs according to the numbers which are supposed to be in a Health Centre IV.

[Assistant] Okay, how about the qualifications of the health workers around? Do you have enough qualified workers?

[User] Yes, we have enough.

[Assistant] Do you have any cadre of a health worker who can work on RHD patients here?

[User] Maybe the medical officer.

[Assistant] How many do you have here?


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

[User] Yes, we have enough.

[Assistant] Do you have any cadre of a health worker who can work on RHD patients here?

[User] Maybe the medical officer.

[Assistant] How many do you have here?

[User] They are two.

[Assistant] And they are around!


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

[User] Maybe the medical officer.

[Assistant] How many do you have here?

[User] They are two.

[Assistant] And they are around!

[User] Right now they are not but when we call them, they come.

[Assistant] How is the waiting time for patients here?


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

[User] They are two.

[Assistant] And they are around!

[User] Right now they are not but when we call them, they come.

[Assistant] How is the waiting time for patients here?

[User] Waiting time for calling the doctor?

[Assistant] Waiting time before they see a health worker.


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

[User] Right now they are not but when we call them, they come.

[Assistant] How is the waiting time for patients here?

[User] Waiting time for calling the doctor?

[Assistant] Waiting time before they see a health worker.

[User] They are always here in the morning and afternoon.

[Assistant] If someone came at 8am, what time would they leave, the outpatient?


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

[User] Waiting time for calling the doctor?

[Assistant] Waiting time before they see a health worker.

[User] They are always here in the morning and afternoon.

[Assistant] If someone came at 8am, what time would they leave, the outpatient?

[User] Processing a patient can take a long time; it can take like 2-3hours.

[Assistant] How about the quality of care; how is it here?


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

[User] They are always here in the morning and afternoon.

[Assistant] If someone came at 8am, what time would they leave, the outpatient?

[User] Processing a patient can take a long time; it can take like 2-3hours.

[Assistant] How about the quality of care; how is it here?

[User] That one I cannot [chuckles] ... but we care for them.

[Assistant] If you are to gauge yourself, where do you fall?


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

[User] Processing a patient can take a long time; it can take like 2-3hours.

[Assistant] How about the quality of care; how is it here?

[User] That one I cannot [chuckles] ... but we care for them.

[Assistant] If you are to gauge yourself, where do you fall?

[User] [laughs] I do like care.

[Assistant] Generally, the center, where would you put them? 40%? 50%?


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

[User] That one I cannot [chuckles] ... but we care for them.

[Assistant] If you are to gauge yourself, where do you fall?

[User] [laughs] I do like care.

[Assistant] Generally, the center, where would you put them? 40%? 50%?

[User] I cannot say it is 100% or 80% because everybody has his or her ... but it could be 60%

[Assistant] What do you think has hindered the health center from moving from 60 to 100? What are those gaps that need to be filled?


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

[User] [laughs] I do like care.

[Assistant] Generally, the center, where would you put them? 40%? 50%?

[User] I cannot say it is 100% or 80% because everybody has his or her ... but it could be 60%

[Assistant] What do you think has hindered the health center from moving from 60 to 100? What are those gaps that need to be filled?

[User] First of all the staffing, maybe even the distance because we don’t have residential staff. Most of us come from far.

[Assistant] Okay, and then if you look at the medication do you think you have medication for heart failure? Do you have heart failure drugs?


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

[User] I cannot say it is 100% or 80% because everybody has his or her ... but it could be 60%

[Assistant] What do you think has hindered the health center from moving from 60 to 100? What are those gaps that need to be filled?

[User] First of all the staffing, maybe even the distance because we don’t have residential staff. Most of us come from far.

[Assistant] Okay, and then if you look at the medication do you think you have medication for heart failure? Do you have heart failure drugs?

[User] We have got this Aspirin and I remember giving it to those hypertensive patients

[Assistant] Do you have anti-coagulation drugs? Warfarin and the like?


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

[User] First of all the staffing, maybe even the distance because we don’t have residential staff. Most of us come from far.

[Assistant] Okay, and then if you look at the medication do you think you have medication for heart failure? Do you have heart failure drugs?

[User] We have got this Aspirin and I remember giving it to those hypertensive patients

[Assistant] Do you have anti-coagulation drugs? Warfarin and the like?

[User] We don’t have.

[Assistant] You don’t have! By the way, health centers are meant to handle RHD?


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

[User] We have got this Aspirin and I remember giving it to those hypertensive patients

[Assistant] Do you have anti-coagulation drugs? Warfarin and the like?

[User] We don’t have.

[Assistant] You don’t have! By the way, health centers are meant to handle RHD?

[User] No, we settle acute rheumatic fever and we also handle those coming in for follow up for infections maybe and those kind of things. Maybe they need to be given their injections.

[Assistant] What injections? Do you have Benzathine?


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

[User] We don’t have.

[Assistant] You don’t have! By the way, health centers are meant to handle RHD?

[User] No, we settle acute rheumatic fever and we also handle those coming in for follow up for infections maybe and those kind of things. Maybe they need to be given their injections.

[Assistant] What injections? Do you have Benzathine?

[User] Benzathine we have.

[Assistant] Do you get patients who need it?


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

[User] No, we settle acute rheumatic fever and we also handle those coming in for follow up for infections maybe and those kind of things. Maybe they need to be given their injections.

[Assistant] What injections? Do you have Benzathine?

[User] Benzathine we have.

[Assistant] Do you get patients who need it?

[User] We get patients with ARF.

[Assistant] How about RHD?


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

[User] Benzathine we have.

[Assistant] Do you get patients who need it?

[User] We get patients with ARF.

[Assistant] How about RHD?

[User] That one I don’t know.

[Assistant] How about the diagnostics here; do you think they are working for you?


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

[User] We get patients with ARF.

[Assistant] How about RHD?

[User] That one I don’t know.

[Assistant] How about the diagnostics here; do you think they are working for you?

[User] That one maybe you can ask the laboratory people; they are the ones who know about that.

[Assistant] But do you have echocardiography here?


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

[User] That one I don’t know.

[Assistant] How about the diagnostics here; do you think they are working for you?

[User] That one maybe you can ask the laboratory people; they are the ones who know about that.

[Assistant] But do you have echocardiography here?

[User] No, it is not there.

[Assistant] When you look at your medical records system, how is it here? How do you keep your records here? Are you satisfied with the way they are kept, the way you access them, the way information flows from in-patient and out- patient?


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

[User] That one maybe you can ask the laboratory people; they are the ones who know about that.

[Assistant] But do you have echocardiography here?

[User] No, it is not there.

[Assistant] When you look at your medical records system, how is it here? How do you keep your records here? Are you satisfied with the way they are kept, the way you access them, the way information flows from in-patient and out- patient?

[User] They are not well handled because we do not have a medical records ... eh, by the way it is there but the way it is handled is not good. It is not one that they can use. Sometimes you can look for records when they are lost.

[Assistant] And then do you have registers for ARF that you keep here?


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

[User] No, it is not there.

[Assistant] When you look at your medical records system, how is it here? How do you keep your records here? Are you satisfied with the way they are kept, the way you access them, the way information flows from in-patient and out- patient?

[User] They are not well handled because we do not have a medical records ... eh, by the way it is there but the way it is handled is not good. It is not one that they can use. Sometimes you can look for records when they are lost.

[Assistant] And then do you have registers for ARF that you keep here?

[User] No.

[Assistant] You said you don’t have those for RHD!


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

[User] They are not well handled because we do not have a medical records ... eh, by the way it is there but the way it is handled is not good. It is not one that they can use. Sometimes you can look for records when they are lost.

[Assistant] And then do you have registers for ARF that you keep here?

[User] No.

[Assistant] You said you don’t have those for RHD!

[User] Yes.

[Assistant] And do you have protocol and guidelines for RHD care?


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

[User] No.

[Assistant] You said you don’t have those for RHD!

[User] Yes.

[Assistant] And do you have protocol and guidelines for RHD care?

[User] We have got these medical guidelines.

[Assistant] But do you know the referral path for RHD patients?


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

[User] Yes.

[Assistant] And do you have protocol and guidelines for RHD care?

[User] We have got these medical guidelines.

[Assistant] But do you know the referral path for RHD patients?

[User] No.

[Assistant] Which factor is working for you here? What are you happy with that you say this has enabled me to work?


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

[User] We have got these medical guidelines.

[Assistant] But do you know the referral path for RHD patients?

[User] No.

[Assistant] Which factor is working for you here? What are you happy with that you say this has enabled me to work?

[User] Generally we work on everybody who comes here but ...

[Assistant] What motivates you?


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

[User] No.

[Assistant] Which factor is working for you here? What are you happy with that you say this has enabled me to work?

[User] Generally we work on everybody who comes here but ...

[Assistant] What motivates you?

[User] To work? Of course I have to work.

[Assistant] Okay. Let’s look at the perceptions of patients’ outcomes; do you think the patients get the care they need here?


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

[User] Generally we work on everybody who comes here but ...

[Assistant] What motivates you?

[User] To work? Of course I have to work.

[Assistant] Okay. Let’s look at the perceptions of patients’ outcomes; do you think the patients get the care they need here?

[User] That is difficult; maybe you have to ask them

[Assistant] in your opinion


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

[User] To work? Of course I have to work.

[Assistant] Okay. Let’s look at the perceptions of patients’ outcomes; do you think the patients get the care they need here?

[User] That is difficult; maybe you have to ask them

[Assistant] in your opinion

[User] Maybe we are trying, we are trying. If a patient comes and he doesn’t get what she needs, he will go back home when he is not okay

[Assistant] For instance what can the patient go back without?


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

[User] That is difficult; maybe you have to ask them

[Assistant] in your opinion

[User] Maybe we are trying, we are trying. If a patient comes and he doesn’t get what she needs, he will go back home when he is not okay

[Assistant] For instance what can the patient go back without?

[User] of course we have to tell the patient to go and buy the drug

[Assistant] So if a patient with RHD came to Buwambo will that patient be handled here?


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

[User] Maybe we are trying, we are trying. If a patient comes and he doesn’t get what she needs, he will go back home when he is not okay

[Assistant] For instance what can the patient go back without?

[User] of course we have to tell the patient to go and buy the drug

[Assistant] So if a patient with RHD came to Buwambo will that patient be handled here?

[User] We can handle first then we refer the patient. Maybe what I can add is that the medicine bought is little and when it is used up, we have to wait for some months. Like now we only have the Panadols

[Assistant] And you said you don’t know where the problem is?


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

[User] of course we have to tell the patient to go and buy the drug

[Assistant] So if a patient with RHD came to Buwambo will that patient be handled here?

[User] We can handle first then we refer the patient. Maybe what I can add is that the medicine bought is little and when it is used up, we have to wait for some months. Like now we only have the Panadols

[Assistant] And you said you don’t know where the problem is?

[User] I don’t know.

[Assistant] Okay. If you look at patients’ safety, do you think patients’ safety issues are respected here?


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

[User] We can handle first then we refer the patient. Maybe what I can add is that the medicine bought is little and when it is used up, we have to wait for some months. Like now we only have the Panadols

[Assistant] And you said you don’t know where the problem is?

[User] I don’t know.

[Assistant] Okay. If you look at patients’ safety, do you think patients’ safety issues are respected here?

[User] They are respected.

[Assistant] Why do you think so?


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

[User] I don’t know.

[Assistant] Okay. If you look at patients’ safety, do you think patients’ safety issues are respected here?

[User] They are respected.

[Assistant] Why do you think so?

[User] Because a patient is a patient who comes and you have to handle that patient well, and confidentially.

[Assistant] So they are handled in a confidential way?


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

[User] They are respected.

[Assistant] Why do you think so?

[User] Because a patient is a patient who comes and you have to handle that patient well, and confidentially.

[Assistant] So they are handled in a confidential way?

[User] Yes, like we have some special clinics like the ART clinic, we have some departments like the youth departments.

[Assistant] What can we do to improve the quality of care in our patients?


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

[User] Because a patient is a patient who comes and you have to handle that patient well, and confidentially.

[Assistant] So they are handled in a confidential way?

[User] Yes, like we have some special clinics like the ART clinic, we have some departments like the youth departments.

[Assistant] What can we do to improve the quality of care in our patients?

[User] Some improvement in areas like motivation and having CMEs.

[Assistant] Do you have the CMEs are not?


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

[User] Some improvement in areas like motivation and having CMEs.

[Assistant] Do you have the CMEs are not?

[User] We no longer have CMEs; we used to have them.

[Assistant] What happened?

[User] I don’t know.

[Assistant] How was the attendance?


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

[User] We no longer have CMEs; we used to have them.

[Assistant] What happened?

[User] I don’t know.

[Assistant] How was the attendance?

[User] The attendance was bad because when you call the people, the turn up would be low.

[Assistant] Have you seen any preventable death in a place like here?


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

[User] I don’t know.

[Assistant] How was the attendance?

[User] The attendance was bad because when you call the people, the turn up would be low.

[Assistant] Have you seen any preventable death in a place like here?

[User] I don’t know.

[Assistant] What could cause that?


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

[User] The attendance was bad because when you call the people, the turn up would be low.

[Assistant] Have you seen any preventable death in a place like here?

[User] I don’t know.

[Assistant] What could cause that?

[User] Maybe the patient may take long to get the treatment when the drug are not here and yet what he is suffering from can be treated

[Assistant] Okay, any other?


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

[User] I don’t know.

[Assistant] What could cause that?

[User] Maybe the patient may take long to get the treatment when the drug are not here and yet what he is suffering from can be treated

[Assistant] Okay, any other?

[User] That is it.

[Assistant] So in your opinion what are the two most important things Ministry of Health can do to improve the outcomes in our patients?


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

[User] Maybe the patient may take long to get the treatment when the drug are not here and yet what he is suffering from can be treated

[Assistant] Okay, any other?

[User] That is it.

[Assistant] So in your opinion what are the two most important things Ministry of Health can do to improve the outcomes in our patients?

[User] Just to improve on the supervision and supply of drugs.

[Assistant] Do you get supervisions from like the district?


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

[User] That is it.

[Assistant] So in your opinion what are the two most important things Ministry of Health can do to improve the outcomes in our patients?

[User] Just to improve on the supervision and supply of drugs.

[Assistant] Do you get supervisions from like the district?

[User] Sometimes we get but maybe because of our rural places, they take long to come.

[Assistant] So when they supervise are your needs or issues raised?


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

[User] Just to improve on the supervision and supply of drugs.

[Assistant] Do you get supervisions from like the district?

[User] Sometimes we get but maybe because of our rural places, they take long to come.

[Assistant] So when they supervise are your needs or issues raised?

[User] We raise them but they end there; they don’t work on them.

[Assistant] Okay, so drugs and supervision!


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

[User] We raise them but they end there; they don’t work on them.

[Assistant] Okay, so drugs and supervision!

[User] Yes.

[Assistant] Anything else?

[User] No.

[Assistant] And then at least you have seen the RHD patients, what can we do for them?


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

[User] Yes.

[Assistant] Anything else?

[User] No.

[Assistant] And then at least you have seen the RHD patients, what can we do for them?

[User] So far we have not had any.

[Assistant] But in general because at least you have seen them somewhere, what can be done to make sure they can come for care?


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

[User] No.

[Assistant] And then at least you have seen the RHD patients, what can we do for them?

[User] So far we have not had any.

[Assistant] But in general because at least you have seen them somewhere, what can be done to make sure they can come for care?

[User] To get them their drugs so that they can take them

[Assistant] How can we help them to come for their drugs? What can we do to motivate them?


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

[User] So far we have not had any.

[Assistant] But in general because at least you have seen them somewhere, what can be done to make sure they can come for care?

[User] To get them their drugs so that they can take them

[Assistant] How can we help them to come for their drugs? What can we do to motivate them?

[User] Outreaches and advising them to take their drugs

[Assistant] Who should advise them?