Space |
“ If we go to the structure because they are the spaces (...) in fact we don't have a place, they don't lend it to us, so I think that is going to be a very important difficulty (...) a space to be able to work both things and I don't know what the other colleagues think” (E01, Physician, Clinic 1) . “ It is very difficult because we don't have the infrastructure to simply do the workshop (...) we don't have space and nothing but this health center, many health centers. The main thing is the infrastructure” (E02, Nurse, Clinic 1) . |
Resources |
“ About the Doppler, I always said (...) because we only have one, so they would ask it. It didn't belong to the control prenatal group, it belongs to here [the health center], so when I got it, (...)they asked it me back” (E04, Physician, Clinic 2) . “ Here we have (...) all the material, the tools. I don't know if it was you or who sent us the tool, which is a box with all the things [for the sessions].” (E11, Nurse, Clinic 4) . |
Health Personnel |
“ What we did was the most feasible, occupying the time in the morning, when the cards are given, so, normally, we can give them or not. We used to distribute twenty-one cards. We are three doctors, and we did not give cards for ones who had to do the control group, and this period of time they could use for the model. Finishing the model, we continue with the scheduled [appointments]” (E08, Physician, Clinic 3) . “ This affects my time, for example, if we finish too late, I have to come back here [to the health center] to include them all in their respective files. So it is more complicated because I have to come back here [to the health center] and sometimes I finish too late to include everything in the system and then include it in all the labs because there [at the location of the sessions] was just the exam and the card. I used to write the signs and other things, but I have to come back here [to the health center] for the medical record, so I use to finish later. The time it took me is a problem. ”(E04, Physician, Clinic 2) . “ Almost always we organized our schedules and when we set the date for the control prenatal group we didn't put anything else so that they wouldn't mix or we wouldn't have setbacks, then that day we were completely dedicated to it ” (E10, Nurse, Clinic 4) . |
Patient volume |
“ I'm worried about reducing the number of consultations because that's all I do that day [referring to the GPC sessions] and my minimum number of consultations is sixteen ” (E01, Physician, Clinic 1) . “ This control is quicker for me because, for example, in a session I see all the twelve pregnant women, so I am not making appointments for them every month and they have to come to get a consultation very early ”(E04, Physician, Clinic 2) . |
Community |
Not identified. |
Testimonials attitudinal dimension
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Motivation |
“ It would be nice, if there was a stimulus to the health personnel (...) some kind of reward, it could be money, it could be books, it could be some situation that we feel will benefit us, so that it will also make us feel more motivated ”(E08, Physician, Clinic 3) . “ A group ends in approximately seven months so in seven months you can update and take everything that happened in that group and according to that train or see what you would improve or remove ”(E09, Nurse, Clinic 3) . |
Leadership |
“ The physician cannot participate in the entire workshop (...) because he either gives the consultation or participates in the workshop, the time is not enough to do both, even if the number of people is reduced ”(E01, Physician, Clinic 1) . “ Check who was missing and send them a WhatsApp, because I have the WhatsApp group (...) so I knew why somebody was not in the meeting. ”(E02, Nurse, Clinic 1) . |
Acceptability |
” It is more comfortable [referring to giving the consultation at the health center] than there [referring to the place where the GPC sessions are held] I don't see the objective that instead of raising the level of attention (...) lowering it. For me, to have to go there to give the consultation [referring to the place where the GPC sessions are held] it is lowering the level ”(E01, Physician, Clinic 1) . “ (…) getting closer to the patients, I think the patients perceive it, gives them more confidence and they feels more comfortable, because when you go to the doctor you feel a little worried and here you are closer and welcome ”(E08, Physician, Clinic 3) . |
Address problems |
“ The time there [referring to the place where the GPC sessions are held] is not enough for me, because what I manage to do is measure the fetal cardiac frequency, and pass on the records, explain them too quickly, but when they had finished the part of the workshop, I still had four or five patients left ” (E01, Physician, Clinic 1) . “ The day that it is the doctor's turn to do the group control (...) no cards were given, and that period of time is the one that we occupy for, for the model, finishing the model. Because we follow it with the programmed ones that start from eleven o'clock then that is the way that we find ”(E08, Physician, Clinic 3) . |
Work atmosphere |
“ The doctor asked me a lot (...) I told him, “Doctor, I'm going to the group prenatal control” [referring to the doctor's answer] Yes, you're going to have some fun and then they leave me alone here ”(E02, Nurse, Clinic 1) . |
Communication |
“ We have a calendar of activities so the administration knows officially the days we have scheduled and those days we don't have consultation, we are involved since early to organize the area, prepare the things that we will use, we develop the session and, when we finish it, I return to the office to make the medical records and review them ” (E03, Physician, Clinic 2) . “ I suppose our director is not convinced and the jurisdiction of the project too, maybe because they don't know it well or because they don't conduct it and obviously it is the first obstacle that limits us ”(E03, Physician, Clinic 2) . “ You have to have their authorization for everything, everything that is done here is under the authorization, first of the director of the health center and then of the jurisdiction. So having their authorization and having the material there is no problem ”(E06, Nurse, Clinic 2) . |