Table 2 Summary of stages, activities, and session plans for the proposed study
Stages | Cyclical activities | Descriptions | Sessions |
|---|---|---|---|
Stage 1: Formation of stakeholders Groups, and Consultative Workshop | Planning | Identify and establish cross-stakeholder groups that services as a reference group, and working group together with Sodo district health office Getting stakeholder groups and agree on time and place for regular sessions Develop summary of findings from foundational studies Identify and prioritize top thematic concerns | 1 |
Action | Present and discuss on foundational studies in a consultative workshop with stakeholder groups Systematically identify thematic concerns through small homogenous groups and heterogeneous group discussions, prioritize thematic concerns using Nominal Group Techniques | 2 | |
Observing | Collect key thematic concerns and priorities generated in small group and plenary sessions, through audio-recording, capture minutes, field notes A research assistant will record field notes on group dynamics and interactions and on the context surrounding the discussion. | 1–2 | |
Reflection | Discuss on and reach consensus on priority areas Reflect within homogeneous groups, heterogeneous; compare the reports of each group The stakeholder groups make sense of what has happed through thinking about how it fits with their experiences and local contexts using criteria | 2 | |
Stage2: Planning of action | Planning | Reach common understanding between RPG and the researchers and assistants what the research involves and ensure consent to participate RPG agree on time, place, number of sessions per week and duration of the sessions at primary health facility level Review the thematic priorities identified in Stage 1, discuss, select and prioritize two thematic concerns for action as trial of proof of concepts Generate set of solutions and design intervention strategies | 3 |
Action | Work with RPG and develop viable and realistic change strategies taking into account their local realities; set evaluation strategies for actions | 4 | |
Observing | Observe and document the process through notes, and audio-recordings Evaluate participation and representation | 3–4 | |
Reflection | Continuous reflection throughout the action planning phases on data from observation, field notes and reflect on the action options Examine whether the proposed improvement methods is feasible in terms, time, additional resources availability, and local experiences | 3–4 | |
Stage3: Implementation and evaluation | Planning | Review of the plan action with RPG and reach agreement about the way strategies would be put into operation and how to document observations Designing implementation strategies and action Discuss about and set implementation indicators Discuss and research consensus how the RPG will continue with the PAR processes on own | 5 |
Action | Implementation meeting with RPG Reach agreement about the way the program would be put into operation and how to document observations Select few interventions and commence as trial of proof of concept Discuss and research consensus how the RPG will continue with the PAR processes on their own | 6 | |
Observing | Document the trial process through taking detailed field notes, observation and discussion with RPG Preliminary analysis and findings of the process will be collected Conducted in-depth interviews with RPG to ascertain their perceptions and experiences of the process of PAR | 6 | |
Reflection | Conduct evaluation meeting with RPG and collect feedback about the process of the PAR process, and reflect on the process of implementation Identify options for further PAR and action with or without academic researchers | 7 |