Nepal Antenatal Care Facility Implementation Ethnography

Four primary health facilities in Nepal were studied between December 2021 and January 2023. Sulata Karkiv's research provides qualitative insights into the implementation challenges of an electronic decision support system for antenatal care. The dataset contains ethnographic observations, interviews, and workshop data from auxiliary nurse midwives.

Use Cases

• Analyze interview transcripts (n=16) to identify themes on healthcare worker resistance to digital tools.
• Correlate ethnographic observation notes with formal interview data to study disconnects between stated values and actual practice.
• Use validation workshop data to understand participant reflections on study findings regarding care quality perceptions.
• Examine records of informal conversations and observations to model contextual factors influencing antenatal care organization.

Strengths

• Data triangulation from four methods: observations, informal conversations, 16 formal interviews, and validation workshops.
• Longitudinal data collection over a 14-month period from December 2021 to January 2023.

Limitations

• Very small dataset at 5.5 KB, indicating limited quantitative scope or a small sample of raw qualitative data.
• Findings are based on only four primary health facilities, limiting generalizability.
• Dataset consists of processed, thematically analyzed insights rather than raw, granular observation logs or full interview transcripts.

Provenance

Source

Focused ethnography conducted as part of the mIRA (mobile health Integrated Rural Antenatal care) project evaluation.

Collection Method

Mixed-methods data collection including repeat ethnographic observations, informal conversations, formal interviews, and validation workshops.

Time Range

December 2021 to January 2023

Freshness

Data collection concluded in January 2023.

Geography

Four primary health facilities in Nepal