Study design included features characteristic of ethnographic inquiry: prolonged engagement, purposeful sampling, persistent observation, multiple source data collection, and recursive interpretation.
Prolonged engagement resulted in rich data sets and personal relationships were formed.
The interviews lasted around 45 minutes to ensure prolonged engagement with participants.
Credibility was established through participants' revision as member check, prolonged engagement with participants and peer check.
Our method is predicated on short-term, intense engagement and cannot be compared with ethnography, which involves long-term (prolonged) engagement.
Fourthly, in addition to time spent in each health centre undertaking formal participant observation, HA spent four years in total undertaking the project (prolonged engagement in the field).
Trustworthiness of the data was established by authors' prolonged engagement with transcripts, methodological triangulation, participant observation, peer debriefing, and reflective journaling [ 29].
The trustworthiness of the findings can be secured through different approaches such as: triangulation, prolonged engagement, peer-debriefing, and member checks (35).
Measures to enhance methodological rigor included prolonged engagement with data, careful line-by-line analysis of the transcripts, and detailed memo writing [ 42].
These included: prolonged engagement with participants during interviews, thick description and supporting quotes representing all participants that gave credibility to the acquired information [ 23, 40].
