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Table 3 Examples of moving from meaning units to themes in content analysis of health service users’ FGDs

From: Experiences of care in the context of payment for performance (P4P) in Tanzania

Meaning unit

Condensed meaning unit

Description close to the text

Condensed meaning unit

Interpretation of the

underlying meaning

Sub-theme

Theme

Nurses here used to use bad languages to us but now they are getting better. They welcome us in a polite language, not like before when they used to shout at us in the labor room. These days if you feel the pain and call them, they come and listen. Before they used to scream at us and treat us as children

Improving staff attitudes

Nurses being more respectful to patients

Experiences with RCH services

Experiences with health care services in the context of P4P

When I gave birth in 2006 there was a tendency were nurses can leave you unattended in labor. They would ask you whether it is your first birth or not and if it wasn’t then they can leave you.

Nurses leaving patients unattended

Nurses abandoning care

RCH services are good when you come here you are treated in a good way until you give birth and discharged. The out-patient department and other places are still the same; at RCH we can see more tools and medicines coming

RCH services are better

RCH offering better services

Kwa kweli the relationship among nurses here is good, before we used to leave this place at 4 pm, but now we are getting our services timely. We don’t stay here for long now, its only today we are still here because they had a meeting

Waiting time is becoming less

Shortened patient waiting time

It’s hard to find money, we are asked to buy the delivery kit and many of us can’t afford this. If you come without this you don’t get help.

Cannot afford care

Lack of money

Barriers for accessing care

The facilities here are poor; first and foremost, the toilets are very dirty, we don’t even know who is supposed to clean them. If you decide to go there right now, you won’t believe your eyes.

Dirty toilets

Poor facilities

What I heard is that it is a must for every pregnant woman to come with her own equipment for birth. I do not understand if the government is not providing these things

Pregnant women buying own delivery kit

Lack of equipments & supplies

We used to have one medical attendant doing everything including what the doctor is doing now. We always wish if the government can help us by providing another staff, maybe we can get help quickly

Few health workers available

Lack of enough staff