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Table 1 Main themes on the acceptability of the telemedicine SSI screening program

From: Acceptability of telemedicine for early surgical site infection diagnosis after cesarean delivery in rural Rwanda: a qualitative study

Community Health Workers

Women delivering via cesarean

Quote

Theme

Quote

CHW Q1: “It would be very beneficial to [women], to be followed at home would be very easy… I wish it would be a countrywide program and be communicated to everyone in the village.” – CHW #05, 6 years of experience as CHW.

Perceived benefits

Patient Q1: “What [the CHW] did made me happy, it should continue like that…I would accept it as it was planned to be done.” – Patient #04, completed primary education.

CHW Q2: “Aah, the secret is to get close to people and build the trust in them. There would be no problem if they have trust in us as community health workers.” – CHW #05, 6 years of experience as CHW.

Trust in CHWs

Patient Q2: “I would prefer the CHW at home…because she lives close to me, she knows how I am doing, we see each other every time…With the person you are familiar with, you feel free to tell her everything, tell her your problem.” – Patient #03, completed primary education.

CHW Q3: “[The community] would accept it. I think when it will be implemented they will accept it and will be happy, especially those who are concerned.” – CHW #05, 6 years of experience as CHW.

Patients and community acceptability

Patient Q3: “When they saw a CHW comes to visit me at my home, my family didn’t see it as a problem thinking that if they see I have a problem, I will be readmitted and get cared for. So they took it very well.” – Patient #02, completed primary education.

CHW Q4: “If they provide me with a smartphone and train me how to do that, I can do it without any problem…It sounds like implementing this program will not take more time.” – CHW #01, 4 years of experience as CHW.

Feasibility

Concerns

Patient Q4: “I like [the photographing] …I would trust because the photos are being shared between health providers, no one else will show them to others.” – Patient #09, completed secondary education.

Patient Q5: “…I feel that the best way would be to ask the patient to come to the hospital as it normally happens- so the doctor can see how the wound is in-person. Sometimes, the photo may show things that are real but on the other hand, there might be wrong indications of the photo.” Patient #1, completed secondary education.

CHW Q5: “If I was trained, I would do things according to how I was trained. I feel that no negative consequences would arise.” – CHW #04, 13 years of experience as CHW.

Perceived safety

Improved patient engagement and recovery

Patient Q6: “Because the CHW showed me the photo, I saw how my wound was since I was not able to see it myself.” – Patient #09, completed secondary education.