Table 1 Summary of results of in depth interviews
From: Patient-centred innovation to ensure access to diabetes care in Cambodia: the case of MoPoTsyo
Categorisation | MoPoTsyo staff & peer educators | Directly involved frontline workers (pharmacists, health care workers contracted by MoPoTsyo) | Indirectly involved frontline workers (non-contracted health care workers, drug vendors) | Health system managers | |
|---|---|---|---|---|---|
On the role of peer-educators | |||||
Essential tasks and competences | Patient education | Patient education | Patient education | Patient education | |
Variety in competence, depending on experience | Case detection, outreach activities | focus on diabetes and lifestyle expertise, retention in care | |||
Credibility in community | Place in the community | ||||
Additional tasks | To be extended (with training) | Within limits (no treatment) | Very limited | ||
Patients’ demand | Patients’ demand | Patients’ demand | |||
Formal Responsibilities | Need permission for extension of tasks | Clear dinstinction of responsibilities | |||
Risks | Individual peer educators malbehaving, (lack of) training | ||||
On RDF | |||||
Benefits | Core component | Good prices | Complementary to their own services (different customers) | Good quality, low cost, proximity | |
Increased competence | |||||
Increased profits | |||||
Problems | Distance is a barrier for patients | Strict regulations, administrative burden | |||
Uncertainty about sustainability | Different cost recovery system from public services | ||||
On MoPoTsyo’s role in organizing health care services | |||||
Benefits | Complementary to insufficient and/or expensive health services | Capacity development | Useful for case detection | Renders new patients to health services | |
Proximity | Cheap alternative for some patients, temporary solution | Relieves burden of public system | |||
Position towards other health providers | Feeling of distrust from other health workers | Complementary | Complementary (different customers) | ||
On collaboration /integration into the health system | |||||
Exchange | On personal basis, few formal communication channels | On personal basis | On personal basis | ||
Plans for intergration | Uncertainty about management peers and RDF | Uncertainty, fear for loss of customers | uncertainty about financing and RDF managament | ||
Future role MoPoTsyo | Advocacy for stronger peer position | Support to health facilities | Capacity development | ||