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3) Qualitative
      Data collection techniques
                              Training Course in Sexual and
                              Reproductive Health Research
                                      Geneva 2012



                                                         Dr. Khalifa Elmusharaf
                         MBBS, PGDip, FRSPH, PhD researcher Health System & Policy
                                                                 RCRU / UMST
Elmusharaf K. Qualitative data collection techniques. Paper presented at: Training Course in Sexual and Reproductive Health Research; 2012 Aug 7;
Geneva. Available from: http://www.gfmer.ch/SRH-Course-2012/research-methodology/Qualitative-data-collection-Elmusharaf-2012.htm
Objective of Presentation
   By the end of this presentation you should be
   able to:
• Describe different types of data collection techniques
• Demonstrate dimensions , type of observations and how to prepare and
  conduct observation
• Understand the practical communication skills for interviews to ask good
  questions , probe and follow up questions .
• Able to prepare for interview
• Understand the characteristics and uses of focus group discussions
• Conduct focus group discussions
Overview of data collection techniques

• Data collection techniques allow us to
  systematically collect information about our
  objects of study (people, objects, phenomena)
  and about the settings in which they occur.

• In the collection of data we have to be
  systematic. If data are collected haphazardly, it
  will be difficult to answer our research
  questions in a conclusive way.
data collection techniques
1. Document review

2. Observation

3. Interviews (face-to-face)

4. Focus group discussions
Document review
• A qualitative research project may require
  review of documents such as:
  – Course syllabi
  – Faculty journals
  – Meeting minutes
  – Strategic plans
  – Newspapers
• Depending on the research question, the
  researcher might utilize:
  – Rating scale
  – Checklist,
  – Content analysis.
  – Matrix analysis
Observation
Observation
• OBSERVATION is a technique that involves systematically
  selecting, watching and recording behaviour and
  characteristics of living beings, objects or phenomena.

• Without training, our observations will heavily reflect our
  personal choices of what to focus on and what to
  remember.

• You need to heighten your sensitivity to details that you
  would normally ignore and at the same time to be able to
  focus on phenomena of true interest to your study.
Type of observations
Observation of human behaviour

• Participant observation: The observer takes
  part in the situation he or she observes.
  – Example: a doctor hospitalised with a broken
    hip, who now observes hospital procedures ‘from
    within’.

• Non-participant observation: The observer
  watches the situation, openly or
  concealed, but does not participate.
Type of observation
• Open
  – (e.g., ‘shadowing’ a health worker with his/her
    permission during routine activities)

• Concealed
  – (e.g., ‘mystery clients’ trying to obtain antibiotics
    without medical prescription).

• Observations of objects
  – For example, the presence or absence of a latrine and
    its state of cleanliness.
Type of observation
1. General observation may be used as the starting
   point in to be familiar with the setting and the new
   context.

2. More focus observation may be used to evaluate
   whether people really do what they say they do.

3. Access the unspoken knowledge of subject, that
   is, the subconscious knowledge that they would not
   be able to verbalise in an interview setting.

4. Compare a phenomena and its specific components
   in greater detail.
Dimensions of observation:
1.   Space (physical places)

2.   Actors (people involved)

3.   Activities (the set of related acts people do)

4.   Object (the physical things that are present)

5.   Time (the sequencing that takes place over time)

6.   Goal (the things people are trying to accomplish)

7.   Feeling (the emotions felt and expressed)

                                                         (Spradlet 1979)
Preparing for Observation
1. Determine the purpose of the observation activity as
   related to the overall research objectives

2. Determine the population(s) to be observed.

3. Consider the accessibility of the population(s) and the
   venues in which you would like to observe them.

4. Investigate possible sites for participant observation
5. Select the site(s), time(s) of day, and date(s), and
   anticipate how long you will collect participant
   observation data on each occasion.

6. Decide how field staff will divide up or pair off to
   cover all sites most effectively

7. Consider how you will present yourself, both in
   terms of appearance and how you will explain
   your purpose to others if necessary
8. Plan how and if you will take notes during the
   participant observation activity.

9. Remember to take your field notebook and a
   pen.
After Participant Observation
10.Schedule time soon after participant
  observation to expand your notes.

11.Type your notes into computer files using the
  standard format set for the study.
INTER-VIEWS
3- Interview
• An INTERVIEW is a data-collection
  (generation) technique that involves oral
  questioning of respondents.

• Answers to the questions posed during an
  interview can be recorded by writing them
  down or by tape-recording the responses, or
  by a combination of both.
High degree of flexibility:
• When studying sensitive (teenage pregnancy and abortions)

• A list of topics may include:
    – How teenagers started sexual intercourse
    – The actions couples take in the event of unwanted pregnancies.


• The investigator should have an additional list of topics ready when the
  respondent falls silent
    – e.g., when asked about abortion methods used
    – who made the decision and who paid
High degree of flexibility:
• The sequence of topics should be determined by
  the flow of discussion.

• It is often possible to come back to a topic
  discussed earlier in a later stage of the interview.

• The unstructured or loosely structured method of
  asking questions can be used for interviewing
  individuals as well as groups of key informants
  (FGD).
Low degree of flexibility:
• Less flexible methods of interviewing are
  useful when the researcher is relatively
  knowledgeable about expected answers or
  when the number of respondents being
  interviewed is relatively large.

• Then questionnaires may be used with a fixed
  list of questions in a standard sequence, which
  have mainly fixed or pre-categorised answers.
Practical communication skills for
               interviews
• Good communication should lead to a shared
  understanding.

• Be aware of nonverbal communication. (70%)

• Giving constructive feedback.
  1.   Comment on positive things first
  2.   Be constructive
  3.   Be specific
  4.   Do no give direct or blaming criticism
• Ask good questions
   – Start with what, how, who, when, please give an example of.

   – Question starting with “Why” make people feel uncomfortable.


• Don’t ask a biased and leading or direct questions.

• The type of question asked must be adapted to the
  changing level of trust between interviewer and
  informant during the interview.
PROBING
• PROBING is a good questioning skill

Examples
• Does the child have fever? (Closed question)
  – Probes How high is the fever?
  – Since when has he had the fever?

• Have you given the child medicine?
  – Probes What kinds of medicines have you given?
  – How much? For how long?
Type of questions
• Hypothetical question:
   – Suppose you had more money, how would you spend that?

• Provocative questions:
   – Some say that HIV is the punishment of God, what do you think about
     that?

• Ideal questions:
   – Please describe to me what a good delivery would be like

• Interpretative questions:
   – You said earlier that you go to healers for diarrhoea, how this related
     ideas about hot-cold?
Type of questions
• Experience questions:
  – Could you tell me about your experience of caring for
    patients with cancer?

• Feeling questions:
  – How did you feel when the first patient in your care
    died?

• Knowledge questions:
  – What services are available for this group of patients?
Type of questions
• Grand-tour questions:
  – Can you describe a typical day in the community? (to
    a community midwife)

• Mini-tour questions:
  – Can you describe what goes on when a women die
    giving birth?

• Example Questions
  – Can you give me an example of a difficult delivery?
Type of questions
Type of question         Purpose
Opening questions        To identify the characteristics that the participants have
                         in common. Participants should be given an opportunity
                         to introduce themselves.
Introductory questions   To introduce the general topic of the discussion, and to
                         stimulate the conversation and improve interaction in the
                         group
Transition questions     To move the participants into the focus of the discussion.

Key questions            Concern about the focus of the interview
Ending questions         Give the participants an opportunity to make final
                         statement
Final questions          Ask the participants to add things they think have not
                         been considered during the discussion
Prepare for the interview
• Recruit participants according to the recruitment
  strategy outlined in the work plan

• Set up recording equipment and the physical
  space where interviews will take place.

• Become knowledgeable about the research
  topic, including anticipating and being prepared
  to answer any questions participants may have
  about it.
• Be reliable. To get participants to take the
  interview seriously, you need to demonstrate
  your    own     commitment.      Arrive   on
  time, equipped with the recording
  equipment, interview guide, and notebooks.
  Be both mentally and psychologically
  prepared to conduct the interview. Keep all
  promises you make to participants.
• Obtain informed consent from each participant
  before the interview.

• Address all questions or topics listed in the
  interview guide.

• Ask follow-up questions (some of which may be
  scripted in the interview guide) in order to elicit
  participants’ complete knowledge and experience
  related to the research topic.
• Probe participants for elaboration of their
  responses, with the aim of learning all they
  can share about the research topic.
Document the interview
• Record the interview using an audio (and sometimes video)
  recorder.

• Take backup notes

• Observe and document participants’ behaviors and
  contextual aspects of the interview as part of your field
  notes.

• Expand your notes as soon as possible after each
  interview, preferably within 24 hours, while your memory is
  still fresh.
FOCUS GROUP DISCUSSIONS
Appropriate for                   Strength of method
Interviews     •Eliciting individual             •Elicits in-depth responses, with
               experiences, opinions, feelings   differences and contradictions/

               •Addressing sensitive topics      •Gets at interpretive perspective,
                                                 i.e., the connections and
                                                 relationships a person sees between
                                                 particular events, phenomena, and
                                                 beliefs




Focus groups   •Identifying group norms          •Elicits information on a range of
                                                 norms and opinions in a short time
               •Eliciting opinions about group
               norms                             •Group dynamic stimulates
                                                 conversation, reactions
               •Discovering variety within a
               population
Characteristics and uses of
            FGD
• A FGD is a qualitative method.

• Its purpose is to obtain in-depth information on
  concepts, perceptions and ideas of a group.

• A FGD aims to be more than a question-answer
  interaction.

• The idea is that group members discuss the
  topic among themselves, with guidance from
  the facilitator.
FGD techniques can be used to:
  1- Focus research and develop relevant research hypotheses by
  exploring in greater depth the problem to be investigated and its
  possible causes.

  example:
• A district health officer had noticed that there were an unusually
  large number of cases of malnutrition of children under 5 reported
  from one area in her district.

• Because she had little idea of why there might be more
  malnutrition in that area she decided to organise 3 FGD (one with
  leaders, one with mothers and one with health staff from the
  area).

• She hoped to identify potential causes of the problem through the
  FGDs and then develop a more intensive study, if necessary.
2- Formulate appropriate questions for more
  structured, larger scale surveys.

  example:
• In planning a study of the incidence of childhood diarrhoea and
  feeding practices, a FGD showed that in the community under
  study, children below the age of 1 year were not perceived as
  having ‘bouts of diarrhoea’ but merely ‘having loose stools’ that
  were associated with milestones such as sitting up, crawling, and
  teething.

• In the questionnaire that was developed after the FGD the
  concept ‘diarrhoea’ was therefore carefully described, using the
  community’s notions and terms.
• 3- Help understand and solve unexpected
  problems in interventions.

  example:
• In District X, the recent national (polio) immunisation
  days (NID) showed widely different coverage’s per
  village (50-90%) and in a number of villages a marked
  decrease in coverage was observed compared to last
  year.

• Eight FGD were held with mothers, two in town, three
  in rural villages with a marked decrease in NID coverage
  and three in villages with a high coverage throughout.
Example (continuo)
• It appeared that overall, the concept NID had raised
  confusion. Most people believed that this mass campaign
  strengthened the children’s immunity against any (childhood)
  disease, including malaria and Respiratory Tract Infections.

• In the villages with a low NID coverage there had been a high
  incidence of malaria in children immediately after the
  previous NID campaign and several children died. Mothers
  therefore believed that the NID campaign was useless
• 4- Develop appropriate messages for health education
  programmes and later evaluate the messages for clarity.

  example:
• A rural health clinic wanted to develop a health education
  programme focused on weaning problems most often
  encountered by mothers in the surrounding villages and what to
  do about them.

• The FGD could be used for exploring relevant local concepts as
  well as for testing drafts when developing the messages.

• The messages should be developed and tested in different socio-
  economic groups of mothers, as weaning practices may differ
  with income, means of subsistence and education of the
  mothers. Also ethnic differences may have to be taken into
  account.
• 5- Explore controversial topics.

  example:
• Sexual behaviour is a controversial topic in the sense that
  males and females judge sexual relations and sexuality
  often from very different perspectives. Sexual education
  has to take this difference into account.

• Through FGDs, first with females, then with males, and
  then with a mixed group to confront both sexes with the
  different outcomes of the separate discussions (listed on
  flip charts) it becomes easier to bring these differences in
  the open. Especially for teenagers, who may have many
  stereotypes about the other sex or be reluctant to discuss
  the topic openly (particularly girls), such a ‘multi-stage’
  approach is useful.
Strengths and limitations of FGD
• A well chosen group, in terms of composition and
  number, FGDs can be a powerful research tool
  which provides valuable spontaneous information
  in a short period of time and at relatively low
  cost.

• FGD should not be used for quantitative
  purposes, such as the testing of hypotheses or
  the generalisation of findings for larger
  areas, which would require more elaborate
  surveys.
• Depending on the topic, it may be risky to use
  FGDs as a single tool.

• In group discussions, people tend to centre their
  opinions on the most common ones, on ‘social
  norms’.

• In reality, opinions and behaviour may be more
  diverse. Therefore it is advisable to combine FGDs
  with at least some key informant and in-depth
  interviews.
• In case of very sensitive topics, such as sexual
  behaviour or coping with HIV/AIDS, FGDs may
  also have their limitations, as group members
  may hesitate to air their feelings and
  experiences freely.

• One possible remedy is the selection of
  participants who do not know each other
  (e.g., selection of children from different
  schools in FGDs about adolescent sexual
  behaviour),      while  assuring  absolute
  confidentiality.
HOW TO CONDUCT A FGD
Determine the purpose
• A FGD can be regarded as a mini-study.

• It therefore requires one or two clear
  objectives.

• These objectives will guide the research team
  in the formulation of discussion questions.
Situation analysis
• Any FGD requires good knowledge of local
  conditions.

• There are always differences between community
  members, for example in education, political power,
  gender, economic status and ethnic group.

• These differences will be reflected in their
  perceptions of the problems they suffer from and
  possible solutions.

• A researcher must be aware of these differences
• The first task of the researchers will be to explore
  the area and identify possible target groups.

• Interviews with some key informants and a
  rudimentary situation analysis are then
  indispensable.

• The situation analysis should preferably be
  carried out in a participatory way, with
  representatives of the study population on which
  the FGD focuses.
Points to be considered
when preparing the FGD
A. Recruitment of participants

• Participants should be roughly of the same
  socio-economic group or have a similar
  background in relation to the issue under
  investigation.

• The age and sexual composition of the group
  should facilitate free discussion.
B. Selection of participants:

• If you are an outsider, you may have to rely on
  your key informants for the first selection of
  participants in FGDs.

• Your key informants to whom you have
  explained thoroughly the purpose and the
  process of the FGD might each suggest some
  individuals who could be invited to a focus
  group discussion.
• The key informants may select persons similar to
  themselves so that you do not get an adequate
  variety of views in your discussion group.

• So in your explanations be sure to emphasise that
  you want a group of people that can express a range
  of views, to be able to have a proper discussion.

• Participants in a first FGD may assist to find relevant
  participants for other groups.

• Another way is to select individuals in a systematic
  way, to try and ensure a range of views. You
  might, ask every third or fourth person you find. This
  method might be more suitable in urban areas.
C. Physical arrangements:

• Communication and interaction during the FGD should
  be encouraged in every way possible.

• Arrange the chairs in a circle. Make sure that there will
  be no disturbances, sufficient quietness, adequate
  lighting, etc.

• Try to hold the FGD in a neutral setting which
  encourages participants to freely express their views.

• A health centre, for example, is not a good place to
  discuss traditional medical beliefs or preferences for
  other types of treatment.
D. Preparation of a discussion guide:

• There should be a written list of topics to be
  covered.

• It can be formulated as a series of open-ended
  questions.

• Guides for different groups gathered to discuss
  the same subject may vary slightly, depending on
  their knowledge or attitudes and how the subject
  should first be explored with them.
Conducting the FGD
     session
Functions of the facilitator
1. Introduce the session
2. Encourage discussion and involvement
3. Deal correctly with sensitive issues.
4. Observe non-verbal communication.
5. Avoid being placed in the role of expert
6. Control the rhythm of the meeting
7. Take time at the end of the meeting to
   summarise, check for agreement and thank the
   participants
8. Summarise the main issues brought up
9. Listen for additional comments and spontaneous
   discussions after the meeting has been closed.
Functions of the recorder
• The recorder should keep a record of the
  content of the discussion as well as emotional
  reactions and important aspects of group
  interaction.

• Assessment of the emotional tone of the
  meeting and the group process will enable
  you to judge the validity of the information
  collected during the FGD.
Items to be recorded include:
• Date, time, place
• Names and characteristics of participants
• General description of the group dynamics (level of
  participation, presence of a dominant participant, level of
  interest)
• Opinions of participants, recorded as much as possible in
  their own words
• Emotional aspects
• Vocabulary used – (to use it in developing questionnaires or
  health education materials)
• Spontaneous relevant discussions during breaks or after the
  meeting has been closed
Number of sessions
• It depends upon project needs, resources, and
  whether new information is still coming from the
  sessions (Saturation)

• One should plan to conduct at least two FGDs for
  each sub-group (for example, two for males and
  two for females).

• Otherwise you have no way of assessing whether
  the information you get from the first FGD is
  representative for that group.
Duration of sessions
• A focus group session typically lasts up to an hour and
  a half.

• Generally the first session with a particular type of
  group is longer than the following ones because all of
  the information is new.

• Thereafter, if it becomes clear that all the groups have
  a similar opinion on particular topics, the facilitator
  may be able to move the discussion along more quickly
  to other topics which still elicit new points of view.
END

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3.Qualitative data collection techniques by elmusharaf

  • 1. 3) Qualitative Data collection techniques Training Course in Sexual and Reproductive Health Research Geneva 2012 Dr. Khalifa Elmusharaf MBBS, PGDip, FRSPH, PhD researcher Health System & Policy RCRU / UMST Elmusharaf K. Qualitative data collection techniques. Paper presented at: Training Course in Sexual and Reproductive Health Research; 2012 Aug 7; Geneva. Available from: http://www.gfmer.ch/SRH-Course-2012/research-methodology/Qualitative-data-collection-Elmusharaf-2012.htm
  • 2. Objective of Presentation By the end of this presentation you should be able to: • Describe different types of data collection techniques • Demonstrate dimensions , type of observations and how to prepare and conduct observation • Understand the practical communication skills for interviews to ask good questions , probe and follow up questions . • Able to prepare for interview • Understand the characteristics and uses of focus group discussions • Conduct focus group discussions
  • 3. Overview of data collection techniques • Data collection techniques allow us to systematically collect information about our objects of study (people, objects, phenomena) and about the settings in which they occur. • In the collection of data we have to be systematic. If data are collected haphazardly, it will be difficult to answer our research questions in a conclusive way.
  • 4. data collection techniques 1. Document review 2. Observation 3. Interviews (face-to-face) 4. Focus group discussions
  • 6. • A qualitative research project may require review of documents such as: – Course syllabi – Faculty journals – Meeting minutes – Strategic plans – Newspapers
  • 7. • Depending on the research question, the researcher might utilize: – Rating scale – Checklist, – Content analysis. – Matrix analysis
  • 9. Observation • OBSERVATION is a technique that involves systematically selecting, watching and recording behaviour and characteristics of living beings, objects or phenomena. • Without training, our observations will heavily reflect our personal choices of what to focus on and what to remember. • You need to heighten your sensitivity to details that you would normally ignore and at the same time to be able to focus on phenomena of true interest to your study.
  • 10. Type of observations Observation of human behaviour • Participant observation: The observer takes part in the situation he or she observes. – Example: a doctor hospitalised with a broken hip, who now observes hospital procedures ‘from within’. • Non-participant observation: The observer watches the situation, openly or concealed, but does not participate.
  • 11. Type of observation • Open – (e.g., ‘shadowing’ a health worker with his/her permission during routine activities) • Concealed – (e.g., ‘mystery clients’ trying to obtain antibiotics without medical prescription). • Observations of objects – For example, the presence or absence of a latrine and its state of cleanliness.
  • 12. Type of observation 1. General observation may be used as the starting point in to be familiar with the setting and the new context. 2. More focus observation may be used to evaluate whether people really do what they say they do. 3. Access the unspoken knowledge of subject, that is, the subconscious knowledge that they would not be able to verbalise in an interview setting. 4. Compare a phenomena and its specific components in greater detail.
  • 13. Dimensions of observation: 1. Space (physical places) 2. Actors (people involved) 3. Activities (the set of related acts people do) 4. Object (the physical things that are present) 5. Time (the sequencing that takes place over time) 6. Goal (the things people are trying to accomplish) 7. Feeling (the emotions felt and expressed) (Spradlet 1979)
  • 14. Preparing for Observation 1. Determine the purpose of the observation activity as related to the overall research objectives 2. Determine the population(s) to be observed. 3. Consider the accessibility of the population(s) and the venues in which you would like to observe them. 4. Investigate possible sites for participant observation
  • 15. 5. Select the site(s), time(s) of day, and date(s), and anticipate how long you will collect participant observation data on each occasion. 6. Decide how field staff will divide up or pair off to cover all sites most effectively 7. Consider how you will present yourself, both in terms of appearance and how you will explain your purpose to others if necessary
  • 16. 8. Plan how and if you will take notes during the participant observation activity. 9. Remember to take your field notebook and a pen.
  • 17. After Participant Observation 10.Schedule time soon after participant observation to expand your notes. 11.Type your notes into computer files using the standard format set for the study.
  • 19. 3- Interview • An INTERVIEW is a data-collection (generation) technique that involves oral questioning of respondents. • Answers to the questions posed during an interview can be recorded by writing them down or by tape-recording the responses, or by a combination of both.
  • 20. High degree of flexibility: • When studying sensitive (teenage pregnancy and abortions) • A list of topics may include: – How teenagers started sexual intercourse – The actions couples take in the event of unwanted pregnancies. • The investigator should have an additional list of topics ready when the respondent falls silent – e.g., when asked about abortion methods used – who made the decision and who paid
  • 21. High degree of flexibility: • The sequence of topics should be determined by the flow of discussion. • It is often possible to come back to a topic discussed earlier in a later stage of the interview. • The unstructured or loosely structured method of asking questions can be used for interviewing individuals as well as groups of key informants (FGD).
  • 22. Low degree of flexibility: • Less flexible methods of interviewing are useful when the researcher is relatively knowledgeable about expected answers or when the number of respondents being interviewed is relatively large. • Then questionnaires may be used with a fixed list of questions in a standard sequence, which have mainly fixed or pre-categorised answers.
  • 23. Practical communication skills for interviews • Good communication should lead to a shared understanding. • Be aware of nonverbal communication. (70%) • Giving constructive feedback. 1. Comment on positive things first 2. Be constructive 3. Be specific 4. Do no give direct or blaming criticism
  • 24. • Ask good questions – Start with what, how, who, when, please give an example of. – Question starting with “Why” make people feel uncomfortable. • Don’t ask a biased and leading or direct questions. • The type of question asked must be adapted to the changing level of trust between interviewer and informant during the interview.
  • 25. PROBING • PROBING is a good questioning skill Examples • Does the child have fever? (Closed question) – Probes How high is the fever? – Since when has he had the fever? • Have you given the child medicine? – Probes What kinds of medicines have you given? – How much? For how long?
  • 26. Type of questions • Hypothetical question: – Suppose you had more money, how would you spend that? • Provocative questions: – Some say that HIV is the punishment of God, what do you think about that? • Ideal questions: – Please describe to me what a good delivery would be like • Interpretative questions: – You said earlier that you go to healers for diarrhoea, how this related ideas about hot-cold?
  • 27. Type of questions • Experience questions: – Could you tell me about your experience of caring for patients with cancer? • Feeling questions: – How did you feel when the first patient in your care died? • Knowledge questions: – What services are available for this group of patients?
  • 28. Type of questions • Grand-tour questions: – Can you describe a typical day in the community? (to a community midwife) • Mini-tour questions: – Can you describe what goes on when a women die giving birth? • Example Questions – Can you give me an example of a difficult delivery?
  • 29. Type of questions Type of question Purpose Opening questions To identify the characteristics that the participants have in common. Participants should be given an opportunity to introduce themselves. Introductory questions To introduce the general topic of the discussion, and to stimulate the conversation and improve interaction in the group Transition questions To move the participants into the focus of the discussion. Key questions Concern about the focus of the interview Ending questions Give the participants an opportunity to make final statement Final questions Ask the participants to add things they think have not been considered during the discussion
  • 30. Prepare for the interview • Recruit participants according to the recruitment strategy outlined in the work plan • Set up recording equipment and the physical space where interviews will take place. • Become knowledgeable about the research topic, including anticipating and being prepared to answer any questions participants may have about it.
  • 31. • Be reliable. To get participants to take the interview seriously, you need to demonstrate your own commitment. Arrive on time, equipped with the recording equipment, interview guide, and notebooks. Be both mentally and psychologically prepared to conduct the interview. Keep all promises you make to participants.
  • 32. • Obtain informed consent from each participant before the interview. • Address all questions or topics listed in the interview guide. • Ask follow-up questions (some of which may be scripted in the interview guide) in order to elicit participants’ complete knowledge and experience related to the research topic.
  • 33. • Probe participants for elaboration of their responses, with the aim of learning all they can share about the research topic.
  • 34. Document the interview • Record the interview using an audio (and sometimes video) recorder. • Take backup notes • Observe and document participants’ behaviors and contextual aspects of the interview as part of your field notes. • Expand your notes as soon as possible after each interview, preferably within 24 hours, while your memory is still fresh.
  • 36. Appropriate for Strength of method Interviews •Eliciting individual •Elicits in-depth responses, with experiences, opinions, feelings differences and contradictions/ •Addressing sensitive topics •Gets at interpretive perspective, i.e., the connections and relationships a person sees between particular events, phenomena, and beliefs Focus groups •Identifying group norms •Elicits information on a range of norms and opinions in a short time •Eliciting opinions about group norms •Group dynamic stimulates conversation, reactions •Discovering variety within a population
  • 37. Characteristics and uses of FGD • A FGD is a qualitative method. • Its purpose is to obtain in-depth information on concepts, perceptions and ideas of a group. • A FGD aims to be more than a question-answer interaction. • The idea is that group members discuss the topic among themselves, with guidance from the facilitator.
  • 38. FGD techniques can be used to: 1- Focus research and develop relevant research hypotheses by exploring in greater depth the problem to be investigated and its possible causes. example: • A district health officer had noticed that there were an unusually large number of cases of malnutrition of children under 5 reported from one area in her district. • Because she had little idea of why there might be more malnutrition in that area she decided to organise 3 FGD (one with leaders, one with mothers and one with health staff from the area). • She hoped to identify potential causes of the problem through the FGDs and then develop a more intensive study, if necessary.
  • 39. 2- Formulate appropriate questions for more structured, larger scale surveys. example: • In planning a study of the incidence of childhood diarrhoea and feeding practices, a FGD showed that in the community under study, children below the age of 1 year were not perceived as having ‘bouts of diarrhoea’ but merely ‘having loose stools’ that were associated with milestones such as sitting up, crawling, and teething. • In the questionnaire that was developed after the FGD the concept ‘diarrhoea’ was therefore carefully described, using the community’s notions and terms.
  • 40. • 3- Help understand and solve unexpected problems in interventions. example: • In District X, the recent national (polio) immunisation days (NID) showed widely different coverage’s per village (50-90%) and in a number of villages a marked decrease in coverage was observed compared to last year. • Eight FGD were held with mothers, two in town, three in rural villages with a marked decrease in NID coverage and three in villages with a high coverage throughout.
  • 41. Example (continuo) • It appeared that overall, the concept NID had raised confusion. Most people believed that this mass campaign strengthened the children’s immunity against any (childhood) disease, including malaria and Respiratory Tract Infections. • In the villages with a low NID coverage there had been a high incidence of malaria in children immediately after the previous NID campaign and several children died. Mothers therefore believed that the NID campaign was useless
  • 42. • 4- Develop appropriate messages for health education programmes and later evaluate the messages for clarity. example: • A rural health clinic wanted to develop a health education programme focused on weaning problems most often encountered by mothers in the surrounding villages and what to do about them. • The FGD could be used for exploring relevant local concepts as well as for testing drafts when developing the messages. • The messages should be developed and tested in different socio- economic groups of mothers, as weaning practices may differ with income, means of subsistence and education of the mothers. Also ethnic differences may have to be taken into account.
  • 43. • 5- Explore controversial topics. example: • Sexual behaviour is a controversial topic in the sense that males and females judge sexual relations and sexuality often from very different perspectives. Sexual education has to take this difference into account. • Through FGDs, first with females, then with males, and then with a mixed group to confront both sexes with the different outcomes of the separate discussions (listed on flip charts) it becomes easier to bring these differences in the open. Especially for teenagers, who may have many stereotypes about the other sex or be reluctant to discuss the topic openly (particularly girls), such a ‘multi-stage’ approach is useful.
  • 44. Strengths and limitations of FGD • A well chosen group, in terms of composition and number, FGDs can be a powerful research tool which provides valuable spontaneous information in a short period of time and at relatively low cost. • FGD should not be used for quantitative purposes, such as the testing of hypotheses or the generalisation of findings for larger areas, which would require more elaborate surveys.
  • 45. • Depending on the topic, it may be risky to use FGDs as a single tool. • In group discussions, people tend to centre their opinions on the most common ones, on ‘social norms’. • In reality, opinions and behaviour may be more diverse. Therefore it is advisable to combine FGDs with at least some key informant and in-depth interviews.
  • 46. • In case of very sensitive topics, such as sexual behaviour or coping with HIV/AIDS, FGDs may also have their limitations, as group members may hesitate to air their feelings and experiences freely. • One possible remedy is the selection of participants who do not know each other (e.g., selection of children from different schools in FGDs about adolescent sexual behaviour), while assuring absolute confidentiality.
  • 47. HOW TO CONDUCT A FGD
  • 48. Determine the purpose • A FGD can be regarded as a mini-study. • It therefore requires one or two clear objectives. • These objectives will guide the research team in the formulation of discussion questions.
  • 49. Situation analysis • Any FGD requires good knowledge of local conditions. • There are always differences between community members, for example in education, political power, gender, economic status and ethnic group. • These differences will be reflected in their perceptions of the problems they suffer from and possible solutions. • A researcher must be aware of these differences
  • 50. • The first task of the researchers will be to explore the area and identify possible target groups. • Interviews with some key informants and a rudimentary situation analysis are then indispensable. • The situation analysis should preferably be carried out in a participatory way, with representatives of the study population on which the FGD focuses.
  • 51. Points to be considered when preparing the FGD
  • 52. A. Recruitment of participants • Participants should be roughly of the same socio-economic group or have a similar background in relation to the issue under investigation. • The age and sexual composition of the group should facilitate free discussion.
  • 53. B. Selection of participants: • If you are an outsider, you may have to rely on your key informants for the first selection of participants in FGDs. • Your key informants to whom you have explained thoroughly the purpose and the process of the FGD might each suggest some individuals who could be invited to a focus group discussion.
  • 54. • The key informants may select persons similar to themselves so that you do not get an adequate variety of views in your discussion group. • So in your explanations be sure to emphasise that you want a group of people that can express a range of views, to be able to have a proper discussion. • Participants in a first FGD may assist to find relevant participants for other groups. • Another way is to select individuals in a systematic way, to try and ensure a range of views. You might, ask every third or fourth person you find. This method might be more suitable in urban areas.
  • 55. C. Physical arrangements: • Communication and interaction during the FGD should be encouraged in every way possible. • Arrange the chairs in a circle. Make sure that there will be no disturbances, sufficient quietness, adequate lighting, etc. • Try to hold the FGD in a neutral setting which encourages participants to freely express their views. • A health centre, for example, is not a good place to discuss traditional medical beliefs or preferences for other types of treatment.
  • 56. D. Preparation of a discussion guide: • There should be a written list of topics to be covered. • It can be formulated as a series of open-ended questions. • Guides for different groups gathered to discuss the same subject may vary slightly, depending on their knowledge or attitudes and how the subject should first be explored with them.
  • 58. Functions of the facilitator 1. Introduce the session 2. Encourage discussion and involvement 3. Deal correctly with sensitive issues. 4. Observe non-verbal communication. 5. Avoid being placed in the role of expert 6. Control the rhythm of the meeting 7. Take time at the end of the meeting to summarise, check for agreement and thank the participants 8. Summarise the main issues brought up 9. Listen for additional comments and spontaneous discussions after the meeting has been closed.
  • 59. Functions of the recorder • The recorder should keep a record of the content of the discussion as well as emotional reactions and important aspects of group interaction. • Assessment of the emotional tone of the meeting and the group process will enable you to judge the validity of the information collected during the FGD.
  • 60. Items to be recorded include: • Date, time, place • Names and characteristics of participants • General description of the group dynamics (level of participation, presence of a dominant participant, level of interest) • Opinions of participants, recorded as much as possible in their own words • Emotional aspects • Vocabulary used – (to use it in developing questionnaires or health education materials) • Spontaneous relevant discussions during breaks or after the meeting has been closed
  • 61. Number of sessions • It depends upon project needs, resources, and whether new information is still coming from the sessions (Saturation) • One should plan to conduct at least two FGDs for each sub-group (for example, two for males and two for females). • Otherwise you have no way of assessing whether the information you get from the first FGD is representative for that group.
  • 62. Duration of sessions • A focus group session typically lasts up to an hour and a half. • Generally the first session with a particular type of group is longer than the following ones because all of the information is new. • Thereafter, if it becomes clear that all the groups have a similar opinion on particular topics, the facilitator may be able to move the discussion along more quickly to other topics which still elicit new points of view.
  • 63. END