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Table 1 Examples of the TDF-based questions and prompts used in the interview guide (TDF domains in italics)

From: Factors influencing postpartum haemorrhage detection and management and the implementation of a new postpartum haemorrhage care bundle (E-MOTIVE) in Kenya, Nigeria, and South Africa

Section 1: PPH Detection

Q: Could you tell me a bit about your understanding of what postpartum haemorrhage (PPH) is? (Knowledge)

Prompt: How would you define a PPH? (Knowledge)

Q: Could you describe how is PPH typically detected in this hospital? (Memory, Attention and Decision-making)

Prompts: What do you do? (Social/Professional Role and Identity); Who else is involved? (Social Influence); What do they do? (Social/Professional Role and Identity); Where (in which rooms) is PPH usually detected? (Behaviour Regulation)

Section 2: PPH Management

Q: Think back to the last time that a woman under your care, with a vaginal birth, had a PPH. Could you describe what happened, what did you do and why did you do it? (Behaviour Regulation)

Prompts: How long did it take to initiate treatment? (Memory, Attention and Decision-making); How did you make the decision to initiate treatment? (Memory, Attention and Decision-making); Did you work alone or with a team? (Social Influences); What did you and your colleagues do to manage the PPH? (Behaviour Regulation); What tasks did you specifically do? (Social/Professional Role and Identity)

Section 3: Implementation of E-MOTIVE bundle

Q: If you and your colleagues were asked to use these treatments all together when managing PPH, as described in the bundle, what would you need to help you do it? (Behaviour Regulation)

a. To what extent would you know what to do? (Knowledge)

b. To what extent would you need additional skills? (Skills)

c. To what extent do you have everything you need to perform the bundle? (Environmental Context and Resources)

d. What do you think are the potential benefits of managing PPH using such a bundle? (Beliefs about Consequences)

e. What do you think are the potential disadvantages of managing PPH using such a bundle? (Beliefs about Consequences)

f. To what extent do you think managing PPH as described in the bundle, is likely to help manage PPH more effectively? (Beliefs about Consequences)

g. How would managing a PPH as described in the bundle affect the ways you work as a team? (Social/Professional Role and Identity)

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Implementation Science

ISSN: 1748-5908