Table 1

Data collection methods and processes

MethodTool descriptionData collection process
Stakeholder InterviewsSemistructured interviews guides for collecting general information on the relevance of the NCDK. Different guides used for interviews with health facility managers and stakeholders.Two sets of Key Informant Interviews were conducted. Interviews with health facility managers were conducted in person. Reverse translation for Arabic were done. Two health facility staff were interviewed in Libya and seven in Yemen. Interviews with key stakeholders were conducted remotely, in English, by IRC Headquarters (HQ) head staff. Three stakeholders (two from MoH and one from WHO) were interviewed from Yemen, and one from Libya (WHO). A qualitative analysis was conducted using a theoretical framework to organise quotations from the interviews. The thematic analysis was organised to capture the following themes: NCD burden, diagnosis, drugs/ equipment, staff and training, guidelines, kit logistics, kit impact on quality of care, and future plans for NCD care.
Health Facility Assessment: (adapted from the WHO HEARTS Tool)Survey to collect information around the health system infrastructure and availability of services.Data were collected retrospectively, after the kit had been used for at least 3 months, through observations and interviews with health facility staff. Information was recorded on Tablet computers using KoBoCollect.
Medication Supplie-GeneralSurvey to collect supply chain information to assess whether the NCDK were received and stored appropriately.Data were collected retrospectively, after the kit had been utilised for at least 3 months through observations and interviews with health facility staff using a standardised tool. Information was recorded on Tablet computers using KoboCollect.
Medication Supplies-Stock List: (adapted from the Dharma Tool)Survey to collect information on the NCDK usefulness in improving the capacity to manage NCDs and to calculate the kit contents.An IRC staff member in Yemen and a consultant in Libya recorded the inventory at each facility. In Yemen, the inventories included 17 Medications and 13 supplies. For Libya, 17 medications and 15 supplies were assessed.
Provider SurveySurvey tool to collect with three sections: (1) general knowledge of all healthcare staff, (2) knowledge of the NCDK content, (3) perceptions of the NCDK.Surveys were self-administered on paper to healthcare workers managing NCDs. Arabic translations were available and reverse translation was completed where relevant. Physicians received a questionnaire with questions about pharmaceutical content and perception of the NCDK, and knowledge relating to NCDs and clinical practice. All other staff received a questionnaire with basic knowledge questions, plus questions about staff experience and trainings. Eight clinicians in Yemen and three in Libya completed the clinical test, while the basic NCD knowledge tests were completed by other healthcare staff in Yemen (n=38) and Libya (n=69).
  • IRC, International Rescue Committee; MoH, Ministries of Health; NCDK, non-communicable disease kit.