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Immunization and child health materials development guide pdf

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. Ground Rules. In a group setting, the facilitator will need to explain the ground rules for<br />

how the group will operate. Ground rules usually include:<br />

• Logistics, such as the timeframe for the discussion, restroom breaks, <strong>and</strong> availability<br />

of refreshments;<br />

• Group etiquette, such as the importance of talking one at a time, respecting divergent<br />

opinions, <strong>and</strong> not needing a response for each question from every participant; <strong>and</strong><br />

• Encouragement, such as telling participants that you are available to answer questions<br />

after the session <strong>and</strong> reminding them that they are the experts <strong>and</strong> that you want to<br />

hear from all of them.<br />

c. Discussion Questions <strong>and</strong> Topics. A discussion <strong>guide</strong> includes a list of questions, ranging<br />

from general to specific, that a facilitator will ask during a discussion. How these questions<br />

are designed <strong>and</strong> worded can make a difference in data quality. Qualitative research<br />

uses open-ended questions, requiring participants to respond in their own words. Be<br />

sure to design questions that are unbiased <strong>and</strong> non-threatening to participants who<br />

might know very little about the topic at h<strong>and</strong>. Questions should give them a chance to<br />

respond from their own experience. Figure 11 provides <strong>guide</strong>lines for designing discussion<br />

questions.<br />

d. Conclusion. At the end of the discussion <strong>guide</strong>, include questions that help process the<br />

information that participants have shared. These questions should help identify <strong>and</strong><br />

refine key themes <strong>and</strong> test the depth of participants’ feelings about them. They should<br />

also encourage participants to share any last thoughts on the discussion topic. A sample<br />

focus group discussion <strong>guide</strong> can be found in Appendix 1.<br />

ALLOW THE TOPIC OF DISCUSSION TO EMERGE SLOWLY<br />

The introduction to a focus group sets the tone for the discussion. The ultimate topic of discussion<br />

should emerge slowly <strong>and</strong> naturally within the discussion context. This way, participants can reveal<br />

what they know about the subject, whether they feel it is important, <strong>and</strong> how it relates to other<br />

issues in their experience.<br />

Imagine, for example, that you are invited to participate in a focus group discussion about <strong>health</strong><br />

issues. The facilitator might start by asking you to name the three most important things you can do<br />

to ensure your <strong>child</strong>ren are <strong>health</strong>y. You might respond: “Feed them,” or “Take them to the doctor,”<br />

or “Keep them warm.” Perhaps the word “immunization” doesn’t even come to mind.<br />

By letting the subject of your discussion emerge naturally, you will learn a great deal about your<br />

audience <strong>and</strong> how they feel about the topic in relation to other issues <strong>and</strong> priorities.<br />

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