Table 1 Programme of primary data collection to understand context, target group and potential implementers
A document review of all existing policies and clinical guidelines for the management of GDM women in local public sector health services [36] |
Individual, in-depth interviews with key informants and stakeholders, including Department of Health managers, directors, clinicians and policymakers to investigate current practice and the potential for and acceptability of an intervention [36] |
Nine focus groups and five in-depth individual qualitative interviews with GDM women (N = 35) sampled from our target population of women attending the GDM clinics at Mowbray Maternity and Groote Schuur hospitals in Cape Town. The aim of this study was to gain insight into women’s experiences and views of GDM, the feasibility of lifestyle modification in their context, their perceived needs in relation to GDM care and their opinions on a potential intervention [37] |
A cross-sectional study on the dietary intake and beliefs of 239 pregnant women with GDM receiving care in a Cape Town public sector hospital. Dietary intake was assessed using a quantified Food Frequency Questionnaire and beliefs relating to food choices were assessed using the Theory of Planned Behaviour (TPB)[38] |
Thirty qualitative interviews with key informants, healthcare providers and pregnant women to assess the acceptability, feasibility, and potential for the integration of GDM follow up care into primary care at a local and district level [36, 39] and to identify the lessons learnt from South Africa’s successful integration of Prevention of Mother-to-Child (PMTCT) programmes into primary care services [40] Ethical approval Written informed consent was obtained from each participant in the focus groups and interviews. Ethics approval for the research was obtained from the University of Cape Town (HREC: 946/2014) and Université de Montréal (CR CHUM: 2018–7091, 17.128-ID). Permission to conduct the folder audit was obtained from the relevant hospital authorities |