Table 3 Intervention targets and strategies identified by the participants

Capability

Training education and enablement

Inadequate information about ICP among health workers and clients

Psychological

• Provide general information about the postpartum period and the possible danger signs for mother and newborn

• Provide information about ICP from antenatal clinic

• Provide more trainings on ICP with consideration of the health literacy levels of the clients and their care takers

Inadequate orientation to ICP in both pre-service and in-service trainings

Physical

• Include ICP in all training curricular

• Encourage Midwives to undertake further training

• Provide on job training in ICP

Opportunity

Environmental restructuring and enablement

Update all institutional policies to include the use of ICP in care provision

Physical

• Include ICP forms in the patient documentation files

Have regular support supervision sessions to support the adoption and use of ICP at all levels

Social

• Empower supervisors to support midwives in filling and reviewing ICPs

Motivation

Incentives, modelling and persuasion

Ensure all midwives are aware of the benefits of ICP for both the midwife and the clients

Reflective

• Explain the benefits of ICP to both patients and health workers

Have champions and role model for ICP at every facility

Automatic

• Requirement to document care plans for all clients

• Provide monetary incentives with ICPs as one of the indicators

• Increasing the salaries for midwives