19. Limitations

Field work

One of the major limitations of the voice capturing was following the planned schedules since the country was passing through political turbulence particularly strikes and blockades in the terai forced us to reschedule the activities for several times. Because of this, the KIM activities had to be conducted in the middle of cultivation season i.e. June to August in both hills and plains. In some cases, the KIs complained about the time as they had to hire a labour to complete the farm work. This might have affected the level and quality of debriefing information in the KIM. Secondly, some of the  IDIs could not be administered as planned because the planned respondents positions were fallen vacant for several months and years. In some cases in the CEIs, the service receivers did not want to attend interviews as they were hurry going home. For CAC patients the matter was private for them. Furthermore, the suggestion boxes were newly installed and not many people were aware of the purpose. Also health facility staffs were not fully convinced about the use of the suggestion boxes. As a result, only few suggestions were received in the boxes.

Level of generalizations

Since the ground of the data is rich, the consultant has tried his best to analyse and synthesise this report on three dimensions. First of all, the data were collated at the district level while preparing each district reports. The PCs have collated the data and prepared a district level report of each for district level sharing. Secondly, information from each voice collection tools were examined and collated by individual tools with the help of cross tabulation. This has helped to analyse the collected data in a deeper length. Thirdly, the analysis were supplemented by the consultants field notes and case studies prepared while visiting the sites to support the PCs and DFs. Despite all these, the level of analysis at district level may have been limited because of the PCs involvement in other activities of their own organisations. Because of this, the quality may have been affected to a minor extent.

Coordination and cooperation

The VCOs were treated as independent organisations, there lacked some cooperation with the district project offices. Because of lack of joint planning between project office and the VCOs, field activities sometimes were clashed and had to be rescheduled. This may have inhibited wider feedback collection in the entire process.