The analytical process began with data immersion, identification of themes and development of a codebook, all of which were handled by the research team. This involved team members doing the following: (i) listened to audio recording of each interview (ii) read field notes taken by interview team, (iii) read original verbatim transcripts and translations to ensure consistency and familiarity with the data prior to identifying themes and developing a codebook. This facilitated the identification/validation of apriori themes that were initially developed by the lead author.

The development of the codebook followed a three-stage iterative process. The first stage involved an inductive-deductive analysis of the transcripts, which involved iteratively reviewing, interpreting and discussing verbatim texts of participants’ ideas, opinions, and experiences about cervical cancer. This allowed us to identify substantive themes that emerged from FGDs and IDIs. The second stage entailed a much more detailed analysis of the text, which resulted in identifying and developing codes that were organized based on the themes. The codes that emerged from this process were discussed, and reviewed by the study team, and validated with study participants before they were applied to the transcripts. Disagreements regarding applied codes or whether codes fit into a theme of interest were discussed by the study team to arrive at a consensus. Finally, results were mapped by each domain unto an ecological framework and organized by their relationship to micro, meso, and macro-structural factors regarding cervical cancer in the study setting.

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