Table 1 Social agency themes,... | Emerald Publishing

Table 1

Social agency themes, descriptions and illustrative quotes

Theme	Description	Illustrative data extracts
Perceived threat to existing roles and individual autonomy	Social actors believe that initiatives like the mHealth app might lead to a devaluing of roles and individuals	“… this thing coming in is going to take away his job, he may not come out openly to say I do not accept it but you can be sure that deep down in him he will do all he can to frustrate it Ok” (Developer 6)
Perceived threat to existing roles and individual autonomy		“… using this phone we do not need to consult any doctor in as much as it has been programmed for us to use it for treatment in the rural areas” (RHCW3)
Perceived limitations in skilled personnel in rural areas	Social actors (PGs, RHCWs, facilitators, and developers) feel that there is lack of necessary human resources in rural health centres	“I want a place I can go and see a doctor as there are no doctors at this centre” (PG2) “We lack health workers in the rural health centres” (RHCW3) “Observed that there were no medical doctors in rural clinics during the research period” (Notes/Obs.)
Perceived apathy by urban institutions towards rural healthcare systems	Social actors (RHCWs, developers, and facilitators) believe rural healthcare needs are secondary to those administering urban health systems	“… we share a feeling of being left out by the system” (RHCW4)
		“The aberration in healthcare distribution and healthcare provision is hurting the primary healthcare system in Enugu State” (Facilitator 2)
		“Observed participants prefer treatment in urban than rural centres due to perceived better treatment measures” (Notes/Obs.)
Perceived collegiality among stakeholders in rural community	Social actors (PGs and RHCWs) share a sense of common identity in addressing challenges and difficulties confronting them	“I approach my friends or neighbours who may know what is happening to my child and they offer some suggestions on how to go about it in the immediate” (PG3)
		“We interact with the villagers that come here as patients, like children with various illness, sharing in their feelings especially as most are poor and find it difficult to go for medical treatment in the urban area” (RHCW5)

Theme	Description	Illustrative data extracts
Perceived threat to existing roles and individual autonomy	Social actors believe that initiatives like the mHealth app might lead to a devaluing of roles and individuals	“… this thing coming in is going to take away his job, he may not come out openly to say I do not accept it but you can be sure that deep down in him he will do all he can to frustrate it Ok” (Developer 6)
Perceived threat to existing roles and individual autonomy		“… using this phone we do not need to consult any doctor in as much as it has been programmed for us to use it for treatment in the rural areas” (RHCW3)
Perceived limitations in skilled personnel in rural areas	Social actors (PGs, RHCWs, facilitators, and developers) feel that there is lack of necessary human resources in rural health centres	“I want a place I can go and see a doctor as there are no doctors at this centre” (PG2)“We lack health workers in the rural health centres” (RHCW3)“Observed that there were no medical doctors in rural clinics during the research period” (Notes/Obs.)
Perceived apathy by urban institutions towards rural healthcare systems	Social actors (RHCWs, developers, and facilitators) believe rural healthcare needs are secondary to those administering urban health systems	“… we share a feeling of being left out by the system” (RHCW4)
		“The aberration in healthcare distribution and healthcare provision is hurting the primary healthcare system in Enugu State” (Facilitator 2)
		“Observed participants prefer treatment in urban than rural centres due to perceived better treatment measures” (Notes/Obs.)
Perceived collegiality among stakeholders in rural community	Social actors (PGs and RHCWs) share a sense of common identity in addressing challenges and difficulties confronting them	“I approach my friends or neighbours who may know what is happening to my child and they offer some suggestions on how to go about it in the immediate” (PG3)
		“We interact with the villagers that come here as patients, like children with various illness, sharing in their feelings especially as most are poor and find it difficult to go for medical treatment in the urban area” (RHCW5)