Obtaining the perspective of the TB patient attending diagnostic services in Yemen: A qualitative study employing In Depth Interviews and Focus Group Discussions

In this entry, we present the qualitative phase of a multi-method, multi-country study exploring barriers and enablers to accessing TB diagnosis. We describe the implementation of the study in Yemen, of particular interest as little qualitative research has been undertaken in this country and, even less so, studies in the area of health that solicit the views of patients. The lack of a precedent and the distinct cultural context meant that implementing a generic protocol presented a range of practical, budgetary, logistical, sociocultural and ethical considerations. Of particular prominence were normative practices surrounding the freedom of women to work, travel and speak autonomously; religious sensitivities influencing the wording of interview questions; and the organisation of individual and group interviews and a cultural tendency to operate in groups. Reflecting on how these considerations were addressed illuminates the planning and problem solving entailed in managing a research project overseas.