Ethics approval was obtained from both the organisation and study institutions. A triangulated data collection approach was adopted using four qualitative data collection techniques: semi-structured interviews, focus groups, reflexive participant
observation and a critical review of relevant organisational material. In addition, the results of the study were
presented to the Executive Committee of the District, and several recommendations were discussed. The data
generated from all of these encounters was subsequently examined using a three-stage thematic analysis
procedure, comprising open, axial and selective coding techniques.