Patients who agreed to participate were both male (4) and female (3), their ages ranged from 15 to 70 years and they were all from low socio-economic backgrounds, the majority being illiterate. Responses were analysed to account for gender and age differences; but these demographic factors did not influence the themes that emerged. A total of four focus group discussions were conducted: one with village health team members (6) and three with community members (10, 11 and nine participants). Village health team members are governmentally employed but in principle are volunteers, paid mainly in incentives and a small stipend to perform a role similar to community health workers. This focus group included three males and three females. The community member focus groups were held with members of a similar age and the same gender to minimise the effects of power dynamics. Two focus groups were held with groups of females (one with young females and one with older) and one was held with young men.