Thematic Content Analysis Research Articles

Shaping police self-efficacy: a content analysis of officer views towards their duty assignments, working locations, and working times

ABSTRACT While it is thought that different work experiences generate unique situations that allow police officers to develop confidence in their abilities to resolve them, this connection has received scarce scholarly attention. In the current study, a thematic content analysis of narrative survey responses from over 300 police officers from one large agency in the United States was conducted to assess perceptions of how and why work contexts might differentially shape self-confidence. Participants believed that officers who are exposed to a variety of workplace experiences develop into the most confident practitioners. Working patrol assignments, in high crime areas, and on night shift were viewed as especially important. Overall, the findings offer useful insights for police agencies looking to build self-confidence within their sworn personnel and numerous avenues for future research to expand on this work.

DoxyPEP Implementation Preferences for Bacterial STD Prevention Among Gay, Bisexual, and Other Men Who Have Sex with Men Living With and Without HIV in Los Angeles: A Mixed-Methods Approach.

Bacterial sexually transmitted diseases (STDs) remain prominent in the United States among gay, bisexual, and other men who have sex with men (GBMSM). Doxycycline for post-exposure prophylaxis (DoxyPEP) is a regimen by which the antibiotic doxycycline is taken after sex to prevent bacterial STDs, such as, chlamydia, gonorrhea, and syphilis. Despite this, this study was conducted because there are a limited number of publications that describe GBMSM's knowledge of, and interest in, taking DoxyPEP and preferences regarding its implementation. We conducted a mixed-methods study between November 2023 and March 2024. Participants (N = 21) completed a semi-structured interview and survey and were eligible if they were a cisgender man who reported having anal sex with another man in the past year and lived in the greater Los Angeles area. Interviews were recorded and transcribed and were analyzed using thematic content analysis. The majority of participants identified as gay (90%) and a racial/ethnic minority (86%); 33% were living with HIV and 43% had been diagnosed with an STD in the prior year. Participants' mean age was 40 years (standard deviation [SD] = 15) and they reported an average of 4.5 (SD = 2.27) sexual partners in the past year. Interviews revealed that knowledge of DoxyPEP was low (28%), but most (81%) were interested in using DoxyPEP after learning about its potential. The vast majority were willing to pay $10-$20 for a 1-month supply but preferred that it be free or covered by insurance. Most preferred to get DoxyPEP from a medical provider or over-the-counter at a pharmacy. Others suggested sexualized venues, such as private sex parties, bathhouses, sex clubs, etc. The greatest concerns about its use included possible side effects, antibiotic resistance, or that it would lead to decreased condom use and increased number of sex partners. A common misconception was that DoxyPEP could prevent both a bacterial STD and HIV. DoxyPEP has strong potential as a widely accepted STD prevention method, but its successful adoption will require proactive strategies to increase GBMSM's knowledge. Implementation programs might consider nontraditional venues where sex between men is regularly occurring.

Availability of assistive technologies (ATs) to children with disabilities in Bulawayo central district (BCD) in Zimbabwe

Purpose: Availability of assistive technologies (ATs) to children with disabilities is a critical human right enshrined in United Nations (UN) treaties and frameworks such as the United Nations Conventions on the Rights of Persons with Disabilities (UNCRPD), the United Nations Conventions on Rights of the Child (UNCRC), and United Nations 2030 Agenda for Sustainable Development. ATs optimize functionality, independence, and enhance educational experiences of children with disabilities. The study explored availability of ATs to children with disabilities in Bulawayo Central District (BCD) in Zimbabwe. Materials and methods: The study was a predominantly qualitative inquiry but triangulated qualitative research with quantitative data sources and perspectives. Structured and semi- structured questionnaires and interviews were used to elicit data from a sample of 10 teachers, 5 Heads of schools, and 10 parents of children with disabilities. Data from questionnaires were analysed using frequencies and descriptive summaries while data from interviews were presented in narrative summaries and analysed using thematic content analysis. Results: The study demonstrated that ATs are a human rights enabler which is fundamental for development, equalization, and inclusion of children with disabilities in education. Major barriers to availability of ATs include lack of awareness and knowledge of ATs among educators and other professionals, as well as parents of children with disabilities. In addition, inadequate clear and distinct disability-oriented policies and legislation were a challenge to the availability of ATs in Zimbabwe. The Zimbabwe government seems to have put in place administrative educational policies which guide inclusive education, but the implementation and availability of ATs remains elusive.

Navigating DR-TB Treatment care: a qualitative exploration of barriers and facilitators to retention in care among people with history of early disengagement from drug-resistant tuberculosis treatment in Johannesburg, South Africa

BackgroundDespite advances in drug-resistant tuberculosis (DR-TB) diagnosis, treatment, and service delivery, individuals with DR-TB often face significant socioeconomic and psychosocial challenges due to limited resources. These challenges can hinder retention in care, undermining the progress made in DR-TB management. As a consequence, advances in DR-TB diagnostics and treatment have not resulted in DR-TB programs meeting the 75% treatment success targets set by the World Health Organization (WHO).MethodsWe interviewed people with DR-TB who had disengaged from care and their family members to identify barriers and facilitators to retention in care as well as possible strategies to address these barriers. We recruited 16 people with DR-TB and 8 family members from five health facilities in Johannesburg, Gauteng Province, South Africa. All DR-TB patients disengaged from DR-TB care for ≥ 45 days. Semi-structured interviews and focus group discussions were used to collect data, which were analysed through thematic content analysis using a multidimensional adherence model.ResultsThe facilitators of retention in care were positive interactions with health care workers (HCWs), nutritional support, transport from local clinics to DR-TB sites, self-motivation, and emotional support from family members. Barriers to optimal retention in care included a limited understanding of DR-TB disease and treatment, transport challenges, side effects of the medication, pill burden, stigma and discrimination experienced at health care facilities other than DR-TB facilities, food insecurity, and financial difficulties, which included loss of income and a lack of transport money and mental health challenges such as fear, anxiety and feeling lonely and unsupported.ConclusionThe findings from this study highlight the need for TB treatment programs to collaborate with people being treated for DR-TB and their families to understand facilitators and barriers to retention in care and how these could be addressed to facilitate optimal retention in care.

High-risk pregnant women's perceptions of their condition: A qualitative study with an emphasis on psychosocial need.

This qualitative study was carried out with 30 high-risk pregnant women from a Brazilian referral service in women's health. The objective was to analyze the perception of participants regarding their condition, emphasizing their psychosocial needs, to deepen the understanding of subjective, relational, and sociocultural aspects associated with high-risk pregnancy. Data were collected through interviews and participant observation and then explored by thematic content analysis. The participants described pregnancy as planned or as unexpected and associated with greater social prestige and the need for changes, especially related to work and financial conditions. On the other hand, participants mentioned that the risk aspect of pregnancy condition was seen by their social group as something that could have been avoided. Because a high-risk pregnancy is a threat to the baby's physical integrity and life, it leads to the fear of death, which is reinforced by experiences of previous pregnancies. The psychosocial aspects elucidated in the study deal with emotional and labor factors, consistent with existing literature. Participants mentioned family members and health professionals as important support during their pregnancy, especially with regard to daily activities and health care, aimed at promoting favorable outcomes. Some participants reported a lack of support, relational difficulties, and social stigma due to mental illness or advanced age, which were related to experiences of guilt and accountability.

Physicians’ perception towards continuing professional development in government teaching hospitals of Addis Ababa, Ethiopia-mixed method design

BackgroundContinuing professional development has been mandatory for healthcare professionals to renew their licenses. However, there is a shortage of information regarding physicians' perceptions of continuing professional development. Therefore, it is timely to assess the perception of physicians and barriers toward continuing professional development.MethodsAn institution-based quantitative design triangulated with a qualitative research design was conducted. A total of 367 and 6 study participants were included in the quantitative and qualitative study, respectively. Simple random and purposive sampling strategies were employed to select participants for the quantitative and qualitative parts. Quantitative Data was inserted in EPI-INFO version 7 and cleaned and analyzed using the Statistical Package for the Social Sciences,version 25 statistical program. Binary-dependent categorical variables were analyzed using binary logistic regression. Multiple logistic regression analysis was assessed to observe the association between perception and various explanatory variables. Thematic content analysis was conducted to develop items from transcribed qualitative information.ResultThis study involved 367 participants from three government teaching hospitals in Addis Ababa, Ethiopia. Being younger (20–30) had significantly higher odds of positively perceiving continuing professional development. It also showed that the department of healthcare Professionals had a statistically significant association with the perception of continuing professional development. Those working in Internal Medicine and Obstetrics and Gynecology departments and healthcare professionals had significantly higher odds of perceiving continuing professional development as good. The interviews revealed that the barriers to continuing professional development are divided into Individual and health system barriers. The Individual barriers include awareness gap, Motivation Issues and Family size, whereas the health system-related barriers include recognition, infrastructure, time, place, and accessibility.Conclusion and recommendationThe study identified the department of the healthcare professional as significantly associated with perception of continuing professional development. Improving patient care collaboration and career progression influenced physicians' perception of continuing professional development. The study findings suggest the need for effective strategies to enhance physicians’ engagement in continuing professional development and improve the quality of healthcare services in Ethiopia.

Viewpoints of nurse auditors regarding the profession: aqualitative study.

This study aims to understand the experiences of Brazilian nurse auditors in the practice of their profession, exploring the importance, challenges, rewards and strategies related to the occupation. This is a qualitative descriptive study conducted with 44 nurse auditors. An online, open-ended questionnaire was used. Thematic content analysis was performed. Five themes were identified: (1) functions of a nurse auditor; (2) skills required for a nurse auditor; (3) learning to be a nurse auditor; (4) advantages of being a nurse auditor and (5) challenges faced by a nurse auditor. Also, a total of 16 subthemes were presented. The study critically examined essential aspects of auditing through the lens of nurse auditors, addressing a relevant topic. However, limitations must be acknowledged, including the use of self-report questionnaires, regional representation disparities, the scarcity of international articles on the topic and potential researcher bias. The study underscores the importance of increasingly integrating nurse auditors into the workforce while emphasizing the need to enhance the capacitation of these professionals through theoretical and practical education. It highlights the significance of educating other multidisciplinary team members about the nurse auditor's crucial role in fostering teamwork and ensuring the quality of healthcare services. To the best of the author's knowledge, this is the first study conducted with Brazilian nurse auditors, exploring crucial aspects of auditing from the perspective of these professionals. Understanding the critical role of nurse auditors in maintaining and improving healthcare quality can enhance public trust in healthcare systems.

High-intensive physical rehabilitation approach in children and adolescents with acquired brain injury during subacute phase (REHABILITY): a feasibility study protocol

IntroductionWhile principles of neuroplasticity and motor learning emphasise the potential of high dosage of physical rehabilitation in children and adolescents with acquired brain injury (ABI) during the subacute phase, we...

Effectiveness of training hospital management teams in tier three hospitals in Kiambu County and utilization of routine health information

Health information is essential for health decision-making at all levels of the health pyramid. This study investigated the effect of training HMTs in tier three hospitals in Kiambu County and utilization of routine health information. The study design was interventional, employing a quasi-experimental research design that guided the study in the 12 tier-three hospitals. There was an intervention cluster and a control cluster, each with six hospitals. The study adopted a census technique, and all 240 HMT members were included. The study used both qualitative and qualitative data collection techniques. Data was analysed using Fisher’s exact test for the bi-variate analysis, logistics regression to ascertain the statistical relationships, Mann-Whitney U-test to test the difference in means at baseline and end-line, Difference in Difference technique was used to establish the average treatment effect of the intervention. The study used thematic content analysis to analyse qualitative data. The County Health Management Teams and the Sub County Health Management Teams participated in the Key Informant interviews. The results revealed a significant association between the training and the odds of good utilization (A.O. R=9.01, p=0.0001). Those who received training are 9 times more likely to utilize RHI. The study concludes that, designing HIS should be based on the users’ desired needs and that the intervention was highly effective in promoting the use of the RHI among HMTs. The study recommends that Kiambu County Department of Health should provide strategies for sustaining effective utilization RHI and should provide guidelines to ensure all HMTs are trained to enable them manage hospitals better. The study recommends that; further research be conducted in the lower-level health facilities to generate recommendations appropriate for the different levels of health care systems, similar studies should be replicated in other countries to compare results and enable the drawing of triangulated policy recommendations and a follow-up study be done to determine whether the increase in utilization translates into improved health outcomes or efficiencies within the health system.

Effectiveness of socio-economic-demographic factors on utilization of routine health information among hospital management teams in tier-three hospitals in in Kiambu County, Kenya

This study investigated the effectiveness of socio-economic-demographic factors on utilization of routine health information among HMTs in tier-three hospitals in Kiambu County. The study design was interventional, employing a quasi-experimental research design that guided the study in the 12 tier-three hospitals. There was an intervention cluster and a control cluster, each with six hospitals. The study adopted a census technique, and all 240 HMT members were included. The study used both qualitative and qualitative data collection techniques. Data was analysed using Fisher’s exact test for the bi-variate analysis, logistics regression to ascertain the statistical relationships, Mann-Whitney U-test to test the difference in means at baseline and end-line, Difference in Difference technique was used to establish the average treatment effect of the intervention. The study used thematic content analysis to analyse qualitative data. The County Health Management Teams and the Sub County Health Management Teams participated in the Key Informant interviews. The results indicate that there was no statistically significant difference regarding the socio-economic-demographic factors before and after the intervention, (Mann-Whitney U-test results (U = 28333, p = 0.7851). The study concludes that, designing HIS should be based on the users’ desired needs and that the intervention was highly effective in promoting the use of the RHI among HMTs. The study recommends that Kiambu County Department of Health should provide strategies for sustaining effective utilization RHI and should provide guidelines to ensure all HMTs are trained to enable them manage hospitals better. The study recommends that; further research be conducted in the lower-level health facilities to generate recommendations appropriate for the different levels of health care systems, similar studies should be replicated in other countries to compare results and enable the drawing of triangulated policy recommendations and a follow-up study be done to determine whether the increase in utilization translates into improved health outcomes or efficiencies within the health system.

How are new collective models transforming support for smallholder farmers? Empirical evidence from thematic and sentiment content analysis

How are new collective models transforming support for smallholder farmers? Empirical evidence from thematic and sentiment content analysis

Parents’ views and experiences of raising babies born with cleft lip and palate: a qualitative study

BackgroundParents of children born with cleft lip/palate encounter numerous challenges. This study aims to provide a deeper understanding for authorities to better support these parents by exploring the views and experiences of Iranian parents raising babies with cleft lip/palate through qualitative research.MethodsThis qualitative study collected data through face-to-face, in-depth, semi-structured interviews. Using purposive sampling, parents of children with cleft lip/palate who visited the Department of Oral and Maxillofacial Surgery at the Children’s Medical Center in Tehran, Iran, were selected. Thematic content analysis was employed to interpret the data and identify themes and subthemes.ResultsFrom 20 interviews, six themes were identified. The diagnosis theme was associated with timing. Key concerns within the psychosocial experiences theme included initial reactions, pressure from society, the child’s future in the community, hiding from family, feeling guilty about the anomaly, and couples’ relationships. The challenges in childcare theme included feeding difficulties, financial challenges, and cleft treatments. The information acquisition theme included primary awareness and the importance of knowing how to care for the child. The coping theme included gaining awareness, accepting the problem as God’s will and destiny, minimizing the significance of the child’s cleft, and support. Parents had concerns about informing the child of his/her condition.ConclusionsParents of infants with cleft lip/palate feel unsupported by medical staff in feeding practices and seek improved training for staff. They propose a program to empower staff and advocate for psychological support for parents. Access to specialized baby bottles and financial support is crucial, along with establishing a parent-led community for sharing experiences.

Impact of Manufacturing Technology on The Quality of School Uniforms Produced in Small and Medium Scale Industries in Kumasi, Ghana.

Purpose: This study assessed manufacturing technologies small/medium-scale industries use to produce quality school uniforms in the Kumasi Metropolis. Design/Methodology/Approach: The study adopted a descriptive survey design with a qualitative approach. The instruments used for the data collection were interviews and observation guides. Since the data was qualitative, it was analysed using thematic content analysis. Findings: The result showed that industrial sewing machines, overlocking machines, and cutting machines, among others, were the most common machines used to produce school uniforms. The technology used in producing school uniforms positively impacted the products, making the uniforms meet average standards for their clients. Research Limitation: The study is limited by the geographical coverage and the number of small medium scale firms involved. Practical Implication: Given the need for a technological support system for expertise and advanced machinery, small/medium-scale firms will be well-positioned to compete with well-resourced big manufacturing companies. Social Implication: Empowering small/medium-scale industries can increase productivity and create more employment, higher economic returns, and more equitable industrial norms. Originality/Value: The study offers a novel approach to assessing the impact of manufacturing technology on the quality of school uniforms produced in small and medium-scale industries in Kumasi, thereby contributing to unearthing the industry's challenges and gaps.

Teaching in the Digital Age-Developing a Support Program for Nursing Education Providers: Design-Based Research.

Health care systems and the nursing profession worldwide are being transformed by technology and digitalization. Nurses acquire digital competence through their own experience in daily practice, but also from education and training; nursing education providers thus play an important role. While nursing education providers have some level of digital competence, there is a need for ongoing training and support for them to develop more advanced skills and effectively integrate technology into their teaching. This study aims to develop a needs-based support program for nursing education providers to foster digital competencies and to test this intervention. We used a design-based research approach, incorporating iterative development with expert consultation to create and evaluate a support program for nursing education providers. Focus groups were conducted online to assess needs, and thematic content analysis was used to derive key insights. The support program was then refined through expert feedback and subjected to a feasibility and satisfaction test, with participant evaluations analyzed descriptively. Six main categories emerged from the focus groups, highlighting key areas, including the use of digital technology, ongoing support needs, and the current state of digitalization in nursing education. The support program was developed based on these findings, with expert validation leading to adjustments in timing, content prioritization, and platform integration. Preliminary testing showed good overall satisfaction with the support program, although participants suggested improvements in content relevance and digital platform usability. Although the feasibility test showed high satisfaction with the support program, low participation rates and limited perceived knowledge gain were major concerns. The results suggest that while the program was well received, further refinements, including a focus on competency-based approaches and addressing workplace barriers, are needed to increase participation and effectiveness of such interventions. The findings of this research can be used as a basis for the development of similar programs in other educational and health care contexts.

Effectiveness of communication strategies adopted by the interpreters of sermons in the Pentecostal churches in Vihiga County, Kenya

The purpose of this study is to examine the effectiveness of communication strategies adopted by the interpreters of sermons in the Pentecostal churches in Vihiga County. The analysis of the effectiveness of the communication strategies was anchored on Nida’s translation theory, which underscores the significance of the interpretation setting, purpose of discourse and words' capacity to assume different meanings in different contexts, which compel interpreters to thoroughly review the translated work in order to produce effective interpretation. Descriptive research design was employed, and preachers, interpreters, and congregants from Pentecostal churches in Vihiga County constituted target population. Audio-video recording, interview guide and structured observation guide were employed in data collection, while thematic content analysis was employed in data analysis. The results showed that the interpreters of the sermons in the Pentecostal churches commonly employed lexical addition, repetition, rewording, shift of footing, stage movement, restatement, use of pause, intonation, pitch, pace and emphasis to maintain the preaching rhythm and mimicry as the communication strategies. The study concludes that the communication strategies were effective in enhancing the transmission of the message during sermon delivery. As a result, the study recommended that the interpreters should be adequately trained in sermon interpretation to enhance their ability to deal with the dynamics of interpretation in the Pentecostal churches. This study is significant to the entire Pentecostal church community, as well as preachers, interpreters, researchers, and scholars who are concerned about the effectiveness of communication strategies adopted to enhance the transmission of the message during sermon delivery.

Experience with a Self-Management Education Program for Adolescents with Type 1 Diabetes: A Qualitative Study.

Background/Objectives: Adolescents with type 1 diabetes face complex challenges associated with the disease, underscoring the importance of developing self-management skills. This study examined participants' perspectives on a type 1 diabetes self-management education program. Methods: Focus group interviews were conducted with 32 adolescents with type 1 diabetes who participated in the program and six expert patients. Both thematic analysis and content analysis were conducted using NVIVO software, version 1.6.1. Results: Two dimensions emerged: expert patient roles and program evaluation. Expert patient roles were viewed positively, with an emphasis on responsibility, sharing experiences, and being a role model. Program evaluation emphasized peer-to-peer sharing and educational sessions, with increased knowledge of the disease and management strategies. Expert patients also benefited from the program by developing a sense of responsibility, serving as role models for adolescents, and improving their disease self-management. Conclusions: The adolescents emphasized that the program was a learning tool and the expert patient's view of their role emerges, highlighting modelling as a facilitator of learning and of the responsibility and commitment of the mentors. This study reinforces the benefits of peer-to-peer interaction in a camp setting, including rich experiences.

Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research.

Despite the growing evidence for the effects of tailored internet-delivered cognitive behaviour therapy (ICBT) programmes for those receiving physical rehabilitation, there is a lack of implementation of these programmes in a clinical or community setting. The aim of the current study was to evaluate barriers and facilitators of implementing an ICBT programme into a physical medicine rehabilitation setting. Stakeholders with expertise in physical medicine rehabilitation were recruited (n = 25) including: 16 clinicians, 4 administrators, 3 persons with lived experience, and 2 care partners. Individual semi-structured interviews were conducted based on the domains of the Consolidated Framework for Implementation Research (CFIR). Transcripts were analysed using a positivist approach, using deductive thematic content analysis. Themes were coded based on the domains of CFIR. Facilitators for implementation primarily fell under intervention characteristics including relative advantage, strong evidence and quality, and design quality. Perceived barriers for implementation were identified in the inner setting including leadership engagement, culture, and available resources. The results from the current study provide insight on the factors that may contribute towards successful implementation of an ICBT programme in a physical medicine setting.

A thematic analysis of the effect of climate change on the South African banking sector

Climate change and its severe economic effects have become a critical issue in South Africa and globally. Both public and private entities are now actively promoting a greener environment, urging individuals and organisations to transition towards a lower-carbon economy. As climate change affects business operations, organisations have begun to assess and disclose the associated risks and opportunities to their stakeholders. While much of the focus in the literature has been on sectors with high greenhouse gas (GHG) emissions, research has shown that many other sectors also contribute to and are affected by climate change. One such sector is banking. The banking sector is both influenced by climate change and contributes to it, particularly through the operations it supports by extending funding. Banks are viewed as key players in driving the shift towards a lower-carbon economy by committing more to sustainable finance. Despite this, there is a lack of literature specifically addressing climate change in the banking sector. This study aims to fill that gap by exploring climate change's impact on banks in an emerging economy – South Africa. Using thematic content analysis, the research draws on reports of six banks prepared using the Task Force on Climate-related Financial Disclosures (TCFD) framework, revealing that banks face multiple risks due to climate change and play a crucial role in promoting sustainability through financing and risk management strategies. This study contributed to the literature by highlighting the intricate relationship between climate change and the banking sector in South Africa. The study also highlights areas that banks should focus on in the future to mitigate climate-related risks.

A logistics book hidden in a linguistics library shelf: a qualitative examination of how resource constraints manifest in library operations

Academic libraries are essential to teaching, learning, and national development, making adequate library resources crucial for academic institutions. This study examines how limited library resources, particularly recommended textbooks, affect library operations in Ghanaian public universities. Through semi-structured interviews with eleven undergraduate and postgraduate students, we investigated user behavior and responses to resource scarcity. Using thematic content analysis with NVivo software, we found that limited access to recommended textbooks leads to user frustration, resulting in antisocial behaviors such as hiding, stealing, and damaging books. Based on our findings and existing literature, we present a resource-frustration-user behavior framework that illustrates the relationship between resource limitations and user conduct. This study contributes to understanding how resource constraints manifest in library operations and recommends that library managers increase textbook availability to reduce user frustration. We conclude by suggesting directions for future research in this area.

Risk Communication and Community Engagement (RCCE) implementations to control cholera outbreak in Oromia region, Ethiopia

BackgroundOromia regional state experiencing cholera outbreaks in a protracted pattern despite various interventions at local and regional levels. This study aimed to examine the implementation of Risk Communication and Community Engagement (RCCE) activities for cholera outbreak control in the region.MethodsWe conducted a quantitative and qualitative mixed-method study. The study included 422 respondents for quantitative, 22 key informant interviews (KII), and 4 Focus Group Discussions (FGDs) for the qualitative methods. Risk Communication and Community Engagement (RCCE) activities were assessed using standard questionnaires adapted from national cholera guideline later categorized as poor, satisfactory and good. The findings have also been derived qualitatively from three distinct themes or pillars, specifically (coordination and logistics, RCCE, and the Oral Cholera Vaccine). The quantitative data were analyzed using Stata, version 14.0, and ATLAS.ti9 software was used for qualitative data analysis. An ordinal logistic regression model was applied to identify factors associated with the RCCE status, and a thematic content analysis was performed for the qualitative study. Odds Ratios with 95% confidence intervals (CI) were used to present the findings from the quantitative analysis.ResultsOnly 53% (223) of participants had received health information on cholera of whom 22.8% (96) had material for Social Behaviour Change (SBC) in the local language (Afan Oromo). The overall RCCE implementation status was rated as poor by 73% of the respondents, satisfactory by 23%, and only 4% rated it as good. Level of education and occupation of the house are among the factors affecting the implementation of RCCE. The qualitative findings revealed a lack of regular community dialogues, and community engagements were notably minimal during the early phase of the outbreak. Overall, the RCCE implementation activities were characterized by inconsistency, a lack of comprehensiveness, and uniformity across all levels.ConclusionThe RCCE-related intervention activities were found to be minimal, inconsistent and less focused. The RCCE interventions and awareness creation need to begin with the small units of the community structures, including individuals and families and have to happen continuously with the community, and health workers' involvement at all level. Preliminary evaluation of Social and Behaviour Change (SBC) materials before their distribution should be made, and adopting diverse communication modalities to control the outbreak.