Rigor
A field office was set up prior to commencement of the study, with the research team engaging with the community and carrying out informal discussions over an extended time to foster collaboration and trust. The IDIs and FGDs were conducted by JKD, MM, SB, IS, KM (male) and SJ, SM (female). All researchers were formally trained, with extensive experience in field work and conducting IDIs and FGDs within communities. Triangulation of sources was achieved by interviewing both men and women participants across diverse groups in TMK, ranging from local community members, healthcare professionals, religious leaders, and government officials. During the data analysis process, each transcript was read, re-read, annotated where relevant information was found, and analyzed separately by four researchers. Verifying the accuracy of emergent codes, themes, and interpretations was achieved by constant rereading, comparing, and redefining of themes both alone and between the four researchers to ensure intra and inter-rater reliability. Discussion of the researchers’ interpretations were carried out with two researchers not directly involved with the study. Low-inference descriptions i.e., direct quotations from study participants were included to relay critical findings.