Qualitative results
A total of 14 in-depth interviews were conducted with 12 women (10 from intervention arm and 2 from control arm) and 2 facilitators. Women interviewed from the intervention arm had received at least 3 sessions. The analysis of the data generated information pertaining to the accessibility, acceptability, feasibility and implementations of the THP-BGV.The main reasons given for taking part in the study included the need for receiving well-being information during pregnancy (I.a, I.b.); having an opportunity to interact with other women in similar circumstances (I.c), and; ease of access through an online delivery format (I.e). Online delivery of the intervention was found convenient and affordable for working women, women who had difficulty accessing the hospital, and those who were housebound due to child care responsibilities (I.d). Examples of quotes are given in Table Qualitative findings and example quotesThe in-depth interviews revealed an overall satisfaction with the intervention (Table Facilitators appreciated learning new knowledge and enhancing their skills relevant to their practice, and felt the programme fulfilled a gap in their service (III.a., III.b., III.c.).Qualitative interviews revealed that participants characterized the facilitators as enthusiastic and encouraging, which was an important indicator of acceptability at the staff level (IVb, IVc). In addition to qualitative findings, intervention fidelity and competency of the facilitators were assessed through direct observation of the sessions and scoring them on ENACT. Two facilitators assessed sessions independently on ENACT and compared their findings. Overall 90.9% level of satisfactory competence was achieved by the facilitators. Analysis of different domains of the ENACT showed that the facilitator developed good relationship with the women using effective non-verbal communication. However, there were certain domains in which facilitators could have done better such as asking the participants’ perspective of their problems, stimulating discussion, self-disclosure, using non-jargon terms and collaborative goal setting.The majority of women reported that they were satisfied with the content, delivery format duration, and frequency of the sessions (Table 