Institutional factors There were several key factors that were common barriers preventing access for beer promoters to the institutions providing sexual and reproductive health care services in these four Asian capitals.
In addition, each site hosted a minimum of four focus groups of key informants. Big city people know what to do when they go to the hospital. Laos, FG BP 3 The beer promoter from Laos quoted above was somewhat unique in her experience among her cohorts from her country. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites.
All co-investigators reviewed and approved the final draft. Each Asian co-investigator led a team with a country research manager and two research assistants. As a poor beer promoter from the countryside, she was both unaware of this practice and unable to afford it. This research design was an exploratory sequential design, in which the qualitative first phase was used to explore the issues and inform the development of the quantitative survey tool used in the second phase [ 17 ].
While they were raised in the countryside of their respective countries, these women moved to the cities for employment, recognizing that their options to make a living at home were few. In one survey, 15 percent of respondents reported being asked by their employer to engage in sexual relations with a customer [ 10 ].
Table 1 Phase 1 Research Participants Full size table The phase 2 survey of beer promoters was conducted during February to April in each of the four research locations.
All focus groups were held in the local language and were recorded. Translation was done by the local research team members who were present during the focus groups to minimize errors [ 23 ].
Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends.