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Table 1 Thematic guide

From: Weaved into the cultural fabric: a qualitative exploration of alcohol consumption during pregnancy among tribal women in Odisha, India

Stakeholders [Nos.]

Domains of Inquiry Sub-Themes

In-depth interviews with pregnant women [19]

1. Knowledge about alcohol

• Composition of alcohol – How and when did you first start drinking alcohol?

• Access – Where do you get alcohol? Who drinks in your family?

• With whom do you drink alcohol?

2. Practice and opinion about consumption

 • On what occasions or cultural activities do you consume alcohol?

 • What is your opinion about the consumption of alcohol (benefits and harms)?

3. Alcohol and baby

 • What do you think the effect of alcohol would be on a baby (benefits and harms)?

 • On what occasions have you consumed alcohol since you conceived?

 • To your knowledge, why do women consume alcohol during pregnancy?

In-depth interviews with family members of pregnant women [18]

1. Practice and opinion about consumption

• On what occasions or cultural activities do pregnant women consume alcohol?

• What is your opinion about the consumption of alcohol (benefits and harms)?

2. Alcohol and baby

 • What do you think the effect of alcohol would be on a pregnant woman and baby (both benefits and harms)?

 • On what occasions has the pregnant woman consumed alcohol since she conceived?

 • In your opinion, why do women consume alcohol during pregnancy?

Focus group discussion with front-line workers and community leaders.

[two with 10 participants each]

1. Situation regarding alcohol consumption in the community

• What do you think about alcohol consumption in this community?

• Who consumes alcohol in the community?

• Are there any special cultural gatherings and occasions on which alcohol consumption is promoted?

 2. Situation regarding the practice of alcohol consumption among pregnant women

 • Do you all know some women in your village who drink alcohol? Anyone who drinks during pregnancy?

 • Why do they drink?

 • Did any one of you ever counsel any pregnant women to not drink alcohol? (If yes, why and how? If no, why?)

 3. Knowledge and perception regarding the effect on alcohol on baby

 • Do you all think alcohol has an effect on an unborn baby? (If yes, what are they? If no, why not?)

 • Do you all think we should allow them to drink alcohol?

[At this point, brief the participants about the ill effects of alcohol consumption on an unborn baby.]

What is your suggestion in this situation? – how to combat the practice of alcohol consumption among pregnant women