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Table 2 Describing the nature of IHCWs community of practice

From: Informal healthcare provision in Lebanon: an adaptive mechanism among displaced Syrian health professionals in a protracted crisis

Main Theme Sub themes Examples
Motivation Personal Factors ➢ Altruism
➢ Source of livelihood
➢ Professional
Societal Factors ➢ Gender congruency
➢ Cultural competency
Formal health services ➢ Affordability
➢ Filling in a gap
Facilitators Networks enabling IHCWs to initiate work ➢ Professional
➢ Family & friends
Building reputation among Syrian refugees  
Establishing a community of practice ➢ Social media
➢ Internal referrals among IHCWs
Challenges Personal Level ➢ Constant threat
➢ Psychological wellbeing
➢ Mistrust
➢ Economic
➢ Continuous education
Societal Level ➢ Resentment from the Lebanese community
➢ Competing with Lebanese providers
Implications Status in Lebanon ➢ Detention/ deportation
➢ Losing residency status
Impact of care provided ➢ Compromising patient services/closing centers
Relationship with the formal system and reimbursement mechanisms Government’s position ➢ Legal threat, yet keeping a blind eye
Community-based NGO funded ➢ Collegiate atmosphere
➢ Equity in wages
➢ Lebanese and Syrian patients
Hospital & pharmacies funded by Lebanese healthcare providers ➢ Assistance to Lebanese HPs
➢ Less wages for Syrians
➢ Mainly Syrian patients
Linkage with formal practice ➢ Referring patients to formal providers when necessary