All supervisor discussions described providers who failed to implement changes as recommended or appeared uninterested in supervision. This was often perceived as a behavioural problem, sometimes termed resistance to change. Some supervisors showed frustrations with encountering such resistance. Multiple paragraphs indicated the dilemma that providers with performance difficulties could attempt to dodge supervision, such as a supervisor in FGD1: ‘Those [providers] who are disorganized are the ones who avoid anybody who would train them on how they should do their work.’ (S4, female, A1 degree)