Table 15.

Health System domain

Theme2: Access and availability of Health System staff and facilities
Sub-themes	Participant quotations
1: Lack of doctors at primary healthcare clinics	o “Our clinic… hardly has doctors”.—FGD 1 o Doctors are not there, even at Moroka clinic [primary health clinic] …they are only at Chiawelo only [Community Health Clinic].”- FGD 1–6
2: Clinics have staff shortages; nurses don’t spend enough time with patients	o I think that those people are short-staffed, they burn out…like, they are human beings, when you work with a lot of people in a day, you understand that there should be a limit that at least in one day “I work with this many people”- FGD 2, 3 o “Haii, sometimes they always complaining that they are short-staffed, one is absent, there’s a staff shortage, doctors are not there, they went to the hospitals.”- FGD 1–6
3: Clinics don’t have enough facilities and equipment and medication	o “…they will just give you Panado, Ibuprofen or Allergex [pain, anti-inflammatory and allergy medications only available]”- FGD 1 o “…we queue for nothing, no medication”, “They will tell you to buy lemon, they don’t have what, they don’t have what.”- FGD 4 o “We already know that when you go to the clinic, they give you Maximax, they also give you Ibuprofen…and Allergex”- [pain and anti-inflammatory medication] FGD 1–6