Table 2.

Thematic representation of experiences of discontinuing IUDs/implants

Themes	Subthemes	Codes
Underlying reasons for refusal to discontinue IUDs/implants	Removal before the due date	• Seen as wastage • Unwillingness of providers • Perceived risks of early discontinuation
	Health system constraints	• Work overload • Difficult removals (deep implants/ missing strings) • Stockouts • Inadequate equipment
	Asking for missing insertion cards	• Missing insertion cards
	Focus on counseling and management of side effects	• Counseling and treatment of side effects • Encouraging continued use of IUDs/implants
Women's Responses to denial of removal	Emotional and physical responses	Feelings of betrayal, frustration, insecurity, trapped, anger, hopelessness, anxiety, fear, and disappointment
		Headaches, gastric ulcers, high blood pressure, and heart problems
	Social and Economic Responses	• Gender-based violence & extramarital affairs • Costs discontinuing in private facilities • Lost opportunity cost
	Mistrust of provider-dependent contraceptives	• Myths and misconceptions • Negative attitudes • Violation of rights • Intentions not to use modern contraceptives