Table 2.

Examples of Determinants of Family Planning methods use among youth as perceived by family Planning service providers

Theme	Categories	Codes	Meaning Units
Barriers to family planning methods use	Side effects	Menstrual irregularities	-Another major reason is that OCPs and injections methods cause menstrual irregularities which are not acceptable for women.
		Infections and vaginal discharge	-Regarding IUCDs, she told us that most women have pre-conceived ideas that IUCDs cause infections & vaginal discharge
		Spreads the words about side effects	-Regarding the side effects of the various methods of family planning she said that if one women experience some of them, she spread the word all around her.
	Myths and misconceptions	Travels to heart and brain	- Popular misconception with respect to IUCDS is that it moves up to the heart and brain
		Impotent	- Men believe they will become impotent because of using family planning methods.
	Religious	Family planning is wrong	-People believe that Family planning not allowed in our religion and is wrong.
		Burial time prayers not accepted	- If a woman undergoes tubal ligation, people believe that her (Namaz-e-janaza) buri al time prayers should not be offered and accepted.
	Family Planning providers own biases	Big family	-Tubal ligation is suggested to those who already have five or six children.
		Natural family planning methods preferred	- Natural family planning methods are best and even if I suggest, it is maximum condoms.
	Poor knowledge about contraceptive methods use	Non-compliant	- Women are not compliant to the dose of OCPs and sometimes don’t take OCPs for days and then take 2 or 3 pills together.
	Socio-Cultural	Patriarchal society	- Women in our part of the world do not want to trouble their husband. In her view, such women would rather sacrifice their own health.
		(Phutkari), Alum used as contraceptive	-Powdered “phutkri”, tied in a cloth & kept in the vagina during intercourse prevents conception, she had heard from a traditional birth attendant/“Dai”
Supporters of family planning method use	Better education of youth	Better education	- Better education associated with better use of contraceptives
		Awareness	- Believed that people have misconception mainly due to the lack of awareness & education
	Better knowledge of Family planning service providers	Lactating mother	-If the female is a lactating mother then she does not give her oral contraceptive pills (OCPs) for at- least 6 months. Instead, she recommends either condoms or injectable contraception.