Table 3. Stakeholder experience with service provision to meet user reproductive preferences.

Theme 2	Women	Health Staff	Policymakers
Experiences relating to meeting user reproductive needs	“health staff provide services in a general form, without differentiating our individual sexuality states and preferences”-w1	“Many reproductive health services outlined in Cairo are not delivered; we cannot diagnosis conditions such as reproductive cancers and offer post abortion services in this facility or the district. A woman has to go to the regional level”-hs1	“Some health facilities started in already existing structures originally designed for other purposes. Some users assertions of poor clinic facilities arrangements and privacy issues are been considered in building new facility infrastructure”-p1
	“My last experience with induced abortion care was really worrisome…I lost my baby and was asked to pay (USD 25.00) in order to clean my womb. Whiles we are told childbirth care is free under free fee user policy”-w2	“In instances where we cannot address women reproductive need, we just refer them to the district”-hs2	“At the community facility or district facilities, post abortion services are not provided…supplies to undertake post abortion caring services are not covered under the fee exemption ANC/ Postnatal policy under the health insurance, these charges will need to be accounted for if rising cost at the higher policy level”-p2
	“Nurses contribute to some women unwillingness for contraceptive use because of poor communication…”-w3	“We have yearly plans we submit to our facility in-charge and to the district level on reproductive services, the money is just not available to do a or be that you have outlined to do”-hs3	“We acknowledge most of our services are stigmatized. Users seeking abortion care, HIV/AIDS, STIs and even fertility treatments are perceived as ill intended by general populace, private providers providing these services are even labeled in the public eye”-p3
	“I stopped going to my community clinic, over three years, they have always have one type of family planning products”-w4	“Our targets on post-partum family planning is usually not continuous, hence many barriers for women use after birthing practices”-hs4	“Most stigmatization issues may results in underestimating women experiences, something the formal health system must design structures to address”–p4
	“When my daughter got pregnant whiles in school, we were traumatized and stigmatized because we are also insulted and mocked when I come with her to the clinic for antenatal care.”-w5	“We have facility procedures to engage users and local actors on better addressing their needs.”-hs5
	“Services are delivered in one facility room, young women, adolescents. This does not make them friendlier since most young people do not come whiles teenage pregnancy is rising”-w6	“I think it’s still problematic in delivering integrated services because many service needs in reproductive health are not supported in facility level expenditures”-hs6
	“Societal stigma and name calling for our girls who become pregnant in the course of their studies is a challenge, and we will prefer they are provided with family planning services too because they will all grow soon as mothers”-w7	“we never receive women complaints on unmet preference needs, we rather hear of these complaints outside the facility level”-hs7
		“there are certain factors that goes beyond us, such as women demands for home visits when they choose to deliver at home”-hs8

Wⁿ, hsⁿ, pⁿ denotes women, health staff and policymaker’s expressions. Superscript n denotes the number of view counts expressed by participants.