Table 4. Stakeholder expectations on provision and meeting women reproductive care preferences.

Theme 3	Women	Health Staff	Policymakers
Expectations on reproductive care needs	“At first we use to think more of family planning, now we will prefer health personnel talk more also on sexual disease prevention because of recent diseases we hear of these days”-w1	“some stuff do not know all the components of the Cairo targets on reproductive health…they are basically involved in family planning and few components of antenatal and postnatal care”-hs1	“Improving staff skills is something the ministry and at our level we continue to undertake. We acknowledge current inabilities to provide services such as abortion care, post-abortion, and fertility treatments mostly in the public sectors”-p1
	“We are always told of contraceptive side effects, but they don’t give us appropriate information on how to overcome or address these issues”w2	“even when we know what women need, can we meet that simply by knowing, more has to be done from the Ministry of health to support in early diagnosis and treatment such as opportunistic infections on STIs, reproductive cancers, and safe abortion care”-hs2	“What we need to do more in meeting user expectations is to invest more in infrastructure. At our policy level we acknowledge the difficulties although we cannot drive this big policy push”–p2
	“We always want opportunity to ask questions most times this is difficult because some nurse don’t understand our language when we explain”-w3	“I did not know we are expected to provide infertility services, I always thought it was the role of the private sector in such services”-hs3	“The health centres or district hospitals although some staff have received training cannot even provide safe abortion services, this sector has entirely been taken over by the private sector where limited people may access services because of cost and stigma”-p3
	“I did have concerns about the health effects of my family planning method choice, after complaining to the nurse, she just asked me to cope since she couldn’t do anything”-w4	“Sometimes we have difficulty dealing with women own difficulties when we don’t know the appropriate health counseling demands to meet their need”-hs4	“Helping women manage health consequences is a key component of our counseling services. One of the greatest challenge is addressing meeting individualized focused preference needs where health staff are limited”-p4
	“When they want to meet us to provide services, they just inform us through a volunteer, forgetting we have we need convenient times to better use services… we use to be fine but working demands making some women unable to attend these sessions from health staff”-w5	“Sometimes women encounter psychosocial problems; they come to us instead of a psychologist. We can do little in this regard to support them, we need health psychologist to help provide care for such women”-hs5	“Because of community engagements with staff, users and using community volunteers who communicate our messages to build trust among users and the health care system. These strategies are aimed at improving user complaints on unfriendly health staff and often unsatisfied conditions”-p5
	“I won’t go out to the child welfare center for reproductive services, the place is not only open but services are supported by non-experienced community volunteers”-w6	“comprehensive reproductive care can be met when several skilled staff provide services, women do not recognize that and assume facility level staff alone should be able to meet all their demands at all time”-hs6	“Contextualization of polices for health staff go beyond meeting user expectations to disseminating standards of care”-p6
	“An NGO working here few years ago made it possible to have community volunteers that visited us to at home after childbirth to give our child an injection…this has changed since we need to travel long hours in the sun with my children…”w7	“Most of the reproductive targets set up in the country reproductive policies have not been contextualized for us, and no adequate training for health staff. Contextualizing would enable professional psychological care for intended user’s”-hs7	“The difficulty has always to do with who disseminates these policies/protocols and how much we are committed to spend on improving continually these standards together with providers to meet user expectations”-p7
	“Our mother-to-mother support groups are supportive. We wish health nurses learn how to incorporate this as part of their outreach services”w8	“informal groups such as mother-to-mother support groups spoken by women is helping us address myths and misinformation on reproductive services offered at facility level, we support such efforts since it promotes our work as nurses”-hs8	“we are working to make informal structures and groups at community level more involving, accountable and supportive to address users expectation at our facilities”-p8

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