Emergent barriers	Elaborative quotes
SRH is not a custom: perception of SRHS is meant for married people	Community condemns such behaviors. Both the girls and boys fear their parent and community to go to such place; it is considered as an ugly behavior[40 years women, FGD]. They [youths] don't go for such services. Generally, it is not common in our community because it is not considered as normal [38 years old women, FGD]
Feeling of shame to be seen and shyness. Shyness	There are boys who are afraid of buying condom. Most of the time, they send little boys to us to get condom. Some of them come to our clinic at night and ask for condom standing in a dark place [KII, private clinic provider]. ‘…The youth use such services secretly due to fear of being seen by other people who know them[16 years old school boy, FGD].
Fear of being by parents at health facility	Today is challenging, girls are giving birth on the road. I knew girls who lost their life by taking traditional drugs to terminate the pregnancy [34 years old women, FGD].
Lack of awareness	It is very difficult to say that every adolescent knows correctly where such services are available [17 years in-school boy, FGD].
Health system barriers	…they also fear that their private information may be disclosed by health workers [16 years old in-school boy, FGD] Feeling of shame, fear of privacy loss and perceived lack of confidentiality are the main reasons [KII, Health worker].