Table 6.

Themes/categories (users and practitioners) classified according to the steps of the “Comprehensive Framework for Contraceptive Counseling by Holt [8]

Step 1	Step 2	Step 3
Explore the needs, preferences and previous experiences with contraceptives, to adapt communication to specific needs and concerns	Facilitate decision-making for the choice of method providing up-to-date information on all options: effectiveness, mechanism of action, side effects, contraindications, barriers to use, etc., neutrally and comprehensibly	Respect the choice of method in a context of shared decision-making, incorporating information for the use of the method and its monitoring
User FG categories
Various sources of information, sometimes unreliable or not verified	Lack of information about the different methods in relation to their effectiveness, composition, mechanism of action, protection against sexually transmitted infections, cost, etc.)	Practitioner’s reluctance to cede power of decision
Prescribing the method requested by the user, without exploring their needs		User’s reluctance to take the decision
Concern for the side effects of the methods	Distrust in the practitioner upon receiving biased information or a lack of details regarding the methods	Opinions on accessibility to information outside the physician’s office ()
Unexplored misconceptions and myths
Practitioners FG categories
Choice based on environmental influences	The importance of providing up-to-date information on effectiveness, cost, safety, prevention STI, SE… of the various methods	Predominant paternalistic approach
		Health system that hinders good monitoring
Difficulties in communication with the user (diverse languages and cultures, excessive caseload and lack of knowledge of contraception)	Practitioners’ lack of specific training in contraception, a hindrance to adequate, neutral counselling	Need to improve accessibility to information for practitioners and users (DST)