Table 3.

Representative quotes for theme 1: availability and theme 2: accessibility

Availability	Barriers quotes
	HCPs	‘There aren’t even enough human resources. It has happened to me sometimes that just one doctor oversees all the emergency area.’ [IG] ‘[I am used to diagnosing children with asthma] Clinically only. I don’t have, any methods, spirometry, nothing like that.’ [IP] ‘That’s what we are lacking, education programmes for asthmatic patients.’ [IT]
	CGs	‘But we took the control of the medicine ourselves, because they [at the public hospital] didn’t have anything. They didn’t even have disposable masks [to nebulize].’ [FGM] ‘The doctor tells you: ‘The child has this’. But never before he was checked up, he didn’t have any tests done, to say that this [asthma] is what the child really has.’ [FGG]
	Facilitators quotes
	HCPs	‘It would be a matter of prevention, of communication, […], with speeches for people who are proactive in this management. To use the media, I don’t know, radio, television.’ [IP] ‘It is motivating for me that you are, doing this. Thank God, in the long term, well, I also continue with my studies, studying this [asthma] in more depth.’ [IG]
	CGs	‘If I know what the cause is, I would be more careful, making him not to be in contact with what hurts him, trying to keep him away. But if I don’t know, how am I supposed to know what I should protect him from?’ [FGM]
Accessibility	Barriers quotes
	HCPs	‘Here in the city we don’t have a specialist in respiratory diseases, and in asthma and it is a little far.’ [IG] ‘They don’t give them authorization to be absent [from work] to have a medical check-up, just if the child is sick they get permission.’ [IP]
	CGs	‘To get an appointment sometimes you get an answer, sometimes you don’t and it is a chaos. One goes there, but they tell you: ‘Wait for your turn’. Then you stop giving him the medication.’ [FGM] ‘This moment he only has… I bought the blue one [salbutamol inhaler] for him. Because I didn’t have money for the other.’ [FGM]
	Facilitators quotes
	HCPs	‘We give all the medication to them. We give them what the doctor prescribes. At least, for respiratory diseases, we provide them with all the medication. It is never missing’ [IT] ‘We could improve if we could visit mothers, be in touch with them by phone, […] creating an Asthma Club. […] we could […] visit his house, see the conditions, and have a complete dedicated team.’ [IP]
	CGs	‘Here at the hospital, there should be an area for that system only [asthma].’ [FGM]

CG, caregivers; FGG, focus group grandmother; FGM, focus group mother; HCPs, healthcare professionals; IG, interview general doctor; IP, interview paediatrician; IT, interview therapist.