Themes | Subthemes | Sample codes | Sample illustrative phrases /sentences of quotes |
---|---|---|---|
Provider level barriers | Poor provider competency | Providers lack knowledge | […] I was very much confused. I tried to... […] […]... worry about of HIV /AIDS but, for pregnancy." […]If I had understood his feeling, I would have helped him. […] |
Providers had negative attitude | […] I face problem when educating female servants. […] | ||
Providers lack communication | […]“Are you expecting me to say just I am going to eat it? [..] […]... providers often do not use a direct language. […] | ||
Confidentiality breach, disrespect and discrimination of adolescents | Provider breach confidentiality | […]... problem of keeping confidentiality of adolescents’ sexual... […] […] I will tell his secrete to his family. […] | |
Providers disrespect adolescents | […]... perform abortions without proper counseling and without looking at other options. […] | ||
Provider discriminate by sex | […]... facilities to seeking help for STI problem. Unfortunately,... […] | ||
Providers' lack of follow-up | Providers lack follow-up | [..]... the service. I referred to but I don’t know their fate […] | |
Adolescent level barriers | Fear to violation of confidentiality and cultural taboos | Adolescents fear confidentiality breach | […]…are afraid of losing their privacy and confidentiality. […] |
Adolescents fear providers | […] They felt fear and shame. […] | ||
Lack of information and attitude towards SRHs | Adolescents lack knowledge | […]They don’t worry about the side effects of post pills. […] | |
Adolescents lack attitude | [..]Many adolescents developed low perceived risk of severity… […] | ||
Preference to seeking care and peer influence | Adolescents resist advices | […] But, they [adolescents] don’t want to do this [ sexual abstinence].” | |
Adolescents’ decision is influenced by peers | […] I see that adolescents are influenced by peers. […] | ||
Financial constraints | Adolescents lack money | […]... dependent on family income. They lack transportation cost…[…] | |
Health facility level barriers | Lack of supply and unsupportive environment | Shortage of supplies | […]… many resources and supplies required to provide services. […] |
No entertainment | […] …can’t say that youth friendly sexual and reproductive […] | ||
Adolescents lack privacy | […]… service itself is not youth friendly at all. […] | ||
Inadequate staff and training | Shortage of trained providers | […] We intentionally placed the clinic… […] | |
Lack training for providers | […]Health extension workers like me should be trained on SRHs. […] | ||
Long waiting and inconvenient working time | Long waiting time | [..] I guess waiting time is very high. […] | |
Community level barriers | Community ‘s bad attitude and lack information | Poor community awareness | […]Why do employers prevent such adolescents from going to youth health centers?[…] |
Community negative attitude | […]…are considered rude, but those who enter the church are considered polite…[…] | ||
Lack of parental and social support | Parents lack discussion | […]Parents and teachers don’t talk about sexual and …[…] | |
Church lack discussion | […] …settings especially in “Adar program”. […] | ||
Inadequate support to schools and youth centers | Teachers lack help | […]Reproductive health clubs in the school are not functional. […] | |
Youth centers were closed | […]…youth centers which were promoting utilization of SRHs were closed […] | ||
Inadequate literacy of sexual health | Lack of curriculum | "I suggest that curriculum should be designed and educated… […] | |
Presence of unauthorized providers | Unauthorized providers provide contraception service | […] They don’t want to go to healthcare facilities for… […] | |
Health system level barriers | Poor implementation | Government lack commitment | [..] Ehh ! I noticed that unemployment is a challenge for not… […] […]But, when such programs phased out; activities of peer… […] |
Strategy doesn't address adolescents' need | [..] I think that this strategy has to be revised…[…] | ||
Poor multi-sectoral engagement | Lack of multi-sectoral collaboration | […]…were providing various sexual and reproductive health services through collaboration.[…] |