Fig. 1

Results framework. ‘It is like rain’ is the core category. The four main categories are outlined in bold with sub-categories contained within the boxes below. Sub-categories in white boxes are the ones perceived to challenge quality of care while those in grey boxes are perceived to represent conditions for or signs of good quality care. Codes within sub-categories, where applicable, are listed within the boxes. Arrows between boxes illustrate relationships between categories: dashed lines emanate from white boxes and full lines from grey