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Table 2 Codes, sub-categories and main categories extracted from the data analysis

From: A qualitative study exploring the needs related to the health system in women with experience of pregnancy termination due to fetal anomalies in Iran

Code

Sub-category

Main Category

*Lack of empathy and support from caregivers

* Lack of promising expression and behavior from caregivers

* Lack of sufficient opportunity for the conversation with the doctor

Understanding the women’s condition by the treatment team

Efficient treatment team

* Lack of optimal and high quality care

* Lack of expertise in service delivery

*Lack of professional ethics and respect for patients’ rights

Professional competence of the treatment team in providing care

* Lack of health insurance

*High share of people in paying diagnostic and screening costs

* Inadequate coverage of most services by health insurance

Adequate coverage of insurance services for diagnostic and follow-up costs

Financial support for families

*High costsof diagnostic and screening tests

* High counseling services costs

*Failure to follow the course of treatment due to financial problems

Financial ability of families to pay diagnostic, treatment and consulting costs

*Incompatibility of the number of caregivers with the number of patients

*Long waits in wards to receive services, due to lack of human resources

Existence of the necessary and sufficient human resources

Optimal organizational structure in providing services

*Inappropriate physical environment in the maternity ward

*Lack of suitable space for communication with family members

Favorable physical environment in the maternity ward

* Lack of attention to the psychological problems of clients in the course of treatment

* Need to provide counseling services in the hospital (before discharge)

* The need for a psychologist in health care centers

Existence of organized counseling and supportive services in health centers

*Lack of amenities such as TV, refrigerator and wardrobe for clients and companions

* Lack of sofa bed for the companions

* Inadequate quality of food and lack of access to restaurants or coffee shops

*Lack of independent toilets and bathrooms for each room

* Existence of old and non-standard hospital beds in the wards

Existence of appropriate welfare facilities for women and their companions

*Distribution of diagnostic, treatment and forensic medicine centers in different places

* Spending a lot of energy and time to access diagnostic and screening centers

* Spending a lot of energy and time to go to the forensic medicine center to get a pregnancy termination license

Accumulation of services in one place