Table 2 Main categories and themes

1. Political challenges

- Lack of political will and political instability

- Obstructionist actions by civil society groups opposed to the advancement of SRMHRs

2. SRMHR policy design and implementation

- Lack of adequate and sustained funding for policy implementation

- Weakness of sexual and reproductive health programs

- Unequal policy implementation in federal countries

- Limitations in the availability and quality of data in SRMHR

3. SRMHR services quality and access

- Low quality of SRMHR service provision

- Gaps in accessing SRH services