Table 2 Summary of emergent themes from qualitative data

Security context

Impact: Impact of the changing security context on health services and decision-making

Coping: How humanitarian agencies cope in the current environment to continue health services

Displaced populations

How the influx of displaced populations influenced health services including receipt of additional support in response to an influx

Competing priorities

How competing priorities impact RMNCAH service delivery (e.g. time or resources) and how these competing priorities are managed

Disease outbreak: How disease outbreaks have affected delivery of RMNCAH services including receipt of additional support to address the outbreak

Leadership and governance

Decision-making: Factors that inform which health interventions to deliver including financial costs and expertise of staff

Coordination: How agencies coordinate with other stakeholders

Restrictions: Requirements that agencies must adhere to for working in the area (e.g. special permissions)

Governance: Policies, guidelines, or regulations that determine or affect health interventions or service provision

Health workforce

Impact: How the availability of health workers has affected RMNCAH services

Turnover and recruitment: Management of health workforce and challenges faced in recruitment of health workers

Information and research

Evidence: Sources of information that were used to inform RMNCAH interventions

Service delivery

Supply shortages: Availability of medical supplies for RMNCAH services and adjustments made to services because of shortages

Access: Description of populations that were hard to access and efforts made to reach these populations

Culture

Acceptability: How cultural beliefs have influenced the acceptability or use of RMNCAH interventions

Service provision: How cultural beliefs have influenced service provision or how agencies have worked to address cultural barriers that have impacted use of RMNCAH services