We applied the framework approach for data analysis.33 Four coders familiarised themselves with the transcripts and open-coded them paragraph by paragraph. Over multiple meetings, coders discussed and agreed on major code categories for each FGD separately, and subsequently harmonised these to attain one final thematic index covering all FGDs. Two researchers used this to index the material, and intercoder agreement was compared paragraph by paragraph to produce a single harmonised coding of transcripts. One researcher read charted compilations of the indexed material as well as the full material several times, and over discussions among co-authors seven main themes suitable for presentation of findings pertaining to the study aim were determined among several in the thematic index. The software MAXQDA11.2 was used for this process including charting the content of emerging themes.14,33,34