S No	Participants (n = 13)	Description	Illustrative Quotes
1.	8	Identifying patient needs prior to discharge, implementing interventions prior to discharge	“A doctor came and he was holding a paper he said to me that I have been discharged, I told them, ‘You are discharging me now but the people who brought me to the hospital are not here, how can I go because I cannot walk on my own, I need someone to help me.’”
2.	9	Identifying patient needs prior to discharge, taking into account the patient and caregiver’s access needs, such as transportation, cost, or medications	“They were quick in treating me but the only thing that was giving me trouble was financial challenges, I didn’t have money to buy the medicines. I came here, they prescribed the medicines for me but I didn’t have money to buy the medicines. I have the prescriptions until today.”
3.	3	Focuses on the content of the information delivered from pre-discharge to post-discharge	“I usually go back to the doctor and tell him that when I take these medicines, I get such and such a problem. After telling him that, he prescribes other medicines.”
4.	7	Education to patients and caregivers, using principles of health literacy, teach-back, and encouraging self-advocacy	“You know the condition changes all the time with this disease; sometimes I wake up feeling good, other times I wake up feeling sick, sometimes I feel like my heart is tightened and I can’t breathe properly. That’s why I wanted to ask one question; What is the cause of my coughing?”
5.	7	Medication reconciliation across the continuum of care	“Some medicines are not available; I just take the medicines I have…But many days have passed; I haven’t taken any medicines. They prescribe the medicines but I do not have money to buy them.”