Refugee settlement attached to
1 = Rhino camp refugee settlement
2 = Kyangwali refugee setttlement

What is your current age
1 = Less than 18 years
2 = 18- 23 years
3 = 24-29 years
4 = 30-35 years
5 = 36-41 years
6 = More than 41 years

What is your marital status
1 = Single
2 = Cohabiting
3 = Married
4 = Separated

Have you received formal education?
1 = Yes
2 = No

If yes, to what level of education?
1 = Primary (Lower)
2 = Primary (Upper)
3 = Secondary (O level)
4 = Secondary (A level)
5 = Post-secondary education

What is your religion?
1 = Catholic
2 = Anglican
3 = Muslim
4 = Born Again
5 = SDA

What is your nationality
1 = South Sudanese
2 = Congolese
3 = Rwandese

How many pregnancies have you carried so far?
1 = One
2 = Two
3 = Three
4 = More than three

For how long have you stayed in this refugee settlement?
1 = Less than five years
2 = More than five years

What kind of long-acting reversible contraception did you have inserted previoussly?
1 = Implant
2 = Intrauterine device

How long has it been since you had the contraceptive inserted?
1 = One year
2 = Two years
3 = Three years
4 = Four years
5 = Five years
6 = More than five years

If less than 5 years, what was the justification for removal
1 = Wanted to get pregnant
2 = Very severe side effects
3 = Got expired

If less than 5 years, what was the justification for removal
1 = Wanted to get pregnant
2 = Very severe side effects
3 = Miss Understanding with the husband
4 = Clan issues

Side effects reported
1 = Heavy bleeding
2 = Irregular menses
3 = Absence of menses
4 = Diziness
5 = Frequent headaches
6 = Weight gain
7 = Scarring at site of insertion

Discontinuation status
1 = Unindicated
2 = Indicated

If yes, how would you rate the severity of those side effects
1 = Mild
2 = Severe

LARC devices are 100% effective in preventing pregnancy
1 = Strongly Agree
2 = Agree
3 = Not sure
4 = Disagree
5 = Strongly disagree

If yes, for how long was the counseling?
1 = For more than 10 minutes
2 = For less than 10 minutes

If yes, which side effects were told about
1 = Lighter or Shorter or no period at all, Irregular bleeding and headache
2 = Lower abdominal pain and Bleeding
3 = Headache and Back pain
4 = Too much bleeding during menstruation
5 = Backpain and Bleeding
6 = No Menstruation for a month
7 = Body weakness
8 = Having little period bleeding
9 = Missing of period for sometimes and Abdominal pain
10 = Headache
11 = Backpain and Abdominal pain
12 = Bleeding
13 = Headache, Abdominal pain and Bleeding
14 = Body weakness and bleeding
15 = Bleeding, Backpain and Lower abdominal pain
16 = Headache and Stomach pain
17 = Headache, Breast pain and Nausea
18 = Body weakness and Abddominal pain
19 = Bleeding and Headache
20 = Become fat

From where were you provided the LARC device at?
1 = At a health facility
2 = In the community

How accessible are the health facilities that provide contraceptive healthcare services in this settlement?
1 = Accessible
2 = Not accessible

1 = Very easy
2 = Easy
3 = Difficult