Refugee settlement attached to
What is your current age
What is your marital status
Have you received formal education?
If yes, to what level of education?
What is your religion?
What is your nationality
How many pregnancies have you carried so far?
Do you stay with all those children currently, in this household?
For how long have you stayed in this refugee settlement?
What kind of long-acting reversible contraception did you have inserted previoussly?
How long has it been since you had the contraceptive inserted?
If it was IUD inserted and it has been more than 5 years since, for how long did you use the device after insertion?
If less than 5 years, what was the justification for removal
If it was an implant inserted and it has been more than three years since, for how long did you have the implant in place?
Side effects reported
Discontinuation status
Since you had the most recent LARC device inserted, did you experience amy side effects
If yes, how would you rate the severity of those side effects
LARC devices are 100% effective in preventing pregnancy
Did you ever get pregnant despite having a LARC device inserted?
How many children have you given birth to so far?
Do you stay with your partner in the same household?
Have you ever used any short-term contraceptives?
Before having the LARC device inserted, did you agree to do so with your spouse?
Were you provided with family planning counseling focused on LARCs, before it was inserted?
If yes, for how long was the counseling?
Did the healthcare worker tell you about the possible side effects of the LARC device that was to be inserted?
If yes, which side effects were told about
Did the healthcare worker who inserted the LARC device tell you about how it works and its duration of effectiveness?
Did the healthcare worker allow you to ask any questions about the LARC device?
From where were you provided the LARC device at?
Did the healthcare workers ever follow you up after LARC insertion?
How accessible are the health facilities that provide contraceptive healthcare services in this settlement?