Hi Matt,
Thanks for the comments! IN our procedures, nurses have to check in about family planning during every visit. This integrates FP counseling with postnatal care and immunization visits for their children. We have documentation in clinic to capture the side effects and reasons for discontinuation for particular method that a woman might be using. The nurses are directed to re-start the balanced counseling strategy (population council developed FP counseling method) if a woman is not using a method of contraception. However, we do not capture women who have discontinued methods and do not return to the clinic! This is probably a major gap, and we have to figure out what to do with clients who are participating in the text message program and may never come back to us!