Contraceptive Services Module Guide


The Health Services Report captures contraceptive service delivery on a monthly basis. All service data will be disaggregated by channel: Franchise Facilities, Service Delivery Partners, and PSI Direct Service Provision. For franchise facilities and service delivery partners, only services that meet PSI’s criteria for service delivery through partners can be reported. For detailed definitions of these channels and channel types, please click here: https://helppsi.freshdesk.com/support/solutions/articles/14000014984-common-data-element-definitions


Why collect these data?
The contraception module collects data on the provision of short term methods, long term methods, and permanent methods. The tables on these tabs track not only the type and number of methods provided, but also information about the clients receiving them and the circumstances related to method provision. This data is useful for a variety of programmatic and reporting applications:

  Internally,  these data will provide important trend data on service delivery at the global level. Programmatic trends help to identify both challenges and successes; areas that need greater attention and support as well as opportunities for platform-to-platform assistance. These data are also key inputs for proposals, further ensuring contraceptive program advancement and strengthening through new funding.  


Externally , these data will allow PSI to leverage its network to contribute to global discussions about contraceptive service delivery, particularly in the private sector. These programmatic data, aggregated across all PSI family planning programs, can provide critical information about service delivery models that successfully contribute to achieving international and national contraceptive prevalence goals.


Impact Estimation (e.g. DALYs averted, unintended pregnancies averted, maternal deaths averted): For each tab, we have noted where data will be used to estimate impact.


  

The table below outlines the module’s sections, tables, and their corresponding data elements:

 

Section 1: Short Method Provision

Data Elements

Table 1: Short-term contraceptive method provided during family planning counseling sessions

Covers the following short-term methods:
Emergency contraceptive pills
Progestin-only pills
Combined oral contraceptive pills
Injectable 1 month
Injectable 2 month
Injectable 3 months
Cyclebeads
Short-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product source

Short-term contraceptive product quantities provided by method, channel and product source

Section 2: Long Method Provision

Data Elements

Table 1: Long-term contraceptive method service provision

Covers the following long-term methods:
IUS 3 insertion
IUS 5 insertion
IUD 5 insertion
IUD 10 insertion
Implant 3 insertion
Implant 4 insertion
Implant 5 insertion
Long-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product type

Section 3: Permanent Methods

Data Elements

Table 1: Permanent method services

Covers vasectomy and tubal ligation
Permanent method contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner)

Section 4: Client Age

Data Elements

Table 1: Contraceptive method by client age

Covers ALL contraceptive methods
Services provided by contraceptive method and age

Section 5: Occasion

Data Elements

Table 1: Method provision by occasion (number of services provided)
Services provided by method type and occasion (interval, post-partum, post-abortion)


   

Each table and data element are described in further detail below.

  

Section 1: Short Method Provision

Data Elements

Table 1: Short-term contraceptive service method provided during family planning counseling sessions


Covers the following short-term methods:
Emergency contraceptive pills
Progestin-only pills
Combined oral contraceptive pills
Injectable 1 month
Injectable 2 month
Injectable 3 months
Cyclebeads
Short-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product source


Short-term contraceptive product quantities provided by method, channel and product source


  

Data Element: Short-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product source (PSI product, non-PSI product)
Purpose
This data element is measuring the total number clients receiving short-term contraceptive services, disaggregated by channel and whether the product received by the client was a PSI product or not.
Precise Definitions:

Oral contraceptives can be one of two types: Combined Oral Contraceptives (COCs) and Progestin-Only Pills (POPs). COCs contain low doses of two hormones, estrogen and progestin. They are distributed in packages containing a one-month supply, and must be taken every day. POPs contain very low doses of progestin and do not contain estrogen. They are distributed in packages containing a one-month supply, and must be taken every day. They are most often used by breast-feeding women within the first 6 months following delivery.
 
CycleBeads are a form of fertility awareness family planning that facilitate the Standard Days Method. The Standard Days Method (SDM) helps women to keep track of their cycle days and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that representing the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day.

Injectable contraceptives are hormones delivered to a woman through an injection in her arm or buttocks. There are two types of injectable contraceptives: combined and progestin-only. Injectable 1 refers to combined injectable contraceptives, which contain both progestin and estrogen and are administered once a month and are reversible (a woman can get pregnant once she stops using them). Injectable 2 is a progestin-only injectable containing NET-EN, and most commonly referred to as Noristerat. They are administered every two months and are reversible (a woman can get pregnant once she stops using them). Injectable 3 is a progestin-only injectable containing DMPA and includes the brand name Depo-Provera (among others). They are administered every 3 months and are reversible (a woman can get pregnant once she stops using them).
 
There are two main types of dedicated Emergency Contraception Pills (or ECP): Levonorgestrel-only emergency contraceptive pills (LNG ECPs) and pills containing ulipristal acetate (UPA ECPs). Emergency contraception (EC) can be used to reduce the chance of pregnancy following unprotected intercourse. They can be taken within 120 hours of unprotected intercourse. The LNG regimen is most effective if taken within 72 hours.

PSI Product  Report the product under this category if the product passed through a PSI warehouse and thus was captured by the CTL/Lawson. Reporting 'PSI Products' will prevent double-counting for health impact attribution for products that were already captured by CTL/Lawson.

Non-PSI Product  Report the product in this category if it did not pass through a PSI warehouse and thus was not captured by the CTL/Lawson.
 
For a detailed definition of “channel” and “product source” see the common data elements definition page.
Unit of Measure:
Number of clients receiving contraceptive methods
Disaggregated by:




Method (emergency contraceptive pills, progestin-only pills, combined oral contraceptive pills, injectable 1 month, injectable 2 months, injectable 3 months, cyclebeads)


Justification/Management Utility:
This table counts the number of short-term method services provided. Programmatic trends help to identify both challenges and successes; areas that need greater attention and support as well as opportunities for platform-to-platform assistance. These data are also key inputs for proposals, further ensuring contraceptive program advancement and strengthening through new funding.


In order to estimate DALYs and CYPs, product quantities must be provided in addition to service statistics. PSI/Non-PSI products must be distinguished to avoid double counting products that have also been reported in the CTL or Lawson.


  

Data Element:
Short-term contraceptive product quantities provided by method, channel and product source
Purpose: 
This data element is measuring the total quantities of short-term contraceptive products provided during family planning sessions
Precise Definitions:
This table counts the number of short-term contraceptive method quantities provided to clients (e.g. 20 condoms). The number of short-term contraceptive methods quantities provided in this table might not equal the number of clients reported. For example, one client could be provided with 3 months of oral contraceptives.


Product quantities should be calculated as follows:
Emergency contraceptive pill
Progestin-only pill
Combined oral contraceptive pill
Injectable (1-, 2-, or 3-month)
CycleBeads
1 dose (containing 1 or 2 pills)
1 cycle of progestin-only pills
1 cycle of combined oral contraceptive pills
1 injection
1 bead string
 
Oral contraceptives can be one of two types: Combined Oral Contraceptives (COCs) and Progestin-Only Pills (POPs). COCs contain low doses of two hormones, estrogen and progestin. They are distributed in packages containing a one-month supply, and must be taken every day. POPs contain very low doses of progestin and do not contain estrogen. They are distributed in packages containing a one-month supply, and must be taken every day. They are most often used by breast-feeding women within the first 6 months following delivery.
 
CycleBeads are a form of fertility awareness family planning that facilitate the Standard Days Method. The Standard Days Method (SDM) helps women to keep track of their cycle days and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that representing the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day.

There are two main types of dedicated Emergency Contraception Pills (or ECP): Levonorgestrel-only emergency contraceptive pills (LNG ECPs), and pills containing ulipristal acetate (UPA ECPs). Emergency contraception (EC) can be used to reduce the chance of pregnancy following unprotected intercourse. They can be taken within 120 hours of unprotected intercourse. The LNG regimen is most effective if taken within 72 hours.

PSI Product  Report the product under this category if the product passed through a PSI warehouse and thus was captured by the CTL/Lawson. Reporting 'PSI Products' will prevent double-counting for health impact attribution for products that were already captured by CTL/Lawson.

Non-PSI Product  Report the product in this category if it did not pass through a PSI warehouse and thus was not captured by the CTL/Lawson.
 
For a detailed definition of “channel” and “product source” see the common data elements definition page.
 
Unit of Measure: Product quantities
Disaggregated by:



Method (emergency contraceptive pills, progestin-only pills, combined oral contraceptive pills, cyclebeads)
Justification/Management Utility:
These product quantities are used to estimate DALYs and CYPs. PSI/Non-PSI products must be distinguished to avoid double counting products that have also been reported in the CTL or Lawson.




Section 2: Long Method Provision

Data Elements

Table 1: Long-term contraceptive method service provision

Covers the following long-term methods:
IUS 3 insertion
IUS 5 insertion
IUD 5 insertion
IUD 10 insertion
Implant 3 insertion
Implant 4 insertion
Implant 5 insertion
Long-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product type



Data Element:
Long-term contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner) and product source (PSI product, non-PSI product)
Purpose: 
This data element is measuring the total number of long-term contraceptive method services provided to clients, disaggregated by channel and product source
Precise Definitions:

The IUS 3 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 3 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. Common brand names are Liletta and Skyla.

The IUS 5 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 5 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. A common brand is Mirena.

The IUD 5 (MLCu-375 or Multiload) is a copper bearing intrauterine device that provides highly effective protection against pregnancy for up to 5 years and is completely reversible. It is a small, flexible plastic device with a copper wire that is placed in a woman's uterus.

The IUD 10 (TCu-380 A or Copper T) is a copper-bearing intrauterine device shaped like a T that provides highly effective protection against pregnancy for up to 10 years, and is completely reversible. It is a small, flexible plastic device with copper sleeves and a copper wire that is placed in a woman's uterus. A common brand name is Paragard.
 
Implant 3 is a single rod contraceptive implant most commonly known as Implanon. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implanon is completely reversible and provide highly effective protection against pregnancy for up to 3 years.
 
Implant 4 is a generic, two-rod contraceptive implant most commonly known as Sino-implant, Zarin, or Femplant. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implant 4 are completely reversible and provide highly effective protection against pregnancy for up to 4 years.
 
Implant 5 is a two-rod contraceptive implant most commonly known as Jadelle. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Jadelle is completely reversible and provides highly effective protection against pregnancy for up to 5 years.

PSI Product  Report the product under this category if the product passed through a PSI warehouse and thus was captured by the CTL/Lawson. Reporting 'PSI Products' will prevent double-counting for health impact attribution for products that were already captured by CTL/Lawson.

Non-PSI Product  Report the product in this category if it did not pass through a PSI warehouse and thus was not captured by the CTL/Lawson.
 
 
For a detailed definition of “channel” and “product source” see the common data elements definition page.
Unit of Measure: Number of insertion services provided
Disaggregated by:
Method provided (IUS 3 insertion, IUS 5 insertion, IUD 5 insertion, IUD 10 insertion, implant 3 insertion, implant 4 insertion, implant 5 insertion)

Channel (franchise facilities, service delivery partners, PSI direct service provision) 

Product source (PSI product, non-PSI product)
Justification/Management Utility:
This information will provide insight into how effectively our long-term method service provision programs are growing. PSI vs. Non-PSI product is necessary to calculate DALYs and CYPs.



Section 3: Permanent Methods

Data Elements

Table 1: Permanent method services
Covers vasectomy and tubal ligation
Permanent method contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner)


Data Element:
Permanent method contraceptive services provided by method, channel (PSI direct, social franchise, service delivery partner)
Purpose: 
This data element is measuring the total number of permanent method contraceptive services delivered to male clients (vasectomy) and female clients (tubal ligation)
Precise Definitions:
 
Tubal ligation is a permanent method of contraception. It is a type of voluntary female sterilization that consists of a surgery to close a woman's fallopian tubes.
 
Vasectomy is a permanent method of contraception. It is a type of voluntary male sterilization that consists of blocking or severing tube through which sperm pass.
 
For a detailed definition of “channel” see the common data elements definition page
Unit of Measure: Number of permanent method  services provided
Disaggregated by:

Method (vasectomy, tubal ligation)

Channel (PSI direct, social franchise, service delivery partner)
Justification/Management Utility:
The data from this table will be used to estimate health impact (CYPs provided, pregnancies averted). Data also provides important trend data on service delivery at the global level. Programmatic trends help to identify both challenges and successes; areas that need greater attention and support as well as opportunities for platform-to-platform assistance. These data are also key inputs for proposals, further ensuring contraceptive service program advancement and strengthening through new funding.




Section 4: Client Age

Data Elements

Table 1:  Contraceptive method by client age
Covers ALL contraceptive methods
Services provided by contraceptive method and age



Data Element:
Services provided by contraceptive method and age
Purpose: 
This data element is measuring the total number of contraceptive method services provided by method and client age.
Precise Definitions:
 
Condom users should only be recorded if they are using no other form of contraception in addition to condoms.  
 
The male condom is dual method of short-term birth control and STI protection. A male condom is a sheath, or covering, usually made of thin latex rubber made to fit over a man's erect penis. Condoms help prevent both pregnancy and sexually transmitted infections (STIs), including HIV.

A female condom is a non-latex sheath that can be inserted up to eight hours prior to sexual intercourse for the purposes of preventing pregnancy or protecting against sexually transmitted infection, including HIV.
 
There are two main types of dedicated Emergency Contraception Pills (or ECP): Levonorgestrel-only emergency contraceptive pills (LNG ECPs), and pills containing ulipristal acetate (UPA ECPs). Emergency contraception (EC) can be used to reduce the chance of pregnancy following unprotected intercourse. They can be taken within 120 hours of unprotected intercourse. The LNG regimen is most effective if taken within 72 hours.
 
Oral contraceptives can be one of two types: Combined Oral Contraceptives (COCs) and Progestin-Only Pills (POPs). COCs contain low doses of two hormones, estrogen and progestin. They are distributed in packages containing a one-month supply, and must be taken every day. POPs contain very low doses of progestin and do not contain estrogen. They are distributed in packages containing a one-month supply, and must be taken every day. They are most often used by breast-feeding women within the first 6 months following delivery.
 
Injectable contraceptives are hormones delivered to a woman through an injection in her arm or buttocks. There are two types of injectable contraceptives: combined and progestin-only. Injectable 1 refers to combined injectable contraceptives, which contain both progestin and estrogen and are administered once a month and are reversible (a woman can get pregnant once she stops using them). Injectable 2 is a progestin-only injectable containing NET-EN, and most commonly referred to as "Noristerat." They are administered every two months and are reversible (a woman can get pregnant once she stops using them). Injectable 3 is a progestin-only injectable containing DMPA and includes the brand name Depo-Provera (among others). They are administered every 3 months and are reversible (a woman can get pregnant once she stops using them).
 
CycleBeads are a form of fertility awareness family planning that facilitate the Standard Days Method. The Standard Days Method (SDM) helps women to keep track of their cycle days and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that representing the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day.
 
The IUS 3 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 3 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. Common brand names are Liletta and Skyla.

The IUS 5 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 5 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. A common brand is Mirena.

The IUD 5 (MLCu-375 or Multiload) is a copper bearing intrauterine device that provides highly effective protection against pregnancy for up to 5 years and is completely reversible. It is a small, flexible plastic device with a copper wire that is placed in a woman's uterus.

The IUD 10 (TCu-380 A or Copper T) is a copper-bearing intrauterine device shaped like a T that provides highly effective protection against pregnancy for up to 10 years, and is completely reversible. It is a small, flexible plastic device with copper sleeves and a copper wire that is placed in a woman's uterus. A common brand name is Paragard.
 
Implant 3 is a single rod contraceptive implant most commonly known as Implanon. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implanon is completely reversible and provide highly effective protection against pregnancy for up to 3 years.
 
Implant 4 is a generic, two-rod contraceptive implant most commonly known as Sino-implant, Zarin, or Femplant. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implant 4 are completely reversible and provide highly effective protection against pregnancy for up to 4 years.
 
Implant 5 is a two-rod contraceptive implant most commonly known as Jadelle. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Jadelle is completely reversible and provides highly effective protection against pregnancy for up to 5 years.
 
Tubal ligation is a permanent method of contraception. It is a type of voluntary female sterilization that consists of a surgery to close a woman's fallopian tubes.
 
Vasectomy is a permanent method of contraception. It is a type of voluntary male sterilization that consists of blocking or severing tube through which sperm pass.
Unit of Measure: Number of services provided to users of contraception
Disaggregated by:
Method (condoms [male or female], emergency contraceptive pills, progestin-only pills, combined oral contraceptive pills, injectable 1 month, injectable 2 months, injectable 3 months, cyclebeads, IUS 3 insertion, IUS 5 insertion, IUD 5 insertion, IUD 10 insertion, implant 3 insertion, implant 4 insertion, implant 5 insertion, vasectomy, tubal ligation)

Age (<15, 15-19, 20-24, 25-29, 30-39, 40-49, 50+, unknown)

For systems which only collect age data by <25 and >25, please enter <15 in the category 20-24 and >25 in the category 25-29.
Justification/Management Utility:
This information will help us understand usage trends among various method users and to measure PSI’s contribution toward global contraceptive coverage objectives, such as the FP2020 commitment to reach 120 million new contraceptive method users by 2020.




Section 5: Occasion

Data Elements

Table 1: Method provision by occasion (number of services provided)
Services provided by method type and occasion (interval, post-partum, post-abortion)



Data Element:
Services provided by method type and occasion (interval, post-partum, post-abortion)
Purpose: 
This data element is measuring the total number of services provided by method, disaggregated by occasion
Precise Definitions:
 
Interval: defined as the time for seeking contraception which is neither post-partum nor post-abortion.

Postpartum: Within 48 hours after delivery

Post-abortion: Post-abortion family planning definition depends on both the type of family planning product and the type of abortion/post-abortion care (PAC).
Family Planning Service
Post-abortion definition
Short-term methods and implants (STM) (oral contraceptives, injectable, cyclebeads)
  • Must be received at the time of PAC/medical abortion (including misoprostol for PAC) service from the same network provider who delivered the PAC service
  • Must be received at time of service from same network provider who delivered the MVA (manual vacuum aspiration)
Implants
  • Must be received at the time of PAC/medical abortion (including misoprostol for PAC) service from the same network provider who delivered the PAC service
  • Must be received at time of service from same network provider who delivered the MVA (manual vacuum aspiration)
IUD
  • Inserted within 2 weeks post-service for medical abortion/PAC (including misoprostol for PAC)
  • Must be received at time of service from same network provider who delivered the MVA (manual vacuum aspiration)
Permanent methods (vasectomy, tubal ligation)
  • Inserted within 2 weeks post-service for medical abortion/PAC (including misoprostol for PAC)
  • Must be received at time of service from same network provider who delivered the MVA (manual vacuum aspiration)
Oral contraceptives can be one of two types: Combined Oral Contraceptives (COCs) and Progestin-Only Pills (POPs). COCs contain low doses of two hormones, estrogen and progestin. They are distributed in packages containing a one-month supply, and must be taken every day. POPs contain very low doses of progestin and do not contain estrogen. They are distributed in packages containing a one-month supply, and must be taken every day. They are most often used by breast-feeding women within the first 6 months following delivery.
 
Injectable contraceptives are hormones delivered to a woman through an injection in her arm or buttocks. There are two types of injectable contraceptives: combined and progestin-only. Injectable 1 refers to combined injectable contraceptives, which contain both progestin and estrogen and are administered once a month and are reversible (a woman can get pregnant once she stops using them). Injectable 2 is a progestin-only injectable containing NET-EN, and most commonly referred to as "Noristerat." They are administered every two months and are reversible (a woman can get pregnant once she stops using them). Injectable 3 is a progestin-only injectable containing DMPA and includes the brand name Depo-Provera (among others). They are administered every 3 months and are reversible (a woman can get pregnant once she stops using them).
 
CycleBeads are a form of fertility awareness family planning that facilitate the Standard Days Method. The Standard Days Method (SDM) helps women to keep track of their cycle days and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that representing the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day.
 
The IUS 3 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 3 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. Common brand names are Liletta and Skyla.

The IUS 5 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing IUD which provides highly effective protection against pregnancy for up to 5 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. A common brand is Mirena.

The IUD 5 (MLCu-375 or Multiload) is a copper bearing intrauterine device that provides highly effective protection against pregnancy for up to 5 years and is completely reversible. It is a small, flexible plastic device with a copper wire that is placed in a woman's uterus.

The IUD 10 (TCu-380 A or Copper T) is a copper-bearing intrauterine device shaped like a T that provides highly effective protection against pregnancy for up to 10 years, and is completely reversible. It is a small, flexible plastic device with copper sleeves and a copper wire that is placed in a woman's uterus. A common brand name is Paragard.
 
Implant 3 is a single rod contraceptive implant most commonly known as Implanon. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implanon is completely reversible and provide highly effective protection against pregnancy for up to 3 years.
 
Implant 4 is a generic, two-rod contraceptive implant most commonly known as Sino-implant, Zarin, or Femplant. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implant 4 are completely reversible and provide highly effective protection against pregnancy for up to 4 years.
 
Implant 5 is a two-rod contraceptive implant most commonly known as Jadelle. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Jadelle is completely reversible and provides highly effective protection against pregnancy for up to 5 years.
 
Tubal ligation is a permanent method of contraception. It is a type of voluntary female sterilization that consists of a surgery to close a woman's fallopian tubes.
 
Vasectomy is a permanent method of contraception. It is a type of voluntary male sterilization that consists of blocking or severing tube through which sperm pass.
 
Unit of Measure: Number of services provided to clients
Disaggregated by:

Method type (progestin-only pills, combined oral contraceptive pills, injectable 1 month, injectable 2 months, injectable 3 months, cyclebeads, IUS 3 insertion, IUS 5 insertion, IUD 5 insertion, IUD 10 insertion, implant 3 insertion, implant 4 insertion, implant 5 insertion, vasectomy, tubal ligation)

Occasion (interval, postpartum, post-abortion)
Justification/Management Utility:
This information will help us understand trends in contraceptive provision during key reproductive periods. Contraceptive methods provided in the post-obstetric period provide an opportunity to meet the needs of women who want to prevent unintended pregnancies or who want to delay future pregnancies. Data on method provision occasion can help us identify opportunities to better serve our clients by expanding access to contraceptives during these valuable periods.