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| (1) All approved contraceptive methods are available |
- Definition: Facilities that are fully stocked with all contraceptive methods approved for the site are available to provide good-quality services to clients.
- Relevance to a continuing-client strategy: Having a range of contraceptive methods available is a key factor in meeting the needs of clients as they may change over their reproductive lifetimes. Facilities that are well stocked are better able to meet the range of client demand and thus facilitate continued contraceptive use.
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| (2) Logistics Management Information System is in place |
- Definition: A Logistics Management Information System (LMIS) tracks data in three areas: contraceptive stock on hand, rate of contraceptive consumption, and losses and adjustments due to expiration, theft, damage, or transfer (4, 6, 9).
- Relevance to a continuing-client strategy: Maintaining a LMIS can assure a continuous supply of a range of methods and minimize contraceptive stockouts, enabling clients to continue receiving their contraceptive methods of choice.
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| (3) Up-to-date guidelines are in place |
 Definition: Programs that have up-to-date guidelines demonstrate that standards are in place. Acceptable procedures and practices that reflect the most current evidence-based research are more likely to be used if clinic personnel have convenient access to service-delivery guidelines. Written guidelines should specifically include what information a provider should cover during clients' initial and return visits.- Relevance to a continuing-client strategy: Written evidence-based guidelines can help providers deliver good-quality services by presenting medical eligibility criteria, infection-prevention procedures, and effective counseling methods, both for initial and follow-up visits. Providers who receive adequate guidelines can better provide sound medical care and tailor counseling to a continuing client's needs.
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| (4) Client record-keeping system is in place |
- Definition: Record-keeping systems store crucial information about clients, including medical history, clinical information, and experience with family planning. Record-keeping systems can be set up to collect information related to contraceptive continuation—including side effects or other problems with a method, method switching, method discontinuation, and date of next follow-up visit. Managers and providers can track method-specific continuation at the program or facility level.
- Relevance to a continuing-client strategy: Tracking this type of information can give managers and providers a way to monitor a client's return visits and keep track of the client's health problems, contraceptive interests, reproductive intentions, and other issues that can require counseling and follow-up. Record-keeping systems can also help providers offer outreach to clients, encouraging follow-up when needed.
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| (5) Monitoring system is in place |
 Definition: A monitoring system captures information that can be used to make sure a program is achieving its goals and objectives. By periodically assessing progress, a program can make appropriate and timely adjustments. A monitoring system can include both routine and non-routine data collection. Routine data collection is ongoing and includes clinic service statistics and vital records. Non-routine data collection occurs periodically and includes facility audits and observation of client-provider interactions.- Relevance to a continuing-client strategy: A monitoring system tracks progress in achieving the objectives outlined in a continuing-client strategy, including the indicators listed in Program Indicators for a Continuing-Client Strategy.
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