Training of health care providers and structured LARC forward counseling may contribute to increased LARC uptake. The hypothesis to be tested is that by introducing LARC forward counselling an increase in LARC usage will be the result as well as decreased unplanned pregnancy and abortion. It is expected that the results of this study will highlight the importance of LARC forward counseling and thus provide the evidence needed to train health care providers and increase access to LARC in youth clinics, midwifery clinics and for post abortion contraception.

Inclusion Criteria:

• At risk for pregnancy (sexually active with men or anticipate becoming sexually active in the next 6 months).
• Do not desire pregnancy .
• No contraindications to LARC

Exclusion Criteria:

• Undergone tubal ligation or other sterilization procedure.
• Use of contraceptives for other purposes than contraception