Table 1 Interview topic guide

1. MOTIF mobile phone-based service

You recently used the new Marie Stopes mobile phone post-abortion service. Could you please tell me about your experience of the service?

  a. Voice Messages (outgoing)

 I would like to hear your experience regarding the voice messages.

• Tell me what it was like when you received the VMs?

• What did you think about the VMs? / How did it make you feel?

• Can you remember what were you told about the VMs when you signed up?

  POSSIBLE PROMPTS

i. How many voice messages did you listen to?

ii. Do you recall what the voice messages said?

iii. What was your understanding of the VMs?

iv. What were you doing at the time you received the VMs?

v. Any comments about the sound quality / voice of the message?

vi. What did you expect to happen if you pressed ‘1’, ‘2’ or ‘3’?

vii. Did you respond to the VM?

   1. If so, what number did you press, and why?

viii. Did anyone else listen to the VM instead of you?

   1. Any consequences of this?

  b. Pill/injection reminders (if relevant)

  i. Did you receive any pill or injection reminder VMs?

   1. If so, what was your experience of this?

  c. IVR system and leaving messages (incoming)

  i. Did you ever call into the service?

   1. If so, what was your experience of this?

  d. Counselling

• Did you receive any direct phone calls from the counsellor?

  If yes,

• What was it was like when you spoke to the counsellor?

• What did you think about speaking to the counsellor? / How did it make you feel?

 POSSIBLE PROMPTS

i. What kind of information were you given from the counsellor?

ii. What support do you receive about post-abortion care? (E.g. medical, emotional)

iii. What information were you given about contraception?

iv. What did you think about any advice you were offered about contraception? Any conflict with clinic service provider advice?

v. Any counsellor contact with husband/partner, any links with model clients

vi. Where do you think the counsellor is based? Do you think she is old or young? Would like to see her picture before participating in the service?

2. Support/change in behaviour/unintended consequences from intervention

• In general, (thinking about VMs and counselling), did anything happen to you as a consequence of receiving the service (positive of negative)? OR did you do anything different?

• How would this compare to if you hadn’t received the service?

 POSSIBLE PROMPTS

i. Any support with SE’s/ to continue using method?

ii. Any support starting or switching to a new method

iii. Clinic attendances for check up’s/post-abortion follow up appointment avoided? Any time/money saved?

iv. Use other services in addition to MSI? Why?

v. Any suggestions for the service?

Would anything else have worked better for you? Would you recommend it to a friend seeking abortion services?

 POSSIBLE PROMPTS

• Length of service, voice messages versus direct calls etc.

• How could we make it more likely for you to listen and respond to VM?

• Would you be prepared to pay an additional fee for the service? If so, how much?

3. Views on trial

• What was your experience of participating in the trial?

 POSSIBLE PROMPTS:

a. Any comments on the recruitment process (information for participants, consent)?

b. Any comments on phone follow up?

c. Any comments on reimbursement to cover time/costs for interviews?

d. Any suggestions for improvement?

Can I finally ask you for any final comments that have not been covered in this interview?