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This report presents the results of the first of three successive monitoring surveys to be implemented over a two year period to assess progress on selected output and outcome indicators. The survey was conducted in May / June 2014 to establish a baseline to monitor the effectiveness of UNFPA interventions under the DFID/UK AID supported "Improving Reproductive Maternal and Newborn Health Programme (IRMNH) in Sierra Leone project.
The 2014 IRMNH Survey 1 was conducted along three major axes:
 A household survey of the effectiveness of demand-side interventions for young people (10-24). It collected data on the need for and use of family planning and reproductive health services, as well as information on the three main UNFPA interventions at the community level (ie. Saliwansai, VPEs and reinforced CAGs). 
 A health facility survey to assess quality of care using an adaptation of the MEASURE Evaluation tools for Quick Investigation of Quality (QIQ) in Family Planning Programmes1 to gather information on indicators of quality care and provision of youth friendly services. 
 A qualitative study of barriers to accessing reproductive health services based on seventeen focus group discussions with young people aged 10-24 years.