HUSBAND'S QUESTIONNAIRE 1988
STATISTICAL SERVICE
P.O. BOS 1098 ACCRA
PLACE NAME ____________
CLUSTER NUMBER __________
HOUSEHOLD NUMBER _________
NAME OF HOUSEHOLD HEAD_________
LINE NUMBER OF HUSBAND _________
LINE NUMBER OF WIFE INTERVIEWED __________
LINE NUMBER OF WIFE INTERVIEWED __________
LINE NUMBER OF WIFE INTERVIEWED __________
LINE NUMBER OF WIFE INTERVIEWED __________
LINE NUMBER OF WIFE INTERVIEWED __________
INTERVIEW 1
DATE _____
INTERVIEWER'S NAME _____
RESULT** _____
NEXT VISIT:
DATE ____
TIME____
INTERVIEW 2
DATE _____
INTERVIEWER'S NAME _____
RESULT** _____
NEXT VISIT:
DATE ____
TIME____
INTERVIEW 3
DATE ______
INTERVIEWER'S NAME _____
RESULT** _____
FINAL VIST
MONTH ____
YEAR ____
INTERVIEWER'S NAME _____
RESULT** _____
**RESULT CODES:
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) ______
FIELD EDITED BY:
NAME ____
DATE ____
OFFICE EDITED BY:
NAME ____
DATE ____
KEYED BY: ____
KEYED BY: ____
SECTION H1: RESPONDENT'S BACKGROUND
MINUTES ____
H101. First I would like to ask some questions about you and your household. For most of the time until you were 12 years old, did you live in a village, in a town, or in a city?
TOWN 2
CITY 3
H102. How long have you been living continuously in _______ (NAME OF VILLAGE, TOWN, CITY)?
VISITOR 96
YEARS _____
H103. In what month and year were you born?
DK MONTH 98
DK YEAR 98
H104. How old were you at your last birthday? COMPARE AND CORRECT H103 AND/OR H104 IF INCONSISTENT.
H105. What is your ethnic group?
___________________
___________________
H106. How many wives/partners do you currently have?
H107. Have you ever attended school?
NO 2 (SKIP TO H111)
H108. What was the highest level of school you attended: primary, middle, secondary, or postsecondery?
MIDDLE 2
POSTMIDDLE 3
SECONDARY 4
POSTSECONDARY 5
H109. What was the highest (GRADE, FORM, YEAR) you completed at that level?
MIDDLE OR HIGHER (SKIP TO H112)
H111. Can you read a letter or newspaper easily, with difficulty, or not at all?
WITH DIFFICULTY 2
NOT AT ALL 3
H112. Do you usually listen to a radio at least once a week?
NO 2
H113. What kind of work do you mainly do ?
_____________
_____________
WORKS IN AGRICULTURE (SKIP TO H116)
H115. Do you work most of the time, part of the time, seasonally or irregularly?
PART 2 (SKIP TO H201)
SEASONALLY 3 (SKIP TO H201)
IRREGULARLY 4 (SKIP TO H201)
H116. Do you work mainly on your own or family land, or on someone else's land?
SOMEONE ELSE'S LAND 2
H117. Do you work mainly for money or do you work for a share of the crops?
A SHARE OF CROPS 2
301. Now I would like to talk about a different topic. There are various ways or methods that a couple can use to delay or avoid a pregnancy. Which of these ways or methods have you heard about?
CIRCLE CODE 1 IN H202 FOR EACH METHOD MENTIONED SPONTANEOUSLY.
THEN PROCEED DOWN THE COLUMN, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.
CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 302, ASK H203-H305 BEFORE PROCEEDING TO THE NEXT METHOD.
H202. Have you ever heard of (METHOD)?*
READ DESCRIPTION.
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
NO/PROBED 2
NO 3
YES/SPONT 1
NO 3
H203. Have you ever used (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
YES 1
NO 2
H204. Where would you go to be obtain (METHOD) if you wanted to use it? (CODES BELOW)
CODES FOR H204
02 GOVERNMENT HEALTH CNTR
03 PPG CLINIC
04 PRIVATE MATERNITY HOME
05 FIELD WORKER
06 PRIVATE DOCTOR/CLINIC
07 GOVT MATERNITY HOME
08 PHARMACY/CHEM SELLER
09 CHRISTIAN COUNCIL
10 FRIENDS/RELATIVES
11 OTHER (SPECIFY)
12 NOWHERE
98 DOES NOT KNOW
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
H205. In the opinion, what is the main problem, if any, with using (METHOD)? (CODES BELOW)
CODES FOR H205
03 PARTNER DISAPPROVES
04 HEALTH CONCERNS
05 DIFFICULT TO GET
06 COSTS TOO MUCH
07 INCONVENIENT TO USE
11 OTHER (SPECIFY)
12 NONE
98 DK
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
OTHER ______
AT LEAST ONE "YES" (EVER USED) (SKIP TO H209)
H207. Have you and your wife(s)/partner(s) ever used anything or tried to delay or avoid having a child?
MARK APPROPRIATE BOX WITH AN 'X'.
NO ___ (SKIP TO H212)
H208. What have you used or done?
CORRECT H202-H203 AND OBTAIN INFORMATION FOR H204 TO H206 AS NECESSARY.
H209. How many living children, if any, did you already have when you first did something or used a method to avoid have a child?
IF NONE ENTER '00'.
H210. Are you and your wife(s)/partner(s) currently doing something or using any method to avoid having a child?
NO 2 (SKIP TO H212)
H211. Which method(s) are you using?
CIRCLE ALL MENTIONED
IUD 1 (SKIP TO H216)
INJECTIONS 1 (SKIP TO H216)
DIAPHRAGM/JELLY 1 (SKIP TO H216)
CONDOM 1 (SKIP H216)
FEMALE STERILIZATION 1 (SKIP TO H216)
MALE STERILIZATION 1 (SKIP TO H216)
PERIODIC ABSTINENCE (SKIP TO H216)
WITHDRAWAL 1 (SKIP TO H216)
FOAMING TABLETS 1 (SKIP TO H216)
OTHER (SPECIFY) ____ 1 (SKIP TO H216)
H212. Do you intend to use a method to avoid pregnancy at any time in the future?
NO 2
DK 8 (H216)
HEALTH CONCERNS 2 (SKIP TO H216)
RELIGIOUS REASONS 3 (SKIP TO H216)
WANTS CHILDREN 4 (SKIP TO H216)
OTHER (SPECIFY)____ 5 (SKIP TO H216)
DK 8 (SKIP TO H216)
H214. Which method would you prefer to use?
IUD 02
INJECTIONS 03
DIAPHRAGM/JELLY 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08
WITHDRAWAL 09
FOAMING TABLETS 10
OTHER (SPECIFY) ____ 11
UNSURE 98
H215. Do you intend to use (PREFERRED METHOD) in the next 12 months?
NO 2
DK 8
H216. Where would you go to get information about family planning?
PPAG CLINIC 2
PRIVATE DOCTOR/CLINIC 3
PHARMACY/CHEMICAL SELLER 4
CHRISTIAN COUNCIL 5
FRIENDS/RELATIVES 6
COMMUNITY LEADERS 7
OTHERS 8
DK 9
H217. Is it acceptable to you that family planning information is provided on radio or televison?
NOT ACCEPTABLE 2
DK 8
H218. How often have you talked to your wife(s)/partner(s) about family planning in the past year?
ONCE OR TWICE 2
THREE OR MORE 3
H219. In general, do you approve or disapprove of couples using a method to avoid pregnancy?
DISAPPROVE 2
H220. How many own sons do you have?
And how many own daughters do you have?
IF NONE ENTER '00'.
DAUGHTERS ___
H221. Now I have some questions about the future.
Would you like to have a (another) child or would you prefer not ot have any (more) children?
NO MORE 2 (SKIP TO H223)
UNDECIDED OR DK 3 (SKIP TO H223)
H222. How long would you want to wait from now before the birth of a (another) child?
MONTHS 1 ____
YEARS 2 ____
DK 998
H223. If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?
RECORD THE SINGLE NUMBER OR ANOTHER ANSWER.
OTHER ANSWER (SPECIFY) _____
MINUTES _____
SECTION H3. LANGUAGE INFORMATION
H301. WHAT IS THE RESPONDENT'S OWN LANGUAGE ?
GA 2
EWE 3
NZEMA 4
HOUSA 5
DAGBANI 6
ENGLISH 7
OTHER (SPECIFY) _____ 8
H302. IN WHAT LANGUAGE DID YOU CONDUCT THE INTERVIEW ?
GA 2
EWE 3
NZEMA 4
HOUSA 5
DAGBANI 6
ENGLISH 7
OTHER (SPECIFY) _____ 8
H303. FOR NOW MUCH OF THE INTERVIEW DID YOU DEPEND ON A THIRD PERSON TO INTERPRET FOR YOU ?
SOME OF THE INTERVIEW 2
MOST OF THE INTERVIEW 3
ALL OF THE INTERVIEW 4
OTHER (SPECIFY) ________ 5
INTERVIEWER'S OBSERVATIONS
___________________
___________________
___________________
NAME OF INTERVIEWER: ______
DATE: _______
SUPERVISOR'S OBSERVATIONS:
___________________
___________________
___________________
NAME OF SUPERVISOR: ______
DATE: _______
EDITOR'S OBSERVATIONS:
________________
________________
________________
NAME OF INTERVIEWER: _______
DATE: ______