HUSBAND'S QUESTIONNAIRE
NATIONAL COUNCIL FOR POPULATION AND DEVELOPMENT
MINISTRY OF HOME AFFAIRS AND NATIONAL HERITAGE
PROVINCE
DISTRICT
LOCATION/TOWN
SUBLOCATION/WARD
CLUSTER NUMBER
HOUSEHOLD NUMBER
STRUCTURE NUMBER
rural 2
LINE NUMBER OF WIFE INTERVIEWED
LINE NUMBER OF WIFE INTERVIEWED
LINE NUMBER OF WIFE INTERVIEWED
INTERVIEWER VISITS 1
DATE
INTERVIEWER'S NAME
RESULT*
NEXT VISIT:
DATE
TIME
INTERVIEWER VISITS 2
DATE
INTERVIEWER'S NAME
RESULT*
NEXT VISIT:
DATE
TIME
INTERVIEWER VISITS 3
DATE
INTERVIEWER'S NAME
RESULT*
FINAL VISIT
MONTH
YEAR
INTERVIEWER NO.
FINAL RESULT
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) __________
LANGUAGE OF QUESTIONNAIRE** ENGLISH
2 SOMETIME
3 ALL THE TIME
02 KAMBA
03 KIKUYU
04 KISII
05 LUHYA
06 LUO
07 MERU/EMBU
08 MIJIKENDA
09 KISWAHILI
10 ENGLISH
11 OTHER
OFFICE EDITED BY
NAME
DATE
KEYED BY
NAME
DATE
KEYED BY
NAME
DATE
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 the countryside, in Nairobi or MoMoasa, or in another town?
NAIROBI/MOMBASA 2
OTHER TOWN 3
H102. How long have you been living continuously in ________ (NAME OF SUBLOCATION, TOWN, CITY)?
ALWAYS 95
VISITOR 96
H103. It is important to know your exact age. In what month and year were you born?
DK MONTH 98
DK YEAR 98
H104. How old were you at your last birthday? INTERVIEWER: COHPARE AND CORRECT H103 AND/OR H104 IF INCONSISTENT.
PROTESTANT/OTHER CHRISTIAN 2
MUSLIM 3
OTHER (SPECIFY) ___________ 4
NO RELIGION 5
H106. What is your ethnic group or tribe?
KAMBA 02
KIKUYU 03
KISII 04
LUHYA 05
LUO 06
MERU/EMBU 07
MIJIKENDA/SWAHILI 08
SOMALI 09
OTHER (SPECIFY) ___________ 10
Hl07. Now we come to matters of marriage. Have you been married only once or more than once?
MORE THAN ONCE 2
H108. How many wives or partners do you currently have?
H109. How many wives or partners did your father have?
Hl10. 1 Would you like to have an additional wife in the future?
NO 2
DON'T KNOW 8
H111. Have you ever lost a wife or partner: Through death? Through divorce? (She is not coming back) Through separation? (She might come back)
NO 2
NO 2
NO 2
H112. In what month and year did you start living with your (first) wife or partner?
DK MONTH 98
DK YEAR 98
H113. How old were you when you started living with her?
Hl14. Do you approve or disapprove of divorce?
DISAPPROVE 2
DON'T MIND 3
Hl15. Generally, do you approve or disapprove of polygamy?
DISAPPROVE 2
DON'T MIND 3
H116. Have you ever attended school?
NO 2 (GO TO H120)
H117. What is the highest level of school you attended?
SECONDARY 2
HIGHER 3
UNIVERSITY 4
OTHER (SPECIFY) ___________ 5
H118. What is the highest (standard, form, year) you completed at that level?
SECONDARY OR ABOVE (GO TO H122)
H120. Have you ever attended an adult literacy class?
NO 2
H121. Can you read a letter or newspaper in any language easily, with difficulty, or not at all?
WITH DIFFICULTY 2
NOT AT ALL 3
H122. Do you usually listen to a radio at least once a week?
NO 2
H123 What kind of work do you mainly do?
NEVER WORKED 96 (GO TO H201)
WORKS IN AGRICULTURE (GO TO H127)
H125. Do you work for someone else or for yourself?
FOR HIMSELF 2 (GO TO H201)
H126. Do you earn a regular wage or salary?
NO 2 (GO TO H201)
H127. Do you work mainly on your own land or family land, or on someone else's land?
SOMEONE ELSE'S LAND 2
H128. Do you lease the land or do you work for wages?
WORKS FOR WAGES 2
H201. 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 MENTIONEDSPONTANEOUSLY. THEN PROCEEDDOWNTHE COLUMN, READINGTHE NAMEAND DESCRIPTION OF EACH METHOD NOT MENTIONEDSPONTANEOUSLY.
CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED. THEN FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN H202, ASK H202A-H204 BEFORE PROCEEDINGTO THE NEXT METHOD.
H202. Have you ever heard of (METHOD)? READ DESCRIPTION.
YES/PROBED 2 (GO TO H203 METHOD 01)
NO 3
YES/PROBED 2 (GO TO H203 METHOD 02)
NO 3
YES/PROBED 2 (GO TO H203 METHOD 03)
NO 3
YES/PROBED 2 (GO TO H203 METHOD 04)
NO 3
YES/PROBED 2 (GO TO H202A METHOD 05)
NO 3
YES/PROBED 2 (GO TO H203 METHOD 06)
NO 3
YES/PROBED 2 (GO TO H203 METHOD 07)
NO 3
YES/PROBED 2 (GO TO H202A METHOD 08)
NO 3
YES/PROBED 2 (GO TO H202A METHOD 09)
NO 3
YES/SPONT 1 (GO TO H202A METHOD 10)
NO 3 (GO TO H205)
H202A. Do you know how to use (METHOD)?
NO 2
NO 2
NO 2
YES 1
NO 2
H203. Have you ever used (METHOD) with any partner?
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 obtain (METHOD) if you wanted to use it? (CODES BELOW)
GOVERNMENT HEALTH CENTER 02
FPAK 03
MOBILE CLINIC 04
FIELD EDUCATOR 05
PHARMACY/SHOP 06
PRIVATE HOSPITAL 07
MISSION HOSPITAL/DISPENSARY 08
EMPLOYER'S CLINIC 09
PRIVATE DOCTOR 10
TRADITIONAL HEALER 11
WIFE/PARTNER WOULD GO 12
FRIENDS/RELATIVES 13
OTHER (SPECIFY) 14
NOWHERE 15
DK 98
OTHER ___
OTHER ____
OTHER ____
OTHER ___
OTHER ___
OTHER__________
OTHER__________
OTHER__________
AT LEAST ONE 'YES' (EVER USED) (GO TO 208)
H206. Have use ever used anything with any partner or tried to delay or avoid having a child?
MARK APPROPRIATE BOX WITH AN 'X'.
NO (GO TO 211)
H207. What have use used or done?
CORRECT H202-H204 AS NECESSARY.
H208. How many living children, if any, did you already have when you first did something or used a method to avoid getting pregnant? IF NONE ENTER '00'.
H209. Are you currentty doing something or using any method with any partner to avoid getting pregnant?
NO 2 (GO TO H211)
H210. Which method are you using? CIRCLE ALL MENTIONED.
IUD 1
INJECTIONS 1
DIAPHRAGM/FOAM/JELLY 1
CONDOM 1
FEMALE STERILIZATION 1
MALE STERILIZATION 1
PERIODIC ABSTINENCE 1
WITHDRAWAL 1
OTHER (SPECIFY) __________ 1
(ALL TO H215)
H211. Do you intend to use a method to avoid pregnancy at any time in the future?
NO 2
DK 8 (GO TO H215)
OPPOSED TO FAMILY PLANNING 02 (GO TO H213)
PARTNER DISAPPROVES 03 (GO TO H213)
OTHERS DISAPPROVE 04 (GO TO H213)
HEALTH CONCERNS 05 (GO TO H213)
ACCESS/AVAILABILITY 06 (GO TO H213)
COSTS TOO MUCH 07 (GO TO H213)
INCONVENIENT TO USE 08 (GO TO H213)
INFREQUENT SEX 09 (GO TO H213)
FATALISTIC 10 (GO TO H213)
RELIGION 11 (GO TO H213)
WANTS CHILDREN 12 (GO TO H213)
OTHER (SPECIFY) _____ 13 (GO TO H213)
DK 98 (GO TO H213)
H213. Which method would you prefer to use?
IUD 1
INJECTIONS 1
DIAPHRAGM/FOAM/JELLY 1
CONDOM 1
FEMALE STERILIZATION 1
MALE STERILIZATION 1
PERIODIC ABSTINENCE 1
WITHDRAWAL 1
OTHER (SPECIFY) __________ 1
UNSURE 98
H214. Do you intend to use (PREFERRED METHOD) in the next 12 months?
NO 2
DK 8
H215. Is it acceptable or not acceptable to you that family planning information is provided on radio or television?
NOT ACCEPTABLE 2
DK 8
H216. How often have you talked to your wife about family planning in the past year?
ONCE OR TWICE 2
THREE OR MORE 3
H217. Do you think your wife(s) /partner(s) approves or disapproves of couples using a method to prevent or delay pregnancy?
DISAPPROVES 2
DK 8
H218. In general, do you approves or disapproves of couples using a method to prevent or delay pregnancy?
DISAPPROVES 2
H219. If couple wish to avoid pregnancy, do you approve or disapprove of their using: The condom? Male sterilisation? Withdrawal?
DISAPPROVES 2
DK 8
DISAPPROVES 2
DK 8
DISAPPROVES 2
DK 8
H220. In your opinion, what is the main problem, if any, with using:The condom? Male sterilisation? Withdrawal?
ENTER CODE FOR EACH METHOD FROM LIST BELOW.
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 COMMUNITY DISAPPROVES
05 RELIGION DISAPPROVES
06 HEALTH CONCERN
07 ACCESS/AVAILABILITY
08 COSTS TOO MUCH
09 INCONVENIENT TO USE
10 OTHER(SPECIFY) ________________
98 DK
(OTHER SPECIFY) ___________
(OTHER SPECIFY) ___________
(OTHER SPECIFY) ___________
H221. How many own sons do you have? And how many own daughters do you have? IF NONE ENTER '00'.
DAUGHTERS ______
H222. Now I have some questions about the future.
Would you like to have a (another) child or would you prefer not to have any (more) children?
NO MORE 2 (GO TO H224)
UNDECIDED OR DK 3 (GO TO H224)
H223. How long would you want to wait from now before the birth of a (another) child?
MONTHS 1 ___
YEARS 2 ___
DK 998
H224. For how long should a couple wait before starting sexual intercourse after the birth of a baby?
MONTHS 1
YEARS 2
OTHER (SPECIFY) ______ 996
H225. Should a mother wait until she has completely stopped breastfeeding before starting to have sexual relations again, or doesn't it matter?
DOESN'T MATTER 2
H226. From the time a woman gets her period until the time she gets her next period, when do you think she has the greatest chance of becoming pregnant?
PROBE: What are the days during the month when a woman has to be careful to avoid becoming pregnant?
RIGHT AFTER HER PERIOD HAS ENDED 2
IN THE MIDDLE OF THE CYCLE 3
JUST BEFORE HER PERIO0 BEGINS 4
AT ANY TIME 5
OTHER (SPECIFY) ___________ 6
DK 8
NO OWN CHILDREN:
If you could choose exactly the number of children to have in your whole life, how many would that be?
HAS OWN CHILDREN:
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 SINGLE NUMBER OR OTHER ANSWER.
OTHER ANSWER (SPECIFY)___________
H228. How many boys? How many girls?
NUMBER OF GIRLS _________
OTHER (SPECIFY) ________ 996
MINUTES _____
INTERVIEWER'S OBSERVATIONS:
________________________________________________________________
Name of Interviewer: __________________
Date: ________________
SUPERVISOR'S OBSERVATIONS:
________________________________________________________________
Name of Supervisor: ___________________
Date: _______________
EDITOR'S OBSERVATIONS:
________________________________________________________________
Name of Editor: _______________________
Date: _______________