NAME OF HOUSEHOLD HEAD______
PLACE NAME______
PROVINCE______
URBAN/RURAL______
RURAL 2
CLUSTER NUMBER (IDS I.D.)______
HOUSEHOLD NUMBER______
NAME AND LINE NUMBER OF MEN ______
FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE______
INTERVIEWER'S NAME______
ABSENCE OF QUALIFIED PERSON 02
POSTPONED 03
REFUSED 04
INCOMPLETE 05
DISABLED 06
OTHER (SPECIFY) _____ 96
NEXT VISIT
DATE______
TIME______
FINAL VISIT
DAY______
MONTH______
YEAR 2003
NAME______
RESULT______
SUPERVISOR
NAME______
DATE______
FIELD EDITOR
NAME______
DATE______
OFFICE EDITOR
NAME ______
DATE ______
KEYED BY______
REKEYED BY ______
SECTION 1. RESPONDENT'S BACKGROUND
MINUTES____
102. For most of the time until you were 12 years old, did you live in a city, village or rural area?
VILLAGE 2
RURAL AREA 3
103. How long have you been living continuously in (NAME OF CURRENT PLACE OF RESIDENCE)?
ALWAYS 95 (GO TO 105)
VISITOR 96 (GO TO 105)
104. Before you moved here, did you live in a city, village or rural area?
VILLAGE 2
RURAL AREA 3
105. In what month and year were you born?
DOESN'T KNOW MONTH 98
DOESN'T KNOW YEAR 9998
106. How old were you at your last birthday?
COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT
107. Have you attended school?
NO 2
107A. Have you attended a literacy course?
NO 2 (GO TO 111)
108. What is the highest level of school you attended?
PRIMARY EP1 01
PRIMARY EP2 02
SECONDARY ESG1 03
SECONDARY ESG2 04
TECHNICAL ELEMENTARY 05
TECHNICAL BASIC 06
TECHNICAL ADVANCED 07
TEACHER PREP 08
HIGHER 09
109. What is the highest grade you completed at that level?
109A. CHECK 106 IF 24 YEARS OLD OR LESS:
25 YEARS OLD OR OLDER (GO TO 110)
109B. Are you currently attending school?
NO 2
109C. What was the main reason you stopped attending school?
GOT MARRIED 02
TO CARE FOR YOUNGER CHILDREN 03
FAMILY NEEDED HELP ON FARM/PLANTATION OR IN BUSINESS 04
DIDN'T HAVE MONEY 05
NEEDED TO EARN MONEY 06
HAD ENOUGH SCHOOLING 07
DID NOT PASS ENTRANCE EXAMS 08
DIDN'T LIKE TO STUDY 09
SCHOOL NOT ACCESSIBLE/TOO FAR 10
LACK OF SCHOOL/THERE IS NOT ENOUGH SPACES IN SCHOOL 11
FAMILY DISLOCATED DURING FLOODING 12
GRADUATED 13
OTHER (SPECIFY) ______ 96
DOESN'T KNOW 98
110. CHECK 108 IF SCHOOL LEVEL IS PRIMARY EP1 OR BELOW:
PRIMARY EP2 OR HIGHER (GO TO 112)
111. Now I would like you to read this sentence to me:
SHOW CARD TO RESPONDENT.
IF RESPONDENT CANNOT READ WHOLE SENTENCE, PROBE: Can you read any part of the sentence to me?
ABLE TO READ ONLY PART OF SENTENCE 2
ABLE TO READ WHOLE SENTENCE 3
NO CARD WITH REQUIRED LANGUAGE 4 (SPECIFY LANGUAGE) ______
BLIND 5 (GO TO 114)
112. How many times a week do you read the newspaper?
ALMOST EVERYDAY 2
ONCE A WEEK 3
SOMETIMES 4
NEVER 5
113. How many times a week do you watch television?
ALMOST EVERYDAY 2
ONCE A WEEK 3
SOMETIMES 4
NEVER 5
114. How many times a week do you listen to the radio?
ALMOST EVERYDAY 2
ONCE A WEEK 3
SOMETIMES 4
NEVER 5
115. Do you profess a religion?
NO 2 (GO TO 118)
PROTESTANT/EVANGELICAL 02
MUSLIM 03
ZION 04
ANIMISM 05
OTHER (SPECIFY) _____96
117. How often do you go to the church/mosque?
MORE THAN ONCE A MONTH 2
ONLY DURING HOLIDAY 3
DO NOT GO AT ALL 4
118. What language did you grow up speaking?
EMAKHUWA 02
XINCHANGANA 03
ELOMWE 04
CISENA 05
ECHUWABO 06
SHONA 07
OTHER (SPECIFY) _____96
119. Are you currently working?
NO 2
120. Have you done any work in the last 12 months?
NO 2 (GO TO 122)
121. What have you mainly done during the last 12 months?
LOOK FOR A JOB 02 (GO TO 129)
RETIRED 03 (GO TO 129)
DISABLE/SICK 04 (GO TO 129)
DOMESTIC WORK 05 (GO TO 129)
OTHER OCCUPATION (SPECIFY) ____ 96 (GO TO 129)
122. What is your occupation, that is, what kind of work do you mainly do?
123. CHECK 122 IF RESPONDENT WORKS IN AGRICULTURE:
DOES NOT WORK IN AGRICULTURE (GO TO 125)
124. Do you mainly work on your own land, on family land, or do you rent land, or do you work on someone else's land?
FAMILY LAND 2
RENTED LAND 3
SOMEONE ELSE'S LAND 4
125. During the last 12 months, approximately how many months did you work?
126. Are you paid or do you earn in cash or kind for this work or are you not paid at all?
CASH AND KIND 2
IN KIND ONLY 3 (GO TO 129)
NOT PAID 4 (GO TO 129)
127. Usually who mainly decides how the money you earn will be used: you, your husband/partner, you and your husband/partner jointly, someone else or you and someone else jointly?
WIFE/PARTNER DECIDES 2
JOINTLY WITH WIFE/PARTNER 3
SOMEONE ELSE DECIDES 4
JOINTLY WITH SOMEONE ELSE 5
128. On average, how much of your household's expenditures do your earnings pay for: almost none, less than half, about half, more than half, or all?
LESS THAN HALF 2
ABOUT HALF 3
MORE THAN HALF 4
ALL 5
NONE, HER INCOME IS ALL SAVED 6
129. During the last 12 months, how many times did you spend the night somewhere else (outside your community)?
NONE 00 (GO TO 201)
130. During the last 12 months, were you somewhere else for more than a month?
NO 2
Now I would like to ask about all the children you have had/fathered during your life (and if the children are still alive).
201. Do you have any children (male or female)?
IF RESPONDENT SAYS NO, ASK: Did you ever have a daughter that was born alive?
NO 2 (GO TO 206)
DOESN'T KNOW 8 (GO TO 206)
202. Do you have any sons or daughters who are now living with you?
NO 2 (GO TO 204)
203. How many sons live with you?
And how many daughters live with you?
IF NONE RECORD '00'.
204. Do you have any sons or daughters that do not live with you?
NO 2 (GO TO 206)
205. How many sons are living somewhere else?
And how many daughters are living somewhere else?
IF NONE, RECORD '00'.
206. Have you ever had a boy or a girl who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed signs of life but survived only a few hours or days?
NO 2 (GO TO 208)
DOESN'T KNOW 8 (GO TO 208)
207. How many boys have died?
And how many girls have died?
IF NONE, RECORD '00'.
208. Besides all of the children you have mentioned, have you:
a) Fathered other sons or daughters but are not legally recognized as your own or do not have your last name?
b) Fathered other sons or daughters that are not alive anymore but are not legally recognized as your own or do not have your last name?
THERE IS SOME CHILDREN (CHECK AND CORRECT 201-207 IF NECESSARY)
209. SUM ALL ANSWERS FROM Q. 203, 205 AND 207, THEN RECORD THE TOTAL.
IF NONE, RECORD '00'.
209A. CHECK 209: TOTAL NUMBER OF CHILDREN
Just to make sure that I have this right: you have had in TOTAL _____children during your life. Is that correct?
NO (PROBE AND CORRECT 202-208 AS NECESSARY.)
210. CHECK 209 IF ONE OR MORE LIVING BIRTHS:
ONE LIVING BIRTH (GO TO 213)
NO LIVING BIRTHS (GO TO 301)
211. The children you have are with the same wife/partner?
NO 2
212. In total, with how many women/partners do you have children?
213. How old were you when your first child was born?
Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid pregnancy.
301. Which ways or methods have you heard about?
CIRCLE CODE '1' IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY.
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you heard of (METHOD)?
THEN CIRCLE CODE '1' FOR EACH KNOWN METHOD. OTHERWISE, CIRCLE CODE '2' AND CONTINUE WITH NEXT METHOD NOT MENTIONED SPONTANEOUSLY. FOR EACH RECOGNIZED METHOD, ASK QUESTION 302.
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2 (GO TO NEXT METHOD)
NO 2
302. Have you ever used (METHOD)?
NO 2
NO 2
NO 2
NO 2
LIST UP TO TWO METHODS.
NO 2
305. Do you think that a woman that is breastfeeding can get pregnant?
NO 2
DEPENDS 3
DOESN'T KNOW 8
306. Do you agree or disagree with the following:
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
307. CHECK 301(2) AND 302(2): KNOWLEDGE AND USE OF MALE STERILIZATION
OTHER (GO TO 401)
308. After having all the children you want, would you consider getting sterilized?
NO 2
DEPENDS/UNSURE 3 (GO TO 401)
STERILIZED WIFE 4 (GO TO 401)
309. Why wouldn't you prefer male sterilization?
PROBE: Any other reason?
RECORD ALL ANSWERS MENTIONED.
IS BAD FOR MEN'S HEALTH B
UNSAFE METHOD C
PREFERS OTHER METHODS D
COULD WANT MORE CHILDREN/COULD HAVE MORE CHILDREN IF SOME DIE E
COULD MARRY AGAIN F
COULD LOSE SALARY G
COULD LOSE SEXUAL DRIVE H
COULD LOSE MASCULINITY I
CONTRACEPTION IS WOMEN'S RESPONSIBILITY J
OTHER (SPECIFY) _____ X
SECTION 4. MARITAL STATUS AND SEXUAL ACTIVITY
401. Are you currently married or living with a woman?
YES, LIVING WITH A WOMAN 2 (GO TO 404)
NO, NOT IN UNION 3 (GO TO 406)
402. How many wives do you have?
403. Do women live with you as if they were your wives?
NO 2 (GO TO 405)
404. Do you live with (one woman) or more than (one women) as if they were your wives?
IF ONLY ONE WIFE RECORD '01'. IF MORE THAN ONE, ASK: How many wives do you have?
405. Besides the women you have mentioned, do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner at all?
OCCASIONAL SEXUAL PARTNER(S) 2 (GO TO 409)
REGULAR AND OCCASIONAL SEXUAL PARTNER(S) 3 (GO TO 409)
NO SEXUAL PARTNER 4 (GO TO 409)
406. Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner at all?
OCCASIONAL SEXUAL PARTNER(S) 2
REGULAR AND OCCASIONAL SEXUAL PARTNER(S) 3
NO SEXUAL PARTNER 4
407. Have you ever been married or lived with a woman?
YES, LIVED WITH A WOMAN 2 (GO TO 411)
BOTH 3
NO 8 (GO TO 416)
408. What is your marital status now: are you widowed, divorced, or separated?
DIVORCED 2 (GO TO 411)
SEPARATED 3 (GO TO 411)
409. RECORD LINE NUMBER OF WIFE (WIVES) ACCORDING TO QUESTIONS 402 AND 404 FROM THE HOUSEHOLD QUESTIONNAIRE. IF ONE WIFE DOES NOT LIVE IN THE SAME HOUSEHOLD, RECORD '00'. THE NUMBER OF BOXES MUST CONTAIN EQUAL NUMBER OF WIVES.
CHECK 402 AND 404: NUMBER OF WIVES/PARTNERS:
SUM OF 402 AND 404 IS '1': Please, tell me the name of your wife/partner:
SUM OF 402 AND 404 IS GREATER THAN 1: Please, tell me the names of your wives/partners starting with the first one.
PARTNER 2
410. CHECK 409: NUMBER OF WIVES/PARTNERS
MORE THAN ONE WIFE/PARTNER (GO TO 412)
411. Have you been married or lived with a woman only once, or more than once?
MORE THAN ONCE 2 (GO TO 413)
412. Besides the women you have mentioned, have you ever been married or lived with a woman as a wife?
NO 2 (GO TO 414)
413. In total, how many women as wives have you lived with?
MARRIED/LIVED WITH A WOMAN ONLY ONCE OR 411 ANSWER IS '1': In what month and year did you start living with your wife/partner?
OTHERS: Now we will talk about your first wife/partner. In what month and year did you start living with her?
DOESN'T KNOW MONTH 98
DOESN'T KNOW YEAR 9998
415. How old were you when you started living with him?
Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family planning issues.
416. How old were you when you first had sexual intercourse?
AGE IN YEARS _____
FIRST TIME WHEN MARRIED 95
416A. CHECK FROM QUESTION 106 IF SHE IS BETWEEN 15-24 YEARS OF AGE:
SHE IS BETWEEN 25-64 YEARS OF AGE (GO TO 417)
416B. The first time you had sex, was a condom used?
NO 2
417. When was the last time you had sexual intercourse?
IF ANSWER IS LESS THAN 12 MONTHS AGO RECORD DAYS OR MONTHS GIVEN BY THE RESPONDENT. IF MORE THAN 12 MONTHS AGO RECORD IN YEARS. IF HAD SEX THAT DAY, RECORD '00'.
WEEKS AGO 2 ____
MONTHS AGO 3____
YEARS AGO 4____ (GO TO 445)
418. The last time you had sex, was a condom used?
NO 2 (GO TO 420)
419. What was the main reason for using a condom?
WANTED TO AVOID PREGNANCY 02
WANTED TO PREVENT STD/AIDS AND AVOID PREGNANCY 03
DID NOT TRUST PARTNER/ FELT THAT PARTNER HAD OTHER PARTNERS 04
PARTNER WANTED/INSISTED IN USING IT 05
OTHER (SPECIFY) _____96
DOESN'T KNOW 98
420. CHECK 302 (02) IF INTERVIEWEE IS STERILIZED:
NOT STERILIZED (GO TO 424)
421. CHECK 419: CONDOM USED TO AVOID PREGNANCY:
CODE '02' OR '03': During the last time you had a sexual relation, did you and your partner use another method besides the condom to avoid pregnancy?
OTHER: During the last time you had a sexual relation with a woman, did you and your partner use any method to avoid pregnancy?
NO 2 (GO TO 423)
DOESN'T KNOW 8 (GO TO 424)
422. Which method did you use?
IF USED VARIOUS METHODS, MARK THE ONE CLOSER TO THE TOP.
MALE STERILIZATION 02 (GO TO 424)
PILL 03 (GO TO 424)
IUD 04 (GO TO 424)
INJECTABLES 05 (GO TO 424)
CONDOM 06 (GO TO 424)
DIAPHRAGM 07 (GO TO 424)
FOAM, JELLY, SPONGE 08 (GO TO 424)
LACTATIONAL AMEN. METHOD 09 (GO TO 424)
PERIODIC ABSTINENCE 10 (GO TO 424)
WITHDRAWAL 11 (GO TO 424)
OTHER METHODS (SPECIFY) _____ 96 (GO TO 424)
DOESN'T KNOW 98 (GO TO 424)
423. CHECK 419: CONDOM USED TO AVOID PREGNANCY (CODE '02' OR '03')
OTHER (GO TO 423A)
423A. What is the main reason that you think you will not use a method?
IS WOMEN'S RESPONSIBILITY 12
USE CONDOM TO PREVENT STD/AIDS 13
MENOPAUSAL/HYSTERECTOMY 23
MAN OR WOMAN INFECUND/STERILE 24
WANTS MORE CHILDREN 25
PREGNANT WOMEN/PARTNER 26
WOMEN/PARTNER IS BREASTFEEDING 27
WIFE OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COSTS TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
DOESN'T KNOW 98
424. What is your relationship to the woman with whom you last had sex?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉ', ASK: Was your girlfriend/fiancé living with you when you last had sex?
IF YES, CIRCLE '1', IF NO, CIRCLE '2'
GIRLFRIEND/FIANCÉ 02
FRIEND 03
OCCASIONAL PARTNER 04
RELATIVE 05
PROSTITUTE 06
OTHER (SPECIFY) _____96
425. For how long have you had sexual relations with this woman?
IF SEXUAL INTERCOURSE WITH THAT WOMAN HAPPENED ONCE, RECORD '01' IN DAYS.
WEEKS AGO 2___
MONTHS AGO 3____
YEARS AGO 4_____
426. Have you had sex with any other woman in the last 12 months?
NO 2 (GO TO 445)
427. The last time you had sexual intercourse with another woman, was a condom used?
NO 2 (GO TO 429)
428. What was the main reason you used a condom?
WANTED TO AVOID PREGNANCY 02
WANTED TO PREVENT OR AVOID PREGNANCY AND STD/AIDS 03
DID NOT TRUST PARTNER/ FELT THAT PARTNER HAD OTHER SEXUAL PARTNERS 04
PARTNER ASKED/INSISTED IN USING IT 05
OTHER (SPECIFY) _____96
DOESN'T KNOW 98
429. CHECK 302(2) IF RESPONDENT IS NOT STERILIZED:
MAN STERILIZED (GO TO 433)
430. CHECK 428: CONDOM USED TO AVOID PREGNANCY:
CODE '02' OR '03': During the last time you had a sexual relation, did you and your partner use another method besides the condom to avoid pregnancy?
OTHER: During the last time you had a sexual relation, did you and your partner use any method to avoid pregnancy?
NO 2 (GO TO 432)
DOESN'T KNOW 8 (GO TO 433)
431. Which method did you use?
IF USED VARIOUS METHODS MARK THE ONE CLOSER TO THE TOP.
MALE STERILIZATION 02 (GO TO 433)
PILL 03 (GO TO 433)
IUD 04 (GO TO 433)
INJECTABLES 05 (GO TO 433)
CONDOM 06 (GO TO 433)
DIAPHRAGM 07 (GO TO 433)
FOAM, JELLY, SPONGE 08 (GO TO 433)
LACTATIONAL AMEN. METHOD 09 (GO TO 433)
PERIODIC ABSTINENCE 10 (GO TO 433)
WITHDRAWAL 11 (GO TO 433)
OTHER METHODS (SPECIFY) ______ 96 (GO TO 433)
DOESN'T KNOW 98 (GO TO 433)
432. CHECK 428:
CONDOM USED TO AVOID PREGNANCY (CODE '02' OR '03'):
OTHER (GO TO 432A)
432A. What is the main reason that you think you will not use a method?
IS WOMEN'S RESPONSIBILITY 12
USE CONDOM TO PREVENT STD/AIDS 13
MENOPAUSAL/HYSTERECTOMY 23
MAN OR WOMAN INFECUND/STERILE 24
WANTS MORE CHILDREN 25
PREGNANT WOMEN/PARTNER 26
WOMEN/PARTNER IS BREASTFEEDING 27
WIFE OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
DOESN'T KNOW 98
433. What is (was) your relationship to the (other) woman with whom you last had sex?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉ', ASK: Was your girlfriend/fiancé living with you when you last had sex?
IF YES, CIRCLE '1' IF NO, CIRCLE '2'.
GIRLFRIEND/FIANCÉ 02
FRIEND 03
OCCASIONAL PARTNER 04
RELATIVE 05
PROSTITUTE 06
OTHER (SPECIFY) _____96
434. For how long have you had sexual relations with that woman?
IF SEXUAL INTERCOURSE WITH THAT WOMAN HAPPENED ONCE, RECORD '01' IN DAYS.
WEEKS AGO 2___
MONTHS AGO 3____
YEARS AGO 4_____
435. Besides those women, have you had sex with any other woman in the last 12 months?
NO 2 (GO TO 445)
436. The last time you had sexual intercourse with that woman, was a condom used?
NO 2 (GO TO 438)
437. What was the main reason you used a condom?
WANTED TO AVOID PREGNANCY 02
WANTED TO PREVENT OR AVOID PREGNANCY AND STD/AIDS 03
DID NOT TRUST PARTNER/ FELT THAT PARTNER HAD OTHER SEXUAL PARTNERS 04
PARTNER ASKED/INSISTED IN USING IT 05
OTHER (SPECIFY) _____96
DOESN'T KNOW 98
438. CHECK 302 (02) IF INTERVIEWEE IS STERILIZED:
STERILIZED (GO TO 442)
439. CHECK 437:
CONDOM USED TO AVOID PREGNANCY:
CODE '02' OR '03': During the last time you had a sexual relation, did you and your partner use another method besides the condom to avoid pregnancy?
OTHER: During the last time you had a sexual relation, did you and your partner use any method to avoid pregnancy?
NO 2 (GO TO 441)
DOESN'T KNOW 8 (GO TO 442)
440. Which method did you use?
IF USED VARIOUS METHODS, MARK THE ONE CLOSER TO THE TOP.
MALE STERILIZATION 02 (GO TO 442)
PILL 03 (GO TO 442)
IUD 04 (GO TO 442)
INJECTABLES 05 (GO TO 442)
CONDOM 06 (GO TO 442)
DIAPHRAGM 07 (GO TO 442)
FOAM, JELLY, SPONGE 08 (GO TO 442)
LACTATIONAL AMEN. METHOD 09 (GO TO 442)
PERIODIC ABSTINENCE 10 (GO TO 442)
WITHDRAWAL 11 (GO TO 442)
OTHER METHODS (SPECIFY) _____ 96 (GO TO 442)
DOESN'T KNOW 98 (GO TO 442)
441. CHECK 437:
CONDOM USED TO AVOID PREGNANCY (CODE '02' OR '03')
OTHER (GO TO 441A)
441A. What is the main reason that you think you will not use a method?
IS WOMEN'S RESPONSIBILITY 12
USE CONDOM TO PREVENT STD/AIDS 13
MENOPAUSAL/HYSTERECTOMY 23
MAN OR WOMAN INFECUND/STERILE 24
WANTS MORE CHILDREN 25
PREGNANT WOMEN/PARTNER 26
WOMEN/PARTNER IS BREASTFEEDING 27
WIFE OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
DOESN'T KNOW 98
442. What is (was) your relationship to the (third) woman with whom you last had sex?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉ', ASK: Was your girlfriend/fiancé living with you when you last had sex?
IF YES, CIRCLE '1', IF NO, CIRCLE '2'
GIRLFRIEND/FIANCÉ 02
FRIEND 03
OCCASIONAL PARTNER 04
RELATIVE 05
PROSTITUTE 06
OTHER (SPECIFY) _____96
443. For how long have you had sexual relations with that (third) woman?
IF SEXUAL INTERCOURSE WITH THAT WOMAN HAPPENED ONCE, RECORD '01' IN DAYS.
WEEKS AGO 2___
MONTHS AGO 3____
YEARS AGO 4_____
444. In total, with how many women have you had sex in the last 12 months?
445. Have you ever paid for a sexual relation with a woman?
NO 2 (GO TO 448)
446. When was the last time you paid for a sexual relation with a woman?
WEEKS AGO 2___
MONTHS AGO 3____
YEARS AGO 4_____
447. The last time you paid for a sexual relation with a woman, was a condom used?
NO 2
448. Do you know of a place where you can get condoms (for purchase or for free)?
NO 2 (GO TO 451)
449. Where is that? Any other place?
RECORD ALL SOURCES MENTIONED.
IF SOURCE IS HOSPITAL, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
PROVINCIAL/GENERAL HOSPITAL B
HOSPITAL IN RURAL AREA C
HEALTH CENTER D
MOBILE CLINIC E
OTHER (SPECIFY) ____ F
PRIVATE CLINIC H
PRIVATE DOCTOR I
PRIVATE NURSE J
PRIVATE PHARMACY K
OTHER PRIVATE MEDICAL (SPECIFY) ___ L
CHURCH N
FRIENDS/RELATIVES O
TRADITIONAL HEALER P
PARTNER Q
MEDICAL STAFF IN THE NEIGHBORHOOD R
STAND/BOOTH INFORMATION S
STORE T
BAR/DISCOTHEQUE U
ADOLESCENT SPECIAL SERVICES V
OTHER (SPECIFY) ____X
450. If you wanted a condom, can you obtain it?
NO 2
DOESN'T KNOW 8
451. CHECK 302(06), 416B, 418, 427, 436 AND 447:
USE OF CONDOM:
OTHER (GO TO 456)
452. How old were you when you first used a condom?
DOESN'T REMEMBER 98
453. What was the main reason for using a condom during the first time?
ASK: Any other reason?
RECORD ALL ANSWERS MENTIONED.
WANTED TO AVOID PREGNANCY B
WANTED TO PREVENT STD/AIDS AND AVOID PREGNANCY C
DID NOT TRUST PARTNER/ FELT THAT PARTNER HAD OTHER PARTNERS D
PARTNER WANTED/INSISTED IN USING IT E
OTHER (SPECIFY) _____X
DOESN'T KNOW Z
454. Have you ever had any problems using a condom?
NO 2 (GO TO 456)
454A. What was the problem?
ASK: Any other problem?
RECORD ALL ANSWERS MENTIONED.
DIFFICULT TO PUT ON/TAKE OFF B
AFFECT THE LOVE ENVIRONMENT C
DECREASES PLEASURE D
PARTNER DOES NOT LIKE IT E
IS INCONVENIENT F
CONDOM BREAKS G
WIFE/PARTNER IS PREGNANT H
OTHER (SPECIFY) _____ X
456. Do you agree or disagree with the following:
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
DISAGREE 2
DOESN'T KNOW 8
SECTION 5. FERTILITY PREFERENCES
501. CHECK 409:
HAS ONE OR MORE WIVES/PARTNERS:
HAS MORE THAN ONE WIFE/PARTNER (GO TO 502)
QUESTION NOT ASKED (GO TO 505)
502. Is your wife/partner (or any of your partners) pregnant at this moment?
NO 2
UNSURE 3
WIFE/PARTNER NOT PREGNANT OR UNSURE: 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?
WIFE/PARTNER PREGNANT: Now I have some questions about the future. After the child you and your wife/partner are expecting now, would you like to have another child or would you prefer not to have any more children?
NO MORE/NONE 2 (GO TO 505)
WIFE (WIVES)/PARTNER(S) CAN'T GET PREGNANT 3 (GO TO 505)
UNDECIDED/DOESN'T KNOW 8 (GO TO 505)
504. How long do you want to wait after this child is born to have other?
YEARS 2_____
NOW 993
AFTER MARRIAGE 995
OTHER (SPECIFY) ____996
DOESN'T KNOW 998
HAS LIVING 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?
NO LIVING CHILDREN: If you could choose exactly the number of children to have in your whole life, how many would that be?
PROBE FOR A NUMERIC RESPONSE.
NUMBER____
OTHER (SPECIFY) _____96 (GO TO 507)
506. How many of these children would you like to be boys, how many would you like to be girls and for how would it not matter?
507. Would you say that you approve or disapprove of couples using a method to avoid getting pregnant?
DISAPPROVE 2
DOESN'T KNOW/INDIFFERENT 8
508. In the last month have you heard about family planning:
A. On the radio?
B. On the television?
C. In a newspaper or magazine?
D. From a poster?
E. From leaflets or brochures?
NO 2
NO 2
NO 2
NO 2
NO 2
510. In the last 6 months, have you discussed the practice of family planning with your friends, neighbors, or relatives?
NO 2 (GO TO 512)
511. With whom? Anyone else?
RECORD ALL MENTIONED.
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
AUNT/UNCLES F
DAUGHTER/SON G
MOTHER-IN-LAW H
MEDICAL STAFF I
DOCTOR J
TEACHER/PROFESSOR K
FRIENDS/NEIGHBORS L
PRIEST M
OTHER (SPECIFY) _____X
512. Did any staff member at the health facility speak to you about family planning methods?
NO 2
SECTION 6. HEALTH CARE PARTICIPATION
601. CHECK 209: ONE OR MORE CHILDREN:
DOES NOT HAVE CHILDREN (GO TO 617)
602. What is your last child's name and sex?
FEMALE 2
603. In which month and year was (NAME) born?
NO 2
DOESN'T KNOW 8 (GO TO 606)
605. How old was (NAME) when he/she died?
IF '1 YEAR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN A MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
MONTHS 2 _____
YEARS 3 _____
DOESN'T KNOW 998
606. What is the name of (NAME)'s mother?
RECORD MOTHER'S NAME AND THE LINE NUMBER FROM HOUSEHOLD QUESTIONNAIRE.
IF MOTHER IS NOT LISTED IN HOUSEHOLD QUESTIONNAIRE, RECORD '00'.
607. CHECK 603:
IF (LAST) CHILD WAS BORN IN 1998 OR AFTER:
(LAST) CHILD BORN IN 1997 OR BEFORE (GO TO 617)
OTHER LINE NUMBER (GO TO 610)
609. What is your relation to (NAME)'s mother?
EX-SPOUSE/EX-COHABITING PARTNER 02
GIRLFRIEND/FIANCÉ 03
FRIEND 04
REGULAR PARTNER 05
OCCASIONAL PARTNER 06
RELATIVE 07
OTHER (SPECIFY) _____96
ASK QUESTIONS 610-612 FIRST DURING PREGNANCY, DURING DELIVERY AND 6 WEEKS OR LATER. ALL QUESTIONS ARE RELATED TO THE LAST BIRTH.
610. Now think when (NAME'S MOTHER) was pregnant of (NAME):
DURING PREGNANCY:
610A) Did (NAME'S MOTHER) have an antenatal appointment when she was pregnant?
NO 2 (GO TO 612)
DOESN'T KNOW 8 (GO TO 610B)
DURING DELIVERY:
610B) Did a health worker help (NAME'S MOTHER) during delivery?
NO 2 (GO TO 612)
DOESN'T KNOW 8 (GO TO 610C)
SIX WEEKS AFTER DELIVERY:
610C) Did (NAME'S MOTHER) had an postnatal appointment six weeks after delivery?
NO 2 (GO TO 612)
DOESN'T KNOW 8 (GO TO 613)
INSURANCE 02 (GO TO NEXT COLUMN 610B)
INTERVIEWEE 03 (GO TO NEXT COLUMN 610B)
CHILD'S MOTHER 04 (GO TO NEXT COLUMN 610B)
BOTH INTERVIEWEE AND MOTHER 05 (GO TO NEXT COLUMN 610B)
INTERVIEWEE'S RELATIVES 06 (GO TO NEXT COLUMN 610B)
MOTHER'S RELATIVES 07 (GO TO NEXT COLUMN 610B)
OTHER (SPECIFY) ____96 (GO TO NEXT COLUMN 610B)
INSURANCE 02 (GO TO NEXT COLUMN 610C)
INTERVIEWEE 03 (GO TO NEXT COLUMN 610C)
CHILD'S MOTHER 04 (GO TO NEXT COLUMN 610C)
BOTH INTERVIEWEE AND MOTHER 05 (GO TO NEXT COLUMN 610C)
INTERVIEWEE'S RELATIVES 06 (GO TO NEXT COLUMN 610C)
MOTHER'S RELATIVES 07 (GO TO NEXT COLUMN 610C)
OTHER (SPECIFY) _____96 (GO TO NEXT COLUMN 610C)
INSURANCE 02 (GO TO 613)
INTERVIEWEE 03 (GO TO 613)
CHILD'S MOTHER 04 (GO TO 613)
BOTH INTERVIEWEE AND MOTHER 05 (GO TO 613)
INTERVIEWEE'S RELATIVES 06 (GO TO 613)
MOTHER'S RELATIVES 07 (GO TO 613)
OTHER (SPECIFY) _____96 (GO TO 613)
612. What was the reason (NAME'S MOTHER) did not have an antenatal appointment or health care during pregnancy, delivery and six weeks after delivery?
IS NOT COMMON 02 (GO TO NEXT COLUMN 610B)
INTERVIEWEE DID NOT ALLOW IT 03 (GO TO NEXT COLUMN 610B)
TOO EXPENSIVE 04 (GO TO NEXT COLUMN 610B)
TOO FAR/LACK OF TRANSPORTATION 05 (GO TO NEXT COLUMN 610B)
BAD SERVICES 06 (GO TO NEXT COLUMN 610B)
LACK OF KNOWLEDGE 07 (GO TO NEXT COLUMN 610B)
OTHER (SPECIFY) _____96 (GO TO NEXT COLUMN 610B)
IS NOT COMMON 02 (GO TO NEXT COLUMN 610C)
INTERVIEWEE DID NOT ALLOW IT 03 (GO TO NEXT COLUMN 610C)
TOO EXPENSIVE 04 (GO TO NEXT COLUMN 610C)
TOO FAR/LACK OF TRANSPORTATION 05 (GO TO NEXT COLUMN 610C)
BAD SERVICES 06 (GO TO NEXT COLUMN 610C)
LACK OF KNOWLEDGE 07 (GO TO NEXT COLUMN 610C)
OTHER (SPECIFY) _____96 (GO TO NEXT COLUMN 610C)
IS NOT COMMON 02
INTERVIEWEE DID NOT ALLOW IT 03
TOO EXPENSIVE 04
TOO FAR/LACK OF TRANSPORTATION 05
BAD SERVICES 06
LACK OF KNOWLEDGE 07
OTHER (SPECIFY) _____96
613. When (NAME'S MOTHER) was pregnant, did you talk to a health worker about her pregnancy/health in general?
NO 2
(LAST) CHILD DEAD, DOESN'T KNOW (GO TO 617)
615. Does (NAME) live with you?
NO 2 (GO TO 617)
616. In your household, who usually decides what to do when (NAME) gets sick?
PROBE: Anyone else?
RECORD ALL ANSWERS MENTIONED.
CHILD'S MOTHER B
STEPMOTHER C
FEMALE RELATIVE D
MALE RELATIVE E
OTHER (SPECIFY) _____X
CHILD WAS NEVER SICK Y
Now I would like to know about the pregnancy and the child's health care:
617. Sometimes a pregnancy can have complications and the mother or the child could die. What signs or symptoms tell you that a pregnancy can be difficult?
PROBE: Any other symptoms?
RECORD ALL ANSWERS MENTIONED.
HIGH TEMPERATURE FEVER B
ABDOMINAL PAIN C
SWOLLEN FEET/HANDS D
LONG DELIVERY PROCESS E
CONVULSIONS F
OTHER (SPECIFY) _____X
DOESN'T KNOW ANY SIGNS OR SYMPTOMS Z
618. When a child has diarrhea, should he/she be given less to drink than usual, about the same amount, or more than usual?
ABOUT THE SAME AMOUNT 2
MORE TO DRINK 3
DOESN'T KNOW 8
619. Have you ever heard about a fluid called 'Mixture' (salts ORS) that is given to children to treat diarrhea?
NO 2
625. Some people are circumcised. Are you circumcised?
NO 2 (GO TO 629)
DOESN'T KNOW 8 (GO TO 632)
626. How old were you when you were circumcised?
627. Was circumcision performed by traditional methods or by a doctor?
DOCTOR 2
DOESN'T KNOW 8
628. What was the reason to get circumcised?
HEALTH/HYGIENE 02 (GO TO 632)
SEXUAL SATISFACTION 03 (GO TO 632)
IS EASIER TO USE A CONDOM 04 (GO TO 632)
OTHER (SPECIFY) ____96 (GO TO 632)
DOESN'T KNOW 98 (GO TO 632)
629. Would you be interested in getting circumcised if the process was safe and affordable?
NO 2 (GO TO 631)
DOESN'T KNOW 8 (GO TO 632)
HEALTH/HYGIENE 02 (GO TO 632)
SEXUAL SATISFACTION 03 (GO TO 632)
IS EASIER TO USE A CONDOM 04 (GO TO 632)
OTHER (SPECIFY) ____96 (GO TO 632)
DOESN'T KNOW 98 (GO TO 632)
631. Why wouldn't you be interested in circumcision?
DOESN'T WANT IT 02
SEXUAL SATISFACTION 03
IS EASIER TO USE A CONDOM 04
TOO EXPENSIVE 05
IS PAINFUL 06
OTHER (SPECIFY) ____96
DOESN'T KNOW 98
632. Do you currently smoke or consume any type of tobacco?
IF 'YES': What type?
RECORD ALL ANSWERS MENTIONED.
YES, PIPE B
YES, OTHER TYPE OF TOBACCO C
NO Y (GO TO 635)
CODE 'A' NOT CIRCLED (GO TO 635)
634. During the last 24 hours, how many cigarettes have you smoked?
635. Have you ever consumed an alcoholic beverage?
NO 2 (GO TO 701)
636. During the last three months, how many days a week did you consume alcohol?
IF ANSWER IS EVERYDAY, RECORD '90'.
NONE 95
637. Have you ever been drunk?
NO 2 (GO TO 701)
NONE (GO TO 701)
639. During the last three months, how many times were you drunk?
NONE 95
701. Have you ever heard of an illness called AIDS?
NO 2 (GO TO 724)
701A. From which sources of information have you learned most about AIDS?
Any other sources?
RECORD ALL MENTIONED.
TELEVISION B
NEWSPAPER OR MAGAZINE C
PAMPHLETS/POSTER D
HEALTH WORKERS E
MOSQUES/CHURCHES F
SCHOOL/TEACHERS G
COMMUNITY MEETINGS/CONFERENCES H
FRIENDS/RELATIVES/PARTNERS I
WORKPLACE J
HEALTH POST K
HEALTH CENTER/HOSPITAL L
HEALTH ACTIVIST M
PRIVATE CLINIC N
ADOLESCENT SPECIAL SERVICES O
OTHER (SPECIFY) ______ X
701B. Do you think that HIV/AIDS has a cure?
RECORD ALL ANSWERS MENTIONED.
NO 2 (GO TO 701D)
DOESN'T KNOW 8 (GO TO 701D)
701C. How can it be cured?
RECORD ALL ANSWERS MENTIONED.
MEDICINES/DRUGS B
TRADITIONAL HEALER/MEDICINES C
OTHER (SPECIFY) _____ X
701D. Do you think that HIV/AIDS is a mortal illness?
NO 2
UNSURE 3
DOESN'T KNOW 8
701E. Do you think that the risk of you contracting HIV/AIDS is low, moderate, high or not at risk at all?
LOW RISK 2
MODERATE RISK 4
HIGH RISK 5
DOESN'T KNOW 8
702. Do you know how a person can avoid getting AIDS or the virus that cause AIDS?
NO 2 (GO TO 709)
DOESN'T KNOW 8 (GO TO 709)
703. What can a person do to avoid the risk of contracting AIDS? Any other ways?
RECORD ALL MENTIONED.
USE CONDOMS B
HAVE ONLY ONE PARTNER C
LIMIT NUMBER OF SEXUAL PARTNERS D
AVOID SEX WITH HOMOSEXUALS E
AVOID BLOOD TRANSFUSIONS F
AVOID BLOOD DONATION G
ONLY USE STERILIZED/DISPOSABLE SYRINGES H
AVOID KISSING I
AVOID INFECTED PEOPLE J
AVOID SEX WITH PROSTITUTES K
AVOID USING PUBLIC TOILET/LATRINE L
OTHER (SPECIFY) ______ X
704. Can people reduce their chances of getting the AIDS virus by having just one sex partner who has no other partners?
NO 2
DOESN'T KNOW 8
705. Can people get the AIDS virus from mosquito bites?
NO 2
DOESN'T KNOW 8
706. Can people reduce their chances of getting the AIDS virus by using a condom every time they have sex?
NO 2
DOESN'T KNOW 8
707. Can people get the AIDS virus by sharing food with a person who has AIDS?
NO 2
DOESN'T KNOW 8
708. Can people avoid the AIDS virus by abstaining from sex?
NO 2
DOESN'T KNOW 8
709. Is it possible for a healthy-looking person to have the AIDS virus?
NO 2
DOESN'T KNOW 8
710. Do you know someone personally who has the virus that causes AIDS or someone who died of AIDS?
NO 2
711. Can the virus that causes AIDS be transmitted from mother to a child?
NO 2 (GO TO 813)
DOESN'T KNOW 8 (GO TO 813)
712. Can the virus that causes AIDS be transmitted from mother to a child:
NO 2
DOESN'T KNOW 8
NO 2
DOESN'T KNOW 8
NO 2
DOESN'T KNOW 8
712A. Can a mother infected with the AIDS virus avoid transmitting it to her child by taking appropriate drugs during pregnancy?
NO 2
DOESN'T KNOW 8
713. CHECK 401 IF CURRENTLY MARRIED/IN A CIVIL UNION:
NO, NOT IN A CIVIL UNION (GO TO 715)
714. Have you ever talked about ways to prevent getting the virus that causes AIDS with your wife/partner?
IF MAN HAS MORE THAN ONE WIFE/PARTNER, ASK FOR WHICH ONE OF THEM.
NO 2
715. In your opinion is it acceptable or not acceptable to provide information on family planning by means of:
A. On the radio?
B. On the television?
C. In the newspaper?
NOT ACCEPTABLE 2
NOT ACCEPTABLE 2
NOT ACCEPTABLE 2
715A. If you knew that the produce vendor has the AIDS virus, would you buy his/her products?
NO 2
DOESN'T KNOW 8
716. If a member of your family got infected with the virus that causes AIDS, would you want it to remain a secret or not?
NO 2
DOESN'T KNOW 8
717. If a relative of yours became sick with the virus that caused AIDS, would you be willing to care for her or him in your own household?
NO 2
DOESN'T KNOW 8
718. If a teacher had the virus that caused AIDS but was not sick, could s/he continue teaching in school?
NO 2
DOESN'T KNOW 8
719. Can you talk to your children ages 12-14 about the use of condoms to prevent AIDS?
NO 2
DOESN'T KNOW 8
720. I am not interested in knowing the results, but have you ever had an AIDS test?
NO 2 (GO TO 721)
720A. When was the last time you were tested for AIDS?
12-23 MONTHS 2
2 OR MORE YEARS 3
720B. The last time you were tested for AIDS was it voluntarily, was it recommended by someone else, or were you forced to do it?
RECOMMENDED 2
FORCED 3
720C. I am not interested in knowing the results, but did you get the results of that test?
NO 2 (GO TO 723A)
720D. Did you receive any advice?
NO 2 (GO TO 723A)
721. Would you like to be tested for AIDS?
NO 2
722. Do you know a place where you can be tested for AIDS?
NO 2 (GO TO 724)
723. Where is that?
723A. Where did you go to get tested?
IF SOURCE IS HOSPITAL, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
PROVINCIAL/GENERAL HOSPITAL 12
RURAL HOSPITAL 13
HEALTH CENTER 14
GATV (Office for Advice and Voluntary Testing of HIV/AIDS) 15
OTHER PUBLIC SECTOR (SPECIFY) ____ 16
PRIVATE CLINIC 22
PRIVATE DOCTOR 23
PRIVATE PHARMACY 24
PRIVATE LABORATORY 25
OTHER PRIVATE MEDICAL (SPECIFY) ___26
724. Apart from AIDS, have you heard about other infections that can be transmitted through sexual contact?
NO 2 (GO TO 727)
725. If a MAN has a sexually transmitted disease (STD), what symptoms might he have?
Any others?
(DO NOT READ THE ANSWERS) RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
BURNING PAIN DURING URINATION C
REDNESS/INFLAMMATION IN GENITAL AREA D
SWELLING IN GENITAL AREA E
GENITAL SORES/ULCERS/WARTS F
BLOOD IN URINE G
LOSS OF WEIGHT H
IMPOTENCE I
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DOESN'T KNOW Z
726. If a WOMAN has a sexually transmitted disease (STD), what symptoms might she have? Any others?
(DO NOT READ THE ANSWERS) RECORD ALL SYMPTOMS MENTIONED.
VAGINAL DISCHARGE/DRIPPING B
BURNING PAIN IN URINATION C
REDNESS/INFLAMMATION IN GENITAL AREA D
SWELLING IN GENITAL AREA E
GENITAL SORES/ULCERS/WARTS F
BLOOD IN URINE G
LOSS OF WEIGHT H
HARD TO GET PREGNANT/HAVE A CHILD I
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DOESN'T KNOW Z
727. CHECK 416:
HAVE YOU HAD SEXUAL RELATIONS?
NEVER HAD SEXUAL RELATIONS (GO TO 801)
727A. CHECK 724:
DO YOU KNOW ABOUT STD?
DOES NOT KNOW ABOUT STD (GO TO 729)
Now I would like to ask you about your health in the last 12 months:
728. Have you had any sexually transmitted disease (STD) during the last 12 months?
NO 2
DOESN'T KNOW 8
729. Sometimes, the male penis can release an abnormal amount of discharge. During the last 12 months, have you had any abnormal secretion?
NO 2
DOESN'T KNOW 8
730. During the last 12 months, have you had any sores, ulcers or warts in the genital or anal area?
NO 2
DOESN'T KNOW 8
NOT ONE 'YES' (GO TO 801)
732. The last time you had those problems (PROBLEMS MENTIONED IN 728, 729, AND 730), did you seek advice or treatment?
NO 2 (GO TO 734)
733. The last time you had those problems (PROBLEMS MENTIONED IN 728, 729, AND 730), did you do any of the following:
NO 2
NO 2
NO 2
NO 2
734. When you had those problems did you tell your sexual partner(s) about it?
NO 2
NOT EVERYONE/ONLY SOME 3
DOES NOT HAVE PARTNER(S) 4 (GO TO 801)
735. When you had those problems did you do anything to avoid transmitting them to your sexual partner?
NO 2 (GO TO 801)
WIFE/PARTNER IS INFECTED 3 (GO TO 801)
736. What did you do to avoid transmitting those problems to your partner?
A. Stopped having sexual relations?
B. Used a condom?
C. Took medicine/drugs?
NO 2
NO 2
NO 2
SECTION 8. ATTITUDE TOWARDS WOMEN
801. Who should have the last word in the following decisions: the husband, the wife or both:
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
WIFE/PARTNER 2
JOINTLY WITH WIFE/PARTNER 3
NOT SURE 8
802. Sometimes the husband or partner gets upset about things that the wife/partner does. In your opinion, is the husband/partner justified in hitting his wife/partner?
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
803. When a wife knows that her husband has a sexually transmitted infection, is she justified in pressuring him to use a condom?
NO 2
NOT SURE 8
804. Husbands and wives do not always agree on everything. Can you tell me if a woman is justified in refusing to have sexual relations with her husband when:
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
805. Do you think that if a woman refuses to have sex with her husband when he wants her to, he should have the right to:
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
NO 2
NOT SURE/DEPENDS 8
MINUTES ________
TO BE FILLED IN AFTER COMPLETING INTERVIEW.
COMMENTS ABOUT RESPONDENT _____
COMMENTS ON SPECIFIC QUESTIONS _____
ANY OTHER COMMENTS _____
SUPERVISOR'S OBSERVATIONS_____
NAME _____
DATE _____
EDITOR'S OBSERVATIONS_____
NAME _____
DATE _____