DEMOGRAPHIC AND HEALTH SURVEY
HUSBAND'S INDIVIDUAL QUESTIONNAIRE
1992
DEPARTMENT___
DISTRICT ___
MUNICIPALITY/ADMINISTRATIVE DISTRICT/CITY CENTER ___
AGADEZ, MARADI, TAHOUA, ZINDER 2
OTHER CITY 3
RURAL 4
LINE NUMBER OF ELIGIBLE MAN ___
STRATUS NUMBER ___
CLUSTER NUMBER ___
STRUCTURE NUMBER ___
RESIDENCE NUMBER ___
CENSUS ZONE NUMBER ___
INTERVIEWER:
(REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE__
DAY__
MONTH__
YEAR__
INTERVIEWER NAME___
RESULTS___
NEXT VISIT [FOR INTERVIEWERS 1 AND 2]:
DATE__
TIME__
FINAL VISIT:
DAY__
MONTH__
YEAR 19__
INTERVIEWER__
RESULT__
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTIALLY FILLED OUT 5
OTHER (SPECIFY): ___ 6
INTERVIEW LANGUAGE:
HAOUSSA 2
DJERMA 3
OTHERS 4
INTERPRETER :
NO 2
FIELD EDITED BY:
NAME ___
DATE ___
OFFICE EDITED BY:
NAME ___
DATE ___
KEYED BY:
NAME ___
DATE ___
SECTION 1. RESPONDENT BACKGROUND
MINUTES: ___
102) In what month and year were you born?
DON'T KNOW MONTH 98
DON'T KNOW YEAR 98
103) How old were you at your last birthday?
COMPARE AND CORRECT IF 102 AND 103 ARE INCOMPATIBLE.
NO 2 (GO TO 107)
105) What is the highest level of education that you attended: primary, first cycle of secondary, second cycle of secondary, or higher?
SECONDARY, FIRST CYCLE 2
SECONDARY, SECOND CYCLE 3
HIGHER 4
DON'T KNOW 8
106) What is the highest (class, year) you completed with success at that level?
PREPARATORY COURSE 2
ELEMENTARY COURSE 1 3
ELEMENTARY COURSE 2 4
MID-LEVEL COURSE 1 5
MID-LEVEL COURSE 2 6
5TH 2
4TH 3
3RD 4
DON'T KNOW 8
1ST 2
FINAL YEAR 3
DON'T KNOW 8
SECOND YEAR 2
THIRD YEAR 3
FOURTH YEAR AND HIGHER 4
DON'T KNOW 8
107) What is your main occupation?
CHRISTIAN 2
ANIMIST 3
OTHER (SPECIFY): ___ 4
109) What is your nationality?
TOGOLESE 02 (GO TO 111)
BENINESE 03(GO TO 111)
MALIAN 04 (GO TO 111)
BURKINABE 05 (GO TO 111)
OTHER AFRICAN 06 (GO TO 111)
OTHER (SPECIFY): ___ 07 (GO TO 111)
DJERMA 02
GOURMANTH 03
HAUSSA 04
KAMOURI 05
MOSSI 06
PEULH 07
TOUAREG BELLA 08
TOUBOU 09
OTHER (SPECIFY): ___ 10
111) Now I'd like to ask you some questions about marriage:
How many spouses/wives do you currently have?
112) Do you intend to take another or other spouses/wives in the future?
NO 2
113) In what month and year did you get married or start to live together with a woman for the first time?
DON'T KNOW MONTH 98
DON'T KNOW YEAR 98
114) How old were you when you got married or started to live together with a woman for the first time?
DON'T KNOW AGE 98
201) Now I would like to talk to you about family planning - the different ways or methods that a couple can use to delay or avoid a pregnancy. Which ways or methods have you heard about?
CIRCLE CODE 1 IN 202 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 RECOGNISED, AND CODE 3 IF NOT RECOGNIZED.
THEN FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 202, ASK QUESTIONS 203 BEFORE PROCEEDING TO THE NEXT METHOD.
202) Have you ever heard of (METHOD)?
READ DESCRIPTION OF EACH METHOD
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
NO 3 (GO QUESTION 305)
203) Have you ever used (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
AT LEAST ONE "YES" (EVER USED): ___ (GO TO 207)
205) Have you or your wife/wives ever used or tried any way to delay or avoid getting pregnant?
NO: ___ (GO TO 209)
206) What have you done or used?
CORRECT 203-204 (AND 202 IF NECESSARY).
207) Are you or your wife/wives currently doing anything or using a method to avoid getting pregnant?
NO 2 (GO TO 209)
208) What method are you currently using?
IUD 02 (GO TO 212)
INJECTIONS 03 (GO TO 212)
DIAPHRAGM/FOAM/GEL 04 (GO TO 212)
CONDOM 05 (GO TO 212)
FEMALE STERILIZATION 06 (GO TO 212)
MALE STERILIZATION 07(GO TO 212)
PERIODIC ABSTINENCE 08 (GO TO 212)
WITHDRAWAL 09 (GO TO 212)
GRIS-GRIS 10 (GO TO 212)
OTHER (SPECIFY): ___ 11 (GO TO 212)
209) Do you intend to use a method to avoid getting pregnant in the future?
NO 2 (GO TO 211)
DON'T KNOW 8 (GO TO 212)
210) Which method would you prefer to use?
IUD 02 (GO TO 212)
INJECTIONS 03 (GO TO 212)
DIAPHRAGM/FOAM/GEL 04 (GO TO 212)
CONDOM 05 (GO TO 212)
FEMALE STERILIZATION 06 (GO TO 212)
MALE STERILIZATION 07(GO TO 212)
PERIODIC ABSTINENCE 08 (GO TO 212)
WITHDRAWAL 09 (GO TO 212)
GRIS-GRIS 10 (GO TO 212)
OTHER (SPECIFY): ___ 11 (GO TO 212)
NOT SURE 98 (GO TO 212)
211) What is the main reason you do not intend to use a method?
LACK OF INFORMATION 02
PARTNER DISAPPROVES 03
COST TOO MUCH 04
SIDE EFFECTS 05
HEALTH PROBLEMS 06
HARD TO GET METHODS 07
RELIGION 08
OPPOSED TO FAMILY PLANNING 09
FATALIST 10
OTHER PEOPLE OPPOSED 11
INFREQUENT SEX 12
WIFE HAS DIFFICULTY GETTING PREGNANT 13
WIFE IS MENOPAUSAL/HAD HYSTERECTOMY 14
INCONVENIENT 15
CAN NOT/NO LONGER HAVE CHILDREN/STERILE 16
OTHER (SPECIFY): ___ 17
DON'T KNOW 98
212) Are you for or against information about family planning being provided on the radio and on television?
AGAINST 2
DON'T KNOW 8
213) In the last 12 months, have you attended any awareness sessions or talks about family planning?
NO 2 (GO TO 301)
214) Where did you attend these sessions or talks?
NEIGHBORHOOD 2
OTHER (SPECIFY): ___ 3
DON'T KNOW 8
SECTION 3: FERTILITY PREFERENCES
NO 2 (GO TO 303)
302) How many boys do you have?
How many girls do you have?
STERILIZED: ___ (GO TO 309)
304) Would you like to have (a/another) child or would you prefer to not have any (more) children?
NO MORE/NONE 2
SAYS WIFE CAN'T GET PREGNANT 3
SAYS HE CAN'T HAVE CHILDREN (ANY LONGER) 4
UNDECIDED OR DON'T KNOW 8
305) Do you think that your spouse(s)/wife/wives approve or disapprove of couples using a method to avoid getting pregnant?
NO 2
DON'T KNOW 3
306) How many times have you spoken with your spouse(s)/wife/wives about this subject in the past 12 months?
ONCE OR TWICE 2
MORE OFTEN 3
307) Have you ever talked to your spouse(s)/wife/wives about how many children you would like to have?
NO 2
308) Do you think your spouse(s)/wife/wives wants the same number of children that you want, or does she want more or fewer than you want?
MORE 2
LESS 3
DON'T KNOW 8
309) After childbirth, how much time should couples wait before starting to have sexual relations again, or doesn't matter?
YEARS: ___ 2
OTHER (SPECIFY): ___ 996
310) 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
311) In general, do you approve or disapprove of couples using a method to avoid getting pregnant?
DISAPPROVE 2
312) CHECK 301-302 AND CHECK THE BOX:
NO LIVING CHILDREN: If you could choose exactly the number of children to have in your whole life, how many would that be?
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?
OTHER (SPECIFY): ___ 96
MINUTES: ___
TO BE FILLED IN AFTER COMPLETING INTERVIEW
COMMENTS ABOUT RESPONDENT___
COMMENTS ON SPECIFIC QUESTIONS____
ANY OTHER COMMENTS___
SUPERVISOR'S OBSERVATIONS___
NAME OF SUPERVISOR___
DATE____
EDITOR'S OBSERVATIONS___
NAME OF EDITOR____
DATE____