NEPAL DEMOGRAPHIC AND HEALTH SURVEY 2001
MAN'S QUESTIONNAIRE
FOR EVER MARRIED MEN AGE 15-59
NAME AND CODE OF DISTRICT __________________
NAME AND CODE OF VILLAGE/MUNICIPALITY ____________________
WARD NUMBER ___
CLUSTER NUMBER ___
HOUSEHOLD NUMBER ________________
TOWN 2
COUNTRYSIDE 3
NAME OF HOUSEHOLD HEAD _________________
NAME AND LINE NUMBER OF MAN _______________
DATE
MONTH __
YEAR ____
INTERVIEWER'S NAME ______
INT. CODE __
NEXT VISIT
DATE ____
TIME _____
TOTAL VISITS ________
RESULT
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) _________________ 7
LANGUAGE OF QUESTIONNAIRE: ENGLISH
LANGUAGE OF INTERVIEW
BHOJURI 2
MAITHILI 3
THARU 4
OTHER 5
HOME LANGUAGE OF RESPONDENT
BHOJURI 2
MAITHILI 3
THARU 4
OTHER 5
WAS A TRANSLATOR USED?
NO 2
SUPERVISOR
DATE _________
FIELD EDITOR
DATE ___________
OFFICE EDITOR __
KEYED BY __
SECTION 1. RESPONDEN'T BACKGROUND
INFORMED CONSENT
Participation in this survey is voluntary and you can choose not to answer any individual questions or all of the questions. However, we hope that you will participate in this survey since your views are important.
At this time, do you want to ask me anything about the survey? May I begin the interview now?
Signature of interviewer: _____________________ Date: _____________
RESPONENT DOES NOT AGREE TO BE INTERVIEWED 2 (END)
MINUTES __
102. First I would like to ask some questions about you and your household. Most of the time until you were 12 years old, did you live in a city, in a town, or in the countryside?
TOWN 2
COUNTRYSIDE 3
103. How long have you been living continuously in (NAME OF CURRENT PLACE OF RESIDENCE)?
IF LESS THAN ONCE YEAR, RECORD '00' YEARS.
ALWAYS 95 (GO TO 105)
VISITOR 96 (GO TO 105)
104. Just before you moved here, did you live in a city, in a town, or in the countryside?
TOWN 2
COUNTRYSIDE 3
105. In what month and year were you born?
DON'T KNOW MONTH 98
YEAR ____
DON'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 ever attended school?
NO 2 (GO TO 110)
108. What is the highest grade you completed?
GRADE 6 AND ABOVE (GO TO 113)
110. Now I would like you to read out loud as much of this sentence as you can.
SHOW CARD TO RESPONDENT. IF RESPONDENT CANNOT READ WHOLE SENTENCE, PROBE: Can you read any part of this sentence to me?
ABLE TO READ ONLY PARTS OF SENTENCE 2
ABLE TO READ WHOLE SENTENCE 3
NO CARD WITH REQUIRED LANGUAGE (SPECIFY LANGUAGE) _____________ 4
111. Have you ever participated in a literacy program or any other program that involves learning to read or write (not including primary school)?
NO 2
CODE '1' CIRCLED (GO TO 114)
113. Do you usually read a newspaper or magazine at least once a week?
NO 2
114. Do you usually listen to the radio every day?
NO 2
115. Do you usually watch television at least once a week?
NO 2
BUDDHIST 2
MUSLIM 3
CHRISTIAN 4
OTHER (SPECIFY) _____ 6
117. What is your caste?
WRITE CASTE IN SPACE PROVIDED. DO NOT FILL BOX. CODE WILL BE ENTERED BY FIELD EDITOR.
118. Are you currently married or are you widowed, divorced or separated?
WIDOWED 2 (GO TO 124)
DIVORCED 3 (GO TO 124)
SEPARATED 4 (GO TO 124)
119. Is your wife living with you now or is she staying elsewhere?
STAYING ELSEWHERE 2
120. How long has she been away without coming back?
IF LESS THAN 1 MONTH, WRITE '00'.
MORE THAN 2 YEARS 95
DOES NOT KNOW 98
121. RECORD THE WIFE'S NAME AND LINE NUMBER FROM THE HOUSEHOLD QUESTIONNAIRE. IF SHE IS NOT LISTED IN THE HOUSEHOLD, RECORD '00'.
LINE NO. ____
122. Do you have more than one wife?
NO 2 (GO TO 124)
123. How many wives do you have?
DON'T KNOW 98 (GO TO 125)
124. Have you been married only once, or more than once?
MORE THAN ONCE 2
125. How old were you when you (first) got married?
In what month and year did you start living with her?
DON'T KNOW MONTH 98
YEAR ____ (GO TO 128)
DON'T KNOW YEAR 9998
HAS NOT STARTED LIVING WITH HER 9996 (END)
127. How old were you when you first started living with her?
AGE __
128. Now I would like to ask you about any children you have had. I am interested only in the children that are biologically yours. Have you fathered any children?
NO 2 (GO TO 301)
129. In total, how many children do you have that you have fathered?
130. Have any of your children died? In total, how many children have you fathered that have died?
SECTION 3. CONTRACEPTION
Now I would like to talk about family planning- the various ways or methods that a couple can use to delay or avoid a pregnancy.
CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT METNIONED SPONTANEOUSLY. CIRCLE CODE 1 IF METHOD IS RECOGNIZED, AND CODE 2 IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302.
301. Which ways or methods have you heard about?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK:
Have you ever heard of (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
(SPECIFY) ______________________
(SPECIFY) _______________________
NO 2
302. Have you ever used (METHOD)?
Has your wife ever had an operation to avoid having any more children?
NO 2
Have you ever had an operation to avoid having any more children?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
YES 1
NO 2
SPECIFIED METHOD
YES 1
NO 2
303. CHECK 301 (01), 301 (04), AND 301 (05):
DOES NOT KNOW OF ANY OF THE 3 METHODS (GO TO 308)
304. Now I want to talk to you about contraceptive methods that women can use to delay or avoid becoming pregnant.
KNOWS INJECTABLES
NO (GO TO 304 IN NEXT COLUMN)
KNOWS IUD
NO (GO TO 304 IN NEXT COLUMN)
KNOWS FEMALE STERILIZATION
NO (GO TO 304 IN NEXT COLUMN)
305. In your opinion, is (METHOD) a good method for a couple to use if they want to plan their family?
NO 2 (GO TO 307)
DEPENDS/UP TO THEM 3 (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS, GO TO 308)
306.Why do you think (METHOD) is a good method for a couple to use if they want to plan their family?
RECORD ALL REASONS MENTIONED.
EFFECTIVE B (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
AFFORDABLE C (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
NO/FEW SIDE EFFECTS D (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
CAN STOP WHEN CHILDREN DESIRED E (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
LASTS FOR SEVERAL MONTHS F (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
OTHER (SPECIFY) _______ X (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
DON'T KNOW Y (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
307. Why do you think (METHOD) is not a good method for a couple to use if they want to plan their family?
RECORD ALL REASONS MENTIONED.
AGAINST RELIGION B (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
MAY HARM WOMEN'S HEALTH C (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
HAS SIDE EFFECTS D (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
INCREASES PROMISCUITY E (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
CAN CAUSE STERILITY F (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
METHOD CAN FAIL G (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
NO MENSTRUATION H (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
INVOLVES DOCTORS/MEDICAL PERSONNEL I (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
OTHER (SPECIFY) ___________ X (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
DON'T KNOW Y (GO TO 304 IN NEXT COLUMN; OR, IF NO MORE COLUMNS GO TO 308)
MAN STERILIZED (GO TO 310A)
309. Are you or your wife currently doing something or using any method to delay or avoid getting pregnant?
NO 2 (GO TO 311)
310. Which method are you using?
310A. CIRCLE 'B' FOR MALE STERILIZATION.
IF MORE THAN ONE METHOD MENTIONED, CIRCLE ALL METHODS MENTIONED.
MALE STERILIZATION B
PILL C
IUD D
INJECTABLES E
IMPLANTS F
CONDOM G
FOAM/JELLY H
PERIODIC ABSTINENCE I
WITHDRAWAL J
OTHER (SPECIFY) _______ X
311. CHECK 301 (07) AND 302 (07):
HAS HEARD OF CONDOMS BUT HAS NEVER USED THEM (GO TO 318)
HAS NOT HEARD OF CONDOMS (GO TO 319)
312. Now I would like to talk to you about condoms.
How old were you when you used a condom for the first time?
DOES NOT REMEMBER 98
313. Why did you use a condom that first time?
Any other reason?
CIRCLE ALL MENTIONED.
TO AVOID GETTING HIV/AIDS B
TO AVOID GETTING STDS C
TO AVOID INFECTING WIFE/PARTNER D
PARTNER INSISTED E
OTHER (SPECIFY) ________ X
314. Now when you have sex, do you use a condom every time, sometimes, or not at all?
SOMETIMES 2
NOT AT ALL 3 (GO TO 316)
NOT HAVING SEX 4 (GO TO 316)
315. When do you use a condom?
PROBE: Any other times?
RECORD ALL MENTIONED.
DURING PARTNER'S MENSTRUATION B
WHEN NOT USING SOME OTHER METHOD C
WITH WIFE/REGULAR PARTNER D
WITH A STRANGER E
WITH A SEX WORKER F
WITH ANYONE OTHER THAN WIFE G
OTHER (SPECIFY) ______ X
316. Have you ever experienced any problems with using condoms?
IF YES: What problems?
PROBE: Any other problems?
RECORD ALL MENTIONED.
EMBARRASSING TO BUY B
DIFFICULT TO DISPOSE OF C
DIFFICULT TO PUT ON/TAKE OFF D
SPOILS THE MOOD E
REDUCES PLEASURE F
WIFE/PARTNER DOES NOT LIKE G
WIFE/PARTNER GOT PREGNANT H
INCONVENIENT TO USE/MESSY I
CONDOM BROKE J
OTHER (SPECIFY) _______ X
NO PROBLEM Y
317. Where do you usually obtain condoms?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
PRIMARY HEALTH CARE CENTER/HEALTH CENTER 12
HEALTH POST 13
SUB-HEALTH POST 14
PHC OUTREACH CLINIC 15
FCHV 17
CONDOM BOX 18
OTHER GOVT. (SPECIFY) ___________ 16
MARIE STOPES 22
ADRA 23
NEPAL RED CROSS 24
OTHER (NGO) (SPECIFY) _________ 26
PHARMACY 32
OTHER PRIVATE (SPECIFY) ______________ 36
FRIEND/RELATIVE 42
OTHER (SPECIFY) _____ 96
318. I am going to read you some statements about condoms. Please tell me if you agree or disagree with each statement:
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
319. CHECK 302 (02) AND 302 (02)
HE IS STERILIZED (GO TO 321)
HAS NOT HEARD OF MALE STERILIZATION (GO TO 327)
320. Once you have all the children you want, would you yourself ever consider getting sterilized?
NO, WOULD NOT 2 (GO TO 326)
UNSURE/DEPENDS 3 (GO TO 325)
WIFE ALREADY STERILIZED/NO NEED 4 (GO TO 327)
321. Before your sterilization operation, were you told that you would not be able to have any more children because of the operation?
NO 2
DON'T KNOW 8
322. Do you regret that you had the operation?
NO 2 (GO TO 324)
323. Why do you regret the operation?
WIFE WANTS ANOTHER CHILD 02
SIDE EFFECTS 03
MARITAL STATUS HAS CHANGED 04
OPERATION FAILED 05
CHILD DIED 06
OTHER (SPECIFY) ______ 96
324. In what month and year was the sterilization performed?
YEAR ____
325. In your opinion, what are some of the advantages of male sterilization?
PROBE: Any other advantages?
RECORD ALL MENTIONED.
EFFECTIVE METHOD B (GO TO 327)
OPERATION IS SAFE C (GO TO 327)
SAFER THAN FEMALE STERILIZATION D (GO TO 327)
AFFORDABLE (FREE OF CHARGE) E (GO TO 327)
LESS EXPENSIVE THAN FEMALE STERILIZATION F (GO TO 327)
OPERATION IS SIMPLE G (GO TO 327)
GIVES MAN FREEDOM H (GO TO 327)
OTHER (SPECIFY) _________ X (GO TO 327)
326. Why would you never consider getting sterilized?
PROBE: Any other reason?
RECORD ALL MENTIONED.
EFFECTIVE METHOD B (GO TO 327)
OPERATION IS SAFE C (GO TO 327)
SAFER THAN FEMALE STERILIZATION D (GO TO 327)
AFFORDABLE (FREE OF CHARGE) E (GO TO 327)
LESS EXPENSIVE THAN FEMALE STERILIZATION F (GO TO 327)
OPERATION IS SIMPLE G (GO TO 327)
GIVES MAN FREEDOM H (GO TO 327)
OTHER (SPECIFY) ___________ X (GO TO 327)
326. Why would you never consider getting sterilized?
PROBE: Any other reason?
RECORD ALL MENTIONED.
BAD FOR MAN'S HEALTH B
OPERATION IS NOT SAFE C
LESS INTRUSIVE WAYS AVAILABLE D
MAY WANT ANOTHER CHILD E
MAY RE-MARRY SOME DAY F
LOSS OF WAGES G
LOSS OF SEXUAL FUNCTION H
LOSS OF MANLINESS I
OTHER (SPECIFY) ________ X
327. I am going to read you some statements about contraception. Please tell me if you agree or disagree with each statement:
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
DISAGREE 2
DON'T KNOW 8
401. Now I would like to ask you some questions about how to know when an illness is serious and requires treatment.
Sometimes a pregnancy can have problems that lead to miscarriage or death. What are signs that indicate that a pregnant woman is having serious problems and should be taken to a health facility?
PROBE: Any other signs or symptoms?
DO NOT READ CODES.
CIRCLE ALL MENTIONED.
HIGH FEVER B
ABDOMINAL PAIN C
SWELLING OF HANDS AND FEET D
DIFFICULT LABOR FOR MORE THAN 12 HOURS E
CONVULSIONS F
OTHER (SPECIFY) _____________ X
DON'T KNOW ANY SIGNS Z
402. When a child is sick with a cough, what signs of illness would tell you that he or she should be taken to a health facility?
PROBE: Any other signs or symptoms?
DO NOT READ OUT CODES.
CIRCLE ALL MENTIONED.
DIFFICULT BREATHING B
NOISY BREATHING C
FEVER D
UNABLE TO DRINK OR SWALLOW E
NOT EATING OR DRINKING WELL F
OTHER (SPECIFY) _____________ X
DON'T KNOW ANY SIGNS Z
403. When a child is sick with diarrhea, what signs of illness would tell you that he or she should be taken to a health facility?
PROBE: Any other signs or symptoms?
DO NOT READ CODES.
CIRCLE ALL MENTIONED.
ANY WATERY STOOLS B
REPEATED VOMITING C
ANY VOMITING D
BLOOD IN STOOLS E
FEVER F
EXTREME THIRST G
NOT EATING OR DRINKING WELL H
NOT GETTING BETTER I
OTHER (SPECIFY) _______ X
DON'T KNOW ANY SIGNS Z
404. When a child has diarrhea, should he or she be given less to drink than usual, about the same amount or more than usual?
ABOUT THE SAME 2
MORE 3
DON'T KNOW 8
405. Do you smoke cigarettes or bidis or tobacco?
YES, PIPE B
YES, OTHER TOBACCO C
NO Y
CODE 'A' NOT CIRCLED (GO TO 409)
407. In the last 24 hours, how many cigarettes/bidis did you smoke?
408. How old were you when you first started smoking?
409. Have you ever drunk an alcohol-containing beverage?
NO 2 (GO TO 501)
410. In the last 7 days, on how many days did you drink an alcohol-containing beverage?
IF NONE, WRITE '00'.
SECTION 5. FERTILITY PREFERENCES
501. CHECK 118:
WIDOWED, DIVORCED, SEPARATED (GO TO 509)
HE IS STERILIZED (GO TO 509)
503A. Is any of your wife(s) currently pregnant?
NO 2
UNSURE/DON'T KNOW 8
NO MORE/NONE 2 (GO TO 505)
WIFE(S) INFECUND/STERILIZED 3 (GO TO 505)
UNDECIDED/DON'T KNOW 4 (GO TO 505)
NO MORE/NONE 2 (GO TO 505)
WIFE(S) INFECUND/STERILIZED 3 (GO TO 505)
UNDECIDED/DON'T KNOW 4 (GO TO 505)
CURRENTLY USING A METHOD (GO TO 509)
506. Do you think you will use a method or delay or avoid pregnancy at any time in the future?
NO 2 (GO TO 508)
DON'T KNOW 8 (GO TO 508)
507. Which method would you prefer to use?
MALE STERILIZATION 02 (GO TO 509)
PILL 03 (GO TO 509)
IUD 04 (GO TO 509)
INJECTABLES 05 (GO TO 509)
IMPLANTS 06 (GO TO 509)
CONDOM 07 (GO TO 509)
FOAM/JELLY 08 (GO TO 509)
PERIODIC ABSTINENCE 09 (GO TO 509)
WITHDRAWAL 10 (GO TO 509)
OTHER (SPECIFY) ______ 96 (GO TO 509)
UNSURE 98 (GO TO 509)
508. What is the main reason that you think you will not use a method at any time in the future?
WIFE(S) MENOPAUSAL/HYSTERECTOMY 23
COUPLE SUBFECUND/INFECUND 24
WANTS AS MANY CHILDREN AS POSSIBLE 26
WIFE(S) OPPOSED 32
OTHER OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
OTHER (SPECIFY) _____ 96
DON'T KNOW 98
OTHER (SPECIFY) _______ 96 (GO TO 511)
510. How many of these children would you like to be boys, how many would you like to be girls and for how many would the sex not matter?
BOYS __
GIRLS __
EITHER __
OTHER (SPECIFY) _______ 96
511. Would you say that you approve or disapprove of couples using a method to avoid getting pregnant?
DISAPPROVE 2
DON'T KNOW/UNSURE 3
512. In the last few months, have you heard about family planning:
NO 2
NO 2
NO 2
NO 2
513. In the last few months have you heard the following programs on the radio:
NO 2
NO 2
NO 2
NO 2
514. In the last few months, have you discussed the practice of family planning with your friends, neighbors, or relatives?
NO 2 (GO TO 516)
515. With whom? Anyone else?
RECORD ALL MENTIONED.
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER F
SON G
MOTHER-IN-LAW H
FRIENDS/NEIGHBORS I
OTHER (SPECIFY) _______ X
WIDOWED, DIVORCED, SEPARATED (GO TO 523)
NO CODE CIRCLED (GO TO 519)
518. You have told me that you are currently using contraception. Would you say that using contraception is mainly your decision, mainly your wife's decision, or did you both decide together?
MAINLY WIFE'S 2
JOINT DECISION 3
OTHER (SPECIFY) ______ 6
519. Now I want to ask you about your wife's views on family planning.
Do you think that your wife approves or disapproves of couples using a method to avoid pregnancy?
DISAPPROVES 2
DON'T KNOW 8
520. How often have you talked to your wife about family planning in the past year?
ONCE OR TWICE 2
MORE OFTEN 3
HE OR SHE STERILIZED (GO TO 523)
522. Do you think your wife wants the same number of children that you want, or does she want more or fewer than you want?
MORE CHILDREN 2
FEWER CHILDREN 3
DON'T KNOW 8
523. Husbands and wives do not always agree on everything. Please tell me if you think a wife is justified in refusing to have sex with her husband when:
NO 2
DON'T KNOW 8
NO 2
DON'T KNOW 8
NO 2
DON'T KNOW 8
NO 2
DON'T KNOW 8
601. Are you currently working?
NO 2
602. Have you done any work in the last 12 months?
NO 2
603. What have you been doing most of the time during the last 12 months?
LOOKING FOR WORK 2 (GO TO 611)
INACTIVE 3 (GO TO 611)
COULD NOT WORK/HANDICAPPED 4 (GO TO 611)
OTHER (SPECIFY) _________ 6 (GO TO 611)
604. What is your occupation, that is, what kind of work do you mainly do?
DOES NOT WORK IN AGRICULTURE (GO TO 607)
606. Do you work mainly on your own land or on family land, or do you work on land that you rent from someone else, or do you work on someone else's land?
RENTED LAND/TENANCY 2
SOMEONE ELSE'S LAND 3
607. Are you self-employed, employed by someone else, or do you do this work for a member of your family?
BY SOMEONE ELSE 2
FOR FAMILY MEMBER 3
608. Do you usually work throughout the year, or do you work seasonally or only once in a while?
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3
609. Are you paid in cash or kind for this work or are you not paid at all?
CASH AND KIND 2
IN KIND ONLY 3 (GO TO 611)
NOT PAID 4 (GO TO 611)
610. 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, HIS INCOME IS ALL SAVED 6
611. Who in your family usually has the final say on the following decisions:
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
612. Sometimes a husband is annoyed or angered by things which his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations:
NO 2
DON'T KNOW 8
NO 2
DON'T KNOW 8
NO 2
DON'T KNOW 8
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
WIFE 2
RESPONDENT AND WIFE JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
SECTION 7. AIDS AND SEXUAL BEHAVIOR
701. Now I would like to talk about something else. Have you ever heard of an illness called AIDS?
NO 2 (GO TO 710)
702. Is there anything a person can do to avoid getting AIDS or the virus that causes AIDS?
NO 2 (GO TO 706)
DON'T KNOW 8 (GO TO 706)
703. What can a person do? Anything else?
RECORD ALL MENTIONED.
USE CONDOMS B
LIMIT SEX TO ONE PARTNER/STAY FAITHFUL TO ONE PARTNER C
LIMIT NUMBER OF SEX PARTNERS D
AVOID SEX WITH PROSTITUTES E
AVOID SEX WITH PERSONS WHO HAVE MANY PARTNERS F
AVOID SEX WITH HOMOSEXUALS G
AVOID SEX WITH PERSONS WHO INJECT DRUGS INTRAVENOUSLY H
AVOID BLOOD TRANSFUSIONS I
AVOID INJECTIONS J
AVOID KISSING K
AVOID MOSQUITO BITES L
SEEK PROTECTION FROM TRADITIONAL HEALER M
AVOID SHARING RAZORS/BLADES N
AVOID SEX WITH SOMEONE WHO HAS AIDS O
OTHER (SPECIFY) _________ X
OTHER (SPECIFY) _________ Y
DON'T KNOW Z
704. Can people protect themselves from getting the AIDS virus by having just one sex partner who has no other partners?
NO 2
DON'T KNOW 8
705. Can people protect themselves from getting the AIDS virus by using a condom every time they have sex?
NO 2
DON'T KNOW 8
706. Is it possible for a healthy-looking person to have the AIDS virus?
NO 2
DON'T KNOW 8
707. Can the virus that causes AIDS be transmitted from a mother to a child?
NO 2
DON'T KNOW 8
WIDOWED, DIVORCED, SEPARATED (GO TO 710)
709. Have you ever talked about ways to prevent getting the virus that causes AIDS with your wife?
NO 2
710. Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family life issues.
How old were you when you first had sexual intercourse?
AGE IN YEARS __
FIRST TIME WHEN STARTED LIVING WITH (FIRST) WIFE 96
711. When was the last time you had sexual intercourse?
RECORD 'YEARS AGO' ONLY IF LAST INTERCOURSE WAS ONE OR MORE YEARS AGO.
WEEKS AGO 2 __
MONTHS AGO 3 __
YEARS AGO 4 __ (GO TO 733)
712. The last time you had sexual intercourse, did you use a condom?
NO 2 (GO TO 714)
713. What is the main reason you used a condom on that occasion?
TO AVOID GETTING HIV/AIDS (GO TO 718)
TO AVOID GETTING STDS 3 (GO TO 718)
TO AVOID INFECTING WIFE/PARTNER 4 (GO TO 718)
WIFE/PARTNER INSISTED 5 (GO TO 718)
OTHER (SPECIFY) __________ 6 (GO TO 718)
RESPONDENT STERILIZED (GO TO 718)
715. The last time you had sexual intercourse, did you or your wife/partner do something or use any method to avoid a pregnancy?
NO 2 (GO TO 717)
DOES NOT KNOW/UNSURE 8 (GO TO 718)
716. What method did you or she use on that occasion?
PILL 03 (GO TO 718)
IUD 04 (GO TO 718)
INJECTABLES 05 (GO TO 718)
IMPLANTS 06 (GO TO 718)
FOAM/JELLY 08 (GO TO 718)
RHYTHM/PERIODIC ABSTINENCE 09 (GO TO 718)
WITHDRAWAL 10 (GO TO 718)
OTHER (SPECIFY) ________ 96 (GO TO 718)
717. What is the main reason you did not use a method to avoid pregnancy?
WIFE/PARTNER IS MENOPAUSAL, HAD HYSTERECTOMY 23
COUPLE SUBFECUND/INFECUND 24
WIFE/PARTNER WAS PREGNANT 25
WIFE/PARTNER RECENTLY DELIVERED AND NOT YET MENSTRUATING 26
WIFE/PARTNER WAS BREASTFEEDING 27
WANTED (MORE) CHILDREN 28
WIFE/PARTNER OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
OTHER (SPECIFY) _____ 96
DOES NOT KNOW 98
718. What is your relationship to the woman with whom you last had sex?
WOMAN IS GIRLFRIEND/FINANCE 2
OTHER FRIEND 3
CASUAL ACQUINTANCE 4
COMMERCIAL SEX WORKER 5
OTHER (SPECIFY) _________ 6
719. For how long have you had a sexual relationship with this woman?
WEEKS 2 __
MONTHS 3 __
YEARS 4 __
720. Have you had sex with any other woman in the last 12 months?
NO 2 (GO TO 730)
721. The last time you had sexual intercourse with another woman, did you use a condom?
NO 2 (GO TO 723)
722. What is the main reason you used a condom on that occasion?
TO AVOID GETTING HIV/AIDS 2 (GO TO 727)
TO AVOID GETTING STDS 3 (GO TO 727)
TO AVOID INFECTING WIFE/PARTNER 4 (GO TO 727)
WIFE/PARTNER INSISTED 5 (GO TO 727)
OTHER (SPECIFY) _________ 6 (GO TO 727)
RESPONDENT STERILIZED (GO TO 727)
724. The last time you had sexual intercourse, with this other woman, did you or she do something or use any method to avoid a pregnancy?
NO 2 (GO TO 726)
DOES NOT KNOW/UNSURE 8 (GO TO 727)
725. What method did you or she use on that occasion?
PILL 03 (GO TO 727)
IUD 04 (GO TO 727)
INJECTABLES 05 (GO TO 727)
IMPLANTS 06 (GO TO 727)
FOAM/JELLY 08 (GO TO 727)
RHYTHM/PERIODIC ABSTINENCE 09 (GO TO 727)
WITHDRAWAL 10 (GO TO 727)
OTHER (SPECIFY) _____ 96 (GO TO 727)
726. What is the main reason you did not use a method to avoid pregnancy?
WIFE/PARTNER IS MENOPAUSAL, HAD HYSTERECTOMY 23
COUPLE SUBFECUND/INFECUND 24
WIFE/PARTNER WAS PREGNANT 25
WIFE/PARTNER RECENTLY DELIVERED AND NOT YET MENSTRUATING 26
WIFE/PARTNER WAS BREASTFEEDING 27
WANTED (MORE) CHILDREN 28
WIFE/PARTNER OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
OTHER (SPECIFY) _____ 96
DOES NOT KNOW 98
727. What is your relationship to this woman?
WOMAN IS GIRLFRIEND/FIANCE 2
OTHER FRIEND 3
CASUAL ACQUAINTANCE 4
COMMERCIAL SEX WORKER 5
OTHER (SPECIFY) ________ 6
728. For how long have you had a sexual relationship with this woman?
WEEKS 2 __
MONTHS 3 __
YEARS 4 __
729. In total, with how many people have you had sex in the last 12 months?
730. Have you ever paid for sex?
NO 2 (GO TO 733)
731. How long ago was the last time you paid for sex?
WEEKS AGO 2 __
MONTHS AGO 3 __
YEARS AGO 4 __
732. The last time that you paid for sex, did you use a condom?
NO 2
SOURCE FOR CONDOM CIRCLED (GO TO 736)
734. Do you know of a place where one can get condoms?
NO 2 (GO TO 736)
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
Any other place?
RECORD ALL MENTIONED.
PRIMARY HEALTH CARE CENTER/HEALTH CENTER B
HEALTH POST C
SUB-HEALTH POST D
PHC OUTREACH CLINIC E
FCHV F
CONDOM BOX G
OTHER GOVT. (SPECIFY) _________ H
MARIE STOPES J
ADRA K
NEPAL RED CROSS L
OTHER NGO (SPECIFY) _______ M
PHARMACY O
OTHER PRIVATE (SPECIFY) _____ P
FRIEND/RELATIVE R
OTHER (SPECIFY) ________ X
MINUTES __
TO BE FILLED IN AFTER COMPLETING INTERVIEW
COMMENTS ABOUT RESPONDENT: __________________________________________
COMMENTS ON SPECIFIC QUESTIONS: __________________________________________
ANY OTHER COMMENTS: _____________________________________________________
EDITOR'S OBSERVATIONS: _________________________________
DATE: ___________
SUPERVISOR'S OBSERVATIONS: _________________________________
DATE: ________________
2. Farming is hard work.
3. The child is reading a book.
4. Children should go to school.
5. Boys and girls are equal.