HUSBAND'S QUESTIONNAIRE - URDU-ENGLISH
PLACE NAME_______________
NAME OF HOUSEHOLD____________
PROVINCE ___
URBAN/RURAL
RURAL 2
MAJOR CITY/DIVISION/DISTRICT ____
CLUSTER NUMBER _____
HOUSEHOLD NUMBER ____
MAJOR CITY/SMALL CITY, TOWN/VILLAGE
SMALL CITY, TOWN 2
VILLAGE 3
NAME AND LINE NUMBER OF RESPONDENT ____________
NAME AND LINE NUMBER OF FIRST ELIGIBLE WIFE ___________
NAME AND LINE NUMBER OF SECOND ELIGIBLE WIFE ________
FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE __________
INTERVIEWER'S NAME ______
RESULT*
*RESULT CODES
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) _______
NEXT VISIT:
DATE _____
TIME ______
FINAL VISIT:
DAY ______
MONTH ______
YEAR _____
NAME ________
RESULT _______
TOTAL NUMBER OF VISITS ________
02 PUNJABI
03 SINDHI
04 PUSHTO
05 BALUCHI
06 BROHI
07 SIRAIKI
08 OTHER (SPECIFY) _______
LANGUAGE OF INTERVIEW
02 PUNJABI
03 SINDHI
04 PUSHTO
05 BALUCHI
06 BROHI
07 SIRAIKI
08 OTHER (SPECIFY) _______
NATIVE LANGUAGE OF RESPONDENT
02 PUNJABI
03 SINDHI
04 PUSHTO
05 BALUCHI
06 BROHI
07 SIRAIKI
08 OTHER (SPECIFY) _______
TRANSLATOR USED
NO 2
FIELD EDITED BY
NAME ______
DATE _________
OFFICE EDITED BY
NAME _________
DATE __________
KEYED BY
NAME ______
DATE ________
KEYED BY ______
SECTION 1. RESPONDENT'S BACKGROUND
101. RECORD THE CURRENT TIME.
MINUTES______
102. First I would like to ask some questions about yourself. For most of the time until you were 12 years old, did you live in a city or in a village?
VILLAGE 2
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. Just before you moved here, did you live in a city or in a village?
VILLAGE 2
105. In what month and year were you born?
DON'T KNOW MONTH 98
DON'T KNOW YEAR 98
106. How old are you in completed years?
107. Have you ever attended school?
NO 2 (GO TO 111)
108. What is the highest level of school you attended: primary, middle, secondary, or higher?
MIDDLE 2
SECONDARY 3
HIGHER 4
109. What is the highest class you completed at that level?
MIDDLE OR ABOVE (GO TO 113)
111. Can you read and understand a letter or newspaper easily, with difficulty, or not at all?
WITH DIFFICULTY 2
NOT AT ALL 3 (GO TO 114)
112. Can you write a simple letter?
NO 2
113. Do you usually read a newspaper or magazine at least once a week?
NO 2
114. Do you usually listen to a radio at least once a week?
NO 2
115. Do you usually watch television at least once a week?
NO 2
116. What kind of work do you mainly do?
DOES NOT WORK IN AGRICULTURE (GO TO 201)
118. Do you work mainly on your own land or family land, or do you rent land, or do you work on someone else's land?
RENTED LAND 2
SOMEONE ELSE'S LAND 3
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. 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 RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 202, ASK 203-204 BEFORE PROCEEDING TO THE NEXT METHOD.
202. Have you ever heard of (METHOD)?
READ DESCRIPTION OF EACH METHOD
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
YES, PROBED 2
NO 3
(SPECIFY) ________
NO 2
203. Have you ever used (METHOD)?
NO 2
NO 2
becoming pregnant for several months.
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
204. Do you know where a person could go to get (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
AT LEAST ONE 'YES' (EVER USED) (GO TO 208)
206. Have you ever used anything or tried in any way to delay or avoid getting pregnant?
NO 2 (GO TO 225)
207. What have you used or done?
CORRECT 203-205 (AND 202 IF NECESSARY)
208. Now I would like to ask you about the time when you first did something or used a method to avoid getting pregnant. What method did you use at that time?
IUD 02
INJECTIONS 03
DIAPHRAGM/FOAM/JELLY 04
CONDOM 05
FEMALE STERILIZAITON 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08
WITHDRAWAL 09
OTHER (SPECIFY) ______ 10
209. How many living children did you have at that time if any?
HUSBAND STERILIZED (GO TO 213A)
211. Are you and your wife currently doing something or using any method to delay or avoid a pregnancy?
NO 2
212. What is the main reason you and your wife are not using a method to delay or avoid a pregnancy?
LACK OF KNOWLEDGE 02
WIFE OPPOSED 03
COST TOO MUCH 04
WORRY ABOUT SIDE EFFECTS 05
HEALTH CONCERNS 06
HARD TO GET METHODS 07
RELIGION 08
OPPOSED TO FAMILY PLANNING 09
FATALISTIC 10
OTHER PEOPLE OPPOSED 11
INFREQUENT SEX 12
HARD FOR WIFE TO GET PREGNANT 13
WIFE MENOPAUSAL/ HAD HYSTERECTOMY 14
INCONVENIENT 15
WIFE ABSENT 16
WIFE BREASTFEEDING 17
WIFE IS CURRENTLY PREGNANT 18
OTHER (SPECIFY) _____ 19
DON'T KNOW 98 (GO TO 225)
213. Which method are you using?
213A. CIRCLE '07' FOR MALE STERILIZATION
IUD 02 (GO TO 219)
INJECTIONS 03
DIAPHRAGM/FOAM/JELLY 04 (GO TO 219)
CONDOM 05 (GO TO 216)
FEMALE STERILIZATION 06 (GO TO 219)
MALE STERILIZATION 07 (GO TO 219)
PERIODIC ABSTINENCE 08 (GO TO 224)
WITHDRAWAL 09
OTHER (SPECIFY)_____ 10 (GO TO 224)
214. Do you know the brand name of the pills your wife is now using?
DON'T KNOW 98
215. How much does one packet of pills cost you?
FREE 9996
DON'T KNOW 9998
216. May I see the package of condoms you are using now?
BRAND NAME____________
PACKAGE NOT SEEN 2
217. Do you know the brand name of the condoms you are now using?
DON'T KNOW 98
218. How much does on condom cost you?
FREE 9996
DON'T KNOW 9998
HE/SHE STERILIZED: (Where did the sterilization take place?)
USING ANOTHER METHOD: (Where did you obtain (METHOD) the last time?)
RNC/BHU/GOVERNMENT CLINIC 02
FAMILY WELFARE CENTER 03
NGO CENTER 04
PRIVATE HOSPITAL OR CLINIC 05
MOBILE CLINIC/EXTENSION TEAM 06 (GO TO 222)
FIELD WORKER 07 (GO TO 222)
PRIVATE DOCTOR 08
HAKIM/HOMEOPATH 09
DRUGSTORE 10
SHOP (OTHER THAN DRUGSTORE) 11
TRADITIONAL BIRTH ATTENDANT 12
FRIENDS/RELATIVES 13 (GO TO 222)
OTHER (SPECIFY) _____ 14
DON'T KNOW 98 (GO TO 222)
220. How long does it take to travel from your home to this place?
HOURS 2 ______
DON'T KNOW 998
221. Is it easy or difficult to get there?
DIFFICULT 2
USING ANOTHER METHOD (GO TO 224)
223. In what month and year was the sterilization operation performed?
YEAR _______ (GO TO 235)
224. For how many months have you been using (CURRENT METHOD) continuously?
8 YEARS OR LONGER 96 (GO TO 235)
225. Do you intend to use a method to delay or avoid a pregnancy at any time in the future?
NO 2
DON'T KNOW 8 (GO TO 231)
226. What is the main reason you do not intend to use a method?
LACK OF KNOWLEDGE 02 (GO TO 231)
WIFE OPPOSED 03
COSTS TOO MUCH 04 (GO TO 231)
WORRY ABOUT SIDE EFFECTS 05
HEALTH CONCERNS 06
HARD TO GET METHODS 07 (GO TO 231)
RELIGION 08
OPPOSED TO FAMILY PLANNING 09 (GO TO 231)
FATALISTIC 10
OTHER PEOPLE OPPOSED 11
INFREQUENT SEX 12 (GO TO 231)
HARD FOR WIFE TO GET PREGNANT 13
WIFE MENOPAUSAL/HAD HYSTERECTOMY 14
INCONVENIENT 15
OTHER (SPECIFY) _____ 16
DON'T KNOW 98 (GO TO 231)
227. If the decision were entirely up to you, would you want to use a method to delay or avoid a pregnancy at any time in the future?
NO 2
DON'T KNOW 8 (GO TO 231)
228. Do you intend to use a method within the next 12 months?
NO 2
DON'T KNOW 8
229. When you use a method, which method would you prefer to use?
IUD 02
INJECTIONS 03
DIAPHRAGM/FOAM/JELLY 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08 (GO TO 231)
WITHDRAWAL 09
OTHER (SPECIFY) _____ 10
UNSURE 98 (GO TO 231)
230. Where can you get (METHOD MENTIONED IN 229)?
RNC/BHU/GOVERNMENT CLINIC 02
FAMILY WELFARE CENTER 03
NGO CENTER 04
PRIVATE HOSPITAL OR CLINIC 05 (GO TO 233)
MOBILE CLINIC/EXTENSION TEAM 06 (GO TO 235)
FIELD WORKER 07 (GO TO 235)
PRIVATE DOCTOR 08 (GO TO 233)
HAKIM/HOMOEOPATH 09
DRUGSTORE 10
SHOP (OTHER THAN DRUGSTORE) 11
TRADITIONAL BIRTH ATTENDANT 12 (GO TO 233)
FRIENDS/RELATIVES 13 (GO TO 235)
OTHER (SPECIFY) _____14
DON'T KNOW 98
231. Do you know of a place where you can obtain a method of family planning?
NO 2 (GO TO 235)
RNC/BHU/GOVERNMENT CLINIC 02
FAMILY WELFARE CENTER 03
NGO CENTER 04
PRIVATE HOSPITAL OR CLINIC 05
MOBILE CLINIC/EXTENSION TEAM 06 (GO TO 235)
FIELD WORKER 07 (GO TO 235)
PRIVATE DOCTOR 08
HAKIM/HOMOEOPATH 09
DRUGSTORE 10
SHOP (OTHER THAN DRUGSTORE) 11
TRADITIONAL BIRTH ATTENDANT 12
FRIENDS/RELATIVES 13 (GO TO 235)
OTHER (SPECIFY) _____ 14
233. How long does it take to travel from your home to this place?
HOURS 2 _______
DON'T KNOW 998
234. Is it easy or difficult to get there?
DIFFICULT 2
235. In the last month, have you heard a message about family planning on:
NO 2
NO 2
NOT HEARD MESSAGE (GO TO 238)
237. Do you think that the message you heard was effective or not effective in persuading couples to use family planning?
NOT EFFECTIVE 2
DON'T KNOW 8
238. Is it acceptable or not acceptable to you for family planning information to be provided on the radio or television?
NOT ACCEPTABLE 2
DON'T KNOW 8
301. Do you have any other wives besides (NAME OF FIRST ELIGIBLE WIFE FROM COVER PAGE)?
NO 2 (GO TO 303)
302. How many other wives do you have?
303. Have you been married only once or more than once?
MORE THAN ONCE 2
304. How old were you when you started living with your (first) wife?
305. In what month and year did you start living with her?
DON'T KNOW MONTH 98
DON'T KNOW YEAR 98
306. PRESENCE OF OTHERS AT THIS POINT.
NO 2
NO 2
NO 2
NO 2
NO 2
SECTION 4: FERTILITY PREFERENCES
401. How many own sons do you have? And how many own daughters do you have?
OWN DAUGHTERS____
HE OR SHE STERILIZED (GO TO 407)
403. Is your wife pregnant now?
NO 2
UNSURE 8
WIFE 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 PREGNANT (Now I have some questions about the future. After the child your wife is expecting, would you like to have another child or would you prefer not to have any more children?
NO MORE/NONE 2 (GO TO 410)
SAYS WIFE CAN'T GET PREGNANT 3
UP TO GOD 4
UNDECIDED OR DON'T KNOW 8 (GO TO 410)
405. Would you prefer your next child to be a boy or a girl or doesn't it matter?
GIRL 2
DOESN'T MATTER 3
406. How long would you like to wait from now before the birth of (a/another) child?
YEARS 2________
SOON/NOW 994
SAYS WIFE CAN'T GET PREGNANT 995
OTHER (SPECIFY) _____ 996
DON'T KNOW 998 (GO TO 410)
407. Do you regret that (you/your wife) had the operation not to have any (more) children?
NO 2 (GO TO 409)
WIFE WANTS ANOTHER CHILD 2
SIDE EFFECTS 3
OTHER REASON (SPECIFY) ____ 4 (GO TO 414)
409. Given your present circumstances, if you had to do it over again, do you think you would make the same decision to have a sterilization?
NO 2 (GO TO 414)
410. Do you think that your wife approves or disapproves of couples using a method to avoid pregnancy?
DISAPPROVES 2
DON'T KNOW 8
411. How often have you talked to your wife about family planning in the past year?
ONCE OR TWICE 2
MORE OFTEN 3
412. Have you and your wife ever discussed the number of children you would like to have?
NO 2
413. 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
414. How long should a husband and wife wait before starting sexual intercourse after the birth of a baby?
MONTHS 2 ___
YEARS 3 ___
OTHER (SPECIFY) _____996
415. 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
416. In general, do you approve or disapprove of couples using a method to avoid pregnancy?
DISAPPROVE 2
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?)
UP TO GOD, ALLAH 95 (GO TO 419)
OTHER ANSWER (SPECIFY) 96 (GO TO 419)
418. How many of these children would you like to be boys and how many would you like to be girls?
NUMBER OF GIRLS___
NUMBER OF EITHER___
UP TO GOD, ALLAH 999995
OTHER (SPECIFY) _____ 999996
419. We would like to know how much schooling you expect your children to have. (IF NOT STERILIZED: Consider the children you already have and also any children that you might have in the future.) First, let's talk about sons. What is the highest level of school that you would expect any of your sons to attend?
PRIMARY SCHOOL 2
MIDDLE SCHOOL 3
SECONDARY EDUCATION 4
HIGHER 5
OTHER (SPECIFY) ______6
DON'T KNOW 8
420. And how about daughters? What is the highest level of schooling that you would expect any of your daughters to attend?
PRIMARY SCHOOL 2
MIDDLE SCHOOL 3
SECONDARY EDUCATION 4
HIGHER 5
OTHER (SPECIFY) _____ 6
DON'T KNOW 8
421. What do you think is the ideal age at marriage for boys?
OTHER (SPECIFY) ______96
422. And what is the ideal age at marriage for girls?
OTHER (SPECIFY) _____ 96
423. If your wife needed to go to a health clinic or a hospital, could she go by herself or would she need to be accompanied by someone else?
WOULD NEED TO BE ACCOMPANIED 2
IT DEPENDS 3
MINUTES ___