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REPUBLIC OF SENEGAL - DEMOGRAPHIC AND HEALTH SURVEY (EDSII), 1992/1993 - MAN'S QUESTIONNAIRE

IDENTIFICATION

PLACE NAME (COMMUNE/VILLAGE) _____
NAME OF HEAD OF HOUSEHOLD_____
CLUSTER NUMBER______
HOUSEHOLD NUMBER_____
REGION_____

URBAN/RURAL:

URBAN 1
RURAL 2

REGION:

DAKAR (REGION OF DAKAR NOT RURAL) 1
LARGE CITY (THIES, KAOLACK, ZIGUINCHOR, SAINT-LOUIS, DIOURB) 2
CITY (OTHER COMMUNES) 3
COUNTRYSIDE (RURAL) 4

NAME/LINE NUMBER OF THE MAN

_____

NAME/LINE NUMBER OF ELIGIBLE WIVES

_____

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE_____
INTERVIEWER NAME_____
RESULT___

RESULTS_____

1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTIALLY FILLED OUT
6 ILL/INCAPACITATED
7 OTHER (SPECIFY) _____

NEXT VISIT
DATE_____
TIME_____

FINAL VISIT
DAY_____
MONTH_____
YEAR _____
INTERVIEWER_____
RESULT_____

TOTAL NUMBER OF VISITS_____

SUPERVISOR
NAME______
DATE______

FIELD EDITOR
NAME_____
DATE_____

OFFICE EDITOR_____
KEYED BY_____

SECTION 1. SOCIO-DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENT

101. RECORD THE TIME:

HOUR_____
MINUTES_____

102. In which month and in which year were you born?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR _____
DOESN'T KNOW YEAR 98

103. How old are you currently?
COMPARE AND CORRECT 102 AND/OR 103 IF INCONSISTENT

AGE IN COMPLETED YEARS_____

104. Did you go to school?

YES 1
NO 2 (GO TO 108)

105. What is the highest level of school you attended: primary, secondary or superior?

PRIMARY 1
SECONDARY 2
SUPERIOR 3

106. What is the last (year/grade) that you achieved at this level?

GRADE_____

107. CHECK 105:

PRIMARY (GO TO 108)
SECONDARY OR MORE (GO TO 109)

108. Can you read and understand a letter or a newspaper easily, with difficulty or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3 (GO TO 110)

109. Do you read a newspaper or magazine at least once a week?

YES 1
NO 2

110. Are you Senegalese?

YES 1
NO 2 (GO TO 112)

111. What is your ethnicity?

WOLOF/LEBOU 1
POULAR 2
SERERE 3
MANDINGUE/SOCE/MALINKE 4
DIOLA 5
OTHERS (SPECIFY) _____6

112. What is your occupation, that is to say, what kind of work do you do?

(SPECIFY)______

113. Are you currently married?

YES 1 (GO TO 115)
NO 2

114. Are you celibate, widowed, divorced, separated or do you live in union with someone?

LIVES IN UNION 1
WIDOWED 2 (GO TO 116)
DIVORCED 3 (GO TO 116)
SEPARATED 4 (GO TO 116)
CELIBATE 5 (GO TO 201)

115. How many wives/partners do you have?

NUMBER_____
FIVE OR MORE 5

116. Do you intend to have (an)other wife/wives in the future?

YES 1
NO 2

117. How old were you when you were married/began to live with someone for the first time?

AGE IN COMPLETED YEARS_____

118. In which month in and which year were you married/did you begin to live with someone for the first time?

MONTH_____
DOESN'T KNOW MONTH 98
YEAR_____
DOESN'T KNOW YEAR 98

SECTION 2. CONTRACEPTION

Now I would like to talk to you 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?

201. CIRCLE CODE '1' ON LINE 202 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN CONTINUE DOWN THE COLUMN READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE '2' IF THE METHOD IS RECOGNIZED AND CODE '3' IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE '1' OR '2' CIRCLED IN 202, ASK 203 BEFORE GOING ON TO THE NEXT QUESTION.

202. Have you ever heard of (METHOD)?

01. PILL Women can take a pill every day to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
02. IUD Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
03. INJECTIONS Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
04. IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
05. SPERMICIDES/DIAPHRAGM/JELLY Women can place a diaphragm in their vagina before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
06. CONDOM Men can put a rubber sheath on their penis during sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
07. FEMALE STERILIZATION Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
08. MALE STERILIZATION Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
09. RHYTHM METHOD Couples can avoid pregnancy by not having intercourse on the days of the month the woman is most likely to get pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
10. WITHDRAWAL Men can be careful to pull out before climax.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
11. Have you heard of other ways or methods that women or men can use to avoid pregnancy?
(SPECIFY)___
SPONTANEOUS YES 1
NO 3 (GO TO 204)

203. Have ever used (METHOD)?

01. PILL Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
DOESN'T KNOW 8
02. IUD Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
YES 1
NO 2
DOESN'T KNOW 8
03. INJECTIONS Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months.
YES 1
NO 2
DOESN'T KNOW 8
04. IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
YES 1
NO 2
DOESN'T KNOW 8
05. SPERMICIDES/DIAPHRAGM/JELLY Women can place a diaphragm in their vagina before sexual intercourse.
YES 1
NO 2
DOESN'T KNOW 8
06. CONDOM Men can put a rubber sheath on their penis during sexual intercourse.
YES 1
NO 2
07. FEMALE STERILIZATION Women can have an operation to avoid having any more children. Has/have your wife/wives had an operation to avoid having any more children?
YES 1
NO 2
08. MALE STERILIZATION Men can have an operation to avoid having any more children. Have you had an operation to avoid having other children?
YES 1
NO 2
09. RHYTHM METHOD Couples can avoid pregnancy by not having intercourse on the days of the month the woman is most likely to get pregnant.
YES 1
NO 2
DOESN'T KNOW 8
10. WITHDRAWAL Men can be careful to pull out before climax.
YES 1
NO 2
11. OTHER METHOD (SPECIFY) _____
YES 1
NO 2
DOESN'T KNOW 8

204. CHECK 203:

NOT A SINGLE "YES" (NEVER USED) (GO TO 205)
AT LEAST ONE "YES" (EVER USED) (GO TO 207)

205. Have you ever used anything or tried in any way to delay or avoid pregnancy?

YES 1
NO 2 (GO TO 209)

206. What did you do or use?
CORRECT 203-204 (AND 202 IF NECESSARY), THEN GO TO 207.

207. Are you or your wife/wives/partner(s) currently using a method to avoid getting pregnant?

YES 1
NO 2 GO TO 209

208. What method(s) are you using?

PILL 01 (GO TO 301)
IUD 02 (GO TO 301)
INJECTIONS 03 (GO TO 301)
IMPLANTS 04 (GO TO 301)
DIAPHRAGM/FOAM/JELLY 05 (GO TO 301)
CONDOM 06 (GO TO 301)
CONDOM/SPERMICIDES 07 (GO TO 301)
FEMALE STERILIZATION 08 (GO TO 301)
MALE STERILIZATION 09 (GO TO 301)
RHYTHM METHOD 10 (GO TO 301)
WITHDRAWAL 11 (GO TO 301)
OTHER (SPECIFY) ____12 (GO TO 301)
DOESN'T KNOW 98

209. Do you and your wife/wives/partner(s) intend to use a method avoid or delay pregnancy in the future?

YES 1 (GO TO 211)
NO 2
DOESN'T KNOW 8 (GO TO 301)

210. What is the main reason why you do not intend to use a method?

WANTS CHILDREN 01 (GO TO 301)
LACK OF INFORMATION 02 (GO TO 301)
PARTNER DISAPPROVES 03 (GO TO 301)
COSTS TOO MUCH 04 (GO TO 301)
SIDE EFFECTS 05 (GO TO 301)
HEALTH CONCERNS 06 (GO TO 301)
DIFFICULT TO OBTAIN 07 (GO TO 301)
RELIGION 08 (GO TO 301)
OPPOSES FAMILY PLANNING/CONTRACEPTION 09 (GO TO 301)
FATALISTIC 10 (GO TO 301)
OTHERS DISAPPROVE 11 (GO TO 301)
INFREQUENT SEX 12 (GO TO 301)
DIFFICULTY BECOMING PREGNANT 13 (GO TO 301)
MENOPAUSAL/HYSTERECTOMY 14 (GO TO 301)
INCONVENIENT 15 (GO TO 301)
NOT MARRIED 16 (GO TO 301)
OTHER (SPECIFY) ____ 17 (GO TO 301)
DOESN'T KNOW 98 (GO TO 301)

211. Do you intend to use a method in the next 12 months?

YES 1
NO 2
DOESN'T KNOW 8

212. When you use a method, what method would you prefer to use?

PILL 01
IUD 02
INJECTIONS 03
IMPLANTS 04
DIAPHRAGM/FOAM/JELLY 05
CONDOM 06
CONDOM/SPERMICIDES 07
FEMALE STERILIZATION 08
MALE STERILIZATION 09
RHYTHM METHOD 10
WITHDRAWAL 11
OTHER (SPECIFY) _____12
DOESN'T KNOW 98

SECTION 3. FERTILITY PREFERENCES

301. Do you have any living biological children?

YES 1
NO 2 (GO TO 303)

302. How many boys do you have?
How many girls do you have?

NUMBER OF BOYS_____
NUMBER OF GIRLS_____

303. CHECK 203:

NOT STERILIZED (GO TO 304)
STERILIZED (GO TO 306)

304. CHECK 113 AND 114:

CURRENTLY MARRIED OR LIVING IN UNION (GO TO 305)
NOT MARRIED/NOT LIVING IN UNION (GO TO 310)

305. Would you like to have (a/another) child, or would you prefer not to have (other) children at all?

HAVE (A/ANOTHER) CHILD 1
NO MORE/NONE 2
SAYS HIS WIFE CANNOT GET PREGNANT 3
SAYS HE CANNOT HAVE CHILDREN 4
NOT SURE/DOESN'T KNOW 8

306. Do you think that your partner(s)/wife/wives approve/s or disapprove/s of using methods to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
DOESN'T KNOW 8

307. How many times during the past year did you speak with your partner(s)/wife/wives about family planning?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

308. Have you discussed the number of children you would like to have with your partner(s)/wife/wives?

YES 1
NO 2

309. Do you think that your partner(s)/wife/wives want(s) the same number of children that you want, or does/do she/they want more of fewer than you want?

SAME NUMBER 1
MORE CHILDREN 2
FEWER CHILDREN 3
DOESN'T KNOW 8

310. Do you approve or disapprove of providing information about family planning on the radio or on television?

APPROVES 1
DISAPPROVES 2
NO OPINION 8

311. Would you say that you approve or disapprove of couples that use a method to avoid getting pregnant?

APPROVES 1
DISAPPROVES 2
NO OPINION 8

312. CHECK 301:

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 RESPONSE (SPECIFY) _____96

SECTION 4: STD'S AND AIDS

401. Do you know that there are sexually transmitted diseases?

YES 1
NO 2 (GO TO 410)

402. Which sexually transmitted diseases do you know of?
CIRCLE THE CODES CORRESPONDING TO ALL MENTIONED.

SYPHILIS A
GONORRHEA/CANCROID/ HOT URINE B
AIDS C
OTHER (SPECIFY) ____D
DOESN'T KNOW E

403. In your opinion, can sexually transmitted diseases be prevented?

YES 1
NO 2 (GO TO 406)
DOESN'T KNOW 8 (GO TO 406)

404. Do you know a/any way(s) to prevent sexually transmitted diseases?

YES 1
NO 2 (GO TO 406)

405. What way(s) of prevention do you know?
CIRCLE THE CORRESPONDING CODES FOR THE RESPONSES GIVEN.

ONLY ONE PARTNER A
LOYALTY TO PARTNERS B
CONDOM C
ABSTINENCE D
AVOID PROSTITUTES E
OTHER (SPECIFY) _____F

406. In your opinion, can sexually transmitted diseases be treated?

YES 1
NO 2 (GO TO 409)
DOESN'T KNOW 8 (GO TO 409)

407. Do you know of a place/places where one could find a treatment for these illnesses?

YES 1
NO 2 (GO TO 409)

408. What place(s) do you know of?
CIRCLE THE CORRESPONDING CODES TO THE RESPONSES GIVEN.

HEALTH FACILITY A
HEALTH CARE PERSONNEL B
HEALER/WITCH DOCTOR C
OTHER (SPECIFY) ____D

409. CHECK 402:

SYPHILIS NOT CITED (GO TO 410)
SYPHILIS CITED (CODE A) (GO TO 411)

410. Do you know of or have you heard of syphilis?

YES 1
NO 2

411. CHECK 402:

AIDS NOT CITED (GO TO 412)
AIDS CITED (CODE C) (GO TO 413)

412. Do you know of or have you heard of AIDS?

YES 1
NO 2 (GO TO 423)

413. Do you approve or disapprove of sharing information about AIDS on the radio or television?

APPROVES 1
DISAPPROVES 2
WITHOUT OPINION 8

414. From whom/where did you hear about AIDS during the last three months?

HUSBAND/PARTNER A
FRIENDS B
RELATIVE/FAMILY C
HEALTH SERVICES D
PHARMACY E
RADIO F (GO TO 416)
TELEVISION G (GO TO 416)
OTHER (SPECIFY) _____H
DOESN'T KNOW I

415. Have you heard talk of AIDS on the radio or television during the last three months?

YES 1
NO 2
DOESN'T KNOW 8

416. In your opinion, are there significant risks, average risks, weak risks, or are there no risks that you get AIDS?

SIGNIFICANT 1
AVERAGE 2
WEAK 3
NONE AT ALL 4
DOESN'T KNOW 8

417. Do you know AIDS is transmitted?

YES 1
NO 2 (GO TO 419)

418. What methods of transmission do you know of?
CIRCLE THE CORRESPONDING CODES TO ALL MENTIONED.

SEXUAL INTERCOURSE WITH PARTNER A
SEXUAL INTERCOURSE WITH PROSTITUTE B
SEXUAL INTERCOURSE WITH HOMOSEXUAL C
BLOOD TRANSFUSION D
INJECTION E
BREAST FEEDING F
BLADE/RAZOR G
TATTOO H
OTHER (SPECIFY) _____I

419. In your opinion, can AIDS be prevented?

YES 1
NO 2 (GO TO 421)
DOESN'T KNOW 8 (GO TO 421)

420. What do you/would you do to prevent AIDS?
CIRCLE THE CORRESPONDING CODES TO ALL MENTIONED.

ONLY ONE PARTNER A
LOYALTY TO PARTNERS B
CONDOM C
AVOID INJECTION D
AVOID TRANSFUSION E
OTHER (SPECIFY) _____G

421. In your opinion, can AIDS be cured?

YES 1
NO 2 (GO TO 423)
DOESN'T KNOW 8 (GO TO 423)

422. In your opinion, where can someone get information on treating AIDS?
CIRCLE THE CORRESPONDING CODES TO ALL MENTIONED.

HEALTH FACILITY A
HEALTH CARE PERSONNEL B
HEALER/WITCH DOCTOR C
OTHER (SPECIFY) _____D

423. RECORD THE TIME:

HOUR_____
MINUTES_____