F1) Sometimes a woman can have a problem of constant leakage of urine or stool from her vagina during the day and night. This problem usually occurs after a difficult childbirth, but it may also occur after a sexual assault or after pelvic surgery.
Have you ever experienced a constant leakage of urine or stool from your vagina during the day and night?
NO 2
F2) Have you ever heard of this problem?
NO 2 (GO TO NEXT SECTION)
F3) Did this problem start after you delivered a baby or had a stillbirth?
AFTER HAD STILLBIRTH 2
NEITHER 3 (GO TO F5)
F4) Did this problem start after a normal labor and delivery, or after a very difficult labor and delivery?
VERY DIFFICULT LABOR/DELIVERY 2 (GO TO F6)
F5) What do you think caused this problem?
PELVIC SURGERY 2
OTHER (SPECIFY): _______ 6
DK 8 (GO TO F7)
F6) How many days after (CAUSE OF PROBLEM FROM F3 OR F5) did the leakage start?
(ENTER 90 IF 90 DAYS OR MORE)
F7) Have you sought treatment for thus condition?
NO 2
F8) Why have you not sought treatment?
PROBE AND RECORD ALL MENTIONED.
DO NOT KNOW WHERE TO GO B (GO TO NEXT SECTION)
TOO EXPENSIVE C (GO TO NEXT SECTION)
TOO FAR D (GO TO NEXT SECTION)
POOR QUALITY OF CARE E (GO TO NEXT SECTION)
COULD NOT GET PERMISSION F (GO TO NEXT SECTION)
EMBARRASSMENT G (GO TO NEXT SECTION)
PROBLEM DISAPPEARED H (GO TO NEXT SECTION)
OTHER (SPECIFY): ____________ X (GO TO NEXT SECTION)
F9) From whom did you last seek treatment?
NURSE/MIDWIFE 2
F10) Did you have an operation to fix the problem?
NO 2
F11) Did the treatment stop the leakage completely?
IF NO: Did the treatment reduce the leakage?
NOT STOPPED BUT REDUCED 2
NOT STOPPED AT ALL 3
DID NOT RECEIVE TREATMENT 4