BANGLADESH

IDENTIFICATION

DIVISION:
DISTRICT:
UPAZILA OR THANA:
VILLAGE OR MOHALLA OR BLOCK:
CLUSTER NUMBER:
HOUSEHOLD NUMBER:
DHAKA/CHITTAGONG OR SMALL CITY OR TOWN OR VILLAGE:

NAME OF HOUSEHOLD HEAD:
NAME AND LINE NUMBER OF WOMAN

INTERVIEWER VISITS

FIRST VISIT
DATE
INTERVIEWER'S NAME
RESULT*

SECOND VISIT
DATE
INTERVIEWER'S NAME
RESULT*

NEXT VISIT
DATE
TIME

THIRD VISIT
DATE
INTERVIEWER'S NAME
RESULT*

FINAL VISIT
DAY
MONTH

YEAR 199_
NAME
RESULT

TOTAL NUMBER OF VISITS

NAME
DATE

FIELD EDITED BY
OFFICE EDITED BY
KEYED BY
KEYED BY

SECTION 1. RESPONDENT'S BACKGROUND
101. RECORD THE TIME.

102. How long have you been living continuously in (NAME OF CURRENT PLACE OR RESIDENCE)?

102A. Just before you moved here, did you live in a city, in a town, or in the countryside?

103. In what month and year were you born?
USE CODES BELOW FOR MONTHS
IF SHE DOES NOT KNOW, WRITE 'DK' IN BOXES.

BENGALI 1

ENGLISH 2

104. How old are you?
COMPARE AND CORRECT 103 AND/OR 104 IF INCONSISTENT

104A. Are you now married, widowed, or divorced?

105. Have you ever attended school?

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

107. What is the highest class you completed?

108. CHECK 106:

109. Can you read and write a letter in any language easily, with difficulty, or not at all?

110. Do you usually read a newspaper of magazine at least once a week?

111. Do you usually listen to the radio at least once a week?

112. Do you usually watch television at least once a week?

113. What is your religion?

114. Do you belong to any of the following organizations:

115. CHECK QUESTION 7 IN THE HOUSEHOLD QUESTIONNAIRE.

116. Now I would like to ask about the place in which you usually live. Do you usually live in a city, in a town, or in a village?
IF CITY: Which city do you live?

117. In which division is that located?

118. Now I would like to ask about the household in which you usually live. What is the source of water you household uses for hand washing?

119. How long does it take to go there?

119A. How long do you usually wait to get water?

120. Does your household get drinking water from the same source?

121. What is the source of drinking water for members of your household?

122. Where do adult women in your household usually defecate?

123. Where do children in your household usually defecate?

124. Does your household have:

125. How many rooms in your household are used for sleeping?

126. MAIN MATERIAL OF THE ROOF.
RECORD OBSERVATION.

127. MAIN MATERIAL OF THE WALLS.
RECORD OBSERVATION.

128. MAIN MATERIAL OF THE FLOOR.
RECORD OBSERVATION.

SECTION 2. REPRODUCTION
201. Now I would like to ask about all the births you have had during your life. Have you ever given birth?

202. Do you have any sons or daughters to whom you have given birth who are now living with you?

203. How many sons live with you? And how many daughters live with you?
IF NONE RECORD '00'.

204. Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?

205. How many sons are alive but do not live with you? And how many daughters are alive but do not live with you?
IF NONE RECORD '00'.

206. Have you ever given birth to a boy or a girl who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed any sign of life but only survived a few hours or days?

207. In all, how many boys have died? And how many girls?
IF NONE RECORD '00'.

208. SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL.
IF NONE RECORD '00'.

209. CHECK 208:
Just to make sure that I have this right: you have had in TOTAL ___ births during your life. Is that correct?

210. CHECK 208:

211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212. What name was given to you (FIRST OR NEXT) baby?

213. Were any of these births twins?

214. Is (NAME) a boy or a girl?

215. In what month and year was (NAME) born?
WRITE EITHER BENGALI OR ENGLISH DATES, BUT NOT BOTH.
USE CODES AT THE BOTTOM OF THE PAGE FOR MONTHS.

BENGALI 1

ENGLISH 2

216. Is (NAME) still alive?

217. IF ALIVE: How old was (NAME) at his or her last birthday?
RECORD AGE IN COMPLETED YEARS.

218. IF ALIVE: Is (NAME) living with you?

220. IF DEAD: How old was he or she when he or she died?
IF "1 YEAR", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.

221. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:
NUMBERS ARE THE SAME

NUMBERS ARE DIFFERENT

223. FOR EACH BIRTH SINCE BAISHAK 1395 OR APRIL 1988, ENTER "B" IN MONTH OF BIRTH IN COLUMN 1 OF CALENDAR AND "P" IN EACH OF THE 8 PRECEDING MONTHS. WRITE NAME TO THE LEFT OF THE "B" CODE.

225. Are you pregnant now?

226. How many month pregnant are you?
ENTER "P" IN COLUMN 1 OF CALENDAR IN MONTH OF INTERVIEW AND IN EACH PRECEDING MONTH PREGNANT.

227. At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to become pregnant at all?

228. Have you ever had a pregnancy that miscarried, was aborted, or ended in a stillbirth?

229. When did the last such pregnancy end?
USE CODES BELOW FOR MONTHS.

BENGALI 1

ENGLISH 2

230. CHECK 229:

231. How many months pregnant were you when the pregnancy ended?
ENTER "T" IN COLUMN 1 OF CALENDAR IN THE MONTH THAT THE PREGNANCY TERMINATED, AND "P" IN EACH PRECEDING MONTH PREGNANT.

232. Did you ever have any other such pregnancies?

233. ASK FOR DATES AND DURATIONS OF ANY OTHER PREGNANCIES BACK TO BAISHAK 1395 OR APRIL 1988. ENTER "T" IN COLUMN 1 OF CALENDAR IN MONTH PREGNANCY TERMINATED, AND "P" IN EACH PRECEDING MONTH PREGNANT.

233A. Have you ever become pregnant when you did not want to be?

233B. Were any of those pregnancies ended by menstrual regulation or induced abortion?

233C. The last time this happened, was the pregnancy ended by menstrual regulation or induced abortion?

233D. When did the last such pregnancy end?
USE CODES BELOW FOR MONTHS.

BENGALI 1

ENGLISH 2

STILL PREGNANT 6

234. When did your last menstrual period start?

SECTION 3. CONTRACEPTION
301. 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 have you heard about?

CIRCLE CODE 1 IN 302 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 302, ASK 303-304 BEFORE PROCEEDING TO THE NEXT METHOD.

302. Have you ever heard of (METHOD)?
READ DESCRIPTION OF EACH METHOD.

303. Have you ever used (METHOD)?

304. Do you know where a person could go to get (METHOD)?

305. CHECK 303:

306. Have you ever used anything or tried in any way to delay or avoid getting pregnant?

307. ENTER "0" IN COLUMN 1 OF CALENDAR IN EACH BLANK MONTH (GO TO 328E).

308. What have you used or done?

CORRECT 303-305 (AND 302 IF NECESSARY).

309. What was the first method you ever used?

310. Where did you get this method the first time?

311. How many living children did you have at that time if any?
IF NONE, RECORD '00'.

311A. CHECK 303:

312. CHECK 104A:

313. CHECK 225:

314. Are you currently doing something or using any method to delay or avoid getting pregnant?

315. Which method are you using?
315A. CIRCLE '05' FOR FEMALE STERILIZATION.

316. At any time during the same month, do you regularly use any method other than (CURRENT METHOD)?

317. Which method is that?

318. CHECK 315:

318A. May I see the package of pills you are using now?
RECORD NAME OF BRAND.

318B. CHECK PACKET FOR PILL USE AND MARK CORRECT CODE.

318C. Why is it that you have not taken the pills (IN ORDER)?

318D. SHOW BRAND CHART FOR PILLS: Please tell me which of these is the brand of pills that you are now using.

318E. Why don't you have a package of pills available/
CIRCLE ALL MENTIONED.

318F. When was the last time you took a pill?

318G. CHECK 318F:

318H. Why aren't you taking the pill these days?

318I. After you finish taking one package of pills do you sometimes wait before starting the next package?

318J. How much does one (packet/cycle) or pills cost you?

318K. Just about everyone forgets to take a pill sometime. What do you do when you forget to take a pill for two days in a row?

319. When did you last have an injection?

319A. CHECK 319:

319B. Why haven't you had an injection recently?

320. May I see the package of condoms that you are using?
RECORD THE NAME OF BRAND.

320A. Why can't you show me the package of condoms that you are using?

320B. SHOW BRAND CHART FOR CONDOMS: Please tell me which of these is the brand of condoms that you are using.

320C. Do you use a condom every time that you have sexual intercourse or only sometimes?

320D. How many times have you used condoms in the last month?

321. In what month and year was the sterilization operation performed?
USE CODES BELOW FOR MONTHS.

BENGALI 1

ENGLISH 2

322. ENTER STERILIZATION METHOD CODE IN MONTH OF INTERVIEW IN COLUMN 1 OF CALENDAR AND IN EACH MONTH BACK TO DATE OF OPERATION OR TO BAISHAK 1395, IF OPERATION OCCURRED BEFORE 1395

322A. Do you regret that (you or your husband) had the operation not to have any more children?

322B. Why do you regret it?

322C. You told me that you use the safe period (calendar, rhythm) method. Please tell me which days of your monthly cycle are not safe.

322D. Which method of family planning did you use most recently?

323. Where did you obtain (METHOD) the last time?
323A. Where did the sterilization take place?

323B. Did you pay for the service you received there?

323C. CHECK 322D OR 315:

325. Who obtained the (PILL OR CONDOMS) the last time you got them?

325A. Have you yourself ever been to a health facility, a doctor, or a shop to get (PILLS OR CONDOMS)?

325B. Did anyone there ever tell you about side effects or other problems that you might have using this method?

8

325C. Did anyone there ever tell you about other methods that you might use?

325E. Did the family welfare assistant (fieldworker) ever tell you about side effects or problems you might have with this (CURRENT METHOD)?

325G. Did the family welfare assistant (fieldworker) ever tell you about other methods that you might use?

325H. Did you get the method that you wanted?

325I. Which method did you want?

325J. When a couple is making a decision, sometimes the husband has more influence, sometimes the wife has more influence and sometimes other people have more influence. In your family, who had the most influence in deciding to use family planning the first time you used a method?

325K. CHECK 315:

326. What is the main reason you decided to use (CURRENT METHOD FROM 315) rather than some other method of family planning?

327. Are you having any health problems using (CURRENT METHOD)?

328. What health problems are you having with using (METHOD)?
CIRCLE ALL MENTIONED.

328A. When you first started having these problems, did anyone talk to you about these problems?

328B. Who talked to you about these problems?

328C. Are you having any other problems in using (CURRENT METHOD)?

328D. What other problems are you having?
CIRCLE ALL MENTIONED.

328E. CHECK 104A:

328F. CHECK 225:

328G. What is the main reason you are not using a method to delay or avoid pregnancy?

328H. Do you know where you can obtain a method of family planning?

328I. Where is that?
IF WOMAN SAYS MORE THAN ONE PLACE, ASK FOR THE PLACE SHE WOULD MOST LIKELY USE.

328J. CHECK 305 AND 306:

329. CHECK 315 AND 321:

330. ENTER METHOD CODE FROM 315 IN CURRENT MONTH IN COLUMN 1 OF CALENDAR. THEN DETERMINE WHEN SHE STARTED USING THIS METHOD THIS TIME. ENTER METHOD CODE IN EACH MONTH OF USE.
ILLUSTRATIVE QUESTIONS:

331. I would like to ask some questions about all of the (OTHER) periods in the last few years during which you or your partner used a method to avoid getting pregnant.

USE CALENDAR TO PROBE FOR EARLIER PERIODS OF USE AND NONUSE, STARTING WITH THE MOST RECENT USE, BACK TO BAISHAK 1395.

USE NAMES OF CHILDREN, DATES OF BIRTH, AND PERIODS OF PREGNANCY AS REFERENCE POINTS.

IN EACH MONTH, ENTER CODE FOR METHOD OR "0" FOR NONUSE IN COLUMN1. IN COLUMN 2, ENTER CODES FOR DISCONTINUATION NEXT TO LAST MONTH OF USE.

NUMBER OF CODES ENTER IN COLUMN 2 MUST BE THE SAME AS THE NUMBER OF INTERRUPTIONS OF CONTRACEPTIVE US IN COLUMN 1.

ASK WHY SHE STOPPED USING THE METHOD. IF A PREGNANCY FOLLOWED, ASK WHETHER SHE BECAME PREGNANT UNINTENTIONALLY WHILE USING THE METHOD OR DELIBERATELY STOPPED TO GET PREGNANT.

ILLUSTRATIVE QUESTIONS:

COLUMN 1:

COLUMN 2:

IF DELIBERATELY STOPPED TO BECOME PREGNANT, ASK:

AND ENTER '0' IN EACH SUCH MONTH IN COLUMN 1.

347. CHECK 310, 323, AND 328I:

347A. In some places, there is a clinic set up for a day or part of a day in someone's house or in a school. This is called a satellite clinic. During the past 3 months was there any such clinic in your village or mohalla?

347B. Did you ever visit such a clinic?

347C. What services did they provide?

CIRCLE ALL MENTIONED.

348. In the last months, have you heard or seen a message about family planning on:

349. Is it acceptable or not acceptable to you for information to be provided on the radio about:

350. During the last six months has anyone visited you in your house to talk to you about family planning or to give you any family planning method?

351. Has a family planning working visited you in the last six months for another reason?

352. How many times did a family planning worker visit you in the last six months?

353. When was the last visit?

IF LESS THAN ONE MONTH AGO, WRITE '00'.

354. Did you receive any family planning supplies from the fieldworker during the last visit?

355. What supplies did you receive?

356. How many cycles or condoms?

357. Thinking back to all the visits you have ever had from family planning workers, which methods of avoiding pregnancy did they discuss with you?
CIRCLE ALL MENTIONED.

357A. Did the family planning worker who came to your house ever refer you to a clinic for any reason?

357B. Why did she refer you to a clinic?

358. Do you think that most of the women you know use some kind of family planning method?

359. Have you ever recommended family planning to a friend, relative, or anyone else?

360. In the past 12 months, have you visited a health facility for any reason?

361. Did anyone at the health facility speak to you about family planning methods during any of your visits this year?

SECTION 4A. PREGNANCY AND BREASTFEEDING
401. CHECK 215:

402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTHS SINCE BAISHAK 1397 OR APRIL 1990 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children born in the past 3 years. (We will talk about one child at a time.)

FROM QUESTION 212:

FROM QUESTION 216:

403. At the time you became pregnant with (NAME), did you want to become pregnant then, did you want to wait until later, or did you want no (MORE) children at all?

405. When you were pregnant with (NAME), did you see anyone for antenatal care for this pregnancy?
IF YES: Whom did you see? Anyone else?
RECORD ALL PERSONS SEEN.

407. How many months pregnant were you when you first saw someone for an antenatal check on this pregnancy?

408. How many antenatal visits did you have during this pregnancy?

409. When you were pregnant with (NAME) were you given an injection in the arm to prevent the baby from getting tetanus, that is, convulsions after birth?

410. During this pregnancy how many times did you get this injection?

411. Where did you give birth to (NAME)?

412. Who assisted with the delivery of (NAME)? Anyone else?
PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS ASSISTING.

418. Has you period returned since the birth of (NAME)?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)

419. Did your period return between the birth of (NAME) and your next pregnancy?
(REPEAT QUESTIONS FOR ALL CHILDREN BORN IN THE LAST FOUR YEARS, EXCLUDING THE MOST RECENT BIRTH)

420. For how many months after the birth of (NAME) did you not have a period?

421. CHECK 223:
RESPONDENT PREGNANT?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)

422. Have you resumed sexual relations since the birth of (NAME)?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)

423. For how many months after the birth of (NAME) did you not have sexual relations?

424. Did you ever breastfeed (NAME)?

425. Why did you not breastfeed (NAME)?

428. How long after birth did you fist put (NAME) to the breast?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)
IF LESS THAN 1 HOUR, RECORD '00' HOURS. IF LESS THAN 24 HOURS, RECORD HOURS. OTHERWISE, RECORD DAYS.

429. CHECK 216:

CHILD ALIVE?

430. Are you still breastfeeding (NAME)?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)

431. For how many months did you breastfeed (NAME)?

432. Why did you stop breastfeeding (NAME)?

432A. How many times did you breastfeed last night between sunset and sunrise?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.

433. How many times did you breastfeed yesterday during the daylight hours?
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.

434. At any time yesterday or last night was (NAME) given any of the following:
(MOST RECENT BIRTH WITHIN THE LAST FOUR YEARS)

434A. GO BACK TO 403 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 435.

435. CHECK 215:

436. CHECK 216:

437. CHECK 424:

BREASTFED CHILD?

439. Did anyone talk to you and give you specific advice about how long to breastfeed (NAME OF YOUNGEST)?

440. Among the persons with whom you talked about breastfeeding, who would you say helped you the most with your decision about how long to breastfeed?

441. For how long did he or she advise you to breastfeed?

442A. Since you became pregnant with (NAME OF BABY), did anyone give you specific advice about using family planning after (NAME OF BABY) was born?

ASK QUESTION 442B AND ENTER THE NAME OF EACH PERSON GIVING ADVICE IN COLUMN 1. RECORD A CODE FOR EACH PERSON USING THE LIST AT THE BOTTOM OF THE GRID. THEN ASK QUESTIONS 442C-442F. GO TO QUESTION 442G AFTER COMPLETING FOR ALL PERSONS WHO GAVE ADVICE.

442B. Who gave you specific advice about using family planning?

PROBE: Anyone else?

442C. Did he or she ask how you planned to feed your baby?

442D. Which methods if any did he or she talk to you about?

RECORD ALL MENTIONED

442E. Which method(s) did he or she recommend?
RECORD METHOD NAME AND CODE FROM 442D FOR ALL MENTIONED.

442F. How long after the birth of baby did he or she recommend you begin (METHOD IN 442E)?
ASK FOR EACH METHOD RECORDED IN 442E.

442G. CHECK CALENDAR:
USED CONTRACEPTION SINCE LAST BIRTH?

442H. Among the persons with whom you talked about family planning, who would you say helped you the most with your decision about when to begin using family planning after the birth of your baby?

442I. What else influenced your decision about when to begin using family planning after the birth of you baby?

CIRCLE ALL MENTIONED.

442J. Among the persons with whom you talked about family planning, who would you say helped you the moths with your decision about which method to use?

442K. What else influenced your decision about which method to use?

442L. Are there any family planning methods that are not good for a woman who is breastfeeding to use?

442M. Which method(s) are not good for a breastfeeding woman to use?

CIRCLE ALL MENTIONED.

442N. After childbirth, if a woman is giving only breast milk to her child and she has not resumed her periods, do you think she does not have any risk of getting pregnant?

442O. For how many months would she be protected against pregnancy?

SECTION 4B. IMMUNIZATION AND HEALTH
451. ENTER THE LINE NUMBER AND NAME OF EACH BIRTH SINCE BAISHAK 1397 (APRIL 1990) IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

FROM QUESTION 212 AND 216:

452. Do you have a card where (NAME'S) vaccinations are written down?
IF YES: May I see it, please?

453. Did you ever have a vaccination card for (NAME)?

454. COPY VACCINATION DATES FOR EACH VACCINE FROM THE CARD.
WRITE '44' IN 'DAY' COLUMN IF CARD SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE WAS RECORDED.

455. Has (NAME) received any vaccinations that are not recorded on this card?
RECORD 'YES' ONLY IF RESPONDENT MENTIONS BCG, DPT 1-3, POLIO 1-3 AND/OR MEASLES VACCINE(S).

456. Did (NAME) ever receive any vaccinations to prevent him or her from getting diseases?

457. Has (NAME) received any of the following vaccinations:

461. Has (NAME) been ill with a cough at any time in the last 2 weeks?

464. When (NAME) had the illness with a cough, did he or she breathe faster than usual with short, rapid breaths?

468. Did you seek advice or treatment for the cough?

469. Where did you seek advice or treatment? Anywhere else?
RECORD ALL MENTIONED.

470. Has (NAME) had diarrhea in the last two weeks?

474. Was there any blood in the stools?

478. Was he or she given the same about to drink as before the diarrhea, or more, or less?

478A. Was (NAME) given khabar saline made from a special packet?

479. Was anything (else) given to treat the diarrhea?

480. What was given to treat the diarrhea? Anything else?
RECORD ALL MENTIONED.

481. Did you seek advice or treatment for the diarrhea?

482. Where did you seek advice or treatment? Anywhere else?
RECORD ALL MENTIONED.

483. In the past 6 months, has (NAME) taken a Vitamin A capsule?
SHOW CAPSULE.

489. GO BACK TO 452 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 501.

SECTION 5. MARRIAGE
501. Have you been married only once or more than once?

502. In what month and year did you start living with your (first) husband?

BENGALI 1

ENGLISH 2

503. How old were you when you started living with him?

504. DETERMINE MONTHS MARRIED SINCE BAISHAK 1395. ENTER "X" IN COLUMN 3 OF CALENDAR FOR EACH MONTH MARRIED OR IN UNION, AND ENTER "0" FOR EACH MONTH NOT MARRIED OR NOT IN UNION SINCE BAISHAK 1395.

FOR WOMEN NOT CURRENTLY MARRIED OR WITH MORE THAN ONE MARRIAGE, PROBE FOR DATE THAT THE COUPLE STOPPED LIVING TOGETHER OR DATE WIDOWED, AND FOR STARTING DATE OF ANY SUBSEQUENT MARRIAGE.

505. CHECK 104A:

506. Now we need some details about your sexual activity in order to get a better understanding of family planning and fertility.

When was the last time you had sexual intercourse?

507. Is your husband living with you now or is he staying elsewhere?

508. PRESENCE OF OTHERS AT THIS POINT.

SECTION 6. FERTILITY PREFERENCES
601. CHECK 104A:

602. CHECK 315:

603. CHECK 225:

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?

PREGNANT: Now I have some questions about the future. After the child you are expecting, would you like to have another child or would you prefer no to have any more children?

604. CHECK 225:
NOT PREGNANT OR UNSURE: How long would you like to wait from now before the birth of (a/another) child?
PREGNANT: How long would you like to wait after the birth of the child you are expecting before the birth of another child?

604A. If you became pregnant in the next few weeks, would you be happy, unhappy, or would it not matter very much?

605. CHECK 314:
USING A METHOD?

606. Do you intend to use a method to delay or avoid pregnancy within the next 12 months?

607. Do you intend to use a method at any time in the future?

608. When you use a method, which method would you prefer to use?

609. Where can you get (METHOD MENTIONED IN 608)?

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

611. Do you think that your husband is in favor or not in favor of couples using a method to avoid pregnancy?

612. How often have you talked to your husband about family planning in the last year?

613. Have you and your husband ever discussed the number of children you would like to have?

614. Do you think your husband want the same number of children that you want, or does he want more or fewer than you want?

615. Can you go outside the village or town or city alone (or with your young children)?

616. Since you have been married, how frequently do you go to another part of your village or town or city?

617. Since you have been married, how frequently do you go shopping or marketing?

618. Can you go to a health center or hospital alone (or with your young children)?

619. In general, do you approve or disapprove of couples using a method to avoid pregnancy?

620. CHECK 216:
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?
RECORD SINGLE NUMBER OR OTHER ANSWER.

621. How many of these would you like to be boys and how many would you like to be girls?

SECTION 7. HUSBAND'S BACKGROUND, RESIDENCE AND WOMAN'S WORK
701. ASK QUESTIONS ABOUT CURRENT OR MOST RECENT HUSBAND.

702. Now I have some questions about your (most recent) husband. Did your (last) husband ever attend school?

703. What was the highest level of school he attended: primary, secondary, or higher?

704. What was the highest (grade or form or year) he completed?

705. What kind of work does (did) your (last) husband or partner mainly do?

706. CHECK 705:

707. (Does or did) your husband or partner work mainly on his own land or family land, or (does or did) he rent land, or (does or did) he work on someone else's land?

708. As you know, women do all kinds of work. Some work on farms, others sell things in a market, or work in a business, or for the government. Some women are paid in cash or in kind for their work; others are not paid. Are you currently doing any of these things or any other work?

709. What is your occupation, that is, what kind of work do you mainly do?

710. CHECK 709:

711. Do you work mainly on your own land or family land, or do you rent land, or work on someone else's land?

712. In your current work, do you work for a member of your family, for someone else, or are you self-employed?

713. Do you earn cash for this work?
PROBE: Do you make money for working?

714. Most of the time when you work for cash, do you decide how the money you earn will be used, or does someone else decide how your earnings are used?

715. Do you work all of the year or only during certain times of the year?
PROBE: Is the work seasonal?

716. Do you work at home or away from home?

717. CHECK 215 AND 216 AND 218:
HAS CHILD BORN SINCE BAISHAK 1395 AND LIVING AT HOME?

718. Who usually takes care of (NAME OF YOUNGEST CHILD AT HOME) while you are working?

719. RECORD THE TIME

INTERVIEWER'S OBSERVATIONS

(TO BE FILLED IN AFTER COMPLETING THE INTERVIEW)
COMMENTS ABOUT RESPONDENT: ___
COMMENTS ON SPECIFIC QUESTIONS: ___
ANY OTHER COMMENTS: ___
SUPERVISOR'S OBSERVATIONS ___
NAME OF SUPERVISOR: ___
DATE: ___
EDITOR'S OBSERVATIONS ___

CALENDAR

INSTRUCTIONS: ONLY ONE CODE SHOULD APPEAR IN ANY BOX. FOR COLUMNS 1, AND 3 ALL MONTHS SHOULD BE FILLED IN.
INFORMATION TO BE CODED FOR EACH COLUMN

COLUMN 1: BIRTHS, PREGNANCIES, CONTRACEPTIVE USE

COLUMN 2: DISCONTINUATION OF CONTRACEPTIVE USE

COLUMN 3: MARRIAGE

1400

1399

1398

1397

1396

1395

1994

1993

1992

1991

1990

1989

1988