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Demographic and Health Surveys (E.D.S.) 1987
Husband questionnaire

IDENTIFICATION

SUBDISTRICT/SEGMENT________

SUBDISTRICT/SEGMENT_________
DWELLING/PLOT_______
HOUSEHOLD NUMBER_________
ORDER NUMBER OF WOMAN___________

INTERVIEWER VISITS

FIRST VISIT
DATE__________
INTERVIEWER???S NAME
RESULT

1COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) ____

SECOND VISIT
DATE
INTERVIEWER???S NAME
RESULT

1COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) ____

THIRD VISIT
DATE
INTERVIEWER???S NAME
RESULT

1COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) ____

NEXT VISIT
DATE
TIME

FINAL VISIT
DAY
MONTH
INT. NUMBER

RESULT CODE

1COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER (SPECIFY) ____

NO. OF VISITS__________

NAME________
DATE_______
FIELD EDITED BY_________
OFFICE EDITED BY_______
KEYED BY________
KEYED BY________

SECTION 1. HUSBAND???S BACKGROUND

101) In what month were you born?

MONTH ____
DON???T KNOW MONTH 98
YEAR ____
DON???T KNOW YEAR 98

102) How old are you?
INTERVIEWER: COMPARE AND CORRECT 101 AND/OR 102 IF INCONSISTENT

AGE IN COMPLETED YEARS _____

103) Are you Burundian?

YES 1 (SKIP TO 201)
NO 2

104) What is your nationality?

RWANDAN 1
ZAIREAN 2
TANZANIAN 3
OTHER AFRICAN 4
OTHER (SPECIFY) _____ 5

SECTION 2. CONTRACEPTION

Now I would like to talk about a different topic. There are different traditional or modern ways or methods that a couple can use to delay or avoid pregnancy. Do you know any of these methods or have you heard of them?

INTERVIEWER:
CIRCLE CODE 1 IN 201-202 FOR EACH METHOD MENTIONED SPONTANEOUSLY. FOR EACH METHOD NOT MENTIONED, READ THE DESCRIPTION, ASK 202 AND CIRCLE CODE 2 IF THE METHOD IS RECOGNIZED. ASK 203 TO 205 FOR EACH METHOD CODED 1 OR 2 IN 201-202.

201-202. Have you ever heard of this method?

CONDOM: Men use a condom to avoid getting the woman pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
ABSTINENCE: Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn???t get pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
PERIODIC ABSTINENCE: Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
MALE STERILIZATION: Men can have an operation to avoid having any more children
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
MEDICAL PLANTS (bark, roots, leaves) are used by some women to delay or space out pregnancies.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
TALISMANS: (charm, cord with knot, etc) are used by some women to delay or space out pregnancies.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
PILL: Women can take a pill every day to delay or avoid pregnancy.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
IUD: Women can have a plastic or metal coil or device placed inside their uterus by a doctor.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
INJECTIONS: Women can have an injection by a doctor or a nurse which stops them from becoming pregnant for several months.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse to avoid pregnancy.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
FEMALE STERILIZATION: Women can have an operation to avoid having any more children
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)

203) Has your wife ever used (method)?

CONDOM: Men use a condom to avoid getting the woman pregnant.
YES 1
NO 2
WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
ABSTINENCE: Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn???t get pregnant.
YES 1
NO 2
PERIODIC ABSTINENCE: Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
MALE STERILIZATION: Men can have an operation to avoid having any more children
YES 1
NO 2
MEDICAL PLANTS (bark, roots, leaves) are used by some women to delay or space out pregnancies.
YES 1
NO 2
TALISMANS: (charm, cord with knot, etc) are used by some women to delay or space out pregnancies.
YES 1
NO 2
PILL: Women can take a pill every day to delay or avoid pregnancy.
YES 1
NO 2
IUD: Women can have a plastic or metal coil or device placed inside their uterus by a doctor.
YES 1
NO 2
INJECTIONS: Women can have an injection by a doctor or a nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse to avoid pregnancy.
YES 1
NO 2
FEMALE STERILIZATION: Women can have an operation to avoid having any more children
YES 1
NO 2

204) Where would you go to obtain (method)?

CONDOM: Men use a condom to avoid getting the woman pregnant.
01 PUBLIC HOSPITAL/MATERNITY
02 HEALTH CENTER/MOTHER-INFANT CENTER
03 PUBLIC CLINIC
04 AUTHORIZED CLINIC
05 PRIVATE OFFICE
06 PHARMACY
07 TRADITIONAL HEALER
08 ACQUAINTANCES
09 OTHER (SPECIFY) _____
98 DK
PERIODIC ABSTINENCE: Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
01 PUBLIC HOSPITAL/MATERNITY
02 HEALTH CENTER/MOTHER-INFANT CENTER
03 PUBLIC CLINIC
04 AUTHORIZED CLINIC
05 PRIVATE OFFICE
06 PHARMACY
07 TRADITIONAL HEALER
08 ACQUAINTANCES
09 OTHER (SPECIFY) _____
98 DK
MALE STERILIZATION: Men can have an operation to avoid having any more children
01 PUBLIC HOSPITAL/MATERNITY
02 HEALTH CENTER/MOTHER-INFANT CENTER
03 PUBLIC CLINIC
04 AUTHORIZED CLINIC
05 PRIVATE OFFICE
06 PHARMACY
07 TRADITIONAL HEALER
08 ACQUAINTANCES
09 OTHER (SPECIFY) _____
98 DK

205) In your opinion, what is the main problem, if any, with using (method)?

CONDOM: Men use a condom to avoid getting the woman pregnant.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
WITHDRAWAL: Men can be careful and pull out before climax.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
ABSTINENCE: Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn???t get pregnant.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
PERIODIC ABSTINENCE: Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
MALE STERILIZATION: Men can have an operation to avoid having any more children
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
MEDICAL PLANTS (bark, roots, leaves) are used by some women to delay or space out pregnancies.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
TALISMANS: (charm, cord with knot, etc) are used by some women to delay or space out pregnancies.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
PILL: Women can take a pill every day to delay or avoid pregnancy.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
IUD: Women can have a plastic or metal coil or device placed inside their uterus by a doctor.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
INJECTIONS: Women can have an injection by a doctor or a nurse which stops them from becoming pregnant for several months.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse to avoid pregnancy.
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW
FEMALE STERILIZATION: Women can have an operation to avoid having any more children
01 NONE
02 NOT EFFECTIVE
03 WIFE/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) _____
98 DON'T KNOW

S

206) INTERVIEWER:

NOT A SINGLE ???YES??? IN 201-202 (DOESN???T KNOW ANY METHOD) (SKIP TO 208)
AT LEAST ONE ???YES??? IN 201-202(KNOWS AT LEAST ONE METHOD) (GO TO 207)

207) From whom or how did you get information contraception for the first time?

DOCTOR 01
OTHER HEALTHCARE PROFESSIONAL 02
SOCIAL ORGANIZER 03
UFB MEETING 04
PARTY MEETINGS 05
WIFE 06
FRIENDS/ACQUAINTANCES 07
RELIGIOUS PERSONNEL 08
RADIO/TELEVISION 09
NEWSPAPER 10
OTHER (SPECIFY) _____ 11
DON???T KNOW 98

208) Do you intend to use a method to prevent your wife from getting pregnant in the future?

YES 1
NO 2 (SKIP TO 301)
DON???T KNOW 8 (SKIP TO 301)

209) Among the methods we just discussed, which one would you prefer to use with your wife in the future?

CONDOM 01
WITHDRAWAL 02
ABSTINENCE 03
PERIODIC ABSTINENCE 04
MALE STERILIZATION 05
MEDICAL PLANTS 06
TALISMANS 07
PILL 08
IUD 09
INJECTIONS 10
DIAPHRAGM, FOAM, JELLY 11
FEMALE STERILIZATION 12

SECTION 3. FERTILITY PREFERENCES

301) Now I would like to ask you some questions about yourself and some about your wife. They are about fertility.
Do you have children?

YES 1
NO 2 (SKIP TO 304)

302) How many children do you have?

NUMBER OF BOYS _____
NUMBER OF GIRLS _____

303) 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?

BETWEEN _ AND _ (SKIP TO 305)
UP TO GOD 95 (SKIP TO 305)
OTHER ANSWER (SPECIFY) ____ 96 (SKIP TO 305)
DON???T KNOW 98 (SKIP TO 305)

304) If you could choose exactly the number of children to have in your whole life, how many would that be?
Number

BETWEEN _ AND _ (SKIP TO 305)
UP TO GOD 95 (SKIP TO 305)
OTHER ANSWER (SPECIFY) ____ 96 (SKIP TO 305)
DON???T KNOW 98 (SKIP TO 305)

305) How many boys? How many girls?

NUMBER OF BOYS ____
NUMBER OF GIRLS ____
UP TO GOD 95
OTHER (SPECIFY) ____ 96
DON???T KNOW 98

306) In your opinion, what is the best amount of time to wait between two births?

NUMBER OF MONTHS ____
OTHER (SPECIFY) 96 (SKIP TO 308)
DON???T KNOW 98 (SKIP TO 308)

307) Why is this interval the best?

REST, HEALTH OF MOTHER 1
HEALTH OF CHILD 1
CHILDREN???S EDUCATION 1
ECONOMIC DIFFICULTIES 1
CUSTOMS 1
OTHER (SPECIFY) _____ 1
DON???T KNOW 1

308) For how long should a woman wait before starting sexual intercourse after the birth of a baby?

NUMBER OF DAYS 1
OR NUMBER OF MONTHS 2
OR NUMBER OF YEARS 3
OTHER (SPECIFY) ____ 996
DON???T KNOW 998

309) How often have you talked to your wife about contraception in the past year?

NEVER 1
ONCE OR TWICE 2
THREE TIMES OR MORE 3
IN UNION LESS THAN A YEAR 4

310) Do you think that your wife approves or disapproves of couples using a method to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
DON???T KNOW 8

311) Do you approve of them?

APPROVE 1
DISAPPROVE 2
INDIFFERENT 3

312) In your opinion, how many children would you advise to a new couple who just got married? [##translator note: The original text is a bit unclear-it doesn???t ask how many children a couple should have specifically, just how many children for a new couple, presumably how many children they should have]

NUMBER OF CHILDREN _____