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EGYPT DEMOGRAPHIC AND HEALTH SURVEY [1988]
WOMAN QUESTIONNAIRE

GOVERNORATE __________
PSU/SEGMENT NO. _____________
KISM/MARKAZ __________
BUILDING NO. ________________
SHIAKHA/VILLAGE __________
HOUSE NO. ___________

URBAN 1
RURAL 2

HOUSEHOLD NUMBER ___________

MATERNAL MRT/ANTHROPOMETRY SUBSAMPLE

YES 1
NO 2

NAME OF HOUSEHOLD HEAD _______________
ADDRESS IN DETAIL ______________
NAME OF WOMAN__________
LINE NUMBER OF WOMAN_________

GOVERNORATE_______
PSU/SEGMENT NO._______
HOUSEHOLD NO.______
SUBSAMPLE______
LINE NUMBER______

INTERVIEWER VISITS 1
DATE _____
TEAM _____
INTERVIEWER'S NAME _____
RESULT* ______
NEXT VISIT: DATE _____ TIME ________

INTERVIEWER VISITS 2
DATE _____
TEAM _____
INTERVIEWER'S NAME _____
RESULT* ______
NEXT VISIT: DATE _____ TIME ________

INTERVIEWER VISITS 3
DATE _____
TEAM _____
INTERVIEWER'S NAME _____
RESULT* ______
NEXT VISIT: DATE _____ TIME ________

FINAL VISIT
MONTH ____ YEAR ____
TEAM _____
INTERVIEWER'S NAME _____
RESULT* ______
TOTAL NUMBER OF VISITS ___

* RESULT CODES:

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

FIELD EDITOR
NAME _________
DATE _________
SIGNATURE __________

OFFICE EDITOR
NAME _________
DATE _________
SIGNATURE __________

CODER
NAME _________
DATE _________
SIGNATURE __________

DATA ENTRY OPERATOR
NAME _________
DATE _________
SIGNATURE ____

SECTION 1. RESPONDENT'S BACKGROUND

101. RECORD THE TIME.

HOUR ____
MINUTES ____

102. How old were you at your last birthday?

AGE IN COMPLETED YEARS ___

103. In what month and year were you born? COMPARE AND CORRECT 102 AND/OR 103 IF INCONSISTENT.

MONTH __
DON'T KNOW MONTH 98
YEAR __
DON'T KNOW YEAR 98

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

MARRIED 1
WIDOWED 2
DIVORCED 3

105. How many times have you been married?

NO. TIMES MARRIED ___

106. In what month and year did you first enter into a marriage contract?

MONTH ______
DON'T KNOW MONTH 98
YEAR ______ (GO TO 108)
DON'T KNOW YEAR 98

107. How old were you when you first entered into a marriage contract?

AGE ___

108. In what month and year did your first husband and you begin to live together (consummate your marriage)?

MONTH _______
DON'T KNOW MONTH 98
YEAR _______ (GO TO 110)
DON'T KNOW YEAR 98

109. How old were you when your first husband and you began to live together (consummate your marriage)?

AGE____

110. Have you attended school in the past or are you currently attending school?

YES, ATTENDED IN PAST 1
YES, ATTENDING CURRENTLY 2
NO, NEVER ATTENDED 3 (GO TO 112)

111. What was the highest level of to which you were admitted at school?
CIRCLE CODE FOR LEVEL.

PRIMARY 1
PREPARATORY 2
SECONDARY 3
UPPER INTERMEDIATE 4
UNIVERSITY 5
MORE THAN UNIVERSITY 6 (SPECIFY) _____

111A. What was the highest grade which you successfully completed at that level? ENTER GRADE IN BOX.

PRIMARY 1 ___
PREPARATORY 2 ___ (GO TO 114)
SECONDARY 3 ___ (GO TO 114)
UPPER INTERMEDIATE 4 ___ (GO TO 114)
UNIVERSITY 5 ____ (GO TO 114)
MORE THAN UNIVERSITY 6 (SPECIFY) ___ (GO TO 114)

112. Can you read a newspaper, a magazine or a letter, for example?

YES 1
NO 2 (GO TO 115)

113. Can you write a letter, for example?

YES 1
NO 2

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

YES 1
NO 2

115. How many hours on average do you listen to the radio each day? IF LISTENS LESS THAN ONE HOUR, ENTER '00'.

NUMBER OF HOURS PER DAY ____
ALL OF THE TIME 96
NEVER 97
NOT SURE/DON'T KNOW 98

116. How many hours on average do you watch television each day? IF WATCHES LESS THAN ONE HOUR, ENTER '00'.

NUMBER OF HOURS PER DAY ____
ALL OF THE TIME 96
NEVER 97
NOT SURE/DON'T KNOW 98

117. What is your religion?

MUSLIM 1
CHRISTIAN 2
OTHER (SPECIFY) _______3

118. Before you married your (first) husband, did you yourself ever do any work for which you were paid in cash?

YES 1
NO 2 (GO TO 121)

119. When you were working then, what did you do with most of the money that you earned?

MOST TO FAMILY 1
MOST FOR SELF 2
DIVIDED EQUALLY BETWEEN SELF AND FAMILY 3
OTHER (SPECIFY) ___________ 4

120. Was the money used mainly to prepare for marriage?

YES, MAINLY FOR MARRIAGE PREPARATION 1
NO, FOR OTHER THINGS 2

121. Since you were first married, have you ever done any work for cash?

YES 1
NO 2 (GO TO 125)

122. Are you now doing any work for cash?

YES 1
NO 2 (GO TO 125)

123. What do you do with most of the money that you earn?

MOST TO FAMILY 1
MOST FOR SELF 2
DIVIDE EQUALLY BETWEEN SELF AND FAMILY 3
OTHER (SPECIFY) ___________ 4

124. In this work, do you work on your own, for a family member, or for someone else or some other organization?

ON HER OWN 1 (GO TO 127)
FOR A FAMILY MEMBER 2 (GO TO 127)
FOR SOMEONE ELSE/SOME OTHER ORGANIZATION 3 (GO TO 127)

125. Do you assist any family member in his/her work?

YES 1 (GO TO 127)
NO 2

126. Do you assist someone not in the family in his/her work?

YES 1
NO 2 (GO TO 131)

127. What kind of work do you mainly do? WRITE THE RESPONSE EXACTLY AS GIVEN.

___________________________

128. In this work, are you in contact only with family members, or only with persons not in the family, or with both?

FAMILY MEMBERS ONLY 1
NONFAMILY ONLY 2
BOTH 3

129. How many hours did you work in the past week?

HOURS WORKED ___

130. CHECK 122:

NOT WORKING FOR CASH (GO TO 131)
WORKING FOR CASH (GO TO 132)

131. If a good opportunity was available, would you like to work for cash in the future?

YES 1
NO 2

132. Would you approve or disapprove of your daughter(s) working if a good opportunity for earning cash was available?

IF ANSWER IS "HAS NO DAUGHTER", PROBE: If you had a daughter, would you approve or disapprove of her working if a good opportunity for earning cash was available?

APPROVE 1
DISAPPROVE 2
NOT SURE/DON'T KNOW 8

133. How long have you been living continuously in (NAME OF MOTHER VILLAGE OR CITY IN WHICH INTERVIEW OCCURS)? IF LESS THAN ONE YEAR, ENTER
'00'.

NO. YEARS _________
ALWAYS 96 (GO TO 201)
VISITOR 97 (GO TO 135)

134. Just before you moved here, did you live in a village in a town, in Cairo or in Alexandria?

VILLAGE 1
TOWN 2
CAIRO 3
ALEXANDRIA 4

135. For most of the time until you were 12 years old, did you live in village, in a town, in Cairo or in Alexandria?

VILLAGE 1
TOWN 2
CAIRO 3
ALEXANDRIA 4

SECTION 2. REPRODUCTION

201 Now I would like to ask about all the births you have had during your life. Have you ever had a live birth?

YES 1
NO 2 (GO TO 206)

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

YES 1
NO 2 (GO TO 204)

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

SONS AT HOME ___
DAUGHTERS AT HOME ___

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

YES 1
NO 2 (GO TO 206)

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, ENTER '00'.

SONS ELSEWHERE __
DAUGHTERS ELSEWHERE ____

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

YES 1
NO 2 (GO TO 208)

207. How many boys have died? And how many girls have died? IF NONE, ENTER '00'.

BOYS DEAD _____
GIRLS DEAD _____

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

TOTAL ______

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

YES (GO TO 210)
NO (PROBE AND CORRECT 201-209 AS NECESSARY)

210. CHECK 208:

ONE OR MORE BIRTHS (GO TO 211)
NO BIRTHS (GO TO 222)

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 213. RECORD TWINS ON SEPARATE LINES AND MARK WITH A BRACKET. IF THERE ARE MORE THAN SEVEN BIRTHS CONTINUE RECORDING THE NAMES ON THE NEXT PAGE. THEN ASK 214 THROUGH 219 AS APPROPRIATE FOR EACH BIRTH. AFTER RECORDING THE ANSWERS TO QUESTIONS 214-219 FOR ALL THE BIRTHS THE WOMAN HAS HAD, GO TO 220.

212. LINE NO. (01-14)

213. What name was given to your (first/next) baby?

(NAME) ___________

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

BOY 1
GIRL 2

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?

MONTH __________
YEAR __________

216. Is (NAME) still alive?

YES 1 (GO TO 218)
NO 2 (GO TO 217)

217. IF DEAD: How old was (NAME) when he/she died? RECORD DAYS IF LESS THAN ONE MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.

DAYS 1 ____ (GO TO NEXT BIRTH)
MONTHS 2 ____ (GO TO NEXT BIRTH)
YEARS 3 ____ (GO TO NEXT BIRTH)

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

AGE IN YEARS ___

219. IF ALIVE: Is he/she living with you?

YES 1 (GO TO NEXT BIRTH)
NO 2 (GO TO NEXT BIRTH)

220. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:
NUMBERS ARE DIFFERENT: ____ (PROBE AND RECONCILE)
NUMBERS ARE SAME ____

CHECK:
FOR EACH LIVE BIRTH: YEAR OF BIRTH IS RECORDED ___
FOR EACH LIVE CHILD: CURRENT AGE IS RECORDED ___
FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED ___

221. In addition to the pregnancies which ended in live births, have you had any other pregnancy which ended in a miscarriage, still birth or an abortion?
PROBE: Any pregnancy which lasted only a few weeks or months?

YES 1 (GO TO 223)
NO 2 (GO TO 226)

222. Have you had any pregnancy which ended in a miscarriage, still birth or abortion? PROBE: Any other pregnancy which lasted only a few weeks or months?

YES 1
NO 2 (GO TO 226)

223. How many pregnancies ended in still births? IF NONE, ENTER '00'.

STILL BIRTHS ________

224. How many pregnancies ended in miscarriages and abortions? IF NONE, ENTER '00'.

MISCARRIAGES/ABORTIONS __________

225. SUM 223 AND 224 AND ENTER TOTAL BELOW:
Just to be sure that I have this right you had TOTAL _____ pregnancies which ended in miscarriages, still births or abortions. Is that correct?

YES (GO TO 226)
NO (PROBE AND CORRECT 221 TO 224 AS NECESSARY)

226. Are you pregnant now?

YES 1
NO 2 (GO TO 232)
NOT SURE/DON'T KNOW 8 (GO TO 232)

227. For how many months have you been pregnant?

MONTHS _______

228. Did you see anyone for a check on this pregnancy?

YES 1
NO 2 (GO TO 231)

229. Whom did you see? PROBE FOR TYPE OF PERSON AND RECORD MOST QUALIFIED.

DOCTOR 1
TRAINED NURSE 2
DAYA 3
OTHER (SPECIFY) ___________ 4

230. Was it a routine (regular) checkup or did you only go because there was some medical problem?

ROUTINE CHECKUP 1
WENT BECAUSE OF MEDICAL PROBLEM 2
OTHER (SPECIFY) ___________ 3

231. Since you have been pregnant, have you given any injection to prevent the baby from getting tetanus, that is, convulsions after birth?

YES 1 (GO TO 233)
NO 2 (GO TO 233)
NOT SURE/DON'T KNOW 8 (GO TO 233)

232. How long ago did your last menstrual period start?

DAYS AGO 1___
WEEKS AGO 2___
MONTHS AGO 3___
YEARS AGO 4___
BEFORE LAST BIRTH 969
NEVER MENSTRUATED 979 (GO TO 234)

233. At what age did you have your first menstrual period?

AGE __________

234. When during her monthly cycle do you think a woman has the greatest chance of becoming pregnant?
PROBE: What are the days during the month when a woman has to be careful to avoid becoming pregnant?

DURING HER PERIOD 1
RIGHT AFTER HER PERIOD HAS ENDED 2
IN THE MIDDLE OF THE CYCLE 3
JUST BEFORE HER PERIOD BEGINS 4
AT ANY TIME 5
OTHER (SPECIFY) ___________ 6
NOT SURE/DON'T KNOW 8

SECTION 3. CONTRACEPTION

301. Now I would like to talk about a different topic. There are various ways or methods that a couple can use to delay or avoid a pregnancy. Which of these ways or methods 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 IT IS NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 302, ASK 303-305 BEFORE GOING ON TO THE NEXT METHOD.

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

01 PILL Women can take a pill every day.
YES/SPONT 1
YES/PROBED 2
NO 3
02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES/SPONT 1
YES/PROBED 2
NO 3
03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES/SPONT 1
YES/PROBED 2
NO 3
05 FOAM/JELLY Women can place a sponge, suppository, jelly or cream inside the before intercourse.
YES/SPONT 1
YES/PROBED 2
NO 3
06 CONDOM Men can use a rubber sheath during sexual intercourse.
YES/SPONT 1
YES/PROBED 2
NO 3
07 FEMALE STERILIZATION Women can deliberately choose to have an operation to avoid having any more children.
YES/SPONT 1
YES/PROBED 2
NO 3
08 MALE STERILIZATION Men can deliberately choose to have an operation to avoid having any more children.
YES/SPONT 1
YES/PROBED 2
NO 3
09 WITHDRAWAL Men can be careful and pull out before climax.
YES/SPONT 1
YES/PROBED 2
NO 3
10 SAFE PERIOD Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
YES/SPONT 1
YES/PROBED 2
NO 3
11 PROLONGED BREASTFEEDING Women can prolong the time that they breastfeed their babies to delay the next pregnancy.
YES/SPONT 1
YES/PROBED 2
NO 3
12 ANY OTHER METHODS? Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
_________________ (SPECIFY)
YES/SPONT 1
NO 3

(ASK 303-305 FOR EACH METHOD FOR WHICH A 1 OR 2 IS CIRCLED IN 302)

303. Have you ever used (METHOD)?

01 PILL Women can take a pill every day.
YES 1
NO 2
02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
05 FOAM/JELLY Women can place a sponge, suppository, jelly or cream inside the before intercourse.
YES 1
NO 2
06 CONDOM Men can use a rubber sheath during sexual intercourse.
YES 1
NO 2
07 FEMALE STERILIZATION Women can deliberately choose to have an operation to avoid having any more children.
YES 1
NO 2
08 MALE STERILIZATION Men can deliberately choose to have an operation to avoid having any more children.
YES 1
NO 2
09 WITHDRAWAL Men can be careful and pull out before climax.
YES 1 (GO TO 304, METHOD 09)
NO 2 (GO TO 304, METHOD 09)
10 SAFE PERIOD Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
YES 1
NO 2
11 PROLONGED BREASTFEEDING Women can prolong the time that they breastfeed their babies to delay the next pregnancy.
YES 1 (GO TO 304, METHOD 09)
NO 2 (GO TO 304, METHOD 09)
12 ANY OTHER METHODS? Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1 (SPECIFY)________
NO 2

304. Where would you go to obtain (METHOD) if you wanted to use it? (WRITE THE RESPONSE AS GIVEN AND THEN ENTER THE CODE FROM BELOW)

01 PILL Women can take a pill every day.
RESPONSE ____________
02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
RESPONSE ____________
03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
RESPONSE ____________
05 FOAM/JELLY Women can place a sponge, suppository, jelly or cream inside the before intercourse.
RESPONSE ____________
06 CONDOM Men can use a rubber sheath during sexual intercourse.
RESPONSE ____________
07 FEMALE STERILIZATION Women can deliberately choose to have an operation to avoid having any more children.
RESPONSE ____________
08 MALE STERILIZATION Men can deliberately choose to have an operation to avoid having any more children.
RESPONSE ____________
10 SAFE PERIOD Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
Where would you go to obtain advice on safe period?
RESPONSE____

CODES FOR 304

01 GOVERNMENT FP CLINIC
02 PRIVATE VOLUNTARY FP CLINIC
03 GOVERNMENT MCH CENTER
04 GOVERNMENT HOSPITAL
05 PRIVATE DOCTOR/CLINIC
06 PHARMACY
07 HOME DELIVERED
08 OTHER (SPECIFY)
13 NOWHERE
98 NOT SURE/DON'T KNOW

305 In your opinion, what is the main problem, if any, with using (METHOD)? (WRITE THE RESPONSE AS GIVEN AND THEN ENTER THE CODE FROM BELOW)

01 PILL Women can take a pill every day.
RESPONSE ____________
02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
RESPONSE ____________
03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
RESPONSE ____________
05 FOAM/JELLY Women can place a sponge, suppository, jelly or cream inside the before intercourse.
RESPONSE ____________
06 CONDOM Men can use a rubber sheath during sexual intercourse.
RESPONSE ____________
07 FEMALE STERILIZATION Women can deliberately choose to have an operation to avoid having any more children.
RESPONSE ____________
08 MALE STERILIZATION Men can deliberately choose to have an operation to avoid having any more children.
RESPONSE ____________
09 WITHDRAWAL Men can be careful and pull out before climax.
RESPONSE ____________
10 SAFE PERIOD Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
Where would you go to obtain advice on safe peried?
RESPONSE ____________
11 PROLONGED BREASTFEEDING Women can prolong the time that they breastfeed their babies to delay the next pregnancy.
RESPONSE ____________

CODES FOR 305

02 NOT EFFECTIVE
04 HUSBAND DISAPPROVES
05 OTH RELAT DISAPPROVE
06 RELIGIOUS PROHIBITIONS
07 SIDE EFFECTS FOR WOMAN
08 SIDE EFFECTS FOR CHILD
09 METHOD PERMANENT
11 DIFFICULT TO OBTAIN
12 COSTS TOO MUCH
13 INCONVENIENT TO USE
18 OTHER (SPECIFY)
96 NO PROBLEM
98 NOT SURE/DON'T KNOW

306. CHECK 303:

NOT A SINGLE "YES" (NEVER USED) (GO TO 307)
AT LEAST ONE (EVER USED) (GO TO 309)

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

YES 1
NO 2 (GO TO 401)

308. What have you used or done? (SPECIFY) _______

CHECK AND CORRECT 302-303 AND OBTAIN INFORMATION FOR 304 TO 306 AS NECESSARY.

309. How many living children, if any, did you have when you first did something or used a method to avoid getting pregnant? IF NONE, CIRCLE CODE '00'.

NUMBER OF CHILDREN __________
NONE 00 (GO TO 311)

310. How many living sons did you have? How many living daughters did you have? IF NONE, ENTER '00'.

NUMBER OF SONS __________
NUMBER OF DAUGHTERS __________

311. When you first began to use family planning, did you want to have another child but at a later time or did you want no more children at all?

WANTED CHILD LATER 1
DID NOT WANT ANOTHER CHILD 2
OTHER __________ 3


312. Did you talk about family planning with your husband before first using it?

YES 1
NO 2

313. Would you say that the use of family planning for the first time was mainly your idea, mainly your husband's idea, or a joint idea?

MAINLY RESPONDENT'S IDEA 1
MAINLY HUSBAND'S IDEA 2
JOINT IDEA 3

314. Before you decided to use family planning for the first time, did you talk about whether you should use family planning with any of the following persons:

your mother?
YES 1
NO 2
your husband's mother?
YES 1
NO 2
your sister(s) or your husband's sister(s)?
YES 1
NO 2
other relatives (Specify)?
YES 1 (SPECIFY) __________
NO 2
friends/neighbors?
YES 1
NO 2
a doctor?
YES 1
NO 2
anyone else (Specify)?
YES 1 (SPECIFY) __________
NO 2

315. What was the first family planning method that you and your husband ever used?

PILL 01
IUD 02 (GO TO 317)
INJECTIONS 03 (GO TO 317)
NORPLANT 04 (GO TO 317)
FOAM/JELLY 05 (GO TO 317)
CONDOM 06 (GO TO 317)
FEMALE STERILIZATION 07 (GO TO 317)
MALE STERILIZATION 08 (GO TO 317)
WITHDRAWAL 09 (GO TO 318)
SAFE PERIOD 10 (GO TO 318)
PROLONGED BREASTFEEDING 11 (GO TO 318)
OTHER (SPECIFY) __________ 12 (GO TO 318)

316. Who obtained the first cycle of pills that you and your husband ever used?

HOME DELIVERED 1 (GO TO 318)
RESPONDENT 2
HUSBAND 3
OTHER (SPECIFY) ________ 4

317. Where did you (or your husband) obtain (FIRST METHOD USED) the first time that you ever used it?

GOVERNMENT FP CLINIC 01
PRIVATE VOLUNTARY FP CLINIC 02
GOVERNMENT MCH CENTER 03
GOVERNMENT HOSPITAL 04
PRIVATE DOCTOR/CLINIC 05
PHARMACY 06
OTHER (SPECIFY) __________ 08
NOT SURE/DON'T KNOW 98

318. Did you talk with your husband about which particular method to use before you began using (FIRST METHOD USED)?

YES 1
NO 2

319. Would you say that the choice to use (FIRST METHOD USED) the first time was mainly your choice, mainly your husband's choice or a joint choice?

MAINLY RESPONDENT'S CHOICE 1
MAINLY HUSBAND'S CHOICE 2
JOINT CHOICE 3

320. Before you decided to adopt (FIRST METHOD USED) for the first time, did you seek advice about which particular method to use from any of the following persons:

a doctor?
YES 1
NO 2
your mother?
YES 1
NO 2
your husband's mother?
YES 1
NO 2
your sister(s) or your husband's sister(s)?
YES 1
NO 2
other relatives (Specify)?
YES 1 (SPECIFY) __________
NO 2
friends/neighbors?

YES 1
NO 2
anyone else (Specify)?
YES 1 (SPECIFY) _________
NO 2

321. CHECK 104:

CURRENTLY MARRIED (GO TO 322)
WIDOWED/DIVORCED (GO TO 401)


322. CHECK 226:

NOT PREGNANT OR UNSURE (GO TO 323)
PREGNANT (GO TO 401)

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

YES 1
NO 2 (GO TO 401)

324. Which method are you using?

PILL 01
IUD 02 (GO TO 344)
INJECTIONS 03 (GO TO 352)
NORPLANT 04 (GO TO 352)
FOAM/JELLY 05 (GO TO 352)
CONDOM 06 (GO TO 352)
FEMALE STERILIZATION 07 (GO TO 352)
MALE STERILIZATION 08 (GO TO 352)
WITHDRAWAL 09 (GO TO 401)
SAFE PERIOD 10 (GO TO 401)
PROLONGED BREASTFEEDING 11 (GO TO 401)
OTHER (SPECIFY) __________ 12 (GO TO 401)

325. CHECK 315:

FIRST METHID EVER USED WAS NOT PILL (GO TO 326)
FIRST METHOD EVER USED WAS PILL (GO TO 328)

326. Now I would like to ask some questions about the first time you ever used the pill. Who obtained the first cycle of pills that you used then--you or your husband?

HOME DELIVERED 1 (GO TO 328)
RESPONDENT 2
HUSBAND 3
OTHER (SPECIFY) ___________ 4

327. Where did you (or your husband) obtain the pill the first time you ever used it?

GOVERNMENT FP CLINIC 01
PRIVATE VOLUNTARY FP CLINIC 02
GOVERNMENT MCH CENTER 03
GOVERNMENT HOSPITAL 04
PRIVATE DOCTOR/CLINIC 05
PHARMACY 06
OTHER (SPECIFY) __________ 08
NOT SURE/DON'T KNOW 98

328. Now I would like to ask some questions about the brand of pill that you are using now. Please show me the cycle (packet) of pills that you actually are using now. RECORD NAME OF BRAND EXACTLY AS SHOWN ON CYCLE (PACKET).

BRAND NAME _________
NOT ABLE TO SHOW 97 (GO TO 332)

329. COUNT AND RECORD THE TOTAL NUNBER OF PILLS IN THE ENTIRE CYCLE (PACKET) REGARDLESS OF THE PILLS ALREADY TAKEN.

21 1
28 1

330. OBSERVE SEQUENCE IN WHICH PILLS TAKEN FROM CYCLE (PACKET) AND CIRCLE CORRECT CODE.

PILLS MISSING IN SEQUENCE 1 (GO TO 333)
PILLS MISSING OUT OF SEQUENCE 2
NO PILLS MISSING 3

331. Why haven't you been taking the pills (in sequence)?

NOT NECESSARY TO TAKE IN SEQUENCE 01 (GO TO 333)
FOLLOWED INSTRUCTIONS ON PACKET/GIVEN BY SOURCE 02 (GO TO 333)
JUST STARTING CYCLE 03 (GO TO 333)
TAKE ONLY AS NEEDED 04 (GO TO 333)
HUSBAND AWAY/ILL 05 (GO TO 333)
OTHER (SPECIFY) ________ 06 (GO TO 333)

332. Why don't you have a cycle (packet) of pills available?

HAS PERIOD, DOESN'T NEED YET 01
COST TOO MUCH TO BUY CYCLE 02
FORGOT TO BUY NEXT CYCLE 03
RESTING FROM PILL 04
HUSBAND AWAY/ILL 05
MISPLACED/CAN'T FIND 06
OTHER (SPECIFY) ___________ 07

333. At of any time in the past month, have you experienced any the following (READ EACH PROBLEM):

Had side effects or illness?
YES 1
NO 2
Had spotting or bleeding more than once?
YES 1
NO 2
Period did not come when expected?
YES 1
NO 2
Ran out of pills?
YES 1
NO 2
Forgot to take pill or misplaced package?
YES 1
NO 2
Any other problem (Specify)?
YES 1 (SPECIFY) ___________
NO 2

334. At any time in the past month, did you fail to take a pill for even one day because of the problems that you mentioned or for any other reason?
IF YES: What was the main reason you stopped taking the pill?

SIDE EFFECTS/ILLNESS 01
SPOTTING/BLEEDING 02
PERIOD DID NOT COME 03
RAN OUT OF PILLS 04
FORGOT TO TAKE/MISPLACED 05
HUSBAND AWAY 06
OTHER (SPECIFY) ___________ 07
NEVER STOPPED TAKING PILL 97

335. How many days ago did you take the last pill? IF RESPONSE IS TODAY, ENTER '00' DAYS AGO.

NUMBER DAYS AGO __
MORE THAN 30 DAYS AGO 97
NOT SURE/DON'T KNOW 98 (TO 338)

336. CHECK 335:

MORE THAN 2 DAYS AGO (GO TO 337)
2 DAYS AGO OR LESS (GO TO 338)

337. Why haven't you taken the pills in the last few days?

WAITING TO START NEXT CYCLE 01
DOESN'T HAVE CYCLE 02
TAKE ONLY AS NEEDED 03
FORGOT TO TAKE 04
RESTING FROR PILL 05
HUSBAND AWAY/ILL 06
OTHER (SPECIFY) ___________ 07

338. After you finished your last pill cycle (packet), when did (will) you start the next cycle (packet)?
WRITE RESPONSE EXACTLY AS GIVEN BELOW AND THEN CIRCLE THE APPROPRIATE CODE.

DAY AFTER PERIOD ENDED 01
FIVE DAYS AFTER PERIOD BEGAN 02
DAY AFTER FINISHING 1ST PACKET 03
SEVEN DAYS AFTER FINISHING 1ST PACKET 04
OTHER (SPECIFY) ___________ 05

339. Just about everyone misses taking the pill sometime. What do you do when you forget to take one pill?

TOOK ONE PILL THE NEXT DAY 01
TOOK TWO PILLS THE NEXT DAY 02
USED ANOTHER METHOD 03
OTHER (SPECIFY) ___________ 04
NEVER FORGOT 97
NOT SURE/DON'T KNOW 98

340. During the past twelve months whenever you obtained the pill, have you always gotten the same brand or have you sometimes obtained another brand?

ALWAYS SAME BRAND 1
SOMETIMES DIFFERENT BRAND 2
OTHER (SPECIFY) ___________ 3
NOT SURE/DON'T KNOW 8

341. How many cycles (packets) of the pill do you usually get when you obtain the pill?

NUMBER OF CYCLES ____
NOT SURE/DON'T KNOW 98

342. How much does one cycle of pills usually cost you?

COST (IN PIASTRES) ___
NOT SURE/DON'T KNOW 998

343. Would you buy a cycle of pills if it cost:
(IF YES, CONTINUE WITH NEXT AMOUNT. IF NO, GO TO 351 FOR AMOUNT 'MORE THAN 2 POUNDS', GO TO 351 IF YES OR NO).

25 piastres per cycle?
YES 1
NO 2 (GO TO 351)
50 piastres per cycle?
YES 1
NO 2 (GO TO 351)
75 pisstres per cycle?
YES 1
NO 2 (GO TO 351)
1 pound per cycle?
YES 1
NO 2 (GO TO 351)
2 pounds per cycle?
YES 1
NO 2 (GO TO 351)
More than 2 pounds per cycle?
YES 1 (GO TO 351)
NO 2 (GO TO 351)

344. How can a woman know that the IUD is correctly placed without making a special trip to the clinic/doctor?

FEEL THREAD WITH FINGER 1
OTHER (SPECIFY) ___________ 2
NOT SURE/DON'T KNOW 8

345. Where was the IUD which you are using now inserted?

GOVERNMENT FP CLINIC 01
PRIVATE VOLUNTARY FP CLINIC 02
GOVERNMENT MCH CENTER 03
GOVERNMENT HOSPITAL 04
PRIVATE DOCTOR/CLINIC 05
OTHER (SPECIFY) __________ 08
NOT SURE/DON'T KNOW 98 (GO TO 348)

346. Now I would like to get some information on what you thought about the service you received at (PLACE WHERE IUD WAS INSERTED).

Did it cost too much?
YES 1
NO 2
Was the staff courteous?
YES 1
NO 2
Did you have to wait too long?
YES 1
NO 2
Were you satisfied with the information that you were given about the IUD?
YES 1
NO 2
Was the clinic (facility) clean and well maintained?
YES 1
NO 2
Was there anything (else) that you did not like about the services that you received?
YES 1
NO 2

347. How much did it cost to have the IUD inserted? RECORD RESPONSE IN POUNDS, ROUNDING DOWN TO THE NEAREST POUND.

COST (IN POUNDS) ___
NOT SURE/DON'T KNOW 998

348. Did you get the IUD at the place where you had it inserted or did you get it somewhere else?

YES, FROM SAME PLACE 1 (GO TO 401)
NO, FROM SOMEWHERE ELSE 2

349. Where did you get the IUD from?

GOVERNMENT FP CLINIC 01
PRIVATE VOLUNTARY FP CLINIC 02
GOVERNMENT MCH CENTER 03
GOVERNMENT HOSPITAL 04
PRIVATE DOCTOR/CLINIC 05
PHARMACY 06
OTHER (SPECIFY) __________ 08
NOT SURE/DON'T KNOW 98

350. How much did it cost to get the IUD at (PLACE WHERE IUD WAS BOUGHT)?
RECORD RESPONSE IN POUNDS, ROUNDING DOWN TO THE NEAREST POUND.

COST (IN POUNDS) ___ (GO TO 401)
NOT SURE/DON'T KNOW 998 (GO TO 401)

351. Now 1 would like to ask some questions about the last cycle (packet) of the pill which you bought. Who obtained the pill the last time?

HOME DELIVERED 1 (GO TO 401)
RESPONDENT 2
HUSBAND 3
OTHER (SPECIFY) ___________ 4

352. Where did you (or your husband) obtain (CURRENT METHOD) the last time?

GOVERNMENT FP CLINIC 01
PRIVATE VOLUNTARY FP CLINIC 02
GOVERNMENT MCH CENTER 03
GOVERNMENT HOSPITAL 04
PRIVATE DOCTOR/CLINIC 05
PHARMACY 06 (TO 401)
OTHER (SPECIFY) __________ 08 (GO TO 401)
NOT SURE/DON'T KNOW 98 (GO TO 401)

353. Now I would like to get some information on what you thought about the service you received at (PLACE WHERE CURRENT METHOD WAS OBTAINED).

Did it cost too much?
YES 1
NO 2
Was the staff courteous?
YES 1
NO 2
Did you have to wait too long?
YES 1
NO 2
Were you satisfied with the information that you were given about the method?
YES 1
NO 2
Was the clinic (facility) clean and well maintained?
YES 1
NO 2
Was there anything (else) that you did not like about the services that you received?
YES 1
NO 2

SECTION 4. CONTRACEPTIVE USE HISTORY

401. CHECK 226:

NOT PREGNANT OR UNSURE (GO TO 402)
PREGNANT (GO TO 422)

402. CHECK 306:

EVER USED ANY METHOD (GO TO 403)
NEVER USED A METHOD (GO TO 421)

403. CHECK 323 AND 324:

CURRENTLY USING CONTRACEPTION (WRITE METHOD) ______ (GO TO 404)
NOT CURRENTLY USING CONTRACEPTION (GO TO 414)

404. Now I would like to ask you some questions about the length of time that you have been using your (CURRENT METHOD) without interruption.
In what month and year did you begin the most recent period of continuous use of (CURRENT METHOD)?

DATE:
MONTH ___
DK MONTH 98
YEAR ___ (GO TO 406)
DK YEAR 98

405. How long have you been using (CURRENT METHOD) (this time) without interruption?

DURATION:
MONTHS __
YEARS __

406. Have you experienced any problems from using (CURRENT METHOD)?

YES 1
NO 2 (GO TO 408)

407. What is the main problem you experienced?

METHOD FAILED/NOT EFFECTIVE 02
HUSBAND DISAPPROVED 04
OTH REL DISAPPROVED 05
SIDE EFFECTS FOR RESPONDENT 07
SIDE EFFECTS FOR CHILD 08
METHOD PERMANENT 09
DIFFICULT TO OBTAIN 11
COSTS TOO MUCH 12
INCONVENIENT TO USE 13
OTHER (SPECIFY) ___________ 19
NOT SURE/DON'T KNOW 98

408. Since your last birth (you married), have you used any other method or done anything else before (CURRENT METHOD) to avoid getting pregnant?

YES 1
NO 2 (GO TO 421)

409. Which was the last method you used (BEFORE CURRENT METHOD)?

PILL 01
IUD 02
INJECTIONS 03
NORPLANT 04
FOAM/JELLY 05
CONDOM 06
MALE STERILIZATION 08
WITHDRAWAL 09
SAFE PERIOD 10
PROLONGED BREASTFEEDING 11
OTHER (SPECIFY) ___________ 12

410. In what month and year did you start using (METHOD BEFORE CURRENT) (the last time)?

DATE:
MONTH __
DK NONTH 98
YEAR __ (GO TO 412)
DK YEAR 98

411. How long after your last birth (you married) did you start using (METHOD BEFORE CURRENT) (the last time)?

MONTH __
YEARS __

412. For how long had you been using (METHOD BEFORE CURRENT) before you stopped using it (the last time)?

DURATION:
MONTH __
YEARS __

413. What was the main reason you stopped using (METHOD BEFORE CURRENT) then?

TO GET PREGNANT/WANTED CHILD 01 (GO TO 421)
METHOD FAILED/NOT EFFECTIVE 02 (GO TO 421)
HUSBAND DISAPPROVED 04 (GO TO 421)
OTH RELATIVES DISAPPROVE 05 (GO TO 421)
RELIGIOUS PROHIBITIONS 06 (GO TO 421)
SlDE EFFECTS FOR RESP 07 (GO TO 421)
SIDE EFFECTS FOR CHILD 08 (GO TO 421)
DIFFICULT TO OBTAIN 11 (GO TO 421)
COSTS TOO MUCH 12 (GO TO 421)
INCONVENIENT TO USE 13 (GO TO 421)
DECIDED TO USE ANOTHER METHOD 14 (GO TO 421)
FATALISTIC 15 (GO TO 421)
INFREQUENT SEX 16 (GO TO 421)
OTHER (SPECIFY) ___________ 19 (GO TO 421)
NOT SURE/DON'T KNOW 98 (GO TO 421)

414. CHECK 208: ANY BIRTHS?

YES (GO TO 415)
NO (GO TO 416)

415. Now I would like to ask questions about the last time that you used a family planning method. Since your last birth have you done anything or used any method to avoid getting pregnant?

YES 1
NO 2 (GO TO 421)

416. Which was the last family planning method that you used?

PILL 01
IUD 02
INJECTIONS 03
NORPLANT 04
FOAM/JELLY 05
CONDOM 06
MALE STERILIZATION 08
WITHDRAWAL 09
SAFE PERIOD 10
PROLONGED BREASTFEEDING 11
OTHER (SPECIFY) ___________ 12

417. In what month and year did you start using (METHOD) (last time)?

DATE:
MONTH __
DK NONTH 98
YEAR __ (GO TO 419)
DK YEAR 98

418. How long after your last birth did you start using (METHOD) (the last time)?

MONTHS __
YEARS __

419. For how long had you been using (METHOD) before you stopped using it (last time)?

DURATION:
MONTH __
YEAR __

420. What was the main reason you stopped using (METHOD) then?

TO GET PREGNANT/WANTED CHILD 01
METHOD FAILED/NOT EFFECTIVE 02
HUSBAND DISAPPROVED 04
OTH RELATIVES DISAPPROVE 05
RELIGIOUS PROHIBITIONS 06
SIDE EFFECTS FOE RESP 07
SIDE EFFECTS FOR CHILD 08
DIFFICULT TO OBTAIN 11
COSTS TOO MUCH 12
INCONVENIENT TO USE 13
DECIDED TO USE ANOTHER METHOD 14
FATALISTIC 15
INFREQUENT SEX 16
OTHER (SPECIFY) ___________ 19
NOT SURE/DON'T KNOW 98

421. CHECK 215:

HAD BIRTH SINCE JANUARY 1983 (GO TO 422)
NO BIRTH SINCE JANUARY 1983 (GO TO 501)

422. FILL IN INFORMATION IN 423 TO 425. THEN USING THE INFORMATION ENTERED IN 423 AND 424 COMPLETE THE TABLE ON THE TOP OF THE NEXT PAGE. ASK 426-434 AS APPROPRIATE FOR THE INTERVAL BEFORE A CURRENT PREGNANCY (IF THE RESPONDENT IS PREGNANT) EACH BIRTH INTERVAL (PERIOD BETWEEN SUCCESSIVE BIRTHS).

423. CHECK 226 FOR PREGNANCY STATUS.

CURRENTLY PREGNANT

YES 1 (GO TO 426)
NO 2 (GO TO NEXT BIRTH)

424. CHECK 215 FOR BIRTHS OCCURRING SINCE JANUARY 1983. IF THE WOMAN HAD ONE OR MORE BIRTHS SINCE JANUARY 1983, CHECK 212, 213 AND 216.
BEGINNING WITH THE LAST BIRTH, RECORD THE LINE NUMBER, NAME AND STATUS OF ALL BIRTHS AT THE TOP OF THE APPROPRIATE COLUMNS BELOW. RECORD THE NAMES OF TWINS IN THE SAME COLUMN AND TREAT AS ONE BIRTH.

NAME _____
ALIVE (GO TO 426)
DEAD (GO TO 426)

425. CHECK 306:

EVER USED METHOD (ASK 426-434 FOR EACH COLUMN)
NEVER USED METHOD (ASK 433 FOR EACH COLUMN)

426. Now I would like some more information to get about your use of family planning during the last five years.

FOR INTERVAL BEFORE A CURRENT PREGNANCY, ASK:
Before you became pregnant (but after you had NAME OF LAST BIRTH), did you do anything or use any method, even for a short time, to avoid getting pregnant?

FOR EACH BIRTH INTERVAL ASK:
In the interval before you gave birth to NAME (but after you had NAME OF PRECEDING BIRTH), did you do anything, or use any method, even for a short time, to avoid getting pregnant?

CURRENTLY PREGNANT

YES 1
NO 2 (GO TO 433)

BIRTHS

YES 1
NO 2 (GO TO 433)

427. What was the last method you used then?

PILL 01
IUD 02
INJECTIONS 03
NORPLANT 04
FOAM/JELLY 05
CONDOM 06
MALE STERILIZATION 08
WITHDRAWAL 09
SAFE PERIOD 10
PROLONGED BREASTFEEDING 11
OTHER (SPECIFY) ___________ 12

THE HEADINGS AT THE TOP OF THE TABLE BELOW SHOULD BE THE SAME AS THOSE IN THE TABLE ON THE PRECEDING PAGE. WHEN RECORDING RESPONSES, BE SURE THAT YOU ENTER THE ANSWERS IN THE CORRECT COLUMN.

LINE NUMBER FROM 212

__________

CURRENTLY PREGNANT

YES 1 (GO TO 428)
NO 2 (GO TO NEXT BIRTH)

BIRTHS

NAME ______
ALIVE (GO TO 428)
DEAD (GO TO 428)

428. In what month and year did you start using (METHOD) then?

DATE:
MONTH __
DK MONTH 98
YEAR __ (GO TO 430)
DK YEAR 98

429. How long after the birth (NAME OF PRECEDING BIRTH) did you begin to use (METHOD) then?

MONTHS __
YEARS __

430. For how long had you been using (METHOD) MONTHS before you stopped using it then?

DURATION:
MONTHS __
YEARS __

431. Did you become pregnant while you were still using (LAST METHOD)?

YES 1 (GO TO 434)
NO 2

432. What was the main reason you stopped using (LAST METHOD)?

TO GET PREGNANT 01 (GO TO NEXT COLUMN OR, IF NO OTHER BIRTH, GO TO 501)
METHOD FAILED 02
HUSB DISAPPR 04
OTB REL DISAPPR 05
RELIGIOUS PROHIB 06
SIDE EFFECTS-RESP 07
SIDE EFFECTS-CHLD 08
DIFF TO OBTAIN 11
COSTS TOO MUCH 12
INCONVENT TO USE 13
TO USE OTH METH 14
FATALISTIC 15
INFREQUENT SEX 16
OTHER (SPECIFY) ___________ 19
DON'T KNOW 98

433. At the time you became pregnant (with NAME), did you want to have that child then, did you want to wait until later, or did you want no (more) children at all?

THEN 1
LATER 2
NO MORE 3
(ALL GO TO 426 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 501)

434. Did you want to have that child but at a later time, or not have another child at all?

CURRENTLY PREGNANT

HAVE CHILD LATER 1
NOT HAVE CHILD 2
(ALL GO TO 426 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 501)

SECTION 5: FAMILY PLANNING AND CHILDBEARING ATTITUDES

501. CHECK 104:

CURRENTLY MARRIED (GO TO 502)
WIDOWED/DIVORCED (GO TO 513)

502. CHECK 226:

NOT PREGNANT OR UNSURE (GO TO 503)
PREGNANT (GO TO 506)

503. CHECK 323 AND 324:

NOT CURRENTLY USING CONTRACEPTION (GO TO 504)
CURRENTLY USING CONTRACEPTION (GO TO 511)

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

HAPPY 1 (GO TO 506)
UNHAPPY 2
WOULD NOT MATTER 3

505. What is the main reason that you are not using a method to avoid pregnancy?

OPPOSED TO FAMILY PLANNING 03
HUSBAND DISAPPROVES 04
OTHER REL DISAPPROVE 05
RELIGIOUS PROHIBITIONS 06
SIDE EFFECTS FOR RESP 07
SIDE EFFECTS FOR CHILD 08
LACK OF KNOWLEDGE 10
DIFFICULT TO OBTAIN METH(S) 11
COST TOO MUCH 12
INCONVENIENT TO USE 13
FATALISTIC 15
INFREQUENT SEX 16
POSTPARTUM/BREASTFEEDING 17
MENOPAUSAL/SUBFECUND 18
OTHER (SPECIFY) ___________ 19
NOT SURE/DON'T KNOW 98

506. Do you intend to use a method to avoid pregnancy at any time in the future?

YES 1
NO 2 (GO TO 510)
NOT SURE/DON'T KNOW 8 (GO TO 510)

507. Which method would you prefer to use?

PILL 01
IUD 02
INJECTIONS 03
NORPLANT 04
FOAM/JELLY 05
CONDOM 06
MALE STERILIZATION 08
WITHDRAWAL 09
SAFE PERIOD 10
PROLONGED BREASTFEEDING 11
OTHER (SPECIFY) ___________ 12
NOT SURE/DON'T KNOW 98

508. When do you plan to begin using (METHOD)?

WITHIN NEXT 12 MONTHS/1 YEAR 1
WITHIN NEXT 2-3 YEARS 2
AFTER THREE YEARS OR MORE 3
NOT SURE/DON'T KNOW 8

509. How many additional children would you like to have before using (METHOD)? IF NONE, WRITE '00'.

NUMBER ________

510. Have you ever talked about family planning with your husband?

YES 1
NO 2 (TO 512)

511. How often have you talked with your husband about family planning in the last twelve months?

NEVER 1
ONCE 2
TWO TO THREE TIMES 3
FOUR TIMES OR MORE 4

512. In your opinion, in general, does your husband approve or disapprove of couples using a method to avoid pregnancy?

APPROVES 1
CONDITIONALLY APPROVES 2
DISAPPROVES 3
NOT SURE/DON'T KNOW 8

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

APPROVE 1
CONDITIONALLY APPROVE 2
DISAPPROVE 3 (TO 515)
NOT SURE/DON'T KNOW 8 (TO 515)

514. In your opinion, how many children should a woman have before her husband and she begin to use family planning?

NUMBER _______
SHOULD NOT USE 96
NOT SURE/DON'T KNOW 98

515. If a couple has had the number of children that they want, do you think that it is acceptable for the woman to have an operation to prevent her from becoming pregnant again if her husband agrees?

ACCEPTABLE 1
SOMETIMES ACCEPTABLE 2
NOT ACCEPTABLE 3
NOT SURE/DON'T KNOW 8

516. In the last month, have you heard a show or message about family planning on the radio?

YES 1
NO 2 (TO 518)

517. How many times did you hear a family planning show or message on the radio during the past month?

ONCE 1
TWO OR THREE TIMES 2
MORE THAN THREE TIMES 3

518. In the last month, have you seen a show or message about family planning on the television?

YES 1
NO 2 (GO TO 524)

519. How many times did you see a family planning show or message on television during the past month?

ONCE 1
TWO OR THREE TIMES 2
MORE THAN THREE TIMES 3

520. What was the last show or message about family planning which you saw on television?

ABU-KTIR FAMILY 01
WAHID FAMILY 02
OM EL-HANA FAMILY 03
FARAHAT FAMILY 04
AZIZA AND HER MOTHER 05
PHYSICIAN AND THE AMBULANCE 06
SAHA AND HER DAUGHTER 07
SANA AND BRIDE AND BRIDEGROOM 08
SANA AND EARLY PREGNANCIES 09
SANA AND LATE PREGNANCIES 10
SANA AND THE PILL 11
SANA AND OTHER METHODS (IUD, FOAM AND TABLETS) 12
SANA AND MEDICAL ADVICE 13
OTHER (SPECIFY) ___________ 14
NOT SURE/DON'T KHOW 98 (GO TO 524)

521. What did you particularly like about this show or message?

ADVICE ABOUT SPACING CHILDREN 01
ADVICE ABOUT WAITING TO MARRY UNTIL GIRL IS OLDER 02
ADVICE ABOUT USING PILL 03
ADVICE ABOUT EFFICIENT METHODS 04
ADVICE ABOUT FINANCIAL BENEFITS OF SMALL FAMILIES 05
OTHER ADVICE (SPECIFY) _________ 06
PROMOTED UNDERSTANDING OF FP 10
SHOW UNDERSTOOD BY ILLITERATE 11
LIKED ACTORS/ACTRESSES 12
SHOW INTERESTING/FUNNY 13
OTHER (SPECIFY) ___________ 14
LIKED EVERYTHING 96
DISLIKED EVERYTHING 97
NOT SURE/DON'T KNOW 98

522. What did you particularly dislike about this show or message?

MOTHER'S BELIEF DAUGHTER SHOULD HAVE MANY CHILDREN 01
MOTHER'S INTERFERENCE IN DAUGHTER'S BUSINESS 02
MOTHER'S ARGUMENT THAT MANY CHILDREN MEAN WEALTH 03
SHOW BIASED AGAINST LARGE FAMILIES 04
FORCED TO WATCH SHOW CONTRARY TO OWN OPINIONS/VALUES 05
ACTRESS'S ROLE REQUIRES HER TO ALWAYS DEMAND AGREEMENT WITH HER VIEWPOINT 06
DISLIKED ACTORS/ACTRESSES 07
OTHER (SPECIFY) ___________ 08
DISLIKED EVERYTHING 96
LIKED EVERYTHING 97
NOT SURE/DON'T KNOW 98

523. Do you agree with all of the information which got from the show or message? IF NO: With what don't you agree?

DISAGREE THAT MORE CHILDREN REQUIRE GREATER EFFORT/TIME 01
DISAGREE THAT LACK OF FINANCIAL RESOURCES IS GOOD REASON FOR HAVING FEWER CHILDREN 02
OTHER (SPECIFY) ___________ 03
DISAGREES WITH EVERYTHING 96
AGREES WITH EVERYTHING 97
NOT SURE/DON'T KNOW 98

524. On what (other) topics related to family planning would you like more information to be provided?

MORE INFORMATION ABOUT PILL 01
MORE INFORMATION ABOUT IUD 02
MORE INFORMATION ABOUT OTHER METHODS (SPECIFY) __________ 03 MORE INFORMATION ABOUT BENEFITS OF FAMILY PLANNING (SPECIFY)__________ 04
OTHER (SPECIFY) ___________ 05
NOT SURE/DON'T KNOW 98

525. CHECK 104:

CURRENTLY MARRIED (GO TO 526)
WIDOWED/DIVORCED (GO TO 536)

526. CHECK 226:

NOT PREGNANT OR UNSURE (GO TO 527)
PREGNANT (GO TO 528)

527. 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?

HAVE ANOTHER 1 (GO TO 531)
NO MORE 2 (GO TO 529)
SAYS SHE CAN'T GET PREGNANT 3 (GO TO 536)
UNDECIDED/DON'T KNOW 8 (GO TO 530)

528. After the child you are expecting, would you like to have another child or would you prefer not to have any (more) children?

HAVE ANOTHER 1 (GO TO 531)
NO MORE 2
UNDECIDED/DON'T KNOW 8 (GO TO 530)

529. Would you say that you definitely do not want to have (more) children, or are you not sure?

DEFINITELY NO MORE 1 (GO TO 533)
NOT SURE 2 (GO TO 533)

530. Are you more inclined toward having a (another) child or toward not having a (another) child?

HAVE ANOTHER 1 (GO TO 532)
NOT HAVE ANOTHER 2 (GO TO 533)
UNDECIDED/DON'T KNOW 8 (GO TO 533)

531. Would you say that you definitely want a (another) child, or are you not sure?

DEFINITELY NO MORE 1
NOT SURE 2

532. How long would you like to wait from now before the birth of a (another) child?

DURATION:
MONTHS 1 __
YEARS 2 __
NOT SURE/DON'T KNOW 989

533. CHECK 226:

NOT PREGNANT OR UNSURE (GO TO 534)
PREGNANT (GO TO 535)

534. In your opinion, would your husband like to have a (another) child or would he prefer not to have any (more) children?

HAVE ANOTHER 1 (GO TO 536)
NO MORE 2 (GO TO 536)
UNDECIDED/DON'T KNOW 8 (GO TO 536)

535. In your opinion, in addition to the child you are expecting, would your husband like to have a (another) child or would he prefer not to have any (more) children?

HAVE ANOTHER 1
NO MORE 2
UNDECIDED/DON'T KNOW 8

536. CHECK 202 AND 204:

NO LIVING CHILDREN (GO TO 537)
HAS LIVING CHILDREN (GO TO 538)

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

NUMBER _________ (GO TO 539)
OTHER ANSWER (SPECIFY) _________ 96 (GO TO 540)
NOT SURE/DON'T KNOW 98 (GO TO 540)

538. 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?

NUMBER __ (GO TO 539)
OTHER ANSWER (SPECIFY) _________ 96 (GO TO 540)
NOT SURE/DON'T KNOW 98 (GO TO 540)

539. How many boys would that be? And how many girls would that be? IF NONE, ENTER '00'.

BOYS _______
GIRLS _______
OTHER ANSWER (SPECIFY) _________ 96
NOT SURE/DON'T KNOW 98

540. CHECK 104:

CURRENTLY MARRIED (GO TO 541)
WIDOWED/DIVORCED (GO TO 544)

541. Have you ever talked to your husband about the exact number of children that he would have liked?

YES 1
NO 2

542. If your husband could choose exactly the number of children to have in his life (without regard to the number of children that you may already have), how many do you think that would be?

NUMBER ____
OTHER ANSWER (SPECIFY) _________ 96 (GO TO 544)
NOT SURE/DON'T KNOW 98 (GO TO 544)

543. How many boys would that be? And how many girls would that be? IF NONE, ENTER '00'.

BOYS _______
GIRLS _______
OTHER ANSWER (SPECIFY) _________ 96
NOT SURE/DON'T KNOW 98

544. In your opinion, how many children should your daughter have (regardless of the number that she may already have)?
IF RESPONSE IS 'HAS NO DAUGHTER', ASK: If you were to have a daughter, in your opinion, how many children should she have?

NUMBER _________
OTHER ANSWER (SPECIFY) _________ 96 (GO TO 546)
NOT SURE/DON'T KNOW 98 (GO TO 546)

545. How many boys? And how many girls? IF NONE, ENTER '00'.

BOYS _______
GIRLS _______
OTHER ANSWER (SPECIFY) _________ 96
NOT SURE/DON'T KNOW 98

546. In your opinion, what is the most suitable age for a girl to marry?

AGE _________
OTHER ANSWER (SPECIFY) ________ 96
NOT SURE/DON'T KNOW 98

SECTION 6. HUSBAND'S AND PARENTS' STATUSES

601. Now I have some questions about your (most recent) husband. Has your husband attended school in the past or is he currently attending school?

YES, ATTENDED IN THE PAST 1
YES, ATTENDING CURRENTLY 2
NO, NEVER ATTENDED 3 (GO TO 603)
NOT SURE/DON'T KNOW 8 (GO TO 603)

602. What was the highest level to which he was admitted at school? CIRCLE CODE FOR LEVEL.

LEVEL:
PRIMARY 1
PREPARATORY 2 (GO TO 605)
SECONDARY 3 (GO TO 605)
UPPER INTERMEDIATE 4 (GO TO 605)
UNIVERSITY 5 (GO TO 605)
MORE THAN UNIVERSITY 6 (GO TO 605)
DON'T KNOW LEVEL 88

602A. What was the highest grade which he completed at that level? ENTER GRADE IN BOX.

GRADE __

603. Can he read a newspaper or a letter, for example?

YES 1
NO 2 (GO TO 605)
NOT SURE/DON'T KNOW 8 (GO TO 605)

604. Can (could) he write letter, for example?

YES 1
NO 2
NOT SURE/DON'T KNOW 8

605. What kind of work does (did) your husband mainly do? WRITE THE RESPONSE EXACTLY AS GIVEN.

___________________

606. CHECK 605:

DOES (DID) NOT WORK IN AGRICULTURE (GO TO 607)
WORKS (WORKED) IN AGRICULTURE (GO TO 608)

607. Does (did) he earn a regular wage or salary?

YES 1
NO 2
NOT SURE/DON'T KNOW 8

608. Does (did) your husband work mainly on his or family land, or on someone else's land?

HIS/FAMILY LARD 1 (TO 610)
SOMEONE ELSE'S LAND 2

609. Does (did) he work mainly for money or does (did) he work for a share of the crops?

MONEY 1
A SHARE OF THE CROPS 2

610. Is (was) your husband your first cousin or other blood relative or isn't he related to you at all?

YES, FIRST COUSIN 1
YES, OTHER RELATIVE 2
NO, NOT A RELATIVE 3

611. Now I would like to ask some questions about your parents and the parents of your (first) husband.

Is your mother still alive?
YES 1
NO 2
DK 3
Is your father still alive?
YES 1
NO 2
DK 3
Is your (first) husband's mother still alive?
YES 1
NO 2
DK 3
Is your (first) husband's father still alive?
YES 1
NO 2
DK 3

612. CHECK 611:

AT LEAST ONE PARENT NOT LIVING OR DON'T KNOW: (GO TO 613)
ALL PARENTS ALIVE: (GO TO 614)

613. Was (MENTION PARENTS NOT ALIVE NOW OR DK) alive at the time you began living together with your (first) husband?

RESPONDENT'S MOTHER
YES 1
NO 2
DK 3
RESPONDENT'S FATHER
YES 1
NO 2
DK 3
FIRST HUSBAND'S MOTHER
YES 1
NO 2
DK 3
FIRST HUSBAND'S FATHER?
YES 1
NO 2
DK 3

614. At the time you first married, did you and your first husband have your own home, or did you begin by living in someone else's home for at least six months?

HAD OWN HOME 1
LIVED IN SOMEONE ELSE'S HOME FOR AT LEAST SIX MONTHS 2 (GO TO 616)
LIVED IN SOMEONE ELSE'S HOME FOR LESS THAN 6 MONTHS 3 (GO TO 618)

615. At the time of your (first) marriage, did anyone else live with you and your husband for at least six months?

YES 1
NO 2 (GO TO 618)

616. Were you living together with any of the following persons for at least six months after you (first) married:

Your mother?
YES 1
NO 2
Any other relatives of yours?
YES 1
NO 2
Your (first) husband's mother?
YES 1
NO 2
Any other relatives of your (first) husband?
YES 1
NO 2
Anyone else (not a relative)?
YES 1
NO 2

617. For about how many years did you live together at that time?

YEARS ___
UP TO THE PRESENT 96

618. In how many different places have you lived for six months or more since you were first married including this place?

NUMBER OF LOCALITIES ___

619. CHECK 104:

CURRENTLY MARRIED (GO TO 620)
WIDOWED/DIVORCED (GO TO 630)

620. Now I would like to talk with you about a different topic. In general if a wife disagrees with her husband should she keep quiet or speak up?

KEEP QUIET 1
SPEAK UP 2
NOT SURE/ DON'T KNOW 8

621. Do you think a wife respects a husband more if he insists she accept his opinion in everything or if he listens to and accepts her opinions?

INSISTS ON HIS OPINION 1
LISTENS AND ACCEPTS HER OPINION 2
NOT SURE/DON'T KNOW 3

622. In your home, does your point of view carry the same weight as your husband's, less weight than his point of view or isn't it taken into account at all?

SAME WEIGHT AS HUSBAND 1
LESS WEIGHT THAN HUSBAND 2
NOT TAKEN INTO ACCOUNT AT ALL 3
OTHER (SPECIFY) ____ 4

623. Who should have the last word on the following---the husband, the wife, both, or someone else?

Visits to friends or relatives?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Household budget?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Lending or borrowing?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Having another child?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Children's education?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Children's marriage plans?
HUSB 1
WIFE 2
BOTH 3
OTHER 4
Use of family planning methods?
HUSB 1
WIFE 2
BOTH 3
OTHER 4

624. Do you go out with your husband to purchase major household items/clothing?

YES 1
NO 2 (GO TO 626)

625. How often do you go out with him?

MORE THAN ONCE PER MONTH 1
ONCE PER MONTH 2
ONCE EVERY TWO MONTHS 3
ONCE VERY SIX MONTHS 4
SELDOM 5

626. Does your husband allow you to go out alone or with your children to buy household items?

YES ALONE 1
YES WITH CHILDREN 2
NOT ALLOWED 3
OTHER (SPECIFY) ___ 4

627. Do you go out with your husband to visit relatives or friends?

YES 1
NO 2 (GO TO 629)

628. How often do you go out with him?

MORE THAN ONCE PER MONTH 1
ONCE PER MONTH 2
ONCE EVERY TWO MONTHS 3
ONCE VERY SIX MONTHS 4
SELDOM 5

629. Does your husband allow you to go out alone or with your children to visit relatives or friends?

YES ALONE 1
YES WITH CHILDREN 2
NOT ALLOWED 3
OTHER ____ 4

630. How often do you visit with relatives, either in your or in their homes?

DAILY 1
WEEKLY 2
BIWEEKLY 3
MONTHLY 4
LESS THAN ONCE PER MONTH 5

631. Some say a woman's place is at home and she should not work. Do you agree or disagree?

AGREE 1
DISAGREE 2
NOT SURE/DON'T KNOW 8

SECTION 7. MATERNAL HEALTH AND BREASTFEEDING

701. CHECK 215:

ONE OR MORE BIRTHS SINCE JANUARY 1983: (GO TO 702)
NO BIRTHS SINCE JANUARY 1983: (GO TO 848)

702. CHECK 212, 213 AND 216 AND ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 AT THE TOP OF THE TABLE BELOW, BEGINNING WITH THE LAST BIRTH. RECORD NAMES OF TWINS IN SEPARATE COLUMNS. COPY THE SAME INFORMATION AT THE TOP OF THE TABLES ON THE FOLLOWING THREE PAGES. THEN ASK QUESTIONS 703-712 AS APPROPRIATE FOR BIRTH SINCE 1983 REGARDLESS OF THE SURVIVAL STATUS. COMPLETE ALL QUESTIONS FOR ONE BIRTH BEFORE GOING ON TO THE NEXT BIRTH.

LINE NUMBER FROM 212

______________

NAME FROM 213 SURVIVAL STATUS FROM 216

NAME ______________
ALIVE (GO TO 703)
DEAD (GO TO 703)

703. When you were pregnant with (NAME), did you see anyone for a check on the pregnancy?

YES 1
NO 2 (GO TO 706)

704. Whom did you see? PROBE FOR TYPE OF PERSON AND RECORD MOST QUALIFIED.

DOCTOR 1
TRAINED NURSE/MIDWIFE 2
DAYA 3
OTHER (SPECIFY) ___________ 4

705. Did you regularly have checkups during that pregnancy or did you only have the checkup(s) because there was some medical problem?

REGULAR CHECKUPS 1
CHECKUP FOR MEDICAL PROBLEM 2
OTHER (SPECIFY) ___________ 3

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

YES 1
NO 2
NOT SURE/DK 8

707. Where did you give birth to this child?

AT HOME 1
AT ANOTHER HOUSE 2
HOSPITAL/CLINIC 3
OTHER (SPECIFY) ___ 4

708. Who assisted with the delivery of (NAME)? PROBE FOR THE TYPE OF PERSON AND RECORD THE MOST QUALIFIED.

DOCTOR 1
TRAINED NURSE/MIDWIFE 2
DAYA 3
RELATIVE 4
OTHER (SPECIFY) ___ 5
NO ONE 6

709. Has your menstrual period resumed since the birth of (NAME)?
[Most recent birth within the last five years]

YES 1
NO 2 (GO TO 711)

710. How many months after the birth of (NAME) did your period return?

MONTHS ___
NOT RETURNED 96

711. Have you resumed sexual relations since the birth of (NAME)?
[Most recent birth within the last five years]

YES (OR PREGN.) 1
NO 2 (GO TO 703 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 713)

712. How many months after the birth of (NAME) did you resume sexual relations?

MONTHS ___
40 DAYS 96
(ALL GO TO 703 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, ALL GO TO 713)

713. THE HEADINGS IN THIS TABLE SHOULD BE EXACTLY THE SAME AS THOSE IN 702. ASK QUESTIONS 714-733 AS APPROPRIATE FOR ALL BIRTHS. COMPLETE ALL QUESTIONS FOR ONE BIRTH BEFORE GOING ON TO THE NEXT BIRTH. WHEN RECORDING THE RESPONSES TO QUESTIONS FOR A BIRTH, CHECK TO BE SURE THAT YOU ARE ENTERING THE ANSWERS IN THE APPROPRIATE COLUMN.

LINE NUMBER FROM 212
NAME ____
ALIVE (GO TO 714)
DEAD (GO TO 714)

714. Now I would like to ask some questions about breastfeeding. Did you ever feed (NAME) at the breast?

YES 1 (GO TO 717)
NO 2

715. Why did you never breastfeed (NAME)?

CHILD SICK 02
CHILD DIED 03
CHILD REFUSED 04
MOTHER SICK 05
NO/INSFFCNT MILK 06
USING PILL 08
PREFFERRED BOTTLE 09
OTHER (SPECIFY) ____ 10

716. CHECK 715:

CHILD DIED BEFORE BREASTFEEDING 1 (GO TO 714 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 801)
OTHER 2 (GO TO 722)

717. Are you still breastfeeding (NAME)? IF DEAD, CIRCLE '2'.
[Most recent birth within the last five years]

YES 1
NO (OR DEAD) 2 (GO TO 720)

718. How many times did you breastfeed (NAME) last night between sundown and sunrise?
[Most recent birth within the last five years]

TIMES____

719. How many times did you breastfeed (NAME) yesterday during daylight hours?
[Most recent birth within the last five years]

TIMES____ (GO TO 723)

720. How many months did you breastfeed (NAME)?

MONTHS ___
UNTIL DEATH 96 (GO TO 730)

721. Why did you stop breastfeeding (NAME)?

CHILD REACHED WEANING AGE 01
CHILD SICK 02
CHILD DIED 03
CHILD REFUSED 04
MOTHER SICK 05
NO/INSFFCNT MILK 06
PREGNANT 07
USING PILL 08
PREFERRED BOTTLE 09
OTHER (SPECIFY) ____ 10

722. CHECK SURVIVAL STATUS. RECORDED IN HEADING AT THE TOP OF THIS TABLE.

CHILD ALIVE 1
CHILD DIED 2 (GO TO 730)

723. Now I would like to ask some questions about the foods or liquids you are giving (gave) your child.
How many months after (NAME'S birth did you give him/her milk other than breastmilk? IF LESS THAN 1 MONTHS, ENTER '00'.

MONTHS ___
NOT YET GIVEN 96 (GO TO 725)

724. Is (NAME) receiving any of the following types of milk regularly:
[Most recent and next-to-last birth within the last five years]

fresh milk/full cream (gamoosa, cow, goat)?
YES 1
NO 2
pasteurized milk (in carton, bottle, plastic bags)?
YES 1
NO 2
powdered milk for infants?
YES 1
NO 2
other powdered milk?
YES 1
NO 2
canned milk?
YES 1
NO 2
any other type of milk?
YES 1 (SPECIFY ____)
NO 2

725. How many months after (NAME)'s birth did you first give him/her other liquids? IF LESS THAN 1 MONTH, ENTER '00'.

MONTHS ___
NOT YET GIVEN 96 (GO TO 727)

726. Is (NAME) receiving any of the following liquids regularly:
[Most recent and next-to-last birth within the last five years]

sugar water?
YES 1
NO 2
tea with sugar?
YES 1
NO 2
rice water?
YES 1
NO 2
herbal drinks (halba, karawya, etc)?
YES 1
NO 2
any other liquids?
YES 1 (SPECIFY)____
NO 2

727. CHECK 723 TO 726:

EITHER MILK AND/OR OTHER LIQUIDS GIVE (GO TO 728)
NEITHER MILK NOR OTHER LIQUIDS GIVEN (ALL GO TO 714 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 801)

728. Are any of the milks or other liquids your child drinks given in a bottle with a nipple?
[Repeat for the most recent birth and next to last birth]

YES 1
NO 2
NOT SURE/DK 8

729. How many months after (NAME'S) birth did you first give him/her solid or semi-solid food?

MONTHS___
NOT YET GIVEN 96
(ALL GO TO 714 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 801)

730. How many months after (NAME)'s birth did you first give him/her milk other than breastmilk? IF LESS THAN 1 MONTH, ENTER '00'.

MONTHS___
CHILD DIED BEFORE GIVEN 97

731. How many months after (NAME)'s birth did you first give him/her other liquids? IF LESS THAN 1 MONTH, ENTER '00'.

MONTHS___
CHILD DIED BEFORE GIVEN 97

732. CHECK 730 and 711:

EITHER MILK AND/OR OTHER LIQUIDS GIVEN (GO TO 733)
NEITHER MILK NOR OTHER LIQUIDS GIVEN (ALL GO TO 714 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 801)

733. How many months after (NAME'S) birth did you first give him/her solid or semi-solid food?

MONTHS ___
CHILD DIED BEFORE GIVEN 97
(ALL GO TO 714 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 801)

SECTION 8. CHILD HEALTH AND CAUSE OF DEATH

801. CHECK 215:

ONE OR MORE LIVE BIRTHS SINCE JANUARY 1983
NO LIVE BIRTHS SINCE JANUARY 1983 (GO TO 848)

CHECK 212, 213 AND 216 AND ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 AT THE TOP OF THE TABLE BELOW, BEGINNING WITH THE LAST BIRTH. RECORD NAMES OF TWINS IN SEPARATE COLUMNS.
COPY THE SAME INFORMATION AT THE TOP OF THE TABLES ON THE FOLLOWIHG THREE PAGES. YOU SHOULD RECORD THE NAMES OF DEAD AS WELL AS LIVING CHILDREN EVEN THOUGH QUESTIONS 803-821 WILL BE ASKED ONLY FOR LIVING CHILDREN.
AFTER THE TABLE HEADINGS ARE COMPLETE, ASK QUESTIONS 802-821 FOR EACH LIVING CHILD. COMPLETE ALL QUESTIONS FOR ONE LIVING CHILD BEFONE GOING ON TO THE NEXT CHILD. REMEMBER TO SKIP QUESTIONS 803-821 FOR DEAD CHILDREN.
AFTER ASKING QUESTIONS 802-812 FOR ALL LIVING CHILDREN, GO ON TO QUESTION 822.

LINE NUMBER FROM 212

_____________

NAME FROM 213

SURVIVAL STATUS FROM 216

NAME____
ALIVE (GO TO 802)
DEAD (GO TO NEXT BIRTH)

802. Now I would like to ask some questions about any illnesses your child has had recently. Has (NAME) had diarrhea in the last seven days?

YES 1 (GO TO 804)
NO 2
NOT SURE/DK 8

803. Has (NAME) had diarrhea since the start of the fasting month this year? IF YES: In what month did (NAME) have his/her most recent episode of diarrhea? SPECIFY CALENDAR MONTH.

YES (SPECIFY) ____ (GO TO 806)
NO 2 (GO TO 802 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 822)
NOT SURE/DK 8 (GO TO 802 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 822)

804. I would like some information about (NAME)'s last episode of diarrhea. How many days ago did the diarrhea start? IF LESS THAN 24 HOURS, CIRCLE '00'.

DAYS __
LESS THAN 24 HOURS 00 (GO TO 807)

805. Has (NAME) had diarrhea in the last 24 hours?

YES 1 (GO TO 807)
NO 2

806. For how many days did (NAME) have diarrhea during the most recent episode? IF LESS THAN 24 HOURS ENTER '00'.

DAYS ___

807. In your opinion was (is) the most recent episode of diarrhea (NAME) had mild or severe?

MILD 1
SEVERE 2
NOT SURE/DK 8

808. Were (are) the stools watery or just soft?

WATERY 1
JUST SOFT 2
NOT SURE/DK 8

809. Was (is) there blood in the stools?

YES 1
NO 2
NOT SURE/DK 8

810. Did (NAME) also experience vomiting?

YES 1
NO 2
NOT SURE/DK 8

811. Did (NAME) also experience dehydration?

YES 1
NO 2
NOT SURE/DK 8

812. During the most recent episode of diarrhea, did (NAME) show any of these other symptoms:

thirsty?
YES 1
NO 2
listlessness?
YES 1
NO 2
sunken eyes?
YES 1
NO 2
wrinkled skinfold?
YES 1
NO 2
cold hands?
YES 1
NO 2
sunken top of head?
YES 1
NO 2

813. There are many kinds of things parents do to treat children with diarrhea. During the most recent episode, was (NAME) given:

mahloul el-gaffaf?
YES 1
NO 2
other medicine(s)?
YES 1 (SPECIFY) ____
NO 2
intravenous fluids?
YES 1
NO 2

814. During the most recent episode of diarrhea (NAME) had, did you stop, decrease, continue without change, or increase:

breastfeeding?
STOPPED 1
DECREASED 2
INCREASED 3
NO CHANGE 4
NOT GIVEN 5
other milk?
STOPPED 1
DECREASED 2
INCREASED 3
NO CHANGE 4
NOT GIVEN 5
other liquids?
STOPPED 1
DECREASED 2
INCREASED 3
NO CHANGE 4
NOT GIVEN 5
solid/semi-solid food?
STOPPED 1
DECREASED 2
INCREASED 3
NO CHANGE 4
NOT GIVEN 5

815. Was the opinion of any of the following sought during the episode:

government health services?
YES 1
NO 2
private doctor?
YES 1
NO 2
pharmacy?
YES 1
NO 2
relatives or friends?
YES 1
NO 2
anyone else (Specify)?
YES 1 (SPECIFY)
NO 2

816. CHECK 815:

CONSULTED GOVT HEALTH SRV/PR DOCTR (GO TO 817)
DID NOT CONSULT GOVT HLTH SRV/PR DOCTOR (GO TO 818)

817. Did the doctor you consulted prescribe any of the following even if you did not use it in treating the diarrhea:

mahloul el-gaffaf?
YES 1
NO 2
other medicine(s)?
YES 1 (SPECIFY)____
NO 2
anything else?
YES 1 (SPECIFY) ____
NO 2

818. CHECK 813:

GAVE MAHLOUL EL GAFFAF (GO TO 819)
DID NOT GIVE MAHLOUL EL-GAFFAF (GO TO 802 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 822)

819. How many days after the most recent episode of diarrhea began, did you start to give (NAME) mahloul el-gaffaf? IF LESS THAN 24 HOURS, ENTER '00'.

DAYS___

820. On the first day you gave the mahloul el-gaffaf, how many packets did you give (NAME)? IF LESS THAN ONE, ENTER '00'.

NUMBER ___

821. For how many days did you continue to give the mahloul el-gaffaf to (NAME)? IF LESS THAN 24 HOURS, ENTER '00'.

DAYS ____
(GO TO 802 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 822)

822. Have you heard about mahloul el-gaffaf?

YES 1
NO 2 (GO TO 825)

823. Do you know how to prepare the mahloul el-gaffaf?

YES 1
NO 2

824 Do you have any packets of mahloul el-gaffaf in the house? IF YES: May I see one?

YES, SHOWN 1
YES, NOT SHOWN 2
NO 3

825. THE HEADINGS IN THIS TABLE SHOULD BE EXACTLY THE SAME AS THOSE IN 802. COPY THE SAME INFORMATION AT THE TOP OF THE FOLLOWING PAGE.

AFTER THE TABLE HEADINGS ARE COMPLETE. ASK QUESTIONS 826-836 FOR EACH LIVING CHILD. COMPLETE ALL QUESTIONS FOR ONE LIVING CHILD BEFORE GOING ON TO THE NEXT CHILD. REMEMBER TO SKIP QUESTIONS 826-836 FOR DEAD CHILDREN.
AFTER ASKING QUESTIONS 826-836 FOR ALL LIVING CHILDREN, GO ON TO QUESTION 837.

LINE NUMBER FROM 212

_____________

NAME FROM 213
SURVIVAL STATUS FROM 216

NAME _____
ALIVE____ (GO TO 826)
DEAD____(GO TO NEXT BIRTH)

826. Did (NAME) have a cough at any time during the past month?

YES 1
NO 2 (GO TO 831)
NOT SURE/DK 8 (GO TO 831)

827. For how many days did the (NAME) have the cough the last time? IF LESS THAN 24 HOURS, ENTER '00'.

DAYS____

828. Did (NAME) also experience difficulty breathing when he/she had the cough?

YES 1
NO 2
NOT SURE/DK 8

829. When (NAME) had the cough did you ask anyone's opinion on how to treat it?

YES 1
NO 2 (GO TO 831)
NOT SURE/DK 8 (GO TO 831)

830. Did you seek the opinion of any of the following:

government health services?
YES 1
NO 2
private doctor?
YES 1
NO 2
pharmacy?
YES 1
NO 2
relatives or friends?
YES 1
NO 2
anyone else (Specify)?
YES 1 (SPECIFY) _____
NO 2

831. Did (NAME) ever have the measles?

YES 1
NO 2

832. Has (NAME) ever been given drops in the mouth for protecting against illness and not for curing?

YES 1
NO 2 (GO TO 834)
NOT SURE/DK 8 (GO TO 834)

833. How many times has (NAME) been given these drops?

NUMBER___

834. Has (NAME) ever been given injection for protecting against illness and not for curing?

YES 1
NO 2
NOT SURE/DK 8

835. Do you have a birth certificate for (NAME)? IF YES: May I see it, please?

YES, SEEN 1
YES, NOT SEEN 2 (GO TO 825 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 837)
NO CARD 3 (GO TO 825 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 837)

836. RECORD DATES OF IMMUNIZATIONS FROM BIRTH CARD. CIRCLE '1' IF THERE IS NO RECORD THE IMMUNIZATION WAS GIVEN. CIRCLE '2' IF IMMUNIZATION GIVEN BUT NO DATE IS RECORDED.

BCG
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 1
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 1
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 2
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 2
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 3
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 3
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
MEASLES
NO RECORD 1
NO DATE 2
DA__
MO__
YR__

(GO TO 825 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 837)

837. THE HEADINGS IN THIS TABLE SHOULD BE EXACTLY THE SAME AS THOSE IN 802. COPY THE SAME INFORMATION AT THE TOP OF THE FOLLOWING PAGE. NOTE THAT, UNLIKE QUESTIONS 802-821 AND 826-836, QUESTIONS 838-847 ARE TO BE ASKED ABOUT DEAD NOT LIVING CHILDREN.
COMPLETE ALL QUESTIONS FOR ONE DEAD CHILD BEFORE GOING OR TO THE NEXT CHILD. REMEMBER TO SKIP QUESTIONS 838-847 FOR LIVING CHILDREN. AFTER ASKING QUESTIONS 838-847 FOR ALL DEAD CHILDREN, GO ON TO QUESTION 848.

LINE NUMBER FROM 212

_________

NAME FROM 213
SURVIVAL STATUS FROM 216

NAME___
ALIVE__ (GO TO NEXT-TO-LAST BIRTH)
DEAD__(GO TO 838)

838. Now I would like to ask a few questions about (NAME OF DEAD CHILD). Did he/she die in the last 12 months?

YES 1
NO 2

839. Did (NAME OF DEAD CHILD) have diarrhea during the seven days before his/her death?

YES 1
NO 2 (GO TO 841)

840. Did (NAME) have watery stools?

YES 1
NO 2

841. In the seven days before his/her death, did (NAME) have cough?

YES 1
NO 2

842. In the seven days before his/her death, did (NAME) have difficulty breathing?

YES 1
NO 2

843. In the seven days before his/her death, did (NAME) have any of the following:

measles?
YES 1
NO 2
any other illness (Specify)?
YES 1
NO 2 (SPECIFY) ____
an accident?
YES 1
NO 2

844. During the period of illness before his/her death, was (NAME) examined by a doctor?

YES 1
NO 2

845. CHECK 217:

CHILD LESS THAN ONE MONTH OLD AT DEATH (GO TO 846)
CHILD OLDER THAN ONE MONTH AT DEATH (GO TO 838 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 848)

846. Before his/her death, did (NAME) have convulsions?

YES 1
NO 2

847. Was (NAME) nursing normally until he/she became ill?

YES 1
NO 2

OBSERVATIONS

THANK THE RESPONDENT FOR HER PARTICIPATION IN THE SURVEY. FILL IN THE APPROPRIATE RESPONSES IN QUESTIONS 848-853. BE SURE TO REVIEW THE QUESTIONNAIRE FOR COMPLETENESS BEFORE LEAVING THE HOUSEHOLD.

848. RECORD THE TIME.

HOURS___
MINUTES___

849. DEGREE OF COOPERATION.

POOR 1
FAIR 2
GOOD 3
VERY GOOD 4

850. INTERVIEWED RESPONDENT ALONE OR WITH OTHERS PRESENT PART OR ALL OF THE INTERVIEW.

ALONE 1 (GO TO 853)
OTHERS PRESENT DURING PART OF THE INTERVIEW 2
OTHERS PRESENT DURING ALL OF THE INTERVIEW 3

851. MARK WHETHER ANY OF THE FOLLOWING WERE PRESENT DURING THE INTERVIEW.

CHILDREN?
YES 1
NO 2
OTHER WOMEN?
YES 1
NO 2
HUSBAND?
YES 1
NO 2
OTHER MALES?
YES 1
NO 2

852. DID ANY OF THE PERSONS PRESENT INTERFERE WITH THE INTERVIEW?

YES 1
NO 2

853. INTERVIEWER'S COMMENTS:

____________________________________

854. FIELD EDITOR'S COMMENTS:

____________________________________

855. SUPERVISOR'S COMMENTS:

____________________________________

856. OFFICE EDITOR'S COMMENTS:

____________________________________

SECTION 9. WEIGHT AND LENGTH

INTERVIEWER: IN 901-904, RECORD THE LINE NUMBERS, NAMES, SEX AND BIRTH DATES OF LIVING CHILDREN BONN SINCE JANUARY 1. 1985, STARTING WITH THE YOUNGEST CHILD. CHECK AGE IN 906-906 AND IDENTIFY CHILDREN 0-36 MONTHS OF AGE, RECORD LENGTH AND WEIGHT IN 907 AND 908. MEASURE ONE CHILD COMPLETELY (BOTH LENGTH AND WEIGHT) BEFORE GOING ON TO THE NEXT CHILD.

901. LINE NO. FROM 212

______

902. NAME FROM 213

(NAME) ______

903. SEX FROM 214

BOY 1
GIRL 2

904. DATE OF BIRTH FROM 215

MONTH__
YEAR__

905. CHECK AGE AND MARK RESPONSE IN 906. IF FULL BIRTH DATE IS NOT AVAILABLE AND THE CHILD IS THREE YEARS OLD OR LESS ACCORDING TO QUESTION 218, THEN MARK 'YES' IN 906.

906. CHECK AGE: 0-36 MONTHS?

YES__
NO__ (GO TO NEXT CHILD)

907. LENGTH (in cms)

_____.__

908. WEIGHT (in kgs)

_____.__

908A. CLOTHED WHEN WEIGHED

UNDERWEAR ONLY:
YES__
NO__ (SPECIFY)

909. STATE REASON UNABLE TO RECORD

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910. NAME OF MEASURER: _________ __
NAME OF ASSISTANT: ___________

OBSERVATIONS
THANK THE RESPONDENT FOR HER CHILD(REN)'S PARTICIPATION. FILL IN THE APPROPRIATE RESPONSES IN QUESTIONS 911-912. BE SURE TO REVIEW THE QUESTIONS 901-910 FOR COMPLETENESS BEFORE LEAVING THE HOUSEHOLD.

911. DEGREE OF COOPERATION.

POOR 1
FAIR 2
GOOD 3
VERY GOOD 4

912. MEASURER'S COMMENTS:

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913. FIELD EDITOR'S COMMENTS:

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914. SUPERVISOR'S COMMENTS:

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915. OFFICE EDITOR'S COMMENTS:

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