IDENTIFICATION

GOVERNORATE __________
PSU/SEGMENT NO. _____________
KISM/MARQAZ __________
BUILDING NO. ________________
SHIAKHA/VILLAGE __________
HOUSE NO___________
HOUSEHOLD NO. _________

URBAN 1
RURAL 2

LARGE CITY 1
SMALL CITY 2
TOWN 3
VILLAGE 4

NAME OF HOUSEHOLD HEAD _______________
ADDRESS IN DETAIL ______________
NAME OF WOMAN ______________
LINE NUMBER OF WOMAN ___________

GOVERNORATE ___
PSU/SEGMENT NO.___
HOUSEHOLD NO. ___
URBAN/RURAL ___
LOCALITY ___
LINE NUMBER ___

INTERVIEWER VISITS
DATE _____
TEAM _____
INTERVIEWER'S NAME _____
SUPERVISOR 'S NAME_____
RESULT ______
NEXT VISIT: DATE _____ TIME ________

FINAL VISIT: DAY ____ MONTH ____ YEAR ____
TEAM ____
INTERVIEWER _____
SUPERVISOR _____
RESULT _____
TOTAL NUMBER OF VISITS ___

RESULT CODES:

FIELD EDITOR
NAME _______
DATE _______
SIGNATURE _______

OFFICE EDITOR
NAME _______
DATE _______
SIGNATURE _______

CODER
NAME _______
DATE _______
SIGNATURE _______

KEYER
NAME _______
DATE _______
SIGNATURE _______

SECTION 1. RESPONDENT'S BACKGROUND

101. RECORD THE TIME

102. In what month and year were you born?

103. How old were you at your last birthday? COMPARE AND CORRECT 102 AND/OR 103 IF INCONSISTENT.

104. What is your current marital status?

105. Have you ever attended school?

106. Are you currently attending school or the university?

107. What is the highest level of school you attended?

108. What is the highest grade which you successfully completed at that level?

109. CHECK 107:

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

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

112. How many hours on average do you listen to the radio each day? IF LISTENS LESS THAN 1 HOUR, WRITE "00".

113. How many hours on average do you watch television each day? IF WATCHES LESS THAN 1 HOUR, WRITE "00".

114. What is your religion?

115. CHECK QUESTION 010 IN THE HOUSEHOLD QUESTIONNAIRE.

116. Now I would like to ask about the place in which you usually live. Do you usually live in Cairo, Giza, Alexandria, another city or town, or in a village?

117. In which governorate is that located?

118. Now I would like to ask some questions about the household in which you usually live. In what type of dwelling does your household live?

119. Is your dwelling owned by your household or not? IF OWNED: Is it owned solely by your household or jointly with someone else?

120. Could you describe the main material of the floor in your dwelling?

121. How many rooms are there in your dwelling (excluding the bathrooms, kitchen and stairway areas)?

122. How many of the rooms are used for sleeping?

123. Is there a special room used only for cooking inside or outside the dwelling?

124. What is the source of water your household uses for drinking?

125. How long does it take to go there, get water, and come back?

126. Does your household get water for other uses (e.g., for handwashing and dishwashing) from the same source?

127. What is the source of water for such uses?

128. What kind of toilet facility does your household have?

129. Does the dwelling unit have electrical connections in all or only part of the dwelling unit?

130. Does your household have:

131. Does your household have:

132. Do you or any member of your household own:

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 girl who was born alive but later died? IF NO, PROBE: Any baby who cried or showed any sign of life only survived a few hours or days?

207. In all, how many boys have died? And how many girls have died? 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. COMPLETE QUESTIONS 213-220 AS APPROPRIATE FOR EACH BIRTH. AFTER COMPLETING ALL BIRTHS, GO TO 221.

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

213. RECORD SINGLE OR MULTIPLE BIRTH STATUS.

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

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

216. Is (NAME) still alive?

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

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

219. IF LESS THAN 15 YEARS OF AGE: With whom does he/she lives? IF 15 YEARS OR OLDER, GO TO NEXT BIRTH.

220. IF DEAD: How old was he/she when he/she died? IF '1 YR', 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:

222. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1987. IF NONE, ENTER '0' AND GO TO 224. ___

223. FOR EACH BIRTH SINCE JANUARY 1987, ENTER "B" IN MONTH OF BIRTH IN COLUMN 1 OF CALENDAR AND "P" IN EACH OF THE 8 PRECEDING MONTHS. WRITE NAME OF THE CHILD TO THE RIGHT OF THE "B" CODE.

224. AT THE BOTTOM OF THE CALENDAR, ENTER NAME AND BIRTH DATE OF THE LAST CHILD BORN PRIOR TO HANUARY 1987, IF APPLICABLE.

225. Are you pregnant now?

226. How many months pregnant are you?

226A. 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?

230. CHECK 229:
LAST PREGNANCY ENDED SINCE JANUARY 1987 (GO TO 231)
LAST PREGNANCY ENDED BEFORE JANUARY 1987 (GO TO 234)

231. How many months pregnant were you when the pregnancy ended?

231A. ENTER "T" IN COLUMN 1 OF CALENDAR IN MONTH PREGNANCY TERMINATED, AND "P" IN EACH PRECEDING MONTH PREGNANT.

232. Did you ever have any other such pregnancies?

233. ASK FOR DATES AND THE DURATIONS OF ANY OTHER PREGNANCIES BACK TO JANUARY 1987. ENTER "T" IN COLUMN 1 OF CALENDAR IN MONTH PREGNANCY TERMINATED, AND "P" IN EACH PRECEDING MONTH PREGANT.

234. When did your last menstrual period start?

235. How old were you when you had your first menstrual period?

236. Between the first day of a period (i.e., menstrual cycle) and the first day of her next period, are there certain times when she has a greater chance of becoming pregnant than other times? PROBE: Are there any days during this time when the woman has a greater chance of becoming pregnant than on other days?

237. During which times of the monthly cycle does a woman have the greatest chance of becoming pregnant? PROBE: What are the days of each month when the woman should be more careful so as not to get pregnant during them?

SECTION 3. CONTRACEPTIVE KNOWLEDGE AND USE

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 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 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 351)

308. What have you used or done? CORRECT 303 - 305 (AND 302 IF NECESSARY).

309. What is the first thing you ever did or method you ever used to delay or avoid getting pregnant?

310. Where did you go to get (FIRST METHOD USED) the first time?
WRITE THE NAME AND THE ADDRESS OF THE SOURCE FROM WHICH THE RESPONDENT OBTAINED THE METHOD. PROBE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE.

(NAME AND ADDRESS OF PLACE)____________

311. At the time when you first used, how many living children did you have, if any? IF NONE, RECORD '00' AND GO TO 313.

312. How many sons did you have? How many daughters? IF NONE RECORD '00'.

313. When you first began to use family planning, did you want to have another child but at a later time, or did you not want to have another child at all?

314. CHECK 104:

315. CHECK 225:

316. CHECK 303:

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

318. Which method are you using?
318A. CIRCLE '07' FOR FEMALE STERILIZATION.

319. Why did you decide to use (CURRENT METHOD) rather than some other method of family planning? PROBE: Any other reasons? RECORD ALL MENTIONED.

320. Why did you decide to use (CURRENT METHOD) rather than some other method of family planning? PROBE: Any other reasons? RECORD ALL MENTIONED.

321. CHECK 318:
SHE/HE STERILIZED: ___Where did the sterilization take place?
USING IUD: ___ Where did you have the IUD inserted?
USING ANOTHER METHOD: ___ Where did you obtain (METHOD) the last time?

WRITE THE NAME AND THE ADDRESS OF THE SOURCE FROM WHICH THE RESPONDENT OBTAINED THE METHOD. PROBE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE. (NAME AND ADDRESS OF PLACE)____________

322. How long does it take to travel from your home to this place? IF LESS THAN 2 HOURS, RECORD MINUTES. OTHERWISE, RECORD HOURS.

323. Is it easy or difficult to get there?

324. Why did you decide to obtain your (CURRENT METHOD) from (CURRENT SOURCE IN 321) rather than from some other place? Any other reason?

(RECORD ALL RESPONSES) _______

325. Since you obtained the method from (CURRENT SOURCE), have you returned there for follow-up or advice about the method?

326. CHECK 318:

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

328. From where did you buy the IUD? WRITE THE NAME AND ADDRESS OF THE SOURCE FROM WHICH THE RESPONDENT OBTAINED THE METHOD. PROBE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE. (NAME AND ADDRESS OF PLACE) ___________________

329. How much did it cost to buy the IUD from that place?

330. Would you be willing to pay the following to buy the IUD from this source: (IF YES, CONTINUE WITH NEXT AMOUNT. IF NO, GO TO 331.)

331. How much did it cost to have the IUD inserted (including any extra fee for a physical examination)?

332. Would you be willing to pay the following to have an IUD inserted: (IF YES, CONTINUE WITH NEXT AMOUNT. IF NO, GO TO 336. FOR AMOUNT MORE THAN 200 POUNDS, GO TO 336 IF YES OR NO.)

333. How much does one cycle of pills cost you?

334. Would you be willing to pay for a cycle of pills if it cost:
(IF YES, CONTINUE WITH NEXT AMOUNT. IF NO, SKIP TO 336. FOR AMOUNT MORE THAN 5 POUNDS, SKIP TO 336 IF YES OR NO.)

335. How much did it cost to get your method? (IF LESS THAN 1 POUND, RECORD IN PIASTRES.)

336. Are you having any problems in using (CURRENT METHOD) ?

337. What is the main problem?

338. CHECK 303 AND 318:
WOMAN OR HUSBAND STERILIZED ___ (GO TO 339)
NEITHER WOMAN OR HUSBAND STERILIZED ___ (GO TO 342)

339. In what month and year was the sterilization performed?

340. ENTER STERILIZATION METHOD CODE IN MONTH OF INTERVIEW IN COLUMN 1 OF CALENDAR AND IN EACH MONTH BACK TO THE DATE OF THE OPERATION OR TO JANUARY 1987 IF OPERATION OCCURRED BEFORE 1987.

341. CHECK 339:

342. CHECK 104:

343. ENTER METHOD CODE FROM 318 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:

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

PROBE FOR EARLIER PERIODS OF USE AND NONUSE, STARTING WITH THE MOST RECENT PERIOD OF USE AND GOING BACK TO JANUARY 1987.

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

RECORD PERIODS OF USE AND NONUSE IN COLUMN 1 OF THE CALENDAR. FOR EACH MONTH IN WHICH A METHOD WAS USED, ENTER THE CODE FOR THE METHOD; ENTER "0" IN THOSE MONTHS WHEN NO METHOD WAS USED.

FOR EACH PERIOD OF USE, 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.

FOR EACH PERIOD OF USE, RECORD THE CODE FOR THE REASON FOR DISCONTINUATION IN COLUMN 2 OF THE CALENDAR NEXT TO LAST MONTH OF USE.

NUMER OF CODES ENTERED IN COLUMN 2 MUST BE THE SAME AS THE NUMBER OF INTERRUPTIONS OF CONTRACEPTIVE USE IN COLUMN 1.

ILLUSTRATIVE QUESTIONS

COLUMN 1:

344 A. COLUMN 2:

IF DELIBERATELY STOPPED TO BECOME PREGNANT, ASK:
"How many months did it take you to get pregnant after you stopped using (METHOD)? AND ENTER '0' IN EACH SUCH MONTH IN COLUMN 1.

345. CHECK CALENDAR:
METHOD USED IN MONTH OF JANUARY 1987 (GO TO 346)
NO METHOD USED IN MONTH OF JANUARY 1987 (GO TO 347)

346. I see that you were using (METHOD) in January 1987. When did you start using (METHOD) that time? THIS DATE SHOULD NOT PRECEDE THE DATE OF BIRTH OF ANY CHILD BORN BEFORE JANUARY 1987.

347. I see that you were not using any method of contraception in January 1987. Did you ever use a method before that?

348. CHECK 215:

349. Did you use a method between the birth of (NAME OF LAST CHILD BORN BEFORE JANUARY 1987) and January 1987?

350. When did you stop using a method the last time prior to January 1987?
THIS DATE SHOULD NOT PRECEDE THE DATE OF BIRTH OF ANY CHILD BORN BEFORE JANUARY 1987.

351. CHECK 104:

351A. CHECK 318:

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

353. What is the main reason you do not intend to use a method in the future?

354. Do you intend to use a method within the next 12 months?

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

356. Where can you get (METHOD MENTIONED IN 355)?
WRITE THE NAME AND ADDRESS OF THE SOURCE FROM WHICH THE RESPONDENT WOULD GET THE METHOD. PROSE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE.
(NAME AND ADDRESS OF PLACE) _______________________

357. Do you know of a place where you can obtain a method of family planning?

358. Where is that?
WRITE THE NAME AND ADDRESS OF THE SOURCE FROM WHICH THE RESPONDENT WOULD GET THE METHOD. PROSE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE.

(NAME AND ADDRESS OF PLACE) _______________________

359. How long does it take to travel from your home to this place? IF LESS THAN 2 HOURS, RECORD MINUTES. OTHERWISE, RECORD HOURS.

360. Is it easy or difficult to get there?

SECTION 4: OTHER ISSUES RELATING TO CONTRACEPTION

401. CHECK 303:

402. CHECK 318:

403. Is this the first time that you have ever used the pill or have you used before?

404. At the time you used the pill for the first time, did you consult a doctor or a nurse before you began using it?

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

406. COUNT AND RECORD THE TOTAL NUMBER OF PILLS IN THE CYCLE (PACKET) REGARDLESS OF THE PILLS ALREADY TAKEN.

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

408. Do you know the brand name of the pills which you are using now? RECORD NAME OF BRAND.

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

410. At any time in the past month did you fail to take a pill for more than one day for any reason?

411. What was the main reason you stopped taking the pill?

412. Just about everyone misses taking the pill sometime. What do you do when you forget to take two or more pills?

413. CHECK 321:

414. Do you usually obtain the pill yourself? IF NO: Who obtains the method usually?

415. Since you began using the pill this time, have you yourself ever gone to a pharmacy to obtain the method?

416. CHECK 303:

417. Now I would like to ask some questions about the last time that you used the pill. During that time, did you yourself ever go to a pharmacy to obtain the pill?

417A. Since you began using the pill this time, have you yourself ever gone to a pharmacy to obtain the pill?

418. Did anyone else obtain the pill for you at a pharmacy? IF YES: Who obtained the pill for you from a pharmacy?

419. Now I would like to talk with you about the service which you received at the pharmacy. Did anyone at the pharmacy tell or show you how to use the pill?

420. Did anyone at the pharmacy describe side effects or other problems which you might have while using the pill?

421. Did anyone at the pharmacy ever tell you about other family planning methods which you might use?

422. When you began to use the pill (this/that) time, did you consult a doctor or a nurse?

423. Where did you go for this consultation?
WRITE THE NAME AND ADDRESS OF THE SOURCE. PROBE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE. (NAME AND ADDRESS OF PLACE) _______________________

424. Now I would like to talk with you about the service which you received at (SOURCE IN 423). Did you think that the wait for services was too long?

425. Were you given a physical examination? IF YES: Was the doctor male or female?

426. How much did it cost for the consultation (including any extra fee for a physical examination)? IF LESS THAN ONE POUND, RECORD '000'.

427. In addition to the pill, were you told about other methods?

428. Were you told how to use the pill?

429. Were you told about problems or side effects which you might experience in using the pill?

430. After you began using the pill, did you return to (SOURCE IN 423) for consultation or follow-up?

431. CHECK 318:

432. CHECK 303 (IUD):

433. Now I would like to ask some questions about the last time that you used the IUD. Where did you obtain the IUD?

WRITE THE NAME AND ADDRESS OF THE SOURCE. PROBE IF NECESSARY TO IDENTIFY THE TYPE OF SOURCE AND THEN CIRCLE THE APPROPRIATE CODE. (NAME AND ADDRESS OF PLACE) _______________________

433A. CHECK 321 AND CIRCLE THE CODE FOR THE SOURCE AT WHICH THE CURRENT USER HAD THE IUD INSERTED.

434. Now I would like to talk with you about the service which you received at (SOURCE IN 432). Did you think that the wait for services was too long?

435. Were you given a physical examination? IF YES: Was the doctor male or female?

436. In addition to the IUD, were you told about other methods?

437. Were you told how to be sure that the IUD was in place?

438. Were you told about problems or side effects which you might experience in using the IUD?

439. After you began using the IUD, did you return to (SOURCE IN 432) for consultation or follow-up?

440. There are many factors which help to influence the decision to use family planning. Can you tell me if any of the following ever caused you to seek more information about family planning?

441. How did you first hear about family planning?

442. In the last month, have you heard a message about family planning on:

443. CHECK 105, 107 AND 110:

444. In the last month have you read an article about family planning in a newspaper or magazine?

445. There are many spots or messages regarding family planning on television. Can you tell me about the spots or messages which you have found most informative or helpful for you?
RECORD THE RESPONSE IN DETAIL. IF THE ANSWER IS A SERIES (E.G., KAREEMA MUBKTAR OR THE DOCTOR), PROBE TO FIND OUT WHICH SPECIFIC SPOTS IN THE SERIES WERE MOST HELPFUL OR INFORMATIVE RECORD UP TO THREE SPOTS.

446. In the past year, have you ever attended a community meeting or talk in which there was discussion about family planning or Egypt's population problem?

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

448. If couples wish to avoid pregnancy, do you approve or disapprove of their using:

449. In general do you think that your religion allows couples to use family planning or it forbids it?

450. Do you think that your husband approves or disapproves of couples using a method to avoid pregnancy?

SECTION 5 FERTILITY PREFERENCES

501. CHECK 104:

502. CHECK 318:

503. 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 not to have any more children?

504. 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?

505. CHECK 203, 205 AND 225
HAS LIVING CHILD(REN) OR PREGNANT?

506. CHECK 225:
NOT PREGNANT OR UNSURE: How old would you like your youngest child to be when your next child is born?

PREGNANT: How old would you like the child you are expecting to be when your next child is born?

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

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

509. CHECK 203 and 205:
HAS LIVING CHILDREN: If you could go back to the time you did not have any children and could choose exactly number of children to have in your whole life, how many would that be?

NO LIVING CHILD(REN): 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.

510. How many boys and how many girls?

511. When a couple is making a decision, sometimes the husband has more influence, in some cases, the wife has more influence, while other decisions are made jointly. In your family, who has (had) the most influence in deciding whether or not to have another --you or your husband--or do (did) you have equal say?

512. What do you think is the best number of months or years between the birth of one child and the birth of the next child?

513. Do you expect your children (if you would have any) to help you financially when you get old?

514. What is the highest level of school you would like for your daughter(s) to attain?

515. What is the highest level of school you would like for your son(s) to attain?

516. Does (did) your husband allow you to go out alone (or with your children) to buy household items or visit relatives?

517. In general, if a wife disagrees with her husband, do you think she should express her opinion or keep quiet?

518. Some say that a woman's place is not only at home but she should be able to work. Do you agree?

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

SECTION 6. PREGNANCY AND BREASTFEEDING

601. CHECK 222:

602. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE. BEGIN WITH THE LAST BIRTH AND RECORD TWINS OR TRIPLETS IN SEPARATE COLUMNS. 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 five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q212

FROM Q212 AND Q216
FILL IN EACH COLUMN (COL.3: LAST BIRTH, COL.4: NEXT-TO-LAST BIRTH, COL.5: SECOND-FROM-LAST BIRTH)

603. 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?

604. How much longer would you like to have waited?

605. 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.

606. Where did you receive the antenatal care?

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

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

609. 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?

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

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

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

613. Was (NAME) born on time or prematurely?

614. Was (NAME) delivered by caesarian section?

615. When (NAME) was born, was he/she very large, larger than average, average, smaller than average, or very small?

616. Was (NAME) weighed at birth?

617. How much did (NAME) weigh?

618. Has your period return since the birth of (NAME)? [ask only for last birth]

619. ENTER "X' IN COL.3 OF CALENDAR IN MONTH AFTER BIRTH AND IN EACH MONTH TO CURRENT MONTH (OR TO CURRENT PREGNENCY) (GO TO 621)

620. For how many months after the birth of (NAME) did you not have a period?
ENTER "X" IN COL.3 OF CALENDAR FOR THE NUMBER OF SPECIFIED MONTHS WITHOUT A PERIOD, STARTING IN THE MONTH AFTER BIRTH.
IF LESS THAN ONE MONTH WITHOUT A PERIOD, ENTER "0" IN COL.3 IN MONTH AFTER BIRTH.

621. CHECK 225: RESPONDENT PREGNANT?

622. Have you resumed sexual relations since the birth of (NAME)? [ask only for last birth]

623. ENTER "X" IN COL.4 OF CALENDAR IN MONTH AFTER BIRTH AND IN EACH MONTH TO CURRENT MONTH. (GO TO 625)

624. For how many months after the birth of (NAME) did you not have sexual relations?
ENTER "X" IN COL.4 OF CALENDAR FOR THE NUMBER OF SPECIFIED MONTHS WITHOUT SEXUAL RELATIONS, STARTING IN THE MONTH AFTER BIRTH. IF LESS THAN ONE MONTH WITHOUT SEXUAL RELATIONS, ENTER "0" IN COL.4 OF CALENDAR IN THE MONTH AFTER BIRTH.

625. Did you ever breastfeed (NAME)?

626. ENTER "N" IN COL.5 OF CALENDAR IN MONTH AFTER BIRTH.

627. Why did you not breastfeed (NAME)?

628. How long after birth did you first put (NAME) to the breast?
IF LESS THAN 1 HOUR, WRITE '00' HOURS. IF LESS THAN 24 HOURS, RECORD HOURS. OTHERWISE, RECORD DAYS. [ask only for last birth]

629. CHECK 216: CHILD ALIVE? [ask only for last birth]

630. Are you still breastfeeding (NAME)? [ask only for last birth]

631. ENTER "X" IN COL 5 OF CALENDAR IN MONTH AFTER BIRTH AND IN EACH MONTH TO CURRENT MONTH. [ask only for last birth]

632. How many times did you breastfeed last night between sunset and sunrise? IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER. [ask only for last birth]

633. How many times did you breastfeed yesterday during the daylight hours? IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER. [ask only for last birth]

634. At any time yesterday or last night was (NAME) given any of the following: [ask only for last birth]

635. CHECK 634: FOOD OR LIQUID GIVEN YESTERDAY? [ask only for last birth]

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

ENTER "X" IN COL. 5 OF CALENDAR FOR THE NUMBER OF SPECIFIED MONTHS OF BREASTFEEDING, STARTING IN THE MONTH AFTER BIRTH.

IF BREASTFED LESS THAN ONE MONTH, ENTER "0" IN COL. 5 IN MONTH AFTER BIRTH.

637. Why did you stop breastfeeding (NAME)?

638. CHECK 216: CHILD ALIVE?

639. Was (NAME) ever given water or anything else to drink or eat (other than breastmilk)?

640. How many months old was (NAME) when you started giving the following on a regular basis?:
IF LESS THAN 1 MONTH, WRITE '00'.

641. CHECK 216: CHILD ALIVE? [ask only for last birth]

642. Did (NAME) drink anything from a bottle with a nipple yesterday or last night? [ask only for last birth]

643. GO BACK TO 603 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 644.

644. CHECK 215: ANY BIRTH IN 1984, 1985, OR 1986?

645. Did you ever feed (NAME) at the breast?

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

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

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

649. What should be the first food or liquid a baby gets after birth?

650. What health problems might be caused by bottlefeeding? RECORD ALL MENTIONED.

651. How old should an infant before he/she is first given other foods or liquids in addition to breastmilk?

652. CHECK 222:

Section 7. Immunization and Health

701. ENTER THE LINE NUMBER AND NAME OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE. BEGIN WITH THE LAST BIRTH. RECORD TWINS OR TRIPLETS IN SEPARATE COLUMNS. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

LINE NUMBER FROM Q212 ___

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

703. Did you ever have a vaccination certificate for (NAME)?

704. (1) COPY VACCINATION DATES FOR EACH VACCINE FROM THE CERTIFICATE. (2) WRITE '44' IN 'DAY' COLUMN IF CERTIFICATE SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE WAS RECORDED.

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

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

707. Please tell me if (NAME) (has) received any of the following vaccinations:

708. CHECK 216: CHILD ALIVE?

709. GO BACK TO 702 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 740.

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

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

712. Has (NAME) been ill with a cough in the last 24 hours?

713. For how many days (has the cough lasted/did the cough last)? IF LESS THAN 1 DAY, RECORD '00'.

714. When (NAME) had an illness with a cough, did he/she breathe faster than usual with short, rapid breaths?

715. CHECK 710 AND 711: FEVER OR COUGH?

716. Was anything given to treat the fever/cough?

717. What was given to treat the fever/cough? Anything else? RECORD ALL MENTIONED.

718. Did you seek advice or treatment for the fever/cough?

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

720. Has (NAME) had diarrhea in the last 2 weeks?

721. GO BACK TO 702 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 740.

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

723. For how many days (has the diarrhea lasted/did the diarrhea last)? IF LESS THAN 1 DAY, RECORD '00.'

724. Was there any blood in the stools?

725. CHECK 625/630: LAST CHILD STILL BREASTFEEDING? [ask for last birth only]

726. During (NAME)'s diarrhea, did you change the frequency of breastfeeding? [ask for last birth only]

727. Did you increase the number of breastfeeds or reduce them or did you stop completely? [ask for last birth only]

728. (Aside from breastmilk) Was he/she given the same amount to drink as before the diarrhea, or more, or less?

729. Was anything given to treat the diarrhea?

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

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

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

733. CHECK 730: MAHLOUL MOALGET EL-GAFFEF MENTIONED?

734. Was (NAME) given mahloul moalget el-gaffef when he/she had the diarrhea?

735. For how many days was (NAME) given mahloul moalget el-gaffef? IF LESS THAN 1 DAY, RECORD '00'.

736. CHECK 730: HOMEMADE SUGAR, SALT AND WATER SOLUTION MENTIONED?

737. Was (NAME) given a solution made from sugar, salt and water when he/she had the diarrhea?

738. For how many days was (NAME) given the solution made from sugar, salt and water? IF LESS THAN 1 DAY, RECORD "00".

739. GO BACK TO 702 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 740.

740. CHECK 730 AND 734 (ALL COLUMNS):

741. Have you ever heard of a special product called mahloul moalget el-gaffaf you can get for the treatment of diarrhea?

742. Have you ever prepared mahloul moalget el-gaffaf to treat diarrhea in yourself or someone else?

743. The last time you prepared the mahloul moalget el-gaffaf did you prepare the whole packet at once or only part of the packet?

744. How much water did you use to prepare mahloul moalget el-gaffaf the last time you made it?

Section 8: Marriage

801. Now I would like to ask some questions about your marriage(s). How many times have you been married?

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

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

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

805. How old were you when you started living together with your (first) husband?

806. CHECK 804 AND 805:
YEAR AND AGE GIVEN?

807. RECORD CURRENT YEAR IN BOX ON RIGHT AND COMPLETE THE FOLLOWING IN ORDER TO CHECK THE CONSISTENCY OF 804 AND 805:

IS THE CALCULATED YEAR OF MARRIAGE WITHIN ONE YEAR OF THE REPORTED YEAR OF MARRIAGE (804)?

IF NECESSARY, CALCULATE YEAR OF BIRTH

808. DETERMINE MONTHS MARRIED OR IN UNION SINCE JANUARY 1987. ENTER "X" IN COLUMN 6 OF CALENDAR FOR EACH MONTH MARRIED OR IN UNION, AND ENTER "0" FOR EACH MONTH NOT MARRIED, SINCE JANUARY 1987.

FOR WOMEN WHO ARE NOT CURRENTLY MARRIED OR WHO HAVE MARRIED MORE THAN ONCE: PROBE FOR DATE COUPLE STOPPED LIVING TOGETHER OR DATE WIDOWED, AND FOR STARTING DATE OF ANY SUBSEQUENT UNION.

809. CHECK COLUMN 6 OF CALENDAR:

810. Since January 1987, did you and your husband ever live apart (without visiting) for more than one month because of work, school or for any other reason?
(IF WOMAN HAD MORE THAN ONE HUSBAND DURING THE PERIOD, CIRCLE CODE '1' (YES) IF SHE LIVED APART FROM ANY OF HER HUSBANDS FOR MORE THAN ONE MONTH.)

811. USE CALENDAR TO PROBE FOR ALL PERIODS THE WOMAN LIVED APART FROM HER HUSBAND(S) BACK TO JANUARY 1987. ENTER 'X' (NOT SEPARATED) OR THE CODE FOR THE TYPE OF SEPARATION IN COLUMN 7.

IF THE WOMAN MARRIED FOR THE FIRST TIME SINCE JANUARY 1987, RECORD "X" (NOT SEPARATED) IN THE MONTH AND YEAR OF MARRIAGE AND PROBE FOR PERIODS OF SEPARATION FOLLOWING THAT DATE. FOR WOMEN MARRIED FOR THE FIRST TIME BEFORE JANUARY 1987, BEGIN WITH JANUARY 1987 AND COMPLETE THE ENTIRE COLUMN.

ILLUSTRATIVE QUESTIONS

Did your husband ever leave and stay somewhere else for more than one month?
When did he leave?
For how many months was he away without visiting you?
Was he staying somewhere else in Egypt or in some other country?
Did you ever leave and stay elsewhere (e.g., because a family member was ill, etc.) for more than one month?
When did you leave?
For how many months were you away without seeing your husband?
Were you staying somewhere else in Egypt or in some other country?

812. CHECK 804-806:

813. CHECK COLUMN 7 OF CALENDAR:

814. I see that you were living apart from your husband in JANUARY 1987. When did you begin living apart that time?
THIS DATE SHOULD NOT PRECEDE THE DATE OF CONCEPTION OF ANY CHILD BORN BEFORE 1987.

814A In what month and year were you widowed (divorced from) your last husband?

Section 9. Husband's Background, Residence, and Woman's Work

901. CHECK 104:

902. RECORD THE LINE NUMBER OF THE WOMAN'S HUSBAND FROM THE HOUSEHOLD QUESTIONNAIRE. IF THE HUSBAND IS NOT PRESENT IN THE HOUSEHOLD, RECORD '00'.

903. How old was your husband on his last birthday?

904. In what month and year was your husband born? COMPARE AND CORRECT 903 AND/OR 904 IF INCONSISTENT.

905. Is (was) your (last) husband your first cousin, other blood relative, or no relation at all?

906. Did your (last) husband ever attend school?

907. What was the highest level of school he attended?

908. What was the highest grade which he completed at that level?

909. What kind of work does (did) your (last) husband mainly do? RECORD ANSWER IN DETAIL.

910. CHECK 909:

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

912. Does (did) your husband work for someone else or himself?

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

914. Now I would like to ask some questions about places where you have lived. For most of the time until you were 12 years old, did you live in Cairo, Giza, Alexandria, another city or town or in a village?
(NAME OF LOCALITY AND GOVERNORATE) _________

915. Have you lived in only one or in more than one community since January 1987?

916. CHECK COVER PAGE OR Q116-Ql17 (FOR VISITORS) AND ENTER THE NAME OF THE PLACE WHERE THE RESPONDENT CURRENTLY RESIDES:
(NAME OF LOCALITY AND GOVERNORATE) _____________

ENTER (IN COLUMN 8 OF CALENDAR) THE APPROPRIATE CODE FOR COMMUNITY WHERE RESPONDENT CURRENTLY LIVES ("1" CAIRO/GIZA, "2" ALEXANDRIA, "3" OTHER CITY/TOWN, "4" VILLAGE, "5" OUTSIDE EGYPT)

FOR VISITORS, CHECK QUESTION 116 FOR RESIDENCE.
BEGIN IN THE MONTH OF INTERVIEW AND CONTINUE WITH ALL PRECEDING MONTHS BACK TO JANUARY 1987. (GO TO 918)

917. In what month and year did you move to (CURRENT COMMUNITY)?

ENTER (IN COLUMN 8 OF CALENDAR) "X" IN THE MONTH AND YEAR OF THE MOVE, AND IN THE SUBSEQUENT MONTHS, ENTER THE APPROPRIATE CODE FOR TYPE OF COMMUNITY ("1" CAIRO/GIZA, "2" ALEXANDRIA, "3" OTHER CITY/TOWN, "4" VILLAGE, OR "5" OUTSIDE EGYPT)
CONTINUE PROBING FOR PREVIOUS COMMUNITIES AND RECORD MOVES AND TYPES OF COMMUNITIES ACCORDINGLY

ILLUSTRATIVE QUESTIONS
-Where did you live before?..?
-In what month and year did you arrive there?
-Is that place in a city, a town, or in a village?

ENTER THE NAME OF THE LOCALITY AND THE GOVERNORATE IN WHICH THE RESPONDENT WAS LIVING IN JANUARY 1987:
(NAME OF LOCALITY AND GOVERNORATE) _____________________

918. CHECK 916 OR 917 FOR RESIDENCE IN JANUARY 1987:
When did you move to (PLACE OF RESIDENCE IN JANUARY 1987)?

919. Before you moved to (PLACE OF RESIDENCE IN JANUARY 1987), were you living in Cairo/Giza, Alexandria, another city or town or a village?
(NAME OF LOCALITY AND GOVERNORATE)____________

920. Now I would like to ask you some questions about working. As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm, or in the family business.
Before you married for the first time, did you do any of these things or any work?

921. Are you currently doing any of these things or any other work?

922. Have you ever worked since January 1987?

923. ENTER "0" IN COLUMN 9 OF CALENDAR IN EACH MONTH FROM JANUARY 1987 TO CURRENT MONTH (GO TO 928).

924. What is (was) your (most recent) occupation? That is, what kind of work do (did) you do?

925. USE CALENDAR TO PROBE FOR ALL PERIODS OF WORK, STARTING WITH CURRENT OR MOST RECENT WORK, BACK TO JANUARY 1987. ENTER CODE FOR NO WORK OR FOR TYPE OF WORK IN COLUMN 9.

ILLUSTRATIVE QUESTIONS
-When did this job begin (and when did it end)?
-What did you do before that?
-How long did you work at that time?
-Were you self-employed or an employee?
-Were you paid for this work?
-Did you work at home or away from home?

926. CHECK COLUMN 9 OF CALENDAR:

927. I see that you were working in January 1987. When did you start that job?

928. I see that you were not working in January 1987. Did you ever work prior to January 1987?

929. When did your last job prior to January 1987 end?

930. CHECK 921: CURRENTLY WORKING?

931. CHECK 215/216/218:
HAS CHILD BORN SINCE JANUARY 1987 AND LIVING AT HOME?

932. While you are working, do you usually have (NAME OF YOUNGEST CHILD AT HOME) with you, sometimes have him/her with you, or never have him/her with you?

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

934. RECORD THE TIME

SECTION 10. HEIGHT AND WEIGHT

1001 CHECK 222:

INTERVIEWER:
IN 1002 (COLUMNS 2-4) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1987 AND STILL ALIVE.
IN 1003 AND 1004 RECORD THE NAME AND BIRTH DATE FOR THE RESPONDENT AND FOR ALL LIVING CHILDREN BORN SINCE JANUARY 1987. IN 1006 AND 1008 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN.
(NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1987 SHOULD BE WEIGHED AND MEASURED EVEN IF ALL OF THE CHILDREN HAVE DIED. IF THERE ARE MORE THAN 3 LIVING CHILDREN BORN SINCE JANUARY 1987, USE ADDITIONAL FORMS)

1002. LINE NO. FROM Q.212

1003. NAME FROM Q.212 FOR CHILDREN

1004. DATE OF BIRTH
FROM Q.l03 FOR RESPONDENT. FROM Q.215 FOR CHILDREN, AND ASK FOR DAY OF BIRTH.

1005. BCG SCAR ON TOP OF LEFT SHOULDER

1006. HEIGHT (in centimeters)

1007. WAS HEIGHT/LENGTH OF CHILD MEASURED LYING DOWN OR STANDING UP?

1008. WEIGHT (in kilograms)

1009. DATE WEIGHED AND MEASURED

1010. RESULT

1011. NAME OF MEASURER: __________
NAME OF ASSISTANT: _________

THANK THE RESPONDENT FOR PARTICIPATING IN THE SURVEY. COMPLETE QUESTIONS 1101-1102 AS APPROPRIATE. BE SURE TO REVIEW THE QUESTIONNAIRE FOR COMPLETENESS BEFORE LEAVING THE HOUSEHOLD.

1101. DEGREE OF COOPERATION

1102. INTERVIEWER'S COMMENTS:

___________________________________

1103. FIELD EDITOR'S COMMENTS:

___________________________________

1104. SUPERVISOR'S COMMENTS:

___________________________________

1105. OFFICE EDITOR'S COMMENTS:

___________________________________

INSTRUCTIONS:
ONLY ONE CODE SHOULD APPEAR IN ANY BOX.
FOR COLUMNS 1, 6, 8 AND 9, ALL MONTHS SHOULD BE FILLED IN.

INFORMATION TO BE CODED FOR EACH COLUMN

COL. 1: BIRTHS, PREGNANCIES, CONTRACEPTIVE USE

COL. 2: Discontinuation of Contraceptive Use

COL. 3: Postpartum Amenorrhea

COL. 4: Postpartum Abstinence

COL. 5: Breastfeeding

COL. 6: Marriage/Union

COL. 7: Periods of Separation

COL. 8: Moves and Types of Communities

COL. 9: Type of Employment

BIRTH DATE: LAST CHILD BORN PRIOR TO JANUARY 1987

1993

1992 1 2 3 4

1991 1 2 3 4

1990 1 2 3 4

1989 1 2 3 4

1988 1 2 3 4

1987 1 2 3 4