Data Cart

Your data extract

0 variables
0 samples
View Cart

GHANA DEMOGRAPHIC AND HEALTH SURVEY
INDIVIDUAL QUESTIONNAIRE 1988

GHANA STATISTICAL SERVICE

IDENTIFICATION

PLACE NAME _____
CLUSTER NUMBER _____
HOUSEHOLD NUMBER ______
LINE NUMBER OF WOMAN _____

NAME OF WOMAN ______

INTERVIEW VISITS

INTERVIEW 1
DATE ____
INTERVIEWER'S NAME ____
RESULT** ____
NEXT VISIT:
DATE ____
TIME ____

INTERVIEW 2
DATE _____
INTERVIEWER'S NAME ____
RESULT** ____
NEXT VISIT:
DATE ____
TIME ____

INTERVIEW 3
DATE _____
INTERVIEWER'S NAME _____
RESULT** ____

FINAL VISIT
MONTH____
YEAR ____
INTERVIEWER'S NAME ____

TOTAL NUMBER OF VISITS ____

RESULT ** ____
**RESULT CODES:

1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 OTHER

FIELD EDITED BY
NAME ____
DATE ____

OFFICE EDITED BY
NAME ____
DATE ____

KEYED BY
NAME ____
DATE ____

KEYED BY ____

SECTION 1. BACKGROUND

101. RECORD NUMBER OF PEOPLE LISTED IN THE HOUSEHOLD SCHEDULE.

NUMBER OF PEOPLE _____

102. RECORD NUMBER OF CHILDREN AGED 5 AND UNDER LISTED IN THE
HOUSEHOLD SCHEDULE WHO NORMALLY LIVE IN THE HOUSEHOLD.

NUMBER OF CHILDREN AGED 5 AND UNDER ____

103. RECORD THE TIME.

HOUR ____
MINUTES ______

104. First I would like to ask some questions about you and your household. For most of the time until you were 12 years old, did you live in a village, in a town, or in a city?

VILLAGE 1
TOWN 2
CITY 3

105. How long have you been living continuously in _____ (NAME OF VILLAGE, TOWN, CITY)?

ALWAYS 96 (SKIP TO 107)
VISITOR 96 (SKIP TO 107)
YEARS ____

106. Just before you moved here, did you live in a village, in a town, or in a city?

VILLAGE 1
TOWN 2
CITY 3

107. In what month and year were you born?

MONTH ___
DK MONTH 98
YEAR ____
DK YEAR 98

108. How old were you at your last birthday? COMPARE AND CORRECT 107 AND/OR 108 IF INCONSISTENT.

AGE IN COMPLETED YEARS ____

109. Have you ever attended school?

YES 1
NO 2 (SKIP TO 113)

110. What was the highest level of school you attended: primary, middle, secondary, or postsecondary?

PRIMARY 1
MIDDLE 2
POSTMIDDLE 3
SECONDARY 4
POSTSECONDARY 5

111. What was the highest (GRADE, FORM, YEAR) you completed at that level?

GRADE ____

112. CHECK 110:

PRIMARY (SKIP TO 113)
MIDDLE OR HIGHER (SKIP TO 114)

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

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

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

YES 1
NO 2

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

STAND PIPE OR RUNNING WATER IN HOUSE 1
STAND PIPE NOT IN HOUSE 2
RAINWATER 3
WELL 4
BOREHOLE 5
STREAM, LAKE, DUGOUT, RIVER 6
OTHER (SPECIFY) _____ 7

116. What is the major source of water for household use other than drinking (e.g., handwashing, cooking) for member of your household?

STAND PIPE OR RUNNING WATER IN HOUSE 1
STAND PIPE NOT IN HOUSE 2
RAINWATER 3
WELL 4
BOREHOLE 5
STREAM, LAKE, DUGOUT, RIVER 6
OTHER (SPECIFY) _____ 7

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

WATER CLOSET 1
PAN 2
PIT 3
KBIV 4
OTHER (SPECIFY) __________ 5
NO FACILITIES/BUSH 6 (SKIP TO 120)

118. At what age do children in this household use the same toilet facility as adults?

YEARS ___
NO CHILDREN 96

120. Does your household have:
Electricity?
A radio that is working?
A television?
A refrigerator?

ELECTRICITY
YES 1
NO 2
RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
REFRIGERATOR
YES 1
NO 2

121. Does any member of your household own:
A bicycle?
A motorcycle?
A car or truck?
A tractor?

BICYCLE
YES 1
NO 2
MOTORCYCLE
YES 1
NO 2
CAR
YES 1
NO 2
TRACTOR
YES 1
NO 2

122. MAIN MATERIAL USED FOR ROOF
(INTERVIEWER: RECORD OBSERVATION.)

ALUMINUM, ASBESTOS OR GALVANIZED IRON SHEETS 1
IRON SHEETS 2
CONCRETE 3
THATCH/GRASS 4
OTHER (SPECIFY) ____ 4

123. MAIN MATERIAL USED FOR OUTER WALLS (INTERVIEWER RECORD OBSERVATION)

CEMENT BLOCKS 1
LANDCRETE 2
BURNT BRICKS 3
SWISH, MUD, EARTH 4
OTHER (SPECIFY) ____ 5

124. MAIN MATERIAL USED FOR FLOOR (INTERVIEWER RECORD OBSERVATION)

EARTH/MUD 1
CEMENT 2
TERAZZO, TILES 3
OTHER (SPECIFY) _____ 4

130. What is your religion?

CATHOLIC 1
OTHER CHRISTIAN 2
MOSLEM 3
TRADITIONAL 4
NO RELIGION 5
OTHER (SPECIFY) ____ 6

140. What is your ethnic group?

___________
___________

150. Do you belong to any associations or organizations such as a:
Financial association?
Professional or occupational association?
Religious organization?
Social association?
Any other association or organization?

FINANCIAL
YES 1
NO 2
OCCUPATIONAL
YES 1
NO 2
RELIGIOUS
YES 1
NO 2
SOCIAL
YES 1
NO 2
OTHER (SPECIFY)_____
YES 1
NO 2

SECTION 2. REPRODUCTION

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

YES 1
NO 2 (SKIP TO 206)

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

YES 1
NO 2 (SKIP 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 you have given birth to who are alive but do not live with you?

YES 1
NO 2 (SKIP 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 (SKIP 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, 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 (SKIP TO 210)
NO (PROBE AND CORRECT 201-209 AS NECESSARY)

210. CHECK 208:

ONE OR MORE BIRTHS (SKIP TO 211)
NO BIRTHS (SKIP TO 220)

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 ON SEPARATE LINES AND MARK WITH A BRACKET.)

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

NAME _____

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

BOY 1
GIRL 2

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

MONTH ___
YEAR ___

215. Is (NAME) still alive?

YES 1 (GO TO 217)
NO 2

216. IF DEAD: How old was (NAME) when he/she died?

RECORD DAYS IF LESS THAN ONE MONTH, MONTHS RECORD AGE IN IF LESS THAN TWO COMPLETED YEARS OR YEARS.

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

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

AGE IN YEARS ____

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

YES 1
NO 2

219. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK.

NUMBERS ARE SAME ___ (SKIP TO 220)
NUMBERS ARE DIFFERENT ___ (PROBE AND RECONCILE)

220. Are you pregnant now?

YES 1
NO 2 (SKIP TO 225)
UNSURE 8 (SKIP TO 225)

221. For how many months have you been pregnant?

MONTHS ____

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

YES 1
NO 2
DK 8

223. Have you seen anyone for a check on this pregnancy?

YES 1
NO 2 (SKIP TO 226)

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

DOCTOR 1 (GO TO 226)
TRAINED NURSE/MIDWIFE 2 (GO TO 226)
TRADITIONAL BIRTH ATTENDANT 3 (GO TO 226)
OTHER (SPECIFY) _______ 4 (GO TO 226)

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

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___
BEFORE LAST BIRTH 995
NEVER MENSTRUATED 996

226. 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 the greatest chance of 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
DK 8

227. PRESENCE OF OTHERS AT THIS POINT.

CHILDREN UNDER 10
YES 1
NO 2
HUSBAND
YES 1
NO 2
OTHER MALES
YES 1
NO 2
OTHER FEMALES
YES 1
NO 2

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 NOT RECOGNIZED.

THEN FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 302, ASK 303-305 BEFORE PROCEEDING 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
NO/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
NO/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
NO/PROBED 2
NO 3
04) DIAPHRAGM/FOAM/JELLY 'Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.'
YES/SPONT 1
NO/PROBED 2
NO 3
05) CONDOM 'Men can use a rubber sheath during sexual intercourse.'
YES/SPONT 1
NO/PROBED 2
NO 3
06) FEMALE STERILIZATION 'Women can have an operation to avoid having any more children.'
YES/SPONT 1
NO/PROBED 2
NO 3
07) MALE STERILIZATION 'Men can have an operation to avoid having any more children.'
YES/SPONT 1
NO/PROBED 2
NO 3
08) PERIODIC ABSTINENCE 'Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.'
YES/SPONT 1
NO/PROBED 2
NO 3
09) WITHDRAWAL 'Men can be careful and pull out before climax.'
YES/SPONT 1
NO/PROBED 2
NO 3
10) ANY OTHER METHODS 'Apart from the ones we have mentioned, have you heard of any other ways or methods that women or men can use to avoid pregnancy?
(SPECIFY) _______
YES/SPONT 1
NO 3

302. 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
04) DIAPHRAGM/FOAM/JELLY 'Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.'
YES 1
NO 2
05) CONDOM 'Men can use a rubber sheath during sexual intercourse.'
YES 1
NO 2
06) FEMALE STERILIZATION 'Women can have an operation to avoid having any more children.'
YES 1
NO 2
07) MALE STERILIZATION 'Men can have an operation to avoid having any more children.'
YES 1
NO 2
08) PERIODIC ABSTINENCE '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
09) WITHDRAWAL 'Men can be careful and pull out before climax.'
YES 1
NO 2
10) ANY OTHER METHODS 'Apart from the ones we have mentioned, have you heard of any other ways or methods that women or men can use to avoid pregnancy?
(SPECIFY) _____
YES 1
NO 2

304. Where would you go to be obtain (METHOD) if you wanted to use it? (CODES BELOW)

CODES FOR 304

01 GOVERNMENT HOSPITAL
02 GOVERNMENT HEALTH CNTR
03 PPG CLINIC
04 PRIVATE MATERNITY HOME
05 FIELD WORKER
06 PRIVATE DOCTOR/CLINIC
07 GOVT MATERNITY HOME
08 PHARMACY/CHEM SELLER
09 CHRISTIAN COUNCIL
10 FRIENDS/RELATIVES
11 OTHER (SPECIFY)
12 NOWHERE
98 DOES NOT KNOW
01) PILL 'Women can take a pill every day.'
LOCATION
OTHER ______
02) IUD 'Women can have a loop or coil placed inside them by a doctor or a nurse.'
LOCATION
OTHER ______
03) INJECTIONS 'Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.'
LOCATION
OTHER ______
04) DIAPHRAGM/FOAM/JELLY 'Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.'
LOCATION
OTHER ______
05) CONDOM 'Men can use a rubber sheath during sexual intercourse.'
LOCATION
OTHER ______
06) FEMALE STERILIZATION 'Women can have an operation to avoid having any more children.'
LOCATION
OTHER ______
07) MALE STERILIZATION 'Men can have an operation to avoid having any more children.'
LOCATION
OTHER ______
08) PERIODIC ABSTINENCE '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 periodic abstinence?
LOCATION
OTHER ______

305. In the opinion, what is the main problem, if any, with using (METHOD)? (CODES BELOW)

CODES FOR 305

02 NOT EFFECTIVE
03 PARTNER DISAPPROVES
04 HEALTH CONCERNS
05 DIFFICULT TO GET
06 COSTS TOO MUCH
07 INCONVENIENT TO USE
11 OTHER (SPECIFY)
12 NONE
98 DK
01) PILL 'Women can take a pill every day.'
PROBLEM
OTHER ______
02) IUD 'Women can have a loop or coil placed inside them by a doctor or a nurse.'
PROBLEM
OTHER ______
03) INJECTIONS 'Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.'
PROBLEM
OTHER ______
04) DIAPHRAGM/FOAM/JELLY 'Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.'
PROBLEM
OTHER ______
05) CONDOM 'Men can use a rubber sheath during sexual intercourse.'
PROBLEM
OTHER ______
06) FEMALE STERILIZATION 'Women can have an operation to avoid having any more children.'
PROBLEM
OTHER ______
07) MALE STERILIZATION 'Men can have an operation to avoid having any more children.'
PROBLEM
OTHER ______
08) PERIODIC ABSTINENCE 'Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.'
PROBLEM
OTHER ______
09) WITHDRAWAL 'Men can be careful and pull out before climax.'
PROBLEM
OTHER ______

306. CHECK 303:

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

307. Have you ever used anything or tried in any way to delay or avoid getting pregnant?
MARK APPROPRIATE BOX WITH AN 'X'.

YES ___
NO ___ (SKIP TO 316)

308. What have you used or done?
CORRECT 302-303 AND OBTAIN INFORMATION FOR 304 TO 306 AS NECESSARY.

309. CHECK 303:

EVER USED PERIODIC ABSTINENCE (SKIP TO 310)
NEVER USED PERIODIC ABSTINENCE (SKIP TO 311)

310. The last time you used periodic abstinence, how did you determine on which days you had to abstain?

BASED ON CALENDAR 1
BASED ON BODY TEMPERATURE 2
BASED ON CERVICAL MUCUS (BILLINGS) METHOD 3
BASED ON BODY TEMPERATURE AND MUCUS 4
OTHER (SPECIFY) _____ 5
NO SPECIFIC SYSTEM 6

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

NUMBER OF CHILDREN ___

312. CHECK 220:

NOT PREGNANT OR NOT SURE (SKIP TO 313)
PREGNANT (SKIP TO 315H)

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

YES 1
NO 2 (SKIP TO 315H)

314. Which method are you using?

PILL 01
IUD 02 (SKIP TO 315)
INJECTIONS 03 (SKIP TO 315)
DIAPHRAGM/JELLY 04 (SKIP TO 315)
CONDOM 05
FEMALE STERILIZATION 06 (SKIP TO 315A)
MALE STERILIZATION 07 (SKIP TO 315A)
PERIODIC ABSTINENCE 08 (SKIP TO 315B)
WITHDRAWAL 09 (SKIP TO 319)
FOAMING TABLETS 10
OTHER (SPECIFY) ____ 11 (SKIP TO 319)

314A. Which brand are you currently using?

NORIDAY 01
NORMINEST 02
EUGYNON 03
MICROGYNON 04
OTHER PILL 05
KAMAL 06
SAMPOON 07
OTHER FOAMING TABLETS 08
PANTHER 09
SULTAN 10
TAHITI 11
SSS 12
OTHER CONDOM 13
CANNOT NAME 14 (SKIP TO 315)

314B. Have you used other brands before or is the only brand you have ever used?

HAS NEVER USED OTHER BRAND 1 (SKIP TO 315)
HAS USED OTHER BRAND 2

314C. Which other brands have you used?

NORIDAY 01
NORMINEST 02
EUGYNON 03
MICROGYNON 04
OTHER PILL 05
KAMAL 06
SAMPOON 07
OTHER FOAMING TABLETS 08
PANTHER 09
SULTAN 10
TAHITI 11
SSS 12
OTHER CONDOM 13
CANNOT NAME 14

314D. Why did you change to the brand you are currently using?

PREVIOUS BRAND NOT EASILY AVAILABLE 1
MORE EXPENSIVE 2
NOT VERY RELIABLE 3
HAS MORE SIDE EFFECTS 4
DOCTOR/PHRAMACIST/CHEMICAL SELLER'S ADVICE 5
OTHER (SPECIFY) _____ 6

315. Where did you obtain (METHOD) the last time?

GOVERNMENT HOSPITAL 01
GOVERNMENT HEALTH CENTER 02
PPAG CLINIC 03
PRIVATE MATERNITY HOME 04
FIELD WORKER 05
PRIVATE DOCTOR/CLINIC 06
GOVT MATERNITY HOME 07
PHARMACY/CHEMICAL SELLER 08
CHRISTIAN COUNCIL 08
FRIENDS/RELATIVES/SCHOOL 10 (SKIP TO 315F)
OTHER (SPECIFY) ______ 11 (SKIP TO 315F)
NOWHERE 12 (SKIP TO 315F)
DK 98 (SKIP TO 315F)

315A Where did the sterilization take place?

GOVERNMENT HOSPITAL 01
GOVERNMENT HEALTH CENTER 02
PPAG CLINIC 03
PRIVATE MATERNITY HOME 04
FIELD WORKER 05
PRIVATE DOCTOR/CLINIC 06
GOVT MATERNITY HOME 07
PHARMACY/CHEMICAL SELLER 08
CHRISTIAN COUNCIL 08
FRIENDS/RELATIVES/SCHOOL 10 (SKIP TO 315F)
OTHER (SPECIFY) ______ 11 (SKIP TO 315F)
NOWHERE 12 (SKIP TO 315F)
DK 98 (SKIP TO 315F)

315B Where did you obtain instructions or advice about the safe period?

GOVERNMENT HOSPITAL 01
GOVERNMENT HEALTH CENTER 02
PPAG CLINIC 03
PRIVATE MATERNITY HOME 04
FIELD WORKER 05
PRIVATE DOCTOR/CLINIC 06
GOVT MATERNITY HOME 07
PHARMACY/CHEMICAL SELLER 08
CHRISTIAN COUNCIL 08
FRIENDS/RELATIVES/SCHOOL 10 (SKIP TO 315F)
OTHER (SPECIFY) ______ 11 (SKIP TO 315F)
NOWHERE 12 (SKIP TO 315F)
DK 98 (SKIP TO 315F)

315C. How did you get there the last time?

PRIVATE CAR 1
TAXI 2
BUS/TROTRO 3
WALKED 4
OTHER (SPECIFY) _____ 5

315D. How long did it take you to get there by (MODE OF TRANSPORT 315C) the last time?

HOURS____
MINUTES____
PARTNER BUYS CONTRACEPTIVES 97 (SKIP TO 315F)

315E. Would you consider this place convenient?

YES 1
NO 2

315F. You said you are using (METHOD CIRCLED IN 314). Is this the method you prefer to use or would you prefer a different method?

USING PREFERRED METHOD 1 (SKIP TO 319)
NOT USING PREFERRED METHOD 2

315G. Why are you not using (PREFERRED METHOD)?

PARTNER DISAPPROVES 1 (SKIP TO 319)
HEALTH CONCERNS 2 (SKIP TO 319)
DIFFICULT TO GET 3 (SKIP TO 319)
COSTS TOO MUCH 4 (SKIP TO 319)
INCONVENIENT TO USE 5 (SKIP TO 319)
DOCTOR/PHARMACIST'S ADVICE 6 (SKIP TO 319)
OTHER (SPECIFY) ______ 7 (SKIP TO 319)
NO REASON 8 (SKIP TO 319)

315H. Why did you stop using a method?

METHOD NOT EFFECTIVE 01
PARTNER DISAPPROVES 02
HEALTH CONCERNS 03
DIFFICULT TO GET 04
COSTS TOO MUCH 05
INCONVENIENT TO USE 06
WANTED A CHILD 07
MENOPAUSAL 08
OTHER (SPECIFY) _____ 09
DK 98

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

YES 1 (SKIP TO 317)
NO 2
DK 8 (SKIP TO 319)

316A. Why not?

PARTNER DISAPPROVES 1 (SKIP TO 319)
HEALTH CONCERNS 2 (SKIP TO 319)
RELIGIOUS REASONS 3 (SKIP TO 319)
WANTS CHILDREN 4 (SKIP TO 319)
OTHER (SPECIFY) ____ 5 (SKIP TO 319)
DK 8 (SKIP TO 319)

317. Which method would you prefer to use?

PILL 01
IUD 02
INJECTIONS 03
DIAPHRAGM/JELLY 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08
WITHDRAWAL 09
FOAMING TABLETS 10
OTHER (SPECIFY) ____ 11

318. Do you intend to use (PREFERRED METHOD) in the next 12 months?

YES 1
NO 2
DK 8

319. Is it acceptable to you that family planning information is provided on radio or planning television?

ACCEPTABLE 1
NOT ACCEPTABLE 2
DK 8

319A. Have you heard or seen any advertisements the following brands of contraceptives?
Norminest?
Kamal?
Panther?
Bojo?

NORMINEST
YES 1
NO 2
CAN'T REMEMBER 3
KAMAL
YES 1
NO 2
CAN'T REMEMBER 3
PANTHER
YES 1
NO 2
CAN'T REMEMBER 3
BOJO
YES 1
NO 2
CAN'T REMEMBER 3

319B. CHECK 319A:

AT LEAST ONE "YES" IN 319A: (SKIP TO 319C)
ALL OTHERS (SKIP TO 401)

319C. Where have you heard or seen these advertisements or information?
CIRCLE ALL MENTIONED

RADIO 1
TV 1
STICKER 1
BILLBOARD 1
NEWSPAPER/MAGAZINE 1
POSTER 1
IN-STORE DISPLAY 1
HEALTH CLINIC 1
RALLY 1
OTHER 1
DK 1

SECTION 4. HEALTH AND BREASTFEEDING

401. CHECK 214:

ONE OR MORE LIVE BIRTHS SINCE JAN. 1983 (SKIP TO 402)
NO LIVE BIRTHS SINCE JAN. 1983 (SKIP TO 501)

402. ENTER NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1983 IN TABLE. BEGIN WITH LAST BIRTH. ASK QUESTIONS ABOUT ALL BIRTHS.

Q. 403- Q. 411 ARE ASKED OF LAST BIRTH, NEXT-TO-LAST BIRTH AND SECOND-FROM-LAST BIRTH, THIRD-FROM-LAST BIRTH SEPARATELY.

403. 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
DK 8

404. When you were pregnant with (NAME), did you see anyone for a check on this pregnancy? IF YES: Whom did you see?

PROBE FOR EACH TYPE OF PERSON AND RECORD MOST QUALIFIED.

DOCTOR 1
TRAINED NURSE/MIDWIFE 2
TRADITIONAL BIRTH ATTENDANT 3
OTHER (SPECIFY) _____ 4
NO ONE 5

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

DOCTOR 1
TRAINED NURSE/MIDWIFE 2
TRADITIONAL BIRTH ATTENDANT 3
OTHER (SPECIFY) _____ 4
NO ONE 5

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

YES 1
NO 2 (SKIP TO 406)

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

YES 1 (SKIP TO 409)
NO (OR DEAD) 2

407A. Why did you stop breastfeeding (NAME)?

CHILD DIED 01
CHILD REACHED WEANING AGE 02
CHILD BECAME SICK 03
CHILD HAD DIARRHEA 04
RESPONDENT BECAME PREGNANT 05
INSUFFICIENT MILK 06
RESPONDENT HAD TO WORK 07
CHILD REFUSED BREAST 08
INCONVENIENT 09
OTHER REASON 10

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

MONTHS____
UNTIL DEATH 96

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

MONTHS___
NOT RETURNED 96

410. Have you resumed sexual relations since the birth of (NAME)?
ASKED OF LAST BIRTH ONLY

YES (OR PREGN.) 1
NO 2 (GO TO NEXT COL. FOR NEXT BIRTH)

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

MONTHS ___ (GO TO NEXT COLUMN FOR NEXT BIRTH)

412. CHECK 407 FOR LAST BIRTH:

LAST CHILD STILL BREASTFED (SKIP TO 413)
ALL OTHERS (SKIP TO 417B)

413. How many times did you breastfeed last night, between sundown and sunrise?

NUMBER OF TIMES ____
AS OFTEN AS CHILD WANTED 96

414. How many times did you breastfeed yesterday during daylight hours?

NUMBER OF TIMES ____
AS OFTEN AS CHILD WANTED 96

415. At any time yesterday or last night, was (NAME OF LAST CHILD) given any of the following:
Plain water?
Juice?
Powdered milk?
Cow's or goat's milk?
Any other liquid?
Any solid or mushy food?

PLAIN WATER
YES 1
NO 2
JUICE
YES 1
NO 2
POWDERED MILK
YES 1
NO 2
COW'S OR GOAT'S MILK
YES 1
NO 2
ANY OTHER LIQUID (SPECIFY) _____
YES 1
NO 2
ANY SOLID OR MUSHY FOOD
YES 1
NO 2

416. CHECK 415:

WAS GIVEN FOOD OR LIQUID (SKIP TO 417)
NO FOODS OR LIQUID GIVEN (SKIP TO 418)

417. Were any of these given in a bottle with a nipple?

YES 1
NO 2

417A. CHECK 415:

WAS GIVEN SOLID OR MUSHY FOOD (SKIP TO 417B)
NO SOLID OR MUSHY FOOD GIVEN (SKIP TO 418)

418B. How old was (LAST CHILD) when you started giving him/her supplementary food?

MONTHS___
CHILD DIED BEFORE FOOD GIVEN 96 (SKIP TO 418)

417C. What food did you give him/her?

______________
______________
______________

418. At the time you became pregnant with (NAME OF LAST BIRTH), 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

419. ENTER NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1985 BELOW.

BEGIN WITH THE LAST BIRTH. THE HEADING IN THE TABLE SHOULD BE EXACTLY THE SAME AS PREVIOUS TABLE. ASK QUESTIONS ONLY FOR LIVING CHILDREN.

Q. 420 - Q. 427 ARE ASKED OF LAST BIRTH, NEXT-TO-LAST BIRTH, SECOND-FROM-LAST BIRTH AND THIRD-FROM-LAST BIRTH SEPARATELY.

420. Do you have a health card for (NAME)? IF YES: May I see it, please?

YES, SEEN 1
YES, NOT SEEN 2 (GO TO 422)
NO CARD (GO TO 422)

421. RECORD DATES OF IMMUNIZATIONS FROM HEALTH CARD.

BCG
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
POLIO 1
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
POLIO 2
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
POLIO 3
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
DPT 1
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
DPT 2
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
DPT 3
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___
MEASLES
NOT GIVEN 1
DAY ___
MONTH___
YEAR ___

422. Has (NAME) ever had a vaccination to prevent him/her from getting diseases?

YES 1
NO 2
DK 8

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

YES 1 (SKIP TO 425)
NO 2
DK 8

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

YES 1
NO 2 (GO TO NEXT COL FOR NEXT BIRTH)
DK 8 (GO TO NEXT COL FOR NEXT BIRTH)

425. Did you take (NAME) to a private doctor, or to a hospital or clinic to treat the diarrhea (the last time)?

DOCTOR 1
HOSPITAL/CLINIC 2
NO 3

426. Was (NAME) given an oral rehydration packet to treat the diarrhea (the last time)?

YES 1
NO 2
DK 8

427. Was there anything (else) you or somebody did to treat the diarrhea? IF YES: What was done? CIRCLE CODE 1 FOR ALL MENTIONED.

HOME SOLUTION OF SUGAR, SALT, AND WATER 1
TABLETS, INJECTIONS, SYRUPS 1
TRADITIONAL MEDICINE 1
INCREASE FLUIDS 1
DECREASE FLUIDS 1
INCREASE FOODS 1
DECREASE FOODS 1
OTHER (SPECIFY) ____ 1
NOTHING 1

428. CHECK 426: ORAL REHYDRATION:

NOT MENTIONED (SKIP TO 429)
MENTIONED FOR ANY BIRTH (SKIP TO 429A)

429. Have you ever heard of a special product oral rehydration packet you can get for diarrhea?

YES 1
NO 2

429A. Where can you go if you want vaccination for your child?
CIRCLE ALL MENTIONED

HOSPITAL 1
CLINIC 1
VILLAGE HEALTH WOKER 1
PRIVATE DOCTOR 1
SPECIAL CAMPAIGNS 1
OTHER (SPECIFY) ____ 1
DK 1

430. ENTER NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN, 1983 BELOW. BEGIN WITH THE LAST BIRTH.

THE HEADING IN THE TABLE SHOULD BE EXACTLY THE SAME AS PREVIOUS TABLE. ASK QUESTIONS ONLY FOR LIVING CHILDREN.

Q. 431- Q. 436D ARE ASKED OF LAST BIRTH, NEXT-TO-LAST BIRTH, SECOND-FROM-LAST BIRTH, THIRD-FROM-LAST BIRTH SEPARATELY.

431. Has (NAME) had fever in the last four weeks?

YES 1
NO 2 (SKIP TO 434)
DK 8 (SKIP TO 434)

432. Did you take (NAME) to a private doctor or to a hospital or clinic to treat the fever? IF YES: Where did you take him/her?

DOCTOR 1
HOSPITAL/CLINIC 2
NO 3

433. Was there anything (else) you or somebody did to treat the fever? IF YES: What was done? CIRCLE CODE 1 FOR ALL MENTIONED.

ANTIMALARIAL 1
ANTIBIOTICS 2
LIQUID OR SYRUP 1
ASPIRIN 1
INJECTION 1
TRADITIONAL MEDICINE 1
OTHER (SPECIFY) ____ 1
NOTHING 1

434. Has (NAME) suffered from severe cough or difficult or rapid breathing in the last four weeks?

YES 1
NO 2 (SKIP TO 436A)
DK 8 (SKIP TO 436A)

435. Did you take (NAME) to a private doctor or to a hospital or clinic to treat the problem? IF YES: Where did you take him/her?

DOCTOR 1
HOSPITAL/CLINIC 2
NO 3

436. Was there anything (else) you or somebody did to treat the problem? IF YES: What was done? CIRCLE CODE 1 FOR ALL MENTIONED.

ANTIBIOTICS 1
LIQUID OR SYRUP 1
ASPIRIN 1
INJECTION 1
TRADITIONAL MEDICINE 1
OTHER (SPECIFY) ____ 1
NOTHING 1

436A. Has (NAME) ever suffered from guinea-worm infestation?

YES 1
NO 2 (SKIP TO 436C)
DK 8 (SKIP TO 436C)

436B. Was there anything (else) you or somebody did to treat the problem? IF YES: What was done? CIRCLE CODE 1 FOR ALL MENTIONED?

ANTIBIOTICS 1
LIQUID OR SYRUP 1
ASPIRIN 1
INJECTION 1
TRADITIONAL MEDICINE 1
OTHER (SPECIFY) _____ 1
NOTHING 1

436C. Has (NAME) ever suffered from bilharzia?

YES 1
NO 2 (GO TO NEXT COL FOR NEXT BIRTH)
DK 8 (GO TO NEXT COL FOR NEXT BIRTH)

436D. Was there anything (else) you or somebody did to treat the problem? IF YES: What was done? CIRCLE CODE 1 FOR ALL MENTIONED.

ANTIBIOTICS 1
LIQUID OR SYRUP 1
ASPIRIN 1
INJECTION 1
TRADITIONAL MEDICINE 1
OTHER (SPECIFY) _____ 1
NOTHING 1

SECTION 5. MARRIAGE

501. Have you ever been married or lived with a man?

YES 1
NO 2 (SKIP TO 519)

502. Are you now married or living with a man, or are you widowed, divorced or not now living together?

MARRIED 1
LIVING TOGETHER 2
WIDOWED 3 (SKIP TO 507)
DIVORCED 4 (SKIP TO 507)
NOT NOW LIVING TOGETHER 5 (SKIP TO 507)

503. Does your husband/partner live with you or is he now staying elsewhere?

LIVING WITH HER 1
STAYING ELSEWHERE 2

504. Does your husband/partner have any other wives besides yourself?

YES 1
NO 2 (SKIP TO 507)

505. How many other wives does he have?

NUMBER ___
DK 98 (SKIP TO 507)

506. Are you the first, second,...wife?

RANK ___

507. Have you been married or lived with a man only once, or more than once?

ONCE 1
MORE THAN ONCE 2

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

MONTH ___
DK 98
YEAR ___ (SKIP TO 510)
DK YEAR ___

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

AGE ___

510. Are your mother and father still alive?

WOMAN'S MOTHER
YES 1
NO 2
DK 8
WOMAN'S FATHER
YES 1
NO 2
DK 8

511. Are your (first) husband's/partner's mother and father still alive?

FIRST HUSBAND'S MOTHER
YES 1
NO 2
DK 8
FIRST HUSBAND'S FATHER
YES 1
NO 2
DK 8

512. CHECK 510 AND 511:

AT LEAST ONE PARENT NOT LIVING OR DK (SKIP TO 513)
ALL ALIVE (SKIP TO 515)

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

WOMAN'S MOTHER
YES 1
NO 2
DK 8
WOMAN'S FATHER
YES 1
NO 2
DK 8
FIRST HUSBAND'S MOTHER
YES 1
NO 2
DK 8
FIRST HUSBAN'DS FATHER
YES 1
NO 2
DK 8

514. CHECK 513:

SOME PARENT ALIVE AT MARRIAGE (SKIP TO 515)
NO PARENT ALIVE AT MARRIAGE (SKIP TO 518)

515. At the time you began living together, did you and your (first) husband/partner live with any of these parents for at least six months?

YES 1
NO 2 (SKIP TO 517)

516. For about how many years did you live together with a parent at that time?

YEARS____
UP TO THE PRESENT 96 (GO TO 518)

517. Are you now living either with your parents or your husband's parents?

YES 1
NO 2

518. In how many localities have you lived for six months or more since you were first married (started living together) including this place?

NUMBER OF LOCALITIES ___ (SKIP TO 520)

519. Have you ever had sexual intercourse?

YES 1
NO 2 (SKIP TO 528)

520. Now we need some details about your sexual activity in order to get a better understanding of contraception and fertility. How old were you when you first had sexual intercourse?

AGE ___

521. Have you had sexual intercourse in the last four weeks?

YES 1
NO 2 (SKIP TO 523)

522. How many times?

TIMES ____

523. When was the last time you had sexual intercourse?

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___
BEFORE LAST BIRTH 996 (SKIP TO 528)

524. CHECK 220:

NOT PREGNANT OR NOT SURE (SKIP TO 525)
PREGNANT (SKIP TO 528)

525. CHECK 313:

NOT USING (SKIP TO 526)
USING (SKIP TO 528)

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

HAPPY 1 (SKIP TO 528)
UNHAPPY 2
WOULD NOT MATTER 3

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

LACK OF KNOWLEDGE 01
OPPOSED TO FAMILY PLANNING 02
HUSBAND DISAPPROVES 03
OTHERS DISAPPROVE 04
HEALTH CONCERNS 05
ACCESS/AVAILABILITY 06
COSTS TOO MUCH 07
INCONVENIENT TO USE 08
INFREQUENT SEX 09
FATALISTIC 10
RELIGION 11
POSTPARTUM/BREASTFEEDING 12
MENOPAUSAL/SUBFECUND 13
OTHER (SPECIFY) _____ 14
DK 98

528. PRESENCE OF OTHERS AT THIS POINT.

CHILDREN UNDER 10
YES 1
NO 2
HUSBAND
YES 1
NO 2
OTHER MALES
YES 1
NO 2
OTHER FEMALES
YES 1
NO 2

SECTION 6. FERTILITY PREFERENCES

601. CHECK 502:

CURRENTLY MARRIED OR LIVING TOGETHER (SKIP TO 602)
ALL OTHERS (SKIP TO 609)

602. CHECK 220 AND MARK BOX. Now I have some questions about the future.

NOT PREGNANT OR NOT SURE (Would you like to have a (another) child or would you prefer not to have any (more) children.)

PREGNANT (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
NO MORE 2 (SKIP TO 605)
SAY SHE CAN'T GET PREGNANT 3 (SKIP TO 605)
UNDECIDED OR DK 8 (SKIP TO 605)

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

TIME TO WAIT:
MONTHS 1 ___ (SKIP TO 605)
YEARS 2 ___ (SKIP TO 605)
DK 998

604. CHECK 215:
How old would you like your youngest child to be when you have your next child?
IF NO LIVING CHILDREN, CIRCLE '96'.

AGE OF YOUNGEST:
YEARS ___
NO LIVING CHILDREN 96
DK 98

605. For how long should a couple wait before starting sexual intercourse after the birth of a baby?

MONTHS 1 ___
YEARS 2 ___
OTHER (SPECIFY) ____ 996

606. Should a mother wait until she has completely stopped breastfeeding before starting to have sexual relations again, or doesn't it matter?

WAIT 1
DOESN'T MATTER 2

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

APPROVES 1
DISAPPROVES 2
DK 8

608. How often have you talked to your husband/partner about this subject in the past year?

NEVER 1
ONCE OR TWICE 2
THREE OR MORE 3

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

APPROVE 1
DISAPPROVE 2

610. CHECK 202 AND 204:

NO LIVING CHILDREN (If you could choose exactly the number of children to have in your whole life, how many would that be?)

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

RECORD SINGLE NUMBER OR OTHER ANSWER.

NUMBER ___
OTHER ANSWER (SPECIFY) ____

SECTION 7. HUSBAND'S BACKGROUND AND WOMAN'S WORK

701. CHECK 501:

EVER MARRIED OR LIVED WITH A MAN (ASK QUESTIONS ABOUT CURRENT OR MOST RECENT HUSBAND/PARTNER.)
ALL OTHERS (SKIP TO 712)

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

YES 1
NO 2 (SKIP TO 706)

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

PRIMARY 1
MIDDLE 2
POST MIDDLE 3
SECONDARY 4
POSTSECONDARY 5
DK 8 (SKIP TO 706)

704. What was the highest (GRADE, FORM, YEAR) he completed at that level?

GRADE ___
DK 98

705. CHECK 703:

PRIMARY (SKIP TO 706)
MIDDLE OR HIGHER (SKIP TO 707)

706. Can (could) he read a letter or newspaper easily, with difficulty, or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

706. Can (could) he read a letter or newspaper easily, with difficulty, or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

707. What kind of work does (did) your husband/partner mainly do?

______________
______________
______________

708. CHECK 707:

DOES (DID) NOT WORK IN AGRICULTURE (SKIP TO 709)
WORKS (WORKED) IN AGRICULTURE (SKIP TO 710)

709. Does (did) he work most of the time, part of the time, seasonally or irregularly?

MOST 1 (SKIP TO 712)
PART 2 (SKIP TO 712)
SEASONALLY 3 (SKIP TO 712)
IRREGULARLY 4 (SKIP TO 712)
OTHER 5 (SKIP TO 712)

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

HIS/FAMILY LAND 1 (SKIP TO 712)
SOMEONE ELSE'S LAND 2

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

MONEY 1
A SHARE OF CROPS 2

712. Aside from their usual housework, many women work in order to earn money. Are you currently doing any work for money, other than on a farm or business run by your family?

YES 1
NO 2 (SKIP TO 719)

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

____________
____________
____________

714. In a typical day, week or month, how much do you earn for this work?

AMOUNT ____
PER HOUR 1
PER DAY 2
PER WEEK 3
PER MONTH 4
PER YEAR 5

715. Do you usually work at this job most of the time, part of the time, or do you work seasonally or irregularly?

MOST 1
PART 2
SEASONALLY 3
IRREGULARLY 4
OTHER 5

716. On a typical day when you are doing this work, how many hours do you spend working?

HOURS____

717. On a typical working day, how long does travel to the place where you work?
PROBE: About how many minutes or hours?

HOURS ___
MINUTES ___
WORKS AT PLACE RESIDES 96

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

DECIDES ABOUT ALL 1
DECIDES ABOUT SOME 2
SOMEONE ELSE DECIDES 3

719. Whether you have worked in the past or not, do you think it is alright for a mother to work away from home, if her children can be adequately cared for?

YES 1
NO 2
NOT SURE 3

720. And how would the members of your family feel about you working away from home? Would they be against it or wouldn't they mind?

AGAINST 1
WOULDN'T MIND 2
SOME EACH WAY 3
UNCERTAIN 4

721. CHECK 215, 217, 712:

HAS LIVE CHILDREN UNDER AGE 6 LIVING AT HOME AND IS CURRENTLY WORKING (SKIP TO 722)
ALL OTHERS (SKIP TO 724)

722. While you are working, do you usually have your children under age 6 with you, sometimes have them with you, rarely have them with you, or never have them with you?

USUALLY 1 (SKIP TO 724)
SOMETIMES 2
RARELY 3
NEVER 4

723. Who usually takes care of your children under age 6 while you are working?

HUSBAND 01
OTHER CHILD(REN) 02
OTHER RELATIVES IN OR NEAR HOUSEHOLD 03
OTHER RELATIVES FARTHER AWAY 04
NEIGHBORS 05
FRIENDS/ACQUAINTANCES 06
SERVANTS/HIRED HELP 07
CHILDREN IN SCHOOL 08
INSTITUTIONAL CHILD CARE 09
OTHER (SPECIFY) _____ 10

724. CHECK 501:

EVER MARRIED/LIVED WITH A MAN (SKIP TO 725)
NEVER MARRIED/LIVED WITH A MAN (SKIP TO 728B)

725. What was the age of your (first) husband at the time of your (first) marriage?

AGE ___
DK 98

726. Before you were first married or lived with a man, did you ever work for money other than on a farm or business run by your family?

YES 1
NO 2 (SKIP TO 728B)

727. What was your occupation, that is, what kind of work did you do?

____________
____________
____________

728. Most of the time when you worked for money before marrying/living with a man, did you decide how all the money you earned would be used, how some of it would be used, or did someone else decide how our earnings would be used?

DECIDED ABOUT ALL 1
DECIDED ABOUT SOME 2
SOMEONE ESLE DECIDED 3

728B. CHECK 208, 712:

ONE OR MORE LIVE BIRTHS AND CURRENTLY WORKING (SKIP TO 729)
ONE OR MORE LIVE BIRTHS AND CURRENTLY NOT WORKING (SKIP TO COL. 1)
NO LIVE BIRTHS (SKIP TO 730)

729. Have you been working continuously since your last birth?
For earlier births: Have you been working continuously since the birth of (NAME) (but before the work you are currently doing)?

YES 1 (SKIP TO COL. 2)
NO 2 (SKIP TO COL. 1)

Q. 729A - Q. 729F ARE ASKED OF LAST BIRTH, FIRST BIRTH, NEXT TO LAST BIRTH AND SECOND TO LAST BIRTH SEPARATELY.

729A. Did you ever work for money other than on a farm or business run by your family?

YES 1
NO 2 (SKIP TO NEXT COL, OR IF NO MORE BIRTHS, SKIP TO 730)

729B. What was your occupation, that is, what kind of work did you do?

____________
____________
____________

729C. Did you work most of the time, part of the time, seasonally or only irregularly?

MOST 1
PART 2
SEASONAL 3
IRREGULAR 4

729D. On a typical working day, how long did it take you to travel to the place where you worked ?

HOURS___
MINUTES___
TRAVELLING SALES 95
WORKED AT PLACE RESIDED 96

729E. Aside from the time you spent travelling to and from work, on a typical day, how many hours did you spend working?

HOURS___
LESS THAN 1 HOUR 96

729F. How many years total did you work in this interval at all jobs combined?

YEARS___
MONTHS___
(GO TO NEXT COL. OR IF NO MORE BIRTHS GO TO 730)

730. RECORD THE TIME.

HOUR ___
MINUTES___

SECTION 8. WEIGHT AND LENGTH

INTERVIEWER: IN 801-802, RECORD LINE NUMBERS AND NAMES OF ALL LIVING CHILDREN BORN SINCE JANUARY 1, 1985 STARTING WITH THE YOUNGEST CHILD.

RECORD DATE OF BIRTH IN 803 AND CHECK AGE IN 804.

RECORD WEIGHT AND LENGTH OF CHILDREN 3-36 MONTHS IN 805 AND 806.

801. LINE NO.

_____

802. NAME

_______

803. DATE OF BIRTH

MONTH ___
YEAR ___

804. CHECK AGE: 3-36 MONTHS

YES__
NO __ (GO TO NEXT COLUMN, IF NO MORE CHILDREN GO TO NEXT PAGE)

805. WEIGHT (in kgs)

___.__

806. LENGTH (in cms)

___.__

807. STATE REASON IF UNABLE TO RECORD

________
________

808. NAME OF MEASURER: ____
NAME OF ASSISTANT: ____

SECTION 9. LANGUAGE INFORMATION

901. WHAT IS THE RESPONDENT'S OWN LANGUAGE?

TWI 1
GA 2
EWE 3
NZEMA 4
HAUSA 5
DAGBANI 6
ENGLISH 7
OTHER (SPECIFY) ____ 8

902. IN WHAT LANGUAGE DID YOU CONDUCT THE INTERVIEW?

TWI 1
GA 2
EWE 3
NZEMA 4
HAUSA 5
DAGBANI 6
ENGLISH 7
OTHER (SPECIFY) ____ 8

903. FOR HOW MUCH OF THE INTERVIEW DID YOU DEPEND ON A THIRD PERSON TO INTERPRET FOR YOU?

NONE OF THE INTERVIEW 1
SOME OF THE INTERVIEW 2
MOST OF THE INTERVIEW 3
ALL OF THE INTERVIEW 4
OTHER (SPECIFY) ______ 5

INTERVIEWER'S OBSERVATIONS:
_________________
_________________
_________________

NAME OF INTERVIEWER: _______
DATE: ______

SUPERVISOR'S OBSERVATIONS:
_________________
_________________
_________________

NAME OF SUPERVISOR: _______
DATE: ______

EDITOR'S OBSERVATIONS:
_________________
_________________
_________________

NAME OF EDITOR: _______
DATE: ______