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DEMOGRAPHIC AND HEALTH SURVEY IN REPUBLIC OF GUINEA - WOMEN'S QUESTIONNAIRE

IDENTIFICATION

PLACE NAME _____
NAME OF HOUSEHOLD HEAD _____
CLUSTER NUMBER _____
HOUSEHOLD NUMBER _____
REGION CODE _____

URBAN/RURAL:

URBAN 1
RURAL 2

CONAKRY/CAPITAL NATURAL REGION/OTHER CITY/RURAL:

CONAKRY 1
CAPITAL REGION 2
OTHER CITY 3
RURAL 4

NAME OF WOMAN _____

LINE NUMBER OF WOMAN _____

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE _____
INTERVIEWER'S NAME _____

RESULT _____

1 COMPLETED
2 NO HOUSEHOLD MEMBER AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) _____

NEXT VISIT
DATE _____
TIME _____

FINAL VISIT
DAY _____
MONTH _____
YEAR 1999
NAME _____

RESULT _____

1 COMPLETED
2 NO HOUSEHOLD MEMBER AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) ______

TOTAL NUMBER OF VISITS _____

LANGUAGE OF INTERVIEW:

1 FRENCH
2 SOUSSOU
3 PEULH
4 MALINKE
5 KISSI
6 TOMA
7 KPELE
8 OTHERS

INTERPRETER:

YES 1
NO 2

SUPERVISOR
NAME _____
DATE _____

FIELD EDITOR
NAME _____
DATE _____

OFFICE EDITOR _____

KEYED BY _____

SECTION 1. RESPONDENT'S SOCIO-DEMOGRAPHIC CHARACTERISTICS

101. RECORD THE TIME:

HOUR _____
MINUTES_____

105. In what month and year were you born?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR 19___
DOESN'T KNOW YEAR 9998

106. How old were you at your last birthday?
COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT.

AGE IN COMPLETED YEARS _____

106A. Do you understand French?

YES 1
NO 2

107. Have you ever attended school?

YES 1
NO 2 (GO TO 114)

108. What is the highest level of school you attended: primary, secondary (1st cycle), secondary (2nd cycle), professional A, professional B, or superior?

PRIMARY 1
SECONDARY (1ST CYCLE) 2
SECONDARY (2ND CYCLE) 3
PROFESSIONAL A 4
PROFESSIONAL B 5
SUPERIOR 6

109. What is the highest (grade/form/year) you completed at that level?

GRADE _____

110. CHECK 106:

24 YEARS OLD OR LESS (GO TO 111)
25 YEARS OLD OR MORE (GO TO 111A)

111. Are you currently in school?

YES 1 (GO TO 113)
NO 2

111A. How old were you when you stopped going to school?

AGE _____
STILL IN SCHOOL 94 (GO TO 113)

112. What is the main reason for which you stopped attending school?

GOT PREGNANT 01
GOT MARRIED 02
TO CARE FOR YOUNGER CHILDREN 03
FAMILY NEEDED HELP ON FARM OR IN BUSINESS 04
COULD NOT PAY SCHOOL FEES 05
NEEDED TO EARN MONEY 06
PREFERRED A JOB/TO GO TO WORK 07
HAD ENOUGH SCHOOLING 08
FAILED AT SCHOOL 09
DID NOT LIKE SCHOOL 10
SCHOOL NOT ACCESSIBLE/TOO FAR 11
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

113. CHECK 108:

PRIMARY (GO TO 114)
SECONDARY OR HIGHER (GO TO 114A)

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

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3 (GO TO 115A)

114A. Do you typically read a newspaper or magazine at least once a month?

YES 1
NO 2 (GO TO 115A)

115. Do you typically read a newspaper or magazine at least once a week?

YES 1
NO 2

115A. Do you typically listen to the radio?

YES 1
NO 2 (GO TO 116D)

116. Do you typically listen to the radio every day?

YES 1 (GO TO 116B)
NO 2

116A. What days of the week do you normally listen to the radio?

RECORD ALL RESPONSES GIVEN. IF THE RESPONSE IS "EVERYDAY," "IT DEPENDS," "IT DOESN'T MATTER," OR "DOESN'T KNOW", YOU ONLY NEED TO RECORD ONE CODE.

MONDAY A
TUESDAY B
WEDNESDAY C
THURSDAY D
FRIDAY E
SATURDAY F
SUNDAY G
EVERYDAY H
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

116B. What time do you normally listen to the radio?

RECORD ALL RESPONSES GIVEN. IF THE RESPONSE IS "ALL DAY", "IT DEPENDS," "IT DOESN'T MATTER," OR "DOESN'T KNOW", YOU ONLY NEED TO RECORD ONE CODE.

BEFORE 8 O'CLOCK A
FROM 8 TO 12 O'CLOCK B
FROM 12 TO 14 O'CLOCK C
FROM 14 TO 18 O'CLOCK D
FROM 18 TO 20 O'CLOCK E
AFTER 20 O'CLOCK F
ALL DAY LONG G
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW z

116C. What type of radio program do you normally listen to?
PROBE TO OBTAIN THE TYPE OF PROGRAM. RECORD ALL THE PROGRAMS.

MUSICAL VARIETY A
SPORTS B
SPOKEN NEWS C
REPORTING D
SHOW ON HEALTH E
OTHER (SPECIFY) _____ X

116D. Do you usually watch television?

YES 1
NO 2 (GO TO 118)

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

YES 1
NO 2

117A. What days of the week do you normally watch television?

RECORD ALL RESPONSES GIVEN. IF THE RESPONSE IS "IT DEPENDS," "IT DOESN'T MATTER," OR "DOESN'T KNOW", YOU ONLY NEED TO RECORD ONE CODE.

MONDAY A
TUESDAY B
WEDNESDAY C
THURSDAY D
FRIDAY E
SATURDAY F
SUNDAY G
EVERY DAY H
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

117B. What time do you normally watch television?

RECORD ALL THE RESPONSES GIVEN. IF THE RESPONSE IS 'ALL DAY,' 'IT DEPENDS,' 'DOESN'T MATTER,' OR 'DOESN'T KNOW,' YOU ONLY HAVE TO RECORD ONE CODE.

BEFORE 8 O'CLOCK A
FROM 8 TO 12 O'CLOCK B
FROM 12 TO 14 O'CLOCK C
FROM 14 TO 18 O'CLOCK D
FROM 18 TO 20 O'CLOCK E
AFTER 20 O'CLOCK F
ALL DAY LONG G
IT DEPENDS/DOESN'T MATTER X
DOESN'T KNOW Z

117C. What type of television show do you normally watch?
RECORD ALL OF THE SHOWS WATCHED.

MUSICAL VARIETY A
SPORTS B
MOVIES/SERIALS C
TELEVISED NEWS D
REPORTING E
SHOW ON HEALTH F
OTHER (SPECIFY) _____ X

118. What is your religion?

MUSLIM 1
CHRISTIAN 2
ANIMIST 3
NO RELIGION 4
OTHER (SPECIFY) _____ 5

119. What is your nationality?

GUINEAN 1
SIERRA LEONEAN 2 (GO TO 201)
LIBERIAN 3 (GO TO 201)
BISSAU-GUINEAN 4 (GO TO 201)
MALIAN 5 (GO TO 201)
OTHER (SPECIFY) _____ 6 (GO TO 201)

120. What is your ethnicity?

SOUSSOU 01
PEULH 02
MALINKE 03
KISSI 04
TOMA 05
GUERZE 06
OTHER (SPECIFY) _____ 96

121. What language do you mainly speak at home?

SOUSSOU 01
PEULH 02
MALINKE 03
KISSI 04
TOMA 05
GUERZE 06
FRENCH 07
ENGLISH 08
ARABIC 09
OTHER (SPECIFY) _____ 96

SECTION 2. REPRODUCTION

Now I would like to ask you about all the births you have had during your life.

201. Have you ever given birth?

YES 1
NO 2 (GO TO 206)

202. Do you have any sons or daughters to whom you have given birth who are now living 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,' RECORD '00'.

SONS AT HOME ______
DAUGHTERS AT HOME ______

204. Do you have any sons or daughters to whom you have given birth and are alive but do not live 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', RECORD '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 baby who cried or showed signs of life but did not survive?

YES 1
NO 2 (GO TO 208)

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

BOYS DEAD______
GIRLS DEAD ______

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

TOTAL _____

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

YES (GO TO 210)
NO (PROBE AND CORRECT 201-208 AS NECESSARY)

210. CHECK 208:

ONE OR MORE BIRTHS (GO TO 211)
NO BIRTHS (GO TO 227)

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

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

NAME _____

213. Was (NAME) a part of a single or multiple birth?

SINGLE 1
MULTIPLE 2

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

BOY 1
GIRL 2

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

MONTH _____
DOESN'T KNOW MONTH 98
YEAR _____
DOESN'T KNOW YEAR 98

216. Is (NAME) still alive?

YES 1
NO 2 (GO TO 219)

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

AGE IN YEARS____

218. IF ALIVE: Does (NAME) live with you?

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

219. IF DEAD: how old was (NAME) when he/she died?
IF "1 YEAR," PROBE: how many months old was (NAME)?
RECORD IN DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.

DAYS 1 _____
MONTHS 2 _____
YEARS 3 _____

220. FROM YEAR OF BIRTH OF (NAME) SUBTRACT YEAR OF PREVIOUS BIRTH.
IS THE DIFFERENCE 4 OR MORE?
[DO NOT ASK FOR FIRST BIRTH]

YES 1
NO 2 (GO TO NEXT BIRTH)

221. Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME)?
[DO NOT ASK FOR FIRST BIRTH]

YES 1
NO 2

222. SUBTRACT THE YEAR OF BIRTH OF THE LAST CHILD FROM THE YEAR OF THE INTERVIEW (1999). IS THE DIFFERENCE 4 YEARS OR MORE?

YES 1
NO 2 (GO TO 224)

223. Have you had any live births since the birth of (NAME OF LAST BIRTH)?

YES 1
NO 2

224. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND RECORD:

IF NUMBERS ARE THE SAME
CHECK: FOR EACH BIRTH: YEAR OF BIRTH IS RECORDED (215) _____
CHECK: FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED (217) _____
CHECK: FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED (219) _____
CHECK: FOR THE AGE AT DEATH 12 MONTHS OR 1 YEAR: PROBE TO DETERMINE THE EXACT NUMBER OF MONTHS _____
IF THE NUMBERS ARE DIFFERENT: PROBE AND RECONCILE

225. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1994.
IF NONE, NOTE '0'.

NUMBER OF BIRTHS SINCE JAN. 1994 _____

227. Are you pregnant now?

YES 1
NO 2 (GO TO 236)
NOT SURE 8 (GO TO 236)

228. How many months pregnant are you?
RECORD NUMBER IN COMPLETED MONTHS.

NUMBER OF MONTHS______

229. 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 have any more children at all?

THEN 1
LATER 2
NOT AT ALL 3

236. When did your last menstrual cycle start?
RECORD THE DATE, IF GIVEN.

DATE, IF GIVEN _____
DAYS 1_____
WEEKS 2 _____
MONTHS 3 _____
YEARS 4 _____

MENOPAUSAL 994
BEFORE THE LAST BIRTH 995
NEVER MENSTRUATED 996

237. From one menstrual cycle to the next, are there certain days when a woman is more likely to become pregnant if she has sexual relations?

YES 1
NO 2 (GO TO 300)
DOESN'T KNOW 8 (GO TO 300)

238. At what time during her menstrual cycle is a woman more likely to get pregnant?

DURING HER PERIOD 01
RIGHT AFTER HER PERIOD HAS ENDED 02
IN THE MIDDLE OF CYCLE 03
JUST BEFORE HER PERIOD BEGINS 04
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

SECTION 3. CONTRACEPTION

300. I would like to talk about family planning- the various ways or methods that a couple can use to delay or avoid a pregnancy.

CIRCLE CODE '1' IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 302, 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 301 OR 302, ASK 303.

301. Which ways methods of contraception have you heard about?
302. Have you ever heard of (METHOD)?

01. PILL: Women can take a pill every day.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
03.INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
04. IMPLANTS: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
05. DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
06. CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
08. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
09. RHYTHM METHOD/PERIODIC ABSTINENCE: Every month that a woman is sexually active, she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
11. Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
YES, SPONTANEOUS 1
NO 3 (GO TO 304)
(SPECIFY) _____

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.INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES 1
NO 2
04. IMPLANTS: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
YES 1
NO 2
05. DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES 1
NO 2
06. CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES 1
NO 2
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children. Have you ever had an operation to avoid having any (more) children?
YES 1
NO 2
08. MALE STERILIZATION: Men can have an operation to avoid having any more children. Has your spouse/partner ever had an operation to avoid having any (more) children?
YES 1
NO 2
09. RHYTHM METHOD/PERIODIC ABSTINENCE: Every month that a woman is sexually active, she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
11. Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
YES 1
NO 2
(SPECIFY) _____

304. CHECK 303:

NOT A SINGLE 'YES' (NEVER USED) (GO TO 305)
AT LEAST ONE 'YES' (EVER USED) (GO TO 309)

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

YES 1
NO 2 (GO TO 331)

307. What have you used or done?
CORRECT 303 AND 304 (AND 302 IF NECESSARY).

Now I would like to ask you about the first time that you did something or used a method to avoid getting pregnant.

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

NUMBER OF CHILDREN _____

310. When you first used 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?

WANTED CHILD LATER 1
DID NOT WANT ANOTHER CHILD 2
OTHER (SPECIFY) _____ 6

311. CHECK 303:

WOMAN NOT STERILIZED (GO TO 312)
WOMAN STERILIZED (GO TO 314A)

312. CHECK 227:

NOT PREGNANT OR UNSURE (GO TO 313)
PREGNANT (GO TO 332)

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

YES 1
NO 2 (GO TO 331)

314. Which method are you using?
314A. CIRCLE '07' FOR FEMALE STERILIZATION.

PILL 01
IUD 02 (GO TO 325A)
INJECTABLES 03 (GO TO 325A)
IMPLANTS 04 (GO TO 325A)
DIAPHRAGM/FOAM/GEL 05 (GO TO 325A)
CONDOM 06 (GO TO 325A)
FEMALE STERILIZATION 07 (GO TO 317A)
MALE STERILIZATION 08 (GO TO 317A)
PERIODIC ABSTINENCE 09 (GO TO 322A)
WITHDRAWAL 10 (GO TO 325A)
OTHER (SPECIFY) _____ 96 (GO TO 325A)

314B. Why do you use the pill over another method?

COST/LESS EXPENSIVE 01
MORE AVAILABLE 02
WAS PRESCRIBED 03
MORE EFFECTIVE 04
NO SIDE EFFECTS 05
IT SUITS THE RESPONDENT 06
ONLY KNOWN METHOD 07
REVERSIBLE METHOD 08
OTHER (SPECIFY) _____ 96

315. May I see the package of pills you are using right now?
RECORD NAME OF BRAND IF PACKAGE IS SEEN.

PLANYL 01 (GO TO 317)
OVRETTE 02 (GO TO 317)
LO FEMENAL 03 (GO TO 317)
MINIDRIL 04 (GO TO 317)
STEDIRIL 05 (GO TO 317)
ADEPAL 06 (GO TO 317)
MICROGYNON 07 (GO TO 317)
OTHER (SPECIFY) _____ 96 (GO TO 317)
PACKAGE NOT SEEN 98

316. Do you know the brand name of the pills you are now using?

PLANYL 01
OVRETTE 02
LO FEMENAL 03
MINIDRIL 04
STEDIRIL 05
ADEPAL 06
MICROGYNON 07
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

317. How much does one packet (cycle) of pills cost you?

PRICE ______ (GO TO 326)

FREE 9996 (GO TO 326)
DOESN'T KNOW 9998 (GO TO 326)

317A. Why did (you or your spouse/partner) have an operation to not have any more children, rather than using another method?

COST/LESS EXPENSIVE 01
MORE AVAILABLE 02
WAS PRESCRIBED 03
MORE EFFECTIVE 04
NO SIDE EFFECTS 05
IT SUITS THE RESPONDENT 06
ONLY KNOWN METHOD 07
METHOD DEFINITIVE 08
OTHER (SPECIFY) _____ 96

318. In what facility did the sterilization take place?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR

HOSPITAL 11
OTHER (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
FAMILY PLANNING CLINIC 22
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

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

YES 1
NO 2 (GO TO 321)

320. Why do you regret the operation?

RESPONDENT WANTS ANOTHER CHILD 01
HUSBAND/PARTNER WANTS ANOTHER CHILD 02
SIDE EFFECTS 03
CHILD DIED 04
OTHER (SPECIFY) _____ 96

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

MONTH _____
YEAR _____ (GO TO 327)

322A. Why do you use the rhythm/periodic abstinence rather than another method?

COST/LESS EXPENSIVE 01
NO AVAILABILITY PROBLEM 02
WAS PRESCRIBED 03
MORE EFFECTIVE 04
NO SIDE EFFECTS 05
IT SUITS THE RESPONDENT 06
ONLY KNOWN METHOD 07
METHOD REVERSIBLE 08
OTHER (SPECIFY) ___ 96

323. How do you determine which days of your monthly cycle to not have sexual relations?

BASED ON CALENDAR 01 (GO TO 326)
BASED ON BODY TEMPERATURE 02 (GO TO 326)
BASED ON CERVICAL MUCUS (BILLINGS METHOD) 03 (GO TO 326)
BASED ON BODY TEMPERATURE AND MUCUS 04 (GO TO 326)
NO SPECIFIC SYSTEM 05 (GO TO 326)
OTHER (SPECIFY) _____ 96 (GO TO 326)

325A. Why do you use (METHOD FROM 314) rather than another method?

COST/NOT EXPENSIVE/COSTS NOTHING 01
NO AVAILABILITY PROBLEM 02
WAS PRESCRIBED 03
MORE EFFECTIVE 04
NO SIDE EFFECTS 05
IT SUITS THE RESPONDENT 06
ONLY KNOWN METHOD 07
METHOD REVERSIBLE 08
PROTECTS AGAINST AIDS/STD 09
OTHER (SPECIFY) _____ 96

326. For how many months have you been using (METHOD) continuously?
IF LESS THAN 1 MONTH, RECORD '00'.

NUMBER OF MONTHS ____
8 YEARS OR LONGER 96

327. CHECK 314:
CIRCLE THE CODE OF THE METHOD.

PILL 01
IUD 02
INJECTABLES 03
IMPLANTS 04
DIAPHRAGM/FOAM/GEL 05
CONDOM 06
FEMALE STERILIZATION 07 (GO TO 329A)
MALE STERILIZATION 08 (GO TO 329A)
PERIODIC ABSTINENCE 09 (GO TO 332)
WITHDRAWAL 10 (GO TO 332)
OTHER (SPECIFY) _____ 96 (GO TO 332)

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

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
COMMUNITY AGENT/COMMUNITY BASED HEALTH AGENT 15
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY) _____ 96

329. Do you know of another place where you could have obtained (METHOD) the last time?
329A. At the time of the sterilization operation, did you know of another place where you could have received the operation?

YES 1
NO 2 (GO TO 334)

329B. People choose the place where they get family planning services for various reasons.
What was the main reason you went to (NAME OF LOCATION LISTED IN 328 OR 318) instead of some other place you know about? Other reasons?

RECORD EVERYTHING THAT IS MENTIONED. IF THE ANSWER IS 'DOESN'T KNOW' YOU ONLY NEED TO CIRCLE THE CORRESPONDING CODE.

ACCESS-RELATED REASONS
CLOSER TO HOME A
CLOSER TO MARKET/WORK B
AVAILABILITY OF TRANSPORT C
SERVICE-RELATED REASONS
STAFF MORE COMPETENT/FRIENDLY D
CLEANER FACILITY E
OFFERS MORE PRIVACY F
SHORTER WAITING TIME G
LONGER HOURS OF OPERATION H
USES OTHER SERVICES AT THE FACILITY I
AVAILABILITY OF THE METHOD AT ALL TIMES J
LOWER COST/CHEAPER K
WANTED ANONYMITY L
OTHER (SPECIFY) ______ X
DOESN'T KNOW Z

330. INTERVIEWER:

- IF YOU ONLY CIRCLED ONE CODE FOR 329B, CIRCLE HERE THE CODE CORRESPONDING TO THE SAME ANSWER AND (GO TO 334)

- IF YOU CIRCLED SEVERAL CODES FOR 329B, ASK THE FOLLOWING QUESTION AND CIRCLE THE CODE CORRESPONDING TO THE ANSWER.

Among the reasons you gave me, what is the main reason?

ACCESS-RELATED REASONS
CLOSER TO HOME 11 (GO TO 334)
CLOSER TO MARKET/WORK 12 (GO TO 334)
AVAILABILITY OF TRANSPORT 13 (GO TO 334)
SERVICE-RELATED REASONS
STAFF MORE COMPETENT/FRIENDLY 21 (GO TO 334)
CLEANER FACILITY 22 (GO TO 334)
OFFERS MORE PRIVACY 23 (GO TO 334)
SHORTER WAITING TIME 24 (GO TO 334)
LONGER HOURS OF OPERATION 25 (GO TO 334)
USES OTHER SERVICES AT THE FACILITY 26 (GO TO 334)
AVAILABILITY OF THE METHOD AT ALL TIMES 27 (GO TO 334)
LOWER COST/CHEAPER 31 (GO TO 334)
WANTED ANONYMITY 41 (GO TO 334)
OTHER (SPECIFY) _____ 96 (GO TO 334)
DOESN'T KNOW 98 (GO TO 334)

331. CHECK 227:

NOT PREGNANT OR NOT SURE (GO TO 331A)
PREGNANT (GO TO 332)

331A. What is the main reason that you are not using a method of contraception to avoid pregnancy?

NOT MARRIED 11
FERTILITY-RELATED REASONS
NOT HAVING SEX 21
INFREQUENT SEX 22
MENOPAUSAL/HYSTERECTOMY 23
SUB-FECUND/IN FECUND 24
POSTPARTUM/BREASTFEEDING 25
WANTS (OTHER) CHILDREN 26
OPPOSED TO USE
RESPONDENT OPPOSED 31
HUSBAND/PARTNER OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
CULTURAL TABOOS 35
LACK OF KNOWLEDGE
KNOWS NO METHOD 41
KNOWS NO SOURCE 42
METHOD-RELATED REASONS
HEALTH CONCERNS 51
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COSTS TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

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

YES 1
NO 2 (GO TO 334)

333. Where is that?

IF SOURCE IS HOSPITAL, HEATH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE ______
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
COMMUNITY AGENT/COMMUNITY BASED HEALTH AGENT 15
OTHER PUBLIC MEDICAL (SPECIFY) ______ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY) _____ 96

334. Where you visited by a family planning program worker in the last 12 months?

YES 1
NO 2

335. Have you visited a health facility for any reason in the last 12 months?

YES 1
NO 2 (GO TO 337)

336. Did any staff member at the health facility speak to you about family planning methods?

YES 1
NO 2

337. Do you think that breastfeeding can affect a woman's chance of becoming pregnant?

YES 1
NO 2 (GO TO 401)
DOESN'T KNOW 8

338. Do you think a woman's chance of becoming pregnant is increased or decreased by breastfeeding?

INCREASED 1 (GO TO 401)
DECREASED 2
DEPENDS 3
DOESN'T KNOW 8

339. CHECK 210:

ONE OR MORE BIRTHS (GO TO 340)
NO BIRTHS (GO TO 401)

340. Have you ever relied on breastfeeding as a method of avoiding pregnancy?

YES 1
NO 2 (GO TO 401)

341. CHECK 227 AND 311:

NOT PREGNANT OR UNSURE AND NOT STERILIZED (GO TO 342)
EITHER PREGNANT OR STERILIZED (GO TO 401)

342. Are you currently relying on breastfeeding to avoid getting pregnant?

YES 1
NO 2

SECTION 4A. PREGNANCY, POSTNATAL CARE, AND BREASTFEEDING

401. CHECK 225:

ONE OR MORE BIRTHS SINCE JANUARY 1994 (GO TO 402)
NO BIRTHS SINCE JANUARY 1994 (GO TO 465)

402. ENTER IN THE TABLE THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1994. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN THREE BIRTHS, USE ADDITIONAL QUESTIONNAIRE).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403. SEE SECTION 2: LINE NUMBER FROM 212:

LINE NO. _____

404. FROM 212 AND 216:

NAME _____
LIVING _____
DEAD _____

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

THEN 1 (GO TO 407)
LATER 2
NO MORE 3 (GO TO 407)

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

MONTHS 1 ____
YEAR 2 ____
DOESN'T KNOW 998

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

PROBE TO OBTAIN THE TYPE OF PERSON AND RECORD ALL OF THE PERSONS SEEN.

HEALTH PROFESSIONAL
DOCTOR A
NURSE/MIDWIFE B
AUXILIARY MIDWIFE C
OTHER PERSON
TRAINED MIDWIFE/MATRON (NURSE) D
TRADITIONAL BIRTH ATTENDANT E
TRADITIONAL PRACTITIONER F
OTHER (SPECIFY) _____ X
NO ONE Y (GO TO 410)

408. How many months pregnant were you when you first received antenatal care?

NUMBER OF MONTHS_____
DOESN'T KNOW 98

409. How many times did you receive antenatal care during this pregnancy?

NO. OF TIMES ____
DOESN'T KNOW 98

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

YES 1
NO 2 (GO TO 412)
DOESN'T KNOW 8 (GO TO 412)

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

NUMBER OF TIMES ____
DOESN'T KNOW 8

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

HOME
RESPONDENT'S HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
MATERNITY CENTER 22
FAMILY PLANNING CENTER/HEALTH CENTER 23
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER (SPECIFY) _____ 96

413. Who assisted you with the delivery of (NAME)? Anyone else?
PROBE TO OBTAIN THE TYPE OF PERSON AND RECORD ALL PERSONS ASSISTING.

HEALTH PROFESSIONAL
DOCTOR A
NURSE/MIDWIFE B
AUXILIARY MIDWIFE C
OTHER PERSON
TRAINED MIDWIFE/MATRON (NURSE) E
TRADITIONAL BIRTH ATTENDANT F
FRIENDS/RELATIVES/NEIGHBORS G
OTHER (SPECIFY) _____ X
NO ONE Y

415. Was (NAME) delivered by cesarean?

YES 1
NO 2

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

VERY LARGE 1
LARGER THAN AVERAGE 2
AVERAGE 3
SMALLER THAN AVERAGE 4
VERY SMALL 5
DOESN'T KNOW 8

417. Was (NAME) weighed at birth?

YES 1
NO 2 (GO TO 418A)

418. How much did (NAME) weigh?
RECORD THE WEIGHT WRITTEN IN THE HEALTH CARD, IF AVAILABLE.

GRAMS FROM CARD 1 _____
GRAMS FROM RECALL 2 _____
DOESN'T KNOW 99998

418A. In the first month and a half after the birth of (NAME), did you see anyone to discuss your health or the baby's health?

YES 1
NO 2 (MOST RECENT BIRTH: GO TO 419; OTHERS: GO TO 420)

418B. How many days after giving birth did you have this first visit?

DAYS AFTER DELIVERY 1 _____
WEEKS AFTER DELIVERY 2 _____
DOESN'T KNOW 998

418C. During this consultation, who examined your health or the baby's health?

HEALTH PROFESSIONAL
DOCTOR 01
NURSE/MIDWIFE 02
AUXILIARY MIDWIFE 03
OTHER PERSON
TRAINED MIDWIFE/MATRON (NURSE) 04
TRADITIONAL BIRTH ATTENDANT 05
TRADITIONAL PRACTITIONER 06
OTHER (SPECIFY) _____ 96

418D. Where was this first consultation?

HOME
RESPONDENT'S HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
MATERNITY CENTER 22
FAMILY PLANNING CENTER/HEALTH CENTER 23
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER (SPECIFY) _____ 96

418E. During this visit, did the person you were consulting give you information or advice on family planning?

YES 1
NO 2

419. Has your period returned since the birth of (NAME)?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1 (GO TO 421)
NO 2 (GO TO 422)

420. Did your period return between the birth of (NAME) and your next pregnancy?
[DO NOT ASK FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 424)

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

NUMBER OF MONTHS _____
DOESN'T KNOW 98

422. CHECK 227:
IS RESPONDENT PREGNANT?

NOT PREGNANT
PREGNANT OR UNSURE (GO TO 424)

423. Have you resumed sexual relations since the birth of (NAME)?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 425)

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

NUMBER OF MONTHS _____
DOESN'T KNOW 98

425. Did you ever breastfeed (NAME)?

YES 1
NO 2 (GO TO 431)

426. How long after birth did you first put (NAME) to the breast?
IF LESS THAN 1 HOUR, RECORD '00' HOURS. IF LESS THAN 24 HOURS, RECORD HOURS. OTHERWISE, RECORD DAYS

IMMEDIATELY 000
HOURS 1 _____
DAYS 2 _____

427. CHECK 404:
IS CHILD LIVING?
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

LIVING (GO TO 428)
DEAD (GO TO 429)

428. Are you still breastfeeding (NAME)?
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

YES 1 (GO TO 432)
NO 2

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

NUMBER OF MONTHS _____
DOESN'T KNOW 98

430. Why did you stop breastfeeding (NAME)?

MOTHER ILL/WEAK 01
CHILD ILL/WEAK 02
CHILD DIED 03
NIPPLE/BREAST PROBLEM 04
NOT ENOUGH MILK 05
MOTHER WORKING 06
CHILD REFUSED 07
WEANING AGE/AGE TO STOP 08
BECAME PREGNANT 09
STARTED USING CONTRACEPTION 10
OTHER (SPECIFY) _____ 96

431. CHECK 431:
IS CHILD LIVING?

LIVING (GO TO 434)
DEAD (GO BACK TO 405 IN NEXT COLUMN; OR IF NO MORE BIRTHS, GO TO 440)

432. How many times did you breastfeed last night between sunset and sunrise?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

NUMBER OF NIGHTTIME FEEDINGS _____

433. How many times did you breastfeed yesterday during the daylight hours?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATE BIRTHS]

NUMBER OF DAYLIGHT FEEDINGS _____

434. Did (NAME) drink anything from a bottle with a nipple yesterday or last night?

YES 1
NO 2
DOESN'T KNOW 8

435. At any time yesterday or last night, was (NAME) given any of the following:

Plain water?
Sugar water?
Juice?
Herbal tea?
Baby formula?
Tinned or powdered milk?
Animal milk/fresh milk?
Preparation for baby?
Any other liquids?
Solid or bottled food?

[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

PLAIN WATER
YES 1
NO 2
DOESN'T KNOW 8
SUGAR WATER
YES 1
NO 2
DOESN'T KNOW 8
JUICE
YES 1
NO 2
DOESN'T KNOW 8
HERBAL TEA
YES 1
NO 2
DOESN'T KNOW 8
BABY FORMULA
YES 1
NO 2
DOESN'T KNOW 8
TINNED OR POWDERED MILK
YES 1
NO 2
DOESN'T KNOW 8
ANIMAL MILK/FRESH MILK
YES 1
NO 2
DOESN'T KNOW 8
PREPARATION FOR BABY
YES 1
NO 2
DOESN'T KNOW 8
ANY OTHER LIQUIDS
YES 1
NO 2
DOESN'T KNOW 8
SOLID OR BOTTLED FOOD
YES 1
NO 2
DOESN'T KNOW 8

439. GO BACK TO 405 IN NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 440.

SECTION 4B. IMMUNIZATION, HEALTH, AND NUTRITION

440. ENTER IN THE TABLE THE NAME AND THE LINE NUMBER OF EACH BIRTH SINCE JANUARY 1994. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN THREE BIRTHS, USE ADDITIONAL QUESTIONNAIRE).

441. SEE SECTION 2: LINE NO. FROM 212:

LINE NO. _____

442. FROM 212 AND 216:

NAME _____
LIVING___
DEAD___ (GO TO 442 IN NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 465)

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

YES, SEEN 1 (GO TO 445)
YES, NOT SEEN 2 (GO TO 447)
NO CARD 3

444. Have you ever had a vaccination card for (NAME)?

YES 1 (GO TO 447)
NO 2 (GO TO 447)

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

BCG
DAY ___
MONTH ___
YEAR ____
POLIO 0 (AT BIRTH)
DAY ___
MONTH ___
YEAR ____
POLIO 1
DAY ___
MONTH ___
YEAR ____
POLIO 2
DAY ___
MONTH ___
YEAR ____
POLIO 3
DAY ___
MONTH ___
YEAR ____
DPT 1
DAY ___
MONTH ___
YEAR ____
DPT 2
DAY ___
MONTH ___
YEAR ____
DPT 3
DAY ___
MONTH ___
YEAR ____
MEASLES
DAY ___
MONTH ___
YEAR ____
YELLOW FEVER
DAY ___
MONTH ___
YEAR ____

446. Has (NAME) received any vaccinations that are not recorded on this card?
RECORD 'YES' ONLY IF RESPONDENT MENTIONS BCG, POLIO 0-3, DPT 1-3, MEASLES, AND/OR YELLOW FEVER.

YES 1 (PROBE FOR VACCINATIONS AND WRITE '66' IN THE CORRESPONDING DAY COLUMN IN 445, THEN GO TO 449)
NO 2 (GO TO 449)
DOESN'T KNOW 8 (GO TO 449)

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

YES 1
NO 2 (GO TO 449)
DOESN'T KNOW 8 (GO TO 449)

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

448A. A BCG vaccination against tuberculosis, that is, an injection in the arm or shoulder that usually causes a scar?

YES 1
NO 2
DOESN'T KNOW 8

448B. Polio vaccine, that is, drops in the mouth?

YES 1
NO 2 (GO TO 448E)
DOESN'T KNOW 8 (GO TO 448E)

448C. IF YES: How many times was the polio vaccine received?

NUMBER OF TIMES _____

448D. When was the first polio vaccine received: just after birth or later?

JUST AFTER BIRTH 1
LATER 2

448E. A DPT vaccination, that is, an injection given in the thigh or buttocks, sometimes at the same time as polio drops?

YES 1
NO 2 (GO TO 448G)
DOESN'T KNOW 8 (GO TO 448G)

448F. IF YES: How many times was the DPT vaccination received?

NUMBER OF TIMES _____

448G. An injection to prevent measles?

YES 1
NO 2
DOESN'T KNOW 8

448H. An injection to prevent yellow fever?

YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2
DOESN'T KNOW 8

450. Has (NAME) had an illness with a cough at any time in the last 2 weeks?

YES 1
NO 2 (GO TO 454)
DOESN'T KNOW 8 (GO TO 454)

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

YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2 (GO TO 454)

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

PUBLIC SECTOR
HOSPITAL A
FAMILY PLANNING CLINIC B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE CLINIC/HOSPITAL G
PHARMACY/PHARMACEUTICAL DEPOT H
OTHER PRIVATE MEDICAL (SPECIFY) _____ I
OTHER PRIVATE SECTOR
TRADITIONAL PRACTITIONER J
OTHER (SPECIFY) ____ X

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

YES 1
NO 2 (GO TO 464)
DOESN'T KNOW 8 (GO TO 464)

455. Was there blood in the stools?

YES 1
NO 2
DOESN'T KNOW 8

456. On the worst day of the diarrhea, how many bowel movements did (NAME) have?

NUMBER OF BOWEL MOVEMENTS _____
DOESN'T KNOW 98

457. Was (NAME) given the same amount to drink as before the diarrhea, or more, or less?

SAME 1
MORE 2
LESS 3
DOESN'T KNOW 8

458. Was (NAME) given the same amount of food to eat as before the diarrhea, or more, or less?

SAME 1
MORE 2
LESS 3
DOESN'T KNOW 8

458A. CHECK 428:
CHILD STILL BREASTFEEDING?
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

'YES' TO 428 (GO TO 458B)
'NO' TO 428 OR 428 NOT ASKED (GO TO 459)

458B. Was (NAME) breastfed in the same way before the diarrhea, or more or less?
[DO NOT ASK FOR THIRD-TO-LAST BIRTH/LATER BIRTHS]

SAME 1
MORE 2
LESS 3

459. When (NAME) had diarrhea, was he/she given any of the following to drink:

A fluid prepared from a special packet called ORS? SHOW ORS PACKET.
Homemade sugar-salt-water solution?
A bottle?
Soup?
Milk or infant formula?
Yogurt-based drink?
Water?
Any other liquids?

ORS PACKET
YES 1
NO 2
DOESN'T KNOW 8
HOMEMADE SUGAR-SALT-WATER SOLUTION
YES 1
NO 2
DOESN'T KNOW 8
A BOTTLE
YES 1
NO 2
DOESN'T KNOW 8
SOUP
YES 1
NO 2
DOESN'T KNOW 8
MILK OR INFANT FORMULA
YES 1
NO 2
DOESN'T KNOW 8
YOGURT-BASED DRINK
YES 1
NO 2
DOESN'T KNOW 8
WATER
YES 1
NO 2
DOESN'T KNOW 8
ANY OTHER LIQUIDS
YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2 (GO TO 462)
DOESN'T KNOW 8 (GO TO 462)

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

PILL OR SYRUP A
INJECTION B
(I.V.) INTRAVENOUS C
HOME REMEDIES/HERBAL MEDICINES D
OTHER (SPECIFY) ____ X

462. Did you seek advice or for a treatment for the diarrhea?

YES 1
NO 2 (GO TO 464)

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

PUBLIC SECTOR
HOSPITAL A
FAMILY PLANNING CLINIC B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE CLINIC/HOSPITAL G
PHARMACY/PHARMACEUTICAL DEPOT H
OTHER PRIVATE MEDICAL (SPECIFY) _____ I
OTHER PRIVATE SECTOR
TRADITIONAL PRACTITIONER J
OTHER (SPECIFY) _____ X

464. GO BACK TO 442 IN THE NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 465.

465. When a child has diarrhea, should he/she be given less to drink than usual to drink, the same amount, or more than usual?

LESS TO DRINK 1
ABOUT SAME AMOUNT TO DRINK 2
MORE TO DRINK 3
DOESN'T KNOW 8

466. When a child has diarrhea, should he/she be given less to eat than usual, about the same amount, or more than usual?

LESS TO EAT 1
ABOUT SAME AMOUNT TO EAT 2
MORE TO EAT 3
DOESN'T KNOW 8

467. When a child is sick with diarrhea, what signs of illness would tell you that he or she should be taken to a health facility or health worker? Any other symptom?
RECORD ALL MENTIONED.

REPEATED WATERY STOOLS A
ANY WATERY STOOLS B
REPEATED VOMITING C
ANY VOMITING D
BLOOD IN STOOLS E
FEVER F
MARKED THIRST G
NOT EATING/NOT DRINKING WELL H
GETS SICKER/VERY SICK I
NOT GETTING BETTER J
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

467A. In your opinion, what causes diarrhea in children 5 years or younger?
RECORD ALL RESPONSES MENTIONED.

TEETHING A
HEAT B
GERMS C
INTESTINAL WORMS D
HOT MATERNAL MILK E
DIET (INDIGESTION) F
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

467B. What is the main cause of diarrhea in children 5 years or younger?
RECORD ONLY ONE RESPONSE.

TEETHING 01
HEAT 02
GERMS 03
INTESTINAL WORMS 04
HOT MATERNAL MILK 05
DIET (INDIGESTION) 06
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

467C. What are the consequences of diarrhea for children 5 years or younger?
RECORD ALL RESPONSES MENTIONED.

DEHYDRATION A
MALNUTRITION B
DEATH C
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

467D. Are most cases of diarrhea not very serious, serious, or very serious?

NOT VERY SERIOUS 1
SERIOUS 2
VERY SERIOUS 3

468. When a child is sick with a cough, what signs of illness would tell you that he or she should be taken to a health facility or health worker? Any other symptom?
RECORD ALL MENTIONED.

RAPID BREATHING A
DIFFICULTY BREATHING B
NOISY BREATHING C
FEVER D
UNABLE TO DRINK E
NOT EATING/NOT DRINKING WELL F
GETS SICKER/VERY SICK G
NOT GETTING BETTER H
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

469. CHECK 459, ALL COLUMNS:

NO CHILD RECEIVED ORS OR 459 NOT ASKED (GO TO 470)
AT LEAST ONE CHILD RECEIVED ORS (GO TO 472)

470. Have you ever heard of a special product called ORS that you can get for the treatment of diarrhea?

YES 1
NO 2 (GO TO 477)

471. Have you ever used this product?

YES 1
NO 2 (GO TO 477)

472. Where did you get ORS last time?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE ______
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
COMMUNITY AGENT/COMMUNITY BASED HEALTH AGENT 15
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC 22
PHARMACY 23
PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
INFORMAL COMMERCIAL DISTRIBUTION 32
FRIENDS/RELATIVES 33
TRADITIONAL PRACTITIONER 34
OTHER (SPECIFY) _____ 96

473. Do you currently have an ORS packet in your home?

YES 1
NO 2 (GO TO 476A)

474. Could I see the ORS packet you have?
IF THE PACKET IS SHOWN, CIRCLE THE CORRESPONDING NUMBER.

ORASEL 1 (GO TO 476)
UNICEF ORS 2 (GO TO 476)
USAID ORS 3 (GO TO 476)
CHINESE ORS 4 (GO TO 476)
OTHER (SPECIFY) _____ 6 (GO TO 476)
PACKET NOT SEEN 5

475. Do you know the brand name of the ORS packet that you have now?
RECORD THE NAME OF THE BRAND.

NAME OF BRAND _____
ORASEL 1
UNICEF ORS 2
USAID ORS 3
CHINESE ORS 4
OTHER (SPECIFY) _____ 6
DOESN'T KNOW 8

476. How much did the packet of ORS cost?

COST IN GUINEAN FRANC _____

FREE 996
DOESN'T KNOW 998

476A. What was your information source on the type of ORS you used?

TELEVISION 01
RADIO 02
NEWSPAPER 03
HOSPITAL/HEALTH CENTER 04
FRIENDS/RELATIVES 05
SIGNS/POSTERS 06
OTHER (SPECIFY) _____ 96

476B. Who advised or decided to give this ORS?

RESPONDENT HERSELF 01
FATHER 02
GRANDPARENTS 03
NEIGHBORS 04
HEALTH CARE PROFESSIONAL 05
TRADITIONAL PRACTITIONER 06
OTHER (SPECIFY) ____ 96

477. CHECK 459, ALL THE COLUMNS:

NO CHILD RECEIVE SALT/SUGAR SOLUTION OR 459 NOT ASKED (GO TO 478)
AT LEAST ONE CHILD RECEIVED SALT/SUGAR SOLUTION (GO TO 501)

478. Have you heard of a solution of salt, sugar, and water that you prepare at home and that you give to children to treat diarrhea?

YES 1
NO 2 (GO TO 501)

479. Have you already prepared this solution?

YES 1
NO 2

SECTION 5. MARRIAGE AND SEXUAL ACTIVITY

501. Are you currently married or living with a man?

YES, CURRENTLY MARRIED 1 (GO TO 507)
YES, LIVING WITH A MAN 2 (GO TO 507)
MARRIAGE NOT CONSUMMATED 3 (GO TO 515F)
NO, NOT IN UNION 4

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

YES, WAS MARRIED 1
YES, LIVED WITH A MAN 2
NO 3 (GO TO 515F)

505. What is your current marital status: are you a widow, divorced, or separated?

WIDOW 1 (GO TO 511)
DIVORCED 2 (GO TO 511)
SEPARATED 3 (GO TO 511)

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

LIVES WITH HER 1
STAYING ELSEWHERE 2

507A. RECORD THE LINE NUMBER OF HER HUSBAND ACCORDING TO THE HOUSEHOLD QUESTIONNAIRE. IF HE IS NOT A PART OF THE HOUSEHOLD, RECORD '00'.

LINE NO. OF RESPONDENT'S HUSBAND _____

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

YES 1
NO 2 (GO TO 511)

509. How many other wives does he have?

NUMBER OF WIVES _____
DOESN'T KNOW 98 (GO TO 511)

510. Are you the first, second…wife?

RANK _____

511. Have you been married or have you lived with a man only once or more than once?

ONCE 1 (GO TO 512)
MORE THAN ONCE 2

511A. How much time passed between the end of your second to last union and the beginning of your last union (your current union)? IF LESS THAN ONE YEAR, RECORD '00'.

TIME IN COMPLETED YEARS _____

512. CHECK 511:

MARRIED/LIVED WITH MAN ONLY ONCE: In what month and year did you start living with your husband/partner?

MARRIED/LIVED WITH MAN MORE THAN ONCE: Now we will talk about your first husband/partner. In what month and year did you start living with him?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR ____ (GO TO 514A)
DOESN'T KNOW YEAR 9998

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

AGE _____

514A. CHECK 502:

CURRENTLY MARRIED OR LIVES WITH A MAN (GO TO 515)
NOT IN A UNION (GO TO 515F)

Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family planning issues.

515. When was the last time you had sexual intercourse with (your husband/the man with whom you live)?

IF "NEVER HAD RELATIONS", GO BACK TO 501 AND CIRCLE CODE '3' (MARRIAGE NOT CONSUMMATED) AND FOLLOW THE NEW INSTRUCTIONS STARTING WITH 501.

NUMBER OF DAYS 1 _____
NUMBER OF WEEKS 2 _____
NUMBER OF MONTHS 3 _____
NUMBER OF YEARS 4 _____
BEFORE THE LAST BIRTH 996

515A. CHECK 301 AND 302:

KNOWS WHAT CONDOMS ARE: The last time you had sex with (your husband/the man with whom you live), was a condom used?

DOES NOT KNOW WHAT CONDOMS ARE: Some men use a condom, which means they put a rubber sheath on their penis during sexual intercourse. The last time you had sex with (your husband/the man with whom you live), was a condom used?

YES 1
NO 2 (GO TO 515B)
DOESN'T KNOW 8 (GO TO 515B)

515AA. During this last sexual relation, who suggested using the condom?

RESPONDENT HERSELF 1
HUSBAND/PARTNER 2
BOTH 3

515B. Have you had sexual relations with someone other than (your husband/the man with whom you live) in the last 12 months?

YES 1
NO 2 (GO TO 517)

515C. When was the last time you had sexual relations with someone other than (your husband/the man with whom you live)

NUMBER OF DAYS 1 _____
NUMBER OF WEEKS 2 _____
NUMBER OF MONTHS 3 _____
BEFORE LAST BIRTH 996

515CA. The last time you had sexual relations with someone other than your husband/the man with whom you live, was it with a regular partner, an acquaintance, for money, or someone else?

REGULAR PARTNER 1
ACQUAINTANCE 2
FOR MONEY 3
SOMEONE ELSE 4

515D. Was a condom used on this occasion?

YES 1
NO 2 (GO TO 515E)
DOESN'T KNOW 8 (GO TO 515E)

515DA. During this last sexual relation, who suggested using the condom?

RESPONDENT HERSELF 1
PARTNER 2
BOTH 3

515E. During the last 12 months, how many different people other than (your husband/the man with whom you live) did you have sexual relations with?

NUMBER OF PEOPLE ______ (GO TO 517)
DOESN'T KNOW 98 (GO TO 517)

Now I would like to ask you some questions about sexual activity in order to gain a better understanding of some family planning issues.

515F. When was the last time you had sexual intercourse (if ever)?

NEVER 000 (GO TO 608)
DAYS AGO 1 _____
WEEKS AGO 2 _____
MONTHS AGO 3 _____
YEARS AGO 4 _____
BEFORE LAST BIRTH 996

515FA. The last time you had sexual relations, was it a regular partner, an acquaintance, for money, or someone else?

REGULAR PARTNER 1
ACQUAINTANCE 2
FOR MONEY 3
SOMEONE ELSE 4

515G. CHECK 301 AND 302:

KNOWS WHAT CONDOMS ARE: The last time you had sex, was a condom used?

DOES NOT KNOW WHAT CONDOMS ARE: Some men used a condom, which means they put a rubber sheath on their penis during sexual intercourse. The last time you had sex, was a condom used?

YES 1
NO 2 (GO TO 515H)
DOESN'T KNOW 8 (GO TO 515H)

515GA. During this last sexual relation, who suggested using the condom?

RESPONDENT HERSELF 1
PARTNER 2
BOTH 3

515H. CHECK 515F:

LESS THAN 12 MONTHS SINCE LAST SEXUAL RELATION (GO TO 515I)
12 MONTHS OR MORE SINCE LAST SEXUAL RELATION (GO TO 517)

515I. In total, with how many different people have you had sex in the last 12 months?

NUMBER OF PERSONS _____
DOESN'T KNOW 98

517. Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 518A)

518. Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC/HOSPITAL 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY) _____ 96

518A. CHECK 515A, 515D AND 515G:

AT LEAST ONE 'YES' (GO TO 518B)
NO 'YES' (GO TO 519)

518B. Where did you get the condom last time?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC/HOSPITAL 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
PARTNER HAD CONDOM 41 (GO TO 519)
OTHER (SPECIFY) _____ 96

518C. Do you know the brand name of the condoms that you used last time?
RECORD NAME OF BRAND.

NAME OF BRAND _____
PRUDENCE 01
PRUDENCE NOUVEAU 02
PROMESSE 03
PROTECTOR 04
GOLD CIRCLE 05
COOL 06
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

518D. The last time you bought condoms, how many did you buy?
DETERMINE THE NUMBER AND RECORD. RECORD '90' FOR 90 OR MORE.

NUMBER OF CONDOMS _____
DOESN'T KNOW 98

518E. How much did you pay?

COST ____

FREE 9996
DOESN'T KNOW 9998

519. How old were you when you first had sexual intercourse?

AGE _____
FIRST TIME WHEN MARRIED 96

SECTION 6. FERTILITY PREFERENCES

601. CHECK 314:

NEITHER STERILIZED (GO TO 602)
HE OR SHE STERILIZED (GO TO 612)

602. CHECK 227:

NOT PREGNANT OR UNSURE: Now I have some question 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 now, would you like to have another child, or would you prefer not to have any more children?

HAVE (A/ANOTHER) CHILD 1
NO MORE/NONE 2 (GO TO 604)
SAYS SHE CAN'T GET PREGNANT 3 (GO TO 606)
UNDECIDED/DOESN'T KNOW 8 (GO TO 604)

603. CHECK 227:

NOT PREGNANT OR UNSURE: How long would you like to wait from now before the birth of (a/another) child?

PREGNANT: After the birth of this child you are expecting now, how long would you like to wait before the birth of another child?

MONTHS 1 _____
YEARS 2 _____

SOON/NOW 993 (GO TO 606)
SAYS SHE CAN'T GET PREGNANT 994 (GO TO 606)
AFTER MARRIAGE 995
OTHER (SPECIFY) _____ 996
DOESN'T KNOW 998

604. CHECK 227:

NOT PREGNANT OR UNSURE (GO TO 605)
PREGNANT (GO TO 607)

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

HAPPY 1
UNHAPPY 2
WOULD NOT MATTER 3

606. CHECK 313:
USING A METHOD?

NOT ASKED (GO TO 607)
NOT CURRENTLY USING (GO TO 607)
CURRENTLY USING (GO TO 612)

607. Do you think you will use a method to delay or avoid pregnancy within the next 12 months?

YES 1 (GO TO 609)
NO 2
DOESN'T KNOW 8

608. Do you think you will use a method any time in the future?

YES 1
NO 2 (GO TO 610)
DOESN'T KNOW 8 (GO TO 610)

609. Which method would you prefer to use?

PILL 01 (GO TO 612)
IUD 02 (GO TO 612)
INJECTABLES 03 (GO TO 612)
IMPLANTS 04 (GO TO 612)
DIAPHRAGM/FOAM/JELLY 05 (GO TO 612)
CONDOM 06 (GO TO 612)
FEMALE STERILIZATION 07 (GO TO 612)
MALE STERILIZATION 08 (GO TO 612)
PERIODIC ABSTINENCE 09 (GO TO 612)
WITHDRAWAL 10 (GO TO 612)
OTHER (SPECIFY) _____ 96 (GO TO 612)
UNSURE 98 (GO TO 612)

610. What is the main reason that you think you will never use a method?

NOT MARRIED 11
FERTILITY-RELATED REASONS
INFREQUENT SEX 22 (GO TO 612)
MENOPAUSAL/HYSTERECTOMY 23 (GO TO 612)
SUB-FECUND/IN FECUND 24 (GO TO 612)
WANTS CHILDREN 26 (GO TO 612)
OPPOSITION TO USE
RESPONDENT OPPOSED 31 (GO TO 612)
HUSBAND/PARTNER OPPOSED 32 (GO TO 612)
OTHERS OPPOSED 33 (GO TO 612)
RELIGIOUS PROHIBITION 34 (GO TO 612)
CULTURAL TABOOS 35 (GO TO 612)
LACK OF KNOWLEDGE
KNOWS NO METHOD 41 (GO TO 612)
KNOWS NO SOURCE 42 (GO TO 612)
METHOD-RELATED REASONS
HEALTH CONCERNS 51 (GO TO 612)
FEAR OF SIDE EFFECTS 52 (GO TO 612)
LACK OF ACCESS/TOO FAR 53 (GO TO 612)
COSTS TOO MUCH 54 (GO TO 612)
INCONVENIENT TO USE 55 (GO TO 612)
INTERFERES WITH BODY'S NORMAL PROCESSES 56 (GO TO 612)
OTHER (SPECIFY) _____ 96 (GO TO 612)
DOESN'T KNOW 98 (GO TO 612)

611. Would you use a method if you were married?

YES 1
NO 2
DOESN'T KNOW 8

612. CHECK 216:

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

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

PROBE FOR A NUMERIC RESPONSE.

NUMBER OF CHILDREN ____ (IF '00', GO TO 614)
OTHER (SPECIFY) _____ 96 (GO TO 614)

613. How many of these children would you like to be boys, how many would you like to be girls, and for how many would it not matter?

NUMBER OF BOYS_____
OTHER (SPECIFY) _____ 96
NUMBER OF GIRLS _____
OTHER (SPECIFY) _____ 96
NUMBER OF EITHER _____
OTHER (SPECIFY) _____ 96

614. Would you say that you approve or disapprove of couples using a contraceptive method to avoid getting pregnant?

APPROVES 1
DISAPPROVES 2
NO OPINION 3

615. Is it acceptable or not acceptable to you for information on family planning to be provided:

On the radio?
On the television?

ON THE RADIO
ACCEPTABLE 1
NOT ACCEPTABLE 2
DOESN'T KNOW 8
ON THE TELEVISION
ACCEPTABLE 1
NOT ACCEPTABLE 2
DOESN'T KNOW 8

616. In the last few months have you heard about family planning:

On the radio?
On the television?
In a newspaper in magazine?
Poster?
From leaflets or brochures?
On an advertising sign?
During a community meeting?

RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
NEWSPAPER IN MAGAZINE
YES 1
NO 2
POSTER
YES 1
NO 2
LEAFLETS OR BROCHURES
YES 1
NO 2
ADVERTISING SIGN
YES 1
NO 2
COMMUNITY MEETING
YES 1
NO 2

616A. What is your main source of information on family planning?

NONE 01
PUBLIC HEALTH WORKER 02
PRIVATE HEALTH WORKER 03
COMMUNITY HEALTH WORKER 04
FAMILY PLANNING CLINIC 05
HUSBAND/PARTNER 06
OTHER RELATIVES 07
FRIENDS/RELATIVES 08
RADIO 09
TELEVISION 10
NEWSPAPERS/POSTERS 11
SCHOOL/LIBRARY 12
COMMUNITY MEETINGS 13
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

618. In the last few months, have you discussed the practice of family planning with anyone?

YES 1
NO 2 (GO TO 620)

619. With whom? Anyone else?
RECORD ALL PERSONS MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTERS(S) F
MOTHER(S)-IN-LAW G
FRIENDS/NEIGHBORS H
OTHER (SPECIFY) _____ X

620. CHECK 501:

YES, CURRENTLY MARRIED (GO TO 621)
YES, LIVING WITH A MAN (GO TO 621)
NO, NOT IN A UNION (GO TO 624)

Spouses/partner do not always agree on everything. Now I want to ask you about your husband's/partner's views on family planning.

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

APPROVES 1
DISAPPROVES 2
DOESN'T KNOW 8

622. How often have you talked to your husband/partner about family planning in the last twelve months?

NEVER 1 (GO TO 622B)
ONCE OR TWICE 2
MORE OFTEN 3

622A. Who usually starts the discussion on family planning: you, your husband/partner, or both?

RESPONDENT 1
HUSBAND/PARTNER 2
BOTH 3
DOESN'T KNOW 8

622B. CHECK 313:
USES A METHOD?

CURRENTLY USES A METHOD (GO TO 622C)
NO, DOES NOT CURRENTLY USE A METHOD OR QUESTION NOT ASKED (GO TO 623)

622C. Before beginning to use (CURRENT METHOD), did you discuss which method you would use with your husband/partner?

YES 1
NO 2
DOESN'T RECALL/DOESN'T KNOW 8

622D. After having started (CURRENT METHOD), did you discuss this method with your husband/partner?

YES 1
NO 2
DOESN'T RECALL/DOESN'T KNOW 8

622E. CHECK 314:
CIRCLE CODE OF METHOD.

PILL 01
IUD 02
INJECTABLES 03
IMPLANTS 04
DIAPHRAGM/FOAM/GEL 05
CONDOM 06 (GO TO 623)
FEMALE STERILIZATION 07
MALE STERILIZATION 08 (GO TO 623)
PERIODIC ABSTINENCE 09
WITHDRAWAL 10 (GO TO 623)
OTHER METHOD 96

622F. Did your husband/partner encourage you or discourage you from using (CURRENT METHOD)?

ENCOURAGE 1
DISCOURAGE 2
NEITHER/NEUTRAL 3
DOESN'T KNOW 8

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

SAME NUMBER 1
MORE CHILDREN 2
FEWER CHILDREN 3
DOESN'T KNOW 8

624. According to you, who should make the decision to use a contraceptive method, the man or the woman?

MAN 1
WOMAN 2
BOTH 3
SOMEONE ELSE 4

625. According to you, who generally makes the decision to use a contraceptive method, the man or the woman?

MAN 1
WOMAN 2
BOTH 3
SOMEONE ELSE 4

626. Do you think your mother (guardian) approves or disapproves of couples using a method to avoid or delay pregnancy?

IF THE MOTHER (GUARDIAN) IS DEAD, ASK: If your mother (guardian) were alive, do you think she would approve or disapprove of couples using a method to avoid or delay pregnancy?

APPROVE 1
DISAPPROVE 2
DOESN'T KNOW 8

627. Do you think your father (guardian) approves or disapproves of couples using a method to avoid or delay pregnancy?

IF THE FATHER (GUARDIAN) IS DEAD, ASK: If your father (guardian) were alive, do you think he would approve or disapprove of couples using a method to avoid or delay pregnancy?

APPROVE 1
DISAPPROVE 2
DOESN'T KNOW 8

628. Do you think that the use of contraceptives goes against or does not go against your religion?

CONTRACEPTION GOES AGAINST RELIGION 1
CONTRACEPTION DOES NOT GO AGAINST RELIGION 2
HER RELIGION HAS NO POSITION ON THE SUBJECT 3
RESPONDENT DOES NOT HAVE A RELIGION 4
DOESN'T KNOW 8

629. Do you think that it is better to have small family or a large family to improve the quality of life?

SMALL FAMILY 1
LARGE FAMILY 2
NOT IMPORTANT/EITHER 3
DEPENDS 4
DOESN'T KNOW/NO OPINION 8

630. Have you tried to encourage or persuade a friend or relative to use family planning?

YES 1
NO 2

SECTION 7. CHILDREN'S EDUCATION

701. CHECK 216 AND 217:

HAS ONE OR MORE LIVING CHILDREN AGES 6 TO 15 (GO TO 702)
NO LIVING CHILDREN AGES 6 TO 15 (GO TO 801A)

702. What mode of transportation do the children of this community most often use to get to the closest primary school?

BY FOOT 1
BICYCLE 2
CAR 3
BUS/TRUCK 4
CANOE 5
ANIMAL 6
OTHER (SPECIFY) _____ 7

703. How long does it take you to get the closest primary school using the most commonly used mode of transportation?

HOURS____
MINUTES____
DOESN'T KNOW 998

704. What is the ideal average number of years that a girl should be in school?

NUMBER OF YEARS_____
DOESN'T KNOW 98

705. What is the ideal average number of years that a boy should be in school?

NUMBER OF YEARS _____
DOESN'T KNOW 98

706. RECORD THE LINE NUMBER OF EACH LIVING CHILDREN BETWEEN THE AGES OF 6 AND 15. START WITH THE YOUNGEST CHILD. ASK THE QUESTIONS ABOUT ALL THESE CHILDREN. IF THERE ARE MORE THAN 3 CHILDREN, USE AN ADDITIONAL QUESTIONNAIRE.

Now I would like to ask you some questions about the education of your children between the ages of 6 and 15. We will talk about one child at a time.

707. COPY: LINE NUMBER FROM 212:

LINE NO. OF CHILD FROM 212 _____

708. COPY: LINE NUMBER FROM HOUSEHOLD QUESTIONNAIRE:
IF THE CHILD ISN'T IN THE HOUSEHOLD, RECORD '00'.

LINE NO. OF CHILD FROM HOUSEHOLD QUESTIONNAIRE ____

709. CHECK 212 AND 218:

NAME _____
DOESN'T LIVE WITH MOTHER (GO TO 710)
LIVES WITH MOTHER (GO TO 711)

710. Does (NAME) live in a boarding school, with his/her father, with another relative/s, with an unrelated person, or with someone else?

BOARDING SCHOOL 1
WITH FATHER 2
WITH OTHER RELATIVE 3
WITH UNRELATED PERSON 4
WITH OTHER (SPECIFY) _____ 6

711. Did (NAME) ever attend school?

YES 1 (GO TO 713)
NO 2

712. What were the main reasons for which (NAME) didn't go to school? Other reasons?
RECORD ALL REASONS MENTIONED. IF ANSWER IS "DOESN'T KNOW," YOU MUST CIRCLE THAT CODE.

CHILD ILL/WEAK/HANDICAP A
CHILD STILL YOUNG B
SCHOOL TOO FAR C
NOT ENOUGH TEACHERS D
SCHOOL DOESN'T OFFER LEVEL NEEDED E
ESTABLISHMENT IS NOT ADEQUATE (INSUFFICIENT CLASSES, OVERPOPULATED, TOILETS) F
NEEDS CHILD TO WATCH YOUNGER CHILDREN G
NEEDS CHILD TO DO HOUSEWORK (WORK IN FIELDS, WITH ANIMALS…) H
NEEDS CHILD TO WORK IN FAMILY BUSINESS OR TO MAKE MONEY I
SCHOOL IS EXPENSIVE/NO MONEY TO PAY FEES J
SCHOOL IS A PLACE FOR DELINQUENCY K
SCHOOL IS NOT IMPORTANT/NOT USEFUL L
CHILD NOT INTERESTED IN SCHOOL M
CHILD GOT MARRIED N
GIRLS ONLY: LOSS OF VALUES O
GIRLS ONLY: RISK OF PREGNANCY P
GIRLS ONLY: TRADITIONS/CUSTOMS Q
GIRLS ONLY: NO PRIVATE TOILETS R
GIRLS ONLY: MENSTRUATION S
GIRLS ONLY: MOCKERY OF CLASSMATES T
OTHER (SPECIFY) _____ X (GO TO 736)
DOESN'T KNOW Z

713. How old was (NAME) when he/she went to primary school for the first time?
RECORD IN COMPLETED YEARS.

AGE _____
DOESN'T KNOW 98 (GO TO 716)

714. CHECK 713:

AGE LESS THAN 7 (GO TO 715)
AGE GREATER THAN OR EQUAL TO 7 (GO TO 716)

715. Why did he/she not go to school when he/she was 7 years old?

CHILD ILL/WEAK/HANDICAP 01
NO SCHOOL/CLASSROOMS 02
SCHOOL TOO FAR 03
NOT ENOUGH ROOM AT SCHOOL 04
NOT ENOUGH TEACHERS 05
NO STUDENT RECRUITMENT 06
NEEDS CHILD TO WATCH YOUNGER CHILDREN 07
NEEDS CHILD TO DO HOUSEWORK (WORK IN FIELDS, WITH ANIMALS…) 08
NEEDS CHILD TO WORK IN FAMILY BUSINESS OR TO MAKE MONEY 09
NO MONEY/NOT ABLE TO PAY FEES 10
CHILD NOT INTERESTED 11
MIGRATION 12
OTHER (SPECIFY) _____ 96
DOESN'T KNOW 98

716. What is the highest level (NAME) completed?

PRIMARY 1
SECONDARY 2 (GO TO 736)

717. What is the highest (grade/form/year) (NAME) completed?

GRADE ____
DOESN'T KNOW 8

718. Is (NAME) currently attending primary school?

YES 1 (GO TO 720)
NO 2

719. Did (NAME) attend school at any time during the current school year?

YES 1
NO 2 (GO TO 721)

720. What grade did (NAME) attend during the current school year?

GRADE ___
DOESN'T KNOW 8

721. Did (NAME) attend school at any time during the previous school year (1997-1998)?

YES 1
NO 2 (GO TO 723)

722. What grade did (NAME) attend during the previous 1997-1998 school year?

GRADE ____
DOESN'T KNOW 8

723. Did (NAME) repeat one of his or her classes?

YES 1
NO 2 (GO TO 725)

724. How many time did (NAME) repeat his or her classes?

NUMBER OF TIMES ____

725. CHECK 718:

YES (GO TO 728)
NO (GO TO 726)

726. How old was (NAME) when he or she stopped attending school?
RECORD IN COMPLETED YEARS.

AGE_____
DOESN'T KNOW 98

727. What are the main reasons for which he or she stopped going to school?
RECORD ALL RESPONSES MENTIONED. IF THE RESPONSE IS "DOESN'T KNOW," YOU MUST CIRCLE THAT CODE.

ADVANCED EDUCATION IS NOT IMPORTANT A (GO TO 736)
CHILD DID NOT SUCCEED/HAD TO REPEAT CLASS B (GO TO 736)
CHILD ILL/WEAK/HANDICAP C (GO TO 736)
SCHOOL DOESN'T OFFER LEVEL NEEDED D (GO TO 736)
NOT ENOUGH TEACHERS E (GO TO 736)
ESTABLISHMENT IS NOT ADEQUATE (INSUFFICIENT CLASSES, OVERPOPULATED, TOILETS) F (GO TO 736)
NEEDS CHILD TO WATCH YOUNGER CHILDREN G (GO TO 736)
NEEDS CHILD TO DO HOUSEWORK (IN FIELDS, ANIMALS) H (GO TO 736)
NEEDS CHILD TO IN FAMILY BUSINESS OR TO MAKE MONEY I (GO TO 736)
CHILD NOT INTERESTED IN SCHOOL J (GO TO 736)
SCHOOL IS EXPENSIVE/NO MONEY TO PAY FEES K (GO TO 736)
MIGRATION L (GO TO 736)
CHILD GOT MARRIED M (GO TO 736)
GIRLS ONLY: LOSS OF VALUES N (GO TO 736)
GIRLS ONLY: RISK OF PREGNANCY O (GO TO 736)
GIRLS ONLY: TRADITIONS/CUSTOMS P (GO TO 736)
GIRLS ONLY: NO PRIVATE TOILETS Q (GO TO 736)
GIRLS ONLY: MENSTRUATION R (GO TO 736)
GIRLS ONLY: MOCKERY OF CLASSMATES S (GO TO 736)
OTHER (SPECIFY) _____ X (GO TO 736)
DOESN'T KNOW Z (GO TO 736)

728. CHECK 709:

LIVES WITH MOTHER (GO TO 729)
DOESN'T LIVE WITH MOTHER (GO TO 733)

729. How many days was the school open during the last 2 weeks?
IF NONE, RECORD '00'.

NUMBER OF DAYS_____

730. How many days did (NAME) attend school in the last 2 weeks?
IF NONE, RECORD '00'.

NUMBER OF DAYS_____

731. CHECK 729 AND 730:

SAME RESPONSE IN 729 AND 730 (GO TO 733)
DIFFERENT RESPONSES IN 729 AND 730 (GO TO 732)

732. What are the main reasons for which (NAME) missed school during the last 2 weeks?

SICK 01
BAD WEATHER 02
ABUSE FROM TEACHERS 03
DIDN'T WANT TO GO TO SCHOOL/SKIPPED SCHOOL 04
HAD TO WATCH YOUNGER CHILDREN 05
HAD TO HELP WITH HOUSEWORK, FIELDWORK/TAKE CARE OF ANIMALS 06
HAD TO HELP WITH FAMILY BUSINESS/EARN MONEY 07
GIRLS ONLY: MOCKERY OF CLASSMATES 08
GIRLS ONLY: RISK OF PREGNANCY 09
GIRLS ONLY: MENSTRUATING 10
OTHER (SPECIFY) _____ 96

733. Does (NAME) attend a public school, a secular private school, or a religious private school?

PUBLIC 1 (GO TO 735)
SECULAR PRIVATE 2
RELIGIOUS PRIVATE 3

734. How much did you pay each month in tuition to send (NAME) to school?

PRICE IN GUINEAN FRANCS PER MONTH ____
DOESN'T KNOW 999998

735. Are there other fees for (NAME)'s education?

Uniform and other school clothes per year?
Borrow or buy books per year?
Pens, notebooks, and other supplies per year?
Fees for meals and transportation per day?
Money for private lessons per month?
Extra money for teachers per month?
All other expenses on average per year?

IF NO EXPENSES ON SPECIFICS, RECORD '00000' GF.

UNIFORM AND OTHER SCHOOL CLOTHES PER YEAR
UNIFORM PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
BORROW OR BUY BOOKS PER YEAR
BOOKS PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
PENS, NOTEBOOKS, AND OTHER SUPPLIES PER YEAR
PENS PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
FEES FOR MEALS AND TRANSPORTATION PER DAY
MEALS PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
MONEY FOR PRIVATE LESSONS PER MONTH
PRIVATE LESSONS PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
EXTRA MONEY FOR TEACHERS PER MONTH
TEACHERS PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998
ALL OTHER EXPENSES ON AVERAGE PER YEAR
OTHER PRICE IN GUINEAN FRANCS _____
(SPECIFY) _____

736. GO BACK TO 707 FOR THE NEXT CHILD; OR, IF THERE ARE NO MORE CHILDREN BETWEEN 6 AND 15 YEARS OLD, GO TO 737.

737. What is the most difficult expense that you must make at the primary school level?

NONE OF THE EXPENSES ARE DIFFICULT 01
UNIFORM AND OTHER SCHOOL CLOTHES 02
BOOKS, PENS, NOTEBOOKS, AND OTHER SUPPLIES 03
MEALS AND TRANSPORTATION 04
MONEY FOR TEACHERS 05
ALL EXPENSES ARE DIFFICULT 06
OTHER (SPECIFY) _____ 96

738. CHECK 501:

CURRENTLY MARRIED OR LIVING WITH A MAN (GO TO 739)
OTHER SITUATION (GO TO 740)

739. Who in your family makes the final decisions about the following subjects: you, your husband, both of you, or someone else?

If the children need to go to school?
Age at which the children must go to school for the first time?
How much money should be spent on education?
When the children should stop going to school?

IF CHILDREN NEED TO GO TO SCHOOL
WIFE 1
HUSBAND 2
BOTH 3
OTHER (SPECIFY) _____ 6
AGE CHILDREN MUST GO TO SCHOOL FOR FIRST TIME
WIFE 1
HUSBAND 2
BOTH 3
OTHER (SPECIFY) _____ 6
HOW MUCH MONEY TO SPEND ON EDUCATION
WIFE 1
HUSBAND 2
BOTH 3
OTHER (SPECIFY) _____ 6
WHEN CHILD SHOULD STOP GOING TO SCHOOL
WIFE 1
HUSBAND 2
BOTH 3
OTHER (SPECIFY) _____ 6

740. Are school books readily available for purchase in your community?

YES 1
NO 2
DOESN'T KNOW 8

741. Have you or anyone in your family contributed to any of the following regarding primary education?

A. Money for the school or for the construction of lodging for teachers or upkeep, or for other project?
B. Manual labor to support or maintain the school buildings or grounds?
C. Land for school use?
D. Other reasons?

A. MONEY FOR SCHOOL/CONSTRUCTION OF LODGING FOR TEACHERS/OTHER PROJECT
YES 1
NO 2
B. MANUAL LABOR/TO SUPPORT OR MAINTAIN IN SCHOOL BUILDINGS/GROUNDS
YES 1
NO 2
C. LAND FOR SCHOOL USE
YES 1
NO 2
D. OTHER REASON(S)
(SPECIFY) _____

742. Who paid for and built the school in your community/the school your child goes to?

GOVERNMENT 1
PARENTS 2
GOVERNMENT AND PARENTS 3
OTHER (SPECIFY) _____ 6
DOESN'T KNOW 8

743. Did you or someone in your family contribute in cash or in kind to support one of the teachers at a primary school in your community?

YES 1
NO 2 (GO TO 745)
DOESN'T KNOW 8 (GO TO 745)

744. What type of contribution or support?

MONEY A
LODGING B
LAND C
FOOD D
OTHER (SPECIFY) _____ X

745. Who pays the teachers' salaries of the primary school in your community/the school your children attend?

GOVERNMENT 1
PARENTS 2
GOVERNMENT AND PARENTS 3
OTHER (SPECIFY) _____ 6

746. Does the primary school in your community have an association for the parents and friends of the school?

YES 1
NO 2 (GO TO 801A)
DOESN'T KNOW 8 (GO TO 801A)

747. Do you know a member of the association for your primary school in your community?

YES 1
NO 2

748. Can you name an activity that the association has already done or is in the process of doing to help the primary school in your community?

CONSTRUCTION OF CLASSES A
UPKEEP OF SCHOOL B
PURCHASE OF EQUIPMENT C
HELP TO TEACHERS D
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

SECTION 8. HIV/AIDS AND OTHER SEXUALLY TRANSMITTED INFECTIONS

801A. Have you ever heard of illnesses that you can get from having sex?

YES 1
NO 2 (GO TO 801K)

801B. What illnesses have you heard of?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

801C. CHECK 515 AND 515F:

HAS HAD SEXUAL INTERCOURSE (GO TO 801D)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 801K)

801D. Over the last 12 months, have you had any of these illnesses?

YES 1
NO 2 (GO TO 801K)
DOESN'T KNOW 8 (GO TO 801K)

801E. Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

801F. The last time that you had (ILLNESS FROM 801E) did you seek advice or treatment?

YES 1
NO 2 (GO TO 801H)

801G. Where did you seek advice or treatment?
Any other place?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
FAMILY PLANNING CLINIC B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE CLINIC/HOSPITAL G
FAMILY PLANNING CLINIC H
PHARMACY/PHARMACEUTICAL DEPOT I
OTHER PRIVATE MEDICAL (SPECIFY) _____ J
OTHER PRIVATE SECTOR
SHOP/MARKET K
INFORMAL COMMERCIAL DISTRIBUTION L
CHURCH M
FRIENDS/RELATIVES N
TRADITIONAL PRACTITIONER O
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

801H. When you had the (ILLNESS(ES) OF 801E), did you tell your sexual partner(s)?

YES 1
NO 2

801I. When you had the (ILLNESS(ES) OF 801E) did you do something to avoid infecting your sexual partner(s)?

YES 1
NO 2 (GO TO 801K)
PARTNER ALREADY INFECTED 3 (GO TO 801K)

801J. What did you do?
RECORD ALL MENTIONED.

STOP SEXUAL INTERCOURSE A
USE A CONDOM DURING SEXUAL INTERCOURSE B
TAKEN DRUGS C
OTHER (SPECIFY) _____ X

801K. CHECK 801B:

DID NOT LIST "AIDS" OR QUESTION NOT ASKED (GO TO 801L)
LISTED "AIDS" (GO TO 802)

801L. Have you ever heard of an illness called AIDS?

YES 1
NO 2 (GO TO 811C)

802. From which sources of information have you learned about AIDS? Any other sources? RECORD ALL MENTIONED.

RADIO A
TV B
NEWSPAPERS/MAGAZINES C
PAMPHLETS/POSTERS D
HEALTH WORKERS E
MOSQUES/CHURCHES F
SCHOOLS/TEACHERS G
COMMUNITY MEETINGS H
THEATER I
FRIENDS/RELATIVES J
WORK PLACE K
OTHER (SPECIFY) _____ X

802A. If you wanted more information on AIDS, where (from whom) would you like to get this information?

RADIO 01
TV 02
NEWSPAPERS/MAGAZINES 03
PAMPHLETS/POSTERS 04
HEALTH WORKERS 05
MOSQUES/CHURCHES 06
SCHOOLS/TEACHERS 07
COMMUNITY MEETINGS 08
THEATER 09
FRIENDS/RELATIVES 10
WORK PLACE 11
ENOUGH INFORMATION 12
OTHER (SPECIFY) _____ 96

802B. How can you get AIDS? Any other way?
RECORD ALL MENTIONED.

SEXUAL RELATIONS A
SEX WITH SEVERAL PARTNERS B
SEX WITH PROSTITUTES C
NOT USING A CONDOM D
SEX WITH HOMOSEXUALS E
BLOOD TRANSFUSIONS F
INJECTIONS G
KISSING H
MOSQUITO BITES I
CUTTING WITH SOILED BLADES, SCISSORS, OR KNIVES K
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

803. Is there anything a person can do to avoid getting AIDS or the virus that causes AIDS?

YES 1
NO 2 (GO TO 807)
DOESN'T KNOW 8 (GO TO 807)

804. What can a person do? Anything else?
RECORD ALL WAYS MENTIONED.

ABSTAIN FROM SEX B
USE CONDOMS C
AVOID MULTIPLE PARTNERS D
AVOID SEX WITH PROSTITUTES E
AVOID SEX WITH HOMOSEXUALS F
AVOID BLOOD TRANSFUSIONS G
AVOID INJECTIONS H
AVOID KISSING I
AVOID MOSQUITO BITES J
AVOID CUTTING WITH SOILED BLADES, SCISSORS, OR KNIVES K
SEEK PROTECTION FROM TRADITIONAL PRACTITIONER L
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

807. Is it possible for a healthy-looking person to have the AIDS virus?

YES 1
NO 2
DOESN'T KNOW 8

808. Do you think that persons with AIDS almost never die from the disease, sometimes die, or almost always die from the disease?

ALMOST NEVER 1
SOMETIMES 2
ALMOST ALWAYS 3
DOESN'T KNOW 8

808A. Can AIDS be cured?

YES 1
NO 2
DOESN'T KNOW 8

808B. Can AIDS be transmitted from a mother to a child?

YES 1
NO 2
DOESN'T KNOW 8

808C. Do you know someone personally who has AIDS or someone who died of AIDS?

YES 1
NO 2
DOESN'T KNOW 8

809. Do you think your chances of getting AIDS are small, moderate, great, or no risk at all?

SMALL 1
MODERATE 2 (GO TO 809C)
GREAT 3 (GO TO 809C)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 811A)

809B. Why do you think that you (have no risk/have small risk) for getting AIDS? Any other reason? RECORD ALL MENTIONED.

IS FAITHFUL A (GO TO 811A)
ABSTAINS FROM SEX B (GO TO 811A)
USES CONDOMS C (GO TO 811A)
ONLY HAS ONE SEXUAL PARTNER D (GO TO 811A)
HAS A LIMITED NUMBER OF SEXUAL PARTNERS E (GO TO 811A)
PARTNER DOESN'T HAVE ANOTHER PARTNER F (GO TO 811A)
DOESN'T HAVE HOMOSEXUAL RELATIONS G (GO TO 811A)
DOESN'T GET BLOOD TRANSFUSIONS H (GO TO 811A)
DOESN'T GET INJECTIONS I (GO TO 811A)
AVOIDS CUTTING WITH SOILED BLADES/SCISSORS/KNIVES K (GO TO 811A)
OTHER (SPECIFY) _____ X (GO TO 811A)

809C. Why do you think you have (moderate/great) risk of getting AIDS? Any other reason? RECORD ALL MENTIONED.

DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HAS HOMOSEXUAL RELATIONS G
BLOOD TRANSFUSIONS H
INJECTIONS I
USES SOILED BLADES, SCISSORS, KNIVES K
OTHER (SPECIFY) _____X

811A. Since you have heard of AIDS, have you changed your behavior to avoid getting AIDS?
IF YES: What have you done? Anything else? RECORD ALL MENTIONED.

HAS NOT STARTED HAVING SEX A (GO TO 811C)
STOPPED HAVING SEX B (GO TO 811C)
STARTED USING CONDOMS C (GO TO 811C)
RESTRICTED SEX TO ONE PARTNER D (GO TO 811C)
REDUCED NUMBER OF SEXUAL PARTNERS E (GO TO 811C)
ASKED PARTNER TO BE FAITHFUL F (GO TO 811C)
STOPPED HOMOSEXUAL RELATIONS G (GO TO 811C)
STOPPED INJECTIONS I
AVOIDED SOILED BLADES, SCISSORS, AND KNIVES K
OTHER (SPECIFY) _____ X
NO CHANGE Y
DOESN'T KNOW Z

811B. Has your knowledge of AIDS influenced or changed your decisions about having sex or sexual behavior?
IF YES: What did you do?
IF YES: In what way?

RECORD ALL MENTIONED.

DID NOT START SEX A
STOPPED ALL SEX B
STARTED USING CONDOMS C
RESTRICTED SEX TO ONE PARTNER D
REDUCED NUMBER OF PARTNERS E
ASKED PARTNER TO BE FAITHFUL F
STOPPED HOMOSEXUAL RELATIONSHIPS G
OTHER (SPECIFY) _____ X
NO CHANGE IN SEXUAL BEHAVIOR Y
DOESN'T KNOW Z

811C. Some people use condoms during sex to avoid getting AIDS or other sexually transmitted illnesses. Have you ever heard of condoms?

YES 1
NO 2 (GO TO 811F)

811D. CHECK 515 AND 515F:

HAS HAD SEX (GO TO 811E)
HAS NOT HAD SEX (GO TO 901)

811E. We may have already discussed this. Have you ever used a condom during sexual relations to avoid getting AIDS or transmitting illnesses, like AIDS?

YES 1
NO 2 (GO TO 811G)

811EA. Do you use a condom from time to time, often, or with each sexual encounter?

TIME TO TIME 1 (GO TO 811G)
OFTEN 2 (GO TO 811G)
EACH ENCOUNTER 3 (GO TO 811G)

811F. CHECK 515 AND 515F:

HAS HAD SEX (GO TO 811G)
HAS NOT HAD SEX (GO TO 901)

811G. Have you given or received money, gifts, or favors in exchange for sexual relations in the last 12 months?

YES 1
NO 2

SECTION 9. MATERNAL MORTALITY

Now I would like to ask you some questions about your brothers and sisters, that is, all of the children born to your natural mother, including those who are living with you, those living elsewhere and those who have died.

901. How many children did your mother give birth to, including you?

NUMBER OF BIRTHS TO NATURAL MOTHER _____

902. CHECK 901:

TWO OR MORE BIRTHS (GO TO 903)
ONLY ONE BIRTH (RESPONDENT ONLY) (GO TO 1001)

903. How many of these births did your mother have before you were born?

NUMBER OF PRECEDING BIRTHS ____

904. What was the name given to your oldest (next oldest) brother or sister?

NAME _____

905. Is (NAME) male or female?

MALE 1
FEMALE 2

906. Is (NAME) still alive?

YES 1
NO 2 (GO TO 908)
DOESN'T KNOW 8 (GO TO NEXT SIBLING)

907. How old is (NAME)?

AGE___ (GO TO NEXT SIBLING)

908. What year did he/she die in?

YEAR 19__ (GO TO 910)
DOESN'T KNOW 9998

909. How many years ago did (NAME) die?

YEARS AGO ____

910. How old was (NAME) when he/she died?

AGE___ (IF MALE OR IF WOMEN THAT DIED BEFORE 12 YEARS OF AGE, GO TO NEXT SIBLING)

911. Was (NAME) pregnant when she died?

YES 1 (GO TO 914)
NO 2
DOESN'T KNOW 8

912. Did (NAME) die during childbirth?

YES 1 (GO TO 915)
NO 2
DOESN'T KNOW 8

913. Did (NAME) die within two months after the end of a pregnancy or childbirth?

YES 1
NO 2 (GO TO 915)
DOESN'T KNOW 8 (GO TO 915)

914. Did (NAME) die due to complications of pregnancy or childbirth?

YES 1
NO 2
DOESN'T KNOW 8

915. How many live born children did (NAME) give birth to during her lifetime (before this pregnancy)?

NUMBER OF CHILDREN _____ (GO TO NEXT SIBLING)

[IF NO OTHER BROTHERS OR SISTERS, GO TO 1001]

SECTION 10. TRADITIONAL PRACTICES

1001. Have you ever heard of female circumcision?

YES 1 (GO TO 1003)
NO 2

1002. In parts of Guinea and in other countries, there is a practice in which a girl may have part of her genitals cut. Have you ever heard of this practice?

YES 1
NO 2 (GO TO 1101)

1003. Have you yourself ever had this type of practice?

YES 1
NO 2 (GO TO 1009)

1004. How old were you when this occurred?

AGE IN YEARS PASSED ____
DOESN'T KNOW 98

1005. What do you call the type of practice you underwent?
PROBE TO DETERMINE THE EXACT NAME OF THE TYPE OF PRACTICE.

TOTAL EXCISION OF CLITORIS AND LABIA MINORA 01
TOTAL EXCISION OF CLITORIS 02
PARTIAL EXCISION OF CLITORIS 03
PINCHING OR WOUND 04
OTHER (SPECIFY) _____ 96

1006. Who cut (or nicked) your genitals?

TRADITIONAL
TRADITIONAL CIRCUMCISER 11
TRADITIONAL BIRTH ATTENDANT 12
OTHER TRADITIONAL (SPECIFY) _____ 16
HEALTH PROFESSIONAL
DOCTOR 21
TRAINED NURSE/MIDWIFE 22
OTHER HEALTH PROFESSIONAL (SPECIFY) _____ 26
DOESN'T KNOW 98

1007. Did they totally close or almost close the opening of the cut part?

YES 1
NO 2
DOESN'T KNOW 8

1008. When you had your first period or when you got married, did someone have to make an incision to open the vaginal area?

YES 1
NO 2

1009. CHECK 214 AND 216:

AT LEAST ONE LIVING DAUGHTER (GO TO 1010)
NO LIVING DAUGHTER (GO TO 1018)

1010. Have any of your daughters had her genitals cut?
IF YES: How many?

NUMBER OF DAUGHTERS CIRCUMCISED _____
NO DAUGHTER CIRCUMCISED 95 (GO TO 1017)

1011. To which of your daughters did this happen most recently?
CHECK 212 AND RECORD THE LINE NUMBER OF THE DAUGHTER.

DAUGHTER'S NAME _____
DAUGHTER'S LINE NO. _____

1012. How old was (NAME OF DAUGHTER FROM 1011) when she was circumcised?

AGE IN COMPLETED YEARS____
DOESN'T KNOW 98

1013. What do you call the type of practice that (NAME OF DAUGHTER FROM 1011) underwent? PROBE TO DETERMINE THE EXACT NAME OF THE TYPE OF PRACTICE.

TOTAL EXCISION OF CLITORIS AND LABIA MINORA 01
TOTAL EXCISION OF CLITORIS 02
PARTIAL EXCISION OF CLITORIS 03
PINCHING OR WOUND 04
OTHER (SPECIFY) _____ 96

1014. Who cut (or nicked) her genitals?

TRADITIONAL
TRADITIONAL CIRCUMCISER 11
TRADITIONAL BIRTH ATTENDANT 12
OTHER TRADITIONAL (SPECIFY) _____ 16
HEALTH PROFESSIONAL
DOCTOR 21
TRAINED NURSE/MIDWIFE 22
OTHER HEALTH PROFESSIONAL (SPECIFY) _____ 26
DOESN'T KNOW 98

1015. Did they totally close or almost close the opening of the cut part?

YES 1
NO 2
DOESN'T KNOW 8

1016. At the time that the genitals were cut or afterwards, did (NAME OF THE DAUGHTER FROM 1011) have any of the following problems:

Excessive bleeding?
An infection/or a fever?
Difficulty in passing urine or urine retention?
Swelling?
Wound that did not heal properly?

EXCESSIVE BLEEDING
YES 1 (GO TO 1018)
NO 2 (GO TO 1018)
DOESN'T KNOW 8 (GO TO 1018)
INFECTION OR FEVER
YES 1 (GO TO 1018)
NO 2 (GO TO 1018)
DOESN'T KNOW 8 (GO TO 1018)
DIFFICULTY URINATING OR RETAINING URINE
YES 1 (GO TO 1018)
NO 2 (GO TO 1018)
DOESN'T KNOW 8 (GO TO 1018)
SWELLING
YES 1 (GO TO 1018)
NO 2 (GO TO 1018)
DOESN'T KNOW 8 (GO TO 1018)
WOUND THAT DIDN'T HEAL PROPERLY
YES 1 (GO TO 1018)
NO 2 (GO TO 1018)
DOESN'T KNOW 8 (GO TO 1018)

1017. Do you intend to have this genital cutting done on your daughter in the future?

YES 1
NO 2
DOESN'T KNOW 8

1018. What advantages are there for girls if they undergo this genital cutting?
RECORD ALL MENTIONED.

CLEANLINESS/HYGIENE A
SOCIAL ACCEPTANCE B
BETTER MARRIAGE PROSPECTS C
PRESERVE VIRGINITY/PREVENT PREMARITAL SEX D
AVOID ADULTERY E
MORE SEXUAL PLEASURE FOR HUSBAND F
RELIGIOUS REQUIREMENT G
OTHER (SPECIFY) _____ X
NO BENEFITS Y

1019. What disadvantages are there for girls if they undergo this genital cutting?
RECORD ALL MENTIONED.

MEDICAL COMPLICATIONS/HEALTH PROBLEMS A
PAIN B
PREVENTS WOMAN'S SEXUAL SATISFACTION C
PREVENTS MAN'S SEXUAL SATISFACTION D
AGAINST RELIGION E
OTHER (SPECIFY) _____ X
NO DISADVANTAGES Y

1020. Would you say that this practice is a way to prevent a girl from having sex before marriage or does it have no effect on premarital sex?

PREVENT SEX 1
NO EFFECT 2
DOESN'T KNOW 8

1021. Do you think that this practice increases the chances of marriage for a girl or has no effect?

INCREASES 1
NO EFFECT 2
DOESN'T KNOW 8

1022. Do you believe this practice is accepted by your religion?

YES 1
NO 2
DOESN'T KNOW 8

1023. Do you think that this practice should be continued, or should it be discontinued?

CONTINUED 1
DISCONTINUED 2
DEPENDS 3
DOESN'T KNOW 8

SECTION 11. MALARIA, MOSQUITOES, AND MOSQUITO NETS

1101. Have you ever heard of malaria?

YES 1
NO 2 (GO TO 1117)

1102. What are the symptoms of malaria?
RECORD ALL RESPONSES MENTIONED.

FEVER A
LOW TEMPERATURE B
HEADACHE C
JOINT PAIN D
VOMITING E
DIARRHEA F
CHILLS (TREMBLING) G
COUGH AND SORE THROAT H
WEAKNESS I
LOSS OF APPETITE J
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1103. What people are the most affected by this illness in your village?
RECORD ALL RESPONSES MENTIONED. IF THE ANSWER IS "EVERYONE" OR "DOESN'T KNOW", YOU ONLY HAVE TO CIRCLE ONE CODE.

CHILDREN A
ADULTS B
OLD PEOPLE C
EVERYONE D
DOESN'T KNOW Z

1104. How do you catch malaria?
RECORD ALL RESPONSES MENTIONED.

WORKING A LONG TIME IN THE SUN A
WORKING IN THE RAIN B
WALKING BAREFOOT IN WATER C
DRINKING DIRTY WATER D
BATHING AT NIGHT WITH COLD WATER E
STAYING OUTSIDE IN THE COLD F
DRINKING A COOL DRINK G
GETTING A MOSQUITO BITE H
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1105. Have you ever heard or seen educational messages on malaria?

YES 1
NO 2 (GO TO 1108)

1106. How did you get these messages?
RECORD ALL RESPONSES MENTIONED.

TELEVISION A
RADIO B
PAMPHLETS C
FRIENDS/RELATIVES/NEIGHBORS D
HEALTH AGENTS E
POSTERS F
BANNERS G
CHURCH H
SCHOOL I
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1107. What was in these messages?
RECORD ALL RESPONSES MENTIONED.

PREVENTION A
TREATMENT B
TRANSMISSION C
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1108. Do you think that you can die from malaria?

YES 1
NO 2 (GO TO 1110)
DOESN'T KNOW 8 (GO TO 1110)

1109. Do you know someone who died of malaria?

YES 1
NO 2

1110. Are there ways to avoid malaria?

YES 1
NO 2 (GO TO 1112)
DOESN'T KNOW 8 (GO TO 1112)

1111. How can you avoid malaria?
RECORD ALL RESPONSES MENTIONED.

USE A MOSQUITO NET A
TAKE NIVAQUINE/CHLOROQUINE B
DRINK POTABLE WATER C
AVOID MOSQUITO BITES D
AVOID BATHING AT NIGHT E
AVOID WALKING IN THE SUN F
AVOID GOING OUT IN THE COLD G
MAKE SURE THAT THE HOUSE AND SURROUNDING AREA IS CLEAN H
CLOSE THE DOORS AND WINDOWS BEFORE NIGHT I
AVOID GOING TO MARSHES J
AVOID WALKING BAREFOOT IN THE RAIN K
GOOD DIET L
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1112. Have you ever had malaria?

YES 1
NO 2 (GO TO 1115)
DOESN'T KNOW 8 (GO TO 1115)

1113. The last time you had malaria, did you get treatment?

YES 1
NO 2 (GO TO 1115)

1114. Where did you get this treatment?
RECORD ALL RESPONSES MENTIONED.

PHARMACY A
TRADITIONAL MEDICINE B
HOSPITAL C
HEALTH CENTER D
PRIVATE DOCTOR/CLINIC E
OTHER (SPECIFY) _____ X

1115. Do you do something to avoid malaria?

YES 1
NO 2 (GO TO 1117)

1116. What do you do to avoid malaria?
RECORD ALL RESPONSES MENTIONED.

USES A MOSQUITO NET A
TAKES NIVAQUINE/CHLOROQUINE B
DRINKS POTABLE WATER C
AVOIDS MOSQUITO BITES D
AVOIDS BATHING AT NIGHT E
AVOIDS WALKING IN THE SUN F
AVOIDS GOING OUT IN THE COLD G
MAKES SURE THAT THE HOUSE AND SURROUNDING AREA IS CLEAN H
CLOSES THE DOORS AND WINDOWS BEFORE NIGHT I
AVOIDS GOING TO MARSHES J
AVOIDS WALKING BAREFOOT IN THE RAIN K
GOOD DIET L
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1117. When during the day (24 hours) do mosquitoes annoy you the most?

MORNING 01
AFTERNOON 02
EVENING 03
NIGHT IN BED 04
ALL DAY 05
IN THE FIELD 06
NOT ANNOYING 07 (GO TO 1120)
NO MOSQUITO NET 08 (GO TO 1120)

1118. During which season do mosquitoes annoy you the most?

DRY SEASONS 1
RAINY SEASON 2
ALL YEAR 3
OTHER (SPECIFY) _____ 6

1119. How do the mosquitoes annoy you?
RECORD ALL RESPONSES MENTIONED.

THEIR BITES ARE IRRITATING A
THEY TRANSMIT MALARIA B
THEY PREVENT SLEEP/MAKE NOISE C
THEY LEAD TO ILLNESS D
OTHER (SPECIFY) _____ X

1120. How do you protect yourself against mosquitoes?
RECORD ALL RESPONSES MENTIONED.

USES MOSQUITO NETS A (GO TO 1123A)
USES INSECTICIDE B (GO TO 1123A)
CLOSES WINDOWS AND DOORS C (GO TO 1123A)
LIGHTS FIRE IN THE HOME D (GO TO 1123A)
BURNS TRADITIONAL PLANTS IN THE HOME E (GO TO 1123A)
COVERS SELF WITH TRADITIONAL PLANTS F (GO TO 1123A)
COVERS SELF WITH ANTI-MOSQUITO OINTMENT G (GO TO 1123A)
WEARS LONG SLEEVES H (GO TO 1123A)
OTHER (SPECIFY) _____ X (GO TO 1123A)
DOESN'T KNOW Z (GO TO 1123A)

1123. Why do you not protect yourself from mosquitoes?
RECORD ALL RESPONSES MENTIONED.

DOESN'T KNOW HOW A
DOESN'T HAVE FINANCIAL MEANS B
DOESN'T HAVE TIME C
MATERIALS NOT AVAILABLE D
NO MOSQUITOES E
OTHER (SPECIFY) ____ X

1123A. CHECK 1116 AND 1121:

CODES "B"-"Z" (GO TO 1124)
CODE "A" (GO TO 1128)

1124. Do you know what a mosquito net is?

YES 1
NO 2 (GO TO 1201)

1125. What is a mosquito net used for?

PROTECT SELF FROM MOSQUITOES 1
PROTECT SELF FROM MALARIA 2
OTHER (SPECIFY) _____ 6
DOESN'T KNOW 8

1126. Do you use a mosquito net?

YES 1 (GO TO 1128)
NO 2

1127. Why do you not use a mosquito net?
RECORD ALL RESPONSES MENTIONED.

THERE ARE NO MOSQUITOES A (GO TO 1143)
MOSQUITO NETS ARE EXPENSIVE B (GO TO 1143)
DOESN'T SEE THE USE C (GO TO 1143)
DOESN'T KNOW WHERE TO FIND/BUY D (GO TO 1143)
NO STOCK AT STORE E (GO TO 1143)
MOSQUITO NET WAS STOLEN F (GO TO 1143)
OTHER (SPECIFY) _____ X (GO TO 1143)
DOESN'T KNOW Z (GO TO 1143)

1128. How many mosquito nets does your household have?

NUMBER OF MOSQUITO NETS _____
DOESN'T KNOW 98

1129. Is there a mosquito net on each bed in your household?

YES 1 (GO TO 1131)
NO 2

1130. Why do some beds/mattresses not have mosquito nets?
RECORD ALL RESPONSES MENTIONED.

MOSQUITO NETS ARE EXPENSIVE A
DOESN'T SEE THE USE IN PUTTING THEM ON ALL BEDS B
DOESN'T SEE THE USE C
ONLY ADULTS NEED MOSQUITO NETS D
ONLY CHILDREN NEED MOSQUITO NETS E
NOT ALL BEDS ARE OCCUPIED F
NO STOCK AT STORE G
THEY WERE STOLEN H
OTHER (SPECIFY) _____ X

1131. Which people in the household used a mosquito net last night?
RECORD ALL RESPONSES MENTIONED.

HEAD OF HOUSEHOLD A
ADULTS B
CHILDREN C
VISITORS D
EVERYONE E
NO ONE F
OTHER (SPECIFY) _____ X

1132. CHECK 1126

YES (GO TO 1132A)
NO (GO TO 1143)

1132A. Did you sleep under a mosquito net last night?

YES 1 (GO TO 1134)
NO 2

1133. Why didn't you sleep under a mosquito net last night?
RECORD ALL RESPONSES MENTIONED.

MOSQUITO NETS ARE EXPENSIVE A
NO MOSQUITO NETS IN HOUSE B
DOESN'T SEE THE USE C
IT WAS HOT D
OTHER (SPECIFY) _____ X

1134. How long have you had a mosquito net?

LESS THAN 2 MONTHS 1
2 TO 6 MONTHS 2
7 MONTHS TO 1 YEAR 3
MORE THAN ONE YEAR 4

1135. Why type of mosquito net do you use in your household?
RECORD ALL RESPONSES MENTIONED.

FULL TISSUE A
NET B
OTHER (SPECIFY) _____ X

1136. How did you get your mosquito net(s)?
RECORD ALL RESPONSES MENTIONED.

IT WAS/THEY WERE GIVEN TO US A
WE BOUGHT IT/THEM B
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1137. Did you get the mosquito net yourself?

YES 1
NO 2 (GO TO 1143)

1138. What type of mosquito net was the last one you got?

FULL TISSUE 1
NET 2
OTHER (SPECIFY) 6

1139. Why did you prefer this type of mosquito net?
RECORD ALL RESPONSES MENTIONED.

LESS EXPENSIVE A
NEIGHBORS USE THIS TYPE B
PROTECTS FROM MOSQUITOES BETTER C
PROTECTS BETTER AGAINST MALARIA D
ONLY TYPE AVAILABLE E
OTHER (SPECIFY) _____ X

1140. Where did you get it?

SHOP 1
PHARMACY 2
HEALTH CENTER 3
MARKET 4
OTHER (SPECIFY) _____ 6

1141. How many did you buy?

PRICE IN GUINEAN FRANCS ___

FREE 99996 (GO TO 1143)
DOESN'T KNOW 99998 (GO TO 1143)

1142. What did you think of the price?

VERY HIGH 1
HIGH 2
AFFORDABLE 3
VERY LOW 4
OTHER (SPECIFY) _____ 6

1143. Have you ever heard of mosquito nets soaked in insecticide?

YES 1
NO 2 (GO TO 1201)

1144. Do you know why these mosquito nets are soaked in insecticide?

YES 1
NO 2 (GO TO 1146)

1145. What are the reasons?
RECORD ALL REASONS MENTIONED.

REPEL MOSQUITOES A
KILL MOSQUITOES B
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

1146. What shape of mosquito net do you prefer?

RECTANGULAR 1
CONE-SHAPED 2
NO PREFERENCE 3
OTHER (SPECIFY) _____ 6

1147. Are there any colors that aren't acceptable?

YES 1
NO 2 (GO TO 1149)

1148. Which ones?
RECORD ALL RESPONSES MENTIONED.

BLUE A
GREEN B
WHITE C
NO PREFERENCE D
OTHER (SPECIFY) _____ X

1149. Do you prefer the plain mosquito net or the mosquito net treated with insecticide?

PLAIN 1
TREATED WITH INSECTICIDE 2
NO PREFERENCE 3
OTHER (SPECIFY) _____ 6

1150. At what price would you buy a treated mosquito net?

PRICE IN GUINEAN FRANCS _____
DOESN'T KNOW 99998

SECTION 12. PROFESSIONAL ACTIVITY

1201. CHECK 501 AND 502:

CURRENTLY MARRIED/LIVING WITH A MAN (GO TO 1202)
FORMERLY MARRIED/LIVING WITH A MAN (GO TO 1203)
NEVER MARRIED AND NEVER LIVED WITH A MAN (GO TO 1209)

1202. How old was your husband/partner on his last birthday?

AGE IN COMPLETED YEARS ____
DOESN'T KNOW 98

1203. Did your (last) husband/partner ever attend school?

YES 1
NO 2 (GO TO 1206)

1204. What was the highest level of school he attended: primary, secondary (1st cycle), secondary (2nd cycle), or higher?

PRIMARY 1
SECONDARY (1ST CYCLE) 2
SECONDARY (2ND CYCLE) 3
PROFESSIONAL A 4
PROFESSIONAL B 5
SUPERIOR 6
DOESN'T KNOW 8 (GO TO 1206)

1205. What was the highest (grade/form/year) he completed at that level?

GRADE ____
DOESN'T KNOW 8

1206. What is/was your (last) husband's occupation, that is, what kind of work does/did he mainly do?

HUSBAND'S OCCUPATION______

1209. Aside from your own housework, are you currently working?

YES 1 (GO TO 1212)
NO 2

1210. 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. Are you currently doing any of these things or any other work?

YES 1 (GO TO 1212)
NO 2

1211. Have you done any work in the last 12 months?

YES 1
NO 2 (GO TO 1217)

1212. What is your occupation, that is, what kind of work do you mainly do?

RESPONDENT'S OCCUPATION___

1213. CHECK 1212:

WORKS IN AGRICULTURE (GO TO 1214)
DOES NOT WORK IN AGRICULTURE (GO TO 1215)

1214. Do you work mainly on your own land or on family land, or do you work on land that you rent from someone else, or do you work on someone else's land?

OWN LAND 1
FAMILY LAND 2
RENTED LAND 3
SOMEONE ELSE'S LAND 4
OTHER AGRICULTURE 5 (GO TO 1217)

1215. Do you do this work for a member of your family, for someone else, or are you self-employed?

FOR FAMILY MEMBER 1
FOR SOMEONE ELSE 2
SELF-EMPLOYED 3

1216. Do you usually work throughout the year, or do you work seasonally, or only once in a while?

THROUGHOUT THE YEAR 1
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3

1217. END OF INTERVIEW:
RECORD THE TIME.

HOURS _____
MINUTES _____

SECTION 13. HEIGHT AND WEIGHT

1301. CHECK 215 AND 217:

ONE OR MORE BIRTHS SINCE JANUARY 1994 (GO TO INSTRUCTIONS)
NO BIRTHS SINCE JANUARY 1994 (END INTERVIEW)

IN 1303, RECORD THE NAME OF THE RESPONDENT.
IN 1306 AND 1308, RECORD THE HEIGHT AND WEIGHT OF THE RESPONDENT.

IN 1302, 1303, AND 1304 (COLUMNS 2-4), RECORD THE LINE NUMBER, NAME, AND DATE OF BIRTH OF EACH CHILD BORN SINCE JANUARY 1994 AND STILL LIVING, STARTING WITH THE YOUNGEST.

IN 1306 AND 1308, RECORD THE HEIGHT AND WEIGHT OF LIVING CHILDREN.

[ASK QUESTIONS 1302-1310 FOR RESPONDENT AND YOUNGEST THREE CHILDREN]

1302. LINE NO. FROM 212 FROM SECTION 2:
[DO NOT ASK RESPONDENT; ASK ONLY FOR CHILDREN]

LINE NO. _____

1303. NAME (FROM 212):

NAME _____

1304. DATE OF BIRTH (FROM 215, AND ASK FOR DAY OF BIRTH):
[DO NOT ASK RESPONDENT; ASK ONLY FOR CHILDREN]

DAY ____
MONTH ____
YEARS ____

1305. BCG SCAR ON TOP OF LEFT SHOULDER:
[DO NOT ASK RESPONDENT; ASK ONLY FOR CHILDREN]

SCAR SEEN 1
NO SCAR 2

1306. HEIGHT (IN CENTIMETERS):

CM _____

1307. WAS LENGTH/HEIGHT OF CHILD MEASURED LYING DOWN OR STANDING UP? [DO NOT ASK RESPONDENT; ASK ONLY FOR CHILDREN]

LYING 1
STANDING 2

1308. WEIGHT (IN KILOGRAMS):

KG _____

1309. DATE WEIGHED AND MEASURED:

DAY ____
MONTH ____
YEAR ____

1310. RESULT:

FOR RESPONDENT _____
MEASURED 1
NOT PRESENT 3
REFUSED 4
OTHER (SPECIFY) _____ 6
RESULT FOR CHILD _____
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY) _____ 6

1311. NAME OF MEASURER _____

MEASURER CODE ____

NAME OF ASSISTANT ____

ASSISTANT CODE ____

IF ASSISTANT IS A TEAM MEMBER, RECORD HIS/HER CODE, OTHERWISE USE THE FOLLOWING CODES:

MOTHER 190
OTHER MEMBERS OF HOUSEHOLD 191
OTHER PERSONS 192

INTERVIEWER'S OBSERVATIONS

TO BE FILLED OUT AFTER COMPLETING INTERVIEW.

COMMENTS ABOUT RESPONDENT _____

COMMENTS ON SPECIFIC QUESTIONS _____

ANY OTHER COMMENTS _____

SUPERVISOR'S OBSERVATIONS _____
NAME _____
DATE _____

EDITOR'S OBSERVATIONS _____
NAME _____
DATE _____