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REPUBLIC OF LIBERIA

MINISTRY OF PLANNING AND ECONOMIC AFFAIRS

1986 LIBERIA DEMOGRAPHIC AND HEALTH SURVEY-INDIVIDUAL QUESTIONNAIRE

IDENTIFICATION

COUNTY___

DISTRICT____

TOWN/VILLAGE____

EA NUMBER____

CLUSTER NUMBER____

STRUCTURE NUMBER_____

HOUSEHOLD NUMBER_____

LINE NUMBER OF WOMAN_____

NAME OF WOMAN_____

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE____
INTERVIEWER NAME____

RESULT*

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

NEXT VISIT
DATE___
TIME___

FINAL VISIT
MONTH____
YEAR____
INTERVIEWER NAME
RESULT

NUMBER OF VISITS____

SECTION 1. RESPONDENT'S BACKGROUND

100) RECORD NUMBER OF PEOPLE LISTED IN THE HOUSEHOLD SCHEDULE

NUMBER OF PEOPLE___

101) RECORD THE TIME

HOUR___
MINUTES___

102) For most of the time, when you were a young girl, did you live in a village, in a town, in Monrovia, or in another city?

VILLAGE 1
TOWN 2
MONROVIA 3
ANOTHER CITY 4

103) In what month and year were you born?

MONTH___
DON'T KNOW MONTH 98
YEAR___
DON'T KNOW YEAR 98

104) How old are you?
COMPARE AND CORRECT 103 AND/OR 104 IF INCONSISTENT.

AGE IN COMPLETED YEARS____

105) Can you read a letter or newspaper easily, with difficulty or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

106) Have you ever attended school?

YES 1
NO 2 (GO TO 111)

107) What was the highest level of school you attended: primary, secondary, vocational, or higher?

PRIMARY 1
SECONDARY 2
VOCATIONAL 3
HIGHER 4

108) What was the last grade you completed at that level?

GRADE___

111) Do you listen to a radio at least once a week?

YES 1
NO 2

112) Where is the main place people in this house get drinking water in the dry season?

PIPED INTO HOUSE 1
OUTSIDE PIPE 2
WELL WITH COVER 3
WELL WITHOUT COVER 4
RIVER OR STREAM 5
RAINWATER 6
OTHER (SPECIFY) ________ 7

113) What do people in this house use for toilet?

FLUSH 1
OUTSIDE TOILET (PUBLIC) 2
OUTSIDE TOILET (PRIVATE 3
BUSH, NO FACILITIES 4
OTHER (SPECIFY) ________ 5

114) In this house do you have:

A table with chairs?
YES 1
NO 2
A bed with mattress?
YES 1
NO 2
A radio?
YES 1
NO 2
An icebox?
YES 1
NO 2

121) Which religion (church) do you belong to?

PROTESTANT 1
CATHOLIC 2
MUSLIM 3
TRADITIONAL 4
NONE 5
OTHER (SPECIFY) ________ 6

122) What is your tribe?

BASSA 1
BELLE 2
DEY 3
GBANDI 4
GIO 5
GOLA 6
GREBO 7
KISSI 8
KPELLE 9
KRAHN 10
KRU/SAPO 11
LORMA 12
MANDINGO 13
MANO 14
MENDE 15
VAI 16
NONE 17
OTHER 18

123) MAIN MATERIAL OF THE ROOF?

THATCH, GRASS 1
ZINC, METAL 2
CONCRETE 3
ASPHALT, ASBESTOS 4
OTHER (SPECIFY) ________ 5

SECTION 2. REPRODUCTION

201) Now I would like to ask about all the children that you born including the ones that are not living. Have you ever born any children?

YES 1
NO 2 (GO TO 206)

202) Do you have any son or daughter you born who is living with you now?

YES 1
NO 2 (GO TO 204)

203) How many sons live with you? And how many daughters live with you?
IF NONE ENTER 00

SONS AT HOME____
DAUGHTERS AT HOME____

204) Do you have any son or daughter you born who is not living with you?

YES 1
NO 2 (GO TO 206)

205) How many sons do not live with you? And how many daughters do not live with you?
IF NONE ENTER 00

SONS ELSEWHERE___
DAUGHTERS ELSEWHERE___

206) Have you ever born a boy or a girl who was born alive but later died?
PROBE: Any boy or girl who when was born was crying but died later on?

YES 1
NO 2 (GO TO 208)

207) How many boys have died? And how many girls have died?
IF NONE ENTER 00

BOYS DEAD___
GIRLS DEAD___

208) SUM ANSWERS TO 203, 205, AND 207 AND ENTER TOTAL.

TOTAL___

209) Just to make sure that I have this right, you have had (TOTAL) live births during your life. Is that correct?

YES 1
NO 2 (PROBE AND CORRECT AS NECESSARY)

210) CHECK 208:

NO BIRTHS 1 (GO TO 219)
ONE OR MORE BIRTHS 2

Now I want to write the names of all your own births whether they are still living or not. Please start with your first born. (RECORD THE NAMES OF ALL THE BIRTHS IN 211.)

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

RECORD TWINS ON SEPARATE LINES AND MARK WITH BRACKET

NAME___

212) Is (NAME) a boy or a girl?

BOY 1
GIRL 2

213) Is (NAME) still alive?

YES 1
NO 2
IF ALIVE:

214) In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season?
MONTH___
YEAR 19____

215) How old is he/she?
RECORD IN COMPLETED YEARS.
AGE____

216) Is he/she living with you?
YES 1
NO 2

IF DEAD:

217) In what month and year was (NAME) born?
MONTH___
YEAR 19___

218) How old was (NAME) when he/she died?
RECORD IN DAYS IF LESS THAN ONE MONTH; IN MONTHS IF LESS THAN TWO YEARS
DAYS____
MONTHS____
YEARS____

218A) COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND CHECK:

NUMBERS ARE THE SAME 1
NUMBERS ARE DIFFERENT 2 (PROBE AND RECONCILE)

219) Did you have your period in the last four weeks?

YES 1 (GO TO 223)
NO 2

220) Are you pregnant?

YES 1
NO 2 (GO TO 223)
NOT SURE 8 (GO TO 223)

221) How many months since you have been pregnant?

MONTHS____

222) Since you have been pregnant, were you given any injection to keep the baby from getting tetanus or jerking after he was born?
(PROBE: Do you have a health card?)

YES 1
NO 2
DON'T KNOW 8

223) From the time a woman's period starts to the time the next one starts, when do you think a woman is most likely to get pregnant?

DURING HER PERIOD 1
SOON AFTER HER PERIOD HAS ENDED 2
RIGHT BETWEEN THE TWO PERIODS 3
JUST BEFORE HER PERIOD BEGINS 4
AT ANY TIME 5
OTHER (SPECIFY) ________ 6
DOES NOT KNOW 8

224) CHECK 214 AND 217:

NO BIRTH SINCE JANUARY 1981 1 (GO TO 302)
HAD BIRTH SINCE JANUARY 1981 2

225) Did you ever give (NAME OF LAST CHILD) the breast?

YES 1
NO 2 (GO TO 232)

226) IF ALIVE: Are you still giving him/her the breast?
IF DEAD: CIRCLE CODE 2

YES 1
NO 2 (GO TO 232)

227) How many times did you give the baby the breast last night, between sundown and sunrise?

NUMBER OF TIMES____
CHILD SLEEPS AT THE BREAST 88

228) How many times did you give the baby the breast yesterday during the daylight hours?

NUMBER OF TIMES___
AS OFTEN AS CHILD WANTED 88

229) At any time yesterday or last night, was (NAME OF LAST BIRTH) given any of the following?
READ OUT CODING CATEGORIES

PLAIN WATER
YES 1
NO 2
RICE WATER
YES 1
NO 2
JUICE
YES 1
NO 2
POWDERED MILK
YES 1
NO 2
COWS MILK
YES 1
NO 2
ANY OTHER LIQUID
YES 1
NO 2
ANY SOLID OR MUSHY FOOD
YES 1
NO 2

230) CHECK 229:

NO FOODS OR LIQUIDS GIVEN 1 (GO TO 232)
WAS GIVEN FOODS OR LIQUIDS 2

231) Were any of these given in a bottle with a nipple?

YES 1
NO 2

232) When you were pregnant with (NAME OF LAST BIRTH), were you given any injection to keep the baby from getting tetanus or jerking after he was born?

YES 1
NO 2
DON'T KNOW 8

233) When you were pregnant with (NAME OF LAST BIRTH), did you see anyone for a check on that pregnancy?

YES 1
NO 2 (GO TO 234A)

234) Who did you see?
PROBE FOR TYPE OF PERSON AND RECORD MOST QUALIFIED

DOCTOR 1
TRAINED NURSE/MIDWIFE 2
TRADITIONAL BIRTH ATTENDANT 3
OTHER (SPECIFY) ________ 4

234A) Where was (NAME OF LAST BIRTH) born?

AT HOME 1
HOSPITAL OR CLINIC 2
OTHER (SPECIFY) ________ 3

235) Who helped you deliver (NAME OF LAST BIRTH)?
PROBE FOR TYPE OF PERSON AND RECORD THE MOST QUALIFIED

DOCTOR 1
NURSE OR MIDWIFE 2
TRADITIONAL BIRTH ATTENDANT 3
RELATIVE 4
OTHER (SPECIFY) ________ 5
NO ONE 6

236) Have your periods come back since the birth of this child?

YES (OR PREGNANT) 1
NO 2

237) Have you started men business since (NAME OF LAST BIRTH) was born?

YES (OR PREGNANT) 1
NO 2

238) Before you got pregnant with (NAME OF LAST BIRTH), did you want to have more children?

YES 1
NO 2 (GO TO 302)
DON'T KNOW 8

239) Were you glad that you were pregnant then, or did you prefer to wait?

GLAD 1
PREFERRED TO WAIT 2
DON'T KNOW 8

SECTION 3. CONTRACEPTION

302) Here we will talk about something different. There are many ways that a man or woman can keep a woman from getting pregnant. Which of these ways do you know or have you heard about?

CIRCLE CODE 1 IN 303 FOR EACH METHOD MENTIONED SPONTANEOUSLY. FOR EACH METHOD NOT MENTIONED, READ THE NAME AND THE DESCRIPTION, ASK 303 AND CIRCLE CODE 2 IF METHOD IS RECOGNIZED. THEN ASK 304-305 FOR EACH METHOD AS APPROPRIATE.

303) Have you ever heard of this method?

PILL: 'Women can take a special kind of tablet every day to keep her from getting pregnant'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
IUD: 'Women can let a doctor put a loop or coil inside them'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
INJECTIONS: 'Women can take special injection which stops her from becoming pregnant for several months'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
DIAPHRAGM, FOAM, JELLY: 'Women can place some grease or jelly inside them before they go with a man
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
CONDOM, RAINCOAT: 'Men can use some kind of rubber when he goes with a woman'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
FEMALE STERILIZATION: 'When a doctor work on a women so she will never have children again'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
MALE STERILIZATION: 'When a doctor work on a man so he will never have children again'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
RHYTHM, SAFE PERIOD: 'A man and a woman do not go together on certain days of the month when the woman can get pregnant'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
WITHDRAWAL: 'If a man is going with a woman, he takes his thing out before he discharges'
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
ANY OTHER METHODS?: 'Do you hear about any other way to keep a woman from getting pregnant?
(SPECIFY)____
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3

304) Have you ever used (METHOD)?

PILL: 'Women can take a special kind of tablet every day to keep her from getting pregnant'
YES 1
NO 2
IUD: 'Women can let a doctor put a loop or coil inside them'
YES 1
NO 2
INJECTIONS: 'Women can take special injection which stops her from becoming pregnant for several months'
YES 1
NO 2
DIAPHRAGM, FOAM, JELLY: 'Women can place some grease or jelly inside them before they go with a man
YES 1
NO 2
CONDOM, RAINCOAT: 'Men can use some kind of rubber when he goes with a woman'
YES 1
NO 2
FEMALE STERILIZATION: 'When a doctor work on a women so she will never have children again'
YES 1
NO 2
MALE STERILIZATION: 'When a doctor work on a man so he will never have children again'
YES 1
NO 2
RHYTHM, SAFE PERIOD: 'A man and a woman do not go together on certain days of the month when the woman can get pregnant'
YES 1
NO 2
WITHDRAWAL: 'If a man is going with a woman, he takes his thing out before he discharges'
YES 1
NO 2
ANY OTHER METHODS?: 'Do you hear about any other way to keep a woman from getting pregnant?
(SPECIFY)____
YES 1
NO 2

305) Do you know of a place or a person where you can get (METHOD)?

PILL: 'Women can take a special kind of tablet every day to keep her from getting pregnant'
YES 1
NO 2
IUD: 'Women can let a doctor put a loop or coil inside them'
YES 1
NO 2
INJECTIONS: 'Women can take special injection which stops her from becoming pregnant for several months'
YES 1
NO 2
DIAPHRAGM, FOAM, JELLY: 'Women can place some grease or jelly inside them before they go with a man
YES 1
NO 2
CONDOM, RAINCOAT: 'Men can use some kind of rubber when he goes with a woman'
YES 1
NO 2
FEMALE STERILIZATION: 'When a doctor work on a women so she will never have children again'
YES 1
NO 2
MALE STERILIZATION: 'When a doctor work on a man so he will never have children again'
YES 1
NO 2
RHYTHM, SAFE PERIOD: 'A man and a woman do not go together on certain days of the month when the woman can get pregnant': Do you know of a place or person where you can get advice about his method?
YES 1
NO 2

308) CHECK 304:

NOT A SINGLE "YES" IN 304 (NEVER USED 1 (GO TO 334)
AT LEAST ONE "YES" IN 304 (EVER USED) 2

309) CHECK 304:

EVER USED RHYTHM OR SAFE PERIOD 1
NEVER USED RHYTHM OR SAFE PERIOD 2 (GO TO 311)

310) When you were using the rhythm method or the safe period, how did you know which days you had to keep from going with your man?

BASED ON CALENDAR 1
BASED ON BODY TEMPERATURE 2
BASED ON CERVICAL MUCUS (BILLINGS) METHOD 3
BASED ON BODY TEMPERATURE AND MUCUS 4
OTHER (SPECIFY) ________ 5

311) CHECK 220:

PREGNANT 1 (GO TO 334)
NOT PREGNANT, NOT SURE 2

313) Are you doing something now or using any method to keep you from getting pregnant?

YES 1
NO 2 (GO TO 334)

314) Which method are you using now?

PILL 01
IUD 02
INJECTIONS 03
DIAPHRAGM, FOAM, JELLY 04
CONDOM, RAINCOAT 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08
WITHDRAWAL 09 (GO TO 401)
OTHER (SPECIFY) ________ 10 (GO TO 401)

315) Where did you get (METHOD) from, the last time?
IF RHYTHM OR SAFE PERIOD, ASK: Where did you get advice about this method?

GOVERNMENT HOSPITAL OR HEALTH CLINIC 1 (GO TO 401)
CHURCH HOSPITAL OR CLINIC 2 (GO TO 401)
FPAL CLINIC 3 (GO TO 401)
PRIVATE DOCTOR/CLINIC 4 (GO TO 401)
PHARMACY/SHOP 5 (GO TO 401)
FIELD WORKER 6 (GO TO 401)
OTHER (SPECIFY) ________ 7(GO TO 401)
DON'T KNOW 8 (GO TO 401)

334) Do you think that you will do something to keep you from getting pregnant at any time in the future?

YES 1
NO 2 (GO TO 337)
DON'T KNOW 8 (GO TO 337)

335) Which method do you think you will use?

PILL 01
IUD 02
INJECTIONS 03
DIAPHRAGM, FOAM, JELLY 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
RHYTHM, SAFE PERIOD 08
WITHDRAWAL 09 (GO TO 337)
OTHER (SPECIFY) ________ 10 (GO TO 337)
UNSURE 12 (GO TO 337)

336) Where or who will you go to get this method or to tell you about it?

GOVERNMENT HOSPITAL OR HEALTH CLINIC 1
CHURCH HOSPITAL OR HEALTH CLINIC 2
FPAL CLINIC 3
PRIVATE DOCTOR/CLINIC 4
PHARMACY/SHOP 5
FIELD WORKER 6
OTHER (SPECIFY) ________ 7
DOESN'T KNOW 8

337) Do you like for people to do anything to keep a woman from getting pregnant?

LIKES 1
DOESN'T LIKE 2
DOESN'T KNOW/DEPENDS 8

SECTION 4. HEALTH OF CHILDREN

401) CHECK 214 AND 217:

NO BIRTH SINCE JANUARY 1981 1 (GO TO SECTION 5)
HAD BIRTH SINCE JANUARY 1981 2 (ENTER NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1981. BEGIN WITH LAST BIRTH. ASK QUESTIONS ONLY ABOUT LIVING CHILDREN)
NAME____
ALIVE
DEAD (GO TO NEXT BIRTH)

402) Do you have a vaccination card for (NAME)?
IF YES: May I see it please?

YES, SEEN 1
YES, NOT SEEN 2 (GO TO 404)
NO CARD 3

403) RECORD DATES FROM HEALTH CARD:

BCG
NO 1
MONTH____
DAY____
YEAR____
WHOOPING COUGH, 1
NO 1
MONTH____
DAY____
YEAR____
TETANUS, DIPHTHE-2
NO 1
MONTH____
DAY____
YEAR____
RIA INNOCULATION 3
NO 1
MONTH____
DAY____
YEAR____
POLIO 1
NO 1
MONTH____
DAY____
YEAR____
POLIO 2
NO 1
MONTH____
DAY____
YEAR____
POLIO 3
NO 1
MONTH____
DAY____
YEAR____
MEASLES
NO 1 (GO TO 405)
MONTH____ (GO TO 405)
DAY____ (GO TO 405)
YEAR____ (GO TO 405)

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

YES 1
NO 2
DON'T KNOW 8

405) Has (NAME) had running stomach in the last four weeks?

YES 1
NO 2 (GO TO NEXT BIRTH)
DON'T KNOW 8 (GO TO NEXT BIRTH)

406) Did you or anybody else do something to treat the running stomach?

YES 1
NO 2 (GO TO NEXT BIRTH)
DON'T KNOW 8 (GO TO NEXT BIRTH)

407) What was the treatment?
CIRCLE CODE 1 FOR ALL MENTIONED.

COUNTRY MEDICINE, HERBS 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 408)
ANTIBIOTICS* 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 408)
ORAL REHYDRATION PACKET 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 408)
HOMEMADE DRINK OF SUGAR, SALT AND WATER 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 408)
OTHER____ 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 408)

*Antibiotics include: Ampicillin, Amoxicillin, Erythromycin, Gentrocin, Penicillin, Tetracycline, and Terramycin.

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

YES 1
NO 2 (GO TO 411)
DON'T KNOW 8 (GO TO 411)

409) Did you or anybody else do something to treat the fever?

YES 1
NO 2 (GO TO 411)
DON'T KNOW 8 (GO TO 411)

410) What was done?
CIRCLE CODE 1 FOR ALL MENTIONED

ANTIMALARIAL* 1
COUNTRY MEDICINE, HERBS 1
ANTIBIOTICS 1
OTHER_____ 1

*Antimalarials include: Any form of chloroquine, any other tablet to prevent malaria.

411) Has (NAME) suffered from coughing or difficult breathing in the last four weeks?

YES 1
NO 2 (GO TO 414)
DON'T KNOW 8 (GO TO 414)

412) Did you or anybody else do something to treat the problem?

YES 1
NO 2 (GO TO 414)
DON'T KNOW 8 (GO TO 414)

413) What was done?
CIRCLE CODE 1 FOR ALL MENTIONED.

COUGH SYRUP 1
ANTIBIOTICS* 1
COUNTRY MEDICINE, HERBS 1
TREATED IN HOSPITAL 1
OTHER____ 1

*Antibiotics include: Ampicillin, Amoxicillin, Erythromycin, Gentrocin, Penicillin, Tetracycline, and Terramycin.

414) Has (NAME) ever had measles?

YES 1 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 501)
NO 2 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 501)
DON'T KNOW 8 (GO TO NEXT BIRTH; IF NO MORE BIRTHS, GO TO 501)

SECTION 5. MARRIAGE

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

YES 1
NO 2 (GO TO 508)

503) Are you now married, or living with a man, or are you widowed, divorced or no longer living together?

MARRIED 1
LIVING TOGETHER 2
WIDOWED 3 (GO TO 506)
DIVORCED 4 (GO TO 506)
NOT LIVING TOGETHER 5 (GO TO 506)

504) Does your man/husband have any other wife?

YES 1
NO 2

506) Have you lived with only one man or more than one?

ONE 1
MORE THAN ONE 2

507) In what month and year did you start living with your (first) man?

MONTH____
DON'T KNOW MONTH 98
YEAR___ (GO TO 510)
DON'T KNOW YEAR 98

507A) How old were you when you started living with him?

AGE___ (GO TO 510)

508) Have you ever done men business?

YES 1
NO 2 (GO TO 518)

510) Now it is important to ask you some questions about men business. How old were you when you first did men business?

AGE____

511) When was the last time you did men business?

DAYS AGO____
WEEKS AGO____
MONTHS AGO_____
BEFORE LAST BIRTH 88

512) CHECK 220:

PREGNANT 1 (GO TO 518)
NOT PREGNANT/UNSURE 2

513) CHECK 314:

SOME METHOD CIRCLED (USING) 1 (GO TO 518)
NO METHOD CIRCLED (NOT USING 2

514) Would you be upset if you became pregnant in the next few weeks?

YES 1
NO 2 (GO TO 518)

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

PARTNER OBJECTS 01
TOO COSTLY 02 (GO TO 517)
MENOPAUSE/SUBFECUND 03 (GO TO 518)
DOESN'T KNOW METHODS 04 (GO TO 518)
DIFFICULT TO GET 05 (GO TO 518)
INFREQUENT SEX 06 (GO TO 518)
RELIGION 07 (GO TO 518)
BREASTFEEDING 08 (GO TO 518)
FEAR OF SIDE EFFECTS 09 (GO TO 518)
OPPOSED TO FAMILY PLAN 10 (GO TO 518)
OTHER (SPECIFY) ________ 11 (GO TO 518)

516) Why does he object?

WANTS MORE CHILDREN 1 (GO TO 518)
FEAR OF SIDE EFFECTS 2 (GO TO 518)
FEAR OF WOMAN BEING UNFAITHFUL 3 (GO TO 518)
RELIGION 4 (GO TO 518)
DOESN'T KNOW 8 (GO TO 518)
OTHER (SPECIFY) ________ 5 (GO TO 518)

517) How much do you think it would cost?

COST_____

518) PRESENCE OF OTHERS AT THIS POINT

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

SECTION 6. FERTILITY PREFERENCES

602) SEE 503 AND CHECK:

CURRENTLY MARRIED OR LIVING TOGETHER 1
ALL OTHERS 2 (GO TO 613)

603) I now have some questions about the future.
CHECK 220:

NOT PREGNANT: Would you like to have another child some day or would you like to not have any more children?

PREGNANT: After the child you are expecting, would you like to have another child some day or would you like not to have any more?

HAVE ANOTHER 1
NO MORE 2 (GO TO 608)
UNDECIDED OR DON'T KNOW 8 (GO TO 608)

606) How long would you like to wait before you have a (another) child?

MONTHS____ (GO TO 608)
YEARS____ (GO TO 608)
DOESN'T KNOW 98

607) How old would your youngest child be?

YEARS___
DOESN'T KNOW 98

608) How long do you think a woman should wait until having one child before she should have the next one?

YEARS___
OTHER (SPECIFY) ________

609) After a woman just had a baby, how long should she wait before starting men business?

MONTHS____
OTHER (SPECIFY) ________

610) Is it all right for a mother to do men business when she is still giving her baby the breast?

YES 1
NO 2

611) Do you think that your man will like for people to do something to keep a woman from getting pregnant?

LIKES 1
DOESN'T LIKE 2
DOESN'T KNOW 8

612) How often have you talked to your man about this subject in the past year?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

613) CHECK 210:

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

HAS CHILDREN: If you could go back to the time when you didn't have any children, and if you could choose the number of children to have in your whole life, how many would that be?

RECORD SINGLE NUMBER, RANGE OR OTHER ANSWER

NUMBER____
RANGE: BETWEEN___ AND ____
OTHER ANSWER (SPECIFY) ________

614) What type of woman do you think a man would prefer to marry: a woman who has given birth or a woman who has never given birth?

WOMAN WHO HAS GIVEN BIRTH 1
WOMAN WHO HAS NOT GIVEN BIRTH 2
DOESN'T KNOW 8

SECTION 7. HUSBAND'S BACKGROUND

701) SEE 501 AND CHECK:

EVER MARRIED OR LIVED WITH A MAN 1
ALL OTHERS 2 (GO TO 706)

ASK QUESTIONS ABOUT CURRENT OR MOST RECENT HUSBAND/PARTNER.

702) Can (could) your man (husband) read a letter or newspaper easily, with difficulty, or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3
DOESN'T KNOW 8

703) Did he ever attend school?

YES 1
NO 2 (GO TO 706)
DOESN'T KNOW 8 (GO TO 706)

704) What was the highest level of school he attended: Primary, secondary, vocational or higher?

PRIMARY 1
SECONDARY 2
VOCATIONAL 3
HIGHER 4
DON'T KNOW 8 (GO TO 706)

705) What was the last grade he completed?

GRADE____
DON'T KNOW 98

706) In the past four weeks, did you buy:
READ OUT CODING CATEGORIES

SALT
YES 1
NO 2
SOAP
YES 1
NO 2
TOOTHPASTE
YES 1
NO 2
ASPIRIN
YES 1
NO 2
CANNED FISH
YES 1
NO 2
FACE POWDER
YES 1
NO 2
CHLOROQUINE
YES 1
NO 2

SECTION 8. EXTRA HEALTH QUESTIONS

801) What can cause running stomach?
CIRCLE CODE 1 FOR ALL MENTIONED

PLENTY FOOD 1
DRINKING DIRTY WATER 1
EATING BAD FOOD 1
SORE IN STOMACH 1
OTHER ________ 1

802) Where is the nearest health clinic?

KNOWS OF A PLACE 1
DOESN'T KNOW 8 (GO TO 808)

803) How long does it take to get there?

HOURS____
MINUTES____

804) In the past year have you been to this clinic for treatment?

YES 1
NO 2 (GO TO 806)

805) What was the treatment for?
IF MORE THAN ONE VISIT, ASK ABOUT MOST RECENT VISIT.

FEVER 1
COUGH 2
RUNNING STOMACH 3
ACCIDENT 4
PREGNANCY, CHILDBIRTH 5
VACCINATION 6
OTHER 7

806) Why didn't you go?

TOO COSTLY, NO MONEY 1
WENT TO PHARMACY 2 (GO TO 808)
NOT SICK 3 (GO TO 808)
OTHER 4 (GO TO 808)

807) How much do you think it would cost to get treatment there?

COST___

808) Where is the nearest medicine store?

KNOWS 1
DOESN'T KNOW 8 (GO TO 813)

809) How long does it take to get there?

HOURS____
MINUTES____

810) In the past year, did you buy any medicines there?

YES 1
NO 2 (GO TO 812)

811) What kind of medicine did you buy?
CIRCLE ONLY ONE

ANTIBIOTICS 1
COUGH MEDICINE 2
OTHER ________ 3

812) Can you take injection at this store?

YES 1
NO 2
DOESN'T KNOW 8

813) (IF VILLAGE) is there a Village Development Council in this village?

YES 1
NO 2
DOESN'T KNOW 8

814) (IF VILLLAGE) is there a village health worker in this village?

YES 1
NO 2
DON'T KNOW 8

815) RECORD THE TIME

HOUR____
MINUTES____

SECTION 9.

901) WHAT IS THE RESPONDENT'S NATIVE LANGUAGE?

BASSA 1
BELLE 2
DEY 3
GBANDI 4
GIO 5
GOLA 6
GREBO 7
KISSI 8
KPELLE 9
KRAHN 10
KRU/SAPO 11
LORMA 12
MANDINGO 13
MANO 14
MENDE 15
VAI 16
ENGLISH 17
OTHER 18

902) IN WHAT LANGUAGE DID YOU CONDUCT THE INTERVIEW?

BASSA 1
BELLE 2
DEY 3
GBANDI 4
GIO 5
GOLA 6
GREBO 7
KISSI 8
KPELLE 9
KRAHN 10
KRU/SAPO 11
LORMA 12
MANDINGO 13
MANO 14
MENDE 15
VAI 16
ENGLISH 17
OTHER 18

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

NONE OF THE INTERVIEW 1
SOME OF THE INTERVIEW 2
MOST OF THE INTERVIEW 3
ALL OF THE INTERVIEW 4

COMMENTS:_____________________