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NATIONAL POPULATION AND HEALTH SURVEY (ENPS II)
HUSBAND'S QUESTIONNAIRE

PROVINCE OR PREFECTURE

CIRCLE

MUNICIPALITY:

AUTONOMOUS CENTER
RURAL COMMUNE

CENTER

PRIMARY UNIT NUMBER

SECONDARY UNIT NUMBER

LEVEL:

1 RABAT-CASA
2 LARGE CITY
3 CITY
4 COUNTRYSIDE
HOUSEHOLD NUMBER
WOMAN'S NAME AND LINE NUMBER
LINE NUMBER(S) OF ELIGIBLE WIFE/WIVES

INTERVIEWER VISITS:

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE
INTERVIEWER NAME
RESULT*

1 COMPLETED
2 NO HOUSEHOLD MEMBER AT HOME OR COMPETENT RESPONDENT IN HOUSEHOLD AT TIME OF VISIT
3 ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME
4 POSTPONED
5 REFUSED
6 DWELLING VACANT OR ADDRESS NOT A DWELLING
7 DWELLING DESTROYED
8 DWELLING NOT FOUND
9 OTHER (SPECIFY)_________

NEXT VISIT: (FOR INTERVIEWERS 1 AND 2)
DATE
TIME

FINAL VISIT
DAY
MONTH
YEAR
INT. NUMBER
RESULT*

TOTAL NUMBER OF VISITS

TOTAL PERSONS IN HOUSEHOLD___
TOTAL ELIGIBLE WOMEN___
TOTAL ELIGIBLE MEN___
LINE NO. OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE

SUPERVISOR
NAME

FIELD EDITOR
NAME

OFFICE EDITOR

KEYED BY

SECTION 1. RESPONDENT'S SOCIO-DEMOGRAPHIC CHARACTERISTICS

101) RECORD THE TIME:

HOUR____
MINUTES____

102) In what month and what year were you born?

MONTH 1
DON'T KNOW MONTH 98
YEAR 2
DON'T KNOW YEAR 98

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

AGE IN COMPLETED YEARS____

104) Have you ever attended school?

YES 1
NO 2 (GO TO 107)

105) What is the highest level of school you attended: primary, secondary, or higher

PRIMARY 1
SECONDARY 2
HIGHER 3

106) What is the highest (GRADE/FORM/YEAR) you completed at this level?

GRADE____

107) What type of work do you mainly do?

OCCUPATION____

108) Are you currently a single, married, widowed, or divorced?

SINGLE 1 (GO TO 200A)
MARRIED 2
WIDOWED 3 (GO TO 111)
DIVORCED 4 (GO TO 111)

109) How many spouses do you currently have?

NUMBER____

110) Do you intend to take on another (other) wife (wives) in the future?

YES 1
NO 2

111) In what month and year were you married for the first time?

MONTH____
DON'T KNOW MONTH 98
YEAR____
DON'T KNOW YEAR 98

112) How old were you when you were married for the first time?

AGE ____ (GO TO 201)
DON'T KNOW AGE 98 (GO TO 201)

SECTION 2. CONTRACEPTION

200A) Now I would like to talk about family planning-the various ways or methods that a couple can use to delay or avoid a pregnancy. Which ways or methods have you heard about?

CIRCLE CODE 1 IN 200B FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN THE COLUMN, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN, FOR THE CONDOM WITH CODE 1 OR 2 CIRCLED IN 200B, ASK 200C BEFORE GOING TO NEXT METHOD.

200b) Have you ever heard of (METHOD)?

METHOD 1 PILL. PROBE: Women can take a pill every day.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 2 IUD. PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 3 Injectables. PROBE: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 4 Spermicides: Diaphragm, foam or jelly. PROBE: Women can place a sponge, suppository, a diaphragm, a jelly, or cream in their vagina before intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 5 Condom. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
200C) Have you ever used (METHOD 5)?
YES 1
NO 2
METHOD 6 Female Sterilization/ligation. PROBE: Women can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 7 Male Sterilization/vasectomy. PROBE: Men can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 8 Rhythm or Periodic abstinence/Onigo. PROBE: Some couples avoid having sexual intercourse certain days of the month that the woman is most likely to get pregnant.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 9 Withdrawal. PROBE: Men can be careful and pull out before climax.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 10 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3

204) CHECK 203:

NOT A SINGLE 'YES' (NEVER USED)
AT LEAST ONE 'YES' (EVER USED) (GO TO 207)

205) Have you or your wife (any of your wives) ever used anything or tried in any way to delay or avoid getting pregnant?

YES 1
NO 2 (GO TO 210)

206) What have you done or used?

CORRECT 203 (AND 202 IF NECESSARY)

207) CHECK 108:

MARRIED
OTHER (GO TO 301)

208) Are you or your wife (any of your wives) currently doing something or using any method to delay or avoid getting pregnant?

YES 1
NO 2 (GO TO 210)

209) Which method are you using?

PILL 01 (GO TO 301)
IUD 02 (GO TO 301)
INJECTABLES 03 (GO TO 301)
DIAPHRAGM/FOAM/GEL 04 (GO TO 301)
CONDOM 05 (GO TO 301)
FEMALE STERILIZATION 06 (GO TO 301)
MALE STERILIZATION 07 (GO TO 301)
PERIODIC ABSTINENCE 08 (GO TO 301)
WITHDRAWAL 09 (GO TO 301)
OTHER (SPECIFY) 10 (GO TO 301)

210) Do you or your wife (any of your wives) intend to use a contraceptive method to delay or avoid pregnancy at any time in the future?

YES 1 (GO TO 212)
NO 2
DON'T KNOW 8 (GO TO 301)

211) What is the main reason you do not intend to use a method?

WANTS CHILDREN 01
LACK OF KNOWLEDGE 02
HUSBAND OPPOSED 03 [##translator note: the original French does have "husband" here]
COST TOO MUCH 04
SIDE EFFECTS 05
HEALTH CONCERNS 06
HARD TO GET METHODS 07
RELIGION 08
OPPOSED TO FAMILY PLANNING 09
FATALISTIC 10
OTHER PEOPLE OPPOSED 11
INFREQUENT SEX 12
DIFFICULT TO GET PREGNANT 13
MENOPAUSE/STERILIZED 14
INCONVENIENT 15
OTHER (SPECIFY) 16
DON'T KNOW 98

212) Which method would you prefer?

PILL 01
IUD 02
INJECTABLES 03
DIAPHRAGM/FOAM/GEL 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
PERIODIC ABSTINENCE 08
WITHDRAWAL 09
OTHER (SPECIFY) 10

SECTION 3: FERTILITY PREFERENCES

301) Do you have children?

YES 1
NO 2 (GO TO 303)

302) How many boys do you have? How many girls do you have?

NUMBER OF BOYS ______
NUMBER OF GIRLS ______

303) CHECK 203:

NOT STERILIZED
STERILIZED (GO TO 309)

304) Would you like to have (another) child, or would you prefer not have any (more) children?

HAVE A/ANOTHER CHILD 1
NO MORE CHILDREN/NONE 2
SAYS WIFE CAN'T GET PREGNANT 3
SAYS HE CANNOT HAVE ANY (MORE) CHILDREN 4
NOT DECIDED/DON'T KNOW 8

305) Do you think your wife/(wives) approves or disapproves of couples using a contraceptive method to avoid pregnancy?

YES 1
NO 2
DON'T KNOW 8

306) How often have you talked to your wife/(wives) about family planning in the last twelve months?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

307) Have you discussed with your wife/(wives) the number of children you'd like to have?

YES 1
NO 2

308) Do you think that your wife/(wives) wants (want) the same number of children that you want, or does she want more or fewer than you want?

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

309) Are you for or against family planning information to be provided on the radio or on television?

FOR/GOOD 1
AGAINST/BAD 2
DON'T KNOW 8

310) In general, do you approve of couples who use a method to avoid pregnancy?

YES 1
NO 2

311) CHECK 108, 301-302 AND TICK THE BOX:
RECORD SINGLE NUMBER OR OTHER ANSWER

SINGLE AND/OR NO LIVING CHILDREN: If you could choose exactly the number of children to have in your whole life, how many would that be?
NUMBER ______
OTHER ANSWER (SPECIFY) 96
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?
NUMBER ______
OTHER ANSWER (SPECIFY) 96

INTERVIEWER'S OBSERVATIONS (TO BE FILLED IN AFTER COMPLETING INTERVIEW)

COMMENTS ABOUT RESPONDENT
COMMENTS ON SPECIFIC QUESTIONS
ANY OTHER COMMENTS
NAME OF INTERVIEWER:
DATE:
OBSERVATIONS FROM INTERVIEWER'S AIDE
NAME OF INTERVIEWER'S AIDE
DATE