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DEMOGRAPHIC AND HEALTH SURVEY IN MALI WOMAN'S QUESTIONNAIRE 1995-96

IDENTIFICATION:

PLACE NAME__
NAME OF HEAD OF HOUSEHOLD__
CLUSTER NUMBER___
COMPOUND__
HOUSEHOLD NUMBER______
REGION__
CIRCLE__

ARRONDISSEMENT__

BAMAKO 1
OTHER COMMUNE 2
OTHER CITIES 3
RURAL 4

NAME AND LINE NUMBER OF THE WOMAN__

INTERVIEWER VISITS:

INTERVIEWER 1 (REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE__
DAY__
MONTH__
YEAR 1996
INTERVIEWER NAME____
RESULT ____

RESULT___

1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTIALLY FILLED OUT
6 INCAPABLE
7 OTHER (SPECIFY)__

NEXT VISIT [FOR INTERVIEWERS 1 AND 2]
DATE__
TIME__

FINAL VISIT
DAY__
MONTH__
YEAR ___
INTERVIEWER__
RESULTS ___

Total Number of Visits____

QUESTIONNAIRE

FRENCH 01

LANGUAGE OF INTERVIEW:

FRENCH 01
BAMBARA/MALINKE 02
SONRAI/DJERMA 03
PEUHL/FOULFOULDE 04
SENOUFO 05
MARIKA/SONINKE 06
DOGON 07
MINIANKA 08
TAMACHECK/BELLA 09
BOBO/DAFING 10
BOZO/SONOMO 11
OTHER 96

INTERPRETER

YES 1
NO 2

SUPERVISOR
NAME___
DATE___

FIELD EDITOR
NAME__
DATE__

OFFICE EDITOR__
KEYED BY___

SECTION 1. SOCIO-DEMOGRAPHIC CHARACTERISTICS OF RESPONDENT

101. RECORD THE TIME.

HOUR__
MINUTES__

To begin, I would like to ask you questions about yourself and your household.

102. Until the age of 12 years, did you live the majority of the time in Bamako, in another capital, in a city, in a rural area or in another country?
IF "FOREIGNER," SPECIFY THE PLACE OF RESIDENCE.

BAMAKO/OTHER CAPITAL 1
COMMUNE/LRG. FOREIGN CITY 2
OTHER CITY/SML. FOREIGN CITY 3
RURAL 4
UNSPECIFIED OTHER COUNTRY 5

103. How long have you been living continuously in (NAME OF CURRENT CITY/VILLAGE OF RESIDENCE)?.

YEARS__
ALWAYS 95 (GO TO 105)
VISITOR 96 (GO TO 105)

104. Just before you moved here, did you live in a large city, a city or in a rural area?

BAMAKO/OTHER CAPITAL 1
COMMUNE/LRG. FOREIGN CITY 2
OTHER CITY/SML. FOREIGN CITY 3
RURAL 4
UNSPECIFIED OTHER COUNTRY 5

105. In which month and in which year were you born?

MONTH __
DOESN'T KNOW MONTH 98
YEAR __
DOESN'T KNOW YEAR 98

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

AGE IN COMPLETED YEARS__

107. Did you go to school?

YES 1
NO 2 (GO TO 114)

108. What is the highest level of school you attended: primary 1, primary 2, secondary or superior?

PRIMARY 1 (PRIMARY) 1
PRIMARY 2 (MIDDLE) 2
SECONDARY (HIGH SCHOOL/TECHNICAL) 3
SUPERIOR 4

109. What is the last (year/grade) that you achieved at this level?

YEAR/GRADE ____
LEVEL OF INSTRUCTION
1 ELEMENTARY 1(FIRST CYCLE)
2 ELEMENTARY 2(SECOND CYCLE)
3 SECONDARY (HIGH SCHOOL, TECHNICAL SCHOOL)
4 SUPERIOR
GRADE
0 LESS THAN 1 YEAR COMPLETED

110. CHECK 106:

AGED 24 YEARS OR LESS (GO TO 111)
AGED 25 YEARS OR MORE (GO TO 113)

111. Do you currently go to school?

YES 1 (GO TO 113)
NO 2

112. What is the main reason why you stopped going to school?

GOT PREGNANT 01
GOT MARRIED 02
TO CARE FOR YOUNGER CHILDREN 03
FAMILY NEEDED HELP IN THE FIELD/WORK 04
COULD NOT PAY THE TUITION 05
HAD TO EARN MONEY 06
EDUCATED ENOUGH 07
FAILURE IN SCHOOL 08
NO LONGER LIKED SCHOOL 09
SCHOOL INACCESSIBLE/ TOO FAR 10
OTHER (SPECIFY) __96
DOESN'T KNOW 98

113. CHECK 108:

PRIMARY 1 (GO TO 114)
PRIMARY 2 OR MORE (GO TO 115)

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 116)

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

YES 1
NO 2

116. Do you listen to the radio at least once a week?

YES 1
NO 2

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

YES 1
NO 2

118. What is your religion?

MUSLIM 1
CHRISTIAN 2
ANIMIST 3
OTHER (SPECIFY) __96

119. What is your ethnicity?

BAMBARA 01
MALINKE 02
PEUHL 03
SARAKOLE/MARKA 04
SONRAÏ 05
DOGON 06
TAMACHEK 07
SÉNOUGO/MINIANKA 08
BOBO 09
OTHER MALIAN ETHNICITIES 10
FOREIGN 11

120. CHECK Q.4 IN THE HOUSEHOLD QUESTIONNAIRE

THE RESPONDENT IS NOT A USUAL RESIDENT (GO TO 121)
THE RESPONDENT IS A USUAL RESIDENT (GO TO 201)

Now I would like to ask you some questions about the place you usually live.

121. Do you live in Bamako, in another commune, in another city, in a rural area or in a foreign country?

IF "FOREIGNER," SPECIFY THE PLACE OF RESIDENCE.
IF "COMMUNE" OR "CITY" SPECIFY THE NAME

NAME ___
BAMAKO 1
COMMUNE/LRG. FOREIGN CITY 2
OTHER CITY/SML. FOREIGN CITY 3
RURAL 4
UNSPECIFIED OTHER COUNTRY 5

122. In which region is it located?

BAMAKO 01
KAYES 02
KOULIKORO 03
SIKASSO 04
SEGOU 05
MOPTI 06
GAO/KIDAL 07
TOMBOUCTOU 08
FOREIGN 09

Now I would like to ask you some questions about the household in which you usually live.

123. What is the main source of water for members of your household?

Piped water
Piped into the dwelling 11 (GO TO 125)
Piped into the yard/plot 12
Open well
Open well in the dwelling 21 (GO TO 125)
In the yard/plot 22
Open public well 23
Covered or borehole wells 23
Surface water
Spring 31
River/stream 32
Swamp/lake 33
Dam 34
Rainwater 41 (GO TO 125)
Tanker 51
Bottled water 61 (GO TO 125)
Other (specify) _________96

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

Minutes___
On site 996

125. What kind of toilet facility do the majority of the members of your household use?

Flush
Private flush11
Communal flush 12
Pit/latrine
Rudimentary 21
Improved 22
No facility/bush/field 31
Other_____(Specify) 96

126. Does your household have:

Electricity? (EDM or solar panel)
Radio?
Television?
Telephone?
Refrigerator or freezer?

ELECTRICITY
YES 1
NO 2
RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
TELEPHONE
YES 1
NO 2
REFRIGERATOR/FREEZER
YES 1
NO 2

127. Could you describe the floor of your house?

NATURAL MATERIAL
EARTH/SAND 11
DUNG 12
RUDIMENTARY MATERIAL
WOOD/PLANKS 21
PALMS/BAMBOO 22
FINISHED FLOOR
PARQUET OR POLISHED WOOD 31
VINYLE OR LINO/ASPHALT 32
TILE 33
CEMENT 34
CARPET 35
OTHER______(SPECIFY) 96

128. Is there anyone in your household who owns:

BICYCLES?
YES 1
NO 2
SCOOTERS OR MOTORCYCLES?
YES 1
NO 2
CAR ?
YES 1
NO 2

SECTION 2. REPRODUCTION

Now I would like to ask about all of 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 and who are now living with you?

YES 1
NO 2 (GO TO 204)

203. How many sons live with you?
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 who 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?
How many daughters are alive but do not live with you?
IF NONE, RECORD '00'

SONS ELSEWHERE __
DAUGHTERS ELSEWHERE__

206. Have you given birth to a son or daughter who was born alive but later died?
IF NO, PROBE: Any who cried and showed signs of live at birth but did not survive?

YES 1
NO 2 (GO TO 208)

207. How many sons have died?
And how many daughters have died?
IF NONE, RECORD '00'

SONS DEAD__
DAUGHTERS DEAD__

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

TOTAL__

209. CHECK 208:
Just to be sure that I have this right: You have had in TOTAL __ births during your life. Is that correct?

PROBE AND CORRECT 201-208 AS NECESSARY

YES (GO TO 210)
NO

210. CHECK 208

ONE OR MORE BIRTH (GO TO 211)
NONE (GO TO 226)

211. Now I would like to make a list of all your births, whether still alive or not, starting with the first one you had.

RECORD THE NAMES OF ALL THE BIRTHS IN Q.212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

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

NAME__

213. Were any of these births twins?

SINGLE 1
MULTIPLE 2

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

BOY 1
GIRL 2

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

MONTH__
YEAR___

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 AGE IN COMPLETED YEARS

AGE IN YEARS__

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

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

219. IF DEAD: How old was (NAME) when he/she died? IF '1 YEAR' PROBE: How old was (NAME) in months?

RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR
IN YEARS

DAYS 1__
MONTHS 2__
YEARS 3__

220. SUBTRACT THE BIRTH YEAR OF (NAME) FROM THE BIRTH YEAR OF THE PRECEDING CHILD. IS THE DIFFERENCE 4 YEARS OR MORE?
SKIP 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) including any children who died after birth?
[NOTE: DO NO ASK FOR LAST BIRTH]

YES 1 (ADD BIRTH)
NO 2 (GO TO NEXT BIRTH)

[Repeat lines 212-221 for each birth, use a separate sheet for more than 12 births]

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

YES 1 (GO TO 223)
NO 2 (GO TO 224)

223. Did you have any other live births since the birth of (NAME OF LAST BIRTH)?

YES 1
NO 2

224. COMPARE 208 WITH THE NUMBER OF BIRTH RECORDED IN THE ABOVE TABLE AND MARK:

NUMBERS ARE THE SAME__

CHECK:

FOR EACH BIRTH: THE YEAR OF BIRTH IS RECORDED__
FOR EVERY LIVING CHILD: THE CURRENT AGE IS RECORDED__
FOR EACH DECEASED CHILD: THE AGE AT DEATH IS RECORDED__
FOR AGE OF DEATH 12 MONTHS OR 1 YEAR: PROBE TO DETERMINE THE EXACT NUMBER OF MONTHS__

225. CHECK 215 AND RECORD THE NUMBER OF BIRTHS SINCE 1992. IF NONE, RECORD '0'

NUMBER OF BIRTHS ____

227. Are you currently pregnant?

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

228. How many months pregnant are you?

MONTHS____

229. At the moment you became pregnant, did you want to become pregnant at that time, did you want to wait until later, or did you not want to have any (more) children?

THEN 1
LATER 2
NOT AT ALL 3

236. When did your last menstrual period start?

RECORD DATE IF GIVEN____
DAYS AGO 1__
WEEKS AGO 2___
MONTHS AGO 3___
YEARS AGO 4 __
IN MENOPAUSE/HAS HAD HYSTERECTOMY 994
BEFORE THE LAST BIRTH 995
NEVER MENSTRUATED 996

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

YES 1
NO 2 (GO TO 239)
DOESN'T KNOW 8 (GO TO 239)

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

DURING HER PERIOD 01
JUST AFTER THE END OF HER PERIOD 02
HALFWAY BETWEEN 2 PERIODS 03
JUST BEFORE HER PERIOD BEGINS 04
OTHER (SPECIFY)__96
DOESN'T KNOW 98

239. Have you had pregnancies that did not end in a live birth?

YES 1
NO 2 (GO TO 239)
DOESN'T KNOW 8 (GO TO 239)

240. How many pregnancies did you have that did not end in live birth?

NUMBER OF PREGNANCIES__

241. Among these pregnancies how many ended with:

A provoked abortion?
A miscarriage/ spontaneous abortion?
A stillbirth?

PROVOKED ABORTION__
MISCARRIAGE__
STILLBIRTH__

242. CHECK 241:

AT LEAST ONE MISCARRIAGE OR STILLBIRTH (GO TO 243)
NEITHER MISCARRIAGE NOR STILLBIRTH (GO TO 301)

243. In your opinion, what are the main causes of your miscarriages/stillbirths?

LACK OF MEDICAL CARE/ CARE TOO EXPENSIVE A
CARE NOT AVAILABLE/TOO FAR B
ILLNESS C
WITCHCRAFT D
CURSE E
VOLUNTARY ABORTION F
OTHER (SPECIFY)__X
DOESN'T KNOW Z

SECTION 3 CONTRACEPTION

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

CIRCLE CODE 1 ON LINE 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN CONTINUE DOWN COLUMN 301 READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 1 IF THE METHOD IS RECOGNIZED AND CODE 2 IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302.
THEN FOR EACH METHOD WITH '1' AND '2' CIRCLED, ASK 303.

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

01. PILL Women can take a pill every day to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
02. IUD Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
03. INJECTIONS Women can have an injection by a health provider to avoid becoming pregnant during one or more months.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
04. IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
05. DIAPHRAGM Women can place a diaphragm in their vagina before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
06. CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
07. FEMALE STERILIZATION Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
08. MALE STERILIZATION Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
09. RHYTHM METHOD Every month that a woman is sexually active she can avoid pregnancy by not having intercourse on the days of the month she is most likely to get pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
10. WITHDRAWAL Men can be careful to pull out before climax.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT LINE)
11. Have you heard of other ways or methods that women or men can use to avoid pregnancy?
YES 1(SPECIFY)__
(SPECIFY)__
NO 3

303. Have ever used (METHOD)?

01. PILL Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
02. IUD Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
YES 1
NO 2
03. INJECTIONS Women can have an injection by a health provider to avoid becoming pregnant during one or more 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 one or more years.
YES 1
NO 2
05. DIAPHRAGM Women can place a diaphragm in their vagina before sexual intercourse.
YES 1
NO 2
06. CONDOM Men can put a rubber sheath on their penis before 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. Have you ever had a partner who had an operation to avoid having any more children?
YES 1
NO 2
09. RHYTHM METHOD Every month that a woman is sexually active she can avoid pregnancy by not having intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10. WITHDRAWAL Men can be careful to pull out before climax.
YES 1
NO 2
11. OTHER METHOD (SPECIFY)___
YES 1
NO 2

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 pregnancy?

YES 1
NO 2 (GO TO 331)

307. What did you do or use?
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, if any?
IF NONE RECORD '00'

NUMBER OF CHILDREN__

310. At the time you began to use family planning, was it because you wanted another child but later or because you did not want any more children?

WANTED A CHILD LATER 1
DID NOT WANT ANY MORE CHILDREN 2
OTHER (SPECIFY)__6

311. CHECK 303:

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

312. CHECK 227:

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

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

YES 1
NO 2 (GO TO 331)

314. What method(s) are you using?
314A. CIRCLE "07" FOR FEMALE STERILIZATION.

PILL 01
IUD 02 (GO TO 326)
INJECTIONS 03 (GO TO 326)
IMPLANTS 04 (GO TO 326)
DIAPHRAGM/FOAM/JELLY 05 (GO TO 326)
CONDOM 06 (GO TO 326)
FEMALE STERILIZATION 07 (GO TO 318)
MALE STERILIZATION 08 (GO TO 318)
RHYTHM METHOD 09 (GO TO 323)
WITHDRAWAL 10 (GO TO 326)
OTHER (SPECIFY) ____96 (GO TO 326)

315. Can I see the pill box that currently you use?
IF THE PACKET IS SHOWN, RECORD THE BRAND.

BOX SEEN 1
BRAND__ (GO TO 317)
BOX NOT SEEN 2

316. Do you know the brand of the pill that you currently use?
RECORD THE BRAND

BRAND__
DOESN'T KNOW 98

317. How much does a cycle box of pills cost you?

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

318. Where did the sterilization take place?

IF IT IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE TYPE AND SECTOR AND CIRCLE THE APPROPRIATE CODE,

NAME OF THE ESTABLISHMENT__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
PRIVATE SECTOR
CLINIC 21
DOCTOR'S OFFICE 22
COMMUNITY
HEALTH CENTER 31
PARA-PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL 51
OTHER (SPECIFY) __96
DOESN'T KNOW 98

319. Do you regret having had an operation to have no more children?

YES 1
NO 2 (GO TO 321)

320. Why do you regret having had the operation?

RESPONDENT WANTS ANOTHER CHILD 01
HUSBAND/PARTNER WANTS A CHILD 02
SECONDARY EFFECTS 03
CHILD DIED 04
OTHER (SPECIFY) __96

321. In which month and in which year did the sterilization occur?

MONTH__ (GO TO 327)
YEAR__(GO TO 327)

323. How do you determine the days during your menstrual cycle when you should not have sexual intercourse?

BASED ON A CALENDAR 01
BASED ON BODY TEMPERATURE 02
BASED ON CERVICAL MUCUS 03
BASED ON BODY TEMPERATURE AND CERVICAL MUCUS 04
NO PARTICULAR SYSTEM 05
OTHER (SPECIFY)__96

326. How many months ago did you begin to use (METHOD) continuously?
IF LESS THAN A MONTH RECORD '00'

MONTH __
8 YEARS OR MORE 96

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

PILL 01
IUD 02
INJECTIONS 03
IMPLANTS 04
DIAPHRAGM/FOAM/JELLY 05
CONDOM 06
FEMALE STERILIZATION 07 (GO TO 329A)
MALE STERILIZATION 08 (GO TO 329A)
RHYTHM METHOD 09 (GO TO 332)
WITHDRAWAL 10 (GO TO 332)
OTHER METHOD 96 (GO TO 332)

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

IF THE SOURCE IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE SECTOR AND CIRCLE THE APPROPRIATE CODE.

NAME OF ESTABLISHMENT__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
HEALTH CARE CLINIC 13
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
FIELD WORKER 24
COMMUNITY
HEALTH CENTER 31
HEALTH CARE WORKER 32
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID 33
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
OTHER PRIVATE SECTOR
SHOP/MARKET 61
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) 62
FRIEND(S)/RELATIVE(S) 63
OTHER (SPECIFY) __96
DOESN'T KNOW 98

329. Do you know another place where you could have gotten (METHOD) the last time?

YES 1
NO (GO TO 335)

329A. At the time of the sterilization, did you know of another place where you could have had the same operation?

YES 1
NO 2 (GO TO 335)

330. People choose the place where they get family planning services for different reasons
What is the main reason why you went to (NAME OF THE PLACE CITED IN 328 OR 318) rather than the place that you know?

RECORD THE RESPONSE AND CIRCLE THE CODE____

ACCESSIBILITY
CLOSER TO HOME 11 (GO TO 335)
CLOSER TO THE MARKET/WORK 12 (GO TO 335)
AVAILABLE TRANSPORTATION 13 (GO TO 335)
REASONS WITH REGARDS TO SERVICE
PERSONNEL MORE COMPETENT/ LIKEABLE 21 (GO TO 335)
CLEANER 22 (GO TO 335)
MORE INTIMATE 23 (GO TO 335)
LESS WAIT 24 (GO TO 335)
USES OTHER SERVICES IN THE ESTABLISHMENT 26 (GO TO 335)
LESS EXPENSIVE 31 (GO TO 335)
WANTED TO BE ANONYMOUS 41 (GO TO 335)
OTHER (SPECIFY)__96 (GO TO 335)
DOESN'T KNOW 98 (GO TO 335)

331. What is the main reason that you do not use a method to avoid pregnancy?

NOT MARRIED 11
FERTILITY-RELATED REASONS
NOT HAVING SEX 21
INFREQUENT SEX 22
MENOPAUSE/HYSTERECTOMY 23
SUB FECUND/ STERILE 24
POST-PARTUM/ BREASTFEEDING 25
WANTS (MORE) CHILDREN 26
PREGNANT 27
OPPOSITION TO USE
RESPONDENT OPPOSED 31
HUSBAND/PARTNER OPPOSED 32
OTHER PERSONS OPPOSED 33
RELIGIOUS PROHIBITION 34
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 of a place where you can get a method of family planning?

YES 1
NO 2 (GO TO 335)

333. Where is this?

IF THE SOURCE IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE SECTOR AND CIRCLE THE APPROPRIATE CODE.

NAME OF ESTABLISHMENT__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
HEALTH CARE CLINIC 13
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
FIELD WORKER 24
COMMUNITY
HEALTH CENTER 31
HEALTH CARE WORKER 32
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID 33
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
OTHER PRIVATE SECTOR
SHOP/MARKET 61
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) 62
FRIEND(S)/RELATIVE(S) 63
OTHER (SPECIFY)__96
DOESN'T KNOW 98

335. In the last 12 months have you been in a health establishment for any reason?

YES 1
NO 2 (GO TO 337)

336. Did someone in this establishment talk to you about family planning?

YES 1
NO 2

337. Do you think that breast feeding can influence the chances of a women becoming pregnant?

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

338. Do you think that breast feeding increases or decreased the chance of a woman getting pregnant?

INCREASE 1 (GO TO 401)
DECREASE 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 counted on breast feeding as a way to avoid getting pregnant?

YES 1
NO 2 (GO TO 401)

341. CHECK 227 AND 311:

NOT PREGNANT OR NOT SURE AND NOT STERILIZED (GO TO 342)
PREGNANT OR STERILIZED (GO TO 401)

342. Are you currently counting on breast feeding to avoid getting pregnant?

YES 1
NO 2

SECTION 4A. PREGNANCY AND BREAST FEEDING

401. CHECK 225:

ONE OR MORE BIRTHS SINCE JAN. 1992 (GO TO 402)
NO BIRTHS SINCE JAN. 1992 (GO TO 487)

402. WRITE THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1992 RECODED IN THE REPRODUCTION TABLE. ASK THE QUESTIONS OF ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES).

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

403. LINE NUMBER FROM LINE Q212

LINE NO.__

404. FROM LINE Q212 AND Q216

NAME__
LIVING_
DEAD__

405. At the time you became pregnant with (NAME) did you want to become pregnant then, did you want to wait until later, or did you not want to have any (more) children at all?

THEN 1 (GO TO 407)
LATER 2
NOT AT ALL 3 (GO TO 407)

406. How much time would you have liked to wait?

MONTHS 1__
YEARS 2__
DOESN'T KNOW 998

407. When you were pregnant with (NAME) did you consult someone for prenatal care?
IF YES: Whom did you see? Anyone else?

PROBE TO IDENTIFY EACH TYPE OF PERSON AND RECORD ALL MENTIONED.

HEALTH PROFESSIONAL
DOCTOR A
NURSE/MIDWIFE B
AUXILIARY MIDWIFE C
OTHER PERSON
TRADITIONAL BIRTH ATTENDANT D
OTHER (SPECIFY)__X
NO ONE Y (GO TO 410)

408. How many months pregnant were you when you had your first prenatal consultation?

MONTHS__
DOESN'T KNOW 98

409. How many times did you get consultation during this pregnancy?

NUMBER OF TIMES__
DOESN'T KNOW 98

410. When you were pregnant with (NAME), did you get an injection in the arm to avoid getting tetanus, that is to say to avoid having convulsions after the birth?

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

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

NUMBER OF TIMES__
DOESN'T KNOW 8

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

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
MATERNITY/PMI (protection maternelle et infantile-a program created in France to give free care to expecting/recent mothers) 23
PRIVATE SECTOR
PRIVATE HOSPITAL 31
COMMUNITY SECTOR
HEALTH CENTER 41
PARA PUBLIC
MATERNITY/PMI (protection maternelle et infantile-a program created in France to give free care to expecting/recent mothers) 51
OTHER (SPECIFY)__96 (GO TO 429)

413. Who assisted you during the delivery of (NAME)? Anyone else?
PROBE TO GET THE TYPE OF PERSON. RECORD ALL THE PEOPLE CITED.

HEALTH PROFESSIONAL
DOCTOR A
MIDEWIFE B
OBSTETRICIAN NURSE/HEALTH TECHNICIAN C
OTHER HEALTH WORKERS
HEALTH AID D
DOULA E
TRADITIONAL BIRTHER F
OTHER PEOPLE
FRIENDS/RELATIVES G
OTHER (SPECIFY)__X
NO ONE Y

414. At the time of (NAME)'s birth, did you have the following problems:

- A long labor, that is to say regular contractions that lasted more than 12 hours?
- Excessive bleeding, so much so that you thought your life was in danger?
- A strong fever accompanied by foul smelling vaginal discharge?
- Convulsions not caused by fever?

LONG LABOR
YES 1
NO 2
EXCESSIVE BLEEDING
YES 1
NO 2
STRONG FEVER WITH VAGINAL DISCHARGE
YES 1
NO 2
CONVULSIONS
YES 1
NO 2

415. Did you deliver (NAME) by cesarean section?

YES 1
NO 2

416. When (NAME) was born was he/she 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? [Repeat for last and next to last births]

LAST BIRTH
YES 1
NO 2 (GO TO 419)
NEXT TO LAST BIRTH
YES 1
NO 2 (GO TO 420)

418. How much did (NAME) weigh? [Repeat for last and next to last births]
RECORD THE WEIGHT FROM HEALTH CARD IF AVAILABLE.

GRAMS FROM CARD 1___
GRAMS FROM MEMORY 2__
DOESN'T KNOW 99998

419. Has your period returned since the birth of (NAME)?
[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?
[Repeat this question for each birth prior to the most recent birth]

YES 1
NO 2 (GO TO 424)

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

MONTHS__
DOESN'T KNOW 98

422. CHECK 227: IS RESPONDENT PREGNANT?

NOT PREGNANT (GO TO 423)
PREGNANT OR NOT SURE (GO TO 424)

423. Have you begun to have sexual intercourse since the birth of (NAME)?
[Only for most recent birth]

YES 1
NO 2 (GO TO 425)

424. For how many months after [NAME]'s birth did you not have sexual intercourse?

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 ONE HOUR RECORD '00' HOURS. IF LESS THAN 24 HOURS RECORD HOURS. OTHERWISE RECORD IN DAYS

IMMEDIATELY 000
HOURS 1__
DAYS 2__

426A. CHECK 426: BREAST FEEDING AFTER BIRTH

IMMEDIATELY OR LESS THAN AN HOUR (GO TO 426B)
ONE HOUR OR MORE (GO TO 427)

426B. Who advised you to do this?

HEALTH PROFESSIONAL
DOCTOR A
MIDWIFE B
OBSTETRICIAN NURSE/HEALTH TECHNICIAN C
OTHER HEALTH WORKERS
HEALTH AID D
DOULA E
TRADITIONAL BIRTH ATTENDANT F
OTHER PEOPLE
FRIENDS/RELATIVES G
OTHER (SPECIFY)__X
NO ONE Y

427. CHECK 404:
CHILD ALIVE?

ALIVE (GO TO 428)
DECEASED (GO TO 429)

428. Are you still breast feeding (NAME)?

YES (GO TO 432)
NO 2

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

MONTHS__
DOESN'T KNOW 98

430. Why did you stop breast feeding (NAME)?

MOTHER ILL/WEAK 01
CHILD ILL/WEAK/DEFORMED 02
CHILD DIED 03
BREAST PROBLEMS 04
INSUFFICIENT MILK 05
MOTHER WORKING 06
BABY REFUSED 07
AGE TO WEAN 08
GOT PREGNANT 09
BEGAN USING CONTRACEPTION 10
OTHER (SPECIFY)__96

431. CHECK 404: CHILD LIVING?

LIVING (GO TO 433A)
DECEASED RETURN TO 405 IN THE 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.

NUMBER OF NIGHTTIME FEEDINGS__

433. Yesterday, how many times did you breastfeed during the day?
IF ANSWER IS NOT NUMERIC. PROBE FOR APPROXIMATE NUMBER.

NUMBER OF DAYTIME FEEDINGS__

433A. Did (NAME) drink anything in a bottle since his/her birth?

YES 1
NO 2 (GO TO 435)
DOESN'T KNOW 8 (GO TO 435)

434. Did (NAME) drink something from a bottle yesterday or last night?

YES 1
NO 2
DOESN'T KNOW 8

435. Did (NAME) get, at any time yesterday or last night, one of the following things?

Water?
YES 1
NO 2
DOESN'T KNOW 8
Sugar water?
YES 1
NO 2
DOESN'T KNOW 8
Fruit juice?
YES 1
NO 2
DOESN'T KNOW 8
Herbal tea?
YES 1
NO 2
DOESN'T KNOW 8
Baby food?
YES 1
NO 2
DOESN'T KNOW 8
Powered milk?
YES 1
NO 2
DOESN'T KNOW 8
Fresh milk (other than mother's)?
YES 1
NO 2
DOESN'T KNOW 8
Other liquids?
YES 1
NO 2
DOESN'T KNOW 8
Food made of beans, grains, rice, sorghum, fonio (a kind of cultivated grain), wheat, corn, like broth?
YES 1
NO 2
DOESN'T KNOW 8
Food made of manioc, yam, sweet potato, potato, plantain?
YES 1
NO 2
DOESN'T KNOW 8
Eggs, fish, poultry?
YES 1
NO 2
DOESN'T KNOW 8
Meat?
YES 1
NO 2
DOESN'T KNOW 8
Other solid or semi-solid foods?
YES 1
NO 2
DOESN'T KNOW 8

436. CHECK 435: FOOD OR LIQUID YESTERDAY?

"YES" TO ONE OR MORE (GO TO 437)
"NO/DOESN'T KNOW" TO ALL (GO TO 438)

437. (Besides mother's milk) how many times did (NAME) eat yesterday, including meals and snacks?
IF 7 TIMES OR MORE, RECORD '7'

NUMBER OF TIMES__
DOESN'T KNOW 8

438. How many of the last 7 days did (NAME) get one of the following liquids/foods?
IF DOESN'T KNOW RECORD '8'

Water? __
Number of days ____ (up to 7)
DOESN'T KNOW 8
Fresh milk (other than mother's)?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Other liquids?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Food made of beans, grains, rice, sorghum, fonio (a kind of cultivated grain), wheat, corn, like broth?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Food made of manioc, yam, sweet potato, potato, plantain?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Eggs, fish, poultry?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Meat?__
Number of days ____ (up to 7)
DOESN'T KNOW 8
Other solid or semi-solid foods__
Number of days ____ (up to 7)
DOESN'T KNOW 8

439. RETURN TO 405 IN THE FOLLOWING COLUMN OR, IF NO MORE BIRTHS (GO TO 440)

SECTION 4B. VACCINATION AND HEALTH

440. RECORD THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1992 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

441. LINE NUMBER FROM 212

LINE NUMBER__

442. FROM 212 AND 216:

NAME__
LIVING (GO TO 443)
DEAD (GO TO 442)
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 see it?

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

444. Did you ever have a vaccination card for (NAME)?

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

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

BCG
DAY__
MONTH__
YEAR__
POLIO 0 (GIVEN 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__
VITAMIN A (FIRST TIME)
DAY__
MONTH__
YEAR__
VITAMIN A (SECOND TIME)
DAY__
MONTH__
YEAR__

446. Has (NAME) received any immunizations not recorded on this card, including vaccinations received in a national immunization day campaign?

RECORD 'YES' ONLY IF RESPONDENT MENTIONS BCG, POLIO 0-3, DPT 1-3, MEASLES, AND/OR YELLOW FEVER VACCINES.

YES 1 (PROBE FOR VACCINATIONS AND WRITE '66' IN THE CORRESPONDING DAY COLUMN IN 445) (GO TO 448I)
NO 2 (GO TO 448I)
DOESN'T KNOW 8 (GO TO 448I)

447. Did (NAME) ever receive any vaccinates to prevent him/her from getting diseases, including vaccinations received in a national immunization campaign?

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

448. Tell me, please, if (NAME) received one 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. How many times?

NUMBER OF TIMES__

448D. Was the first vaccine for polio received right after birth or later?

JUST AFTER BIRTH 1
LATER 2

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

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

448F. How many times?

NUMBER OF TIMES__

448G. An injection against the measles?

YES 1
NO 2
DOESN'T KNOW 8

448H. An injection against yellow fever?

YES 1
NO 2
DOESN'T KNOW 8

448I. CHECK 445: AT LEAST ONE DOSE OF VITAMIN A RECORDED ON THE CARD.

YES (GO TO 449)
NO (GO TO 448J)

448J. Did (NAME) get a capsule like this one?
SHOW THE VITAMIN A CAPSULE.

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

448K. How many times?

NUMBER OF TIMES__

449. Has (NAME) suffered from a fever, at any moment, during the past two weeks?

YES 1
NO 2
DOESN'T KNOW 8

450. Has (NAME) suffered from a cough, at any moment, during the past two weeks?

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

451. When (NAME) had 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 fever/cough?

YES 1
NO 2 (GO TO 454)

453. Where did you seek advice or treatment? Where else?
RECORD EVERYTHING MENTIONED.

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER/MATERNITY/GOVERNMENT PMI B
HEALTH AGENT C
PRIVATE SECTOR
CLINIC D
PRIVATE DOCTOR E
PHARMACY F
FIELD WORKER G
COMMUNITY SECTOR
HEALTH CENTER H
DOULA/BIRTHER/HEALTH AID I
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTERPRISE MEDIAL CENTER) J
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) K
OTHER PRIVATE SECTOR
SHOP/MARKET L
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) M
FRIEND(S)/RELATIVE(S) N
OTHER (SPECIFY)__X

454. Has (NAME) had diarrhea during the past two weeks?

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

455. Was there blood in his/her stool?

YES 1
No 2
DOESN'T KNOW 8

456. The worst day of the diarrhea, how many stools did she/he have?

NUMBER OF stools __
DOESN'T KNOW 98

457. Did you give him/her less or more to drink than before the diarrhea?

SAME 1
MORE 2
LESS 3
DOESN'T KNOW 8

458. When (NAME) had diarrhea did you give him/her less to eat than before the diarrhea, about the same amount, more than usual or nothing to eat?

SAME 1
MORE 2
LESS 3
DOESN'T KNOW 8

459. Did you give (NAME) a liquid prepared from a special packet called keneyadji?

YES 1
NO 2
DOESN'T KNOW 8

460. Was something (else) given to (NAME) treat 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 EVERYTHING MENTIONED.

SSS (SUGARY-SALTY SOLUTION) A
PILL OR SYRUP B
INJECTION C
(I.V.) INTRAVENOUS D
HOMEMADE REMEDIES/MEDICINAL PLANTS E
OTHER (SPECIFY) __X

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

YES 1
NO 2 (GO TO 464)

463. Where did you seek advice or treatment for the diarrhea? Anywhere else?
RECORD EVERYTHING MENTIONED

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER/MATERNITY/GOVERNMENT PMI C
HEALTH AGENT C
PRIVATE SECTOR
CLINIC D
PRIVATE DOCTOR E
PHARMACY F
FIELD WORKER G
COMMUNITY SECTOR
HEALTH CENTER H
DOULA/BIRTH ATTENDANT/HEALTH AID I
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDICAL CENTER) J
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) K
OTHER PRIVATE SECTOR
SHOP/MARKET L
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) M
FRIEND(S)/RELATIVE(S) N
OTHER (SPECIFY)__X

464. RETURN TO 442 IN THE NEXT COLUMN, IF NO MORE BIRTHS (GO TO 465).

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

FEWER LIQUIDS 1
ABOUT THE SAME AMOUNT 2
MORE LIQUIDS 3
DOESN'T KNOW 8

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

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

466A. When a child has diarrhea and is breast fed, should he/she be given less breast milk than usual, the same amount, or more than usual?

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

467. When a child has diarrhea, what are the symptoms that indicate that he/she should be taken to a health establishment or to health care workers?
RECORD ALL MENTIONED.

REPEATED LIQUID STOOLS A
LIQUID STOOLS B
REPEATED VOMITING C
VOMITING D
BLOOD IN THE STOOLS E
FEVER F
CONSIDERABLE THIRST G
DOESN'T EAT/DOESN'T DRINK ENOUGH H
BECOMES MORE/VERY SICK I
DOESN'T GET BETTER J
OTHER (SPECIFY)__X
DOESN'T KNOW Z

468. When a child suffers from a cough, what are the symptoms that indicated that he/she should be taken to a health establishment or to health care workers?
RECORD EVERYTHING MENTIONED.

RAPID BREATHING A
DIFFICULTY BREATHING B
LOUD BREATHING C
FEVER D
INCAPABLE OF DRINKING E
DOES NOT EAT OR DRINK WELL F
BECOMES MORE/VERY ILL G
DOESN'T GET BETTER H
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

469. CHECK 459 ALL OF THE COLUMNS

NO CHILD RECEIVED KENEYADJI OR THE QUESTION WASN'T ASKED (GO TO 470)
A CHILD RECEIVED KENEYADJI (GO TO 501)

470. Have you ever heard of a special product called KENEYADJI, that you can get to treat diarrhea?

YES 1
NO 2

SECTION 5A. MARRIAGE

501. OTHER PEOPLE PRESENT AT THIS TIME.

CHILDREN LESS THAN 10 YEARS
YES 1
NO 2
HUSBAND/PARTNER
YES 1
NO 2
OTHER MEN
YES 1
NO 2
OTHER WOMEN
YES 1
NO 2

502. Are you currently married or do you live with a man?

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

503. Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner at all?

REGULAR SEXUAL PARTNER 1
OCCASIONAL SEXUAL PARTNER 2
NO SEXUAL PARTNER 3

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

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

506. What is your current marital status: are you widowed, divorced or separated?

WIDOWED 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?

LIVE TOGETHER 1
LIVES ELSEWHERE 2

507A. RECORD THE HUSBAND'S/PARTNER'S LINE NUMBER FROM THE HOUSEHOLD QUESTIONNAIRE. IF HE IS NOT LISTED IN THE HOUSEHOLD, RECORD '00'

LINE NO.__

508. Besides yourself, does your husband/partner have other wives or does he live with other women as if he were married?

YES 1
NO 2 (GO TO 511)

509. How many wives or partners does your husband currently have?

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

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

RANK__

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

ONLY ONCE 1
MORE THAN ONCE 2

512. CHECK 511:

MARRIED/HAS LIVED WITH 1 MAN ONLY ONCE.
In which month and in which year did you begin to live with your husband/partner and in which month and in which year did you consummate your union?

MARRIED/HAS LIVED WITH 1 MAN MORE THAN ONCE
I would like to ask about when you started living with your first husband/partner. In what month and year was that and in which month in which year did you consummate your union?

Live with Husband:

MONTH__
DOESN'T KNOW MONTH 98
YEAR__ (GO TO 515)
DOESN'T KNOW YEAR 9998

Consummated union:

MONTH__
DOESN'T KNOW MONTH 98
YEAR__ (GO TO 515)
DOESN'T KNOW YEAR 9998

513. How old were you when you began living with him that is to say in which month in which year did you consummate your union?

AGE IN YEARS__

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

515. How long has it been since you last had sexual intercourse (if you already had it)?

NEVER 000 (GO TO 551)
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 ABOUT CONDOMS
Did you use a condom last time you had sexual intercourse?

DOES NOT KNOW ABOUT CONDOMS
Certain men use a condom that is to say that they put a rubber sheath on their penis during sexual intercourse. Did you use a condom last time you had sexual intercourse?

YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2 (GO TO 519)

518. Where is this?

IF IT IS HOSPITAL, HEALTH CENTER OR A CLINIC, CIRCLE THE NAME OF THE PLACE. PROBE TO DETERMINE THE TYPE OF SERVICE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
HEALTH AGENT 13
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
FIELD WORKER 24
COMMUNITY
HEALTH CENTER 31
HEALTH CARE WORKER 32
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID 33
PARA-PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
OTHER PRIVATE SECTOR
SHOP/MARKET 61
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) 62
FRIEND(S)/RELATIVE(S) 63
OTHER (SPECIFY)__96
DOESN'T KNOW 98

519. How old were you the first time you had sexual intercourse?

AGE __
FIRST TIME AT MARRIAGE 96

SECTION 5B. FEMALE CIRCUMCISION

551. Were you circumcised?

YES 1
NO 2 (GO TO 555)

552. What type of circumcision did you undergo Did you have a clitoridectomy, an excision, or an infibulation?

CLITORIDECTOMY 01
EXCISION 02
INFIBULATION 03
OTHER(SPECIFY)__96

553. How old were you when you underwent this practice?

AGE IN YEARS COMPLETED__
DOESN'T KNOW 98

554. Who performed your circumcision?

DOCTOR 01
NURSE/MIDWIFE 02
TRADITIONAL MIDWIFE 03
TRADITIONAL CIRCUMCISER 04
OTHER (SPECIFY)__96
DOESN'T KNOW 98

555. CHECK 214 AND 216

AT LEAST ONE LIVING DAUGHTER (GO TO 556)
NO LIVING DAUGHTER (GO TO 560)

556. Has (NAME OF OLDEST DAUGHTER) been circumcised?

YES 1
NO 2 (GO TO 559A)
NOT YET 8 (GO TO 559A)

557. How old was she at the time of the circumcision?

AGE IN COMPLETED YEARS__
DOESN'T KNOW 98

558. Who performed the circumcision?

DOCTOR 01
NURSE/MIDWIFE 02
TRADITIONAL MIDWIFE 03
TRADITIONAL CIRCUMCISER 04
OTHER (SPECIFY)__96
DOESN'T KNOW 98

559. Did anyone object to (NAME OF OLDEST DAUGHTER'S) circumcision? Anyone else?
RECORD ALL THE PEOPLE MENTIONED.

RESPONDENT A (GO TO 560)
RESPONDENT'S HUSBAND B (GO TO 560)
RESPONDENT'S MOTHER C (GO TO 560)
RESPONDENT'S MOTHER IN LAW D (GO TO 560)
OTHER RELATIVE OF RESPONDENT E (GO TO 560)
OTHER RELATIVE OF HUSBAND F (GO TO 560)
OTHER (SPECIFY)__X (GO TO 560)
NO ONE Y (GO TO 560)

559A. Do you intend to circumcise her?

YES 1
NO 2
DOESN'T KNOW 8

560. Do you think female circumcision should still be practiced or should it be stopped?

STILL PRACTICED 1
STOPPED 2 (GO TO 563)
DOESN'T KNOW 8 (GO TO 600)

561. In your opinion, what type of female circumcision should still be practiced: clitoridectomy, excision or infibulations?

CLITORIDECTOMY 01
EXCISION 02
INFIBULATION 03
OTHER (SPECIFY)__96

562. Why do you think female circumcision should still be practiced? What other reason?
RECORD ALL MENTIONED.

GOOD TRADITION A (GO TO 560)
CUSTOM AND TRADITION B (GO TO 560)
RELIGIOUS NECESSITY C (GO TO 560)
BETTER HYGIENE D (GO TO 560)
BETTER CHANCE FOR MARRIAGE E (GO TO 560)
MORE SEXUAL PLEASURE FOR THE HUSBAND F (GO TO 560)
PRESERVATION OF VIRGINITY/PREVENT SEXUAL INTERCOURSE BEFORE MARRIAGE G (GO TO 560)
OTHER (SPECIFY)__X (GO TO 560)
DOESN'T KNOW Y (GO TO 560)

563. Why do you think female circumcision should be stopped? Any other reason?
RECORD ALL MENTIONED

BAD TRADITION A
AGAINST RELIGION B
MEDICAL COMPLICATIONS C
OWN PAINFUL EXPERIENCE D
AGAINST THE DIGNITY OF THE WOMAN E
PREVENTS SEXUAL PLEASURE F
OTHER (SPECIFY)__X
DOESN'T KNOW Y

SECTION 6. FERTILITY PREFERENCES

600. CHECK 515:

HAS ALREADY HAD SEXUAL INTERCOURSE (GO TO 601)
NEVER HAD SEX (GO TO 608)

601. CHECK 314:

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

602. CHECK 227:

NOT PREGNANT OR NOT SURE
Now I have a few questions about the future.
Would you like to have (a/another) child, or would you prefer not to have (other) children at all?

PREGNANT
Now I have a few questions about the future.
After the child that you are expecting, would you like to have (a/another) child, or would you prefer not to have (other) children at all?

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

603. CHECK 227:

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

PREGNANT
After the birth of the child you are expecting, how long would you like to wait from now before the birth of (a/another) child?

MONTHS 1__
YEARS 2__
SOON/NOW 993 (GO TO 606)
SAYS SHE CAN NOT GET PREGNANT 994 (GO TO 606)
AFTER MARRIAGE 995
OTHER(SPECIFY)__996
DOESN'T KNOW 998

604. CHECK 227:

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

605. If you were to get pregnant in the next weeks, would you be happy, not happy or not care?

HAPPY 1
NOT HAPPY 2
NOT CARE 3

606. CHECK 310: USES A CONTRACEPTIVE METHOD?

NOT ASKED (GO TO 607)
DOES NOT CURRENTLY USE (GO TO 607)
CURRENTLY USES (GO TO 612)

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

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

608. Do you think that in the future you will use a method to delay or avoid a pregnancy?

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

609. Which method would you prefer to use?

PILL 01 (GO TO 612)
IUD 02 (GO TO 612)
INJECTIONS 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)
RHYTHM METHOD 09 (GO TO 612)
WITHDRAWAL 10 (GO TO 612)
OTHER (SPECIFY)__96 (GO TO 612)
NOT SURE 98 (GO TO 612)

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

NOT MARRIED 11
FERTILITY-RELATED REASONS
INFREQUENT SEX 22 (GO TO 612)
MENOPAUSE/HYSTERECTOMY 23 (GO TO 612)
NOT FECUND/STERILE 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)
OTHER PERSONS OPPOSED 33 (GO TO 612)
RELIGIOUS PROHIBITION 34 (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 contraceptive 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?
PROBE FOR A NUMERIC RESPONSE.

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__
OTHER(SPECIFY)__96 (GO TO 614)
IF '00' (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 the sex not matter?

BOYS
NUMBER__
GIRLS
NUMBER__
EITHER
NUMBER__
OTHER (SPECIFY)__96

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

APPROVE 1
DISAPPROVE 2
NO OPINION 3

615. In your opinion, is it ok or not ok to talk about family planning:

On the radio?
On the television?

RADIO
OK 1
NOT OK 2
TELEVISION
OK 1
NOT OK 2

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

On the radio?
On the television?
In newspapers or magazines?
On a poster?
On a flier or brochure?

RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
NEWSPAPERS OR MAGAZINES
YES 1
NO 2
POSTER
YES 1
NO 2
FLIER OR BROCHURE
YES 1
NO 2

618. During the past few months, have you discussed the practice of family planning with your friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 620)

619. With whom did you discuss this? Anyone else?
RECORD EVERYTHING MENTIONED.

HUSBAND/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
STEP MOTHER(S)/MOTHER(S) IN LAW G
COUSIN(S) H
FRIEND(S)/NEIGHBOR(S) I
OTHER(SPECIFY)__X

620. CHECK 502:

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

Spouses/partners do not always agree about everything. Now I would like to ask you about your partner/husband's opinions about family planning.

621. Do you think that your partner/husband approves or disapproves of using methods to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
DOESN'T KNOW 8

622. How many times during the past year did you speak with your partner/husband about family planning?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

623. Does your husband want the same number of children that you want, or does he want more of fewer than you want?

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

624. CHECK 515:

HAD SEXUAL INTERCOURSE (GO TO 625)
NEVER HAD SEX (GO TO 701)

625. Sometimes a woman gets pregnant at a time when she does not want to. Have you ever gotten pregnant when you did not wish to?

YES 1
NO 2 (GO TO 637)

626. At what time did this happen to you?
RECORD THE MONTH AND YEAR

MONTH ___
YEAR ____

627. When this happened, what did you do?

ENDED THE PREGNANCY 01
TRIED BUT FAILED TO END THE PREGNANY 02
HAD A MISCARRIAGE 03 (GO TO 630)
NOTHING/CONTINUED THE PREGNANCY 04 (GO TO 637)
OTHER (SPECIFY)__ 96

628. Could you tell me what you did?
Was another thing tried?

FOLLOW THE SHIP INSTRUCTIONS FOR 'H' AND 'I' ONLY IF NOTHING ELSE WAS TRIED.

BITTER DRINKS A
PILLS B
MASSAGES/PRESSURE ON THE ABDOMEN C
OBJECT IN THE UTERUS D
INJECTION E
ASPIRATION F
DILATION AND SCRAPING G
PRAYERS/ GOD'S WILL H (GO TO 630)
HARD/EXHAUSTING WORK I (GO TO 630)
OTHER (SPECIFY)__X
DOESN'T KNOW Z

629. Could you tell me who helped you?
Anyone else?

DOCTOR A
MIDWIFE B
DOULA C
TRADITIONAL BIRTH ATTENDANT D
NURSE E
HEALTH AID F
PHARMACIST G
TRADITIONAL HEALER H
HUSBAND/PARTNER J
RELATIVES K
FRIENDS L
OTHER (SPECIFY)__X
ANYONE Y

630. Could you tell me where you sought aid for this?

PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
COMMUNITY
HEALTH CENTER 31
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
OTHER PRIVATE SECTOR
SHOP/MARKET 61
OWN HOUSE 62
OTHER HOUSE 63
DID NOT SEEK TREATMENT 71
OTHER (SPECIFY)__96

631. Sometimes women can have health problems after that. Did you have health problems after that?

YES 1
NO 2 (GO TO 637)

632. What health problems did you have?

FEVER 01
CONSIDERABLE VAGINAL BLEEDING 02
OTHER (SPECIFY)__96

633. Did you seek care because of these problems?

YES 1
NO 2 (GO TO 637)

634. Where did you go?

PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
COMMUNITY
HEALTH CENTER 31
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
HOME
SHOP/MARKET 61
OWN HOUSE 62
OTHER HOUSE 63
OTHER (SPECIFY) __96

635. Were you hospitalized?

YES 1
NO 2 (GO TO 637)

636. How many nights did you spend at the hospital?
IF NO NIGHTS, RECORD '00'

NIGHTS AT THE HOSPITAL__

637. PEOPLE PRESENT AT THIS TIME.

CHILDREN LESS THAN 10 YEARS
YES 1
NO 2
HUSBAND/PARTNER
YES 1
NO 2
OTHER MEN
YES 1
NO 2
OTHER WOMEN
YES 1
NO 2

SECTION 7. HUSBAND'S BACKGROUND AND WOMAN'S PROFESSIONAL ACTIVITY

701. CHECK 502 AND 504:

CURRENTLY MARRIED/LIVES WITH A MAN (GO TO 702)
HAS BEEN MARRIED/HAS LIVED WITH A MAN (GO TO 702)
NOT IN UNION/FIRST MARRIAGE NOT CONSUMMATED (GO TO 709)

702. How old was your husband at his last birthday?

AGE IN COMPLETED YEARS__

703. Did your (last) husband attend school?

YES 1
NO 2 (GO TO 706)

704. What was the highest level of school that he achieved: primary 1 (first cycle), primary 2 (second cycle), secondary (high school or technical) or superior?

PRIMARY 1 (FIRST CYCLE) 1
PRIMARY 2 (SECOND CYCLE) 2
SECONDARY (HIGH SCHOOL/TECH) 3
SUPERIOR 4
DOESN'T KNOW 8 (GO TO 706)

705. What was the last year that he achieved at this level?

YEAR__
DOESN'T KNOW 98
LEVEL OF INSTRUCTION
1 ELEMENTARY 1(FIRST CYCLE)
2 ELEMENTARY 2(SECOND CYCLE)
3 SECONDARY (HIGH SCHOOL, TECHNICAL SCHOOL)
4 SUPERIOR
GRADE
0 LESS THAN 1 YEAR COMPLETED

706. What is(was) the primary occupation of your husband/partner, that is to say what kind of work did/does he do?

____

707. CHECK 706:

WORKS/WORKED IN AGRICULTURE (GO TO 708)
STUDENT/ DOES/DID NOT WORK IN AGRICULTURE (GO TO 709)

708. Does your husband/partner work mainly on his own land or on family land, or does he work on land that he rents from someone else, or does he work on someone else's land?

OWN LAND 1
FAMILY LAND 2
RENTED LAND 3
SOMEONE ELSE'S LAND 4

709. Aside from your housework, do you currently work?

YES 1 (GO TO 712)
NO 2

710. As you know, some women take up jobs for which they are paid in cash or in kind. Others sell things, have a small business or work on the family farm or in a family business.
Do you currently do something like this or any other work?

YES 1 (GO TO 712)
NO 2

711. Did you do any type of work during the past 12 months?

YES 1
NO 2 (GO TO 801A)

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

_____

713. CHECK 712:

WORKS IN AGRICULTURE (GO TO 714)
DOES NOT WORK IN AGRICULTURE (GO TO 715)

714. Do you work mainly on your own land or on family land, or did 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

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

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

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

THROUGHOUT THE YEAR 1 (GO TO 718)
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3 (GO TO 719)

717. During the past 12 months, how many months did you work?

NUMBER OF MONTHS__

718. (During the months you worked) how many days a week did you usually work?

NUMBER OF DAYS__ (GO TO 720)

719. During the past 12 months, how many days did you work?

NUMBER OF DAYS__

720. Do you get paid for this work?
PROBE: do you get money for this work?

YES 1
NO 2 (GO TO 723)

721. How much per month do you usually get for this work?
PROBE: Is this per hour, day, week, or per month?

P/HOUR 1__
P/DAY 2__
P/WEEK 3__
P/MONTH 4__
P/YEAR 5__
OTHER (SPECIFY)__99999996

722. CHECK 502:

YES, CURRENTLY MARRIED
Who mainly decides how the money you earn will be used? You, your husband/partner, you and your husband/partner, or someone else?

NO, NOT IN A UNION
Who mainly decides how the money you earn will be used? You, you and someone else, or someone else?

THE RESPONDENT HERSELF 1
HUSBAND/PARTNER 2
RESPONDENT AND HUSBAND/PARTNER TOGETHER 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE TOGETHER 5

723. Do you usually work at home or outside the home?

AT HOME 1
OUTSIDE 2

724. CHECK 217 AND 218: DOES SHE HAVE CHILDREN LESS THAN 5 YEARS OLD LIVING WITH HER?

YES 1 (GO TO 725)
NO 2 (GO TO 801A)

725. Who mainly takes care of (NAME OF THE YOUNGEST CHILD AT HOME) while you work?

RESPONDENT 01
HUSBAND/ PARTNER 02
CHILD-OLDEST GIRL 03
CHILD-OLDEST BOY 04
OTHER RELATIVES 05
NEIGHBOR 06
FRIEND(S) 07
SERVANT/HIRED PERSON 08
CHILD GOES TO SCHOOL 09
KINDERGARTEN/DAY CARE 10
HAS NOT WORKED SINCE LAST BIRTH 95
OTHER (SPECIFY) __96

SECTION 8. AIDS AND OTHER SEXUALLY TRANSMISSED DISEASES

801A. Have you ever heard of an illness that can be transmitted sexually?

YES 1
NO 2 (GO TO 801K)

801B. Which illnesses do you know of?
RECORD ALL MENTIONED

SYPHILIS/POX A
GONORRHEA B
AIDS C
CONDYLOMA/TUMOR D
OTHER (SPECIFY)__X
DOESN'T KNOW Z

801C. CHECK 515

HAS HAD SEXUAL INTERCOURSE (GO TO 801D)
HAS NOT HAD SEX (GO TO 801K)

801D. During the last 12 months, did you have one of these illnesses?

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

801E. Which illness did you have?
RECORD ALL MENTIONED

SYPHILIS/POX A
GONORRHEA B
AIDS C
CONDYLOMA/TUMOR D
OTHER (SPECIFY)__X
DOESN'T KNOW Z

801F. The last time 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?

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/MATERNITY/GOVERNMENT PMI B
HEALTH AGENT C
PRIVATE SECTOR
CLINIC D
PRIVATE DOCTOR E
PHARMACY F
FIELD WORKER G
COMMUNITY SECTOR
HEALTH CENTER H
HEALTH CARE WORKER I
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID J
PARA PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) K
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) L
NON GOVENMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) M
OTHER PRIVATE SECTOR
SHOP/MARKET N
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) O
FRIEND(S)/RELATIVE(S) P
OTHER (SPECIFY)__X
DOESN'T KNOW Z

801H. When you had (ILLNESS FROM 801E), did you tell your partner?

YES 1
NO 2

801I. When you had (ILLNESS FROM 801E), did you do something to avoid infecting your partner?

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

801J. What did you do?
RECORD EVERYTHING MENTIONED,

NO SEXUAL INTERCOURSE A
USED CONDOMS B
TOOK MEDICINE C
OTHER (SPECIFY)__X

801K. CHECK 801B:

DID NOT CITE "AIDS" (GO TO 801L)
CITED "AIDS" (GO TO 802)

801L. Have you ever heard of a disease called AIDS?

YES 1
NO 2 (GO TO 811C)

802. From which source of information did you learn the most about AIDS? Any other source?
RECORD EVERYTHING MENTIONED.

RADIO A
TV B
NEWSPAPERS/MAGAZINES C
BROCHURES/FLIERS D
CENTER/HEALTH CARE WORKERS E
MOSQUE/ CHURCH F
SCHOOL/PROFESSOR G
NEIGHBORHOOD MEETINGS H
POPULAR THEATER I
FRIEND(S)/RELATIVES J
WORK PLACE K
OTHER (SPECIFY)__X

802B. How can one get AIDS? Any other way?
RECORD EVERYTHING CITED.

SEXUAL INTERCOURSE B
NOT USING CONDOMS C
SEX WITH MULTIPLE PARTNERS E
SEX WITH PROSTITUTES G
SEX WITH HOMOSEXUALS H
BLOOD TRANSFUSIONS I
INJECTIONS J
FROM MOTHER TO BABY K
KISSING L
MOSQUITO BITES M
LIVING WITH SOMEONE WITH AIDS N
BLADES/RAZORS/SCISSORS/DIRTY CUTTING INSTRUMENTS P
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 EVERYTHING CITED.

ABSTAIN FROM SEX B
USE CONDOMS C
LIMIT TO ONE PARTNER D
STAY LOYAL F
AVOID SEX WITH PROSTITUTES G
AVOID SEX WITH HOMOSEXUALS H
AVOID BLOOD TRANSFUSIONS I
AVOID INJECTIONS J
AVOID SHARING THE SAME BLADES/RAZORS K
AVOID KISSING L
AVOID MOSQUITO BITES M
AVOID LIVING WITH SOMEONE WITH AIDS N
SEEK PROTECTION FROM A TRADITIONAL HEALER O
AVOID BLADES/RAZORS/SCISSORS/DIRTY CUTTING INSTRUMENTS P
OTHER(SPECIFY)__X
DOESN'T KNOW Z

807. Is it possible that a person who appears to be healthy, in fact, has AIDS virus?

YES 1
NO 2
DOESN'T KNOW 8

808. Do you think someone with AIDS almost never dies of this illness, sometimes dies of it, or always dies of it?

ALMOST NEVER 1
SOMETIMES 2
ALMOST ALWAYS 3

808A. Can someone be cured of AIDS?

YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2
DOESN'T KNOW 8

808C. Do you personally know anyone who has the AIDS virus or 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 you (HAVE NO RISK/SMALL RISK) of getting AIDS?
Any other reason?
RECORD ALL MENTIONED.

ABSTAINS FROM SEXUAL INTERCOURSE B (GO TO 811A)
USES CONDOMS C (GO TO 811A)
ONLY HAS ONE SEXUAL PARTNER D (GO TO 811A)
LIMITED NUMBER OF SEXUAL PARTNERS E (GO TO 811A)
PARTNER DOESN'T HAVE OTHER PARTNERS F (GO TO 811A)
DOESN'T HAVE HOMOSEXUAL SEX H (GO TO 811A)
NO BLOOD TRANSFUSIONS I (GO TO 811A)
NO INJECTIONS J (GO TO 811A)
AVOIDS DIRTY BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS P (GO TO 811A)
OTHER (SPECIFY)__ X (GO TO 811A)

809C. Why do you think you (HAVE AVERAGE RISK/LARGE RISK) of getting AIDS?
Any other reason?
RECORD ALL MENTIONED.

DOES NOT USE CONDOMS C
MORE THAN ONE SEXUAL PARTNER D
MANY SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HOMOSEXUAL SEX H
BLOOD TRANSFUSIONS I
INJECTIONS J
AVOIDS [sic.] DIRTY BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS P 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?
RECORD EVERYTHING MENTIONED.

HAS NOT BEGUN HAVING SEXUAL INTERCOURSE A (GO TO 811C)
STOPPED HAVING SEXUAL INTERCOURSE B (GO TO 811C)
BEGAN USING CONDOMS C (GO TO 811C)
LIMITED TO 1 SEXUAL PARTNER D (GO TO 811C)
REDUCED THE NUMBER OF PARTNERS E (GO TO 811C)
ASKED SPOUSE TO BE FAITHFUL F (GO TO 811C)
STOPPED HAVING HOMOSEXUAL SEX H (GO TO 811C)
STOPPED GETTING INJECTIONS J
AVOIDED BLADES, SCISSORS, KNIVES, AND/OR SHARP, CONTAMINATED INSTRUMENTS P
OTHER (SPECIFY)__X
NO CHANGE IN BEHAVIOR Y

811B. Has the fact of you being familiar with AIDS influenced or changed your decisions regarding having sex or your sexual behavior?
IF YES: In what ways?

RECORD EVERYTHING MENTIONED.

HAS NOT BEGUN HAVING SEXUAL INTERCOUSE A
STOPPED HAVING SEXUAL INTERCOURSE B
BEGAN USING CONDOMS C
LIMITED TO ONE SEXUAL PARTNER D
REDUCED THE NUMBER OF PARTNERS E
STOPPED HAVING HOMOSEXUAL SEX H
OTHER (SPECIFY) ____ X
NO CHANGE IN SEXUAL BEHAVIOR Y

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

YES 1
NO 2 (GO TO 811F)

811D CHECK 515:

HAS HAD SEXUAL INTERCOURSE (GO TO 811E)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 901)

811E. It is possible that we've already spoken about this. Have you ever used a condom during sexual intercourse to avoid getting or transmitting AIDS or other sexually transmitted diseases?

YES 1
NO 2

811F. During the past 12 months, have you given money or gifts in exchange for sexual intercourse?

YES 1
NO 2

SECTION 9. MATERNAL MORTALITY

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

901. To how many children, including yourself, did your mother give birth?

MOTHER'S NUMBER OF BIRTHS__

902. CHECK 901:

TWO OR MORE BIRTHS (GO TO 903)
ONLY ONE BIRTH (GO TO 916)

903. How many births did your mother have before your own birth?

NUMBER OF PRECEDING BIRTHS__

[REPEAT QUESTIONS 904 -915A FOR ALL BIRTHS]

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

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 BIRTH)

907. How old is (NAME)?
If male or female sibling is less than 12 years old, GO TO THE NEXT BIRTH.
If sister is age 12 or older, GO TO 915.

AGE__

908. In which year did (NAME) die?

YEAR ____ (GO TO 910)
DOESN'T KNOW 98

909. How many years has (NAME) been deceased?

YEARS__

910. How old was (NAME) when he/she died?
IF MAN, OR IF WOMAN DECEASED BEFORE THE AGE OF 12 YEARS GO TO NEXT BIRTH.

AGE__

911. Was (NAME) pregnant when she died?

YES (GO TO 914)
NO 2

912. Did (NAME) die during childbirth?

YES 1 (GO TO 915)
NO 2

913. Did (NAME) die in the two months following a pregnancy or birth?

YES 1 (GO TO 915)
NO 2

914. Was death due to pregnancy or delivery complications?

YES 1
NO 2

915. To how many children did (NAME) give birth during her life (before this pregnancy)?

NUMBER__ (IF NONE, GO TO NEXT BIRTH)

915A. Among [NAME's] children, how many are dead?

____

[IF NO MORE BROTHERS OR SISTERS, GO TO 916.]

916. Record the time

Hours___
Minutes___

SECTION 10. HEIGHT AND WEIGHT

1001. CHECK 215:

ONE OR MORE BIRTHS SINCE JAN. 1992 (GO TO 1002)
NO BIRTHS SINCE JAN. 1992 (GO TO END)

IN 1002 (COLUMNS 2-4) RECORD THE LINE NUMBER OF EACH CHILD BORN SINCE JAN. 1992 AND STILL ALIVE. IN 1003 AND 1004, RECORD THE NAME AND BIRTH DATE OF THE RESPONDENT AND ALL OF HER LIVING CHILDREN BORN SINCE 1992. IN 1006 AND 1008 RECORD THE WEIGHT AND HEIGHT OF THE RESPONDANT AND THE LIVING CHILDREN. (NOTE: ALL OF THE RESPONDENTS WHO GAVE BIRTH SINCE JAN. 1992 MUST BE WEIGHED AND MEASURED EVEN IF ALL THEIR CHILDREN ARE DEAD. IF THERE ARE MORE THAN 2 CHILDREN BORN SINCE JAN. 1992 AND STILL ALIVE, USE A SUPPLEMENTARY QUESTIONNAIRE.

1002. LINE NUMBER ACCORDING TO Q. 212
[LAST BIRTH AND SECOND TO LAST BIRTH]

___

1003. NAME ACCORDING TO Q212 FOR CHILDREN
[RESPONDENT, LAST BIRTH AND SECOND TO LAST BIRTH]

NAME ____

1004. BIRTH DATE ACCORDING TO Q.215, AND ASK THE BIRTH DAY.
[LAST BIRTH AND SECOND TO LAST BIRTH]

DAY__
MONTH__
YEAR__

1005. BCG SCAR ON THE SIDE OF LEFT ARM.
[LAST BIRTH AND SECOND TO LAST BIRTH]

SCAR SEEN 1
NO SCAR 2

1006. HEIGHT (in centimeters)
[RESPONDENT, LAST BIRTH AND SECOND TO LAST BIRTH]

___

1007. WAS THE CHILD MEASURED LYING DOWN OR STANDING UP?
[LAST BIRTH AND SECOND TO LAST BIRTH]

LYING 1
STANDING 2

1008. WEIGHT (IN KILOGRAMS)
[RESPONDENT, LAST BIRTH AND SECOND TO LAST BIRTH]

_____

1009. DATE OF MEASUREMENT AND WEIGHING

DAY ___
MONTH ___
YEAR ___

1010. RESULT:

RESPONDENT

MEASURED 1
ABSENTE 3
REFUSED 4
OTHER (SPECIFY)__6

LAST BIRTH AND SECOND TO LAST BIRTH

CHILD MEASURED 1
CHILD ILL 2
CHILD ABSENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER (SPECIFY)__6

1011. NAME OF PERSON WHO TOOK THE MEASUREMENTS___
ASSISTANT'S NAME___

INTERVIEWER'S OBSERVATIONS:

FILL OUT AFTER HAVING ENDED THE INTERVIEW

COMMENTS ABOUT THE RESPONDENT ______

COMMENTS ON PARTICULAR QUESTIONS ______

OTHER COMMENTS ______

SUPERVISOR'S OBSERVATIONS ______
NAME_____
DATE_____

FIELD EDITOR'S OBSERVATIONS ______
NAME_____
DATE_____