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DEMOGRAPHIC AND HEALTH SURVEY IN MALI MAN'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 MAN__

INTERVIEWER VISITS

INTERVIEWER 1
(REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE__
DAY__
MONTH__
YEAR__
INTERVIEWER NAME____

RESULTS___

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__
RESULT__

TOTAL NUMBER OF VISITS____

QUESTIONNAIRE

FRENCH 01

LANGUAGE OF INTERVIEW__

FRENCH 01
BAMBARA/MALINKE 02
SONRAI/DJERMA 03
PEUHL/FOULFOULDE 04
MARIKA/SONINKE 05
SENOUFO 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

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 or in a rural area?
IF FOREIGNER SPECIFY THE PLACE OF RESIDENCE.

BAMAKO/OTHER CAPITAL 1
OTHER CITIES/COMMUNES 2
OTHER CITIES IN OTHER COUNTRIES 3
RURAL AREA 4
FOREIGNER WITHOUT SPECIFICATION 5

103. How long have you been living continuously in (NAME OF CURRENT CITY/VILLAGE OF RESIDENCE)?
IF LESS THAN A YEAR, WRITE '00' YEARS.

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

104. Just before you moved here, did you live in Bamako, another capital, a city, or village?
IF FOREIGNER SPECIFY PLACE OF RESIDENCE.

BAMAKO/OTHER CAPITAL 1
OTHER CITIES/COMMUNES 2
OTHER CITIES IN OTHER COUNTRIES 3
RURAL AREA 4
FOREIGNER WITHOUT SPECIFICATION 5

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

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

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

AGE IN COMPLETED YEARS____

107. Have you ever attended school?

YES 1
NO 2 (GO TO 111)

108. What is the highest level of study that you achieved: primary 1, primary 2, secondary or superior?

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

109. What was the last year you reached at this level?

LAST YEAR__
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 108:

PRIMARY 1 (GO TO 111)
PRIMARY 2 OR HIGHER (GO TO 112)

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

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3 (GO TO 113)

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

YES 1
NO 2

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

YES 1
NO 2

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

YES 1
NO 2

115. Do you currently work?

YES 1 (GO TO 117)
NO 2

116. During the last 12 months did you work?

YES 1
NO 2 (GO TO 124)

117. What is your occupation, that is to say what kind of work do you mainly do?

____

118. CHECK 117:

WORKS IN AGRICULTURE (GO TO 119)
DOES NOT WORK IN AGRICULTURE (GO TO 120)

119. Do you work on your own land, or your family's land, or land that you rent, or someone else's land?

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

120. Do you do this work for a member of your family, for someone else, or for yourself?

FOR A MEMBER OF THE FAMILY 1
FOR SOMEONE ELSE 2
FOR HIMSELF 3

121. Do you work all year, seasonally, or occasionally?

ALL YEAR 1 (GO TO 123)
SEASONALLY 2
OCCASIONALLY 3

122. During the past 12 months, during how many months were you at this job?

NUMBER OF MONTHS__

123. How much money do you usually make for this job?
PROBE: Is this hourly, daily, weekly, monthly or annually?

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

124. What is your religion?

MUSLIM 1
CHRISTIAN 2
ANIMIST 3
OTHER (SPECIFY) __96

125. What is your ethnicity?

BAMBARA 01
MALINKE 02
PEUHL 03
SARAKOLE/SOLINKE/MARKA 04
SONRA? 05
DOGON 06
TAMACHEK 07
S?NOUGO/MINIANKA 08
BOBO 09
OTHER MALIAN ETHNICITIES 10
FOREIGN 11

SECTION 2. REPRODUCTION

Now I would like to ask you questions about your children. I am only interested in the children of whom you are the biological father.

201. Do you have or have you had any children?

YES 1
NO 2 (GO TO 206)

202. Do you have any sons or daughters of whom you are the father 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 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. Did you have 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 only survived a few hours or days?

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: I want to be sure to have understood: you have had a TOTAL of __children during your life. Is this correct?

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

210. CHECK 208:

HAD CHILDREN (GO TO 210A)
DID NOT HAVE CHILDREN (GO TO 301)

210A. In what year was your last child born?

YEAR__

211. When you were expecting this last child, did you want this child at that time, did you want to wait until later, or did you not want to have a (another) child at all?

AT THAT MOMENT 1
LATER 2
DID NOT WANT AT ALL 3

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 Couples can avoid pregnancy by not having intercourse on the days of the month the woman 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?
SPECIFY ___
SPONTANEOUS YES 1
NO 3

303. Have ever used (METHOD)?

01. PILL Women can take a pill every day to avoid becoming pregnant.
YES 1
NO/DOESN'T KNOW 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/DOESN'T KNOW 2
03. INJECTIONS Women can have an injection by a health provider to avoid becoming pregnant during one or more months.
YES 1
NO/DOESN'T KNOW 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/DOESN'T KNOW 2
05. DIAPHRAGM Women can place a diaphragm in their vagina before sexual intercourse.
YES 1
NO/DOESN'T KNOW 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 a partner who had an operation to avoid having any more children?
YES 1
NO/DOESN'T KNOW 2
08. MALE STERILIZATION Men 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
09. RHYTHM METHOD Couples can avoid pregnancy by not having intercourse on the days of the month the women is most likely to get pregnant.
YES 1
NO/DOESN'T KNOW 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 307)

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

YES 1
NO 2 (GO TO 309)

306. What did you do or use?
CORRECT 303 AND 304 (AND 302 IF NECESSARY).

307. At this time, did you do something or use a method to delay or avoid pregnancy?

YES 1
NO 2 (GO TO 309)

308. Which method do you use?

PILL 01 (GO TO 401)
IUD 02 (GO TO 401)
INJECTIONS 03 (GO TO 401)
IMPLANTS 04 (GO TO 401)
DIAPHRAGM/FOAM/JELLY 05 (GO TO 401)
CONDOM 06 (GO TO 401)
FEMALE STERILIZATION 07 (GO TO 401)
MALE STERILIZATION 08 (GO TO 401)
RHYTHM METHOD 09 (GO TO 401)
WITHDRAWAL 10 (GO TO 401)
OTHER (SPECIFY)__96 (GO TO 401)

309. 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
WIFE MENOPAUSE/HYSTERECTOMY 23
WIFE SUB FECUND/ STERILE 24
WIFE POST-PARTUM/ BREASTFEEDING 25
WANTS (MORE) CHILDREN 26
WIFE PREGNANT 27
OPPOSITION TO USE
RESPONDENT OPPOSED 31
WIFE/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
USE IS A WOMAN'S ISSUE 61
OTHER (SPECIFY)__96
DOESN'T KNOW 98

SECTION 4. MARRIAGE

401. Are you currently married or do you currently live with a woman?

YES, CURRENTLY MARRIED 1
YES, LIVES WITH A WOMAN 2 (GO TO 402A)
FIRST UNION NOT CONSUMMATED 3 (GO TO 410F)
NO, NOT IN UNION 4 (GO TO 404)

402. How many wives do you have?

NUMBER OF WIVES ____

402A. With how many women do you live as if married?

NUMBER OF WOMEN/WIVES____

403. WRITE THE LINE NUMBER, FROM THE HOUSEHOLD QUESTIONNAIRE, OF EACH WIFE/PARTNER.

IF A WIFE/PARTNER DOES NOT LIVE IN THE HOUSEHOLD, RECORD '00' IN THE BOXES CORRESPONDING TO THIS WIFE/PARTNER. THE NUMBER OF FILLED IN BOXES MUST BE EQUAL TO THE NUMBER OF WIVES AND PARTNERS NOTED IN 402.

_________ (Go to 407 in cases where a box is filled in with a line number)

404. Do you 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

405. Have you ever been married or lived with a woman?

YES, HAS BEEN MARRIED 1
YES, HAS ONLY LIVED WITH A WOMAN 2
NO 3 (GO TO 410F)

406. What is your current marital situation: are you widowed, divorced or separated?

WIDOWER 1
DIVORCED 2
SEPARATED 3

407. Have you been married or have you lived with a woman once or more than once?

ONCE 1
MORE THAN ONCE 2

408. CHECK 407:

MARRIED/LIVED WITH A WOMAN
In which month and in which year did you begin to live with your spouse/partner?

MARRIED/LIVED WITH A WOMAN MORE THAN ONCE
Now, we will talk about your first wife/partner. In which month and in which year did you begin to live with her?

MONTH__
DOESN'T KNOW MONTH 98
YEAR__ (GO TO 409A)
DOESN'T KNOW YEAR 9998

409. How old were you when you began to live with her?

AGE IN YEARS__

409A. CHECK 401:

CURRENTLY MARRIED OR LIVES WITH A WOMAN (GO TO 410)
NOT IN UNION (GO TO 410F)

Now I would like to ask you questions about your sexual activity to better understand certain problems of family life.

410. When did you last have sex with your wife/one of your wives/women with whom you live?

NUMBER OF DAYS 1__
NUMBER OD WEEKS 2__
NUMBER OF MONTHS 3__
NUMBER OF YEARS 4__

410A. CHECK 301 AND 302:

KNOWS OF CONDOMS
The last time you had sexual intercourse with your wife/one of your wives/women with whom you live did you use a condom?

DOESN'T KNOW OF CONDOMS
Some men use a condom, that is to say that the put a rubber sheath on their penis during sexual intercourse. The last time you had sexual intercourse with your wife/one of your wives/women with whom you live did you use a condom?

YES 1
NO 2

410B. During the last 12 months, did you have sexual intercourse with another woman besides your wife/one of your wives/women with whom you live?

YES 1
NO 2 (GO TO 410J)

410C. When did you last have sex with this woman other than your wife/one of your wives/women with whom you live?

NUMBER OF DAYS 1__
NUMBER OD WEEKS 2__
NUMBER OF MONTHS 3__
NUMBER OF YEARS 4__

410D. The last time you had sexual intercourse with this other woman was a condom used?

YES 1
NO 2

410E. During the last 12 months, with how many different people besides your wife/wives/women with whom you live did have sexual intercourse?

NUMBER OF PEOPLE__ (GO TO 410J)
DOESN'T KNOW 98 (GO TO 410 J)

Now I would like to ask you some questions about your sexual activity in order to better understand certain problems of family planning.

410F. How long ago did you have your first sexual intercourse (if you've already had it)?

NEVER 000 (GO TO 509)
NUMBER OF DAYS 1__
NUMBER OD WEEKS 2__
NUMBER OF MONTHS 3__
NUMBER OF YEARS 4__

410G. CHECK 301 AND 302:

KNOWS OF CONDOMS
The last time you had sexual intercourse with your wife/one of your wives/women with whom you live did you use a condom?

DOESN'T KNOW OF CONDOMS
Some men use a condom, that is to say that the put a rubber sheath on their penis during sexual intercourse. The last time you had sexual intercourse with your wife/one of your wives/women with whom you live did you use a condom?

YES 1
NO 2

410H. CHECK 410F:

LESS THAN 12 MONTHS SINCE THE LAST SEXUAL INTERCOURSE (GO TO 410I)
12 MONTHS OR MORE SINCE THE LAST SEXUAL INTERCOURSE (GO TO 410J)

410I. During the last 12 months, with how many different people did you have sexual intercourse?

NUMBER OF PEOPLE__
DOESN'T KNOW 98

410J. CHECK 401:

CURRENTLY MARRIED OR LIVES WITH 1 WOMAN
The last time you had sexual intercourse, was this with your wife/wives/women with whom you live, a regular partner, a casual encounter, someone you paid or someone else?

NO, NOT IN UNION
The last time you had sexual intercourse, was it with a regular partner, a casual encounter, someone you paid or someone else?

WIFE/WIVES/WOMEN WITH WHOM HE LIVES 1
REGULAR PARTNER 2
CASUAL ENCOUNTER 3
SOMEONE PAID 4
SOMEONE ELSE 5

413. Do you know a place where one could get condoms?

YES 1
NO 2 (GO TO 415)

414. Where is this?

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

NAME OF PLACE__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/MATERNITY/GOVERNMENT PMI 12
HEALTH AGENT 13
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
FIELD WORKER 24
COMMUNITY SECTOR
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

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

AGE__
FIRST TIME IN MARRIAGE 96

SECTION 5. FERTILITY PREFERENCES

501. CHECK 401:

NOT IN UNION (GO TO 502)
CURRENTLY MARRIED OR LIVES WITH A WOMAN (GO TO 503)

502. CHECK 505:

REGULAR SEX PARTNER (GO TO 503)
OCCASIONAL SEX PARTNER (GO TO 503)
NO SEX PARTNER (GO TO 505A)

503. Is your wife/partner (one of your wives/partners) currently pregnant?

YES 1
NO 2 (GO TO 505A)
NOT SURE 8 (GO TO 505A)

504. When she got pregnant, did you want her to get pregnant at that time, later, or not at all?

AT THAT TIME 1 (GO TO 505B)
LATER 2 (GO TO 505B)
NOT AT ALL 3 (GO TO 505B)

Now I have some questions about the future.

NO, NOT PREGNANT WIFE/PARTNER/NOT SURE:

505A. Would you like to have a (another) child, or do you prefer to have no (more) children at all?

HAVE A (ANOTHER) CHILD 1
NO MORE/NO 2 (GO TO 507)
WIFE/PART. CAN NOT GET PREGNANT 3 (GO TO 507)
SAYS HE CAN'T HAVE CHILDREN 4 (GO TO 507)
UNDECIDED/DOESN'T KNOW AND PREGNANT 8 (GO TO 510)

YES, WIFE/PARTNER PREGNANT:

505B. After the child that your wife/partner is expecting, would you like to have a (another) child, or do you prefer to have no (more) children at all?

HAVE A (ANOTHER) CHILD 1
NO MORE/NO 2 (GO TO 507)
WIFE/PART. CAN NOT GET PREGNANT 3 (GO TO 507)
SAYS HE CAN'T HAVE CHILDREN 4 (GO TO 507)
UNDECIDED/DOESN'T KNOW AND PREGNANT 8 (GO TO 510)

506. CHECK 503:

WIFE/PARTNER NOT PREGNANT OR NOT SURE/NO WIFE/PARTNER:
How long from right now would you like to wait before the birth of a (another) child?

WIFE/PARTNER PREGNANT
After the birth of the child you are expecting, how long would you like to wait before the birth of another child?

MONTHS 1__
YEARS 2__
SOON/NOW 993
SAYS WIFE CAN NOT GET PREGNANT 994
AFTER MARRIAGE 995
OTHER (SPECIFY)__ 996
DOESN'T KNOW 998

507. CHECK 307: CURRENTLY USES A CONTRACEPTIVE METHOD?

NOT ASKED (GO TO 508)
NO, DOESN'T CURRENTLY USE (GO TO 508)
YES, CURRENTLY USES (GO TO 512)

508. Do you think that, in the next 12 months you will use a method to delay or avoid a pregnancy?

YES 1 (GO TO 510)
NO 2
DOESN'T KNOW 8

509. Do you think you will use a method in the future?

YES 1
NO 2 (GO TO 511)
DOESN'T KNOW 8 (GO TO 511)

510. Which method would you prefer to use?

PILL 01 (GO TO 512)
IUD 02 (GO TO 512)
INJECTIONS 03 (GO TO 512)
IMPLANTS 04 (GO TO 512)
DIAPHRAGM/FOAM/JELLY 05 (GO TO 512)
CONDOM 06 (GO TO 512)
FEMALE STERILIZATION 07 (GO TO 512)
MALE STERILIZATION 08 (GO TO 512)
RHYTHM METHOD 09 (GO TO 512)
WITHDRAWAL 10 (GO TO 512)
OTHER (SPECIFY)__96 (GO TO 512)
NOT SURE 98 (GO TO 512)

511. What is the main reason that you think that you will not use a contraception method at any time in the future?

FERTILITY-RELATED REASONS
NOT HAVING SEX/ INFREQUENT SEX 22
WOMAN MENOPAUSE/HYSTERECTOMY 23
WOMAN SUB FECUND/STERILE 24
WANTS AS MANY CHILDREN AS POSSIBLE 26
OPPOSITION TO USE
RESPONDENT OPPOSED 31
WIFE/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

512. CHECK 202 AND 204:

HAS LIVING CHILDREN
If you could return to the time when you did not have children and choose the number of children that you will have in your life, how many would you have?
PROBE TO GET A NUMERIC RESPONSE.

NO LIVING CHILDREN
If you could choose the number of children that you will have in your life, how many would you have?
PROBE TO GET A NUMERIC RESPONSE.

NUMBER __
OTHER (SPECIFY)__96 (GO TO 514)
NO CHILDREN 00 (GO TO 514)

513. Among these children how many boys do you want, how many girls, and for how many is the gender not important?

NUMBER OF BOYS__
NUMBER OF GIRLS__
NOT IMPORTANT__
OTHER (SPECIFY)__96

514. In general, do you approve or disapprove of couples who use a method to avoid pregnancies?

APPROVE 1
DISAPPROVE 2
NO OPINION 8

515. 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
DOESN'T KNOW 8
TELEVISION
OK 1
NOT OK 2
DOESN'T KNOW 8

516. 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

518. 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 520)

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

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

520. CHECK 401:

YES, CURRENTLY MARRIED (GO TO 521)
YES, LIVES WITH A WOMAN (GO TO 521)
NO, NOT IN A UNION (GO TO 601A)

Husbands and wives do not always agree on everything. Now I would like to ask you about your partner/wife's opinions about family planning.

521. Do you think that your partner/wife approves or disapproves of couples who use methods to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
SOME APPROVE AND SOME DISAPPROVE 3
DOESN'T KNOW 8

522. How many times during the past 12 month did you speak with your partner/wife about family planning?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

SECTION 6. AIDS AND OTHER SEXUALLY TRANSMITTED DISEASES

601A. Have you ever heard of an illness that can be transmitted sexually?

YES 1
NO 2 (GO TO 601EA)

601B. 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

601C. CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE (GO TO 601D)
HAS NOT HAD SEX (GO TO 601K)

601D. During the last 12 months, did you have one of these illnesses?

YES 1
NO 2 (GO TO 601EA)
DOESN'T KNOW 8 (GO TO 601EA)

601E. 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

601EA. During the last 12 months, have you had:

- a sore or ulcer on your genital organs?
- discharge from your penis?

SORE/ULCER
YES 1
NO 2
DOESN'T KNOW 8
DISCHARGE
YES 1
NO 2
DOESN'T KNOW 8

601EB. CHECK 601E AND 601EA:

HAS HAD AT LEAST ONE ILLNESS AND /OR SYMPTOM (GO TO 601F)
HAS HAD NEITHER ILLNESS NOR SYMPTOM (GO TO 601K)

601F. The last time you had (ILLNESS FROM 601E) did you seek advice or treatment?

YES 1
NO 2 (GO TO 601GA)

601G. Where did you seek advice or treatment?
Any others? Record all mentioned.

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

601GA. CHECK 410 AND 410F: Has had sex?

YES (GO TO 601H)
NEVER HAD SEX (GO TO 601K)

601H. When you had (ILLNESS FROM 601E/SYMPTOM FROM 601EA), did you tell your partner?

YES 1
NO 2

601I. When you had (ILLNESS FROM 801E/ SYMPTOM FROM 601EA), did you do something to avoid infecting your partner?

YES 1
NO 2 (GO TO 601K)
PARTNER ALREADY INFECTED 3 (GO TO 601 K)

601J. What did you do?
RECORD EVERYTHING MENTIONED.

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

601K. CHECK 601B

DID NOT MENTION "AIDS" (GO TO 601L)
MENTIONED "AIDS" (GO TO 602)

601L. Have you ever heard of a disease called AIDS?

YES 1
NO 2 (GO TO 611C)

602. 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

602B. How can one get AIDS?
Any other way?
RECORD EVERYTHING MENTIONED.

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
HUGGING L
MOSQUITO BITES M
LIVING WITH SOMEONE WITH AIDS N
BLADES/RAZORS/SCISSORS/DIRTY CUTTING INSTRUMENTS P
OTHER(SPECIFY)__X
DOESN'T KNOW Z

603. Is there something someone could do to avoid getting the AIDS virus or the virus that causes AIDS?

YES 1
NO 2 (GO TO 607)
DOESN'T KNOW 8 (GO TO 607)

604. What can a person do?
Anything else?
RECORD EVERYTHING MENTIONED.

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 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

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

YES 1
NO 2
DOESN'T KNOW 8

608. 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

608A. Can someone be cured of AIDS?

YES 1
NO 2
DOESN'T KNOW 8

608B. Can AIDS be transmitted from mother to child?

YES 1
NO 2
DOESN'T KNOW 8

608C. Do you personally know anyone who has the Aids virus or who died of AIDS?

YES 1
NO 2
DOESN'T KNOW 8

609. Do you think the risk of your getting AIDS is small, average, large, or that you are not at all at risk?

SMALL 1
AVERAGE 2 (GO TO 609C)
LARGE 3 (GO TO 609C)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 611A)

609B. 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 611A)
USES CONDOMS C (GO TO 611A)
ONLY HAS ONE SEXUAL PARTNER D (GO TO 611A)
LIMITED NUMBER OF SEXUAL PARTNERS E (GO TO 611A)
PARTNER DOESN'T HAVE OTHER PARTNERS F (GO TO 611A)
AVOIDS PROSTITUTES G (GO TO 611A)
DOESN'T HAVE HOMOSEXUAL SEX H (GO TO 611A)
NO BLOOD TRANSFUSIONS I (GO TO 611A)
NO INJECTIONS J (GO TO 611A)
AVOIDS DIRTY BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS P (GO TO 611A)
OTHER (SPECIFY)__ X (GO TO 611A)

609C. 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
SEX WITH PROSTITUTE(S) G
HOMOSEXUAL SEX H
BLOOD TRANSFUSIONS I
INJECTIONS J
AVOIDS [sic.] DIRTY BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS P OTHER (SPECIFY)__ X

611A. 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 611C)
STOPPED HAVING SEXUAL INTERCOURSE B (GO TO 611C)
BEGAN USING CONDOMS C (GO TO 611C)
LIMITED TO 1 SEXUAL PARTNER D (GO TO 611C)
REDUCED THE NUMBER OF PARTNERS E (GO TO 611C)
STOPPED HAVING HOMOSEXUAL SEX F (GO TO 611C)
OTHER (SPECIFY)__(X)
NO CHANGE IN BEHAVIOR Y

611B. 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 1 SEXUAL PARTNER D
REDUCED THE NUMBER OF PARTNERS E
AVOID PROSTITUTES G
STOPPED HAVING HOMOSEXUAL SEX H
OTHER (SPECIFY) ____ X
NO CHANGE IN SEXUAL BEHAVIOR Y

611C. 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 611F)

611D. CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE (GO TO 611E)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 613)

611E. 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

611F. During the past 12 months, have you given money or gifts in exchange for sexual intercourse?

YES 1
NO 2

613. RECORD THE TIME:

HOURS__
MINUTES__

INTERVIEWER'S OBSERVATIONS

FILL OUT AFTER HAVING ENDED THE INTERVIEW

COMMENTS ABOUT THE RESPONDENT ___

COMMENTS ON PARTICULAR QUESTIONS ____

OTHER COMMENTS ____

SUPERVISOR'S OBSERVATIONS ____
SUPERVISOR'S NAME____
DATE____

FIELD EDITOR'S OBSERVATIONS
FIELD EDITOR'S NAME___
DATE__