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DEMOGRAPHIC AND HEALTH SURVEY-MALAWI 1992-WOMEN'S QUESTIONNAIRE

IDENTIFICATION


REGION/DISTRICT______

TA/STA/TOWN______

ENUMERATION AREA _______

VILLAGE OR PLACE_______

MDHS CLUSTER NUMBER _______

HOUSEHOLD NUMBER ________

URBAN/RURAL ______

URBAN l
RURAL 2

NAME AND LINE NUMBER OF WOMAN____________

NAME AND LINE NUMBER OF HUSBAND (CODE 98 IF NO HUSBAND OR HUSBAND
NOT IN HOUSEHOLD) _______

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE ____
INTERVIEWER'S NAME ___
RESULT* ___

RESULT ____

COMPLETED 1
NOT AT HOME 2
POSTPONED 3
REFUSED 4
PARTLY COMPLETED 5
INCAPACITATED 6
OTHER (SPECIFY) ____ 7

NEXT VISIT:
DATE ___
TIME ___

FINAL VISIT:
DAY ___
MONTH ___
YEAR ___
NAME ___
RESULT___

TOTAL NUMBER OF VISITS___

FIELD EDITED BY
NAME ___
DATE ___

OFFICE EDITED BY
NAME ___
DATE ___

KEYED BY
NAME ___
DATE ___

KEYED BY____

SECTION I. RESPONDENT'S BACKGROUND

101. RECORD THE TIME.

HOUR ___
MINUTES ___

102. First I would like to ask some questions about you and your household. For most of the time until you were about 12 years old, did you live in a city, in a town, or in a village?

CITY 1
TOWN 2
VILLAGE 3

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

YEARS ___
ALWAYS 95 (GO TO 105)
VISITOR 96 (GO TO 105)

104. Just before you moved here, did you live in a city, in a town, or in a village?

CITY 1
TOWN 2
VILLAGE 3

105. In what month and year were you born?

MONTH ___
DON'T KNOW MONTH 98
YEAR ___
DON'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. Have you ever attended school?

YES 1
NO 2 (GO TO 111)

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

PRIMARY 1
SECONDARY 2
HIGHER 3

109. How many years of school did you complete at that level?

YEARS ___

110. CHECK 108:

PRIMARY (GO TO 111)
SECONDARY OR HIGHER (GO TO 112)

111. Are you able to read and understand English or Chichewa easily, with difficulty, or not at all?

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

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

YES 1
NO 2

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

YES 1
NO 2

114. CHECK Q. 4 IN THE HOUSEHOLD QUESTIONNAIRE:

THE WOMAN INTERVIEWED IS NOT A USUAL RESIDENT (GO TO 115)
THE WOMAN INTERVIEWED IS A USUAL RESIDENT (GO TO 201)

115. Now I would like to ask about the place in which you usually live. Do you usually live in a city, in a town, or in a village?

CITY 1
TOWN 2
VILLAGE 3

116. In which region is that located?

NORTH 1
CENTRAL 2
SOUTH 3
OUTSIDE MALAWI 4

117. What is the source of water your household uses for handwashing and dishwashing?

PIPED WATER
PIPED INSIDE DWELLING UNIT 11 (GO TO 119)
PIPED INTO YARD/PLOT 12 (GO TO 119)
PUBLIC TAP 13
WELL WATER
PROTECTED WELL/BOREHOLE 21
UNPROTECTED WELL 22
SURFACE WATER
SPRING 31
RIVER/STREAM 32
POND/DAM 33
LAKE 34
RAINWATER 41 (GO TO 119)
OTHER (SPECIFY) ____ 71

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

MINUTES ___
ON PREMISES 996
DON'T KNOW 998

119. Does your household get drinking water from this same source?

YES 1 (GO TO 121)
NO 2

120. What is the source of drinking water for members of your household?

PIPED WATER
PIPED INSIDE DWELLING UNIT 11
PIPED INTO YARD/PLOT 12
PUBLIC TAP 13
WELL WATER
PROTECTED WELL/BOREHOLE 21
UNPROTECTED WELL 22
SURFACE WATER
SPRING 31
RIVER/STREAM 32
POND/DAM 33
LAKE 34
RAINWATER 41
OTHER (SPECIFY) ____ 71

121. What kind of toilet facility does your household have?

FLUSH TOILET
OWN FLUSH TOILET 11
SHARED FLUSH TOILET 12
PIT LATRINE
TRADITIONAL PIT LATRINE 21
VENTILATED IMPROVED PIT (VIP LATRINE) 22
NO FACLITY 31
OTHER (SPECIFY) ____ 41

122. Does your household have:

Electricity?
YES 1
NO 2
A radio?
YES 1
NO 2
A paraffin lamp?
YES 1
NO 2

123. How many rooms in all of the dwelling units of your household are used for sleeping?

ROOMS ___

124. Does any member of your household own:

A bicycle?
YES 1
NO 2
A motorcycle?
YES 1
NO 2
A car?
YES 1
NO 2
An oxcart?
YES 1
NO 2

125A. At your own house, what is the main material that the floor is made from?

NOTE: IF HER HOUSEHOLD LIVES IN MORE THAN ONE DWELLING UNIT AND THE DWELLING UNITS DIFFER IN FLOOR MATERIALS, ASK FOR THE FLOOR MATERIAL OF THE DWELLING OF THE HEAD OF HOUSEHOLD.

MUD/EARTH FLOOR 11
FINISHED FLOOR
CEMENT 31
BRICKS 32
WOOD 33
TILES 34
OTHER (SPECIFY) ____ 41

125B. At your own house, what is the main material that the roof is made from?

NOTE: IF HER HOUSEHOLD LIVES IN MORE THAN ONE DWELLING UNIT AND THE DWELLING UNITS DIFFER IN ROOF MATERIALS, ASK FOR THE ROOF MATERIAL OF THE DWELLING OF THE HEAD OF HOUSEHOLD.

GRASS THATCH 1
IRON SHEETS 2
IRON AND TILES 3
ASBESTOS 4
CEMENT 5
WOOD 6
OTHER (SPECIFY)____ 7

SECTION 2. REPRODUCTION

201. Now I would like to ask about all the births you have had during your life. Have you ever given birth?

YES 1
NO 2 (GO TO 206)

202. Do you have any sons or daughters to whom you have given birth who are now living with you?

YES 1
NO 2 (GO TO 204)

203. How many sons live with you? And how many daughters live with you?
IF NONE RECORD '00'.

SONS AT HOME ___
DAUGHTERS AT HOME ___

204. Do you have any sons or daughters to whom you have given birth 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? And how many daughters are alive but do not live with you?
IF NONE RECORD '00'.

SONS ELSEWHERE ___
DAUGHTERS ELSEWHERE ___

206. Have you ever given birth to a boy or a girl who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed any sign of life but only survived a few hours or days?

YES 1
NO 2 (GO TO 208)

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

BOYS DEAD __
GIRLS DEAD __

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

TOTAL ____

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

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

210. CHECK 208:

ONE OR MORE BIRTHS (GO TO 211)
NO BIRTHS (GO TO 223)

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

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

NAME____

213. RECORD SINGLE OR MULTIPLE BIRTH STATUS.

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? OR: In what season was he/she born?

MONTH __
YEAR __

216. Is (NAME) still alive?

YES 1
NO 2 (GO TO 220)

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

219. IF LESS THAN 15 YRS. OF AGE: With whom does he/she live?
IF 15+: GO TO NEXT BIRTH.

FATHER 1 (GO TO NEXT BIRTH)
OTHER RELATIVE 2 (GO TO NEXT BIRTH)
SOMEONE ELSE 3 (GO TO NEXT BIRTH)

220. IF DEAD: How old was he/she when he/she died?
IF "1 YR.", PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH, MONTHS IF LESS THAN TWO YEARS, OR YEARS.

DAYS 1 ___
MONTHS 2 ___
YEARS 3 ___

221. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:

NUMBERS ARE SAME
CHECK:
FOR EACH BIRTH: YEAR OF BIRTH IS RECORDED ___
FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED ___
FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED ___
FOR AGE AT DEATH 12 MONTHS: PROBE TO DETERMINE EXACT NUMBER OF MONTHS___
NUMBERS ARE DIFFERENT (PROBE AND RECONCILE)

222. CHECK 215 AND ENTER THE NUMBER OF BIRTHS SINCE JANUARY 1987.
IF NONE, RECORD 0.

223. Are you pregnant now?

YES 1
NO 2 (GO TO 227)
UNSURE 8 (GO TO 227)

224. How many months pregnant are you?

MONTHS ___

225. During this pregnancy, are you taking bitter-tasting pills regularly to prevent you from getting malaria?

YES 1
NO 2
DON'T KNOW 8

226. At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to become pregnant at all?

THEN 1
LATER 2
NOT AT ALL 3

227. When did your last menstrual period start?

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___
IN MENOPAUSE 994
BEFORE LAST BIRTH 995
NEVER MENSTRUATED 996

228. Between the first day of a woman's period and the first day of her next period, are there certain times when she has a greater chance of becoming pregnant than other times?

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

229. During which times of the monthly cycle does a woman have the greatest chance of becoming pregnant?

DURING HER PERIOD 1
RIGHT AFTER HER PERIOD HAS ENDED 2
IN THE MIDDLE OF THE CYCLE 3
JUST BEFORE HER PERIOD BEGINS 4
OTHER (SPECIFY) ____ 5
DON'T KNOW 8

SECTION 3. METHODS OF CHILDSPACING

301. Now I would like to talk about childspacing - the various ways or methods that a couple can use to delay or avoid a pregnancy. Which ways or methods have you heard about?

CIRCLE CODE 1 IN 302 FOR EACH METHOD MENTIONED SPONTANEOUSLY.
THEN PROCEED DOWN THE COLUMN, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.
CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 302, ASK 303-304 BEFORE PROCEEDING TO THE NEXT METHOD.

302. Have you ever heard of (METHOD)?
READ DESCRIPTION OF EACH METHOD.

01) PILL: Women can take a pill every day.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
02) IUCD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
03) INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
04) DIAPHRAGM, FOAM, JELLY: Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
05) CONDOM: Men can use a rubber sheath during sexual intercourse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
06) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
07) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
08) NATURAL METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
09) WITHDRAWAL: Men can be careful and pull out before climax.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
10) Have you heard of any other ways or methods that women or men can use to delay or avoid pregnancy? LIST UP TO THREE DIFFERENT METHODS.
(SPECIFY) ____
YES/SPONTANEOUS 1
NO 3

303. Have you ever used (METHOD)?

01) PILL: Women can take a pill every day.
YES 1
NO 2
02) IUCD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03) INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
04) DIAPHRAGM, FOAM, JELLY: Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.
YES 1
NO 2
05) CONDOM: Men can use a rubber sheath during sexual intercourse.
YES 1
NO 2
06) 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
07) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2
08) NATURAL METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
YES 1
NO 2
09) WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
10) Have you heard of any other ways or methods that women or men can use to delay or avoid pregnancy?
YES 1
NO 2

304. Do you know where a person could go to get (METHOD)?

01) PILL: Women can take a pill every day.
YES 1
NO 2
02) IUCD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03) INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
04) DIAPHRAGM, FOAM, JELLY: Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.
YES 1
NO 2
05) CONDOM: Men can use a rubber sheath during sexual intercourse.
YES 1
NO 2
06) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2
07) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2
08) NATURAL METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant: Do you know where a person can obtain advice on how to use the natural method?
YES 1
NO 2

305. CHECK 303:

NOT A SINGLE "YES" (NEVER USED) (GO TO 306)
AT LEAST ONE "YES" (EVER USED) (GO TO 308)

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

YES
NO (GO TO 324)

307. What have you used or done?
CORRECT 303-305 (AND 302 IF NECESSARY).

308. Now I would like to ask you about the time when you first did something or used a method to avoid getting pregnant.
How many living children did you have at that time, if any?
IF NONE, RECORD '00'.

NUMBER OF CHILDREN __

309. CHECK 223:

NOT PREGNANT OR UNSURE (GO TO 310)
PREGNANT (GO TO 324)

310. CHECK 303:

WOMAN NOT STERILIZED (GO TO 311)
WOMAN STERILIZED (GO TO 312A)

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

YES 1
NO 2 (GO TO 324)

312. Which method are you using?
312A. DO NOT ASK Q. 312A IF THE WOMAN IS NOT STERILIZED.
You have said that you had an operation that keeps you from getting pregnant. Is that correct?

IF RESPONDENT SAYS "NO", CORRECT 303-305 (AND 302 IF NECESSARY).
IF RESPONDENT CONFIRMS WITH A "YES", CIRCLE "06" FOR FEMALE STERILIZATION.

PILL 01
IUCD 02 (GO TO 318)
INJECTIONS 03 (GO TO 318)
DIAPHRAGM/FOAM/JELLY 04 (GO TO 318)
CONDOM 05 (GO TO 318)
FEMALE STERILIZATION 06 (GO TO 318)
MALE STERILIZATION 07 (GO TO 318)
NATURAL METHOD 08 (GO TO 323)
WITHDRAWAL 09 (GO TO 323)
OTHER (SPECIFY) ____ 10 (GO TO 323)

313. At the time you first started using the pill, did you consult a doctor, nurse or other medical person?

YES 1
NO 2
DON'T KNOW 8

314. At the time you last got pills, did you consult a doctor, nurse, or other medical person?

YES 1
NO 2

315. May I see the package of pills you are using now?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME _____ (GO TO 317)
PACKAGE NOT SEEN 2

316. Do you know the brand name of the pills you are now using?
RECORD NAME OF BRAND.

BRAND NAME____
DON'T KNOW 98

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

COST (kwacha) ____
FREE 996
DON'T KNOW 998

318. CHECK 312:

SHE/HE STERILIZED: Where did the sterilization take place?

USING ANOTHER METHOD: Where did you obtain (METHOD) the last time?

NOTE: PRIVATE SECTOR INCLUDES MISSION FACILITIES

NAME OF PLACE ______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
PRIMARY HEALTH CENTRE 12
DISPENSARY/MATERNITY CLINIC 13
MOBILE CLINIC 14 (GO TO 321)
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL 21
PRIVATE HEALTH CENTRE 22
DISPENSARY/MATERNITY CLINIC 23
MOBILE CLINIC 24 (GO TO 321)
PRIVATE DOCTOR 25
OTHER PRIVATE SECTOR
SHOP/PHARMACY 31
CHURCH 32 (GO TO 321)
FRIENDS/RELATIVES 33 (GO TO 321)
OTHER (SPECIFY) ____ 41 (GO TO 321)
DON'T KNOW 98 (GO TO 321)

319. How long does it take to travel from your home to this place?
IF LESS THAN 2 HOURS, RECORD MINUTES. OTHERWISE, RECORD HOURS.

MINUTES 1 ___
HOURS 2 0 ___
DON'T KNOW 9998

320. Is it easy or difficult to get there?

EASY 1
DIFFICULT 2

321. CHECK 312:

SHE/HE STERILIZED (GO TO 322)
USING ANOTHER METHOD (GO TO 323)

322. In what month and year was the sterilization operation performed?

MONTH___ (GO TO 334)
YEAR___ (GO TO 334)

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

MONTHS____ (GO TO 329)
8 YEARS OR LONGER 96 (GO TO 329)

324. Do you intend to use a method to delay or avoid pregnancy at any time in the future?

YES 1 (GO TO 326)
NO 2
DON'T KNOW 8 (GO TO 330)

325. What is the main reason you do not intend to use a method?

WANTS CHILDREN 01 (GO TO 330)
LACK OF KNOWLEDGE 02 (GO TO 330)
PARTNER OPPOSED 03 (GO TO 330)
OTHER RELATIVES OPPOSED 04 (GO TO 330)
SIDE EFFECTS 05 (GO TO 330)
HEALTH CONCERNS 06 (GO TO 330)
SOURCE TOO FAR AWAY 07 (GO TO 330)
METHODS ARE UNAVAILABLE 08 (GO TO 330)
OPPOSED TO FAMILY PLANNING 09 (GO TO 330)
FATALISTIC/GOD'S WILL 10 (GO TO 330)
COSTS TOO MUCH 11 (GO TO 330)
INFREQUENT SEX 12 (GO TO 330)
CAN NOT GET PREGNANT 13 (GO TO 330)
MENOPAUSAL/HAD HYSTERECTOMY 14 (GO TO 330)
INCONVENIENT 15 (GO TO 330)
NOT MARRIED 16 (GO TO 330)
OTHER (SPECIFY) ____ 17 (GO TO 330)
DON'T KNOW 98 (GO TO 330)

326. Do you intend to use a method within the next 12 months?

YES 1
NO 2
DON'T KNOW 8

327. When you start using a method, which method would you prefer to use?

PILL 01
IUCD 02
INJECTIONS 03
DIAPHRAGM/FOAM/JELLY 04
CONDOM 05
FEMALE STERILIZATION 06
MALE STERILIZATION 07
NATURAL METHOD 08 (GO TO 330)
WITHDRAWAL 09 (GO TO 330)
OTHER (SPECIFY) _____ 10 (GO TO 330)
UNSURE 98 (GO TO 330)

328. Where can you get (METHOD MENTIONED IN 327)?
NOTE: PRIVATE SECTOR INCLUDES MISSION FACILITIES

NAME OF PLACE_____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 332)
PRIMARY HEALTH CENTRE 12 (GO TO 332)
DISPENSARY/MATERNITY CLINIC 13 (GO TO 332)
MOBILE CLINIC 14 (GO TO 334)
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL 21 (GO TO 332)
PRIVATE HEALTH CENTRE 22 (GO TO 332)
DISPENSARY/MATERNITY CLINIC 23 (GO TO 332)
MOBILE CLINIC 24 (GO TO 334)
PRIVATE DOCTOR 25 (GO TO 332)
OTHER PRIVATE SECTOR
SHOP/PHARMACY 31 (GO TO 332)
CHURCH 32 (GO TO 334)
FRIENDS/RELATIVES 33 (GO TO 334)
OTHER (SPECIFY) ____ 41 (GO TO 334)
DON'T KNOW 98 (GO TO 330)

329. CHECK 312:

USING NATURAL METHOD, WITHDRAWAL, OR OTHER TRADITIONAL METHOD (GO TO 330)
USING A MODERN METHOD (GO TO 334)

330. Do you know of a place where you can obtain a method of childspacing?

YES 1
NO 2 (GO TO 334)

331. Where is that?
NOTE: PRIVATE SECTOR INCLUDES MISSION FACILITIES

NAME OF PLACE____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
PRIMARY HEALTH CENTRE 12
DISPENSARY/MATERNITY CLINIC 13
MOBILE CLINIC 14 (GO TO 334)
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL 21
PRIVATE HEALTH CENTRE 22
DISPENSARY/MATERNITY CLINIC 23
MOBILE CLINIC 24 (GO TO 334)
PRIVATE DOCTOR 25
OTHER PRIVATE SECTOR
SHOP/PHARMACY 31
CHURCH 32 (GO TO 334)
FRIENDS/RELATIVES 33 (GO TO 334)
OTHER (SPECIFY) ____ 41 (GO TO 334)

332. How long does it take to travel from your home to this place?
IF LESS THAN 2 HOURS, RECORD MINUTES. OTHERWISE, RECORD HOURS.

MINUTES 1 ___
HOURS 2 ___
DON'T KNOW 9998

333. Is it easy or difficult to get there?

EASY 1
DIFFICULT 2

334. In the last month, have you heard a message about childspacing on the radio?

YES 1
NO 2

335. Is it acceptable or not acceptable to you for childspacing information to be provided on the radio?

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

336. CHECK 302 (CONDOM):

EVER HEARD OF THE CONDOM (GO TO 337)
NEVER HEARD OF THE CONDOM (GO TO 401)

337. Have you seen or heard any advertisement in the last month about the condom?

YES 1
NO 2 (GO TO 339)

338. Where did you see or hear the advertisement?
CIRCLE ALL MENTIONED.

RADIO A
NEWSPAPER B
MAGAZINE C
POSTERS D
CAN NOT REMEMBER E
OTHER (SPECIFY) ____ F

339. CHECK 312:

NOT CURRENTLY USING CONDOM (GO TO 340)
CURRENTLY USING CONDOM (GO TO 401)

340. Where can someone go to get condoms?
NOTE: PRIVATE SECTOR INCLUDES MISSION FACILIITES

NAME OF PLACE____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
PRIMARY HEALTH CENTRE 12
DISPENSARY/MATERNITY CLINIC 13
MOBILE CLINIC 14
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL 21
PRIVATE HEALTH CENTRE 22
DISPENSARY/MATERNITY CLINIC 23
MOBILE CLINIC 24
PRIVATE DOCTOR 25
OTHER PRIVATE SECTOR
SHOP/PHARMACY 31
CHURCH 32
FRIENDS/RELATIVES 33
OTHER (SPECIFY) ____ 41
DON'T KNOW 98

SECTION 4A. PREGNANCY AND BREASTFEEDING

401. CHECK 222:

ONE OR MORE BIRTHS SINCE JANUARY 1987 (GO TO 402)
NO BIRTHS SINCE JANUARY 1987 (GO TO 501)

402. ENTER THE LINE NUMBER AND NAME OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

LINE NUMBER_____

FROM Q. 212

NAME______

403. 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 want no (more) children at all?

THEN 1 (GO TO 405)
LATER 2
NO MORE 3 (GO TO 405)

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

MONTHS 1 __
YEARS 2 __
DON'T KNOW 998

405. When you were pregnant with (NAME), did you see anyone for antenatal care for this pregnancy?
IF YES, Whom did you see? Anyone else?
RECORD ALL PERSONS SEEN.

HEALTH PROFESSIONAL
DOCTOR A
NURSE/MIDWIFE B
CLINICAL OFFICER/MEDICAL ASSISTANT C
TRADITIONAL BIRTH ATTENDANT
TRAINED D
UNTRAINED E
TRAINING UNCERTAIN F
OTHER (SPECIFY) ____ G
NO ONE H (GO TO 409)

406. Were you given an antenatal card for this pregnancy?

YES 1
NO 2
DON'T KNOW 8

407. How many months pregnant were you when you first saw someone for an antenatal check on this pregnancy?

MONTHS __
DON'T KNOW 98

408. How many antenatal visits did you have during this pregnancy?

NUMBER OF VISITS ___
DON'T KNOW 98

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

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

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

TIMES ___
DON'T KNOW 8

411. Where did you give birth to (NAME)?
NOTE: PRIVATE SECTOR INCLUDES MISSION FACILITIES

HOME
YOUR HOME 11
HOME OF TBA 12
OTHER HOME 13
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
PRIMARY HEALTH CENTRE 22
MATERNITY FACILITY 23
PRIVATE SECTOR
PRIVATE HOSPTAL 31
PRIVATE HEALTH CENTRE 32
MATERNITY FACILITY 33
OTHER (SPECIFY) ____ 41

412. Who assisted with the delivery of (NAME)? Anyone else?
PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS ASSISTING.

HEALTH PROFESSIONAL
DOCTOR A
NURSE/MIDWIFE B
CLINICAL OFFICER/MEDICAL ASSISTANT C
TRADITIONAL BIRTH ATTENDANT
TRAINED D
UNTRAINED E
TRAINING UNCERTAIN F
OTHER (SPECIFY) ____ G
NO ONE H

413. Was (NAME) born on time or prematurely?

ON TIME 1
PREMATURELY 2
DON'T KNOW 8

414. Was (NAME) delivered by caesarian section?

YES 1
NO 2

415. 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
DON'T KNOW 8

416. Was (NAME) weighed at birth?

YES 1
NO 2 (GO TO 418)

417. How much did (NAME) weigh?

KILOGRAMS __.__
DON'T KNOW 98

418. Has your period returned since the birth of (NAME)?
[FOR LAST BIRTH ONLY]

YES 1 (GO TO 420)
NO 2 (GO TO 421)

419. Did your period return between the birth of (NAME) and your next pregnancy?
[REPEAT QUESTION FOR LAST THREE BIRTHS EXCEPT THE LAST BIRTH]

YES 1
NO 2 (GO TO 421)

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

MONTHS___
DON'T KNOW 98

421. Did you ever breastfeed (NAME)?

YES 1 (GO TO 423)
NO 2

422. Why did you not breastfeed (NAME)?

MOTHER ILL/WEAK 01 (GO TO 432)
CHILD ILL/WEAK 02 (GO TO 432)
CHILD DIED 03 (GO TO 432)
NIPPLE/BREAST PROBLEM 04 (GO TO 432)
INSUFFICIENT MILK 05 (GO TO 432)
MOTHER WORKING 06 (GO TO 432)
CHILD REFUSED 07 (GO TO 432)
OTHER (SPECIFY) ____ 08 (GO TO 432)

423. How long after birth did you first put (NAME) to the breast?
IF LESS THAN 1 HOUR, RECORD '00' HOURS.
IF LESS THAN 24 HOURS, RECORD HOURS.
OTHERWISE, RECORD DAYS.
[FOR LAST BIRTH ONLY]

IMMEDIATELY 000
HOURS 1 ___
DAYS 2 ___

424. CHECK 216:
CHILD ALIVE?
[FOR LAST BIRTH ONLY]

ALIVE (GO TO 425)
DEAD (GO TO 430)

425. Are you still breastfeeding (NAME)?
[FOR LAST BIRTH ONLY]

YES 1
NO 2 (GO TO 430)

426. How many times did you breastfeed last night between sunset and sunrise?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
[FOR LAST BIRTH ONLY]

NUMBER OF NIGHTTIME FEEDINGS ___

427. How many times did you breastfeed yesterday during the daylight hours?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
[FOR LAST BIRTH ONLY]

NUMBER OF DAYLIGHT FEEDINGS ___

428. At any time yesterday or last night was (NAME) given any of the following?:
[FOR LAST BIRTH ONLY]

Plain water?
YES 1
NO 2
Water with herbs or roots?
YES 1
NO 2
Juice?
YES 1
NO 2
Baby formula?
YES 1
NO 2
Fresh milk?
YES 1
NO 2
Tinned or powdered milk?
YES 1
NO 2
Other liquids?
YES 1
NO 2
Any solid or mushy food?
YES 1
NO 2

429. CHECK 428:
FOOD OR LIQUID GIVEN YESTERDAY?
[FOR LAST BIRTH ONLY]

"YES" TO ONE OR MORE (GO TO 434)
"NO" TO ALL (GO TO 433)

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

MONTHS__
UNTIL DIED 96 (GO TO 433)

431. Why did you stop breastfeeding (NAME)?

MOTHER ILL/WEAK 01
CHILD ILL/WEAK 02
CHILD DIED 03
NIPPLE/BREAST PROBLEM 04
INSUFFICIENT MILK 05
MOTHER WORKING 06
CHILD REFUSED 07
WEANING AGE 08
BECAME PREGNANT 09
STARTED USING CONTRACEPTION 10
OTHER (SPECIFY) ___ 11

432. CHECK 216:
CHILD ALIVE?

ALIVE (GO TO 434)
DEAD (GO TO 433)

433. Was (NAME) ever given water or anything else to drink or eat (other than breastmilk)?

YES 1
NO 2 (GO TO 437)

434. How many months old was (NAME) when you started giving the following on a regular basis?:
IF LESS THAN 1 MONTH, RECORD '00'.

Formula or milk other than breastmilk?
AGE IN MONTHS ___
NOT GIVEN 96
Plain water?
AGE IN MONTHS ___
NOT GIVEN 96
Other liquids?
AGE IN MONTHS ___
NOT GIVEN 96
Any solid or mushy food?
AGE IN MONTHS ___
NOT GIVEN 96

435. CHECK 216:
CHILD ALIVE?

ALIVE (GO TO 436)
DEAD (GO TO 437)

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

YES 1
NO 2
DON'T KNOW 8

437. GO BACK TO 403 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO FIRST COLUMN OF 438.

SECTION 4B. IMMUNIZATION AND HEALTH

438. ENTER THE LINE NUMBER AND NAME OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

LINE NUMBER FROM Q. 212

LINE NUMBER___
NAME________

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

YES, SEEN 1 (GO TO 441)
YES, NOT SEEN 2 (GO TO 443)
NO CARD 3

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

YES 1 (GO TO 443)
NO 2 (GO TO 443)

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

BCG
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 ___

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

YES 1 (PROBE FOR VACCINATIONS AND WRITE '66' IN THE CORRESPONDING DAY COLUMN IN 441) (GO TO 445)
NO 2 (GO TO 445)
DON'T KNOW 8 (GO TO 445)

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

YES 1
NO 2 (GO TO 445)
DON'T KNOW 8 (GO TO 445)

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

A BCG vaccination against tuberculosis, that is, an injection in the right upper arm that caused a scar?
YES 1
NO 2
DON'T KNOW 8
Polio vaccine, that is, drops in the mouth?
IF YES: How many times?
YES 1
NO 2
DON'T KNOW 8
NUMBER OF TIMES ____
An injection against measles?
YES 1
NO 2
DON'T KNOW 8

445. CHECK 216:
CHILD ALIVE?

ALIVE (GO TO 447)
DEAD (GO TO 446)

446. GO BACK TO 439 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, SKIP TO 478.

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

YES 1
NO 2
DON'T KNOW 8

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

YES 1
NO 2 (GO TO 452)
DON'T KNOW 8 (GO TO 452)

449. Has (NAME) been ill with a cough in the last 24 hours?

YES 1
NO 2
DON'T KNOW 8

450. For how many days (has the cough lasted/did the cough last)?
IF LESS THAN 1 DAY, RECORD '00'.

DAYS ___

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

YES 1
NO 2
DON'T KNOW 8

452. CHECK 447 AND 448:
FEVER OR COUGH?

"YES" IN EITHER 447 OR 448 (GO TO 453)
OTHER (GO TO 457)

453. Was anything given to treat the fever/cough?

YES 1
NO 2 (GO TO 455)
DON'T KNOW 8 (GO TO 455)

454. What was given to treat the fever/cough? Anything else?
RECORD ALL MENTIONED.

INJECTION A
ANTIBIOTIC (PILL OR SYRUP) B
ANTIMALARIAL (PILL OR SYRUP) C
COUGH SYRUP D
OTHER PILL OR SYRUP E
UNKNOWN PILL OR SYRUP F
HOME REMEDY/HERBAL MEDICINE G
OTHER (SPECIFY) _____ H

455. Did you seek advice or treatment for the fever/cough?

YES 1
NO 2 (GO TO 457)

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

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CENTRE B
DISPENSARY C
OTHER FIXED FACILITY D
MOBILE CLINIC E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PRIVATE HEALTH CENTRE G
DISPENSARY H
PRIVATE DOCTOR I
PHARMACY J
MOBILE CLINIC K
OTHER PRIVATE SECTOR
SHOP L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) ____ N

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

YES 1 (GO TO 459)
NO 2
DON'T KNOW 8

458. GO BACK TO 439 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, SKIP TO 478.

459. Has (NAME) had diarrhea in the last 24 hours?

YES 1
NO 2
DON'T KNOW 8

460. For how many days (has the diarrhea lasted/did the diarrhea last)?
IF LESS THAN 1 DAY, RECORD '00'.

DAYS ____

461. Was there any blood in the stools?

YES 1
NO 2
DON'T KNOW 8

462. CHECK 421/425:
LAST CHILD STILL BREASTFED?
[FOR LAST BIRTH ONLY]

YES (GO TO 463)
NO (GO TO 465)

463. During (NAME)'s diarrhea, did you change the frequency of breastfeeding?

YES 1
NO 2 (GO TO 465)

464. Did you increase the number of breastfeeds or reduce them, or did you stop completely?

INCREASED 1
REDUCED 2
STOPPED COMPLETELY 3

465. (Aside from breastmilk) Was he/she given the same amount to drink as before the diarrhea, or more, or less?

SAME 1
MORE 2
LESS 3
DON'T KNOW 8

466. Was anything given to treat the diarrhea?

YES 1
NO 2 (GO TO 468)
DON'T KNOW 8 (GO TO 468)

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

FLUID PREPARED AT HOME FROM ORS PACKET A
ORS PREMIXED IN BOTTLE B
RECOMMENDED HOME FLUID C
ANTIBIOTIC (PILL OR SYRUP) D
OTHER PILL OR SYRUP E
INJECTION F
(I.V.) INTRAVENOUS G
HOME REMEDIES/HERBAL MEDICINES H
OTHER (SPECIFY) _____ I

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

YES 1
NO 2 (GO TO 470)

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

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CENTRE B
DISPENSARY C
OTHER FIXED FACILITY D
MOBILE CLINIC E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PRIVATE HEALTH CENTRE G
DISPENSARY H
PRIVATE DOCTOR I
CHEMIST J
MOBILE CLINIC K
OTHER PRIVATE SECTOR
SHOP L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) ____ N

470. CHECK 467:
ORS FLUID FROM PACKET (PREPARED AT HOME OR PREMIXED IN BOTTLE) MENTIONED?

NO, ORS FLUID NOT MENTIONED (GO TO 471)
YES, ORS FLUID MENTIONED (GO TO 472)

471. Was (NAME) given ORS fluid made at home from a packet or premixed in a bottle when he/she had diarrhea?

YES 1
NO 2 (GO TO 473)
DON'T KNOW 8 (GO TO 473)

472. For how many days was (NAME) given ORS fluid?
IF LESS THAN 1 DAY, RECORD '00'.

DAYS __
DON'T KNOW 98

473. CHECK 467:
RECOMMENDED HOME FLUID MENTIONED?

NO, HOME FLUID NOT MENTIONED (GO TO 474)
YES, HOME FLUID MENTIONED (GO TO 475)

474. Was (NAME) given any recommended home fluid made from water and rice or from water and maize meal when he/she had diarrhea?

YES 1
NO 2 (GO TO 477)
DON'T KNOW 8 (GO TO 477)

475. What was the main recommended home fluid that you gave (NAME) when he/she had diarrhea?

RICE WATER 1
DILUTE MAIZE PORRIDGE 2
FERMENTED MAIZE PORRIDGE 3
OTHER (SPECIFY) _____ 4

476. For how many days was (NAME) given (THE FLUID MENTIONED IN 475)?
IF LESS THAN 1 DAY, RECORD '00'.

DAYS ___
DON'T KNOW 98

477. GO BACK TO 439 FOR NEXT BIRTH; OR, IF NO MORE BIRTHS, GO TO 478.

478. CHECK 467 AND 471 (ALL COLUMNS):

ORS FLUID FROM A PACKET GIVEN TO ANY CHILD (EITHER PREPARED AT HOME OR PREMIXED IN BOTTLE) (GO TO 481)
ORS FLUID FROM A PACKET NOT GIVEN TO ANY CHILD (EITHER PREPARED OR PREMIXED) OR 467 AND 471 NOT ASKED (GO TO 479)

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

YES 1 (GO TO 481)
NO 2

480. Have you ever seen a packet like this before?
SHOW PACKET.

YES 1
NO 2 (GO TO 485)

481. Have you ever prepared a solution with one of these packets to treat diarrhea in yourself or someone else?
SHOW PACKET.

YES 1
NO 2 (GO TO 484)

482. The last time you prepared the ORS fluid, did you prepare the whole packet at once or only part of the packet?

WHOLE PACKET AT ONCE 1
PART OF PACKET 2 (GO TO 484)

483. How much water did you use to prepare ORS fluid the last time you made it?

1/2 LITER 01
1 LITER 02
1 1/2 LITER 03
1 COKE BOTTLE 04
2 COKE BOTTLES 05
3 COKE BOTTLES 06
1 ORS CUP 07
2 ORS CUPS 08
3 ORS CUPS 09
FOLLOWED PACKAGE INSTRUCTIONS 10
OTHER (SPECIFY) ____ 11
DON'T KNOW 98

484. Where can you get the ORS packet?
PROBE: Anywhere else?
RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CENTRE B
DISPENSARY C
OTHER FIXED FACILITY D
MOBILE CLINIC E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PRIMARY HEALTH CENTRE G
DISPENSARY H
PRIVATE DOCTOR I
CHEMIST J
MOBILE CLINIC K
OTHER PRIVATE SECTOR
SHOP L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) ____ N
DON'T KNOW O

485. CHECK 467 AND 474 (ALL COLUMNS):

RECOMMENDED HOME FLUID GIVEN TO ANY CHILD (GO TO 486)
RECOMMENDED HOME FLUID NOT GIVEN TO ANY CHILD OR 467 AND 474 NOT ASKED (GO TO 501)

486. Where did you learn to prepare (FLUID MENTIONED IN 475) given to (NAME) when he/she had diarrhea?
RECORD ALL PLACES MENTIONED

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CENTRE B
DISPENSARY C
OTHER FIXED FACILITY D
MOBILE CLINIC E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PRIMARY HEALTH CENTRE G
DISPENSARY H
PRIVATE DOCTOR I
CHEMIST J
MOBILE CLINIC K
OTHER PRIVATE SECTOR
SHOP L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) ____ N

SECTION 5. MARRIAGE

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

YES 1
NO 2 (GO TO 601)

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

MARRIED 1
LIVING TOGETHER 2
WIDOWED 3 (GO TO 507)
DIVORCED 4 (GO TO 507)
SEPARATED 5 (GO TO 507)

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

LIVING WITH HER 1
STAYING ELSEWHERE 2

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

YES 1
NO 2 (GO TO 507)

505. How many other wives does he have?

NUMBER ___
DON'T KNOW 98 (GO TO 507)

506. Are you the first, second, Â…wife?

RANK ___

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

ONCE 1
MORE THAN ONCE 2

508. In what month and year did you start living with your (first) husband/partner?

MONTH ___
DON'T KNOW MONTH 98
YEAR ___
DON'T KNOW YEAR 98

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

AGE ___
DON'T KNOW AGE 98

510. CHECK 508 AND 509:
YEAR AND AGE GIVEN?

YES (GO TO 511)
NO (GO TO 601)

511. CHECK CONSISTENCY OF 508 AND 509:

YEAR OF BIRTH (105) ___
PLUS +
AGE AT MARRIAGE (509) __
= CALCULATED YEAR OF MARRIAGE___

IF NECESSARY, CALCULATE YEAR OF BIRTH:
CURRENT YEAR _92_
MINUS -
CURRENT AGE (106) ___
= CALCULATED YEAR OF BIRTH ___

IS THE CALCULATED YEAR OF MARRIAGE WITHIN ONE YEAR OF THE REPORTED YEAR OF MARRIAGE (508)?

YES (CONTINUE TO 601)
NO (PROBE AND CORRECT 508 AND 509)

SECTION 6. FERTILITY PREFERENCES

601. CHECK 312:

NEITHER STERILIZED (GO TO 602)
HE OR SHE STERILIZED (GO TO 606)

602. CHECK 223:

NOT PREGNANT OR UNSURE: Now I have some questions about the future. Would you like to have (a/another) child or would you prefer not to have any (more) children?

PREGNANT: Now I have some questions about the future. After the child you are expecting, would you like to have another child or would you prefer not to have any more children?

HAVE A (ANOTHER) CHILD 1
NO MORE/NONE 2 (GO TO 609)
SAYS SHE CAN'T GET PREGNANT 3 (GO TO 609)
UNDECIDED OR DON'T KNOW 8 (GO TO 609)

603. CHECK 223:

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

PREGNANT: How long would you like to wait after the birth of the child you are expecting before the birth of another child?

MONTHS 1 __ (GO TO 609)
YEARS 2 __ (GO TO 609)
SOON/NOW 994 (GO TO 609)
SAYS SHE CAN'T GET PREGNANT 995 (GO TO 609)
OTHER (SPECIFY) ____ 996
DON'T KNOW 998

604. CHECK 216 AND 223:
HAS LIVING CHILD(REN) OR PREGNANT?

YES (GO TO 605)
NO (GO TO 609)

605. CHECK 223:

NOT PREGNANT OR UNSURE: How old would you like your youngest child to be when your next child is born?

PREGNANT: How old would you like the child you are expecting to be when your next child is born?

YEARS __ (GO TO 609)
DON'T KNOW 98 (GO TO 609)

606. Given your present circumstances, if you had to do it over again, do you think (you/your husband) would make the same decision to have an operation not to have any more children?

YES 1
NO 2

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

YES 1
NO 2 (GO TO 614)

608. Why do you regret it?

RESPONDENT WANTS ANOTHER CHILD 1 (GO TO 614)
PARTNER WANTS ANOTHER CHILD 2 (GO TO 614)
SIDE EFFECTS 3 (GO TO 614)
OTHER REASON (SPECIFY) ____ 4 (GO TO 614)

609. CHECK 502:

CURRENTLY MARRIED OR LIVING TOGETHER (GO TO 610)
NOT MARRIED/NOT LIVING TOGETHER (GO TO 614)

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

APPROVES 1
DISAPPROVES 2
DON'T KNOW 8

611. How often have you talked to your husband/partner about childspacing in the past year?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

612. Have you and your husband/partner ever discussed the number of children you would like to have?

YES 1
NO 2

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

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

614. How long should a couple wait before starting sexual intercourse after the birth of a baby?

MONTHS 1 __
YEARS 2 ___
OTHER (SPECIFY) ___ 996

615. Should a mother wait until she has completely stopped breastfeeding before starting to have sexual relations again, or doesn't it matter?

WAIT 1
DOESN'T MATTER 2

616. In general, do you approve or disapprove of couples using a method to avoid getting pregnant?

APPROVE 1
DISAPPROVE 2

617. CHECK 216:

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

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

RECORD SINGLE NUMBER OR OTHER ANSWER.

NUMBER __
OTHER ANSWER (SPECIFY) ____ 96

618. What do you think is the best number of months or years between the birth of one child and the birth of the next child?

MONTHS 1 ___
YEARS 2 ___
OTHER (SPECIFY) ____ 996

SECTION 7. HUSBAND'S BACKGROUND AND WOMAN'S WORK

701. CHECK 501:

EVER MARRIED OR LIVED TOGETHER (ASK QUESTIONS ABOUT CURRENT OR MOST RECENT HUSBAND/PARTNER.) (GO TO 702)
NEVER MARRIED/NEVER LIVED TOGETHER (GO TO 710)

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

YES 1
NO 2 (GO TO 707)

703. What was the highest level of school he attended: primary, secondary, or higher?

PRIMARY 1
SECONDARY 2
HIGHER 3
DON'T KNOW 8 (GO TO 707)

704. How many years of school did he complete at that level?

YEARS __
DON'T KNOW 98

705. CHECK 703:

PRIMARY (GO TO 706)
SECONDARY OR HIGHER (GO TO 707)

706. Is your husband/partner able to read and understand English or Chichewa easily, with difficulty, or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

707. What kind of work does (did) your (last) husband/partner mainly do?

OCCUPATION____________

708. CHECK 707:

WORKS (WORKED) IN AGRICULTURE (GO TO 709)
DOES (DID) NOT WORK IN AGRICULTURE (GO TO 710)

709. (Does/did) your husband/partner work mainly on his own land or family land, or (does/did) he rent land, or (does/did) he work in someone else's land?

HIS/FAMILY LAND 1
RENTED LAND 2
SOMEONE ELSE'S LAND 3

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

YES 1 (GO TO 712)
NO 2

711. As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm or in the family business.
Are you currently doing any of these things or any other work?

YES 1
NO 2 (GO TO 801)

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

OCCUPATION_________

713. In your current work, do you work for a member of your family, for someone else, or are you self-employed?

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

714. Do you earn cash for this work?
PROBE: Do you make money for working?

YES 1
NO 2

715. Do you do this work at home or away from home?

HOME 1
AWAY 2

716. CHECK 215/216/218:
HAS CHILD BORN SINCE JANUARY 1987 AND LIVING AT HOME?

YES (GO TO 717)
NO (GO TO 801)

717. While you are working, do you usually have (NAME OF YOUNGEST CHILD AT HOME) with you, sometimes have him/her with you, or never have him/her with you?

USUALLY 1 (GO TO 801)
SOMETIMES 2
NEVER 3

718. Who usually takes care of (NAME OF YOUNGEST CHILD AT HOME) while you are working?

HUSBAND/PARTNER 01
OLDER CHILD(REN) 02
CHILD'S GRANDPARENT(S) 03
OTHER RELATIVES 04
NEIGHBOURS 05
FRIENDS 06
SERVANTS/HIRED HELP 07
CHILD IS IN SCHOOL 08
INSTITUTIONAL CHILDCARE 09
OTHER (SPECIFY) ____ 10

SECTION 8. AIDS KNOWLEDGE

801. Now I have a few questions about a very important topic. Have you heard of an illness called AIDS?

YES 1
NO 2 (GO TO SECTION 9)

802. From which sources of information or persons have you heard about AIDS in the last month?
CIRCLE ALL MENTIONED.

RADIO A
NEWSPAPERS B
HEALTH WORKERS C
MOSQUES/CHURCHES D
FRIENDS/RELATIVES E
SCHOOLS/QURAN TEACHERS F
BOOKLETS/PAMPHLETS/POSTERS G
COMMUNITY MEETINGS H
OTHER (SPECIFY) ____ I
NONE J

803. How is AIDS transmitted?
CIRCLE ALL MENTIONED.

SEXUAL INTERCOURSE A
NEEDLES/BLADES/SKIN PUNCTURES B
MOTHER TO CHILD C
TRANSFUSION OF INFECTED BLOOD D
OTHER (SPECIFY) _____ E
DON'T KNOW F

804. Do you think that you can get AIDS from:

shaking hands with someone who has AIDS?
YES 1
NO 2
DON'T KNOW 8
hugging someone who has AIDS?
YES 1
NO 2
DON'T KNOW 8
kissing someone who has AIDS?
YES 1
NO 2
DON'T KNOW 8
wearing the clothes of someone who has AIDS?
YES 1
NO 2
DON'T KNOW 8
sharing eating utensils with someone who has AIDS?
YES 1
NO 2
DON'T KNOW 8
stepping on the urine or stool of someone with AIDS?
YES 1
NO 2
DON'T KNOW 8
mosquito, flea or bedbug bites?
YES 1
NO 2
DON'T KNOW 8

805. Is it possible for a healthy looking person to be infected with the AIDS virus?

YES 1
NO 2
DON'T KNOW 8

806. Is it possible for a woman who has the AIDS virus to give birth to a child with the AIDS virus?

YES 1
NO 2
DON'T KNOW 8

807. Can a person protect herself or himself from getting AIDS?

YES 1
NO 2 (GO TO 809)

808. How can a person protect herself or himself from getting AIDS?
CIRCLE ALL MENTIONED.

DO NOT HAVE SEX AT ALL A
LIMIT NUMBER OF SEXUAL PARTNERS B
USE CONDOMS DURING SEX C
STERILIZE SYRINGES/NEEDLES D
AVOID PROSTITUTES E
OTHER (SPECIFY) _____ F

809. If your relative is suffering with AIDS, who would you prefer to care for him or her?

RELATIVES/FRIENDS 1
GOVERNMENT FACILITY 2
RELIGIOUS ORGANIZATION/MISSION 3
NOBODY/ABANDON 4
OTHER (SPECIFY) ____ 5

SECTION 9. MATERNAL MORTALITY

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

NUMBER OF BIRTHS TO NATURAL MOTHER ___

902. CHECK 901:

TWO OR MORE BIRTHS (GO TO 903)
ONLY ONE BIRTH (RESPONDENT ONLY) (GO TO SECTION 10)

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

NUMBER OF PRECEDING BIRTHS ___

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

NAME____

905. Is (NAME) male or female?

MALE 1
FEMALE 2

906. Is (NAME) still alive?

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

907. How old is (NAME)?

AGE____ (GO TO NEXT SIBLING)

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

YEARS AGO_____

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

AGE____ (IF MALE OR DIED BEFORE 10 YEARS OF AGE, GO TO NEXT SIBLING)

910. Was (NAME) pregnant when she died?

YES 1 (GO TO 913)
NO 2

911. Did (NAME) die during childbirth?

YES 1 (GO TO 913)
NO 2

912. Did (NAME) die within six weeks after the end of a pregnancy or childbirth?

YES 1
NO 2 (GO TO NEXT SIBLING)

913. How many children had (NAME) given birth to before that pregnancy?

NUMBER OF CHILDREN______

914. RECORD THE TIME.

HOUR __
MINUTES __

SECTION 10. HEIGHT AND WEIGHT

1001. CHECK 222:

ONE OR MORE BIRTHS SINCE JANUARY 1987 (GO TO 1002)
NO BIRTHS SINCE JANUARY 1987 (END)

INTERVIEWER:
IN 1002 (COLUMNS 2-4) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1987 AND STILL ALIVE.
IN 1003 AND 1004 RECORD THE NAME AND BIRTH DATE FOR THE RESPONDENT AND FOR ALL LIVING CHILDREN BORN SINCE JANUARY 1987.
IN 1006 AND 1008 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN.
IN 1009 RECORD THE ARM CIRCUMFERENCE OF THE RESPONDENT AND LIVING CHILDREN.
(NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1987 SHOULD BE WEIGHED AND MEASURED EVEN IF ALL THE CHILDREN HAVE DIED.
IF THERE ARE MORE THAN 3 LIVING CHILDREN BORN SINCE JANUARY 1987, USE ADDITIONAL FORMS).

1002. LINE NO. FROM Q. 212.

LINE NUMBER____

1003. NAME FROM Q. 212 FOR CHILDREN.

NAME_______

1004. DATE OF BIRTH:
FROM Q. 105 FOR RESPONDENT
FROM Q. 215 FOR CHILDREN, AND ASK FOR DAY OF BIRTH

RESPONDENT
MONTH___
YEAR___
CHILD
DAY__
MONTH__
YEAR__

1005. BCG SCAR ON THE RIGHT UPPER ARM
[FOR CHILDREN BORN SINCE JANUARY 1987 ONLY]

SCAR SEEN 1
NO SCAR 2

1006. HEIGHT (in centimeters)

HEIGHT_____.__

1007. WAS HEIGHT/LENGTH OF CHILD MEASURED LYING DOWN OR STANDING UP?
[FOR CHILDREN BORN SINCE JANUARY 1987 ONLY]

LYING 1
STANDING 2

1008. WEIGHT (in kilograms)

WEIGHT_____.__

1009. ARM CIRCUMFERENCE (in centimeters)

CIRCUMFERENCE___.__

1010. DATE WEIGHED AND MEASURED

DAY __
MONTH __
YEAR __

1011. RESULT

RESPONDENT
MEASURED 1
NOT PRESENT 2
REFUSED 3
OTHER (SPECIFY) ___ 6
CHILDREN BORN SINCE JANUARY 1987
CHILD MEASURED 1
CHILD SICK 2
CHILD NOT PRESENT 3
CHILD REFUSED 4
MOTHER REFUSED 5
OTHER 6

1012. NAME OF MEASURER: _____
NAME OF ASSISTANT: _____

INTERVIEWER'S OBSERVATIONS

(To be filled in after completing interview)

Comments About Respondent:_______________________

Comments on Specific Questions:____________________

Any Other Comments:_______________________

SUPERVISOR'S OBSERVATIONS:_______________________
Name of Supervisor:_________
Date:_____

EDITOR'S OBSERVATIONS:_______________________