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DEMOGRAPHIC AND HEALTH SURVEY-MALAWI 2000-MAN'S QUESTIONNAIRE

IDENTIFICATION

VILLAGE/PLACE NAME______________

NAME OF HOUSEHOLD HEAD___________

MDHS CLUSTER NUMBER _____________

HOUSEHOLD NUMBER ___________

URBAN/RURAL ________

URBAN 1
RURAL 2

NAME AND LINE NUMBER OF MAN _____________

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS)
DATE ________
INTERVIEWER'S NAME _______
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 _____

LANGUAGE OF QUESTIONNAIRE:

ENGLISH 3

LANGUAGE OF INTERVIEW

CHICHEWA 1
TUMBUKA 2
OTHER (SPECIFY) ____ 3

SUPERVISOR
NAME ____
DATE ____

FIELD EDITOR
NAME ____
DATE ____

OFFICE EDITOR ____

KEYED BY ____

SECTION 1. RESPONDENT'S BACKGROUND

101. RECORD THE TIME.

HOURS ____
MINUTES ____

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

CITY 1
TOWN 2
VILLAGE 3

102A. In the last 12 months, have you been away from your home community for more than 1 month at a time?

YES 1
NO 2

102B. In the last 12 months, on how many separate occasions have you traveled away from your home community and slept away?
IF "NO OCCASIONS", RECORD '00'.

NUMBER OF TRIPS AWAY ___

103. How long have you been living continuously in (NAME OF CURRENT PLACE OF RESIDENCE)?
IF LESS THAN ONE YEAR, RECORD '00' YEARS.

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 9998

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 114)

111. Now I would like you to read this sentence to me.
SHOW CARD TO RESPONDENT.
IF RESPONDENT CANNOT READ WHOLE SENTENCE, PROBE: Can you read any part of the sentence to me?

CANNOT READ AT ALL 1
ABLE TO READ ONLY PARTS OF SENTENCE 2
ABLE TO READ WHOLE SENTENCE 3
NO CARD WITH REQUIRED LANGUAGE (SPECIFY LANGUAGE) ____ 4

112. Have you ever participated in a literacy program or any other program that involves learning to read or write (not including primary school)?

YES 1
NO 2

113. CHECK 111:

CODE '2', '3' OR '4 CIRCLED (GO TO 114)
CODE '1' CIRCLED (GO TO 115)

114. Do you read a newspaper or magazine almost every day, at least once a week, less often than that or not at all?

ALMOST EVERY DAY 1
AT LEAST ONCE A WEEK 2
LESS OFTEN 3
NOT AT ALL 4

115. Do you listen to the radio almost every day, at least once a week, less often than that or not at all?

ALMOST EVERY DAY 1
AT LEAST ONCE A WEEK 2
LESS OFTEN 3
NOT AT ALL 4

116. Do you watch television almost every day, at least once a week, less often than that or not at all?

ALMOST EVERY DAY 1
AT LEAST ONCE A WEEK 2
LESS OFTEN 3
NOT AT ALL 4

117. What is your religion?

CATHOLIC 01
CCAP 02
ANGLICAN 03
SEVENTH DAY ADVENT./BAPTIST 04
OTHER CHRISTIAN 05
MUSLIM 06
NO RELIGION 07
OTHER (SPECIFY) ____ 96

118. What is your tribe or ethnic group?

CHEWA 01
TUMBUKA 02
LOMWE 03
TONGA 04
YAO 05
SENA 06
NKONDE 07
NGONI 08
OTHER (SPECIFY) ____ 96

119. Have you heard that when a child is born in Malawi, you can register that child with the government and receive a birth certificate?

YES 1
NO 2

SECTION 2: REPRODUCTION

201. Now I would like to ask about your children. I am interested only in the children that are biologically yours. Have you ever had children?

YES 1
NO 2 (GO TO 206)

202. Do you have any sons or daughters 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 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 had a boy or girl who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed signs of life but survived only a few moments?

YES 1
NO 2 (GO TO 208)

207. 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 _____ children during your life. Is that correct?

YES (GO TO 301)
NO (PROBE AND CORRECT 201-208 AS NECESSARY).

SECTION 3. CONTRACEPTION

Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.
CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.
CIRCLE CODE 1 IF METHOD IS RECOGNIZED, AND CODE 2 IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302.

301. Which ways or methods have you heard about?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you ever heard of (METHOD)?

01) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO NEXT METHOD)
02) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO NEXT METHOD)
03) PILL: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2 (GO TO NEXT METHOD)
04) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2 (GO TO NEXT METHOD)
05) INJECTIONS: Women can have an injection by a health provider which stops them from becoming pregnant for three months.
YES 1
NO 2 (GO TO NEXT METHOD)
06) 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 (GO TO NEXT METHOD)
07) CONDOM: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
08) FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
09) DIAPHRAGM: Women can place a thin flexible disk in their vagina before intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
10) FOAM OR JELLY: Women can place a suppository, jelly, or cream in their vagina before intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
11) LACTATIONAL AMENORRHEA METHOD (LAM): Up to 6 months after childbirth, a woman can use a method that requires that she breastfeeds frequently, day and night, and that her menstrual period has not returned.
YES 1
NO 2 (GO TO NEXT METHOD)
12) RHYTHM, BILLINGS OR OTHER NATURAL METHODS: Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2 (GO TO NEXT METHOD)
13) WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2 (GO TO NEXT METHOD)
14) EMERGENCY CONTRACEPTION: Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
YES 1
NO 2 (GO TO NEXT METHOD)
15) Have you heard of any other ways or methods that women or men can use to avoid pregnancy? LIST UP TO TWO DIFFERENT METHODS.
SPECIFY____
YES 1
NO 2

302. Have you ever used (METHOD)?

01) 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 2
02) 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
03) PILL: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
04) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
05) INJECTIONS: Women can have an injection by a health provider which stops them from becoming pregnant for three months.
YES 1
NO 2
06) 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
07) CONDOM: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
08) FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
09) DIAPHRAGM: Women can place a thin flexible disk in their vagina before intercourse.
YES 1
NO 2
10) FOAM OR JELLY: Women can place a suppository, jelly, or cream in their vagina before intercourse.
YES 1
NO 2
11) LACTATIONAL AMENORRHEA METHOD (LAM): Up to 6 months after childbirth, a woman can use a method that requires that she breastfeeds frequently, day and night, and that her menstrual period has not returned.
YES 1
NO 2
12) RHYTHM, BILLINGS OR OTHER NATURAL METHODS: Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
13) WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
14) EMERGENCY CONTRACEPTION: Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
YES 1
NO 2
15) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
NO 2

303. CHECK 302:

NOT A SINGLE "YES" (NEVER USED) (GO TO 304)
AT LEAST ONE "YES" (EVER USED) (GO TO 325A)

304. Have you or any of your partners ever used anything or tried in any way to delay or avoid getting pregnant?

YES 1
NO 2 (GO TO 325A)

306. What have you used or done?
CORRECT 302 AND 303 (AND 301 IF NECESSARY).

325A. Were you ever told by a health or family planning worker about methods of family planning which you could use?

YES 1
NO 2

328. Do you know of a place where you can obtain a method of family planning?

YES 1
NO 2 (GO TO 492)

329. Where is that? Any other place?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
RECORD ALL MENTIONED.

NAME OF PLACE___________
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
CBDA/FIELD WORKER E
OTHER PUBLIC (SPECIFY) _____ F
MISSION
HOSPITAL G
HEALTH CENTER H
MOBILE CLINIC I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC J
PHARMACY K
PRIVATE DOCTOR L
MOBILE CLINIC M
CBDA/FIELD WORKER N
OTHER PRIVATE MEDICAL (SPECIFY)_____ O
BLM P
OTHER SOURCE
SHOP Q
CHURCH R
FRIEND/RELATIVE S
OTHER (SPECIFY) ____ X

SECTION 4. HEALTH CONCERNS

492. Do you currently smoke cigarettes or tobacco?
IF YES: What type of tobacco do you smoke?
RECORD ALL MENTIONED.

YES, CIGARETTES A
YES, PIPE B
YES, OTHER TOBACCO C
NO Y

492A. CHECK 492:

CODE 'A' CIRCLED (GO TO 493)
CODE 'A' NOT CIRCLED (GO TO 493A)

493. In the last 24 hours, how many cigarettes did you smoke?

CIGARETTES ___

493A. Have you ever drank an alcohol-containing beverage?

YES 1
NO 2 (GO TO 493F)

493B. Have you ever gotten "drunk" from drinking an alcohol-containing beverage?

YES 1
NO 2

493C. In the last 3 months, on how many days did you drink an alcohol-containing beverage?

NUMBER OF DAYS ___
NONE/NEVER 97 (GO TO 493F)

493D. CHECK 493B:

YES (GO TO 493E)
NO (GO TO 493F)

493E. In the last 3 months, on how many occasions did you get "drunk"?

NUMBER OF TIMES ___
NONE/NEVER 97

493F. Have you had any kind of injection in the last 3 months?

YES 1
NO 2 (GO TO 494G)

493G. How many times did you have an injection in the last 3 months?

NUMBER OF INJECTIONS ___
EVERY DAY 96

493H. The last time you had an injection, who was the person who gave you the injection?

HEALTH PROFESSIONAL 1
PHARMACIST 2
TRADITIONAL HEALER 3
FRIEND/RELATIVE 4
SELF 5
OTHER (SPECIFY) ____ 6

494G. Did you have a fever at any time in the last two weeks?

YES 1
NO 2 (GO TO 494K)

494H. Did you take any medicine for the fever?

YES 1
NO 2 (GO TO 494K)

494I. Which medicines did you take?
ASK TO SEE MEDICINE(S). IF NOT SEEN, SHOW MEDICINE(S) TO RESPONDENT.
FOR EACH ANTI-MALARIAL MEDICINE: How long after the fever started did you start taking the medicine?
RECORD ALL MENTIONED.

TYPE OF DRUG:

ANTI-MALARIAL
SP (FANSIDAR, NOVIDAR) A
QUININE B
CHLOROQUINE C
AMODIAQUINE D
HALAFAN E
OTHER DRUGS
ASPIRIN F
PANADOL G
OTHER (SPECIFY) _____ X
UNKNOWN Z

WHEN ANTI-MALARIAL WAS GIVEN:

SP (NOVIDAR, FANSIDAR)
SAME DAY 0
NEXT DAY AFTER THE FEVER 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
QUININE
SAME DAY 0
NEXT DAY AFTER THE FEVER 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
CHLOROQUINE
SAME DAY 0
NEXT DAY AFTER THE FEVER 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
AMODIAQUINE
SAME DAY 0
NEXT DAY AFTER THE FEVER 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
HALAFAN
SAME DAY 0
NEXT DAY AFTER THE FEVER 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3

494J. How many occasions did you take this medicine(s)?

NUMBER OF TIMES ___

494K. Did you sleep under a mosquito net last night?

YES 1
NO 2 (GO TO 501)

494L. Where was the mosquito net you slept under bought or obtained?

SHOP 1
VENDOR 2
NGO OR OTHER ORGANIZATION 3
OTHER (SPECIFY) ______ 6
DON'T KNOW 8

494M. How long ago was the mosquito net bought or obtained?
WRITE THE ANSWER IN MONTHS (LESS THAN 1 MONTH = 00)
IF MORE THAN 84 MONTHS, WRITE 95.

NUMBER OF MONTHS __
DON'T KNOW 8

494N. Since you got the mosquito net, was it ever soaked or dipped in an insecticide to repel mosquitoes or bugs?

YES 1
NO 2 (GO TO 501)
DON'T KNOW 8 (GO TO 501)

494O. How long ago was the mosquito net last soaked or dipped?
WRITE THE ANSWER IN MONTHS (LESS THAN 1 MONTH = 00)
IF MORE THAN 84 MONTHS, WRITE 95.

MONTHS __
DON'T KNOW 98

SECTION 5. MARRIAGE AND SEXUAL ACTIVITY

501. Are you currently married or living with a woman?

YES, CURRENTLY MARRIED 1
YES, LIVING WITH A WOMAN 2
NO, NOT IN UNION 3 (GO TO 504)

502. Do you have more than one wife or live-in partner?
IF YES: How many wives or live-in partners do you have?

ONE WIFE OR PARTNER 01 (GO TO 506)
NUMBER OF WIVES/PARTNERS (GO TO 506A)

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

YES, FORMERLY MARRIED 1
YES, LIVED WITH A WOMAN 2
NO 3 (GO TO 514)

505. What is your marital status now: are you widowed, divorced, or separated?

WIDOWED 1 (GO TO 507)
DIVORCED 2 (GO TO 507)
SEPARATED 3 (GO TO 507)

506. What is your wife's/partner's name?

NAME OF WIFE/PARTNER_____________
LINE NUMBER ____

506A. Which of your current wives did you marry first?
Which of your current wives did you marry second?

FIRST RECORD ALL OF THE WIVES'/PARTNERS' NAMES AND THEN CHECK IN THE HOUSEHOLD SCHEDULE AND RECORD THE NUMBER FROM THE HOUSEHOLD SCHEDULE FOR EACH WIFE/PARTNER MENTIONED. IF SHE IS NOT LISTED IN THE HOUSEHOLD, RECORD '00'.

NAME OF WIFE/PARTNER_____________
LINE NUMBER ____

CHECK THAT THE NUMBER OF WIVES LISTED IS EQUAL TO THE NUMBER IN 502

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

ONCE 1
MORE THAN ONCE 2

508. CHECK 507:

MARRIED/LIVED WITH A WOMAN ONCE: In what month and year did you start living with your wife/partner?

MARRIED/LIVED WITH A WOMAN MORE THAN ONCE: Now we will talk about your first wife/partner. In what month and year did you start living with her?

MONTH ___
DON'T KNOW MONTH 98
YEAR ___ (GO TO 514)
DON'T KNOW YEAR 9998

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

AGE ___

514. Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family life issues.
How old were you when you first had sexual intercourse (if ever)?

NEVER 00 (GO TO 524)
AGE IN YEARS ___
FIRST TIME WHEN YOU STARTED LIVING WITH (FIRST) WIFE/PARTNER 96

515. When was the last time you had sexual intercourse?
RECORD 'YEARS AGO' ONLY IF LAST INTERCOURSE WAS ONE OR MORE YEARS AGO

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___ (GO TO 524)

516. The last time you had sexual intercourse, was a condom used?

YES 1
NO 2 (GO TO 516C)

516A. What was the main reason you used a condom on that occasion?

OWN CONCERN TO PREVENT STD/HIV 1
OWN CONCERN TO PREVENT PREGNANCY 2
OWN CONCERN TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/FEELS PARTNER HAS OTHER PARTNERS 4
PARTNER INSISTED 5
DON'T KNOW 6
OTHER (SPECIFY) ____ 7

516B. On that occasion, in addition to the condom, did you or your partner do something or use any other method to avoid pregnancy?

YES 1 (GO TO 516DX)
NO 2 (GO TO 516DY)

516C. On that occasion, did you or your partner do something or use anything to avoid pregnancy?

YES 1
NO 2 (GO TO 517)

516D. Which method did you or your partner use?
516DX. CIRCLE 'G', THEN ASK:
In addition to the condom, which method did you or your partner use?
516DY. CIRCLE 'G', THEN CONTINUE TO 516E

FEMALE STERILIZATION A
MALE STERILIZATION B
PILL C
IUD D
INJECTIONS E
IMPLANTS F
CONDOM G
FEMALE CONDOM H
DIAPHRAGM I
FOAM/JELLY J
LACTATIONAL AMENORRHEA METHOD K (GO TO 517)
PERIODIC ABSTINENCE L (GO TO 517)
WITHDRAWAL M (GO TO 517)
OTHER (SPECIFY) ____ X (GO TO 517)

516E. Where did you or your partner obtain (HIGHEST METHOD: 516D) the last time?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
FIELD WORKER 15
OTHER PUBLIC (SPECIFY) _____ 16
MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
PHARMACY 32
PRIVATE DOCTOR 33
MOBILE CLINIC 34
FIELD WORKER 35
OTHER PRIVATE MEDICAL (SPECIFY)_____ 36
BLM 41
OTHER SOURCE
SHOP 51
CHURCH 52
FRIEND/RELATIVE 53
OTHER (SPECIFY) ____ 96
DON'T KNOW 98

517. What is your relationship to the woman with whom you last had sex?
IF "GIRLFRIEND" OR "FIANCEE", ASK: Was your girlfriend/fianc? living with you when you last had sex?
IF 'YES' RECORD '1'
IF 'NO' RECORD '2'

WIFE/COHABITING PARTNER 01 (GO TO 519)
GIRLFRIEND/FIANCE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ____ 96

518. For how long have you had sexual relations with this woman?

DAYS 1 __
WEEKS 2 __
MONTHS 3 ___
YEARS 4 ___

519. Have you had sex with any other woman in the last 12 months?

YES 1
NO 2 (GO TO 523A)

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

YES 1
NO 2 (GO TO 521)

520A. What was the main reason you used a condom on that occasion?

OWN CONCERN TO PREVENT STD/HIV 1
OWN CONCERN TO PREVENT PREGNANCY 2
OWN CONCERN TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/FEELS PARTNER HAS OTHER PARTNERS 4
PARTNER INSISTED 5
DON'T KNOW 6
OTHER (SPECIFY) _____ 7

521. What is your relationship to this woman?
IF "GIRLFRIEND" OR "FIANCEE", ASK: Was your girlfriend/fianc?e living with you when you last had sex?
IF 'YES' RECORD '1'
IF 'NO' RECORD '2'

WIFE/COHABITING PARTNER 01 (GO TO 522A)
GIRLFRIEND/FIANCEE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ____ 96

522. For how long have you had sexual relations with this woman?

DAYS 1 ___
WEEKS 2 ___
MONTHS 3 ___
YEARS 4 ___

522A. Other than these two women, have you had sex with anyone else in the last 12 months?

YES 1
NO 2 (GO TO 523A)

522B. The last time you had sexual intercourse with this other woman, was a condom used?

YES 1
NO 2 (GO TO 522D)

522C. What was the main reason you used a condom on that occasion?

OWN CONCERN TO PREVENT STD/HIV 1
OWN CONCERN TO PREVENT PREGNANCY 2
OWN CONCERN TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/FEELS PARTNER HAS OTHER PARTNERS 4
PARTNER INSISTED 5
DON'T KNOW 6
OTHER (SPECIFY) _____ 7

522D. What is your relationship to this woman?
IF "GIRLFRIEND" OR "FIANCEE", ASK: Was your girlfriend/fianc?e living with you when you last had sex?
IF 'YES' RECORD '1'
IF 'NO' RECORD '2'

WIFE/COHABITING PARTNER 01 (GO TO 523)
GIRLFRIEND/FIANCEE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ____ 96

522E. For how long have you had a sexual relationship with this woman?

DAYS 1 ___
WEEKS 2 ___
MONTHS 3 ___
YEARS 4 ___

523. Altogether, with how many different women have you had sex in the last 12 months?

NUMBER OF PARTNERS ___

523A. Have you ever paid for sex?

YES 1
NO 2 (GO TO 524)

523B. How long ago was the last time you paid for sex?

DAYS AGO 1 ___
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___

523C. The last time that you paid for sex, was a condom used on that occasion?

YES 1
NO 2

524. Do you know of a place where one can get condoms?

YES 1
NO 2 (GO TO 530)

525. Where is that?
RECORD FIRST RESPONSE ONLY.

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
FIELD WORKER 15
OTHER PUBLIC (SPECIFY) _____ 16
MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
PHARMACY 32
PRIVATE DOCTOR 33
MOBILE CLINIC 34
FIELD WORKER 35
OTHER PRIVATE MEDICAL (SPECIFY)_____ 36
BLM 41
OTHER SOURCE
SHOP 51
CHURCH 52
FRIEND/RELATIVE 53
OTHER (SPECIFY) ____ 96

526. If you wanted to, could you yourself get a condom?

YES 1
NO 2
DON'T KNOW/UNSURE 8

530. Have you heard of a condom called "Chishango"?

YES 1
NO 2
DON'T KNOW/UNSURE 8

SECTION 6. FERTILITY PREFERENCES

601A. CHECK 302 (02):

NOT STERILIZED (GO TO 601B)
STERILIZED (GO TO 614)

601B. CHECK 501:

CURRENTLY IN UNION CODE '1' OR '2' CIRCLED (GO TO 601C)
NOT CURRENTLY IN UNION CODE '3' CIRCLED (GO TO 614)

601C. Is your wife or one of your wives or partners pregnant now?

YES 1
NO 2
UNSURE 3

602. CHECK 601C:

NONE OF WIVES/PARTNERS 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?

ONE OF WIVES/PARTNERS PREGNANT: Now I have some questions about the future. After the child your wife/partner is expecting now, 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 614)
SAYS HIS WIFE/PARTNER CAN'T GET PREGNANT 3 (GO TO 614)
UNDECIDED/DON'T KNOW 4 (GO TO 614)

603. CHECK 601C:

NONE OF WIVES/PARTNERS PREGNANT OR UNSURE: How long would you like to wait from now before the birth of (a/another) child?

ONE OF WIVES/PARTNERS PREGNANT: After the birth of the child your wife/partner is expecting now, how long would you like to wait before the birth of another child?

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

614. CHECK 203 AND 205:

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 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?

PROBE FOR A NUMERIC RESPONSE.

NUMBER __
OTHER (SPECIFY) ___ 96 (GO TO 616)

615. 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?

NUMBER OF BOYS___
OTHER (SPECIFY)___ 96
NUMBER OF GIRLS___
OTHER (SPECIFY)___ 96
NUMBER OF EITHER SEX____
OTHER (SPECIFY)____ 96

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

APPROVE 1
DISAPPROVE 2
DON'T KNOW/UNSURE 3

617. In the last few months have you seen or heard about family planning:

On the radio?
YES 1
NO 2
On the television?
YES 1
NO 2
In a newspaper or magazine?
YES 1
NO 2
On a poster?
YES 1
NO 2
On clothing (i.e., cap, chitenji, t-shirt)?
YES 1
NO 2
In a drama?
YES 1
NO 2

618. In the last few months, have you listened to any of the following program series about family planning or health on the radio?

Uchembere Wabwino?
YES 1
NO 2
Phukusi la Moyo?
YES 1
NO 2
Pa Mtondo?
YES 1
NO 2
Women's Talking Point?
YES 1
NO 2
Window Through Health?
YES 1
NO 2
Umoyo M'Malawi?
YES 1
NO 2
Tinkanena?
YES 1
NO 2
Radio Doctor?
YES 1
NO 2
Chitukuku M'Malawi?
YES 1
NO 2
Women's Forum?
YES 1
NO 2
Tichitenji?
YES 1
NO 2
Kulera?
YES 1
NO 2

619. In the last few months, have you discussed the practice of family planning with your friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 621)

620. With whom? Anyone else?
RECORD ALL MENTIONED.

WIFE/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER F
SON G
MOTHER-IN-LAW H
FRIENDS/NEIGHBORS I
OTHER (SPECIFY) ____ X

621. CHECK 501:

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

621A. CHECK 516D:

ANY CODE CIRCLED (GO TO 621B)
NO CODE CIRCLED (GO TO 622)

621B. You told me that you used a contraceptive method the last time you had sex. Would you say that using contraception was mainly your decision, mainly your wife's/partner's decision or did you both decide together?

MAINLY RESPONDENT 1
MAINLY WIFE/PARTNER 2
JOINT DECISION 3
OTHER (SPECIFY) ____ 6

622. Now I want to ask you about your (last) wife's/partner's views on family planning.
Do you think that your wife/partner approves or disapproves of couples using a method to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
DON'T KNOW 8

623. How often have you talked to your (last) wife/partner about family planning in the past year?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

623A. CHECK 302 (02):

NOT STERILIZED (GO TO 624)
STERILIZED (GO TO 624A)

624. Do you think your wife/partner wants the same number of children that you want, or does she want more or fewer than you want?

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

624A. CHECK 501 AND 504:

EVER IN UNION CODE '3' NOT CIRCLED IN 501 OR 504 (GO TO 625)
NEVER IN UNION CODE '3' CIRCLED IN 501 OR 504 (GO TO 707)

625. Husbands and wives do not always agree on everything. Please tell me if you think a wife is justified in refusing to have sex with her husband when:

She knows her husband has a sexually transmitted disease?
YES 1
NO 2
DON'T KNOW 8
She knows her husband has sex with other women?
YES 1
NO 2
DON'T KNOW 8
She has recently given birth?
YES 1
NO 2
DON'T KNOW 8
She is tired or not in the mood?
YES 1
NO 2
DON'T KNOW 8

SECTION 7. WORK AND HOUSEHOLD DECISIONS

707. Are you currently working?

YES 1 (GO TO 710)
NO 2

709. Have you done any work in the last 12 months?

YES 1
NO 2 (GO TO 719)

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

OCCUPATION_________

711. CHECK 710:

WORKS IN FARMING (GO TO 712)
DOES NOT WORK IN FARMING (GO TO 713)

712. Do you work mainly on your own land or on family land, or do 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

713. Do you do this 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

713A. Do you usually work at home or away from home?

HOME 1
AWAY 2

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

THROUGHOUT THE YEAR 1
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3

715. Are you paid or do you earn in cash or kind for this work or are you not paid at all?

CASH ONLY 1
CASH AND KIND 2
IN KIND ONLY 3 (GO TO 719)
NOT PAID 4 (GO TO 719)

716. Who mainly decides how the money you earn will be used?

RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5

717. On average, how much of your household's expenditures do your earnings pay for: almost none, less than half, about half, more than half, or all?

ALMOST NONE 1
LESS THAN HALF 2
ABOUT HALF 3
MORE THAN HALF 4
ALL 5
NONE, HIS INCOME IS ALL SAVED 6

719. Who in your family usually has the final say on the following decisions:

Your own health care?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
Making large household purchases?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
Making household purchases for daily needs?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
Visits to family or relatives?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
What food should be cooked each day?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6
The number of children you should have?
RESPONDENT 1
WIFE/PARTNER 2
RESPONDENT AND WIFE/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
DECISION NOT MADE/NOT APPLICABLE 6

720. PRESENCE OF OTHERS AT THIS POINT (PRESENT AND LISTENING, PRESENT BUT NOT LISTENING OR NOT PRESENT)

CHILDREN UNDER10
PRESENT AND LISTENING 1
PRESENT BUT NOT LISTENING 2
NOT PRESENT 8
OTHER MALES
PRESENT AND LISTENING 1
PRESENT BUT NOT LISTENING 2
NOT PRESENT 8
WIFE
PRESENT AND LISTENING 1
PRESENT BUT NOT LISTENING 2
NOT PRESENT 8
OTHER FEMALES
PRESENT AND LISTENING 1
PRESENT BUT NOT LISTENING 2
NOT PRESENT 8

721. Sometimes a husband is annoyed or angered by things which his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations:

If she goes out without telling him?
YES 1
NO 2
DON'T KNOW 8
If she neglects the children?
YES 1
NO 2
DON'T KNOW 8
If she argues with him?
YES 1
NO 2
DON'T KNOW 8
If she refuses to have sex with him?
YES 1
NO 2
DON'T KNOW 8
If she burns the food?
YES 1
NO 2
DON'T KNOW 8

SECTION 8: AIDS AND OTHER SEXUALLY TRANSMITTED DISEASES

801. Now I would like to talk about something else. Have you ever heard of an illness called AIDS?

YES 1
NO 2 (GO TO 818)

802. Is there anything a person can do to avoid getting AIDS or the virus that causes AIDS?

YES 1
NO 2 (GO TO 809)
DON'T KNOW 8 (GO TO 809)

803. What can a person do? Anything else?
RECORD ALL MENTIONED.

ABSTAIN FROM SEX A
USE CONDOMS B
LIMIT SEX TO ONE PARTNER/STAY FAITHFUL TO ONE PARTNER C
LIMIT NUMBER OF SEXUAL PARTNERS D
AVOID SEX WITH PROSTITUTES E
AVOID SEX WITH PERSONS WHO HAVE MANY PARTNERS F
AVOID SEX WITH HOMOSEXUALS G
AVOID SEX WITH PERSONS WHO INJECT DRUGS INTRAVENOUSLY H
AVOID BLOOD TRANSFUSIONS I
AVOID INJECTIONS J
AVOID KISSING K
AVOID MOSQUITO BITES L
SEEK PROTECTION FROM TRADITIONAL HEALER M
AVOID SHARING RAZORS, BLADES N
OTHER (SPECIFY) ____ W
OTHER (SPECIFY) ____ X
DON'T KNOW Z

804. Can people protect themselves from getting the AIDS virus by having just one uninfected sex partner who has no other partners?

YES 1
NO 2
DON'T KNOW 8

805. Can a person get the AIDS virus from mosquito bites?

YES 1
NO 2
DON'T KNOW 8

806. Can people protect themselves from getting the AIDS virus by using a condom every time they have sex?

YES 1
NO 2
DON'T KNOW 8

807. Can a person get the AIDS virus from sharing food with a person who has AIDS?

YES 1
NO 2
DON'T KNOW 8

808. Can people protect themselves from getting the AIDS virus by not having sex at all?

YES 1
NO 2
DON'T KNOW 8

809. Is it possible for a healthy-looking person to have the AIDS virus?

YES 1
NO 2
DON'T KNOW 8

811. Do you know someone personally who has the virus that causes AIDS or someone who died from AIDS?

YES 1
NO 2

812. Can the virus that causes AIDS be transmitted from a mother to a child?

YES 1
NO 2 (GO TO 814)
DON'T KNOW 8 (GO TO 814)

813. Can the virus that causes AIDS be transmitted from a mother to a child:

During pregnancy?
YES 1
NO 2
DON'T KNOW 8
During delivery?
YES 1
NO 2
DON'T KNOW 8
By breastfeeding?
YES 1
NO 2
DON'T KNOW 8

814. CHECK 501:

YES, CURRENTLY MARRIED/LIVING WITH A WOMAN (GO TO 815)
NO, NOT IN UNION (GO TO 815A)

815. Have you ever talked about ways to prevent getting the virus that causes AIDS with (your wife/the woman you are living with)?

YES 1
NO 2

815A. In your opinion, is it acceptable or unacceptable for AIDS to be discussed:

On the radio?
ACCEPTABLE 1
NOT ACCEPTABLE 2
On the TV?
ACCEPTABLE 1
NOT ACCEPTABLE 2
In newspapers?
ACCEPTABLE 1
NOT ACCEPTABLE 2

816. If a person learns that he/she is infected with the virus that causes AIDS, should the person be allowed to keep this fact private or should this information be available to the community?

CAN BE KEPT PRIVATE 1
AVAILABLE TO COMMUNITY 2
DON'T KNOW/NOT SURE 8

817. If a relative of yours became sick with AIDS, would you be willing to care for her or him in your own household?

YES 1
NO 2
DON'T KNOW/NOT SURE/DEPENDS 8

817A. Should persons with the AIDS virus who work with other persons such as in a shop, office, or farm be allowed to continue their work or not?

CAN CONTINUE WORK 1
SHOULD NOT CONTINUE WORK 2
DON'T KNOW/NOT SURE/DEPENDS 8

817B. Should children aged 12-14 be taught about using a condom to avoid AIDS?

YES 1
NO 2
DON'T KNOW/NOT SURE/DEPENDS 8

817BX. Do you think that condoms are safe to use?

YES 1
NO 2
DON'T KNOW/NOT SURE/DEPENDS 8

817BY. Do you think that men and women who intend to marry should be tested for the AIDS virus before marriage?

YES 1
NO 2
DON'T KNOW/NOT SURE/DEPENDS 8

817C. Have you ever been tested to see if you have the AIDS virus?

YES 1 (GO TO 817FX)
NO 2

817D. Would you want to be tested for the AIDS virus?

YES 1
NO 2
DON'T KNOW/NOT SURE/DEPENDS 8

817E. Do you know a place where you could go to get an AIDS test?

YES 1
NO 2 (GO TO 818)

817F. Where can you go for the test?
817FX. Where did you go for the test?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
OTHER PUBLIC (SPECIFY) _____ 16
MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
PRIVATE DOCTOR 32
MOBILE CLINIC 33
OTHER PRIVATE MEDICAL (SPECIFY) ____ 36
BLM 41
MACRO 51
OTHER (SPECIFY) _____ 96

818. Apart from AIDS, have you heard about other infections that can be transmitted through sexual contact?

YES 1
NO 2 (GO TO 820C)

820A. CHECK 514:

HAS HAD SEXUAL INTERCOURSE (GO TO 820B)
HAS NOT HAD SEXUAL INTERCOURSE (GO TO 821)

820B. Now I would like to ask you some questions about your health in the last 12 months.
During the last 12 months, have you had a sexually-transmitted disease?

YES 1
NO 2
DON'T KNOW 8

820C. Sometimes, men experience a discharge from their penis. During the last 12 months, have you had a discharge from your penis?

YES 1
NO 2
DON'T KNOW 8

820D. Sometimes, men experience a sore or ulcer near their penis. During the last 12 months, have you had a sore or ulcer on or near your penis?

YES 1
NO 2
DON'T KNOW 8

820E. CHECK 820B, 820C, 820D:

HAS HAD AN INFECTION (GO TO 820F)
HAS NOT HAD AN INFECTION (GO TO 821)

820F. The last time you had (INFECTION FROM 820B/820C/820D), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 820H)

820G. The last time you had (INFECTION FROM 820B/820C/820D) did you do any of the following? Did you....

Go to a clinic, hospital, or private doctor?
YES 1
NO 2
Consult a traditional healer?
YES 1
NO 2
Seek advice or buy medicines in a shop or pharmacy?
YES 1
NO 2
Ask for advice from friends or relatives?
YES 1
NO 2

820H. When you had (INFECTION FROM 820B/820C/820D), did you inform the persons with whom you were having sex?

YES 1
NO 2
SOME/NOT ALL 3

820I. When you had (INFECTION FROM 820B/820C/820D) did you do something to avoid infecting your sexual partner(s)?

YES 1
NO 2 (GO TO 821)
PARTNER ALREADY INFECTED 3 (GO TO 821)

820J. What did you do to avoid infecting your partner(s)? Did you....

Stop having sex?
YES 1
NO 2
Use a condom when having sex?
YES 1
NO 2
Use medicine?
YES 1
NO 2

821. RECORD THE TIME.

HOUR ___
MINUTES ___

INTERVIEWER'S OBSERVATIONS

TO BE FILLED IN AFTER COMPLETING INTERVIEW

COMMENTS ABOUT RESPONDENT:________________________________

COMMENTS ON SPECIFIC QUESTIONS:_______________________________

ANY OTHER COMMENTS:________________________________

SIGNATURE OF THE INTERVIEWER: ________________________
DATE: __________

SUPERVISOR'S OBSERVATIONS:________________________________

NAME OF THE SUPERVISOR: _______________________________
DATE: ___________

EDITOR'S OBSERVATIONS:________________________________

NAME OF EDITOR: _________________________________________
DATE: ___________