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REPUBLIC OF NIGER
DEMOGRAPHIC AND HEALTH SURVEY
MEN'S QUESTIONNAIRE 1998

IDENTIFICATION:

PLACE NAME ___
NAME OF HOUSEHOLD HEAD ___

CONCESSION NUMBER ___
HOUSEHOLD NUMBER ___
CLUSTER NUMBER ___

DEPARTMENT ___
DISTRICT ___
COUNTY ___

NIAMEY/OTHER CITY/RURAL

NIAMEY 1
OTHER CITY 2
RURAL 3

UNICEF INTERVENTION ZONE

YES 1
NO 2
COMMON ZONE 3

MAN'S NAME AND LINE NUMBER:

NAME: ___
LINE NUMBER: ___

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 19__
INTERVIEWER__
RESULT__

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

TOTAL NUMBER OF VISITS ___

FRENCH QUESTIONNAIRE 1

LANGUAGE OF INTERVIEW:

FRENCH 1
HAOUSSA 2
ZARMA 3
TAMASHEQ 4
FULFUDE 5
OTHER 6

INTERPRETER:

YES 1
NO 2

SUPERVISOR
NAME ___
DATE ___

FIELD EDITOR
NAME ___
DATE ___

OFFICE EDITOR ___
KEYED BY ___

SECTION 1. SOCIO-DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENT

101) RECORD THE TIME.

HOURS: ___
MINUTES: ___

102) To begin, I would like to ask you questions about yourself and your household. Until the age of 12 years, did you live for the majority of the time in Niamey, in another capital, in a city or in a rural area?

NIAMEY/OTHER CAPITAL 1
LARGE CITY IN NIGER/OTHER COUNTRY 2
SMALL CITY IN NIGER/OTHER COUNTRY 3
COUNTRYSIDE IN NIGER/OTHER COUNTRY 4

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

NUMBER OF YEARS: ___
ALWAYS 95 (GO TO 105)
VISITOR 96 (GO TO 105)

104) Just before you moved here, did you live in Niamey or another capital, in a large city in Niger or elsewhere, in a village in Niger or elsewhere, or in the countryside of Niger or elsewhere?

NIAMEY/OTHER CAPITAL 1
LARGE CITY IN NIGER/OTHER COUNTRY 2
SMALL CITY IN NIGER/OTHER COUNTRY 3
COUNTRYSIDE IN NIGER/OTHER COUNTRY 4

105) In which month and in which 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) Did you go to school?

YES 1
NO 2 (GO TO 111)

108) What is the highest level of school you attended: primary, secondary (first cycle), secondary (second cycle), or higher?

PRIMARY 1
SECONDARY (FIRST CYCLE) 2
SECONDARY (SECOND CYCLE) 3
HIGHER 4

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

PRIMARY
00 LESS THAN 1 YEAR FINISHED
01 CI
02 CP
03 CE1
04 CE2
05 CM1
06 CM2
98 DON'T KNOW
SECONDARY FIRST CYCLE
00 LESS THAN 1 YEAR FINISHED
01 SIXTH GRADE
02 FIFTH GRADE
03 FOURTH GRADE
04 THIRD GRADE
98 DON'T KNOW
SECONDARY SECOND CYCLE
00 LESS THAN 1 YEAR FINISHED
01 SECOND GRADE
02 FIRST GRADE
03 FINAL GRADE
98 DON'T KNOW
SUPERIOR
00 LESS THAN 1 YEAR FINISHED
01 FIRST YEAR
02 2 OR MORE YEARS
98 DON'T KNOW

110) CHECK 108:

PRIMARY: ___
SECONDARY OR HIGHER: ___ (GO TO 112)

111) Can you understand a letter or the newspaper 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 the radio at least once a day?

YES 1
NO 2

114) Do you usually watch television at least once a week?

YES 1
NO 2

115) Do you currently work?

YES 1 (GO TO 117)
NO 2

116) Have you worked at all in the past 12 months?

YES 1
NO 2 (GO TO 124)

117) What is your occupation, that is, what kind of work do you mainly do?

__________

118) CHECK 117:

WORKS IN AGRICULTURE: ___
DOES NOT WORK IN AGRICULTURE: ___ (GO TO 120)

119) Do you work mainly on your own land or on family land, or did you work on land that you rent from someone else, or do you work on someone else's land?

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

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

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

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

THROUGHOUT THE YEAR 1 (GO TO 123)
SEASONALLY/PART OF THE YEAR 2
SOMETIMES 3

122) During the last 12 months, how many months did you work?

NUMBER OF MONTHS: ___

123) Do you get a salary for this work?

PROBE: Do you get money for this work?

YES 1
NO 2

124) What is your religion?

MUSLIM 01
CHRISTIAN 02
OTHER (SPECIFY): ___ 96

125) What is your ethnicity?

ARAB 01
DJERMA 02
GOURMANTCHEE 03
HAOUSSA 04
KANOURI 05
MOSSI 06
PEUL 07
TOUAREG 08
TOUBOU 09
OTHER (SPECIFY): ___ 96

126) During the past 12 months did you leave the place where you usually live to go work elsewhere?

YES 1
NO (GO TO 201)

127) Where did you go to work?

IF MULTIPLE PLACES ARE CITED, RECORD THE MAIN ONE.

NIAMEY 01
OTHER CITY IN NIGER 02
RURAL NIGER 03
ABIDJAN 04
ACCRA/LAGOS 05
OTHER AFRICAN CAPITAL 06
OTHER AFRICAN CITY OR RURAL AREA 07
EUROPE/USA 08
OTHER (SPECIFY): ___ 96

128) How long did you stay in (PLACE CITED IN 127) for this work?

LESS THAN 3 MONTHS 1
BETWEEN 3 AND 6 MONTHS 2
6 MONTHS OR MORE 3

SECTION 2. REPRODUCTION

201) Now I would like to talk to you about your children, but only those of which you are the biological father (not those who have another father besides you).

Have you had any 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?
How many daughters live with you?

IF NONE RECORD '00'.

SONS AT HOME: ___
DAUGHTERS AT HOME: ___

204) Do you have any sons or daughters to whom you have given birth and who are alive but do not live with you?

YES 1
NO 2 (GO TO 206)

205) How many sons are alive but do not live with you?
How many daughters are alive but do not live with you?

IF NONE, RECORD '00'.

SONS ELSEWHERE: ___
DAUGHTERS ELSEWHERE: ___

206) Have you had a son or daughter who was born alive but later died?

IF NO, PROBE: Any who cried and showed signs of live at birth but did not survive?

YES 1
NO 2 (GO TO 208)

207) How many sons have died?
And how many daughters have died?

IF NONE, RECORD '00'.

SONS DECEASED: ___
DAUGHTERS DECEASED: ___

208) SUM THE ANSWERS TO QUESTIONS 203, 205, AND 207 AND RECORD THE TOTAL.

IF NONE, RECORD '00'.

TOTAL: ___

209) CHECK 208:

Just to be sure that I have this right:
You have had, in TOTAL ___ children during your life. Is that correct?

YES: ___
NO: ___ (PROBE AND CORRECT 201-208 AS NECESSARY)

210) CHECK 208:

ONE OR MORE CHILDREN: ___
NONE: ___ (GO TO 301)

210A) In what month and year was your last child born?

MONTH: ___
DON'T KNOW MONTH 98
YEAR: ___
DON'T KNOW YEAR 9998

210B) CHECK 210:

LAST CHILD BORN SINCE JANUARY 1995: ___
LAST CHILD BORN BEFORE 1995: ___ (GO TO 301)

210C) When you were expecting your last child, did you want a child at that time? Did you want to wait until later? Or did you not want to have any (more) children?

THEN 1
LATER 2
NOT AT ALL 3

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).

301) CIRCLE EACH METHOD (CODE 1) WITH WHICH THE RESPONDENT IS FAMILIAR. ONLY CIRCLE METHODS ANSWERED SPONTANEOUSLY.

Which methods have you heard about?

302) CONTINUE DOWN COLUMN 302 READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 2 FOR METHODS WITH WHICH THE RESPONDENT IS FAMILIAR. CIRCLE CODE 3 FOR METHODS WITH WHICH THE RESPONDENT IS UNFAMILIAR.

Have ever heard about (method)?

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

FOR EACH METHOD WITH CODE 1 CIRCLED IN 301 OR 302, ASK 303.

303) Have you ever used (method)?

01. PILL
YES 1
NO 2
02. IUD
YES 1
NO 2
03. INJECTIONS
YES 1
NO 2
04. IMPLANTS
YES 1
NO 2
05. DIAPHRAGM, FOAM, OR A VAGINAL SUPPOSITORY
YES 1
NO 2
06. CONDOM
YES 1
NO 2
07. FEMALE STERILIZATION: Have you had a partner who had an operation to avoid having any more children?
YES 1
NO 2
08. MALE STERILIZATION: Have you had an operation to avoid having any more children?
YES 1
NO 2
09. RHYTHM, PERIODIC ABSTINENCE
YES 1
NO 2
10. WITHDRAWAL
YES 1
NO 2

304) CHECK 303:

NOT A SINGLE YES (NEVER USED): ___
AT LEAST ONE USED (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) Are you currently doing something or using any method to delay or avoid pregnancy?

YES 1
NO 2 (GO TO 309)

308) What method(s) are you using?

PILL 01 (GO TO 401)
IUD 02 (GO TO 401)
INJECTIONS 03 (GO TO 401)
IMPLANTS 04 (GO TO 401)
DIAPHRAGM/FOAM/VAGINAL SUPPOSITORY 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 why you do not use a method to avoid pregnancy?

NOT MARRIED 11
FERTILITY REASONS
NO SEXUAL INTERCOURSE 21
INFREQUENT SEXUAL INTERCOURSE 22
WOMAN MENOPAUSE/HYSTERECTOMY 23
WOMAN SUB FERTILE/STERILE 24
WOMAN POST-PARTUM/BREASTFEEDING 25
WANTS (OTHER) CHILDREN 26
WOMAN PREGNANT 27
OPPOSITION TO USE
RESPONDENT OPPOSED 31
PARTNER OPPOSED 32
OTHER PEOPLE OPPOSED 33
RELIGIOUS INTERDICTION 34
LACK OF KNOWLEDGE
DOES NOT KNOW A METHOD 41
DOES NOT KNOW A SOURCE 42
METHOD RELATED REASONS
HEALTH PROBLEMS 51
FEAR OF SECONDARY EFFECTS 52
NOT ACCESSIBLE/TOO FAR 53
TOO EXPENSIVE 54
NOT PRACTICAL TO USE 55
INTERFERES WITH BODILY FUNCTIONS 56
OTHER (SPECIFY): ___96
DON'T KNOW 98

SECTION 4. MARRIAGE

401) Are you currently married or do you live with a woman as if you were married?

YES, CURRENTLY MARRIED 1
YES, CURRENTLY LIVING WITH A WOMAN 2 (GO TO 402A)
NO 3 (GO TO 404)

402) How many wives do you have?
402A) How many women do you live with as if married?

NUMBER OF WIVES: ___

403) RECORD THE WIVES/SPOUSES' LINE NUMBER FROM THE HOUSEHOLD QUESTIONNAIRE.
IF A WOMAN DOES NOT LIVE IN THE HOUSEHOLD, RECORD '00'. THE NUMBER OF BLANKS FILLED OUT MUST BE THE SAME AS THE NUMBER OF SPOUSES/WIVES.

LINE NUMBER: ___ (GO TO 407)
LINE NUMBER: ___ (GO TO 407)
LINE NUMBER: ___ (GO TO 407)
LINE NUMBER: ___ (GO TO 407)
LINE NUMBER: ___ (GO TO 407)
LINE NUMBER: ___ (GO TO 407)

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

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

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

YES, HAS BEEN MARRIED 1
YES, HAS LIVED WITH A WOMAN 2 (GO TO 407)
NO 3 (GO TO 410F)

406) What is your current marital status: are you widowed, divorced or separated?

WIDOWED 1
DIVORCED 2
SEPARATED 3

407) Have you been married or lived with a woman only once or more than once?

ONLY ONCE 1
MORE THAN ONCE 2

408) CHECK 407:

IF MARRIED/HAS LIVED WITH A WOMAN ONLY ONCE:
In which month and in which year did you begin to live with your wife/partner? That is to say, when did you consummate your union?

IF MARRIED/HAS LIVED WITH A WOMAN MORE THAN ONCE:
I would like to ask about when you started living with your first wife/partner. In what month and year was that? That is to say, have you consummated your first union?

MONTH: ___
DON'T KNOW MONTH 98
YEAR: ___ (GO TO 409A)
DON'T KNOW YEAR 9998

409) How old were you when you consummated your first union?

AGE: ___

409A) CHECK 401:

CURRENTLY MARRIED OR LIVING WITH A WOMAN: ___
NOT IN UNION: ___ (GO TO 410F)

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

How long has it been since the last time you had sexual intercourse with (your/one of your spouse(s)/wife/wives/the woman you live with)?

NUMBER OF DAYS: ___ 1
NUMBER OF WEEKS: ___ 2
NUMBER OF MONTHS: ___ 3
NUMBER OF YEARS: ___ 4
BEFORE THE LAST BIRTH 996

410A) CHECK 301 AND 302:

KNOWS ABOUT CONDOMS:
Was a condom used the last time you had sexual intercourse with (your/one of your spouse(s)/wife/wives/ the woman you live with)?

DOESN'T KNOW ABOUT CONDOMS:
Some men use a condom, that is to say that they put a rubber sheath on their penis before having sexual intercourse. Was a condom used the last time you had sexual intercourse with (your/one of your spouse(s)/wife/wives/ the woman you live with)?

YES 1
NO 2

410B) Have you had sexual intercourse with someone besides (your/one of your spouse(s)/wife/wives/ the woman you live with) in the last 12 months?

YES 1
NO 2 (GO TO 410J)

410C) When did you last have sexual intercourse with someone else besides (your/one of your spouse(s)/wife/wives/ the woman you live with)?

NUMBER OF DAYS: ___ 1
NUMBER OF WEEKS: ___ 2
NUMBER OF MONTHS: ___ 3
NUMBER OF YEARS: ___ 4

410D) Was a condom used on this occasion?

YES 1
NO 2

410E) During the last 12 months with how many different people besides (your/one of your spouse(s) /the woman you live with) did you have sexual intercourse?

NUMBER OF PEOPLE: ___ (GO TO 410J)
DON'T KNOW 8 (GO TO 410J)

410F) Now I would like to ask you some questions about sexual activity in order to gain a better understanding of certain problems with respect to family planning.

How long has it been since the last time you had sexual intercourse (if you've ever had it)?

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

410G) CHECK 301 AND 302:

KNOWS ABOUT CONDOMS:
Did you use a condom the last time you had sexual intercourse?

DOESN'T KNOW ABOUT CONDOMS:
Some men use a condom, that is to say that they put a rubber sheath on their penis before having sexual intercourse. Did you use a condom the last time you had sexual intercourse?

YES 1
NO 2

410H) CHECK 410F:

LESS THAN 12 MONTHS SINCE LAST SEXUAL INTERCOURSE: ___
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: ___
DON'T KNOW 8

410J) CHECK 401:

CURRENTLY MARRIED OR LIVES WITH A WOMAN:
The last time you had sexual intercourse, was it with your/(one of your) spouses /the woman you live with, 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?

SPOUSE/WIFE 1
REGULAR PARTNER 2
CASUAL ENCOUNTER 3
SOMEONE PAID 4
SOMEONE ELSE 5

412) Do you know of a place where you could get condoms?

YES 1
NO 2 (GO TO 415)

413) 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
INTEGRATED HEALTH CENTER 12
MATERNITY WARD 13
HEALTH HUT 14
CONSULTATION AT A FAIR 15
OTHER PUBLIC (SPECIFY): ___ 16
PRIVATE SECTOR
PRIVATE CLINIC 21
PHARMACY 22
PRIVATE DOCTOR'S OFFICE 23
HEALTHCARE WORKER 24
OTHER PRIVATE MEDICAL (SPECIFY): ___ 26
OTHER SOURCE
FIELD PHARMACY 31
TRADITIONAL HEALER 32
FRIENDS/RELATIVES 33
OTHER (SPECIFY): ___ 36

415) How old were you the first time you have sexual intercourse?

AGE: ___
FIRST TIME IN MARRIAGE 96

SECTION 5. FERTILITY PREFERENCES

501) CHECK 401:

NOT IN UNION: ___
CURRENTLY MARRIED OR LIVING WITH A WOMAN: ___ (GO TO 503)

502) CHECK 404:

REGULAR SEXUAL PARTNER: ___
OCCASIONAL SEXUAL PARTNER: ___
NO SEXUAL PARTNER: ___ (GO TO 505)

503) Is (one of your spouse(s) /partner(s)) currently pregnant?

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

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

AT THAT TIME 1
LATER 2
NOT AT ALL 3

505)

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

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

HAVE (A/ANOTHER) CHILD 1
NO MORE/NONE 2 (GO TO 507)
WOMAN CANNOT GET PREGNANT 3 (GO TO 507)
HE CANNOT HAVE CHILDREN 4 (GO TO 507)
NOT SURE/DOESN'T KNOW 8 (GO TO 507)

506) CHECK 503:

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

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

MONTHS: ___ 1
YEARS: ___ 2
SOON/NOW 993
WOMAN CANNOT GET PREGNANT 994
AFTER MARRIAGE 995
OTHER (SPECIFY): ___ 996
DON'T KNOW 998

507) CHECK 307: USES A METHOD?

NOT ASKED: ___
DOES NOT CURRENTLY USE: ___
CURRENTLY USES: ___ (GO TO 512)

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

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

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

YES 1
NO 2 (GO TO 511)
DON'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/JELLY/VAGINAL SUPPOSITORY 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 METHOD (SPECIFY): ___96 (GO TO 512)
NOT SURE 98 (GO TO 512)

511) What is the main reason that you think that you will never use a contraception method?

NOT MARRIED 11
FERTILITY-RELATED REASONS
NOT HAVING SEX 21
INFREQUENT SEX 22
MENOPAUSE/HYSTERECTOMY 23
SUB FECUND/STERILE 24
POST-PARTUM/BREASTFEEDING 25
WANTS MORE CHILDREN 26
OPPOSITION TO USE
RESPONDENT OPPOSED 31
HUSBAND/PARTNER OPPOSED 32
OTHER PERSONS OPPOSED 33
RELIGIOUS PROHIBITION 34
LACK OF KNOWLEDGE
KNOWS NO METHOD 41
KNOWS NO SOURCE 42
METHOD-RELATED REASONS
HEALTH CONCERNS 51
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COSTS TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
OTHER (SPECIFY): ___ 96
DOESN'T KNOW 98

512) CHECK 202 AND 204:

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

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 514)

513) How many of these children would you like to be boys, how many would you like to be girls, and for how many would the sex not matter?

BOYS
NUMBER: ___
OTHER (SPECIFY): ___ 96
GIRLS
NUMBER: ___
OTHER (SPECIFY): ___ 96
EITHER
NUMBER: ___
OTHER (SPECIFY): ___ 96

514) In general, would you say that you approve or disapprove of couples who use a method to avoid getting pregnant?

APPROVE 1
DISAPPROVE 2
NO OPINION 8

515) Do think it is acceptable that information about family planning is given:

On the radio?
On the television?

RADIO
ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8
TELEVISION
ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'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 flyer or brochure?

RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
NEWSPAPERS OR MAGAZINES
YES 1
NO 2
POSTER
YES 1
NO 2
FLYER 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 EVERYONE MENTIONED.

SPOUSE(S)/WIFE/WIVES A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
FRIEND(S)/NEIGHBOR(S) H
OTHER (SPECIFY): ___ X

520) CHECK 502:

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

521) Spouses/partners do not agree on everything. I would like to ask you questions about your spouse/partner's opinions on family planning.

Do you think that your (spouse(s)/partner) approves or disapproves of using methods to avoid pregnancy?

APPROVES 1
DISAPPROVES 2
DOESN'T KNOW 8

522) How many times during the past year did you speak with your partner/spouse(s) about family planning?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

SECTION 6. SEXUALLY TRANSMITTED DISEASES AND AIDS

601A) Have you ever heard about infections that can be transmitted through sexual contact?

YES 1
NO 2 (GO TO 601F)

601B) Which illnesses do you know of?

RECORD EVERYTHING MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMOR D
OTHER (SPECIFY): ___ W
OTHER (SPECIFY): ___ X
DON'T KNOW Z

601C) CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE: ___
HAS NEVER HAD SEXUAL INTERCOURSE: ___ (GO TO 601F)

601D) During the last 12 months, have you had one of these illnesses?

YES 1
NO 2 (GO TO 601F)
DON'T KNOW 8 (GO TO 601F)

601E) Which illnesses have you had?

RECORD EVERYTHING MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMOR D
OTHER (SPECIFY): ___X
DON'T KNOW Z

601F) During the last 12 months have you had discharge from your penis?

YES 1
NO 2
DON'T KNOW 8

601G) During the last 12 months have you had a sore or ulcer on your penis?

YES 1
NO 2
DON'T KNOW 8

601H) CHECK 601E, 601F, 601G:

HAS HAD AT LEAST ONE ILLNESS: ___
HAS NOT HAD AN ILLNESS: ___ (GO TO 601N)

601I) The last time you had (ILLNESS FROM 601E/DISCHARGE/SORE), did you seek advice or treatment?

YES 1
NO 2 (GO TO 601JA)

601J) Where did you seek advice or treatment?

Any other place?

RECORD ALL MENTIONED

PUBLIC SECTOR
HOSPITAL A
INTEGRATED HEALTH CENTER B
MATERNITY WARD C
HEALTH HUT D
CONSULTATION AT A FAIR E
OTHER PUBLIC (SPECIFY): ___ F
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC G
PHARMACY H
PRIVATE DOCTOR'S OFFICE I
HEALTHCARE WORKER J
OTHER PRIVATE MEDICAL (SPECIFY): ___ K
OTHER SOURCE
FIELD PHARMACY L
TRADITIONAL PRACTITIONER M
FRIENDS/RELATIVES N
OTHER (SPECIFY): ___ X
DON'T KNOW Z

601JA) CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE: ___
HAS NEVER HAD SEXUAL INTERCOURSE: ___ (GO TO 601N)

601K) When you had (ILLNESS FROM 601E/DISCHARGE/SORE), did you tell your partner?

YES 1
NO 2

601L) When you had (ILLNESS FROM 601E/DISCHARGE/SORE), did you do anything to avoid infecting your partner?

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

601M) What did you do?

RECORD ALL MENTIONED.

STOPPED SEXUAL INTERCOURSE A
USED CONDOMS B
TOOK MEDICINE C
OTHER (SPECIFY): ___ X

601N) CHECK 601B:

DID NOT MENTION AIDS: ___
MENTIONED AIDS: ___ (GO TO 602)

601O) Have you heard of an illness called AIDS?

YES 1
NO 2 (GO TO 611C)

602) From which sources have you learned the most about AIDS?

Anywhere else?

RECORD ALL MENTIONED

RADIO A
TELEVISION B
NEWSPAPERS/MAGAZINES C
BROCHURES/POSTERS D
HEALTHCARE WORKERS E
MOSQUES/CHURCHES F
SCHOOL/INSTRUCTORS G
COMMUNITY ENCOUNTERS H
FRIENDS/RELATIVES I
WORKPLACE J
OTHER (SPECIFY): ___ X

602B) How can someone get AIDS?

Any other source?

RECORD ALL MENTIONED

SEXUAL INTERCOURSE A
SEXUAL INTERCOURSE WITH MULTIPLE PARTNERS B
SEXUAL INTERCOURSE WITH PROSTITUTES C
NOT USING CONDOMS D
SEXUAL INTERCOURSE WITH HOMOSEXUALS E
INJECTIONS F
BLOOD TRANSFUSIONS G
KISSING H
MOSQUITO BITES I
OTHER (SPECIFY): ___ X
DON'T KNOW Z

603) Is there something that a person can do to avoid contracting 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 CITED

ABSTAIN FROM SEX B
USE CONDOMS C
AVOID MULTIPLE PARTNERS D
AVOID PROSTITUTES E
AVOID HOMOSEXUALS F
AVOID BLOOD TRANSFUSIONS G
AVOID INJECTIONS H
AVOID KISSING I
AVOID MOSQUITO BITES J
SEEK PROTECTION FROM A TRADITIONAL HEALER K
OTHER (SPECIFY): ___ X
DON'T KNOW Z

607) Is it possible that a person who appears to be healthy can in fact have the AIDS virus?

YES 1
NO 2
DOESN'T KNOW 8

608) Do you think a person infected with AIDS never dies from this illness, dies sometimes from this illness, or nearly always dies from this illness?

ALMOST NEVER 1
SOMETIMES 2
NEARLY ALWAYS 3
DON'T KNOW 8

608A) Can AIDS be cured?

YES 1
NO 2
DON'T KNOW 8

608B) Can AIDS be transmitted from mother to her baby?

YES 1
NO 2
DON'T KNOW 8

608C) Do you know someone who has AIDS or who has died of AIDS?

YES 1
NO 2
DON'T KNOW 8

609) Do you think your risk of catching AIDS is small, average, or significant, or do you think that you have no risk of catching AIDS?

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

609B) Why do you think that you (are not at risk or have a small risk) of catching AIDS?

Any other reason?

RECORD EVERYTHING MENTIONED

ABSTAIN FROM SEX B (GO TO 611A)
USE CONDOMS C (GO TO 611)
ONLY ONE PARTNER D (GO TO 611A)
LIMITED NUMBER OF SEX PARTNERS E (GO TO 611A)
AVOIDS PROSTITUTES F (GO TO 611A)
PARTNER IS LOYAL G (SKIP TO 611A)
NO SEX WITH HOMOSEXUALS H (GO TO 611A)
NO BLOOD TRANSFUSIONS I (GO TO 611A)
NO INJECTIONS J (GO TO 611A)
OTHER (SPECIFY): ___ X (GO TO 611A)

609C) Why do you think that you (have an average or significant risk) of catching AIDS?

Any other reason?

RECORD EVERYTHING MENTIONED

DOESN'T USE CONDOMS C
MORE THAN ONE SEXUAL PARTNER D
MANY SEXUAL PARTNERS E
GOES TO PROSTITUTES F
PARTNER IS NOT LOYAL G
SEX WITH HOMOSEXUALS H
HAS BLOOD TRANSFUSIONS I
HAS INJECTIONS J
OTHER (SPECIFY): ___ X

611A) Since hearing about AIDS, have you changed your behavior to avoid contracting AIDS?

IF YES: What have you done?

RECORD ALL MENTIONED

DID NOT BEGIN TO HAVE SEX A (GO TO 611C)
STOPPED HAVING SEX B (GO TO 611C)
BEGAN TO USE CONDOMS C (GO TO 611C)
ONLY ONE SEXUAL PARTNER D (GO TO 611C)
LIMITED SEXUAL PARTNERS E (GO TO 611C)
ASKED PARTNER TO BE LOYAL F (GO TO 611C)
STOPPED HAVING SEX WITH HOMOSEXUALS H (GO TO 611C)
NO INJECTIONS J
OTHER (SPECIFY): ___ X
NO CHANGE Y

611B) Has knowing about AIDS changed your decision to have sexual intercourse or your sexual behavior?

IF YES, PROBE: In what way?

RECORD ALL MENTIONED

DID NOT BEGIN HAVING SEX A
STOPPED HAVING SEX B
BEGAN TO USE CONDOMS C
RESTRICTED TO ONE SEXUAL PARTNER D
REDUCED NUMBER OF PARTNERS E
AVOIDED PROSTITUTES F
STOPPED HAVING SEX WITH HOMOSEXUALS H
OTHER (SPECIFY): ___ X
NO CHANGE IN SEXUAL BEHAVIOR Y
DON'T KNOW Z

611C) Certain people use a condom during sexual intercourse to avoid contracting AIDS or other sexually transmitted illnesses. Have you heard of this?

YES 1
NO 2 (GO TO 611F)

611D) CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE: ___
HAS NEVER HAD SEXUAL INTERCOURSE: ___ (GO TO 611H)

611E) It is possible that we have already talked about this. Have you ever used a condom during sexual intercourse to avoid contracting AIDS or other sexually transmitted illnesses?

YES 1 (GO TO 611G)
NO 2 (GO TO 611G)

611F) CHECK 410 AND 410F:

HAS HAD SEXUAL INTERCOURSE: ___
HAS NEVER HAD SEXUAL INTERCOURSE: ___ (GO TO 611H)

611G) During the last 12 months, have you given or received money, gifts or favors in exchange for sexual intercourse?

YES 1
NO 2

611H) RECORD IF THE RESPONDENT HAS A GOITER

YES 1
NO 2
NOT SURE 8

SECTION 7. TRADITIONAL PRACTICES

701) In Niger, as in other countries, there is a practice that involves removing a part of the genital organs of young girls or young women. Have you heard of this practice?

YES 1
NO 2 (GO TO 707)

702) Do you think that this type of practice should continue or that it should be stopped?

CONTINUED 1
STOPPED 2 (GO TO 705)
DON'T KNOW 8 (GO TO 707)

703) Why do you think that this type of practice should continue?

What other reason?

RECORD ALL REASONS MENTIONED

GOOD TRADITION A
CUSTOM AND TRADITION B
RELIGIOUS NECESSITY C (GO TO 707)
HYGIENE D (GO TO 707)
BETTER CHANCE OF MARRIAGE E (GO TO 707)
MORE PLEASURE FOR HUSBAND F (GO TO 707)
PRESERVATION OF VIRGINITY/AVOID IMMORALITY G (GO TO 707)
OTHER (SPECIFY): ___ X (GO TO 707)
DON'T KNOW Y (GO TO 707)

704) What do you mean by 'good tradition/custom and tradition'?

RECORD ALL REASONS MENTIONED

CUSTOM AND TRADITION B (GO TO 707)
RELIGIOUS NECESSITY C (GO TO 707)
HYGIENE D (GO TO 707)
BETTER CHANCE OF MARRIAGE E (GO TO 707)
MORE PLEASURE FOR HUSBAND F (GO TO 707)
PRESERVATION OF VIRGINITY/AVOID IMMORALITY G (GO TO 707)
OTHER (SPECIFY): ___ X (GO TO 707)
DON'T KNOW Y (GO TO 707)

705) Why do you think this type of tradition should be stopped?

What other reason?

RECORD ALL REASONS MENTIONED

BAD TRADITION A
AGAINST RELIGION B (GO TO 707)
MEDICAL COMPLICATIONS C (GO TO 707)
PAINFUL EXPERIENCE D (GO TO 707)
AGAINST WOMEN'S DIGNITY E (GO TO 707)
PREVENT SEXUAL SATISFACTION F (GO TO 707)
OTHER (SPECIFY): ___ X (GO TO 707)
DON'T KNOW Y (GO TO 707)

706) What do you mean by 'bad tradition'?

RECORD ALL REASONS MENTIONED

AGAINST RELIGION B
MEDICAL COMPLICATIONS C
PAINFUL EXPERIENCE D
AGAINST WOMEN'S DIGNITY E
PREVENT SEXUAL SATISFACTION F
OTHER (SPECIFY): ___ X
DON'T KNOW Y

707) RECORD THE TIME.

HOUR: ___
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 ___