NIGERIA DEMOGRAPHIC AND HEALTH SURVEY 2003
INDIVIDUAL MAN'S QUESTIONNAIRE

IDENTIFICATION

STATE NAME _____________________
LOCAL GOVT. AREA __________________
LOCALITY NAME _____________________
ENUMERATION AREA _________________

URBAN/RURAL ________________

URBAN l
RURAL 2

CLUSTER NUMBER __
BUILDING NUMBER __
HOUSEHOLD NAME/NUMBER____________ ___

LARGE TOWN/MEDIUM TOWN/SMALL TOWN/VILLAGE __________ __

LARGE TOWN 1
MEDIUM TOWN 2
SMALL TOWN 3
VILLAGE 4

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 _____

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

TOTAL NUMBER OF VISITS __

LANGUAGE OF INTERVIEW

HAUSA 1
YORUBA 2
IGBO 3
ENGLISH 4
OTHER 6

NATIVE LANGUAGE OF RESPONDENT

HAUSA 1
YORUBA 2
IGBO 3
ENGLISH 4
OTHER 6

TRANSLATOR USED?

YES 1
NO 2

SUPERVISOR
NAME ________ ___
DATE ________

FIELD EDITOR
NAME ________ ___
DATE ________

OFFICE EDITOR___

KEYED BY____

SECTION 1. RESPONDENT'S BACKGROUND

INTRODUCTION AND CONSENT

GREETINGS. My name is ________ and I am working with the National Population Commission. We are conducting a national survey about the health of women, men and children. We would very much appreciate your participation in this survey. I would like to ask you about your health. This information will help the government to plan health services. We won't take too much of your time. Whatever information you provide will be kept strictly confidential and will not be shown to other persons. We hope that you will participate in this survey since your views are important.

At this time, do you want to ask me anything about the survey?
May I begin the interview now?

Signature of interviewer: ______________
Date: __________

RESPONDENT AGREES TO BE INTERVIEWED 1 (GO TO 101)
RESPONDENT DOES NOT AGREE TO BE INTERVIEWED 2 (END)

101. RECORD THE TIME (START OF INTERVIEW).

HOUR ___
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

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 the last 12 months, have you ever traveled away from this community and slept away?

YES 1
NO 2 (GO TO 108)

106. In the last 12 months, on how many separate occasions have you traveled away from this community and slept away?

NUMBER OF TRIPS AWAY ____

107. In the last 12 months, have you been away from this community for more than 1 month at a time?

YES 1
NO 2

108. In what month and year were you born?

MONTH _____
DOES NOT KNOW MONTH 98

YEAR ______
DOES NOT KNOW YEAR 9998

109. How old were you at your last birthday?
COMPARE AND CORRECT 108 AND/OR 109 IF INCONSISTENT.

AGE IN COMPLETED YEARS _______

110. Have you ever attended school?

YES 1
NO 2 (GO TO 114)

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

PRIMARY 1
SECONDARY 2
HIGHER 3

112. What is the highest (class/form/year) you completed at that level?

CLASS/FORM/YEAR _______

113. CHECK 111:

PRIMARY (GO TO 114)
SECONDARY OR HIGHER (GO TO 117)

114. 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

115. 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

116. CHECK 114:

CODE '2', '3' OR '4' CIRCLED (GO TO 117)
CODE '1' CIRCLED (GO TO 118)

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

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

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

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

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

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

120. Are you currently working?

YES 1 (GO TO 123)
NO 2

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

YES 1 (GO TO 123)
NO 2

122. What have you been doing for most of the time over the last 12 months?

GOING TO SCHOOL/STUDYING 1 (GO TO 129)
LOOKING FOR WORK 2 (GO TO 129)
RETIRED 3 (GO TO 129)
UNABLE TO WORK, ILL/HANDICAPPED 4 (GO TO 129)
HOUSEWORK/CHILDCARE 5 (GO TO 129)
OTHER (SPECIFY) _______ 6 (GO TO 129)

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

OCCUPATION______________ ___

124. CHECK 123:

WORKS IN AGRICULTURE (GO TO 125)
DOES NOT WORK IN AGRICULTURE (GO TO 126)

125. 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

126. During the last 12 months, how many months did you work?

NUMBER OF MONTHS _______

127. Are you paid 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 129)
NOT PAID 4 (GO TO 129)

127A. 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

128. 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?

NONE 1
ALMOST NONE 2
LESS THAN HALF 3
ABOUT HALF 4
MORE THAN HALF 5
ALL 6

129. What is your religion?

CATHOLIC 1
PROTESTANT 2
OTHER CHRISTIAN 3
ISLAM 4
TRADITIONALIST 5
OTHER (SPECIFY) ________ 6

130. What is your ethnic group?

________________ ____

SECTION 2. REPRODUCTION AND PREFERENCES

201. Now I would like to ask about any children you have had during your life. I am interested only in the children that are biologically yours. Have you ever fathered any children with any woman?

YES 1
NO 2 (GO TO 206)
DON'T KNOW 8 (GO TO 206)

202. Do you have any sons or daughters that you have fathered 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 you have fathered 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 fathered a son or a daughter who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed signs of life but survived only a few hours or days?

YES 1
NO 2 (GO TO 208)
DON'T KNOW 8 (GO TO 208)

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

BOYS DEAD ______

GIRLS DEAD ______

208. (In addition to the children that you have just told me about), have you ever fathered
a) Any other living sons or daughters who are biologically yours but who are not legally yours or do not have your last name?
b) Any other sons or daughters who died and who were biologically your children but were not legally yours or did not have your last name?

NO TO BOTH (GO TO 209)
OTHER (PROBE AND CORRECT 201-207 AS NECESSARY)

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

TOTAL ________

210. CHECK 209:

HAS HAD MORE THAN ONE CHILD (GO TO 211)
HAS HAD ONLY ONE CHILD (GO TO 213)
HAS NOT HAD ANY CHILDREN (GO TO 301)

211. Do the children that you have fathered all have the same biological mother?

YES 1 (GO TO 213)
NO 2

212. In all how many women have you fathered children with?

NUMBER OF WOMEN ____

213. How old were you when your (first) child was born?

AGE IN YEARS ___

214. At the time when this child was born, were you married to the child's mother?

YES 1
NO 2

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 RECOGNISED, AND CODE 2 IF NOT RECOGNISED. THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302, IF APPLICABLE.

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

01 FEMALE STERILISATION Women can have an operation to avoid having any more children.

YES 1
NO 2

02 MALE STERILISATION Men can have 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 INJECTABLES Women can have an injection by a health provider which stops them from becoming pregnant for one or more 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 OR PERIODIC ABSTINENCE 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(SPECIFY) ____
NO 2

302. Have you ever used (METHOD)?

02 MALE STERILISATION 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

07 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.

YES 1
NO 2

12 RHYTHM OR PERIODIC ABSTINENCE 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
DON'T KNOW 8

13 WITHDRAWAL Men can be careful and pull out before climax.

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. Now I would like to ask you about a woman's risk of pregnancy. From one menstrual period to the next, are there certain days when a woman is more likely to become pregnant if she has sexual relations?

YES 1
NO 2 (GO TO 305)
DON'T KNOW 8 (GO TO 305)

304. Is this time just before her period begins, during her period, right after her period has ended, or halfway between two periods?

JUST BEFORE HER PERIOD BEGINS 1
DURING HER PERIOD 2
RIGHT AFTER HER PERIOD HAS ENDED 3
HALFWAY BETWEEN TWO PERIODS 4
OTHER (SPECIFY) ______ 6
DON'T KNOW 8

305. Do you think that a woman who is breastfeeding her baby can become pregnant?

YES 1
NO 2
DEPENDS 3
DON'T KNOW 8

311. CHECK 301(07) AND 302(07):
KNOWLEDGE AND USE OF CONDOMS

HAS HEARD OF AND USED CONDOMS (GO TO 314)
HAS HEARD OF CONDOMS BUT HAS NEVER USED (GO TO 324)
HAS NOT HEARD OF CONDOMS (GO TO 324)

314. Now when you have sex, do you use a condom every time, sometimes, or not at all?

EVERY TIME 1 (GO TO 324)
SOMETIMES 2
NOT AT ALL 3 (GO TO 324)
NOT HAVING SEX 4 (GO TO 324)

315. When do you use a condom?
PROBE: Any other times?
RECORD ALL SITUATIONS MENTIONED.

ON PARTNER'S FERTILE DAYS A
DURING WIFE'S/PARTNER'S MENSTRUATION B
WHEN NOT USING SOME OTHER METHOD C
WITH A STRANGER D
WITH A COMMERCIAL SEX WORKER E
WITH ANYONE OTHER THAN WIFE/REGULAR PARTNER F
WITH WIFE/REGULAR PARTNER G
OTHER (SPECIFY) ____________X

324. CHECK 301(02) AND 302(02): KNOWLEDGE OF MALE STERILIZATION

HAS HEARD OF MALE STERILIZATION BUT IS NOT STERILIZED (GO TO 325)
RESPONDENT IS STERILIZED (GO TO 326)
HAS NOT HEARD OF MALE STERILIZATION (GO TO 328)

325. Once you have had all the children you want, would you yourself ever consider getting sterilized?

WOULD CONSIDER 1
WOULD NOT CONSIDER 2 (GO TO 327)
UNSURE/DEPENDS 3
WIFE ALREADY STERILIZED 4 (GO TO 328)

326. In your opinion what are some of the advantages of male sterilization?
PROBE: Any other advantages?
RECORD ALL ADVANTAGES MENTIONED.

PUTS MAN IN CONTROL A (GO TO 328)
EFFECTIVE METHOD B (GO TO 328)
OPERATION IS SAFE C (GO TO 328)
SAFER THAN FEMALE STERILIZATION D (GO TO 328)
OPERATION INEXPENSIVE E (GO TO 328)
LESS EXPENSIVE THAN FEMALE STERILIZATION F (GO TO 328)
OPERATION IS SIMPLE G (GO TO 328)
GIVES MAN FREEDOM H (GO TO 328)
OTHER (SPECIFY) ______________ X (GO TO 328)
DON'T KNOW Z (GO TO 328)

327. Why would you never consider getting sterilized?
PROBE: Any other reasons?
RECORD ALL REASONS MENTIONED.

AGAINST RELIGION A
BAD FOR MAN'S HEALTH B
OPERATION NOT SAFE C
LESS INTRUSIVE WAYS AVAILABLE D
MAY WANT MORE CHILDREN/MAY WANT TO REPLACE CHILD WHO DIED E
MAY REMARRY SOME DAY F
LOSS OF WEIGHT G
LOSS OF SEXUAL FUNCTION H
LOSS OF MANLINESS I
OTHER (SPECIFY) ___________ X

328. I will now read you some statements about contraception. Please tell me if you agree or disagree with each one.

a) Contraception is woman's business and a man should not have to worry about it.

AGREE 1
DISAGREE 2
DON'T KNOW 8

b) Women who use contraception may become promiscuous.

AGREE 1
DISAGREE 2
DK 8

c) A woman is the one who gets pregnant so she should be the one to use contraception.

AGREE 1
DISAGREE 2
DON'T KNOW 8

329. Do you currently smoke cigarettes or tobacco?
IF YES: What type of cigarette/tobacco do you smoke?
RECORD ALL TYPES MENTIONED.

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

330. CHECK 329:

CODE 'A' CIRCLED (GO TO 331)
CODE 'A' NOT CIRCLED (GO TO 332)

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

CIGARETTES ___

332. Have you ever drunk an alcohol-containing beverage?

YES 1
NO 2 (GO TO 401)

333. In the last 3 months, on how many days did you drink an alcohol-containing beverage?
IF EVERY DAY, RECORD '90'.

NUMBER OF DAYS ___
NONE 95

334. Have you ever gotten 'drunk' from drinking an alcohol-containing beverage?

YES 1
NO 2 (GO TO 401)

335. CHECK 333:

DRANK ALCOHOL ON AT LEAST ONE DAY (GO TO 336)
NONE (GO TO 401)

336. In the last 3 months, on how many occasions did you get 'drunk'?

NUMBER OF DAYS ___
NONE 95

SECTION 4. MARRIAGE AND SEXUAL ACTIVITY

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

YES, CURRENTLY MARRIED 1
YES, LIVING WITH A WOMAN 2 (GO TO 404)
NO, NOT IN UNION 3 (GO TO 406)

402. Do you have one wife or more than one wife?
IF ONLY ONE WIFE, ENTER '01'.
IF MORE THAN ONE, ASK: How many wives do you currently have?

NUMBER OF WIVES _____

403. Are there any other women with whom you live as if married?

YES 1
NO 2 (GO TO 405)

404. Are you living with one (other) woman or more than one (other) woman as if married?
IF ONE LIVE-IN PARTNER, ENTER '01'.
IF MORE THAN ONE, ASK: How many women are you living with as if married?

NUMBER OF LIVE-IN PARTNERS ______

405. Apart from the woman/women you have already mentioned, do you currently have any other regular or occasional sexual partner?

REGULAR PARTNER(S) ONLY 1 (GO TO 409)
OCCASIONAL PARTNER(S) ONLY 2 (GO TO 409)
REGULAR AND OCCASIONAL PARTNER(S) 3 (GO TO 409)
NO OTHER PARTNER 4 (GO TO 409)

406. Do you currently have any regular sexual partners, occasional sexual partners, or no sexual partner at all?

REGULAR PARTNER(S) ONLY 1
OCCASIONAL PARTNER(S) ONLY 2
REGULAR AND OCCASIONAL PARTNER(S) 3
NO SEXUAL PARTNER 4

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

YES, FORMERLY MARRIED 1
YES, LIVED WITH A WOMAN 2 (GO TO 411)
NO 4 (GO TO 416)

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

WIDOWED 1 (GO TO 411)
DIVORCED 2 (GO TO 411)
SEPARATED 3 (GO TO 411)

409. WRITE THE LINE NUMBERS FROM THE HOUSEHOLD QUESTIONNAIRE FOR EACH WIFE/PARTNER REPORTED IN QUESTIONS 402 AND 404 ONLY. IF A WIFE/PARTNER DOES NOT LIVE IN THE HOUSEHOLD, ENTER '00' IN THE LINE NUMBER BOXES.
THE NUMBER OF LINES FILLED IN MUST BE EQUAL TO THE NUMBER OF WIVES AND PARTNERS. (IF RESPONDENT HAS MORE THAN FIVE WIVES/PARTNERS USE ADDITIONAL QUESTIONNAIRE(S).

CHECK 402 AND 404:

SUM OF 402 AND 404 = 1: Please tell me the name of your wife/partner.

SUM OF 402 AND 404 IS GREATER THAN 1: Please tell me the name of each (wife/partner that you live with as if married), starting with the one you lived with first.

WIFE/PARTNER NUMBER _____________ ___

LINE NUMBER IN HOUSEHOLD QUESTIONNAIRE

WIFE = 1
PARTNER = 2

410. CHECK 409:

ONLY ONE WIFE/PARTNER (GO TO 411)
MORE THAN ONE WIFE/PARTNER (GO TO 412)

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

ONCE 1 (GO TO 414)
MORE THAN ONCE 2 (GO TO 413)

412. Have you ever been married to or lived as if married to any woman other than those you have just mentioned?

YES 1
NO 2 (GO TO 414)

413. In total, how many women have you been married to or lived with as if married in your whole life?

NUMBER OF WOMEN _____

414. CHECK 409 AND 411:

ONLY ONE WIFE/PARTNER AND 411=1: In what month and year did you start living with your wife/partner?

OTHER: Now we will talk about your first wife/partner. In what month and year did you start living with her?

MONTH _________
DOES NOT KNOW MONTH 98

YEAR ________ (GO TO 416)
DOES NOT KNOW YEAR 9998

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

AGE ________

416. 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 with a woman (if ever)?

NEVER 00 (GO TO 448)
AGE IN YEARS _______
FIRST TIME WHEN STARTED LIVING WITH (FIRST) WIFE/PARTNER 95

416A. CHECK 109:

15-24 YEARS OLD (GO TO 416B)
25-59 YEARS OLD (GO TO 417)

416B. The first time you had sexual intercourse, was a condom used?

YES 1
NO 2

416C. What is your relationship to the woman with whom you had your first sexual intercourse?

GIRL-FRIEND 1
SPOUSE 2
CASUAL PARTNER 3
COMMERCIAL SEX WORKER 4
OTHER (SPECIFY) __________ 6

417. When was the last time you had sexual intercourse with a woman?
RECORD 'YEARS AGO' ONLY IF LAST INTERCOURSE WAS ONE OR MORE YEARS AGO.
IF 12 MONTHS OR MORE, ANSWER MUST BE RECORDED IN YEARS.

DAYS AGO 1 __
WEEKS AGO 2 __
MONTHS AGO 3 __
YEARS AGO 4 __ (GO TO 445)

418. The last time you had sexual intercourse with a woman, did you use a condom?

YES 1
NO 2 (GO TO 420)

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

RESPONDENT WANTED TO PREVENT STI/HIV 1 (GO TO 424)
RESPONDENT WANTED TO PREVENT PREGNANCY 2 (GO TO 424)
RESPONDENT WANTED TO PREVENT BOTH STI/HIV AND PREGNANCY 3 (GO TO 424)
DID NOT TRUST PARTNER/FELT SHE HAD OTHER PARTNERS 4 (GO TO 424)
PARTNER REQUESTED/INSISTED 5 (GO TO 424)
OTHER (SPECIFY) ________ 6 (GO TO 424)
DON'T KNOW 8 (GO TO 424)

420. CHECK 302(02):

RESPONDENT NOT STERILIZED (GO TO 421)
RESPONDENT STERILIZED (GO TO 424)

421. The last time you had sexual intercourse with a woman, did you or she do something or use any method to avoid a pregnancy?

YES 1
NO 2 (GO TO 423)
UNSURE/DON'T KNOW 8 (GO TO 424)

422. What method was used?

FEMALE STERILIZATION 01 (GO TO 424)
PILL 03 (GO TO 424)
IUD 04 (GO TO 424)
INJECTABLES 05 (GO TO 424)
IMPLANTS 06 (GO TO 424)
FEMALE CONDOM 08 (GO TO 424)
DIAPHRAGM 09 (GO TO 424)
FOAM/JELLY 10 (GO TO 424)
LACTATIONAL AMENORRHEA 11 (GO TO 424)
PERIODIC ABSTINENCE 12 (GO TO 424)
WITHDRAWAL 13 (GO TO 424)
OTHER (SPECIFY) _____ 96 (GO TO 424)
DON'T KNOW 98 (GO TO 424)

423. What is the main reason a method was not used?

CASUAL SEX PARTNER SO DOES NOT CARE 11
CONTRACEPTION WOMEN'S BUSINESS 12

FERTILITY-RELATED REASONS

WIFE/PARTNER MENOPAUSAL/HAD HYSTERECTOMY 23
COUPLE SUBFECUND/INFECUND 24
WIFE/PARTNER WAS PREGNANT 25
WIFE/PARTNER WAS POSTPARTUM AMENORRHEIC 26
WIFE/PARTNER WAS BREASTFEEDING 27
WANTED (MORE) CHILDREN 28

OPPOSITION TO USE

RESPONDENT OPPOSED 31
WIFE/PARTNER OPPOSED 32
OTHERS 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
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56

OTHER (SPECIFY) __________ 96
DON'T KNOW 98

424. What is your relationship to the woman with whom you last had sex?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉE', ASK: Was your girlfriend/fiancée living with you when you last had sex?
IF YES, RECORD '01'. IF NO, RECORD '02'.

SPOUSE/COHABITING PARTNER 01 (GO TO 426)
WOMAN IS GIRLFRIEND/FIANCÉE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ___________ 96

425. For how long have you had (did you have) sexual relations with this woman?
IF ONLY HAD SEXUAL RELATIONS WITH THIS WOMAN ONCE, RECORD '01' DAYS.

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

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

YES 1
NO 2 (GO TO 445)

427. The last time you had sexual intercourse with another woman, was a condom used?

YES 1
NO 2 (GO TO 429)

428. What is the main reason you used a condom on that occasion?

RESPONDENT WANTED TO PREVENT STI/HIV 01 (GO TO 433)
RESPONDENT WANTED TO PREVENT PREGNANCY 02 (GO TO 433)
RESPONDENT WANTED TO PREVENT BOTH STI/HIV AND PREGNANCY 03 (GO TO 433)
DID NOT TRUST PARTNER/FELT SHE HAD OTHER PARTNERS 04 (GO TO 433)
PARTNER REQUESTED/INSISTED 05 (GO TO 433)
OTHER (SPECIFY) ________ 96 (GO TO 433)
DON'T KNOW 98 (GO TO 433)

429. CHECK 302(02):

RESPONDENT NOT STERILIZED (GO TO 430)
RESPONDENT STERILIZED (GO TO 433)

430. The last time you had sexual intercourse with this other woman, did you or she do something or use any method to avoid a pregnancy?

YES 1
NO 2 (GO TO 432)
UNSURE/DON'T KNOW 8 (GO TO 433)

431. What method was used?
IF MORE THAN ONE METHOD USED, RECORD THE HIGHEST METHOD ON THE LIST.

FEMALE STERILIZATION 01 (GO TO 433)
PILL 03 (GO TO 433)
IUD 04 (GO TO 433)
INJECTABLES 05 (GO TO 433)
IMPLANTS 06 (GO TO 433)
FEMALE CONDOM 08 (GO TO 433)
DIAPHRAGM 09 (GO TO 433)
FOAM/JELLY 10 (GO TO 433)
LACTATIONAL AMENORRHEA 11 (GO TO 433)
PERIODIC ABSTINENCE 12 (GO TO 433)
WITHDRAWAL 13 (GO TO 433)
OTHER (SPECIFY) _____ 96 (GO TO 433)
DON'T KNOW 98 (GO TO 433)

432. What is the main reason a method was not used?

CASUAL SEX PARTNER SO DOES NOT CARE 11
CONTRACEPTION WOMEN'S BUSINESS 12

FERTILITY-RELATED REASONS

OPPOSITION TO USE

RESPONDENT OPPOSED 31
WIFE/PARTNER OPPOSED 32
OTHERS 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
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56

OTHER (SPECIFY) __________ 96
DON'T KNOW 98

433. What is your relationship to this woman?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉE', ASK: Was your girlfriend/fiancée living with you when you last had sex?
IF YES, RECORD '01'.
IF NO, RECORD '02'.

SPOUSE/COHABITING PARTNER 01 (GO TO 435)
WOMAN IS GIRLFRIEND/FIANCÉE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ___________ 96

434. For how long have you had (did you have) sexual relations with this woman?
IF ONLY HAD SEXUAL RELATIONS WITH THIS WOMAN ONCE, RECORD '01' DAYS.

DAYS 1 _______
WEEKS 2 ______
MONTHS 3 _____
YEARS 4 _____

435. Other than these two women, have you had sex with any other woman in the last 12 months?

YES 1
NO 2 (GO TO 445)

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

YES 1
NO 2 (GO TO 438)

437. What is the main reason you used a condom on that occasion?

RESPONDENT WANTED TO PREVENT STI/HIV 1 (GO TO 442)
RESPONDENT WANTED TO PREVENT PREGNANCY 2 (GO TO 442)
RESPONDENT WANTED TO PREVENT BOTH STI/HIV AND PREGNANCY 3 (GO TO 442)
DID NOT TRUST PARTNER/FELT SHE HAD OTHER PARTNERS 4 (GO TO 442)
PARTNER REQUESTED/INSISTED 5 (GO TO 442)
OTHER (SPECIFY) ________ 6 (GO TO 442)
DON'T KNOW 8 (GO TO 442)

438. CHECK 302(02):

RESPONDENT NOT STERILIZED (GO TO 439)
RESPONDENT STERILIZED (GO TO 442)

439. The last time you had sexual intercourse with the third woman, did you or she do something or use any method to avoid a pregnancy?

YES 1
NO 2 (GO TO 441)
UNSURE/DON'T KNOW 8 (GO TO 442)

440. What method was used?
IF MORE THAN ONE METHOD USED, RECORD THE HIGHEST METHOD ON THE LIST.

FEMALE STERILIZATION 01 (GO TO 442)
PILL 03 (GO TO 442)
IUD 04 (GO TO 442)
INJECTABLES 05 (GO TO 442)
IMPLANTS 06 (GO TO 442)
FEMALE CONDOM 08 (GO TO 442)
DIAPHRAGM 09 (GO TO 442)
FOAM/JELLY 10 (GO TO 442)
LACTATIONAL AMENORRHEA 11 (GO TO 442)
PERIODIC ABSTINENCE 12 (GO TO 442)
WITHDRAWAL 13 (GO TO 442)
OTHER (SPECIFY) _____ 96 (GO TO 442)
DON'T KNOW 98 (GO TO 442)

441. What is the main reason a method was not used?

CASUAL SEX PARTNER SO DOES NOT CARE 11
CONTRACEPTION WOMEN'S BUSINESS 12

FERTILITY-RELATED REASONS

OPPOSITION TO USE

RESPONDENT OPPOSED 31
WIFE/PARTNER OPPOSED 32
OTHERS 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
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56

OTHER (SPECIFY) __________ 96
DON'T KNOW 98
-

442. What is your relationship to this woman?
IF WOMAN IS 'GIRLFRIEND' OR 'FIANCÉE', ASK: Was your girlfriend/fiancée living with you when you last had sex?
IF YES, RECORD '01'. IF NO, RECORD '02'.

SPOUSE/COHABITING PARTNER 01 (GO TO 444)
WOMAN IS GIRLFRIEND/FIANCÉE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ___________ 96

443. For how long have you had (did you have) sexual relations with this woman?
IF ONLY HAD SEXUAL RELATIONS WITH THIS WOMAN ONCE, RECORD '01' DAYS.

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

444. In total, with how many different women have you had sex in the last 12 months?

NUMBER OF PARTNERS _____

445. Have you ever paid for sex?

YES 1
NO 2 (GO TO 448)

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

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

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

YES 1
NO 2

448. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 451)

449. 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
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
COMMUNITY HEALTH WORKER E
OTHER PUBLIC (SPECIFY) ______ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
PHARMACY/PATENT MEDICINE STORE H
PRIVATE DOCTOR I
MOBILE CLINIC J
COMMUNITY HEALTH WORKER K
OTHER PRIVATE MEDICAL (SPECIFY) ______ L

OTHER SOURCE

SHOP M
CHURCH N
FRIENDS/RELATIVES O
NGO P

OTHER (SPECIFY) _______________ X

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

YES 1
NO 2
DON'T KNOW/UNSURE 8

451. CHECK 302(07), 416B, 418, 427, 436, AND 447:
USE OF CONDOMS

AT LEAST ONE YES (GO TO 452)
OTHER (GO TO 455)

452. How old were you when you used a condom for the first time?

AGE ____
DON'T KNOW 98

453. Why did you use a condom that first time?
PROBE: Any other reason?
RECORD ALL REASONS MENTIONED.

TO AVOID A PREGNANCY A
TO AVOID GETTING AIDS/HIV B
TO AVOID GETTING AN STI C
TO AVOID INFECTING A PARTNER D
TO EXPERIMENT/TRY A CONDOM E
PARTNER REQUESTED/INSISTED F
OTHER (SPECIFY) _______ X

454. Have you ever experienced any problems when using condoms?
IF YES: What problems have you experienced?
PROBE: Any other problems?
RECORD ALL PROBLEMS MENTIONED.

DIFFICULT TO DISPOSE OF A
DIFFICULT TO PUT ON/TAKE OFF B
SPOILS THE MOOD C
DIMINISHES PLEASURE D
WIFE/PARTNER OBJECTS/DOES NOT LIKE E
WIFE/PARTNER GOT PREGNANT F
INCONVENIENT TO USE/MESSY G
CONDOM BROKE H
OTHER (SPECIFY) ____________ X
NO PROBLEM Z

455. Is it acceptable or not acceptable to you for information on condoms to be provided:

On the radio?
On the television?
In newspaper or magazine?

RADIO

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

TELEVISION

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

NEWSPAPER/MAGAZINE

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

455A. In the last few months, have you heard/read about condoms:

On the radio?
On the television?
In a newspaper or magazine?
From a poster?
From leaflets or brochures?
From town crier?
Mobile public announcement?

RADIO

YES 1
NO 2

TELEVISION

YES 1
NO 2

NEWSPAPER OR MAGAZINE

YES 1
NO 2

POSTER

YES 1
NO 2

LEAFLETS OR BROCHURES

YES 1
NO 2

TOWN CRIER

YES 1
NO 2

MOBILE PUBLIC ANNOUNCEMENT

YES 1
NO 2

456. I will now read to you some statements about condom use. Please tell me if you agree or disagree with each.

a) Condoms diminish a man's sexual pleasure.

AGREE 1
DISAGREE 2
DON'T KNOW 8

b) A condom is very inconvenient to use.

AGREE 1
DISAGREE 2
DON'T KNOW 8

c) A condom can be reused.

AGREE 1
DISAGREE 2
DON'T KNOW 8

d) A condom protects against disease.

AGREE 1
DISAGREE 2
DON'T KNOW 8

e) Buying condoms is embarrassing.

AGREE 1
DISAGREE 2
DON'T KNOW 8

f) A woman has no right to tell a man to use a condom.

AGREE 1
DISAGREE 2
DON'T KNOW 8

g) Condoms break easily

AGREE 1
DISAGREE 2
DON'T KNOW 8

h) Condoms are expensive

AGREE 1
DISAGREE 2
DON'T KNOW 8

457. Do you know of a place where a person can get female condoms?

YES 1
NO 2 (GO TO 460)

458. Where is that?
PROBE: 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 PLACES MENTIONED.

(NAME OF PLACE) ___________________

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
COMMUNITY HEALTH WORKER E
OTHER PUBLIC (SPECIFY) ______ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
PHARMACY/PATENT MEDICINE STORE H
PRIVATE DOCTOR I
MOBILE CLINIC J
COMMUNITY HEALTH WORKER K
OTHER PRIVATE MEDICAL (SPECIFY) ______ L

OTHER SOURCE

SHOP M
CHURCH N
FRIENDS/RELATIVES O
NGO P

OTHER (SPECIFY) _______________ X

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

YES 1
NO 2
DON'T KNOW/UNSURE 8

460. As I said earlier all the information you give me will be kept secret.
Have you ever heard of men who have sex with other men?

YES 1
NO 2 (GO TO 505)
DON'T KNOW 8 (GO TO 505)

461. Do you know any man who has had sex with another man?

YES 1
NO 2 (GO TO 505)
DON'T KNOW 8 (GO TO 505)

462. Have you ever had sex with another man?

YES 1
NO 2
DON'T KNOW 8

SECTION 5. FERTILITY PREFERENCES

505. 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 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.

NONE 00 (GO TO 507)
NUMBER ___
OTHER (SPECIFY) _______96 (GO TO 507)

506. 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

507. 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 8

508. In the last 3 months have you heard/read about family planning:

On the radio?
On the television?
In newspaper or magazine?
From a poster?
From leaflet or brochure?
From town crier?
Mobile public announcement ?

RADIO

YES 1
NO 2

TELEVISION

YES 1
NO 2

NEWSPAPER OR MAGAZINE

YES 1
NO 2

POSTER

YES 1
NO 2

LEAFLET OR BROCHURE

YES 1
NO 2

TOWN CRIER

YES 1
NO 2

MOBILE PUBLIC ANNOUNCEMENT

YES 1
NO 2

509. Is it acceptable or not acceptable to you for information on Family Planning to be provided:

On the radio?
On the television?
In newspaper or magazine?

RADIO

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

TELEVISION

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

NEWSPAPER/MAGAZINE

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

510. In the last 3 months, have you discussed the practice of family planning with your friends, neighbors, or relatives?

YES 1
NO 2 (GO TO 512)

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

WIFE(VES)/PARTNER A
MOTHER B
FATHER C
SISTER(S) D
BROTHER(S) E
DAUGHTER(S) F
SON(S) G
MOTHER-IN-LAW H
FATHER-IN-LAW I
FRIENDS/NEIGHBOURS J
OTHER (SPECIFY) _______X

512. In the last 3 months, have you discussed the practice of family planning with a health worker or health professional?

YES 1
NO 2

SECTION 7. AIDS AND OTHER SEXUALLY-TRANSMITTED INFECTIONS

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

YES 1
NO 2 (GO TO 724)

701A. How can a person get AIDS? Any other ways?
RECORD ALL MENTIONED.

SEXUAL INTERCOURSE A
SEXUAL INTERCOURSE WITH MULTIPLE PARTNERS B
SEX WITH PROSTITUTES C
NOT USING CONDOM D
HOMOSEXUAL CONTACT E
BLOOD TRANSFUSION F
INJECTIONS G
KISSING H
MOSQUITO BITES I
CIRCUMCISION J
RAZOR BLADES/BARBER CLIPPER K
SHARP OBJECT L
UNSTERILIZED/REUSED NEEDLE M
OTHER (SPECIFY) ___________ W
OTHER (SPECIFY) ___________ X
DON'T KNOW Z

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

YES 1
NO 2 (GO TO 709)
DON'T KNOW 8 (GO TO 709)

703. 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 SEX 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 SHARING RAZORS/BLADES K
AVOID KISSING L
AVOID MOSQUITO BITES M
SEEK PROTECTION FROM TRADITIONAL HEALER N
AVOID USING SHARP OBJECTS O
OTHER (SPECIFY) _______ W
OTHER (SPECIFY) _______ X
DOES NOT KNOW Z

704. Can people reduce their chances of getting the AIDS virus by having just one sex partner who is not infected and has no other partners?

YES 1
NO 2
DON'T KNOW 8

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

YES 1
NO 2
DON'T KNOW 8

706. Can people reduce their chances of getting the AIDS virus by using a condom every time they have sex?

YES 1
NO 2
DON'T KNOW 8

707. Can a person get the AIDS virus by sharing food with a person who has AIDS?

YES 1
NO 2
DON'T KNOW 8

708. Can people reduce their chance of getting the AIDS virus by not having sex at all?

YES 1
NO 2
DON'T KNOW 8

708A. Can people get the AIDS virus because of witchcraft or other supernatural means?

YES 1
NO 2
DON'T KNOW 8

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

YES 1
NO 2
DON'T KNOW 8

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

YES 1
NO 2

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

YES 1
NO 2 (GO TO 713)
DON'T KNOW 8 (GO TO 713)

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

During pregnancy?
During delivery?
By breastfeeding?

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

713. CHECK 401:

YES, CURRENTLY MARRIED/LIVING WITH A WOMAN (GO TO 714)
NO, NOT IN UNION (GO TO 715)

714. Have you ever talked with (your wife/woman you are living with) about ways to prevent getting the virus that causes AIDS?
IF MORE THAN ONE WIFE/PARTNER, ASK ABOUT ANY OF HIS WIVES/PARTNERS.

YES 1
NO 2

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

on the radio?
on the TV?
in newspapers/magazines?
in Church/Mosque?
at home?
at school?

ON THE RADIO

ACCEPTABLE 1
NOT ACCEPTABLE 2

ON THE TV

ACCEPTABLE 1
NOT ACCEPTABLE 2

IN NEWSPAPERS/MAGAZINES

ACCEPTABLE 1
NOT ACCEPTABLE 2

IN CHURCH/MOSQUE

ACCEPTABLE 1
NOT ACCEPTABLE 2

AT HOME

ACCEPTABLE 1
NOT ACCEPTABLE 2

AT SCHOOL

ACCEPTABLE 1
NOT ACCEPTABLE 2

715A. Would you buy fresh vegetables from a seller who has the AIDS virus?

YES 1
NO 2
DOES NOT KNOW 8

716. If a member of your family got infected with the virus that causes AIDS, would you want it to remain a secret or not?

YES, SECRET 1
NO, NOT SECRET 2
DON'T KNOW/UNSURE 8

717. If a relative of yours became sick with the virus that causes 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

718. If a female teacher has the AIDS virus, should she be allowed to continue teaching in school?

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

719. 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

720. I don't want to know the results, but have you ever been tested to see if you have the AIDS virus?

YES 1
NO 2 (GO TO 721)

720A. When was the last time you were tested?

LESS THAN 12 MONTHS 1
12-23 MONTHS 2
2 YEARS OR MORE 3

720B. The last time you had the test, did you yourself ask for the test, was it offered to you and you accepted, or was it required?

ASKED FOR THE TEST 1
OFFERED AND ACCEPTED 2
REQUIRED 3

720C. I don't want to know the results, but did you get the results of the test?

YES 1 (GO TO 723A)
NO 2 (GO TO 723A)

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

YES 1
NO 2
DK/NOT SURE/DEPENDS 8

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

YES 1
NO 2 (GO TO 723B)

723. Where can you go for the test?
723A. 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.
RECORD ONLY FIRST RESPONSE GIVEN.

(NAME OF PLACE) _____________

PUBLIC SECTOR

GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
DISPENSARY 15
OTHER PUBLIC (SPECIFY) ______ 16

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC 21
PHARMACY/PATENT MEDICINE STORE 22
PRIVATE DOCTOR 23
MOBILE CLINIC 24
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26

OTHER SOURCE

SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33

OTHER (SPECIFY) _______________ 96

723B. Do you think your chances of getting AIDS are small, moderate, great, or no risk at all?

SMALL 1
MODERATE 2 (GO TO 723D)
GREAT 3 (GO TO 723D)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 723F)
DON'T KNOW/UNSURE 8 (GO TO 723E)

723C. Why do you think that you have (NO RISK/A SMALL CHANCE) of getting AIDS? Any other reasons?
RECORD ALL MENTIONED.

ABSTAIN FROM SEX B (GO TO 723E)
USE CONDOMS C (GO TO 723E)
AVOID MULTIPLE SEX PARTNERS D (GO TO 723E)
AVOID SEX WITH PROSTITUTES E (GO TO 723E)
AVOID SEX WITH HOMOSEXUALS F (GO TO 723E)
ENSURE SAFE BLOOD TRANSFUSION G (GO TO 723E)
ENSURE INJECTION WITH STERILIZED NEEDLE H (GO TO 723E)
AVOID KISSING I (GO TO 723E)
AVOID MOSQUITO BITES J (GO TO 723E)
SEEK PROTECTION FROM TRADITIONAL HEALER K (GO TO 723E)
OTHER (SPECIFY) _______ W (GO TO 723E)
OTHER (SPECIFY) _______ X (GO TO 723E)
DON'T KNOW Z (GO TO 723E)

723D. Why do you think that you have a (MODERATE/GREAT CHANCE) of getting AIDS? Any other reasons?
RECORD ALL MENTIONED.

DO NOT USE CONDOMS A
MORE THAN ONE SEXUAL PARTNER B
SEX WITH PROSTITUTES C
SPOUSE HAS OTHER (PARTNERS) D
HOMOSEXUAL CONTACT E
HAD BLOOD TRANSFUSION F
HAD INJECTIONS WITH UNSTERILIZED NEEDLES G
SEEK PROTECTION FROM TRADITIONAL HEALER H
OTHER (SPECIFY) ___________ W
OTHER (SPECIFY) ___________ X
DON'T KNOW Z

723E. Since you heard of AIDS, have you changed your behavior to prevent getting AIDS?
IF YES, what did you do?
RECORD ALL MENTIONED.

DIDN'T START SEX A
STOPPED ALL SEX B
STARTED USING CONDOMS C
RESTRICTED SEX TO ONE PARTNER D
REDUCED NUMBER OF PARTNERS E
ADVICE SPOUSE/PARTNER TO BE FAITHFUL F
NO MORE HOMOSEXUAL CONTACTS G
ENSURE INJECTION WITH STERILIZED NEEDLES H
OTHER (SPECIFY) ___________ W
OTHER (SPECIFY) ___________ X
NO BEHAVIOUR CHANGE Y

723F. From which sources of information have you learned most about AIDS? Any other sources?
RECORD ALL MENTIONED.

RADIO A
T.V. B
NEWSPAPER/MAGAZINE C
PAMPHLETS/POSTERS D
HEALTH WORKERS E
CHURCHES/MOSQUES F
SCHOOLS/TEACHERS G
COMMUNITY MEETINGS H
FRIENDS/RELATIVES I
WORKPLACE J
OTHER (SPECIFY) __________ X

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

YES 1
NO 2 (GO TO 727)

725. If a man has a sexually transmitted infection, what symptoms might he have? Any others?
RECORD ALL MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DON'T KNOW Z

726. If a woman has a sexually transmitted infection, what symptoms might she have? Any others?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
HARD TO GET PREGNANT/HAVE A CHILD L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DON'T KNOW Z

727. CHECK 416:

HAS HAD SEXUAL INTERCOURSE (GO TO 727A)
HAS NOT HAD SEXUAL INTERCOURSE (GO TO 801)

727A. CHECK 724:

KNOWS STIs (GO TO 728)
DOES NOT KNOW STIs (GO TO 729)

728. 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 infection?

YES 1
NO 2
DON'T KNOW 8

729. Sometimes, men experience an abnormal discharge from their penis. During the last 12 months, have you had an abnormal discharge from your penis?

YES 1
NO 2
DON'T KNOW 8

730. Sometimes men have a sore or ulcer on or 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

731. CHECK 728/729/730:

AT LEAST ONE 'YES' (GO TO 732)
OTHER (GO TO 801)

732. The last time you had (PROBLEM(S) FROM 728/729/730), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 734)

733. The last time you had (PROBLEM(S) FROM 728/729/730), did you do any of the following? Did you....

Go to a clinic, hospital or private doctor?
Consult a traditional healer?
Seek advice or buy medicines in a shop or pharmacy?
Ask for advice from friends or relatives?

CLINIC/HOSPITAL

YES 1
NO 2

TRADITIONAL HEALER

YES 1
NO 2

SHOP/PHARMACY

YES 1
NO 2

FRIENDS/RELATIVES

YES 1
NO 2

734. When you had (PROBLEM(S) FROM 728/729/730), did you inform the person(s) with whom you were having sex?

YES 1
NO 2
SOME/NOT AT ALL 3
DID NOT HAVE A PARTNER 4 (GO TO 801)

735. When you had (PROBLEM(S) FROM 728/729/730), did you do anything to avoid infecting your sexual partner(s)?

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

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

Use medicine?
Stop having sex?
Use a condom when having sex?

USE MEDICINE

YES 1
NO 2

STOP SEX

YES 1
NO 2

USE CONDOM

YES 1
NO 2

SECTION 8. ATTITUDES TOWARD WOMEN

801. In a couple, who do you think should have the greater say in each of the following decisions: the husband, the wife or both equally:

a) making large household purchases?

HUSBAND 1
WIFE 2
BOTH 3
DON'T KNOW/DEPENDS 8

b) making small daily household purchases?

HUSBAND 1
WIFE 2
BOTH 3
DON'T KNOW/DEPENDS 8

c) deciding when to visit family, friends or relatives?

HUSBAND 1
WIFE 2
BOTH 3
DON'T KNOW/DEPENDS 8

d) deciding what to do with the money she earns for her work?

HUSBAND 1
WIFE 2
BOTH 3
DON'T KNOW/DEPENDS 8

e) deciding how many children to have and when to have them?

HUSBAND 1
WIFE 2
BOTH 3
DON'T KNOW/DEPENDS 8

802. Sometimes a husband is annoyed or angered by things that his wife/partner does. In your opinion, is a husband justified in hitting or beating his wife in the following situations...

a) If she goes out without telling him?