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DEMOGRAPHIC AND HEALTH SURVEY-RWANDA 1992-HUSBAND QUESTIONNAIRE

IDENTIFICATION

PREFECTURE (ADMINISTRATIVE CENTER)____

TOWN OR MUNICIPALITY_____

SECTOR___

SUB-SECTOR_____

HOUSEHOLD NUMBER___

URBAN/RURAL

URBAN 1
RURAL 2

KIGALI, OTHER CITY, OR RURAL?

KIGALI 1
OTHER CITY 2
RURAL 3

NAME AND LINE NUMBER OF HUSBAND_____

LINE NUMBER OF ELIGIBLE WOMEN____

INTERVIEWER VISITS

FIRST VISIT (REPEAT FOR SECOND AND THIRD VISITS
DATE __________
INTERVIEWER NAME__________
RESULT___

RESULT__________

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

NEXT VISIT (FOR INTERVIEWERS 1 AND 2)
DATE __________
TIME _____

FINAL VISIT
DAY___
MONTH__________
YEAR _____
NAME__________
RESULT__________

TOTAL NUMBER OF VISITS____

FIELD EDITOR
NAME__________
DATE_____

OFFICE EDITOR
NAME__________
DATE_____

KEYED BY
NAME __________
DATE_____

SECTION 1. RESPONDENT'S BACKGROUND

101) RECORD TIME

HOUR___
MINUTE___

102) In what month and year were you born?

MONTH____
DON'T KNOW MONTH 98
YEAR___
DON'T KNOW YEAR 98

103) How old were you at your last birthday?
COMPARE AND CORRECT 102 AND/OR 103 IF INCONSISTENT

AGE IN COMPLETED YEARS____

104) Have you ever attended school?

YES 1
NO 2 (GO TO 107)

105) What is the highest level of education that you attended: primary, post-primary, secondary, or higher?

PRIMARY 1
POST-PRIMARY 2
SECONDARY 3
HIGHER 4

106) What is the highest (CLASS, YEAR) you successfully completed at that level?

CLASS__________

106A) Did you finish this level (primary post-primary, or secondary school, or higher)?

YES 1
NO 2

107) What is your main occupation? ___________

OCCUPATION___

108) What is your religion?

CATHOLIC 1
PROTESTANT 2
SEVENTH DAY ADVENTIST 3
MUSLIM 4
TRADITIONAL 5
NO RELIGION 6
OTHER 7

109) What is your ethnicity?

HUTU 1
TUTSI 2
TWA 3
OTHER 4

110) Now I would like to ask you some questions about marriage: How many spouses/wives do you currently have?

NUMBER OF SPOUSES___

111) Do you intend to take another or other spouses/wives in the future?

YES 1
NO 2

112) In what month and year did you get married or start living with a woman for the first time?

MONTH __________
DON'T KNOW MONTH 98
YEAR_____
DON'T KNOW YEAR 98

113) How old were you when you got married or started living with a woman for the first time?

AGE IN COMPLETED YEARS___
DON'T KNOW AGE 98

SECTION 2. CONTRACEPTION

201) Now I would like to talk to you about family planning -- the different ways or methods that a couple can use to delay or avoid a pregnancy. Which ways or methods have you heard about?

CIRCLE CODE 1 IN 202 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN THE COLUMN, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT. THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 202, ASK 203 BEFORE PROCEEDING TO THE NEXT METHOD.

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

01) PILL: Women can take a pill every day.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
02) IUD: Some women have a coil or intrauterine device placed in their uterus by a doctor or nurse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
03) INJECTABLES: Some women have an injection by a doctor or nurse to avoid becoming pregnant for several months.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
04) DIAPHRAGM/FOAM/JELLY: Some women put a diaphragm, effervescent tablets, or jelly inside them before intercourse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
05) CONDOM: Some men wear a condom during sexual intercourse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
06) FEMALE STERILIZATION: Some women have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
07) MALE STERILIZATION: Some men have an operation to avoid having any more children
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
08) NORPLANT: Some women have 6 little sticks inserted into their arm, under the skin, which prevents them from becoming pregnant for several years.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
09) PERIODIC ABSTINENCE: Some couples avoid having sexual intercourse on certain days of the month when the woman is most likely to become pregnant.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
10) WITHDRAWAL: Some men are careful and pull out before ejaculation.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
11) OTHER METHODS: Have you heard of other ways or methods that women or men can use to avoid pregnancy? (LIST UP TO TWO METHODS)
(SPECIFY)__________
YES/SPONTANEOUS 1
NO 3

203) Have you ever used (METHOD)?

01) PILL: Women can take a pill every day: Has/have your wife/wives ever used the pill?
YES 1
NO 2
02) IUD: Some women have a coil or intrauterine device placed in their uterus by a doctor or nurse: Has/have your wife/wives ever used an IUD?
YES 1
NO 2
03) INJECTABLES: Some women have an injection by a doctor or nurse to avoid becoming pregnant for several months: Has/have your wife/wives ever used injectables?
YES 1
NO 2
04) DIAPHRAGM/FOAM/JELLY: Some women put a diaphragm, effervescent tablets, or jelly inside them before intercourse: Has/have your wife/wives ever used a diaphragm or foam?
YES 1
NO 2
05) CONDOM: Some men wear a condom during sexual intercourse.
YES 1
NO 2
06) FEMALE STERILIZATION: Some women have an operation to avoid having any more children: Has/have your wife/wives had an operation to avoid having any more children?
YES 1
NO 2
07) MALE STERILIZATION: Some men have an operation to avoid having any more children: Have you had an operation to avoid having any more children?
YES 1
NO 2
08) NORPLANT: Some women have 6 little sticks inserted into their arm, under the skin, which prevents them from becoming pregnant for several years: Has/have your wife/wives ever used Norplant?
YES 1
NO 2
09) PERIODIC ABSTINENCE: Some couples avoid having sexual intercourse on certain days of the month when the woman is most likely to become pregnant.
YES 1
NO 2
10) WITHDRAWAL: Some men are careful and pull out before ejaculation.
YES 1
NO 2
11) OTHER METHODS: Have you or your wife/wives ever used (METHOD)?
YES 1
NO 2

204) CHECK 203:

NOT A SINGLE 'YES' (NEVER USED) (GO TO 205)
AT LEAST ONE 'YES' (EVER USED) (GO TO 207)

205) Have you ever used anything or tried in any way to delay or avoid a pregnancy?

YES 1
NO 2

206) What have you done or used?
CORRECT 203, 204, 205 (AND 202 IF NECESSARY)

METHOD__________

207) Are you or your spouse(s)/wife/wives currently doing something or using a method to avoid pregnancy?

YES 1
NO 2 (GO TO 209)

208) What method are you using?

PILL 01 (GO TO 212)
IUD 02 (GO TO 212)
INJECTABLES 03 (GO TO 212)
DIAPHRAGM/FOAM/JELLY 04 (GO TO 212)
CONDOM 05 (GO TO 212)
FEMALE STERILIZATION 06 (GO TO 212)
MALE STERILIZATION 07 (GO TO 212)
NORPLANT 08 (GO TO 212)
PERIODIC ABSTINENCE 09 (GO TO 212)
WITHDRAWAL 10 (GO TO 212)
OTHER (SPECIFY)____ 11 (GO TO 212)

209) Do you or your spouse(s)/wife/wives plan to do something or use a method to avoid pregnancy in the future?

YES 1
NO 2 (GO TO 211)
DON'T KNOW 3 (GO TO 212)

210) What method would you prefer to use?

PILL 01 (GO TO 212)
IUD 02 (GO TO 212)
INJECTABLES 03 (GO TO 212)
DIAPHRAGM/FOAM/JELLY 04 (GO TO 212)
CONDOM 05 (GO TO 212)
FEMALE STERILIZATION 06 (GO TO 212)
MALE STERILIZATION 07 (GO TO 212)
NORPLANT 08 (GO TO 212)
PERIODIC ABSTINENCE 09 (GO TO 212)
WITHDRAWAL 10 (GO TO 212)
OTHER (SPECIFY)____ 11 (GO TO 212)
NOT SURE 98 (GO TO 212)

211) What is the main reason you do not intend to use a method?

WANTS CHILDREN 01
LACK OF INFORMATION 02
PARTNER DISAPPROVES 03
COSTS TOO MUCH 04
SIDE EFFECTS 05
HEALTH PROBLEMS 06
DIFFICULT TO OBTAIN 07
RELIGION 08
OPPOSED TO FAMILY PLANNING 09
FATALISTIC 10
OTHER PEOPLE OPPOSED 11
INFREQUENT SEX 12
WIFE HAS DIFFICULTY GETTING PREGNANT 13
WIFE IN MENOPAUSE/STERILIZED 14
INCONVENIENT 15
NOT MARRIED 16
OTHER (SPECIFY)____ 17
DON'T KNOW 98

212) Do you find it acceptable or not acceptable that information about family planning is provided on the radio and in newspapers?

ACCEPTABLE 1
NOT ACCEPTABLE 2
DON'T KNOW 8

SECTION 3. FERTILITY PREFERENCES

301) Do you have children?

YES 1
NO 2 (GO TO 303)

302) How many boys do you have? How many girls do you have?

NUMBER OF BOYS ___
NUMBER OF GIRLS ___

303) CHECK 203:

NOT STERILIZED (GO TO 304)
STERILIZED (GO TO 312)

304) Would you like to have (a/another) child or would you prefer to not have any (more) children?

HAVE (A/ANOTHER) CHILD 1
NO MORE/NONE 2
SAYS WIFE CANNOT GET PREGNANT 3
SAYS HE CANNOT HAVE ANY (MORE) CHILDREN 4
UNDECIDED OR DON'T KNOW 8

305) Have you ever talked to your spouse(s)/wife/wives about how many children you would like to have?

YES 1
NO 2

306) How many times have you spoken with your spouse(s)/wife/wives about this subject in the past 12 months?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

308) Do you think your spouse(s)/wife/wives wants the same number of children that you want, more, or fewer than you want? [NOTE: QUESTION IS LISTED AS '308' IN ORIGINAL QUESTIONNAIRE, BUT WAS MOST LIKELY INTENDED TO BE '307']

SAME 1
MORE 2
LESS 3
DON'T KNOW 8

305) Do you think that your spouse(s)/wife/wives approve(s) of couples using a method to avoid getting pregnant? [NOTE: QUESTION IS LISTED AS '305' IN ORIGINAL QUESTIONNAIRE, BUT WAS MOST LIKELY INTENDED TO BE '308']

YES 1
NO 2
DON'T KNOW 8

309) After childbirth, how long should couples wait before starting to have sexual relations again?

MONTHS___ 1
YEARS___ 2

OTHER (SPECIFY)_______________ 996

310) Should a mother wait until she has completely stopped breastfeeding before starting to have sexual relations again, or does it not matter?

WAIT 1
DOESN'T MATTER 2

311) In general, do you approve of couples using a method to avoid getting pregnant?

YES 1
NO 2

312) CHECK 301-302 AND CHECK THE BOX:

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

HAS LIVING CHILDREN: If you could go back to the time when 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?

RECORD SINGLE NUMBER OR OTHER ANSWER.

NUMBER ___
OTHER (SPECIFY) __________

INTERVIEWER'S OBSERVATIONS

(TO BE FILLED IN AFTER COMPLETING INTERVIEW)

COMMENTS ON RESPONDENT___

COMMENTS ON SPECIFIC QUESTIONS____

ANY OTHER COMMENTS____

NAME OF INTERVIEWER__________
DATE____

SUPERVISOR'S OBSERVATIONS

OBSERVATIONS____

NAME OF TEAM LEADER__________
DATE _____

FIELD EDITOR'S OBSERVATIONS

OBSERVATIONS___

NAME OF FIELD EDITOR__________
DATE_____