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REPUBLIC OF SENEGAL DEMOGRAPHIC AND HEALTH SURVEY (EDSIII) - 1997 - WOMAN'S QUESTIONNAIRE

IDENTIFICATION

PLACE NAME (COMMUNE/VILLAGE) _____
NAME OF HEAD OF HOUSEHOLD_____
CLUSTER NUMBER_____
HOUSEHOLD NUMBER_____
REGION_____

URBAN/RURAL ?

URBAN 1
RURAL 2

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL?

DAKAR (DAKAR REGION NOT RURAL) 1
REGIONAL CAPITAL (THIES, KAOLACK, ZIGUINCHOR, ST. LOUIS, DIOURBEL) 2
OTHER CITY 3
RURAL 4

NAME/LINE NUMBER OF THE WOMAN:

NAME _____
LINE NO. _____

NAME/LINE NUMBER OF THE HUSBAND (IF INTERVIEWED):

NAME _____
LINE NO. _____

INTERVIEWER VISITS

FIRST INTERVIEW (REPEAT FOR SECOND AND THIRD INTERVIEWS)
DATE______
INTERVIEWER NAME______

RESULTS______

1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTIALLY FILLED OUT
6 ILL/INCAPACITATED
7 OTHER (SPECIFY) ______

NEXT VISIT (FOR INTERVIEWERS 1 AND 2)
DATE_____
TIME_____

FINAL VISIT
DAY_____
MONTH_____
YEAR _____
INTERVIEWER_____
RESULT_____

TOTAL NUMBER OF VISITS _____

INTERPRETER USED:

YES 1
NO 2

LANGUAGE OF INTERVIEW:

W 1
P 2
SR 3
M 4
D 5
SM 6
ALN 7
F 8
AL 9

SUPERVISOR
NAME_____
DATE_____

FIELD EDITOR
NAME_____
DATE_____

KEYED BY_____
CODE _____

SECTION 1. SOCIO-DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENT

101. RECORD THE TIME.

HOUR_____
MINUTES_____

To begin, I would like to ask you questions about yourself and your household.

102. Until the age of 12 years, did you like the majority of the time in big city, in a city or in a rural area?

DAKAR 1
LARGE CITY 2
CITY 3
COUNTRYSIDE 4
FOREIGN COUNTRY 5

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

YEARS_____

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

104. Just before you moved here, did you live in Dakar, another capital, a city, or village?
IF A CITY, ASK THE NAME OF THE CITY.

DAKAR 1
LARGE CITY 2
CITY 3
COUNTRYSIDE 4
FOREIGN COUNTRY 5

105. In which month and in which year were you born?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR _____
DOESN'T KNOW YEAR 98

106. How old are you currently?
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 or superior?

PRIMARY 1
SECONDARY 2
SUPERIOR 3

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

GRADE _____

110. CHECK 108:

PRIMARY (GO TO 111)
SECONDARY OR MORE (GO TO 113)

111. Can you read and understand a letter or a newspaper easily, with difficulty or not at all?

EASILY 1
WITH DIFFICULTY 2
NOT AT ALL 3

113. Are you Senegalese?

YES 1
NO 2 (GO TO 114A)

114. What is your ethnicity?

WOLOF/LEBOU 01
POULAR 02
SERER 03
MANDINGUE/SOCE/MALINKE 04
DIOLA 05
SOLINKE/SARAKOLE 06
BAMBARA 07
MANJAAK 08
MANCAGNE 09
BALANT 10
OTHERS (SPECIFY) ______11

114A. What is your occupation?
That is, what kind of work do you mainly do?

RESPONDENT'S WORK_____

SECTION 2. REPRODUCTION

Now I would like to ask about all of the births you have had during your life.

201. Have you ever given birth?

YES 1
NO 2 (GO TO 206)

202. Do you have any sons or daughters to whom you have given birth and 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 given birth to 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 only survived a few hours or days?

YES 1
NO 2 (GO TO 208)

207. How many sons have died?
And how many daughters have died?
IF NONE, RECORD '00'.

SONS DEAD_____
DAUGHTERS DEAD_____

208. SUM ANSWERS TO 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 _____births during your life. Is that correct?

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

210. CHECK 208:

ONE OR MORE BIRTH(S) (GO TO 211)
NONE (GO TO 223)

Now I would like to make a list of all your births, whether still alive or not, starting with the first one you had.

211. RECORD THE NAMES OF ALL THE BIRTHS IN 212.
RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212. What name was given to your first/next baby?

NAME_____

213. RECORD THE TYPE OF BIRTH:
SINGLE OR MULTIPLE?

SING 1
MULT 2

214. Is (NAME) a boy or a girl?

BOY 1
GIRL 2

215. In what month and year was (NAME) born?
PROBE: What is his/her birthday? OR: In what season was he/she born?

MONTH_____
YEAR_____

216. Is (NAME) still alive?

YES 1
NO 2 (GO TO 220)

217. IF ALIVE: How old was (NAME) at his/her last birthday?
RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS_____

218. IF ALIVE: Is (NAME) living with you?

YES 1 (GO TO NEXT BIRTH)
NO 2

219. IF THE CHILD IS LESS THAN 15 YEARS OLD: With whom does s/he live?
IF 15 OR OLDER, GO TO THE NEXT BIRTH.

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

220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YEAR' PROBE: How old was (NAME) in months?
RECORD IN DAYS IF LESS THAN 1 MONTH; IN MONTHS IF LESS THAN 2 YEARS; OR IN YEARS

DAYS 1_____
MONTHS 2_____
YEARS 3_____

221. COMPARE 208 WITH THE NUMBER OF BIRTHS RECORDED IN THE ABOVE TABLE AND MARK:

NUMBERS ARE THE SAME
CHECK: FOR EACH BIRTH: THE YEAR OF BIRTH IS RECORDED (215)
CHECK: FOR EVERY LIVING CHILD: THE CURRENT AGE IS RECORDED (217)
CHECK: FOR EACH DECEASED CHILD: THE AGE AT DEATH IS RECORDED (220)
CHECK: FOR AGE OF DEATH LESS THAN 24 MONTHS: PROBE TO DETERMINE THE EXACT NUMBER OF MONTHS (220)
NUMBERS ARE DIFFERENT (CHECK AND CORRECT)

222. CHECK 215 AND RECORD THE NUMBER OF BIRTHS SINCE JANUARY 1992.
IF NONE, RECORD '0'.

223. Are you currently pregnant?

YES 1
NO 2 (GO TO 225A)
NOT SURE 8 (GO TO 225A)

224. How many months pregnant are you?

NUMBER OF MONTHS_____

225. At the moment you became pregnant, did you want to become pregnant at that time, did you want to wait until later, or did you not want to become pregnant?

THEN 1
LATER 2
NOT AT ALL 3
NO OPINION 8

225A. Do you know of places where you can have consultations for a pregnancy?

YES 1
NO 2 (GO TO 227)

225B. What places do you know of?
CIRCLE THE CODES CORRESPONDING TO THE RESPONSES.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/PMI (Protection Maternelle et Infantile) B
HEALTH POST/FREE CLINIC C
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL D
PHARMACY E
PRIVATE DOCTOR F
PRIVATE NURSE/CONFES G
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) H
TRADITIONAL HEALER I
CHURCH J
FRIEND/RELATIVE K
AUXILIARY L
OTHER (SPECIFY) _____M

227. Between the first day of a menstrual period and the next menstrual period, are there times when a woman is more likely to get pregnant?

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

228. At what time during the menstrual cycle does a woman have the best chance to get pregnant?

DURING HER PERIOD 1
JUST AFTER HER PERIOD 2
IN THE MIDDLE OF THE CYCLE 3
JUST BEFORE HER PERIOD BEGINS 4
OTHER (SPECIFY) _____5
DOESN'T KNOW 8

SECTION 3. CONTRACEPTION

301. 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. Which ways or methods have you heard of?

CIRCLE CODE '1' ON LINE 302 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN CONTINUE DOWN THE COLUMN READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE '2' IF THE METHOD IS RECOGNIZED AND CODE '3' IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE '1' OR '2' CIRCLED IN 302, ASK 303-303A BEFORE GOING ON TO THE NEXT QUESTION.

302. Have you ever heard of (METHOD)?

01. PILL: Women can take a pill every day to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
02. IUD: Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
03. INJECTIONS: Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
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.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
05. SPERMICIDES/DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream in their vagina before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
06. CONDOM: Men can put a rubber sheath on their penis during sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
08. MALE STERILIZATION: Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
09. RHYTHM METHOD: 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.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
10. WITHDRAWAL: Men can be careful to pull out before climax.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
11. Have you heard of other ways or methods that women or men can use to avoid pregnancy? LIST UP TO THREE OTHER METHODS.
(SPECIFY) ___
SPONTANEOUS YES 1
NO 3 (GO TO 305)

303. Have you ever used (METHOD)?

01. PILL: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
02. IUD: Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
YES 1
NO 2
03. INJECTIONS: Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months
YES 1
NO 2
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 1
NO 2
05. SPERMICIDES/DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream in their vagina before sexual intercourse.
YES 1
NO 2
06. CONDOM: Men can put a rubber sheath on their penis during sexual intercourse.
YES 1
NO 2
07. 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
08. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2
09. RHYTHM METHOD: 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 1
NO 2
10. WITHDRAWAL: Men can be careful to pull out before climax.
YES 1
NO 2
11. OTHER METHOD(S) (SPECIFY) _____
YES 1
NO 2

303A. What are the advantages of (METHOD)?

01. PILL: Women can take a pill every day to avoid becoming pregnant.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
02. IUD: Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
03. INJECTIONS: Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
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.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
05. SPERMICIDES/DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream in their vagina before sexual intercourse.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
06. CONDOM: Men can put a rubber sheath on their penis during sexual intercourse.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
07. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
08. MALE STERILIZATION: Men can have an operation to avoid having any more children.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
09. RHYTHM METHOD: 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.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J
10. WITHDRAWAL: Men can be careful to pull out before climax.
FIGHT AGAINST STD'S/AIDS A
EASY TO USE B
EASY ACCESS C
WITHOUT SECONDARY EFFECTS D
INEXPENSIVE/FREE E
EFFICIENT F
CONTROLE/APPROVS. INFREQUENT G
FORGETTING IS NOT A PROBLEM H
DOESN'T KNOW I
OTHER (SPECIFY) _____ J

305. CHECK 303:

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

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

YES 1
NO 2 (GO TO 324)

307. What did you do or use?
CORRECT 303-303A (AND 302 IF NECESSARY). (GO TO 308)

Now I would like to talk about the time when, for the first time you did or used something to avoid getting pregnant.

308. How many living children did you have at that time?
IF NONE, RECORD '00'.

NUMBER OF CHILDREN_____

309. CHECK 223:

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

310. CHECK 303:

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

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

YES 1
NO 2 (GO TO 324)

312. What method are you using?
312A. CIRCLE '07' FOR FEMALE STERILIZATION.

PILL 01
IUD 02
INJECTIONS 03
IMPLANTS 04
DIAPHRAGM/FOAM/JELLY 05
CONDOM 06
FEMALE STERILIZATION 07
MALE STERILIZATION 08
RHYTHM METHOD 09 (GO TO 324)
WITHDRAWAL 10 (GO TO 324)
OTHER (SPECIFY) _____11 (GO TO 324)
DOESN'T KNOW 98

318. CHECK 312:

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

USES ANOTHER METHOD: Where did you get (METHOD) the last time?

NAME OF PLACE_____
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/PMI (Protection Maternelle et Infantile) 12
HEALTH POST/FREE CLINIC 13
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL 21
PHARMACY 22
PRIVATE DOCTOR 23
PRIVATE NURSE/CONFES 24
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) 31
TRADITIONAL HEALER 32 (GO TO 321)
CHURCH 33 (GO TO 321)
FRIEND/RELATIVE 34 (GO TO 321)
AUXILIARY 41 (GO TO 321)
OTHER (SPECIFY) _____51 (GO TO 321)
DOESN'T KNOW 98 (GO TO 321)

320. Is it easy or difficult to get there?

EASY 1
DIFFICULT 2
DOESN'T KNOW 3

321. CHECK 312:

SHE/HE STERILIZED (GO TO 322)
USES ANOTHER METHOD (GO TO 329)

322. In which month and in which year did the sterilization take place?

MONTH_____
YEAR_____ (GO TO 334)

324. Do you intend to use, in the future, a family planning method to delay or avoid becoming pregnant?

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

325. What is the main reason you do not intend to use a method to delay or avoid pregnancy?
RECORD ALL THE REASONS MENTIONED.

WANTS CHILDREN 01 (GO TO 330)
LACK OF INFORMATION 02 (GO TO 330)
PARTNER DISAPPROVES 03 (GO TO 330
TOO EXPENSIVE 04 (GO TO 330)
SECONDARY EFFECTS 05 (GO TO 330)
HEALTH PROBLEMS 06 (GO TO 330)
HARD TO GET 07 (GO TO 330)
RELIGION 08 (GO TO 330)
OPPOSED TO FAMILY PLANNING 09 (GO TO 330)
FATALISTIC 10 (GO TO 330)
OTHER PEOPLE DISAPPROVE 11 (GO TO 330)
INFREQUENT SEX 12 (GO TO 330)
DIFFICULTY GETTING PREGNANT 13 (GO TO 330)
MENOPAUSE/HYSTERECTOMY 14 (GO TO 330)
INCONVENIENT TO USE 15 (GO TO 330)
NOT MARRIED 16 (GO TO 330)
OTHER (SPECIFY) _____17 (GO TO 330)
DOESN'T KNOW 98 (GO TO 330)

326. Do you intend to use, in the next 12 months, a family planning method?

YES 1
NO 2
DOESN'T KNOW 8

327. When you would use a method, what method would you prefer to use?

PILL 01
IUD 02
INJECTIONS 03
IMPLANTS 04
DIAPHRAGM/FOAM/JELLY 05
CONDOM 06
FEMALE STERILIZATION 07
MALE STERILIZATION 08
RHYTHM METHOD 09 (GO TO 330)
WITHDRAWAL 10 (GO TO 330)
OTHER (SPECIFY) _____11 (GO TO 330)
DOESN'T KNOW 98 (GO TO 330)

328. Where can you procure (METHOD CITED IN 327)?

NAME OF PLACE_____
PUBLIC SECTOR
HOSPITAL 11 (GO TO 332)
HEALTH CENTER/PMI (Protection Maternelle et Infantile) 12 (GO TO 332)
HEALTH POST/FREE CLINIC 13 (GO TO 332)
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL 21 (GO TO 332)
PHARMACY 22 (GO TO 332)
PRIVATE DOCTOR 23 (GO TO 332)
PRIVATE NURSE/CONFES 24 (GO TO 332)
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) 31 (GO TO 332)
TRADITIONAL HEALER 32 (GO TO 334)
CHURCH 33 (GO TO 334)
FRIEND/RELATIVE 34 (GO TO 334)
AUXILIARY 41 (GO TO 334)
OTHER (SPECIFY) _____51 (GO TO 334)
DOESN'T KNOW 61 (GO TO 330)

329. CHECK 312:

USES RHYTHM METHOD, WITHDRAWAL OR ANOTHER TRADITIONAL METHOD (GO TO 330)
USES A MODERN METHOD (GO TO 334)

330. Do you know of a place where you could get a family planning method?

YES 1
NO 2 (GO TO 334)

331. What place do you know of?

NAME OF PLACE_____
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/PMI (Protection Maternelle et Infantile) 12
HEALTH POST/FREE CLINIC 13
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL 21
PHARMACY 22
PRIVATE DOCTOR 23
PRIVATE NURSE/CONFES 24
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) 31
TRADITIONAL HEALER 32
CHURCH 33 (GO TO 334)
FRIEND/RELATIVE 34 (GO TO 334)
AUXILIARY 41 (GO TO 334)
OTHER (SPECIFY) _____51 (GO TO 334)

332. How long does it take you to get to this place?
IF LESS THAN 2 HOURS, RECORD IN MINUTES.
OTHERWISE RECORD IN HOURS.

MINUTES 1_____
HOURS 2_____
DOESN'T KNOW 9998

333. Is it easy or difficult to get to the place where you feel most at ease?

EASY 1
DIFFICULT 2
DOESN'T KNOW 8

334. In the last month, did you hear a message about family planning on:

The radio?
The television?

RADIO?
YES 1
NO 2
TELEVISION?
YES 1
NO 2

335. Do you find it acceptable or not acceptable that family planning be discussed on the radio or television?

ACCEPTABLE 1
NOT ACCEPTABLE 2
NO OPINION 8

336. Do you listen to the radio at least once a week?

YES 1
NO 2

342. Do you approve or disapprove of family planning being discussed on the radio or television?

APPROVE 1
DISAPPROVE 2
WITHOUT OPINION 8

343. CHECK 303:

AT LEAST ONE 'YES' (USES A METHOD) (GO TO 344)
NO 'YES' (NEVER USED) (GO TO 401)

344. When you began to use your last method (or current method), who decided? You alone? Your husband alone? Both? Or another person?

SHE ALONE 1
HUSBAND ALONE 2
COUPLE 3
OTHER (SPECIFY) _____ 4

345. CHECK 223, 310, AND 311:

PREGNANT (GO TO 346)
NOT PREGNANT AND DOES NOT CURRENTLY USE (GO TO 346)
USES A METHOD OR IS STERILIZED (GO TO 401)

346. What are the reasons why you stopped using your last method?
CIRCLE THE CODES CORRESPONDING TO THE RESPONSES.

WANTED A CHILD A
SECONDARY EFFECTS B
GOT PREGNANT/CONTRACEPTION FAILED C
DIFFICULT TO GET D
EXPENSIVE E
LACK OF MEANS F
HUSBAND/PARTNER DISAPPROVES G
RELATIVES DISAPPROVE H
RELIGION I
NOT HAVING SEXUAL INTERCOURSE J
NOT CONVENIENT K
OTHER (SPECIFY) _____L

SECTION 4A PREGNANCY AND BREAST FEEDING

401. CHECK 222:

ONE OR MORE BIRTHS SINCE JAN. 1992 (GO TO 402)
NO BIRTHS SINCE JAN. 1992 (GO TO 501)

402. WRITE THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1992 RECORDED IN THE REPRODUCTION TABLE. ASK THE QUESTIONS OF ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN THREE BIRTHS, USE ADDITIONAL QUESTIONNAIRES).

Now I would like to some questions about the health of all of your children born in the last three years. (We will talk about each separately).

LINE NUMBER FROM 212:

LINE NO.____

FROM LINE 212 AND 216:

NAME_____
LIVING_____
DEAD_____

403. When you got pregnant with (NAME), did you want to get pregnant at that moment, wait until later or did you not want to have any more children?

AT THAT MOMENT 1 (GO TO 405)
LATER 2
DIDN'T WANT MORE CHILDREN 3 (GO TO 405)
WITHOUT OPINION 8 (GO TO 405)

404. How long would you have liked to wait?

MONTHS 1_____
YEARS 2_____
DOESN'T KNOW 998

405. When you were pregnant with (NAME) did you consult someone for prenatal care?
IF YES: Whom did you see? Anyone else?

PROBE TO IDENTIFY EACH TYPE OF PERSON AND RECORD ALL MENTIONED.

HEALTH PROFESSIONAL
DOCTOR A
HEALTH CARE WORKER/MIDWIFE/ NURSE B
OTHER PERSON
DOULA C
TRADITIONAL BIRTH ATTENDANT D
OTHER (SPECIFY) _____E
NO ONE F (GO TO 409)

406. Did they give you a health card for this pregnancy?

YES 1
NO 2
DOESN'T KNOW 8

407. How many months pregnant were you when you had your first prenatal consultation?

MONTHS_____
DOESN'T KNOW 98

408. How many times did you get consultation during this pregnancy?

NUMBER OF TIMES_____
DOESN'T KNOW 98

409. When you were pregnant with (NAME), did you get an injection in the arm to avoid getting tetanus, that is to say, to avoid having convulsions after the birth?

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

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

NUMBER OF TIMES_____
DOESN'T KNOW 8

411. Where did you give birth to (NAME)?

HOME
RESPONDENT'S HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
HEALTH POST 23
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHERS (SPECIFY) _____ 41

412. Who assisted you during the delivery of (NAME)? Anyone else?
CIRCLE THE CODES CORRESPONDING TO THE GIVEN RESPONSES.

HEALTH PROFESSIONAL
DOCTOR A
HEALTH WORKER/ NURSE /MIDEWIFE B
OTHER PERSONNEL
DOULA C
TRADITIONAL BIRTH ATTENDENT D
OTHER (SPECIFY) _____E
NO ONE F

413. Was (NAME) born prematurely or at term?

AT TERM 1
PREMATURELY 2
DOESN'T KNOW 8

416. Was (NAME) weighed at birth?

YES 1
NO 2 (GO TO 418)
DOESN'T KNOW 8 (GO TO 418)

417. How much did (NAME) weigh?

KILOGRAMS_____
DOESN'T KNOW 98

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

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

419. Did your period return between the birth of (NAME) and your next pregnancy?
[DO NOT ASK FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 423)

420. For how long after the birth of (NAME) did you not have your period?

DAYS 1_____
MONTHS 2_____
DOESN'T KNOW 998

421. CHECK 223:
[ASK ONLY FOR MOST RECENT BIRTH]

NOT PREGNANT (GO TO 422)
PREGNANT OR NOT SURE (GO TO 423)

422. Have you begun having sexual intercourse again since the birth of (NAME)?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 424)

423. How long after the birth of (NAME) did you begin to have sexual intercourse again?

DAY 1_____
MONTH 2_____
DOESN'T KNOW 998

424. Did you breastfeed (NAME)?

YES 1 (FOR SECOND-TO-LAST BIRTH AND LATER BIRTHS, GO TO 433)
NO 2 (GO TO 435)

426. How long after birth did you first put (NAME) to the breast?
IF LESS THAN ONE HOUR, RECORD '00' HOURS. IF LESS THAN 24 HOURS RECORD HOURS. OTHERWISE, RECORD IN DAYS.
[ASK ONLY FOR MOST RECENT BIRTH]

IMMEDIATELY 000
HOURS 1_____
DAYS 2_____

427. CHECK 216:
[ASK ONLY FOR MOST RECENT BIRTH]

ALIVE (GO TO 428)
DECEASED (GO TO 433)

428. Are you still breast feeding (NAME)?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 433)

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

NUMBER OF NIGHTTIME FEEDINGS_____

430. Yesterday, how many times did you breastfeed during the day?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
[ASK ONLY FOR MOST RECENT BIRTH]

NUMBER OF DAYTIME FEEDINGS_____

431. Did you give (NAME) any of the following foods yesterday or last night?
[ASK ONLY FOR MOST RECENT BIRTH]

WATER
YES 1
NO 2
FRUIT JUICE
YES 1
NO 2
BOXED/POWDERED MILK
YES 1
NO 2
COW/GOAT MILK
YES 1
NO 2
QUINQUELIBA
YES 1
NO 2
OTHER LIQUID (SPECIFY) _____
YES 1
NO 2
GRAIN BROTH
YES 1
NO 2
CERELAC
YES 1
NO 2
SOLID FOODS
YES 1
NO 2

432. CHECK 431:
FOOD OR LIQUID GIVEN YESTERDAY:
[ASK ONLY FOR MOST RECENT BIRTH]

'YES' FOR ONE OR MORE (GO TO 437)
NOTHING AT ALL (GO TO 436)

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

MONTH_____
UNTIL S/HE DIED 96 (GO TO 436)

434. Why did you stop breast feeding (NAME)?

MOTHER ILL/WEAK 01
CHILD ILL/WEAK 02
CHILD DIED 03
BREAST/NIPPLE PROBLEM 04
INSUFFICIENT MILK 05
WORK 06
CHILD REFUSED 07
WEANING AGE 08
GOT PREGNANT 09
BEGAN TO USE CONTRACEPTION 10
OTHER (SPECIFY) _____11

435. CHECK 216:

LIVING (GO TO 437)
DEAD (GO TO 436)

436. Did you ever give (NAME) water or something else to eat (besides mother's milk)?

YES 1
NO 2 (GO TO 440)

437. How many months old was (NAME) when you began to give him one of these foods or drinks regularly?

Fresh milk/boxed milk (other than mother's)?
Water?
Quinquéliba?
Fruit juice?
Other liquids?
Other solid or broth foods?

IF LESS THAN A MONTH, RECORD '00.'

FRESH MILK/BOXED MILK
AGE IN MONTHS_____
NEVER GIVEN REGULARLY 96
WATER
AGE IN MONTHS_____
NEVER GIVEN REGULARLY 96
QUINQUELIBA
AGE IN MONTHS_____
NEVER GIVEN REGULARLY 96
FRUIT JUICE
AGE IN MONTHS_____
NEVER GIVEN REGULARLY 96
OTHER LIQUIDS
AGE IN MONTHS_____
NEVER GIVEN REGULARLY 96
OTHER SOLID OR BROTH FOODS
AGE IN MONTHS_____ (FOR SECOND-TO-LAST BIRTH AND LATER BIRTHS, GO TO 440)
NEVER GIVEN REGULARLY 96 (FOR SECOND-TO-LAST BIRTH AND LATER BIRTHS, GO TO 440)

438. CHECK 216:
[ASK ONLY FOR MOST RECENT BIRTH]

ALIVE (GO TO 439)
DEAD (GO TO 440)

439. Did (NAME) drink something from a bottle yesterday or last night?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1
NO 2
DOESN'T KNOW 8

440. RETURN TO 403 IN THE FOLLOWING COLUMN OR, IF NO MORE BIRTHS, GO TO 460.

SECTION 4B. HEALTH

441. RECORD THE NAME AND LINE NUMBER OF EACH BIRTH SINCE THE FIRST OF JANUARY 1992 IN THE TABLE. ASK QUESTIONS ABOUT ALL THE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE).

LINE NUMBER FROM 212:

LINE NUMBER__

FROM 212 AND 216:

NAME_____
LIVING (GO TO 460)
DEAD (GO TO 480)

460. Has (NAME) had diarrhea during the past two weeks?

YES 1 (GO TO 462)
NO 2
DOESN'T KNOW 8

461. RETURN TO 460 FOR THE NEXT BIRTH: OR IF THERE ARE NO MORE BIRTHS, GO TO 480.

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

YES 1
NO 2
DOESN'T KNOW 8

463. How many days did the diarrhea last?
IF LESS THAN 1 DAY, RECORD '00'.

NUMBER OF DAYS_____

464. Was there blood in the stools?

YES 1
NO 2
DOESN'T KNOW 8

465. CHECK 424/428:
LAST CHILD STILL BREAST FEEDING?
[ASK ONLY FOR MOST RECENT BIRTH]

YES (GO TO 466)
NO (GO TO 468)

466. When (NAME) had diarrhea, did you change the number of breast feedings/feedings?
[ASK ONLY FOR MOST RECENT BIRTH]

YES 1
NO 2 (GO TO 468)

467. Did you increase or reduce the number, or did you completely stop?
[ASK ONLY FOR MOST RECENT BIRTH]

INCREASED 1
REDUCED 2
COMPLETELY STOPPED 3

468. Did you give him/her less or more to drink (besides breast milk) than before the diarrhea?

SAME 1
MORE 2
LESS 3
DOESN'T KNOW 8

469. Was something given to (NAME) to treat the diarrhea?

YES 1
NO 2 (GO TO 471)
DOESN'T KNOW 8 (GO TO 471)

470. What was given to treat the diarrhea?
Anything else?
RECORD EVERYTHING MENTIONED.

LIQUID FROM ORS PACKET A
LIQUID MADE AT HOME B
ANTIBIOTIC C
OTHER PILL OR SYRUP D
INJECTION E
(IV) INTRAVENOUS/SERUM F
HOMEMADE REMEDIES/MEDICINAL PLANTS G
OTHER (SPECIFY) _____H

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

YES 1
NO 2 (GO TO 473)

472. Where did you ask for advice or treatment?
To anyone else?
CIRCLE THE CORRESPONDING CODES FOR ALL THE RESPONSES.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/PMI (Protection Maternelle et Infantile) B
HEALTH POST/FREE CLINIC C
COMMUNITY HEALTH PERSONNEL D
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL E
PHARMACY F
PRIVATE DOCTOR G
PRIVATE NURSE/CONFES H
OTHER PRIVATE SECTOR
ASBEF (Senegalese Association for Family Well-Being) I
TRADITIONAL HEALER J
OTHER (SPECIFY) _____K

473. CHECK 470:

NO, ORS PACKET NOT CITED (GO TO 474)
YES, ORS PACKET CITED (GO TO 475)

474. Did (NAME) receive a liquid prepared from a special powder to fight diarrhea?

YES 1
NO 2 (GO TO 476)
DOESN'T KNOW 8 (GO TO 476)

475. During how many days did (NAME) receive (LOCAL NAME)?
IF LESS THAN ONE DAY, RECORD '00'.

NUMBER OF DAYS _____
DOESN'T KNOW 98

476. CHECK 470:

NO, HOMEMADE LIQUID NOT CITED (GO TO 477)
YES, HOMEMADE LIQUID CITED (GO TO 478)

477. Did (NAME) get a liquid recommended by health care personnel and prepared at home with (RECOMMENDED INGREDIENTS) when s/he had diarrhea?

YES 1
NO 2 (GO TO 479)
DOESN'T KNOW 8 (GO TO 479)

478. During how many days did s/he receive prepared (RECOMMENDED INGREDIENTS) when s/he had diarrhea?
IF LESS THAN ONE DAY, RECORD '00'.

NUMBER OF DAYS _____
DOESN'T KNOW 8

479. RETURN TO 460 FOR THE NEXT CHILD, OR IF THERE ARE NO MORE CHILDREN, GO TO 480.

480. CHECK 470 AND 474 (ALL COLUMNS):

ORS SOLUTION FROM A PACKET WASN'T GIVEN TO ANY CHILD OR 470 AND 474 NOT ASKED (GO TO 481)
ORS SOLUTION GIVEN TO A CHILD (GO TO 487)

481. Have you ever heard of a special product called (LOCAL NAME) that you can get to treat diarrhea?

YES 1
NO 2

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

YES 1
NO 2 (GO TO 487)

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

YES 1
NO 2

483A. Do you know of a place where you could get these packets?

YES 1
NO 2 (GO TO 487)

483B. What place do you know of?

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/PMI (Protection Maternelle et Infantile) 12
HEALTH POST/FREE CLINIC 13
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL 21
PHARMACY 22
PRIVATE DOCTOR 23
PRIVATE NURSE/CONFES 24
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) 31
TRADITIONAL HEALER 32
CHURCH 33
FRIEND/RELATIVE 34
AUXILIARY 41
OTHER (SPECIFY) _____51

483C. How long does it take to go from your place to this place?
IF LESS THAN 2 HOURS, RECORD THE RESPONSE IN MINUTES.
OTHERWISE, RECORD IN HOURS.

MINUTES 1_____
HOURS 2_____
DOESN'T KNOW 9998

483D. How far is this place from your house?
IF ON SITE OR LESS THAN 1 KM, RECORD '00'.

DISTANCE IN KM_____
98 KM OR MORE 98

487. CHECK 470 AND 477 (ALL COLUMNS):

RECOMMENDED LIQUID PREPARED AT HOME AND GIVEN TO CHILD (GO TO 488)
RECOMMENDED LIQUID PREPARED AT HOME AND NOT GIVEN TO CHILD OR 470 AND 477 NOT ASKED (GO TO 488A)

488. Where did you learn to prepare the recommended liquid made at home with (RECOMMENDED INGREDIENTS) that you gave to (NAME) when s/he had diarrhea?
CIRCLE THE CODES CORRESPONDING TO THE RESPONSES.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/PMI (Protection Maternelle et Infantile) B
HEALTH POST/FREE CLINIC C
COMMUNITY HEALTH PERSONNEL D
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL E
PHARMACY F
PRIVATE DOCTOR G
PRIVATE NURSE/CONFES H
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) I
TRADITIONAL HEALER J
OTHER (SPECIFY) _____K

488A. In general, when a child has diarrhea, should you give him/her less liquid, the same amount of liquid, or more liquid?

LESS LIQUID 1
SAME AMOUNT OF LIQUID 2
MORE LIQUID 3
DOESN'T KNOW 4

488B. In general, when a child has diarrhea, should you give him/her less food, the same amount of food, or more food?

LESS FOOD 1
SAME AMOUNT OF FOOD 2
MORE FOOD 3
DOESN'T KNOW 4

488C. In your opinion, what signs indicate that you must bring a child who has diarrhea to a health establishment?
CIRCLE THE CORRESPONDING CODES TO THE RESPONDENT'S RESPONSES.

VERY LIQUID STOOL A
REPEATED VOMITING B
INTENSE THIRST C
DOES NOT EAT/DRINK WELL D
FEVER E
BLOOD IN STOOL F
DOES NOT GET BETTER G
OTHER (SPECIFY) _____ H

488D. CHECK 472:

IF 'J' IS CIRCLED AT LEAST ONCE (GO TO 488E)
IF 'J' IS CIRCLED IN ANY COLUMN (GO TO 501)

488E. What did the healer give you to treat diarrhea?
CIRCLE THE CORRESPONDING CODES TO THE RESPONDENT'S RESPONSES.

POWDER A
INFUSION B
MONKEY BREAD C
RICE BROTH D
GUAVA LEAVES E
AMULET F
OTHER (SPECIFY) _____G

488F. Is this treatment for diarrhea efficient, not very efficient, not at all efficient?

VERY EFFICIENT 1
EFFICIENT 2
NOT VERY EFFICIENT 3
NOT AT ALL EFFICIENT 4

SECTION 5. MARRIAGE

501. Are you currently married?

YES 1 (GO TO 504)
NO 2

502. Are you celibate, widowed, divorced, separated or do you live in a union with someone?

LIVES IN UNION 1 (GO TO 504)
WIDOWED 2 (GO TO 509)
DIVORCED 3 (GO TO 509)
SEPARATED 4 (GO TO 509)
CELIBATE 5

503. Have you ever been in a union with someone?

YES 1 (GO TO 509)
NO 2 (GO TO 513)

504. Does your husband/partner live with you or elsewhere?

LIVES WITH HER 1
LIVES ELSEWHERE 2

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

YES 1
NO 2
DOESN'T KNOW 8

509. In which month and in which year did you consummate your union for the first time with your (first) husband/partner?

MONTH_____
DOESN'T KNOW MONTH 98
YEAR_____
DOESN'T KNOW YEAR 98
MARRIAGE NOT CONSUMMATED 96 (GO TO 513)

510. How old were you when you consummated your union with your first husband/partner?

AGE_____ (GO TO 514)
DOESN'T KNOW AGE 98 (GO TO 514)

IF NEVER BEEN IN UNION OR FIRST UNION NOT CONSUMMATED:

513. Have you ever had sexual intercourse?

YES 1
NO 2 (GO TO 518)

Now I would like to ask you some questions about sexual activity in order to gain a better understanding of family planning and fertility.

514. How many times did you have sexual intercourse in the last four weeks?

NUMBER OF TIMES_____

515. How many times a month do you usually have sexual intercourse?

NUMBER OF TIMES_____

516. How long has it been since you last had sexual intercourse?

DAYS 1_____
WEEKS 2_____
MONTHS 3_____
YEARS 4 _____
BEFORE THE LAST BIRTH 996

517. How old were you when you had sexual intercourse for the first time?

AGE_____
FIRST TIME IN MARRIAGE 96

517A. CHECK 501-503:

HAS BEEN MARRIED OR IN UNION (GO TO 517B)
NEVER MARRIED OR IN UNION (GO TO 518)

517B. Did your husband/partner go to school?

YES 1
NO 2 (GO TO 517D)

517C. What is the highest level of school you attended: primary, secondary or superior?

PRIMARY 1
SECONDARY 2
SUPERIOR 3
DOESN'T KNOW 4

517D. What is (was) your (last) husband/partner's main kind of work?

HUSBAND'S/PARTNER'S OCCUPATION_____

518. OTHER PEOPLE PRESENT AT THIS MOMENT:

CHILDREN UNDER 10 YEARS
YES 1
NO 2
HUSBAND
YES 1
NO 2
OTHER MEN
YES 1
NO 2
OTHER WOMEN
YES 1
NO 2

519. RECORD THE REACTION OF THE RESPONDENT:

NOT BOTHERED 1
BOTHERED A BIT 2
HOSTILE 3

SECTION 6. FERTILITY PREFERENCES

601. CHECK 312:

NEITHER STERILIZED (GO TO 602)
HE OR SHE STERILIZED (GO TO 610)

602. CHECK 501 AND 502:

CURRENTLY MARRIED OR LIVING IN UNION (GO TO 603)
NOT MARRIED/NOT IN UNION (GO TO 615)

603. CHECK 216 AND 223:

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?

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 610)
SAYS SHE CANNOT GET PREGNANT 3 (GO TO 610)
NOT DECIDED/DOESN'T KNOW 8 (GO TO 610)

604. CHECK 223:

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

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 994
SAYS SHE CANNOT GET PREGNANT 995
OTHER (SPECIFY) _____996
DOESN'T KNOW 998

610. Do you think that your husband/partner approves or disapproves of couples who use a method to avoid getting pregnant?

APPROVES 1
DISAPPROVES 2
DOESN'T KNOW 8

612. Have you ever discussed with your partner how many children you would like to have?

YES 1
NO 2

615. Should a mother wait until she has completely stopped breast feeding before beginning to have sexual intercourse again, or is this not important?

WAIT 1
NOT IMPORTANT 2
DOESN'T KNOW 8

616. Do you approve or disapprove of couples who use a method to avoid getting pregnant?

APPROVES 1
DISAPPROVES 2
NO OPINION 8

617. CHECK 216:

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 RESPONSE (SPECIFY) _____96

618. In your opinion, what is the best interval in months or in years between the birth of a child and the birth of the next child?

MONTHS 1_____
YEARS 2_____
OTHER (SPECIFY) _____996

618A. CHECK 501-503, AND 513:

HAS HAD SEXUAL INTERCOURSE (GO TO 619)
IF "NO" TO 513: NEVER HAD SEXUAL INTERCOURSE (GO TO 624)

619. Have you ever had an undesired pregnancy?

YES 1
NO 2 (GO TO 624)
DOESN'T KNOW/NO RESPONSE 8 (GO TO 624)

620. What did you do about this pregnancy?

BROUGHT IT TO TERM 1
FAILURE INTERRUPTION 2
INTERRUPTION 3
OTHER (SPECIFY) _____4
DOESN'T KNOW/NO RESPONSE 8

621. What is the main reason why you did not want this pregnancy?

ECONOMIC REASON 1
NOT MARRIED 2
DID NOT WANT CHILDREN 3
ABANDONED BY PARTNER 4
HEALTH REASONS 5
WANTED TO REST 6
NO RESPONSE 7
OTHER (SPECIFY) _____8

622. CHECK 305:

USED A METHOD (GO TO 623)
NEVER USED A METHOD (GO TO 624)

623. Have you ever gotten pregnant while using a contraceptive method?

YES 1
NO 2
DOESN'T KNOW 8

624. In your opinion, do women have abortions never, sometimes, often, very often?

NEVER 1 (GO TO 701)
SOMETIMES 2
OFTEN 3
VERY OFTEN 4
DOESN'T KNOW/NO RESPONSE 8 (GO TO 701)

625. In your opinion, what are the reasons why women have abortions?
CIRCLE THE CORRESPONDING CODES TO RESPONSES MENTIONED

FAILURE OF CONTRACEPTION A
NOT USING CONTRACEPTION B
IGNORANCE OF CONTRACEPTION C
OPPOSITION OF HUSBAND/FAMILY TO FAMILY PLANNING D
CARELESS SEXUAL BEHAVIORS E
OTHERS (SPECIFY) _____F
DOESN'T KNOW/NO RESPONSE G

SECTION 7. STD'S AND AIDS

701. Have you ever heard of an illness that can be transmitted sexually?

YES 1
NO 2 (GO TO 707B)

702. Which sexually transmitted diseases do you know of?
CIRCLE THE CODES CORRESPONDING TO ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA/HOT URINE D
OTHER (SPECIFY) _____E
DOESN'T KNOW F

703. CHECK 501-503 AND 513:

HAS HAD SEXUAL INTERCOURSE (GO TO 704)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 707A)

704. During the last twelve months, have you had any of these illnesses?

YES 1
NO 2 (GO TO 707A)
DOESN'T KNOW 8 (GO TO 707A)

705. Among these illnesses, which have you had?
CIRCLE THE CODES CORRESPONDING TO ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA/HOT URINE D
OTHER (SPECIFY) _____E
DOESN'T KNOW F

706. The last time you had one of these illnesses (NAME OF ILLNESSES), did you seek advice or treatment?

YES 1
NO 2 (GO TO 707A)

707. Where did you seek advice or treatment?
CIRCLE THE CODES CORRESPONDING TO RESPONSES GIVEN.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
HEALTH POST/ PMI (Protection Maternelle et Infantile) C
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL D
PHARMACY E
PRIVATE DOCTOR F
PRIVATE NURSE/CONFES G
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) H
CHURCH I
FRIEND/RELATIVE J
OTHER (SPECIFY) _____L
DOESN'T KNOW M

707A. CHECK 702:

DID NOT MENTION 'AIDS' (GO TO 707B)
MENTIONED 'AIDS' (GO TO 708)

707B. Do you know or have you ever heard of a disease called AIDS?

YES 1
NO 2 (GO TO 715)

708. How can a person get AIDS?
CIRCLE THE CORRESPONDING CODES TO THE RESPONSES GIVEN.

NORMAL SEXUAL INTERCOURSE A
SEXUAL INTERCOURSE WITH AN UNKNOWN PERSON B
SEXUAL INTERCOURSE WITH PROSTITUTES C
NOT USING A CONDOM D
SEXUAL INTERCOURSE WITH HOMOSEXUALS E
BLOOD TRANSFUSION F
INJECTION G
BY KISSES H
BLADE/RAZOR I
BY MOSQUITOS J
OTHER (SPECIFY) _____K
DOESN'T KNOW L

709. In your opinion, is there something a person can do to avoid getting AIDS or the virus that causes AIDS?

YES 1
NO 2 (GO TO 711)
DOESN'T KNOW 8 (GO TO 711)

710. In your opinion, what can a person do to protect himself/herself from AIDS?
CIRCLE THE CORRESPONDING CODES TO THE RESPONSES GIVEN.

ONLY ONE PARTNER A
LOYALTY TO PARTNERS B
USE A CONDOM C
ABSTINENCE D
NO SEXUAL INTERCOURSE WITH PROSTITUTES E
NO SEXUAL INTERCOURSE WITH HOMOSEXUALS F
NO SEXUAL INTERCOURSE WITH MULTIPLE PARTNERS G
NO BLOOD TRANSFUSION H
NO INJECTIONS I
NO KISSES J
NO MOSQUITO BITES K
SEEK PROTECTION FROM A HEALER/TRADITIONAL WITCH DOCTOR L
OTHER (SPECIFY) _____M
OTHER (SPECIFY) _____N
DOESN'T KNOW O

711. Is it possible that someone who appears to be in good health has AIDS?

YES 1
NO 2
DOESN'T KNOW 8

712. Some people use condoms during sexual intercourse to avoid getting AIDS or other sexually transmitted illnesses. Have you ever heard of this?

YES 1
NO 2
DOESN'T KNOW 8

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

YES 1
NO 2 (GO TO 715)

714. Which place(s) do you know of?
CIRCLE THE CODES CORRESPONDING TO RESPONSES GIVEN

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
HEALTH POST/ PMI (Protection Maternelle et Infantile) C
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL D
PHARMACY E
PRIVATE DOCTOR F
PRIVATE NURSE/CONFES G
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) H
CHURCH I
FRIEND/RELATIVE J
TRADITIONAL HEALER/WITCH DOCTOR K
OTHER (SPECIFY) _____L

715. RECORD THE TIME:

HOUR_____
MINUTES_____

INTERVIEWER'S OBSERVATIONS

TO BE FILLED OUT AFTER HAVING ENDED THE INTERVIEW.

COMMENTS ABOUT THE RESPONDENT _____

COMMENTS ON PARTICULAR QUESTIONS _____

OTHER COMMENTS _____

SUPERVISOR'S OBSERVATIONS _____
NAME_____
DATE_____

OTHER OBSERVATIONS _____