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REPUBLIC OF SENEGAL DEMOGRAPHIC AND HEALTH SURVEY (EDSIII) - 1997 - MAN'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 HUSBAND:

NAME _____
LINE NO. _____

LINE NUMBER(S) OF ELIGIBLE WIFE/WIVES:

LINE NO. _____

INTERVIEWER VISITS

FIRST INTERVIEW (REPEAT FOR SECOND AND THIRD INTERVIEWS)
DATE_____
INTERVIEWER NAME_____
RESULT___

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_____

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_____

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

MONTH ______
DOESN'T KNOW MONTH 98
YEAR ______
DOESN'T KNOW YEAR 98

103. How old are you currently?
COMPARE AND CORRECT 102 AND/OR 103 IS INCONSISTENT

AGE IN COMPLETED YEARS_____

104. Did you go to school?

YES 1
NO 2 (GO TO 108)

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

PRIMARY 1
SECONDARY 2
SUPERIOR 3

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

GRADE _____

107. CHECK 105:

PRIMARY (GO TO 108)
SECONDARY OR MORE (GO TO 110)

108. 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

110. Are you Senegalese?

YES 1
NO 2 (GO TO 112)

111. 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
OTHER (SPECIFY) ______11

112. What is your occupation?
That is, what kind of work do you do?

RESPONDENT'S WORK_____

113. Are you currently married?

YES 1 (GO TO 115)
NO 2

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

LIVES IN UNION 1
WIDOWED 2 (GO TO 116)
DIVORCED 3 (GO TO 116)
SEPARATED 4 (GO TO 116)
CELIBATE 5 (GO TO 118A)

115. How many wives/partners do you currently have?

NUMBER OF WIVES/PARTNERS _____
FIVE OR MORE 5

116. Do you intend to take another (other) wife (wives) in the future?

YES 1
NO 2

117. In which month and in which year were you married for the first time?

MONTH _____
DOESN'T KNOW MONTH 98
YEAR _____
DOESN'T KNOW YEAR 98
MARRIAGE NOT COMSUMMATED 96 (GO TO 118A)

118. How old were you when you were married/began living with someone for the first time?

AGE IN COMPLETED YEARS_____ (GO TO 118B)
DOESN'T KNOW AGE 98 (GO TO 118B)

IF NEVER IN UNION OR FIRST UNION NOT CONSUMMATED:

118A. Have you ever had sexual intercourse?

YES 1
NO 2 (GO TO 201)

118B. How old were you when you first had sexual intercourse?

AGE _____
FIRST TIME WHEN MARRIED 96

SECTION 2. CONTRACEPTION

201. 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. What methods or ways have you heard of?

CIRCLE CODE '1' ON LINE 202 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 202, ASK 203-203A BEFORE GOING ON TO THE NEXT QUESTION.

202. 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: Couples can avoid pregnancy by not having intercourse on the days of the month the woman 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

203. Have 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. Has/have your wife/wives 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. Have you had an operation to avoid having other children?
YES 1
NO 2
09. RHYTHM METHOD: Couples can avoid pregnancy by not having intercourse on the days of the month the woman 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 METHODS (SPECIFY) _____
YES 1
NO 2

203A. 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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
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 J (SPECIFY) _____
09. RHYTHM METHOD: Couples can avoid pregnancy by not having intercourse on the days of the month the woman 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 J (SPECIFY) _____
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 J (SPECIFY) _____

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 pregnancy?

YES 1
NO 2 (GO TO 209)

206. What did you do or use?
CORRECT 203-203A (AND 202 IF NECESSARY). (GO TO 207)

207. At this time, are you or your wife/wives/partner(s) doing something or using a method to delay or avoid pregnancy?

YES 1
NO 2 (GO TO 209)

208. What method are you using?

PILL 01 (GO TO 301)
IUD 02 (GO TO 301)
INJECTIONS 03 (GO TO 301)
IMPLANTS 04 (GO TO 301)
DIAPHRAGM/FOAM/JELLY 05(GO TO 301)
CONDOM 06 (GO TO 301)
FEMALE STERILIZATION 07 (GO TO 301)
MALE STERILIZATION 08 (GO TO 301)
RHYTHM METHOD 09 (GO TO 301)
WITHDRAWAL 10 (GO TO 301)
OTHER (SPECIFY) _____11 (GO TO 301)
DOESN'T KNOW 98

209. Do you or your wife/wives/partner(s) intend to use, in the future, a family planning method to delay or avoid becoming pregnant?

YES 1 (GO TO 211)
NO 2
DOESN'T KNOW 8 (GO TO 301)

210. What is the main reason you do not intend to use a method?
RECORD ALL THE REASONS MENTIONED.

WANTS CHILDREN 01 (GO TO 301)
LACK OF INFORMATION 02 (GO TO 301)
PARTNER DISAPPROVES 03 (GO TO 301)
TOO EXPENSIVE 04 (GO TO 301)
SECONDARY EFFECTS 05 (GO TO 301)
HEALTH PROBLEMS 06 (GO TO 301)
HARD TO GET 07 (GO TO 301)
RELIGION 08 (GO TO 301)
OPPOSED TO FAMILY PLANNING 09 (GO TO 301)
FATALISTIC 10 (GO TO 301)
OTHER PEOPLE DISAPPROVE 11 (GO TO 301)
INFREQUENT SEX 12 (GO TO 301)
WOMAN HAS DIFFICULTY GETTING PREGNANT 13 (GO TO 301)
WOMAN IN MENOPAUSE/HYSTERECTOMY 14 (GO TO 301)
INCONVENIENT TO USE 15 (GO TO 301)
NOT MARRIED 16 (GO TO 301)
OTHER (SPECIFY) ______17 (GO TO 301)
DOESN'T KNOW 98 (GO TO 301)

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

YES 1
NO 2
DOESN'T KNOW 8

212. 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
WITHDRAWAL 10
OTHER (SPECIFY) _____11
DOESN'T KNOW 98

SECTION 3. FERTILITY PREFERENCES

301. Do you have living biological 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:

NEITHER STERILIZED (GO TO 304)
HE OR SHE STERILIZED (GO TO 306)

304. CHECK 113 AND 114:

CURRENTLY MARRIED OR LIVING IN UNION (GO TO 305)
NOT MARRIED/NOT IN UNION (GO TO 310)

305. 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
SAYS HIS WIFE CANNOT GET PREGNANT 3
SAYS HE CANNOT HAVE ANY MORE CHILDREN 4
NOT DECIDED/DOESN'T KNOW 8

306. Do you think that your wife/wives/partner(s) approve(s) or disapprove(s) of couples who use a method to avoid getting pregnant?

APPROVE(S) 1
DISAPPROVE(S) 2
DOESN'T KNOW 8

307. How many times have you talked about family planning with your wife/wives/partner(s) during the last twelve months?

NEVER 1
ONCE OR TWICE 2
MORE OFTEN 3

308. Have you ever discussed with your wife/wives/partner(s) the number of children you would like to have?

YES 1
NO 2

309. Do you think that your wife/wives/partner(s) would like to have the same number of children as you would like to have?

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

310. Do you approve or disapprove of information about family planning being discussed on television or radio?

APPROVES 1
DISAPPROVES 2
NO OPINION 8

311. In general, do you approve or disapprove of couples who use a method to avoid getting pregnant?

APPROVES 1
DISAPPROVES 2
NO OPINION 8

312. CHECK 301:

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

SECTION 4. STD'S AND AIDS

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

YES 1
NO 2 (GO TO 407B)

402. 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

403. CHECK 113, 114 AND 118A:

HAS HAD SEXUAL INTERCOURSE (GO TO 404)
HAS NEVER HAD SEXUAL INTERCOURSE (GO TO 407A)

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

YES 1
NO 2 (GO TO 407A)
DOESN'T KNOW 8 (GO TO 407A)

405. Among these illnesses, which have you had?

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

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

YES 1
NO 2 (GO TO 407A)

407. 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
TRADITIONAL HEALER I
CHURCH J
FRIEND/RELATIVE K
AUXILIARY L
OTHER (SPECIFY) _____ M

407A. CHECK 402:

DID NOT MENTION 'AIDS' (GO TO 407B)
MENTIONED 'AIDS' (GO TO 408)

407B. Do you know or have you ever heard of a disease called AIDS?

YES 1
NO 2 (GO TO 415)

408. 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
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

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

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

410. In your opinion, what can a person do?
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

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

YES 1
NO 2
DOESN'T KNOW 8

412. 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

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

YES 1
NO 2 (GO TO 415)

414 .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
TRADITIONAL HEALER I
CHURCH J
FRIEND/RELATIVE K
AUXILIARY L
OTHER (SPECIFY) _____M

415. 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 _____