141. TABLE FOR SELECTION OF WOMEN FOR THE DOMESTIC VIOLENCE QUESTIONS

LOOK AT THE LAST DIGIT OF THE HOUSEHOLD NUMBER ON THE COVER PAGE. THIS IS THE ROW NUMBER YOU SHOULD GO TO. CHECK THE TOTAL NUMBER OF ELIGIBLE WOMEN (COLUMN 9) IN THE HOUSEHOLD SCHEDULE. THIS IS THE COLUMN NUMBER YOU SHOULD GO TO. FOLLOW THE SELECTED ROW AND COLUMN TO THE CELL WHERE THEY MEET AND CIRCLE THE NUMBER IN THE CELL. THIS IS THE NUMBER OF THE WOMAN SELECTED FOR THE DOMESTIC VIOLENCE QUESTIONS FROM THE LIST OF ELIGIBLE WOMEN IN COLUMN 9 OF THE HOUSEHOLD SCHEDULE. WRITE THE NAME AND LINE NUMBER OF THE SELECTED WOMAN IN THE SPACE BELOW THE TABLE.

IDENTIFICATION

PLACE NAME ________
NAME OF HOUSEHOLD HEAD_______
PROVINCE_______
MUNICIPALITY_____
COMMUNITY_______
NEIGHBORHOOD/VILLAGE______
CENSUS SECTION______
AREAS OF RESIDENCE

CLUSTER NUMBER (ID. IIMS)______
HOUSEHOLD NUMBER_______
NAME AND LINE NUMBER OF WOMAN_______
THE WOMAN WAS SELECTED FOR THE DOMESTIC VIOLENCE MODULE

TABLE FOR SELECTION OF RESPONDENTS FOR SECTION ON DOMESTIC VIOLENCE

LOOK AT THE LAST DIGIT OF THE HOUSEHOLD NUMBER ON THE COVER PAGE. THIS IS THE ROW NUMBER YOU SHOULD GO TO. CHECK THE TOTAL NUMBER OF ELIGIBLE FEMALE AND MALE RESPONDENTS ON THE COVER SHEET OF THE HOUSEHOLD QUESTIONNAIRE. FOR EACH NON-ZERO NUMBER, THIS IS THE COLUMN YOU SHOULD GO TO. THE CELL WHERE THE ROW AND THE COLUMN MEET IS THE NUMBER OF THE SELECTED WOMAN OR MAN FOR THE DOMESTIC VIOLENCE MODULE.

FOR EXAMPLE, IF THE HOUSEHOLD NUMBER IS '216', GO TO ROW '6'. IF THERE ARE THREE ELIGIBLE WOMEN AGE 10 TO 49 IN THE HOUSEHOLD, GO TO COLUMN '3'. FOLLOW THE ROW AND COLUMN AND FIND THE NUMBER IN THE BOX ('2'). NOW GO TO THE HOUSEHOLD SCHEDULE AND FIND THE SECOND WOMAN WHO IS ELIGIBLE FOR THE WOMAN'S INTERVIEW. WRITE HER LINE NUMBER BELOW IN THE BOXES INDICATED. DO THE SAME FOR THE MEN.

Household selected for domestic violence module? (1=Yes, 2=No)

IDENTIFICATION

PLACE NAME

NAME OF HEAD OF HOUSEHOLD

PROVINCE

CLUSTER NUMBER

HOUSEHOLD NUMBER

NAME AND LINE NUMBER OF WOMAN

WOMAN SELECTED FOR MODULE ON VIOLENCE?

CHECK COVER OF HOUSEHOLD QUESTIONNAIRE: WAS THE HOUSEHOLD SELECTED FOR QUESTIONS ON "HOUSEHOLD RELATIONSHIPS"?

IF YES, CHECK SCHEDULE 35A FOR THE SELECTION OF ELIGIBLE WOMEN FOR THE SECTION OF "HOUSEHOLD RELATIONSHIPS." WAS THE WOMAN WHO YOU ARE SURVEYING SELECTED?

CHECK THE HOUSEHOLD SURVEY:

IF THE HOUSEHOLD HAS NOT BEEN SELECTED FOR THE MEN'S SURVEY, CHECK 514 OF THE HOUSEHOLD QUESTIONNAIRE: HAS THIS WOMAN BEEN SELECTED FOR THE HOUSEHOLD RELATIONS SECTION?

TABLE 1: WOMEN BETWEEN 15 AND 49 ELIGIBLE FOR QUESTIONS ON DOMESTIC VIOLENCE
RECORD EACH WOMAN AGED 15-49 YEARS FROM HOUSEHOLD SCHEDULE ONTO TABLE BELOW IN ORDER BASED ON HER LINE NUMBER (Q1) FROM HOUSEHOLD SCHEDULE. DO NOT INCLUDE OTHER MEMBERS OF THE HOUSEHOLD WHO ARE NOT WOMEN AGE 15-49. RECORD THE NAME, AGE AND LINE NUMBER OF EACH WOMAN. THEN RECORD THE TOTAL NUMBER OF WOMEN AGE 15-49 IN THE BLANK SPACE (Q. 402).

IF NO ( 2) CHECK QUESTION 293A OF THE HOUSEHOLD QUESTIONNAIRE FOR THE SELECTION OF THE WOMAN ELIGIBLE FOR THE SECTION ON "DOMESTIC VIOLENCE." IF THE WOMAN WHO YOU ARE SURVEYING WAS SELECTED FOR THE DOMESTIC VIOLENCE MODULE, RECORD 1 IN THE SPACE TO THE RIGHT; OTHERWISE RECORD 2 (YES 1, NO 2).

NAME OF HOUSEHOLD HEAD

ADDRESS IN DETAIL

NAME OF WOMAN

LINE NUMBER OF WOMAN

WOMAN SELECTED FOR DOMESTIC VIOLENCE SECTION

SECTION 11. DOMESTIC VIOLENCE

1100. CHECK HOUSEHOLD QUESTIONNAIRE: IDENTIFICATION PAGE FOR SUB-SAMPLE AND Q300 FOR LINE NUMBR OF SELECTED WOMAN:

SECTION 13. FEMALE GENITAL MUTILATION

1300. CHECK COVER PAGE OF QUESTIONNAIRE: HOUSEHOLD SELECTED FOR FEMALE GENITAL MUTILATION MODULE (FGM) AND DOMESTIC VIOLENCE (DV)?

PERSON TO BE INTERVIEWED WITH THE DV MODULE IN THIS HOUSEHOLD

IS WOMAN SELECTED FOR QUESTIONS ON HOUSEHOLD RELATIONS (SECTION 11)?

WOMAN SELECTED FOR DOMESTIC VIOLENCE SECTION

WOMAN SELECTED FOR DOMESTIC VIOLENCE SECTION

HOUSEHOLD SELECTED FOR HEALTH EXPENDITURE AND DOMESTIC VIOLENCE?

COUNTY ____

DISTRICT ____

LOCATION/TOWN ____

SUBLOCATION ____

NASSEP CLUSTER NUMBER ____

KDHS CLUSTER NUMBER ____

HOUSEHOLD NUMBER ____

NAME OF HOUSEHOLD HEAD ____

IS HOUSEHOLD SELECTED FOR WOMEN'S SECTION 14?

IDENTIFICATION

PLACE NAME:

NAME OF HOUSEHOLD HEAD:

CLUSTER NUMBER:

HOUSEHOLD NUMBER:

NAME AND LINE NUMBER OF WOMAN:

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE?

WOMAN SELECTED FOR DOMESTIC VIOLENCE IN HOUSEHOLD?
CHECK KISH SELECTION TABLE ON THE HOUSEHOLD QUESTIONNAIRE

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE

IDENTIFICATION

NAME OF HOUSEHOLD HEAD_________

PLACE NAME_________

PROVINCE_________

URBAN/RURAL

NAME AND NUMBER OF ENUMERATION AREA (DHS I.D.)_____

HOUSEHOLD NUMBER______

HOUSEHOLD SELECTED TO INTERVIEW MEN____

HOUSEHOLD SELECTED TO TEST CHILDREN___

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE___

IDENTIFICATION

STATE/REGION______

DISTRICT_____

TOWNSHIP_____

WARD/VILLAGE TRACT____

CLUSTER NUMBER____

HOUSEHOLD NUMBER____

LINE NUMBER OF WOMAN___

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE

WOMAN SELECTED FOR SECTION 12?

WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE

CHECK HOUSEHOLD QUESTIONNAIRE DVH01. WOMAN SELECTED FOR DV MODULE?

1001) CHECK THE HOUSEHOLD QUESTIONNAIRE, Q36 AND IDENTIFICATION OF WOMAN QUESTIONNAIRE.

CHECK COVER PAGE OF HOUSEHOLD QUESTIONNAIRE: HOUSEHOLD SELECTED FOR DV MODULE?

CHECK HOUSEHOLD QUESTIONNAIRE Q.44: WOMAN SELECTED FOR DOMESTIC VIOLENCE MODULE?

CHECK COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE:
HOUSEHOLD SELECTED FOR FEMALE DOMESTIC MODULE

CHECK Q. 141w IN HOUSEHOLD QUESTIONNAIRE:
IS THIS WOMAN SELECTED FOR FEMALE DOMESTIC VIOLENCE MODULE?

IDENTIFICATION

PLACE NAME _____

NAME AND NUMBER OF HEAD OF HOUSEHOLD _____

PLOT NUMBER ______

CLUSTER NUMBER ____

REGION ____

DEPARTMENT ____

HEALTH DISTRICT____

URBAN/RURAL

DAKAR/REGIONAL CAPITAL/OTHER CITY/RURAL

HOUSEHOLD SELECTED FOR MEN'S SURVEY?

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE MODULE?

HOUSEHOLD SELECTED FOR THE HOUSEHOLD RELATIONS MODULE?

191) RECORD THE LINE NUMBER (COLUMN 1) AND THE NAME (COLUMN 2) OF THE SELECTED WOMAN

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE

HOUSEHOLD SELECTED FOR DOMESTIC VIOLENCE

CHECK HOUSEHOLD QUESTIONNAIRE SL12: WOMAN SELECTED FOR DV MODULE?

SELECTION OF WOMAN FOR THE DOMESTIC VIOLENCE QUESTIONS (PAPER OPTION)

(31) CHECK COL.9 IN THE HOUSEHOLD SCHEDULE AND WRITE THE TOTAL NUMBER OF WOMEN AGE 15-49 YEARS.