01) FEMALE STERILIZATION: Women 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

02) MALE STERILIZATION: Men 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

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 heath 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 sexual intercourse.

YES 1
NO 2

10) FOAM OR JELLY: Women can place jelly or cream in their vagina before sexual 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

11A) CYCLE BEADS: A method which involves moving beads each day to count from the first day of the menstrual period (red bead).

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: As an emergency measure after unprotected sexual intercourse, women can take special pills at any time within three days to prevent pregnancy.

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

01) FEMALE STERILIZATION: Women 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

02) MALE STERILIZATION: Men 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

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 their uterus by a doctor or nurse.

YES 1
NO 2

05) INJECTABLES: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.

YES 1
NO 2

06) IMPLANTS (or NORPLANTS): Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for five 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) DIAPHRAGM/FOAM/JELLY: Women can place a sheath and/or a suppository/tablet/jelly/cream in their vagina before intercourse.

YES 1
NO 2

09) STANDARD DAYS METHOD: Women can use a cycle of beads to count the days they are most likely to get pregnant and avoid sexual intercourse during those days.

YES 1
NO 2

10) LACTATIONAL AMENORRHEA METHOD (LAM)

YES 1
NO 2

11) RHYTHM METHOD: Every month that a woman is sexual 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

12) WITHDRAWAL: Men can be careful and pull out before climax.

YES 1
NO 2

13) Have you heard any other ways or methods that women or men can use to avoid pregnancy?

YES 1
NO 2

FEMALE STERILIZATION A
MALE STERILIZATION B
IUD/PPIUD C
INJECTABLES D
PULL E
CONDOM/NIRODH F
FEMALE CONDOM G
EMERGENCY CONTRACEPTION H
DIAPHRAGM I
FOAM/JELLY J
STANDARD DAYS METHOD K
LACTATIONAL AMENDMENT METHOD L
RHYTHM METHOD M
WITHDRAWAL N
OTHER MODERN METHOD X
OTHER TRADITIONAL METHOD Y

01. FEMALE STERILIZATION: Women 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

02. MALE STERILIZATION: Men can have an operation to avoid having any more children. Has your spouse/partner ever had 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 that stops them from becoming pregnant for up to three 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. LACTATIONAL AMENORRHEA METHOD (LAM): For up to six months after giving birth, a woman can use this method which requires breastfeeding often, day and night, so that her menstrual cycle does not return.

YES 1
NO 2

10. RHYTHM METHOD: 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

11. WITHDRAWAL: Men can be careful and pull out before climax.

YES 1
NO 2

12. EMERGENCY CONTRACEPTION: As an emergency measure after unprotected sexual intercourse, women can take special pills at any time within three days to prevent pregnancy.

YES 1
NO 2

13. NECKLACE METHOD: A method involving moving a ring on a necklace each day from one pearl to the next, counting from the first day of her period. Using this necklace, the woman can know the days of the month where she is more likely to become pregnant.

YES 1
NO 2

14. OTHER METHOD (SPECIFY) _____

YES 1
NO 2

01 FEMALE STERILISATION Women 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

02 MALE STERILISATION Men 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

03 PILL Women can take a pill every day to stop them from 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 INJECTIONS 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 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.

YES 1
NO 2

07 FEMALE CONDOM Women can place a sheath in their vagina before sexual intercourse.

YES 1
NO 2

08 DIAPHRAGM /FOAM/JELLY Women can place a sponge, suppository, diaphragm, jelly or cream in their vagina before intercourse.

YES 1
NO 2

09 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

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

YES 1
NO 2

11 EMERGENCY CONTRACEPTION Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.

YES 1
NO 2

12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?

YES 1
NO 2

01 FEMALE STERILIZATION Women 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

02 MALE STERILIZATION Men 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

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

12A BEADS /STANDARD DAYS METHOD (SDM) The woman know days of the month when she can get pregnant by using beads or calendar

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
NO 2

YES 1
NO 2 (GO TO 306)

01 FEMALE STERILIZATION Women 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

02 MALE STERILIZATION Men 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

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 that 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 MALE 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 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

10 RHYTHM METHOD 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

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

YES 1
NO 2

12 EMERGENCY CONTRACEPTION As an emergency measure after unprotected sexual intercourse, women can take special pills at any time within five days to prevent pregnancy.

YES 1
NO 2

13 STANDARD DAYS METHOD (CYCLE BEADS) A woman's monthly cycle is monitored using beads to check for the fertile window, which is several days before ovulation and a few hours after.

YES 1
NO 2

14 Have you heard of any other ways or methods that women or men can
use to avoid pregnancy?

YES 1
NO 2