Survey Text

Burkina Faso 1993 Cameroon 1991 Morocco 1987 Zambia 1996
Burkina Faso 1998 Jordan 1990 Tanzania 1996
Burkina Faso 2003 Jordan 1997 Togo 1988
Burundi 1987 Mali 1987 Togo 1998
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Burkina Faso 1993
Survey form view entire document:  text 
302. Have you ever heard of (METHOD)?
READ THE DESCRIPTION OF EACH METHOD.

01. PILL: Women can take a pill every day to avoid becoming pregnant.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
03. INJECTABLES: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
04. MOUSSE, FOAM OR GEL: Women can place a mousse, gel or foam inside their vagina before sexual intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
05. CONDOM: Men can put a rubber or latex sheath on their penis before sexual intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
06. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
07. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
08. 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, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
09. WITHDRAWAL: Men can be careful and pull out before ejaculation.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
10. PROLONGED ABSTINENCE: Beyond the avoidance of sex traditionally observed after a birth, some couples avoid having sex for some months so the woman won't become pregnant.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
11. CHARM/TALISMAN: Some women use amulets/charms to avoid getting pregnant.

YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
12. OTHER METHODS: Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
(SPECIFY) _____
YES 1
NO 3 (GO TO NEXT METHOD)

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Burkina Faso 1998
Survey form view entire document:  text 
301. What are the ways or methods that have you heard about?
302. Have you ever heard of (METHOD)?

01. PILL: Women can take a pill every day to avoid becoming pregnant.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
03. INJECTABLES: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
04. MOUSSE, FOAM OR GEL: Women can place a mousse, gel or foam inside their vagina before sexual intercourse.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
05. CONDOM: Men can put a rubber or latex sheath on their penis before sexual intercourse.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
06. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
07. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
08. 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 SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
09. WITHDRAWAL: Men can be careful and pull out before ejaculation.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
10. OTHER METHODS: Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
(SPECIFY) _____
YES 1
NO 3 (GO TO 304)

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Burkina Faso 2003
Survey form view entire document:  text 
SECTION 3: CONTRACEPTION

Now I would like to talk about family planning and the various ways or methods that a couple can use to delay or avoid a pregnancy.

CIRCLE CODE '1' IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE '1' IF METHOD IS RECOGNIZED AND CODE '2' IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE '1' CIRCLED IN 301, ASK 302.

301. Which ways or methods have you heard about?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you ever heard of (METHOD)?

01. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO NEXT METHOD)
02. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO NEXT METHOD)
03. PILL: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2 (GO TO NEXT METHOD)
04. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
07. CONDOM: Men can put a rubber or latex sheath on their penis before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
08. FEMALE CONDOM: Women can place a latex sheath in their vagina before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
09. DIAPHRAGM: Women can place a diaphragm in their vagina before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
10. MOUSSE OR GEL: Women can insert a suppository, or put gel or cream inside their vagina before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
11. LACTATIONAL AMENORRHEA METHOD (LAM): Up until 6 months after giving birth, a woman can use a method that consists of nursing frequently, day and night, and that prevents her from getting her period again.
YES 1
NO 2 (GO TO NEXT METHOD)
12. 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 (GO TO NEXT METHOD)
13. WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
15. Have you heard of any other ways or methods that women or men can use to avoid pregnancy? IF YES, LIST UP TO TWO OTHER METHODS.
YES 1
NO 2
(SPECIFY) _____

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Burundi 1987
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

301) Now I would like to talk about a different topic. There are different traditional or modern ways or methods that a couple can use to delay or avoid pregnancy. Do you know any of these methods or have you heard of them?

INTERVIEWER:
CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. FOR EACH METHOD NOT MENTIONED, READ THE DESCRIPTION, ASK 302 AND CIRCLE CODE 2 IF THE METHOD IS RECOGNIZED. ASK 303 TO 305 FOR EACH METHOD CODED 1 OR 2 IN 301-302.

Code for 304

01 PUBLIC HOSPITAL/MATERNITY
02 HEALTH CENTER/MOTHER-INFANT CENTER
03 PUBLIC CLINIC
04 AUTHORIZED CLINIC
05 PRIVATE OFFICE
06 PHARMACY
07 TRADITIONAL HEALER
08 ACQUAINTANCES
09 OTHER (SPECIFY) _____
98 DK

Codes for 305

01 NONE
02 NOT EFFECTIVE
03 HUSBAND/PARTNER DISAPPROVES
04 SIDE EFFECTS
05 ACCESS/AVAILABILITY
06 COST
07 INCONVENIENT TO USE
08 OTHER (SPECIFY) ______
98 DK

(301- 302) Have you ever heard of this method?

PILL: Women can take a pill every day to delay or avoid pregnancy.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
IUD: Women can have a plastic or metal coil or device placed inside their uterus by a doctor.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
INJECTIONS: Women can have an injection by a doctor or a nurse which stops them from becoming pregnant for several months.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse to avoid pregnancy.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
CONDOM: Men use a condom to avoid getting the woman pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
FEMALE STERILIZATION: Women can have an operation to avoid having any more children
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
MALE STERILIZATION: Men can have an operation to avoid having any more children
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
ABSTINENCE: Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn't get pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
PERIODIC ABSTINENCE: Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
MEDICAL PLANTS (bark, roots, leaves) are used by some women to delay or space out pregnancies.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
TALISMANS: (charm, cord with knot, etc) are used by some women to delay or space out pregnancies.
YES, SPONT 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
OTHER METHODS: Have you heard of any other ways or methods, including traditional methods, that women or men can use to avoid pregnancy?
YES, SPONT 1
NO 3

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Cameroon 1991
Survey form view entire document:  text 
302) Which methods of contraception have you heard about?

01. Pill: Women can take a pill every day.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
02. IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
03. Injectables: Women can have an injection by a health provider which stops them from becoming pregnant for several months.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
04. Diaphragm/foam/jelly: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
05. Condom (rubber): Men can put a rubber sheath on their penis during sexual intercourse.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
06. Female Sterilization: Women can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
07. Male Sterilization: Men can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
08. Rhythm method/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; it is called the Ogino method.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
09. Abstinence: Outside of the cessation of sexual relations traditionally observed after giving birth, some couples avoid having sexual intercourse for months so that the woman doesn't become pregnant.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
10. Withdrawal: Men can be careful and pull out before climax.
YES/SPONTANEOUS 1
YES/DESCRIPTION 2
NO 3
11. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES/SPONTANEOUS (SPECIFY) 1
SPECIFY METHOD ONE: ___
SPECIFY METHOD TWO: ___
SPECIFY METHOD THREE: ___
NO 3

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Jordan 1990
Survey form view entire document:  text 
301) Now I would like to talk 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 about?

CIRCLE CODE 1 IN 302 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 RECOGNIZED.
THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 302, ASK 303-304 BEFORE PROCEEDING TO THE NEXT METHOD.

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

01) PILL: Women can take a pill every day
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
02) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
03) INJECTABLES: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
04) DIAPHRAGM, FOAM, JELLY: Women can place a sponge, suppository, diaphragm, jelly or cream inside them before intercourse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
05) CONDOM: Men can use a rubber sheath during sexual intercourse.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
06) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
07) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
08) RHYTHM, PERIODIC ABSTINENCE: Couples can avoid having sexual intercourse on certain days of the month when the women is more likely to become pregnant.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
09) WITHDRAWAL: Men can be careful and pull out before climax.
YES/SPONTANEOUS 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
10) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES/SPONTANEOUS 1 (SPECIFY) __________
NO 3 (GO TO 305)

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Jordan 1997
Survey form view entire document:  text 
SECTION 4. CONTRACEPTION

Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.
CIRCLE CODE 1 IN 401 FOR EACH METHOD MENTIONED SPONTANEOUSLY.
THEN PROCEED DOWN TO COLUMN 402, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 401 OR 402, ASK 403.

401. Which ways have you heard about?
402. Have you ever heard of (METHOD)?

01) PILL: Women can take a pill every day.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

02) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse

SPONTANEOUS YES 1
PROBED YES 2
NO 3

03) INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

04) IMPLANTS: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

05) DIAPHRAGM, FOAM, JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

06) CONDOM: Men can put a rubber sheath on their penis during sexual intercourse.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

07) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

08) MALE STERILIZATION: Men can have an operation to avoid having any more children.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

09) RHYTHM, PERIODIC ABSTINENCE: Every month that a woman is sexually active she can avoid having sexual intercourse on the days of the month that she is most likely to get pregnant.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

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

SPONTANEOUS YES 1
PROBED YES 2
NO 3

11) PROLONGED BREASTFEEDING: Women can breastfeed for longer period to avoid getting pregnant.

SPONTANEOUS YES 1
PROBED YES 2
NO 3

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

SPECIFY___________

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Mali 1987
Survey form view entire document:  text 
301. Which methods have you heard about?
302. Have you ever heard of (METHOD)?

PILL Women can take a pill every day to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
IUD Women can have a loop or a coil in plastic or metal placed inside their uterus by a doctor or a nurse to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
INJECTIONS Women can have an injection by a health provider to avoid becoming pregnant during one or more months.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
CREAM, JELLY, SPONGE Some women put a diaphragm, a sponge, effervescent pills, jelly or cream before having sexual intercourse to avoid getting pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
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)
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)
PERIODIC ABSTINENCE 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)
WITHDRAWAL Men can be careful to pull out before climax.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
ABSTINENCE Some couples, in addition to post natal abstinence, avoid having sexual intercourse so that the woman does not get pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
MEDICINAL PLANTS (stem, root, leaves) are products that can be used to delay pregnancy.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
AMULET (cord with a knot) are things couples can use to delay pregnancy.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
OTHER METHODS Have you heard of other ways or methods including traditional methods that women or men can use to avoid pregnancy?
(SPECIFY)__
YES SPONTANEOUS 1
NO 3

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Morocco 1987
Survey form view entire document:  text 
402) Have you ever heard of this method?

01) PILL
Women can take a pill every day to delay or avoid pregnancy.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
02) IUD
Women can have a plastic or metal coil or device placed inside their uterus by a doctor (or a midwife).
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
03) INJECTIONS
Women can have an injection by a doctor or a midwife which stops them from becoming pregnant for several months.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
04) OTHER SCIENTIFIC METHODS
Women can place a diaphragm, a sponge, suppository, jelly, or cream inside themselves before intercourse to avoid pregnancy.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
05) CONDOM
Men use a condom to avoid getting the woman pregnant.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
06) FEMALE STERILIZATION
Women can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
07) VASECTOMY
Men can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
08) PERIODIC ABSTINENCE
Some couples can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
09) VAGINAL DOUCHING
After sexual intercourse, some women wash themselves with water or something else to avoid getting pregnant.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
10) WITHDRAWAL
Men can be careful and pull out before climax
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
11) PROLONGED ABSTINENCE
Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn't get pregnant.
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3
12) OTHER METHODS
Have you heard of any other ways or methods, including traditional methods, that women or men can use to avoid pregnancy? (SPECIFY): ____
YES, SPONTANEOUSLY 1
YES, PROBED 2
NO 3

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Tanzania 1996
Survey form view entire document:  text 
301. Which ways or methods have you heard about?

METHOD 01 PILL Women can take a pill every day.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 03 INJECTABLES Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 04 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 05 DIAPHRAGM, FOAM, JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 06 CONDOM, RUBBER, RAINCOAT, DUREX A man can wear a rubber bag in his penis during sex to prevent pregnancy. The rubber bag is also used to prevent passing diseases such as AIDS and for cleanliness.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 07 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 08 MALE STERILIZATION Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 09 CALENDAR/SAFE PERIOD Couples can have sexual intercourse only during the safe period of the monthly cycle that is the times during monthly cycle when women is least likely to get pregnant.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 10 MUCUS METHOD A woman can observe daily the state of the mucus and avoid sexual intercourse at the time when the mucus is colorless and extremely elastic.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 11 WITHDRAWAL Men can be careful and pull out before climax.
SPONTANEOUS YES 1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
SPONTANEOUS YES 1 (SPECIFY) ______________
NO 3 (GO TO NEXT METHOD)

302. Have you ever heard of (METHOD)?

METHOD 01 PILL Women can take a pill every day.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 02 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 03 INJECTABLES Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 04 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 05 DIAPHRAGM, FOAM, JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 06 CONDOM, RUBBER, RAINCOAT, DUREX A man can wear a rubber bag in his penis during sex to prevent pregnancy. The rubber bag is also used to prevent passing diseases such as AIDS and for cleanliness.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 07 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 08 MALE STERILIZATION Men can have an operation to avoid having any more children.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 09 CALENDAR/SAFE PERIOD Couples can have sexual intercourse only during the safe period of the monthly cycle that is the times during monthly cycle when women is least likely to get pregnant.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 10 MUCUS METHOD A woman can observe daily the state of the mucus and avoid sexual intercourse at the time when the mucus is colorless and extremely elastic.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 11 WITHDRAWAL Men can be careful and pull out before climax.
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
METHOD 12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
NO 3

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Togo 1988
Survey form view entire document:  text 

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Togo 1998
Survey form view entire document:  text 
SECTION 3: FAMILY PLANNING

Now I would like to talk about family planning-the various ways or methods that a couple can use to delay or avoid a pregnancy.

CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 302, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED. THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 301 OR 302, ASK 303.

301) Which ways or methods have you heard about?

302) Have you ever heard of (METHOD)?

01) PILL: Women can take a pill every day.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
02) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
03) INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
04) NORPLANT: Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
05) DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
06) CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
07) FEMALE STERILIZATION: Women can have an operation to avoid having any more children
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
08) MALE STERILIZATION: Men can have an operation to avoid having any more children
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
09) RHYTHM METHOD/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, SPONTANEOUS 1
YES, PROBED 2
NO 3
10) WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
11) PROLONGED ABSTINENCE: Women can abstain from sexual intercourse for several months or several years.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3
12) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, SPONTANEOUS (SPECIFY) __________ 1
NO 3

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Zambia 1996
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.

CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY.
THEN PROCEED DOWN COLUMN 302, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.
CIRCLE CODE 2 IF METHOD IS RECOGNIZED, AND CODE 3 IF NOT RECOGNIZED.
THEN, FOR EACH METHOD WITH CODE 1 OR 2 CIRCLED IN 301 OR 302, ASK 303.

301. Which ways or methods have you heard about?
302. Have you ever heard of (METHOD)?

METHOD 01 PILL Women can take a pill every day.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 02 IUCD Women can have a loop or coil placed inside them by a doctor or a nurse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 04 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for several years.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 05 FOAMING TABLETS/JELLY Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 06 CONDOM Men can put a rubber sheath on their penis during sexual intercourse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 07 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 08 MALE STERILIZATION Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 09 NATURAL FAMILY PLANNING Couples can avoid having sexual intercourse on the days of the month when the woman is more likely to become pregnant.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 10 WITHDRAWAL Men can be careful and pull out before climax.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
METHOD 11 Have you heard of any other ways or methods that women or men can use to avoid pregnancy? LIST UP TO TWO METHODS
SPECIFY___
SPONTANEOUS YES 1
NO 3