Survey Text

Burundi 1987 Madagascar 1997 Niger 2012 Tanzania 1996
Guinea 1999 Malawi 1992 Nigeria 2003 Yemen 2013
Jordan 2009 Malawi 2000 Pakistan 1991 Zambia 1996
Kenya 2003 Mali 1987 South Africa 1998
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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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Guinea 1999
Survey form view entire document:  text 
301. Which ways methods of contraception 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 (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 heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUS 1
YES, PROBED 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 several years.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
06. CONDOM (RUBBER): Men can put a rubber sheath on their penis during sexual intercourse.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
07. 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)
08. 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)
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 (GO TO NEXT METHOD)
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES, SPONTANEOUS 1
YES, PROBED 2
NO 3 (GO TO NEXT METHOD)
11. 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, SPONTANEOUS 1
NO 3 (GO TO 304)
(SPECIFY) _____

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Jordan 2009
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

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

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

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.

1) FEMALE STERILIZATION. Women can have an operation to avoid having any more children.
YES 1
NO 2
2) MALE STERILIZATION. Men can have an operation to avoid having any more children.
YES 1
NO 2
3) PILL. Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
4) IUD. Women can have a loop or coil placed inside them by a doctor or a midwife.
YES 1
NO 2
5) INJECTABLES. Women can have an injection by a health provider that stops them from becoming pregnant usually for 3 months.
YES 1
NO 2
6) IMPLANTS. Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy usually for 3 years.
YES 1
NO 2
7) CONDOM. Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
8) FEMALE CONDOM. Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
9) LACTATIONAL AMENORRHEA METHOD (LAM)
YES 1
NO 2
10) 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
11) WITHDRAWL. Man 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) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1 (SPECIFY) ________
NO 2

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Kenya 2003
Survey form view entire document:  text 
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 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.

CIRCLE CODE 1 IF SHE HAS HEARD OF THE METHOD AND CODE 2 IF SHE HAS NOT HEARD OF IT. 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)?

METHOD 01) FEMALE STERILISATION Women can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 02) MALE STERILISATION Men can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 03) PILL Women can take a pill every day to stop them from becoming pregnant.
YES 1
NO 2
METHOD 04) IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
METHOD 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
METHOD 06) IMPLANTS, NORPLANT 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
METHOD 07) CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
METHOD 08) FEMALE CONDOM Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
METHOD 09) RHYTHM OR NATURAL METHODS 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
METHOD 10) WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
METHOD 11) EMERGENCY CONTRACEPTION Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
YES 1
NO 2
METHOD 12) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
(SPECIFY) ____
(SPECIFY) ____
NO 2

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Madagascar 1997
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 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. 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
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
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
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 SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3
05. DIAPHRAGM, FOAM OR GEL Women can place a diaphragm, gel or foam inside their vagina before sexual intercourse.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3
06. CONDOM Men can put a rubber or latex sheath on their penis before sexual intercourse.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3
07. FEMALE STERILIZATION Women can have an operation to avoid having any more children.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3
08. MALE STERILIZATION Men can have an operation to avoid having any more children.
YES SPONTANEOUSLY 1
YES DESCRIPTION 2
NO 3
09. 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
10. WITHDRAWAL Men can be careful and pull out before climax.
YES SPONTANEOUSLY 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?
(SPECIFY) ________
YES 1
NO 2

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Malawi 1992
Survey form view entire document:  text 
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) IUCD: 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) INJECTIONS: 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) NATURAL METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman 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 delay or avoid pregnancy? LIST UP TO THREE DIFFERENT METHODS.
(SPECIFY) ____
YES/SPONTANEOUS 1
NO 3

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Malawi 2000
Survey form view entire document:  text 
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) INJECTIONS: Women can have an injection by a health provider which stops them from becoming pregnant for three 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 sheath on their penis before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
08) FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
09) DIAPHRAGM: Women can place a thin flexible disk in their vagina before intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
10) FOAM OR JELLY: Women can place a suppository, jelly, or cream in their vagina before intercourse.
YES 1
NO 2 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
12) RHYTHM, BILLINGS OR OTHER NATURAL METHODS: 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: Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
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? LIST UP TO TWO DIFFERENT METHODS.
SPECIFY____
YES 1
NO 2

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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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Niger 2012
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 pregnancy.
Have you ever heard (METHOD)? (1)

01) Female Sterilization. PROBE: A woman can have an operation to avoid having any more children.
YES 1
NO 2
02) Male Sterilization. PROBE: Men can have an operation to avoid having any more children.
YES 1
NO 2
03) IUD. PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
04) Injectables. PROBE: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.
YES 1
NO 2
05) Implants. PROBE: Women can have one or more 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
06) Pill. PROBE: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
07) Condom. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
08) Female Condom. PROBE: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
09) (2) Lactational Amenorrhea Method (LAM) (2)
YES 1
NO 2
10) Rhythm Method. PROBE: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
YES 1
NO 2
11) Withdrawal. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
12) Emergency Contraception. PROBE: As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy. (3)
YES 1
NO 2
13) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES(SPECIFY)________ 1
(SPECIFY)________
NO 2

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Nigeria 2003
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 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
02. MALE STERILIZATION Men can have 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. 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 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
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 (SPECIFY): _____________ 1
NO 2

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Pakistan 1991
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 to avoid becoming pregnant.
YES/SPOT 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/SPOT 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
03 INJECTABLES Women can have an injection by doctor or nurse which stops them from becoming pregnant for several months.
YES/SPOT 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/SPOT 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
05 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
YES/SPOT 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/SPOT 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/SPOT 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/SPOT 1
YES/PROBED 2
NO 3 (GO TO NEXT METHOD)
09 WITHDRAWAL Men can be careful and pull out before climax.
YES/SPOT 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/SPOT 1 (SPECIFY) __________
NO 3 (GO TO 305)

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South Africa 1998
Survey form view entire document:  text 
302 Have you ever heard (METHOD)?

01 PILL Women can take a pill every day.
SPONTANEOUS YES1
PROBED YES 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.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
03 INJECTIONS Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
04 DIAPAGM, FOAM, JELLY Women can place a sponge, suppository, jelly, or cream in their vagina before sexual intercourse.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
05 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
06 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
07 MALE STERILIZATION Men can have an operation to avoid having any more children.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
08 RHYTHM, CALENDAR METHOD Every month that a woman is sexually active she can avoid having sexual intercourse on the days of the month she is most likely to get pregnant.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
09 WITHDRAWAL Men can be careful and pull out before climax.
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
10 HERBS. Women use natural herbs or Dutch remedies to avoid pregnancy
SPONTANEOUS YES1
PROBED YES 2
NO 3 (GO TO NEXT METHOD)
11 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
SPONTANEOUS YES 1
(SPECIFY) ________
(SPECIFY) ________
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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Yemen 2013
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

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. Have you ever heard of (METHOD)?

METHOD 1 FEMALE STERILIZATION. PROBE: Women can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 2 MALE STERILIZATION. PROBE: Men can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 3 IUD. PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse or midwife.
YES 1
NO 2
METHOD 4 INJECTABLES. PROBE: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.
YES 1
NO 2
METHOD 5 IMPLANTS. PROBE: Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or two years.
YES 1
NO 2
METHOD 6 PILL. PROBE: Women can take a pill every day to avoid becoming pregnancy.
YES 1
NO 2
METHOD 7 CONDOM. PROBE: Men can put a rubber sheath on their penis before sexual intercourse to avoid pregnancy.
YES 1
NO 2
METHOD 8 FEMALE CONDOM. PROBE: Women can place a sheath in their vagina before sexual intercourse to avoid pregnancy.
YES 1
NO 2
METHOD 9 DIAPHRAGM. PROBE: It is a soft latex with a spring that creates a seal against the walls of the vagina.
YES 1
NO 2
METHOD LACTATIONAL AMENORRHEA METHOD (LAM)
YES 1
NO 2
METHOD 11 RHYTHM METHOD. PROBE: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
YES 1
NO 2
METHOD 12 WITHDRAWAL. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
METHOD 13 EMERGENCY CONTRACEPTION. PROBE: As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
YES 1
NO 2
Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1 (SPECIFY)____
NO 2

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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