Survey Text

Bangladesh 1994 Cote d'Ivoire 1998 Jordan 1990 Nigeria 1990
Bangladesh 1997 Egypt 1992 Jordan 1997 Nigeria 1999
Bangladesh 2000 Egypt 1995 Jordan 2007 Pakistan 1991
Bangladesh 2007 Egypt 2000 Kenya 2008 Pakistan 2006
Bangladesh 2011 Egypt 2003 Madagascar 1992 Rwanda 1992
Bangladesh 2014 Egypt 2005 Madagascar 1997 Senegal 1992
Benin 1996 Egypt 2008 Madagascar 2008 Tanzania 1991
Benin 2001 Eswatini (Swaziland) 2006 Malawi 1992 Tanzania 1996
Benin 2006 Ethiopia 2005 Mali 1995 Togo 1998
Burkina Faso 1993 Ghana 1993 Morocco 1992 Uganda 1995
Burkina Faso 1998 Ghana 1998 Mozambique 1997 Uganda 2006
Cameroon 1991 Ghana 2003 Namibia 1992 Zambia 1992
Cameroon 1998 Ghana 2008 Namibia 2006 Zambia 1996
Central African Republic 1995 Guinea 1999 Niger 1992 Zimbabwe 1994
Chad 1996 India 1998 Niger 1998 Zimbabwe 2005
Cote d'Ivoire 1994 India 2005 Niger 2006
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Bangladesh 1994
Survey form view entire document:  text 
315) May I see the package of pills you are now using?

RECORD NAME OF BRAND IF PACKAGE IS SEEN.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME __________ (GO TO 317)
PACKAGE NOT SEEN 2

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Bangladesh 1997
Survey form view entire document:  text 
315. May I see the package of pills you are using now?
RECORD NAME OF BRAND IF PACKAGE IN SEEN.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME ___
PACKAGE NOT SEEN 2

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Bangladesh 2000
Survey form view entire document:  text 
312A. May I see the package of pills that you are using now?
RECORD NAME OF BRAND IF PACKAGE IS SEEN

PACKAGE SEEN 1 (GO TO 318)
BRAND NAME ___
PACKAGE NOT SEEN 2

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Bangladesh 2007
Survey form view entire document:  text 
311A) CIRCLE 'A' FOR FEMALE STERILIZATION.

312) RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.

YES (USING PILL): May I see the package of pills you are using? RECORD NAME OF BRAND IF PACKAGE SEEN.
PACKAGE SEEN, BRAND NAME (SPECIFY)____ 1 (GO TO 313A)
PACKAGE NOT SEEN 2
NO (USING CONDOM BUT NOT PILL): May I see the package of condoms you are using? RECORD NAME OF BRAND IF PACKAGE SEEN.
PACKAGE SEEN, BRAND NAME (SPECIFY)____ 1 (GO TO 313A)
PACKAGE NOT SEEN 2

313) PLEASE SHOW THE BRAND CHART FOR PILLS AND CONDOMS. Do you know the brand name of the (pills/condoms) you are using? RECORD NAME OF BRAND.

BRAND NAME (SPECIFY)____
DON'T KNOW 98

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Bangladesh 2011
Survey form view entire document:  text 
305) May I see the brand name of the pills you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.
IF PACKAGE NOT SEEN SHOW THE BRAND CHART.
Please tell me among these which brand of pills are you using?
WRITE THE BRAND NAME.

PACKAGE/CHART SEEN 1 (GO TO 306A)
BRAND NAME (SPECIFY) _________ (GO TO 306A)
DON'T KNOW 8 (GO TO 306)

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Bangladesh 2014
Survey form view entire document:  text 
305. May I see the brand name of the pills you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN. IF PACKAGE NOT SEEN SHOW THE BRAND CHART.
Please tell me among these which brand of pills are you using?
SHOW AND WRITE THE BRAND NAME OF THE PILLS.

PACKAGE/CHART SEEN 1 (GO TO 306A)
BRAND NAME (SPECIFY) _______ (GO TO 306A)
DON'T KNOW 8 (GO TO 306A)

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Benin 1996
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Benin 2001
Survey form view entire document:  text 
312) May I see the package of pills you are using right now?
RECORD NAME OF BRAND IF PACKAGE IS SEEN

BOX SEEN 1 (GO TO 312B)
BRAND ______ (GO TO 312B)
BOX NOT SEEN 2

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Benin 2006
Survey form view entire document:  text 
312A) May I see the package of pills you are using right now?
RECORD NAME OF BRAND IF PACKAGE IS SEEN.

HARMONIE 01 (GO TO 312C)
DUOFEM 02 (GO TO 312C)
MICROGYNON 03 (GO TO 312C)
EUGYNON 04 (GO TO 312C)
LO-FEMENAL 05 (GO TO 312C)
CONFIANCE 06 (GO TO 312C)
MINIDRIL 07 (GO TO 312C)
STEDIRIL 08 (GO TO 312C)
OTHER (SPECIFY) ________96 (GO TO 312C)
PACKAGE NOT SEEN 98

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Burkina Faso 1993
Survey form view entire document:  text 
315. May I see the package of pills you are currently using?

MICRO-NOVUM 01 (GO TO 317)
LO-FEMENAL 02 (GO TO 317)
OVRETTE 03 (GO TO 317)
EUGYNON 04 (GO TO 317)
ADEPAL 05 (GO TO 317)
MINIPHASE 06 (GO TO 317)
MINIDRIL 07 (GO TO 317)
OTHER (SPECIFY) _____ 09 (GO TO 317)
PACKAGE NOT SHOWN 96

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Burkina Faso 1998
Survey form view entire document:  text 
315. May I see the package of pills you are currently using?
IF THE PACKAGE IS SHOWN, CIRCLE THE CORRESPONDING CODE.

MICRO-NOVUM 01 (GO TO 317)
LO-FEMENAL 02 (GO TO 317)
OVRETTE 03 (GO TO 317)
EUGYNON 04 (GO TO 317)
ADEPAL 05 (GO TO 317)
MINIPHASE 06 (GO TO 317)
MINIDRIL 07 (GO TO 317)
OTHER (SPECIFY) ______ 96 (GO TO 317)
PACKAGE NOT SEEN 98

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Cameroon 1991
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Cameroon 1998
Survey form view entire document:  text 
315) May I see the package of pills you are using right now?

(RECORD NAME OF BRAND IF PACKAGE IS SEEN).

LO FEMENA 01 (GO TO 317)
OVRETTE 02 (GO TO 317)
OTHER (SPECIFY): ___ 96 (GO TO 317)
PACKAGE NOT SEEN 98

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Central African Republic 1995
Survey form view entire document:  text 
314) May I see the package of pills you are using right now?
(RECORD NAME OF BRAND IF PACKAGE IS SEEN)

PACKAGE SEEN 1 (GO TO 316)
BRAND NAME (GO TO 316)
PACKAGE NOT SEEN 2

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Chad 1996
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Cote d'Ivoire 1994
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Cote d'Ivoire 1998
Survey form view entire document:  text 
315) May I see the package of pills you are using right now?

(CIRCLE CODE OF BRAND IF PACKAGE IS SEEN)

LO FEMENA 01 (GO TO 317)
OVRETTE 02 (GO TO 317)
CONFIANCE 03 (GO TO 317)
NOVEL-DUO 04 (GO TO 317)
OTHER (SPECIFY): ___ 96 (GO TO 317)
PACKAGE NOT SEEN 98

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Egypt 1992
Survey form view entire document:  text 
318) May I see the package of pills you are using now?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 320)
BRAND NAME (SPECIFY) ________ (GO TO 320)
PACKAGE NOT SEEN 2

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Egypt 1995
Survey form view entire document:  text 
332. May I see the package of pills you are using now? RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 334)
BRAND NAME __________ (GO TO 334)
PACKAGE NOT SEEN 2

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Egypt 2000
Survey form view entire document:  text 
342) Now I would like to ask you some additional questions about this current segment of use of the pill.
May I see the package of pills you are using now?
RECORD NAME OF BRAND

PACKAGE SEEN 1
BRAND NAME (SPECIFY) _______ (GO TO 344)
PACKAGE NOT SEEN 2

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Egypt 2003
Survey form view entire document:  text 
323. May I see the package of pills you are using now? RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 325)
BRAND NAME_______
PACKAGE NOT SEEN 2

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Egypt 2005
Survey form view entire document:  text 
333) May I see the package of pills you are using?
RECORD NAME OF BRAND.

334) Do you know the brand name of the pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 335)
BRAND NAME (SPECIFY) ________ __ __ (GO TO 335)
PACKAGE NOT SEEN 2

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Egypt 2008
Survey form view entire document:  text 
336. May I see the package of pills you are using? RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 338)
BRAND NAME (SPECIFY) ______
PACKAGE NOT SEEN 2

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Eswatini (Swaziland) 2006
Survey form view entire document:  text 
312) RECORD IF PILL OR CONDOM IS HIGHEST METHOD ON LIST IN 311.
PILL___: May I see the package of pills you are using?
MALE/FEMALE CONDOM____: May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1
BRAND NAME (SPECIFY)_____ (GO TO 314)
PACKAGE NOT SEEN 2

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Ethiopia 2005
Survey form view entire document:  text 
312. May I see the package of (pills/condoms) you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY)___ (GO TO 314)
PACKAGE NOT SEEN 2

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Ghana 1993
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Ghana 1998
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Ghana 2003
Survey form view entire document:  text 
312C. May I see the package of pill you are using now?
RECORD NAME OF BRAND.

PACKAGE SEEN 1
BRAND NAME___ (GO TO 312E)
PACKAGE NOT SEEN 2

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Ghana 2008
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Guinea 1999
Survey form view entire document:  text 
315. May I see the package of pills you are using right now?
RECORD NAME OF BRAND IF PACKAGE IS SEEN.

PLANYL 01 (GO TO 317)
OVRETTE 02 (GO TO 317)
LO FEMENAL 03 (GO TO 317)
MINIDRIL 04 (GO TO 317)
STEDIRIL 05 (GO TO 317)
ADEPAL 06 (GO TO 317)
MICROGYNON 07 (GO TO 317)
OTHER (SPECIFY) _____ 96 (GO TO 317)
PACKAGE NOT SEEN 98

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India 1998
Survey form view entire document:  text 
331. May I see the packet of pills/condoms you are using now?
IF PACKET SEEN, RECORD BRAND NAME.

PACKET SEEN 1 (GO TO 333)
BRAND NAME _______ (GO TO 333)
PACKET NOT SEEN 2

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India 2005
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Jordan 1990
Survey form view entire document:  text 
318) May I see the package of pills you are using now?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 320)
BRAND NAME (SPECIFY) ________ (GO TO 320)
PACKAGE NOT SEEN 2

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Jordan 1997
Survey form view entire document:  text 
414. May I see the package of pills you are now using? RECORD NAME OF BRAND IF PACKAGE IS SEEN.

PACKAGE SEEN 1
BRAND SEEN ________ (GO TO 416)
PACKAGE NOT SEEN 2

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Jordan 2007
Survey form view entire document:  text 
312) May I see the package of pills you are using?
IF PACKAGE SEEN RECORD CODE OF BRAND USING THE FIRST LIST OF CODES

IF PACKAGE NOT SEEN, ASK:
Do you know the brand name of the pills you are using?
RECORD CODE OF BRAND USING THE SECOND LIST OF CODES.

PACKAGE SEEN
CERAZETTE 11
OVRETTE 12
LOFEMENAL 13
MICROGYNON 14
YASMIN 15
OTHER 16
PACKAGE NOT SEEN
CERAZETTE 21
OVRETTE 22
LOFEMENAL 23
MICROGYNON 24
YASMIN 25
OTHER 26
DON'T KNOW 98

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Kenya 2008
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Madagascar 1992
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Madagascar 1997
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Madagascar 2008
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Malawi 1992
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Mali 1995
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Morocco 1992
Survey form view entire document:  text 
315) May I see the package of pills you are now using?

RECORD NAME OF BRAND IF PACKAGE IS SEEN.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME __________ (GO TO 317)
PACKAGE NOT SEEN 2

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Mozambique 1997
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Namibia 1992
Survey form view entire document:  text 
315) May I see the package of pills you are using now?
RECORD NAME OF BRAND.

TRIPHASIT 1
OVRAL 2
MICROVAL 3
NORDETTE 4
OTHER (SPECIFY)________ 5
PACKAGE NOT SEEN 6
(1-5 GO TO 317)

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Namibia 2006
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Niger 1992
Survey form view entire document:  text 
315) May I see the package of pills you are using now?

STEDIRIL 01 (GO TO 317)
MINIDRIL 02 (GO TO 317)
MILLI ANOVLAR 03 (GO TO 317)
EUGYNON 04 (GO TO 317)
ADEPAL 05 (GO TO 317)
MINIPHASE 06 (GO TO 317)
LO-FEMENAL 07 (GO TO 317)
EUGYNON 08 (GO TO 317)
OTHER (SPECIFY): ___ 09 (GO TO 317)
BOX NOT SHOWN 10

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Niger 1998
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Niger 2006
Survey form view entire document:  text 
312A. Can I see the pill box that currently you use?
IF THE PACKET IS SHOWN, CIRCLE THE CORRESPONDING CODE.

PLANYL 01 (GO TO 312C)
OVRETTE 02 (GO TO 312C)
LO FEMENAL 03 (GO TO 312C)
MINIDRIL 04 (GO TO 312C)
STEDIDRIL 05 (GO TO 312C)
ADEPAL 06 (GO TO 312C)
MICROGYNON 07
OTHER (SPECIFY) __________ 96 (GO TO 312C)
BOX NOT SEEN 98

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Nigeria 1990
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Nigeria 1999
Survey form view entire document:  text 
315. May I see the package of pills you are now using?
(RECORD NAME OF BRAND IF PACKAGE SEEN.)

PACKAGE SEEN 1
BRAND NAME ____________ ___ (GO TO 317)
PACKAGE NOT SEEN 2

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Pakistan 1991
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Pakistan 2006
Survey form view entire document:  text 
311) May I see the package of pills/condoms you are now using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 313)
BRAND NAME (SPECIFY) ___ (GO TO 313)
PACKAGE NOT SEEN 2

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Rwanda 1992
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Senegal 1992
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Tanzania 1991
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Tanzania 1996
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Togo 1998
Survey form view entire document:  text 
315) May I see the package of pills you are using right now?
(RECORD NAME OF BRAND IF PACKAGE IS SEEN)

BOX SEEN 1 (GO TO 317)
BRAND________ (GO TO 317)
NOT SEEN 2

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Uganda 1995
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Uganda 2006
Survey form view entire document:  text 
312 RECORD IF CODE 'C' FOR PILL IS CIRCLED IN 311.
YES (USING PILL)
May I see the package of pills you are using?

NO (USING CONDOM BUT NOT PILL)
May I see the package of condoms you are using?
RECORD NAME OF BRAND IF PACKAGE SEEN.

PACKAGE SEEN 1 (GO TO 314)
BRAND NAME (SPECIFY) ________ (GO TO 314)
PACKAGE NOT SEEN 2

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Zambia 1992
Survey form view entire document:  text 
315 May I see the package of pills you are using?
RECORD NAME OF BRAND.

PACKAGE SEEN 1 (GO TO 317)
BRAND NAME (SPECIFY) ________ (GO TO 317)
PACKAGE NOT SEEN 2

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Zambia 1996
Survey form view entire document:  text 
315. May I see the package of pills you are now using?

PACKAGE SEEN 1 (GO TO 317)

BRAND NAME ________ (GO TO 317)

PACKAGE NOT SEEN 2

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Zimbabwe 1994
Survey form view entire document:  text 
315) Now I would like to ask some questions about the brand of pill that you are using. Please show me the package of pills you are now using. RECORD NAME OF BRAND.

BRAND NAME __________
NOT ABLE TO SHOW 98 (SKIP TO 318)

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Zimbabwe 2005
Survey form view entire document:  text 
312) May I see the package of pills you are using?

RECORD NAME OF BRAND.

PACKAGE SEEN 01
PACKAGE NOT SEEN 02 (SKIP TO 313A)