PILL: Women can take a pill every day to delay or avoid pregnancy.

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

IUD: Women can have a plastic or metal coil or device placed inside their uterus by a doctor.

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

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

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

DIAPHRAGM/FOAM/JELLY: Women can place a sponge, suppository, diaphragm, jelly, or cream inside themselves before intercourse to avoid pregnancy.

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

CONDOM: Men use a condom to avoid getting the woman pregnant.

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

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

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

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

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

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

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

ABSTINENCE: Some couples, not including the post-natal period of abstinence, avoid sexual intercourse for months so that the woman doesn't get pregnant.

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

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.

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

MEDICAL PLANTS (bark, roots, leaves) are used by some women to delay or space out pregnancies.

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

TALISMANS: (charm, cord with knot, etc) are used by some women to delay or space out pregnancies.

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

PILL Women can take a pill every day to avoid becoming pregnant.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

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.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

INJECTIONS Women can have an injection by a health provider to avoid becoming pregnant during one or more months.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

CREAM, JELLY, SPONGE Some women put a diaphragm, a sponge, effervescent pills, jelly or cream before having sexual intercourse to avoid getting pregnant.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

CONDOM Men can put a rubber sheath on their penis before sexual intercourse.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

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

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

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

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

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.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

MEDICINAL PLANTS (stem, root, leaves) are products that can use to delay pregnancy.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

AMULET (cord with a knot) are things couples can use to delay pregnancy.

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

OTHER METHOD (SPECIFY) _____

01 NOTHING
02 ACCESSIBILITY/AVAILABILITY
03 COST
04 SECONDARY EFFECTS
05 INEFFECTIVE METHOD
06 HUSBAND OPPOSED
07 OTHER (SPECIFY) _____
98 DOESN'T KNOW

01. PILL: Women can take a pill every day to avoid becoming pregnant.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

02. IUD: Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

03. INJECTIONS: Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

04. OTHER SCIENTIFIC METHODS FOR THE WOMAN: Some women insert a diaphragm, a sponge, effervescent pills, jelly or cream before having sexual intercourse.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

05. CONDOM: Men can put a rubber sheath on their penis before sexual intercourse so that their wife does not get pregnant.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

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

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

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

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

08. RHYTHM METHOD: 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.

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

11. MEDICINAL PLANTS (bark, roots, leaves)

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

12. GRIS-GRIS (amulet cord, node, fass, galane)

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8

13. OTHER METHOD (SPECIFY) _____

NONE 1
ACCESS/AVAILABILITY 2
COST 3
SECONDARY EFFECTS 4
METHOD DOESN'T WORK 5
HUSBAND OPPOSED 6
OTHER (SPECIFY) _____ 7
DOESN'T KNOW 8