Survey Text

Afghanistan 2015 Ethiopia 2019 Morocco 1992 Senegal 1992
Bangladesh 1994 Ghana 2014 Morocco 2003 Senegal 1997
Bangladesh 1997 Guinea 2018 Namibia 1992 Senegal 2005
Bangladesh 2000 Jordan 1990 Namibia 2000 Senegal 2010
Bangladesh 2004 Jordan 1997 Namibia 2006 Senegal 2012
Bangladesh 2007 Jordan 2002 Namibia 2013 Senegal 2014
Burkina Faso 1993 Jordan 2007 Nepal 1996 Senegal 2015
Burkina Faso 1998 Jordan 2009 Nepal 2001 Senegal 2016
Burkina Faso 2003 Jordan 2012 Nepal 2006 South Africa 1998
Cameroon 1991 Kenya 2014 Nepal 2011 South Africa 2016
Cameroon 2018 Lesotho 2004 Nepal 2016 Tanzania 1996
Chad 1996 Lesotho 2009 Nigeria 2018 Zambia 1996
Chad 2004 Lesotho 2014 Pakistan 1991 Zambia 2001
Chad 2014 Liberia 2007 Pakistan 2006 Zambia 2018
Congo (Democratic Republic) 2007 Liberia 2013 Pakistan 2012
Congo (Democratic Republic) 2013 Malawi 2016 Rwanda 2014
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Afghanistan 2015
Survey form view entire document:  text 
304. Which method are you using? CIRCLE ALL MENTIONED.

IF MORE THAN ONE METHOD MENTIONED, FOLLOW SKIP INSTRUCTION FOR HIGHEST METHOD IN LIST.

FEMALE STERILIZATION A (GO TO 307)
MALE STERILIZATION B (GO TO 307)
IUD C (GO TO 308A)
INJECTABLES D (GO TO 308A)
IMPLANTS E (GO TO 308A)
PILL F
MALE CONDOM G (GO TO 306)
LACTATIONAL AMEN. METHOD K (GO TO 308A)
RHYTHM METHOD L (GO TO 308A)
WITHDRAWAL M (GO TO 308A)
OTHER MODERN METHOD X (GO TO 308A)
OTHER TRADITIONAL METHOD Y (GO TO 308A)

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Bangladesh 1994
Survey form view entire document:  text 
303. Have you ever used (METHOD)?

01. PILL, MAYA: Women can take a pill every day.
YES 1
NO 2
02. IUD, COPPER T: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
03. INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
04. CONDOM, RAJA: Men can use a rubber sheath during sexual intercourse.
YES 1
NO 2
05. FEMALE STERILIZATION, TUBAL LIGATION, TL: Have you ever had an operation to avoid having any more children?
YES 1
NO 2
06. MALE STERILIZATION, VASECTOMY: Men can have an operation to avoid having any more children.
YES 1
NO 2
07. SAFE PERIOD, COUNTING DAYS, CALENDAR, RHYTHM METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to become pregnant.
YES 1
NO 2
08. WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
09. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
NO 2

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Bangladesh 1997
Survey form view entire document:  text 
303. Have you ever used (METHOD)?

01. PILL, MAYA: Woman can take a pill every day.
YES 1
NO 2
02. IUD: Women can have a loop or coil placed inside them by a doctor.
YES 1
NO 2
03. INJECTIONS: Women can have an injection by a doctor or nurse which stops them from becoming pregnant for several months.
YES 1
NO 2
04. IMPLANT, 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 1
NO 2
05. CONDOM, RAJA: Men can put a rubber sheath on their penis during sexual intercourse.
YES 1
NO 2
06. FEMALE STERILIZATION, TUBAL LIGATION, TL: Have you ever had an operation to avoid having any more children?
YES 1
NO 2
07. MALE STERILIZATION, VASECTOMY: Has your husband ever had an operation to avoid having more children?
YES 1
NO 2
08. MENSTRUAL REGULATION, MR: When a woman's menstrual period does not come on time, she can go to a health centre or to the FWV and have a tube put in her for a short while to bring her period.
YES 1
NO 2
09. SAFE PERIOD, COUNTING DAYS, CALENDAR, RHYTHM METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to get pregnant.
YES 1
NO 2
10. WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
11. Have you hear of any other ways or method that women or men can use to avoid pregnancy?
YES (SPECIFY) 1
NO 2

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Bangladesh 2000
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 IN 302. 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. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
02. MALE STERILIZATION, VASECTOMY: Men can have an operation to avoid having any more children.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
03. PILL, MAYA: Women can take a pill every day.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
04. 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
05. 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
06. IMPLANTS, NORPLANTS: 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
07. CONDOM, RAJA: Men can put a rubber sheath on their penis before sexual intercourse.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
08. MENSTRUAL REGULATION, MR: When a woman's menstrual period does not come on time, she can go to a health centre or to the FWV and have a tube put in her for a short while to bring her period.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
09. SAFE PERIOD, COUNTING DAYS, CALENDAR, RHYTHM METHOD: Couples can avoid having sexual intercourse on certain days of the month when the woman is more 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. LACTATIONAL AMENORRHEA METHOD (LAM): Up to 6 months after childbirth, a woman can use a method that requires that she breastfeed frequently, day and night, and that her menstrual period has not returned.
SPONTANEOUS YES 1
PROBED YES 2
NO 3
12. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
SPONTANEOUS YES (SPECIFY) 1
PROBED YES 2
NO 3

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Bangladesh 2004
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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Bangladesh 2007
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.
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 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.

METHOD 01. FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 02. MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2
METHOD 03. PILL: Women can have an operation to avoid 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/FWV.
YES 1
NO 2
METHOD 05. INJECTABLES: Women can have an injection by a doctor or nurse/FWV which stops them from becoming pregnant for several 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/FWV which can prevent pregnancy for several 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. SAFE PERIOD (COUNTING DAYS, CALENDAR, RHYTHM METHOD): Couples can avoid having sexual intercourse on certain days of the month when the woman is more likely to get pregnant.
YES 1
NO 2
METHOD 09. WITHDRAWAL: Men can be careful and pull out before climax.
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)____
(SPECIFY)____
NO 2

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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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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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Cameroon 2018
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)?

01 Female Sterilization.
PROBE: Women 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 which can prevent pregnancy for one or more years.
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 Male 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 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
10 Standard Days Method.
PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.
YES 1
NO 2
11 Lactational Amenorrhea Method (LAM).
PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring intensive and frequent breastfeeding day and night.
YES 1
NO 2
12 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
13 Withdrawal.
PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
14 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, MODERN METHOD (SPECIFY)________ A
YES, TRADITIONAL METHOD (SPECIFY)________B
NO Y

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Chad 1996
Survey form view entire document:  text 
302) Have you ever heard of (METHOD)?

01. PILL Women can take a pill every day.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
02. IUD Women can have a sterilet that a doctor or nurse places inside their uterus.
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 one or more months.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
04. 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, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
05. DIAPHRAGM, FOAM OR GEL Women can place a sponge, a suppository, a diaphragm, gel, or cream in their vagina before intercourse.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
06. CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
07. FEMALE STERILIZATION Women can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
08. MALE STERILIZATION Men can have an operation to avoid having any more children.
YES, SPONTANEOUS 1
YES, DESCRIPTION 2
NO 3
09. RHYTHM/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, 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 ever heard of any other methods that men or women use to avoid pregnancy?
YES (SPECIFY): ___ 1
NO 3

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Chad 2004
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 301A FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 301A, 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 301A, ASK 302.

301a) Which ways or methods have you heard about? For methods not mentioned spontaneously, ask: Have you ever heard of (method)?

YES 1
NO 2

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Chad 2014
Survey form view entire document:  text 
314) CHECK 304:
CIRCLE METHOD CODE.
IF MORE THAN ONE METHOD CODE CIRCLED IN 304, CIRCLE CODE FOR HIGHEST METHOD IN LIST.

FEMALE STERILIZATION 01-SKIP TO 317A
MALE STERILIZATION 02-SKIP TO 326
IUD 03
INJECTABLES 04
IMPLANTS 05
PILL 06
CONDOM 07
FEMALE CONDOM 08
DIAPHRAGM 09
FOAM/JELLY 10
LACTATIONAL AMEN. METHOD 11-SKIP TO 315A
RHYTHM METHOD 12-SKIP TO 315A
WITHDRAWAL 13
OTHER MODERN METHOD 95
OTHER TRADITIONAL METHOD 96

13-96 SKIP TO 326


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Congo (Democratic Republic) 2007
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 CONTINUE 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 heard of (METHOD)?

01) FEMALE STERILIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO 02)
02) MALE STERILIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2 (GO TO 03)
03) PILL: women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2 (GO TO 04)
04) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2 (GO TO 05)
05) INJECTABLES: Women can have an injection by a heath provider which stops them from becoming pregnant for one or more months.
YES 1
NO 2 (GO TO 06)
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 07)
07) CONDOM: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2 (GO TO 08)
08) FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2 (GO TO 09)
09) DIAPHRAGM: Women can place a thin flexible disk in their vagina before intercourse.
YES 1
NO 2 (GO TO 10)
10) SUPPOSITORY, FOAM OR JELLY: Women can place a suppository, jelly or cream in their vagina before intercourse.
YES 1
NO 2 (GO TO 12)
12) RHYTHM OR PERIODIC ABSTINENCE: Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2 (GO TO 13)
13) WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2 (GO TO 14)
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 15)
15) 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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Congo (Democratic Republic) 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)?

01) FEMALE STERILIZATION
PROBE: Women can have an operation to avoid having any more children
Have you ever heard of (method)?
YES 1
NO 2
02) MALE STERILIZATION
PROBE: Men can have an operation to avoid having any more children
Have you ever heard of (method)?
YES 1
NO 2
03) IUD
PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.
Have you ever heard of (method)?
YES 1
NO 2
04) INJECTABLES
PROBE: Women can have an injection by a heath provider that stops them from becoming pregnant for one or more months.
Have you ever heard of (method)?
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.
Have you ever heard of (method)?
YES 1
NO 2
06) PILL
PROBE: Women can take a pill every day to avoid becoming pregnant
Have you ever heard of (method)?
YES 1
NO 2
07) CONDOM
PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
Have you ever heard of (method)?
YES 1
NO 2
08) FEMALE CONDOM
PROBE: Women can place a sheath in their vagina before sexual intercourse.
Have you ever heard of (method)?
YES 1
NO 2
08A) BEADS (CYCLE BEADS OR FIXED DAY METHOD)
PROBE: A woman uses a string of colors beads to know which days she could get pregnant. On the days she could get pregnant, she uses a condom or does not have sexual intercourse.
Have you ever heard of (method)?
YES 1
NO 2
09) SUPPOSITORY, FOAM, JELLY
PROBE: Women can insert a suppository, put foam or cream in their vagina before sexual intercourse.
Have you ever heard of (method)?
YES 1
NO 2
10) RHYTHM METHOD
PROBE: To avoid pregnancy, women do not have sexual intercourse on days of the month they think they can get pregnant.
Have you ever heard of (method)?
YES 1
NO 2
11) WITHDRAWAL
PROBE: Men can be careful and pull out before climax.
Have you ever heard of (method)?
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.
Have you ever heard of (method)?
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)
(SPECIFY)
NO 2

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Ethiopia 2019
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)?

01. Female Sterilization
PROBE: Women 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 which can prevent pregnancy for one of more years.

YES 1
NO 2


04. Injectables
PROBE: Women can have an injection by a health provider that stops them from becoming pregnant for three 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 of 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. Male Condom
PROBE: Men can put a rubber sheathe 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 (1) 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


10 (2) Standard Days Method.
PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse

YES 1
NO 2


11 (3) Lactational Amenorrhea Method (LAM)
PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring frequent breastfeeding day and night.

YES 1
NO 2


12. 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
14. Have you head of any other ways or methods that women or men can use to avoid pregnancy?
YES, MODERN METHOD (SPECIFY) ___ A
YES, TRADITIONAL METHOD (SPECIFY) ___ B
NO Y

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Ghana 2014
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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Guinea 2018
Survey form view entire document:  text 
SECTION 3. CONTRACPTION

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)?

01) Female Sterilization
PROBE: Women 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/midwife which can prevent pregnancy for one or more months.

YES 1
NO 2

04) Injectables
PROBE: Women can have an injection by a heath 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) 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

10) Standard Days Method
PROBE: A women uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.

YES 1
NO 2

11) Locational amenorrhea method (LAM)
PROBE: Up to six months after giving birth, before the menstrual period has returned, women use a method which requires her to breastfeed frequently day and night.

YES 1
NO 2

12) 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

13) Withdrawal
PROBE: Men can be careful and pull out before climax.

YES 1
NO 2

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

YES, MODERN METHOD (SPECIFY) A
YES, TRADITIONAL METHOD (SPECIFY) B
NO Y

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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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Jordan 2002
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 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.

METHODS:

01=FEMALE STERILIZATION
02=MALE STERILIZATION
03=PILL
04=IUD
05=INJECTABLES
06=IMPLANTS
07=CONDOM
08=FEMALE CONDOM
09=DIAPHRAGM
10=FOAM OR JELLY
11=LACTATIONAL AMENORRHEA METHOD (LAM)
12=RHYTHM OR PERIODIC ABSTINENCE
13=WITHDRAWAL
14=EMERGENCY CONTRACEPTION
15=OTHER METHOD


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Jordan 2007
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.

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.

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 midwife.
YES 1
NO 2
05 INJECTABLES: Women can have an injection by a health provider that stops them from becoming pregnant usually for 3 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 usually for 3 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 plastic sheath in their vagina before sexual intercourse.
YES 1
NO 2
09 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 WITHDRAWAL: Men can be careful and pull out before climax.
YES 1
NO 2
12 EMERGENCY CONTRACEPTION: As an emergency measure after unprotected sexual intercourse, women can take special pills at any time within five days to prevent pregnancy.
YES 1
NO 2
13: 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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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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Jordan 2012
Survey form view entire document:  text 
314. CHECK 304:
CHECK METHOD CODE:
IF MORE THAN ONE METHOD CODE CIRCLED IN 304, CIRCLE CODE FOR HIGHEST METHOD IN LIST.

NO CODE CIRCLED 00 (GO TO 324)
FEMALE STERILIZATION 01 (GO TO 317A)
MALE STERILIZATION 02 (GO TO 326)
IUD 03
INJECTABLES 04
IMPLANTS 05
PILL 06
CONDOM 07
FEMALE CONDOM 08
DIAPHRAGM 09
FOAM/JELLY 10
LACTATIONAL AMEN. METHOD 11 (GO TO 315A)
RHYTHM METHOD 12 (GO TO 315A)
WITHDRAWAL 13 (GO TO 326)
OTHER MODERN METHOD 95 (GO TO 326)
OTHER TRADITIONAL METHOD (GO TO 326)

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Kenya 2014
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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Lesotho 2004
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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Lesotho 2009
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 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 IUCD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
04 INJECTABLES Women can have an injection by a health provide that stops them from becoming pregnant for one or more months.
YES 1
NO 2
05 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
06 PILL Women can take a pill every day to avoid becoming pregnant.
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 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
10 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
11 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

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Lesotho 2014
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 IUCD. PROBE: Women can have a loop or coil placed inside them by a doctor or nurse.
YES 1
NO 2
METHOD 4 INJECTABLES/DEPO. 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 more years.
YES 1
NO 2
METHOD 6 PILL. PROBE: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
METHOD 7 MALE CONDOM. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
METHOD 8 FEMALE CONDOM. PROBE: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
METHOD 9 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 10 WITHDRAWAL. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
METHOD 11 EMERGENCY CONTRACEPTION/MORNING AFTER PILL. PROBE: As an emergency measure, within five days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
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) ____
NO 2

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Liberia 2007
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

301) Now I would like to talk about family planning or birth control. Which family planning 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 GO DOWN COLUMN 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE 1 IF METHOD IS RECOGNIZED AND 2 IF NOT RECOGNIZED. THEN FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302.

01 FEMALE STERILIZATION, TUBE TIE, TURNING THE WOMB. 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 getting pregnant.
YES 1
NO 2
04 IUD Women can have a loop or coil put 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, RAINCOAT Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
08 FEMALE CONDOM Women can put a sheath in their vagina before sexual intercourse.
YES 1
NO 2
09 RHYTHM METHOD, CALENDAR A woman can avoid getting pregnant if she doesn't have sex on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
11 EMERGENCY CONTRACEPTION After having unprotected sex, women can take special pills at any time within five days to prevent pregnancy.
YES 1
NO 2
12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
(SPECIFY) ______________
(SPECIFY) ______________
NO 2

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Liberia 2013
Survey form view entire document:  text 
301) Now I would like to ask about family planning or birth control - 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, Tube Tie, Turning the Womb. 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.
YES 1
NO 2
METHOD 4 Injectables, Depo. 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, Jadelle. 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
METHOD 6 Pill. PROBE: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
METHOD 7 Condom, Raincoat. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
METHOD 8 Female Condom. PROBE: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
METHOD 9 CycleBeads/Standard Days. PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.
YES 1
NO 2
METHOD 10 Lactational Amenorrhea Method (LAM)
YES 1
NO 2
METHOD 11 Rhythm Method (Safe days). PROBE: Every month that a women 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 12 Withdrawal. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
METHOD 13 Emergency Contraception (Morning-after pill). 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
METHOD 14 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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Malawi 2016
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)?

01. Female Sterilization.
PROBE: Women 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 which can prevent pregnancy for one or more years.
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 one or more small rods placed in their upper arm by a doctor of 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 penis before sexual intercourse.
YES 1
NO 2
09. 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
10. (2) Standard Days Method. PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.
YES 1
NO 2
11. (3) Lactational Amenorrhea Method (LAM).
PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring frequent breastfeeding day and night.
YES 1
NO 2
12. 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
13. Withdrawal. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
14. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, MODERN METHOD (SPECIFY)_____________1
YES, TRADITIONAL METHOD (SPECIFY)__________2
NO 3

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Morocco 1992
Survey form view entire document:  text 
400B) Have you ever heard of (METHOD)?

METHOD 1 Pill. PROBE: Women can take a pill every day.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 2 IUD. PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 3 Injectables. PROBE: Women can have an injection by a heath provider which stops them from becoming pregnant for several months.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 4 Diaphragm, foam or jelly. PROBE: Women can place a sponge, suppository, a diaphragm, a jelly, or cream in their vagina before intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 5 Condom. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 6 Female Sterilization. PROBE: Women can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 7 Male Sterilization. PROBE: Men can have an operation to avoid having any more children
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 8 Rhythm or Periodic abstinence. PROBE: 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
METHOD 9 Withdrawal. PROBE: Men can be careful and pull out before climax.
YES, SPONTANEOUSLY 1
YES, DESCRIPTION 2
NO 3
METHOD 10: Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, SPONTANEOUSLY (SPECIFY) 1
NO 2

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Morocco 2003
Survey form view entire document:  text 
301) FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK (METHOD)
Have you ever heard of (METHOD)?

302) Have you ever used (METHOD)

01) FEMALE STERILIZATION
Women can have an operation to avoid having any more children
YES 1
NO 2
302) Have you ever had an operation to avoid having any more children?
YES 1
NO 2
02) MALE STERILIZATION
Men can have an operation to avoid having any more children.
YES 1
NO 2
302) Did your husband have this 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
302) EVER USED PILL
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
302) EVER USED IUD
YES 1
NO 2
05) INJECTABLES
Women can have an injection by a nurse/midwife that stops them from becoming pregnant for one or more months.
YES 1
NO 2
302) EVER USED INJECTABLES
YES 1
NO 2
06) IMPLANTS
Women can have several small rods placed in their left arm by a doctor, which can prevent pregnancy for 5 years.
YES 1
NO 2
302) EVER USED IMPLANTS
YES 1
NO 2
07) CONDOM
Men can put a rubber sheath on their penis before sexual intercourse so that women do not fell pregnant
YES 1
NO 2
302) EVER USED CONDOM
YES 1
NO 2
08) DIAPHRAGM
Women can place a sheath in their vagina (female condom) or a thin flexible disk in their vagina before intercourse to prevent pregnancy.
YES 1
NO 2
302) EVER USED DIAPHRAGM
YES 1
NO 2
09) FOAM OR JELLY
Women can place a suppository, jelly, or cream in their vagina before intercourse to prevent pregnancy.
YES 1
NO 2
302) EVER USED FOAM OR JELLY
YES 1
NO 2
10) 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, so that her menstrual period does not return.
YES 1
NO 2
302) EVER USED LAM
YES 1
NO 2
11) RHYTHM OR PERIODIC ABSTINENCE
Only during few days a month can a woman fell pregnant after sexual intercourse. 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
302) EVER USED RHYTHM
YES 1
NO 2
12) WITHDRAWAL
Men can be careful and pull out before climax.
YES 1
NO 2
302) EVER USED WITHDRAWAL
YES 1
NO 2
13) OTHER
Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES (SPECIFY) ______ 1
NO 2
302) Have you ever used (OTHER METHOD)
YES 1
NO 2

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Namibia 1992
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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Namibia 2000
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 RECOGNISED, AND CODE 2 IF NOT RECOGNISED. 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 STERILISATION Women can have an operation to avoid having any more children.
YES 1
NO 2
02 MALE STERILISATION Men can have an operation to avoid having any more children.
YES 1
NO 2
03 PILL Women can take a pill every day to stop them from becoming pregnant.
YES 1
NO 2
04 IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
05 INJECTIONS Women can have an injection by a health provider which stops them from becoming pregnant for one or more months.
YES 1
NO 2
06 CONDOM Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
07 FEMALE CONDOM Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
08 DIAPHRAGM /FOAM/JELLY Women can place a sponge, suppository, diaphragm, jelly or cream in their vagina before intercourse.
YES 1
NO 2
09 RHYTHM OR PERIODIC ABSTINENCE Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
11 EMERGENCY CONTRACEPTION Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
YES 1
NO 2
12 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
(SPECIFY) ____
(SPECIFY) ____
NO 2

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Namibia 2006
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. 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.

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 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
10 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
11 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
12 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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Namibia 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)?

01) FEMALE STERLIZATION: Women can have an operation to avoid having any more children.
YES 1
NO 2
02) MALE STERLIZATION: Men can have an operation to avoid having any more children.
YES 1
NO 2
03) IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
YES 1
NO 2
04) 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
05) IMPLANTS: 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: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
07) CONTRACEPTIVE PATCH (EVRA): Women can have a transdermal patch applied to their skin that releases synthetic estrogen and progestin hormones to prevent pregnancy.
YES 1
NO 2
08) CONDOM: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
09) FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
10) LACTATIONAL AMENORRHEA METHOD (LAM):
YES 1
NO 2
11) RHYTHM METHOD: 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
12) WITHDRAWL: Men can be careful and pull out before climax or ejaculation.
YES 1
NO 2
13) EMERGENCY CONTRACEPTION: As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent.
YES 1
NO 2
14) 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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Nepal 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?

01 PILL Women can take a pill every day.
YES/SPONT 1
NO (GO TO 302 01)
02. IUD Women can have a loop or coil placed inside them by a doctor or a nurse.
YES/SPONT 1
NO (GO TO 302 02)
03 INJECTIONS Women can have an injection by a doctor, nurse or pharmacist, which stops them from becoming pregnant for several months.
YES/SPONT 1
NO (GO TO 302 03)
04 NORPLANT Women can have several small rods placed in their upper arms by a doctor or nurse which can prevent pregnancy for several years.
YES/SPONT 1
NO (GO TO 302 04)
05 DIAPHRAGM, FOAM, JELLY Women can place a sponged, suppository, diaphragm, jelly, or cream inside themselves before intercourse.
YES/SPONT 1
NO (GO TO 302 05)
06 CONDOM Men can put a rubber sheath on their penis during sexual intercourse.
YES/SPONT 1
NO (GO TO 302 06)
07 FEMALE STERILIZATION Women can have an operation to avoid having any more children.
YES/SPONT 1
NO (GO TO 302 07)
08 MALE STERILIZATION Men can have an operation to avoid having any more children.
YES/SPONT 1
NO (GO TO 302 08)
09 RHYTHEM, PERIODIC ABSTINENCE 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.
YES/SPONT 1
NO (GO TO 302 09)
10 WITHDRAWAL Men can be careful and pull out before climax.
YES/SPONT 1
NO (GO TO 302 10)
11 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES/SPONT 1
(SPECIFY)

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Nepal 2001
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 3O1 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 SPONTANEOULY, ASK: Have you ever heard of (MEHOD)?

01 FEMALE STERILIZATION Women can have an operation to avoid having any more children (also known as tubal ligation).
YES 1
NO 2
02 MALE STERILIZATION Men can have an operation to avoid having any more children (also known as a vasectomy).
YES 1
NO 2
03 PILL Women can take a pill every day to avoid becoming pregnant (ex. Nilocon).
YES 1
NO 2
04 IUD Women can have a loop or coil placed inside them by a doctor or a nurse (ex. Copper-T, Loop).
YES 1
NO 2
05 INJECTABLES Women can have an injection by a health provider which stops them from becoming pregnant for one or more months (ex. Sangini/Depo Provera).
YES 1
NO 2
06 IMPLANTS Women can have several small rods placed in their upper arm by a doctor or nurse which can help prevent pregnancy for one or more years (also known as NORPLANT).
YES 1
NO 2
07 CONDOM Men can put a rubber sheath on their penis before sexual intercourse (ex. Daal).
YES 1
NO 2
08 FOAM OR JELLY Women can place a suppository, foaming tablets, jelly, or cream in their vagina before intercourse (ex. Kamal).
YES 1
NO 2
09 RHYTHM OR PERIODIC ABSTINENCE Every month that a woman is sexually active, she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2
10 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
11 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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Nepal 2006
Survey form view entire document:  text 
SECTION 3B. CONTRACEPTION

313. 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?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you ever heard of (METHOD)?
CIRCLE CODE 1 IN 314 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 314, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE 1 IF METHOD IS RECOGNIZED, AND CODE 2 IF NOT RECOGNIZED.
PERFORM THE CHECK IN 315. IF '00' IS NOT CIRCLED IN 313,
THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 314, ASK 316.

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. 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
09. WITHDRAWAL Men can be careful and pull out before climax
YES 1
NO 2 (CONTINUE)
10. 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 (CONTINUE)
11. 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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Nepal 2011
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 pregancy. Have you ever heard of (METHOD)?

01) Female Sterilization. PROBE: Women 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 on 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 pill every day to avoid becoming pregnant.
YES 1
NO 2
07) Condom. PROBE: Med can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
08) Rhythm Method. PROBE: 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
09) Withdrawal. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
10) Emergency Contraception. PROBE: As an emergency measure, within three/five days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
YES 1
NO 2
11) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES 1
NO 2

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Nepal 2016
Survey form view entire document:  text 
315. CHECK 304: CIRCLE METHOD CODE:
IF MORE THAN ONE METHOD CODE CIRCLED IN 304, CIRCLE CODE FOR HIGHEST METHOD IN LIST.

NO CODE CIRCLED 00 (GO TO 326)
FEMALE STERILIZATION 01 (GO TO 319)
MALE STERILIZATION 02 (GO TO 327)
IUCD 03
INJECTABLES 04
IMPLANTS 05
PILL 06
CONDOM 07
EMERGENCY CONTRACEPTION 09
LACTATIONAL AMENORRHEA METHOD 11 (GO TO 323)
RHYTHM METHOD 12 (GO TO 323)
WITHDRAWAL 13 (GO TO 323)
OTHER MODERN METHOD 95
OTHER TRADITIONAL METHOD 96

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Nigeria 2018
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

301. Now I would like to talk about family planning- the various methods that a couple can use to delay or avoid pregnancy. Have you heard of (METHOD)?

01. Female Sterilization.
PROBE: Women 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 nurse which can prevent pregnancy for a while.
YES 1
NO 2
04. Injectable.
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 on 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. 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
10. Standard Days Method.
PROBE: A woman used a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.
YES 1
NO 2
11. Lactational Amenorrhea Method (LAM).
PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring frequent breastfeeding day and night.
YES 1
NO 2
12. Rhythm Method
PROBE: To avoid pregnancy, women do not have sexual intercourse on the days of the month they thing they can get pregnant.
YES 1
NO 2
13. Withdrawal.
PROBE: Men can be careful and pull out before climax.
YES 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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Pakistan 2006
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? (1)
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.

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 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)

The LAM method should be deleted in countries that do not have a LAM program.

09 LACTATIONAL AMENORRHEA METHOD (LAM) (2)
YES 1
NO 2 (GO TO NEXT METHOD)
10 RHYTHM METHOD Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
YES 1
NO 2 (GO TO NEXT METHOD)
11 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2 (GO TO NEXT METHOD)
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 (GO TO NEXT METHOD)
13 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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Pakistan 2012
Survey form view entire document:  text 
301) Now I would like to talk about family planning - the various way or methods that a couple can use to delay or avoid a pregnancy.
Have you ever heard of (METHOD)?

301A) Have you ever used (METHOD)?

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

01. Female Sterilization. PROBE: Women can have an operation to avoid having any more children.
Have you ever had an operation to avoid any more pregnancies?
YES 1
NO 2
02. Male Sterilization. PROBE: Men can have an operation to avoid having any more children
Has your husband ever had an operation to avoid having any more pregnancies?
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 ___(SPECIFY)
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 ___(SPECIFY)
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 ___(SPECIFY)
NO 2
06. Pill. PROBE: Women can take a pill every day to avoid becoming pregnant.
YES 1 ___(SPECIFY)
NO 2
07. Condom. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1 ___(SPECIFY)
NO 2
08. Standard Days Method. PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, they use a condom or does not have sexual intercourse under 6-month and her monthly bleeding has not returned.
YES 1 ___(SPECIFY)
NO 2
09. Lactational Amen. Method (LAM)
YES 1 ___(SPECIFY)
NO 2
10. Rhythm Method. PROBE: 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 ___(SPECIFY)
NO 2
11. Withdrawal, Azal. PROBE: Men can be careful and pull out before climax.
YES 1 ___(SPECIFY)
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.
YES 1 ___(SPECIFY)
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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Rwanda 2014
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

301) Now I would like to ask 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 (uterus) by a doctor or nurse.
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/Jadelle. 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
METHOD 6 Pill. PROBE: Women can take a pill every day to avoid becoming pregnant.
YES 1
NO 2
METHOD 7 Condom. PROBE: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
METHOD 8 Female Condom. PROBE: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
METHOD 9 Lactational Amenorrhea Method (LAM)
YES 1
NO 2
METHOD 10 Rhythm Method. PROBE: 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 11 Standard Days Methods (SDM). PROBE: The woman knows days of the month when she can get pregnant by using beads or calendar.
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
METHOD 14 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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Senegal 1992
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

Now I would like to talk to you 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?

301. CIRCLE CODE '1' ON LINE 302 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN CONTINUE DOWN THE COLUMN READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE CODE '2' IF THE 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 GOING ON TO THE NEXT QUESTION.

302. Have you ever heard of (METHOD)?

01. PILL Women can take a pill every day to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
02. IUD Women can have a loop or a coil placed inside them by a doctor or a nurse to avoid becoming pregnant.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
03. INJECTIONS Women can have an injection by a doctor, mid-wife or nurse to avoid becoming pregnant during many months
SPONTANEOUS YES 1
YES DESCRIPTION 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 one or more years.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
05. SPERMICIDES/DIAPHRAGM/JELLY Women can place a diaphragm in their vagina before sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
06. CONDOM Men can put a rubber sheath on their penis during sexual intercourse.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
07. 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)
08. 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)
09. 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.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
10. WITHDRAWAL Men can be careful to pull out before climax.
SPONTANEOUS YES 1
YES DESCRIPTION 2
NO 3 (GO TO NEXT METHOD)
11. Have you heard of other ways or methods that women or men can use to avoid pregnancy? LIST UP TO THREE METHODS.
(SPECIFY) _____
SPONTANEOUS YES 1
NO 3

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Senegal 1997
Survey form view entire document:  text 
301. Which ways or methods have you heard about?

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. 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
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 moth 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 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. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
SPONTANEOUS YES 1 (SPECIFY __________)
PROBED YES 2
NO 3

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Senegal 2005
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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Senegal 2010
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.

301. 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. IUD: Women can have a loop or coil placed inside them by a doctor, a nurse, or a midwife.
YES 1
NO 2
04. INJECTABLES: Women can have an injection by a heath provider that stops them from becoming pregnant for one or more months.
YES 1
NO 2
05. IMPLANTS: 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: Women can take a pill every day to avoid becoming pregnant
YES 1
NO 2
07. CONDOM: Men can put a rubber sheath on their penis before sexual intercourse.
YES 1
NO 2
08. FEMALE CONDOM: Women can place a sheath in their vagina before sexual intercourse.
YES 1
NO 2
09. LACTATIONAL AMENORRHEA METHOD (LAM): Up to 6 months after childbirth, a woman can use a method that requires that she breastfeeds frequently, day and night, and that her menstrual period has not returned.
YES 1
NO 2
10. RHYTHM METHOD: 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: Men can be careful and pull out before climax.
YES 1
NO 2
12. EMERGENCY CONTRACEPTION: Within three days after they have unprotected sexual intercourse, women can take special pills 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? IF YES, LIST TO UP TWO OTHER METHODS.
(SPECIFY)_____
YES 1
NO 2

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Senegal 2012
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)?

01) FEMALE STERILIZATION: PROBE: Women 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, nurse or midwife.
YES 1
NO 2
04) INJECTABLES: PROBE: Women can have an injection by a heath 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) LACTATIONAL AMENORRHEA METHOD (LAM): Up to six months after giving birth, a woman can use a method which requires her to breastfeed frequently, day and night, and her period does not return.
YES 1
NO 2
10) CYCLE BEADS: PROBE: A woman uses a string of colors beads to know which days she could get pregnant.
YES 1
NO 2
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
12) WITHDRAWAL: PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
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
14) Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
SPECIFY____ (LIST UP TO TWO METHODS)
YES 1
NO 2

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Senegal 2014
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)?

01) Female Sterilization
PROBE: Women 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, nurse or midwife.
YES 1
NO 2
04) Injectables
PROBE: Women can have an injection by a heath 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) Lactational amenorrhea method (LAM)
PROBE: Up to six months after giving birth, a woman can use a method which requires her to breastfeed frequently, day and night, and her period does not return.
YES 1
NO 2
10) Cycle beads
PROBE: A woman uses a string of colors beads to know which days she could get pregnant.
YES 1
NO 2
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
12) Withdrawal
PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
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
14) Have you heard of any other ways or methods that women or men can use to avoid pregnancy? LIST UP TO TWO METHODS
SPECIFY____
YES 1
NO 2

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Senegal 2015
Survey form view entire document:  text 
SECTION 3. CONTRACEPTION

301) Now I would like to talk about family planning: that is, the various ways or methods that a couple can use to delay or avoid a pregnancy.
Have you ever heard of (METHOD)?

01) Female Sterilization
PROBE: Women 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, nurse or midwife.
YES 1
NO 2

04) Injectables
PROBE: Women can have an injection by a heath 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) Lactational amenorrhea method (LAM)
PROBE: Up to six months after giving birth, a woman can use a method which requires her to breastfeed frequently, day and night, and her period does not return.
YES 1
NO 2
10) Cycle beads
PROBE: A woman uses a string of colors beads to know which days she could get pregnant.
YES 1
NO 2
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

12) Withdrawal
PROBE: Men can be careful and pull out before climax.
YES 1
NO 2

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

14) 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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Senegal 2016
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)?

01. Female Sterilization.
PROBE: Women 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 which can prevent pregnancy for one or more years.
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 one or more small rods placed in their upper arm by a doctor of 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 penis before sexual intercourse.
YES 1
NO 2
09. 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
10. (2) Standard Days Method. PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.
YES 1
NO 2
11. (3) Lactational Amenorrhea Method (LAM).
PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring frequent breastfeeding day and night.
YES 1
NO 2
12. 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
13. Withdrawal. PROBE: Men can be careful and pull out before climax.
YES 1
NO 2
14. Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, MODERN METHOD (SPECIFY)_____________1
YES, TRADITIONAL METHOD (SPECIFY)__________2
NO 3

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South Africa 1998
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?

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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South Africa 2016
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. Which ways or methods have you heard about? MARK ALL METHODS DECLARED BY THE RESPONDENT.

FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you ever heard of (METHOD)?

01 Female Sterilization/Tubal Ligation/Tubes Cut/Tubes Binded.
PROBE: Women can have an operation to avoid having any more children.
YES 1
NO 2
02 Male Sterilization/Vasectomy/Tubes Cut/Tubes Binded.
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 which can prevent pregnancy for one or more years.
YES 1
NO 2
04 Injectables/Depo.
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 Male 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 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
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 Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
YES, MODERN METHOD (SPECIFY) ____ A
YES, TRADITIONAL METHOD (SPECIFY) ______ B
NO Y

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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)

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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

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Zambia 2001
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 FOAM TABLETS, DIAPHRAGM OR JELLY Women can place a suppository, a diaphragm, jelly, or cream in their vagina before intercourse.
YES 1
NO 2
10 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
11 RHYTHM OR NATURAL FAMILY PLANNING 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
12 WITHDRAWAL Men can be careful and pull out before climax.
YES 1
NO 2
13 EMERGENCY CONTRACEPTION Women can take pills up to three days after sexual intercourse to avoid becoming pregnant.
YES 1
NO 2
14 Have you heard of any other ways or methods that women or men can use to avoid pregnancy? LIST UP TO TWO METHODS
SPECIFY___
YES 1
NO 2

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Zambia 2018
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. 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.

(301.01) Female Sterilization.

PROBE: Women can have an operation to avoid having any more children.

YES 1
NO 2

(301.02) Male Sterilization.

PROBE: Men can have an operation to avoid having any more children.

YES 1
NO 2

(301.03) IUD.

PROBE: Women can have a loop or coil placed inside them by a doctor, nurse, or clinic officer which can prevent pregnancy for one or more years.

YES 1
NO 2

(301.04) Injectable.

PROBE: Women can have an injection by a doctor, nurse, or clinic officer that stops them from becoming pregnant for one or more months.

YES 1
NO 2

(301.05) 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

(301.06) Pill.

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

YES 1
NO 2

(301.07) Male Condom.

PROBE: Men can put a robber sheath on their penis before sexual intercourse.

YES 1
NO 2

(301.08) Female Condom.

PROBE: Women can place a sheath in their vagina before sexual intercourse.

YES 1
NO 2

(301.09) 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

(301.10) Standard Days Method (Cycle Beads).

PROBE: A woman uses a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she uses a condom or does not have sexual intercourse.

YES 1
NO 2

(301.11) Lactational Amenorrhea Method (LAM).

PROBE: Up to six months after childbirth, before the menstrual period has returned, women use a method requiring frequent breastfeeding day and night.

YES 1
NO 2

(301.12) Rhythm Method.

PROBE: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get.

YES 1
NO 2

(301.13) Withdrawal

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

YES 1
NO 2

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

YES, MODERN METHOD (SPECIFY) _________________________ a
yes, traditional method (specify) _________________________ B
NO Y