Survey Text

Benin 2001 Jordan 2002 Malawi 2004 Rwanda 2005
Benin 2006 Jordan 2007 Mali 2001 Senegal 2005
Burkina Faso 2003 Kenya 2003 Mali 2006 Tanzania 2004
Cameroon 2004 Kenya 2008 Morocco 2003 Uganda 2001
Chad 2004 Lesotho 2004 Mozambique 2003 Zambia 2001
Congo (Democratic Republic) 2007 Madagascar 2003 Niger 2006
Ghana 2003 Madagascar 2008 Nigeria 2003
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Benin 2001
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818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Benin 2006
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851) If a man has a sexually transmitted disease, what symptoms might he have? Any other symptoms?
RECORD ALL MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY)_________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Burkina Faso 2003
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818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Cameroon 2004
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818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Chad 2004
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any other sign or symptom?
RECORD ALL SYMPTOMS MENTIONED

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) W
OTHER (SPECIFY) X
NO SYMPTOMS Y
DON'T KNOW Z

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Congo (Democratic Republic) 2007
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851) If a man has a sexually transmitted disease, what symptoms might he have?
Any other signs or symptoms?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
NO SYMPTOMS Y
DON'T KNOW Z

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Ghana 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Jordan 2002
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818. If a man has a sexually transmitted disease, what symptoms might he have? Any others? RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER_______W
OTHER_______X
NO SYMPTOMS Y
DON'T KNOW Z

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Jordan 2007
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916A) If a man has a sexually transmitted disease, what symptoms might he have?

Any other symptoms?

RECORD ALL MENTIONED

ABDOMINAL PAIN A
GENITAL DISCHARGE/ DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/ INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
FEVER M
OTHER (SPECIFY)_________________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Kenya 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z

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Kenya 2008
Survey form view entire document:  text 

918. If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL MENTIONED

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELL/DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE/NO ERECTION L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DOES NOT KNOW Z

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Lesotho 2004
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Madagascar 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Madagascar 2008
Survey form view entire document:  text 

942A. What are the signs or symptoms in a man that make you think he may have a sexually transmitted infection?
PROBE: Anything else?
RECORD ALL MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING DURING URINATION D
RASH/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
NO SYMPTOMS Y
DOESN'T KNOW Z

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Malawi 2004
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z

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Mali 2001
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Mali 2006
Survey form view entire document:  text 

851. When a man has a sexually transmitted infection, which symptom could he have?
Are there other symptoms?

RECORD ALL MENTIONED

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING URINATION D
GENITAL REDNESS/INFLAMMATION E
GENITAL SWELLING F
GENITAL SORE/ULCER G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __W
OTHER (SPECIFY) __X
NO SYMPTOMS Y
DOESN'T KNOW Z

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Morocco 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z

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Mozambique 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Niger 2006
Survey form view entire document:  text 

851. When a man has a sexually transmitted infection, which symptom could he have?
Are there other symptoms?
RECORD ALL MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING URINATION D
GENITAL REDNESS/INFLAMMATION E
GENITAL SWELLING F
GENITAL SORE/ULCER G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Nigeria 2003
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Rwanda 2005
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857. If a man has a sexually transmitted disease, what symptoms might he have? Any others?
RECORD ALL SYMPTOMS MENTIONED.

AGREE 1
DO NOT AGREE 2
DK/NOT SURE/IT DEPENDS 8

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Senegal 2005
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818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Tanzania 2004
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z

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Uganda 2001
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z

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Zambia 2001
Survey form view entire document:  text 

818) If a man has a sexually transmitted disease, what symptoms might he have?
Any others?

RECORD ALL SYMPTOMS MENTIONED.

ABDOMINAL PAIN A
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z