NOTE: The same questionnaire was used for 2017a (Kinshasa) and 2017b (Kongo Central)

READ THIS WARNING: This female questionnaire is not linked to a household questionnaire.

ONLY continue if there is no linked female questionnaire under the "Edit Saved Form" Menu.

Press OK to continue

Did you check the Edit Saved forms menu for a linked female questionnaire?

Provide your signature to acknowledge that there is no linked female questionnaire.

Close and exit this form without saving. Look for a linked female questionnaire through the 'Edit Saved Forms' Menu.

Province:

Kongo Central - District OR Kinshasa - Zone de Santé:

Kongo Central - Aire de Santé OR Kinshasa - Quartier:

Kongo Central - Village OR Kinshasa - Localite / rue:

EA:

Address:

Structure number:

Household number:

001a. Are you in the correct household?

EA: {EA}
Structure #: {structure}
Household #: {household}

Go to the right household.

002. Your name:

Is this your name?

002. Enter your name below.

Please record your name

003a. Current date and time.

Is this date and time correct?

003b. Record the correct date and time.

The date must be between 2017-07-01 and 2018-04-01.

004a. The following info is from the household questionnaire. Please review to make sure you are interviewing the correct respondent.

004a. The following info is what you provided previously. Please review.

Province: {level1_unlinked}

Kongo Central - District OR Kinshasa - Health Zone: {level2_unlinked}

Kongo Central - Aire de Santé OR Kinshasa - Quartier: {level3_unlinked}

Kongo Central - Village OR Kinshasa - Localité / rue: {level4_unlinked}

Enumeration Area: {EA_unlinked}

Structure number: {structure_unlinked}

Household number: {household_unlinked}

004b. Is the above information correct?

Go to the right household or update the Household Roster if needed.

005. CHECK: You should be attempting to interview {firstname}. Is that correct?

If misspelled, select "yes" and update the name in question "011."

If this is the wrong person, you have two options:

(1) exit and ignore changes to this form. Open the correct form.

Or

(2) find and interview the person whose name appears above.

You must interview the right person.

006. Is the respondent present and available to be interviewed today?

007. How well acquainted are you with the respondent?

008. Has the respondent previously participated in PMA 2020 surveys?

INFORMED CONSENT

Find the woman between the age of 15-49 associated with this Female Respondent Questionnaire. The interview must have auditory privacy. Read the following greeting

Hello. My name is ____________________________________ and I am working for Kinshasa School of Public Health in collaboration with the Ministry of Health. We are conducting a local survey that asks women about various reproductive health issues. We would very much appreciate your participation in this survey. This information will help us inform the government to better plan health services. The survey usually takes between 15 and 20 minutes to complete. Whatever information you provide will be kept strictly confidential and will not be shown to anyone other than members of our survey team.
Participation in this survey is voluntary, and if we should come to any question you don't want to answer, just let me know and I will go on to the next question; or you can stop the interview at any time. However, we hope that you will participate in this survey since your views are important.
At this time, do you want to ask me anything about the survey?

009a. Provide a paper copy of the Consent Form to the respondent and explain it. Then, ask: May I begin the interview now?

009b. Respondent's signature

Checkbox

WARNING: the respondent has not signed or checked the box, despite agreeing to be interviewed. To conduct the survey, the respondent must sign or touch the checkbox.

You may go back to obtain a signature or check the box or you should go back to question 006 to indicate the respondent does not want to be interviewed.

010c. Interviewer's name: {your_name}

Mark your name as a witness to the consent process.

010c. Interviewer's name

Please record your name as a witness to the consent process. You previously entered "{name_typed}."

That is not what you entered for your name earlier in this survey.

011. Respondent's first name.

You may correct the spelling here if it is not correct, but you must be interviewing the person whose name appears below.

Section 1 - Respondent's Background, Marital Status, Household characteristics

Now I would like to ask about your background and socioeconomic conditions.

101. In what month and year were you born?

The age in the household roster is {age}

101. In what month and year were you born?

Month:

Year:

102. How old were you at your last birthday?

Age must be less than 130.
Must agree with 101.

WARNING: The age you entered for 102 is {FQ_age}, which makes her ineligible for interview. She must be at least 15 years old and not more than 49 years old.

If that age is correct, update her age on this screen, hit the back key, and save changes to exit the interview. This form will be deleted automatically upon saving it.

If that age is not correct, go back to the previous screen and enter the correct age.

WARNING: The age you entered for 102 is {FQ_age}. This does not agree with the household roster, but she is still eligible to be interviewed. If 102 is correct update the age on this screen to {FQ_age}. Otherwise, return to the previous screen and enter the correct age.

The age in the roster agrees with the age in 102. Go to the next screen without changing the number on this screen.

Age in the Household Roster:

This screen must agree with the previous one. Enter the right number.

103. What is the highest level of school you attended?

104. Are you currently married or living together with a man as if married?

Probe: If no, ask whether the respondent is divorced, separated, or widowed.

105. Have you been married or lived with a man only once or more than once?

106a. In what month and year did you start living with your FIRST husband / partner?

Select 'Do not know' for month and '2020' for year to indicate 'No Response'.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Date cannot be in the future.

You entered: {husband_cohabit_start_first_lab}
Today: {today}

Date of first living with husband/partner cannot be before respondent's birth. You entered: {husband_cohabit_start_first_lab}

Respondent's birth: {birthdate_lab}

Date of first living with husband/partner cannot be before respondent's birth. You entered: {hcf_y_lab}

Respondent's birth: {birthdate_lab}

106b. CHECK: Based on the response you entered in 106a, the respondent was possibly 15 years old or younger at the time of her first marriage.

Did you enter 106a correctly?

107a. Now I would like to ask about when you started living with your CURRENT or MOST RECENT husband / partner. In what month and year was that?

Select 'Do not know' for month and '2020' for year to indicate 'No Response'.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Date cannot be in the future.

You entered: {husband_cohabit_start_recent_lab}
Today: {today}

Date of living with current / most recent husband/partner cannot be before respondent's birth. You entered: {husband_cohabit_start_recent_lab}

Respondent's birth: {birthdate_lab}

Date of living with current / most recent husband/partner cannot be before respondent's birth. You entered: {hcs_y_lab}

Respondent's birth: {birthdate_lab}

Date of living with current / most recent husband/partner cannot be before date respondent started living with first partner. You entered: {husband_cohabit_start_recent_lab}

Date started living with first partner: {husband_cohabit_start_first_lab}

Year of living with current / most recent husband/partner cannot be before year respondent started living with first partner. You entered: {hcs_y_lab}

Year started living with first partner: {hcf_y_lab}

107b. CHECK: Based on the response you entered in 107a, the respondent was possibly 15 years old or younger at the time of her current or most recent marriage.

Did you enter 107a correctly?

108. Does your husband / partner have other wives or does he live with other women as if married?

109. Is your husband / partner living with you now or is he staying elsewhere?

Section 2 - Reproduction, Pregnancy and Fertility Preferences

Now I would like to ask about all the births you have had during your life.

200. Now I would like to ask about all the births you have had during your life. Have you ever given birth?

LCL201. How many times have you given birth?

Enter -99 for no response.

201a. Do you have any sons or daughters to whom you have given birth who are now living with you?

201b. How many sons live with you?

Zero is a possible response. Enter -99 for No response.

201c. How many daughters live with you?

Zero is a possible response. Enter -99 for No response.

The respondent said she has sons or daughters who are now living with her, but then she said zero sons and zero daughters live with her.

Go back and correct this inconsistency.

202a. Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?

202b. How many sons are alive but do not live with you?

Zero is a possible response. Enter -99 for No response.

202c. How many daughters are alive but do not live with you?

Zero is a possible response. Enter -99 for No response.

The respondent said she has sons or daughters who are now alive and do not live with her, but then she said zero sons and zero daughters are alive and live away from her.

Go back and correct this inconsistency.

203a. Have you ever given birth to a boy or girl who was born alive but later died?

IF NO, PROBE: Any baby who cried, who made any movement, sound, or effort to breathe, or who showed any other signs of life even if for a very short time?

LCL202. How many times have you given birth?

Enter -99 for no response.

203b. How many boys have died?

Zero is a possible response. Enter -99 for No response.

203c. And how many girls have died?

Zero is a possible response. Enter -99 for No response.

The respondent said she has sons or daughters who were born alive and later died, but then she said zero sons and zero daughters were born alive and later died.

Go back and correct this inconsistency.

STOP: The respondent said she has had fewer children than birth events. The number of children born must be equal to or greater than the number of birth events. All recorded birth events and children born must be live births.

Children born: {children_born}
Birth events: {birth_events}

Go back and change your numbers.

204. Just to make sure I have this right: you had a total of {birth_events} birth(s) during your life, resulting in {children_born} son(s) or daughter(s) born alive.

Is that correct?

Go back and change your numbers

205. When was your FIRST birth?

Please record the date of the FIRST birth. The date should be found by calculating backwards from memorable events if needed.

Select 'Do not know' for month and '2020' for year to indicate 'No Response'.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {first_birth_lab}
Today: {today}

First birth cannot be before respondent was 10 years old. You entered: {first_birth_lab}

Respondent's birth date: {birthdate_lab}

206. When was your MOST RECENT birth?

Select 'Do not know' for month and '2020' for year to indicate 'No Response'.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {recent_birth_lab}
Today: {today}

Date of most recent birth cannot be before respondent was 10 years old. You entered: {recent_birth_lab}

Respondent's birth date: {birthdate_lab}

Date of most recent birth must be at least 6 months after the first birth. You entered: {recent_birth_lab}

First birth: {first_birth_lab}

Year of most recent birth cannot be before first birth. You entered: {rb_y_lab}

Year of first birth: {fb_y_lab}

207. When did you give birth before the most recent one?

Select 'Do not know' for month and '2020' for year to indicate 'No Response'.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date of most penultimate birth cannot be before respondent was 10 years old. You entered: {penultimate_birth_lab}

Respondent's birth date: {birthdate_lab}

Date of penultimate birth must be at least 6 months before the most recent birth. You entered: {penultimate_birth_lab}

Most recent birth: {recent_birth_lab}

Date of penultimate birth cannot be after most recent birth. You entered: {pb_y_lab}

Most recent birth: {rb_y_lab}

Date of penultimate birth must be at least 6 months after the first birth. You entered: {penultimate_birth_lab}

First birth: {first_birth_lab}

Year of penultimate birth cannot be before first birth. You entered: {pb_y_lab}

Year of first birth: {fb_y_lab}

208a. Is your last baby / child still alive?

208b. When did your last baby / child die?

Please record the date of the child's death. The date should be found by calculating backwards from memorable events if needed.

Select 'Do not know' for month and '2020' for year to indicate No Response.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {child_death_lab}
Today: {today}

Death of most recent child cannot be before respondent was 10 years old. You entered: {child_death_lab}

Respondent's birth date: {birthdate_lab}

Death of most recent child cannot be earlier than the date of child birth. You entered: {child_death_lab}

Most recent birth: {recent_birth_lab}

Year of death of most recent child cannot be earlier than the year of child birth. You entered: {cd_y_lab}

Year of most recent birth: {rb_y_lab}

209. When did your last menstrual period start?

If you select days, weeks, months, or years, you will enter a number for X on the next screen.

You entered "Never menstruated" in 209 but the respondent 206 indicates she previously gave birth. Is that what she said?

If no, return to the previous screen and change the response.

Invalid. Go back

209a. Enter {menstrual_period_lab}

Enter 0 days for today, not 0 weeks/months/years.

Must be 0 days or larger. Must be 1 week/month/year or larger.

210a. Are you pregnant now?

You entered "Never menstruated" in 209 but 210a indicates that the respondent is pregnant currently. Is that what she said?

If no, return to the previous screen and change the response.

Invalid. Go back

210b. How many months pregnant are you?

The most recent birth was: {rec_birth_date}

#####

Please record the number of completed months. Enter -88 for do not know, -99 for No response.

Value must be at least 0 and not more than 10. A current pregnancy must start after the most recent birth.

You entered that the respondent is {months_pregnant} months pregnant, but she said her last menstrual period started {menstrual_period_value} ({menstrual_period_lab}) ago. Is that what she said?

If no, return to the previous screen and change the response.

Invalid. Go back

Now I have some questions about the future.

211a. Would you like to have a child or would you prefer not to have any children?

211a. Would you like to have another child or would you prefer not to have any more children?

211b. After the child you are expecting now, would you like to have another child or would you prefer not to have any more children?

212a. How long would you like to wait from now before the birth of a child?

If you select months or years, you will enter a number for X on the next screen.

Select "Years" if more than 36 months.

Please check that you correctly entered the value for months/years.

212a. How long would you like to wait from now before the birth of another child?

If you select months or years, you will enter a number for X on the next screen.

Select "Years" if more than 36 months.

Please check that you correctly entered the value for months/years.

212b. After the birth of the child you are expecting now, how long would you like to wait before the birth of another child?

If you select months or years, you will enter a number for X on the next screen.

Select "Years" if more than 36 months.

Please check that you correctly entered the value for months/years.

212c. Enter the number of {waitchild} you would like to wait:

Use years if more than 36 months.

213a. Now I would like to ask a question about your last birth.

213b. Now I would like to ask a question about your current pregnancy.

At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any more children at all?

At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any children at all?

#####

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.

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.

An image will appear on the screen for some methods. If the respondent says that she has not heard of the method or if she hesitates to answer, read the probe aloud and show her the image, if available.

301a. Have you ever heard of female sterilization?

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

301b. Have you ever heard of male sterilization?

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

301c. Have you ever heard of the contraceptive implant?

PROBE: Women can have one or several small rods placed in her upper arm by a doctor or nurse, which can prevent pregnancy for one or more years.

301d. Have you ever heard of the IUD?

PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.

301e. Have you ever heard of injectables?

PROBE: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.

301f. Have you ever heard of the (birth control) pill?

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

301g. Have you ever heard of emergency contraception?

PROBE: As an emergency measure after unprotected sexual intercourse women can take special pills at any time within five days to prevent pregnancy.

301h. Have you ever heard of condoms?

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

301i. Have you ever heard of female condoms?

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

301j. Have you ever heard of the diaphragm?

PROBE: Women can place a thin flexible disk in their vagina before sexual intercourse.

301k. Have you ever heard of foam or jelly as a contraceptive method?

PROBE: Women can place a suppository, jelly, or cream in their vagina before sexual intercourse to prevent pregnancy.

301l. Have you ever heard of the standard days method or Cycle Beads?

PROBE: A Woman can use a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she and her partner use a condom or do not have sexual intercourse.

301m. Have you ever heard of the Lactational Amenorrhea Method or LAM?

301n. Have you ever heard of the rhythm method?

PROBE: Women can avoid pregnancy by not having sexual intercourse on the days of the month they think they can get pregnant.

301o. Have you ever heard of the withdrawal method?

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

301p. Have you ever heard of any other ways or methods that women or men can use to avoid pregnancy?

302a. Are you or your partner currently doing something or using any method to delay or avoid getting pregnant?

302b. Which method or methods are you using?

PROBE: Anything else?

Select all methods mentioned. SCROLL TO THE BOTTOM to see all choices.

You selected no response with another option.

Check here to acknowledge you considered all options.

LCL_301. PROBE: Was the injection administered via syringe or small needle?

Show the image to the respondent.

302c. Are you breastfeeding to delay or avoid getting pregnant?

303. Did the provider tell you or your partner that this method was permanent?

304. Do you know of a place where you can obtain a method of family planning?

305a. You said that you are not currently using a contraceptive method. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

305b. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

306a. In the last 12 months, have you ever done something or used a method to delay or avoid getting pregnant?

306b. Which method did you use most recently?

PROBE: Anything else?

Select most effective method (highest method in list). Scroll to bottom to see all choices.

Check here to acknowledge you considered all options.

LCL_302. PROBE: Was the injection administered via syringe or small needle?

Show the image to the respondent.

307. Before you started using {current_recent_label}, had you discussed the decision to delay or avoid pregnancy with your husband/partner?

308. Would you say that using contraception is mainly your decision, mainly your husband/partner's decision or did you both decide together?

309a. Since what month and year have you been using {current_recent_label} without stopping?

Calculate backwards from memorable events if needed.

Most Recent Birth: {rec_birth_date}

Current Marriage: {rec_husband_date}

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {begin_using_full_lab}
Today: {today}

Date of starting {current_recent_label} cannot be before 10 years of age. You entered: {begin_using_full_lab}

Respondent's birth date: {birthdate_lab}

Date of starting {current_recent_label} without stopping cannot be before most recent birth. You entered: {begin_using_full_lab}

Most recent birth: {recent_birth_lab}

Date of starting {current_recent_label} without stopping cannot be before most recent birth. You entered: {bus_y_lab}

Most recent birth: {rb_y_lab}

309b. When did you stop using {current_recent_label}?

Please record the date.
The date should be found by calculating backwards from memorable events if needed.

Select 'Do not know' for month and '2020' for year to indicate No Response.

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {stop_using_full_lab}
Today: {today}

Date of stopping {current_recent_label} must be within the last 12 months. Otherwise, the answer to 306a should be no. You entered: {stop_using_full_lab}

Today: {today}

Date of stopping {current_recent_label} must be within the last 12 months. Otherwise, the answer to 306a should be no. You entered: {spu_y_lab}

Today: {today}

309c. In what month and year had you started using {current_recent_label} before stopping?

Calculate backwards from memorable events if needed.

Select 'Do not know' for month and '2020' for year to indicate No Response.

Most Recent Birth: {rec_birth_date}

Current Marriage: {rec_husband_date}

Month:

Year:

If entering '2020' for No Response, must select 'Do not know' for month.

Cannot be in future.

Date cannot be in the future.

You entered: {ante_start_using_full_lab}
Today: {today}

Date of starting {current_recent_label} cannot be before 10 years of age. You entered: {ante_start_using_full_lab}

Respondent's birth date: {birthdate_lab}

Date of having stopped using {current_recent_label} cannot be before start of usage. You entered: {ante_start_using_full_lab}

Date of stopping use: {stop_using_full_lab}

Year of having stopped using {current_recent_label} cannot be before start of usage. You entered: {sus_y_lab}

Year of stopping use: {spu_y_lab}

309d. CHECK: Just to make sure I have this correct, you used {current_recent_label} continuously between {ante_start_using_m_y} and {stop_using_m_y} without stopping, is that correct?

GO BACK TO THE PREVIOUS SCREEN AND PROBE TO DETERMINE THE PERIOD OF MOST RECENT CONTINUOUS USE.

Suggested probes:
- When was the last time you used [METHOD]?
- How long had you been using [METHOD] without stopping

310. Why did you stop using {current_recent_label}?

311a. You first started using {current_recent_label} on {start_date_lab}.

Where did you or your partner get it at that time?

Scroll to bottom to see all choices.

Check here to acknowledge you considered all options.

311b. Where did you learn how to use rhythm method?

Scroll to bottom to see all choices.

311b. Where did you learn how to use lactational amenorrhea method?

Scroll to bottom to see all choices.

312a. When you obtained your {current_recent_label}, were you told by the provider about side effects or problems you might have with a method to delay or avoid getting pregnant?

312b. Were you told what to do if you experienced side effects or problems?

313. At that time, were you told by the family planning provider about methods of family planning other than the {current_recent_label} that you could use?

314a. During that visit, did you obtain the method you wanted to delay or avoid getting pregnant?

314b. When you began using rhythm was this the method you wanted to use to delay or avoid getting pregnant?

314b. When you began using LAM was this the method you wanted to use to delay or avoid getting pregnant?

314c. Why didn't you obtain the method you wanted?

315a. During that visit, who made the final decision about what method you got?

315b. Who made the final decision to use rhythm?

315b. Who made the final decision to use LAM?

316. Would you return to this provider?

Provider: {provider_label}

317. Would you refer your relative or friend to this provider / facility?

Provider: {provider_label}

318a. In the last 12 months, have you paid any fees for family planning services (including the most current method)?

318b. How much did you pay?

Enter all prices in FRANCS CONGOLAIS. Enter -88 if respondent does not know, -99 for no response.

Must be larger than 0, -88, or -99

LCL_303. Where did you obtain {current_recent_label} the last time?

Scroll to bottom to see all choices.

LCL_304. You mentioned you obtained or learned about the {current_recent_label} from {provider_label}. Why did you choose that location as your source for your contraceptive method?

PROBE: Any other reason?

Do not read the response options aloud.

RECORD ALL REASONS MENTIONED.

Cannot select "Do Not Know" or "No response" with other options.

Scroll to the bottom to see all choices.

319. Have you ever done anything or tried in any way to delay or avoid getting pregnant?

320. How old were you when you first used a method to delay or avoid getting pregnant?

The respondent said she was {age} years old at her last birthday.

Enter the age in years.
Enter -88 if the respondent does not know.
Enter -99 if there is no response.
Cannot be younger than 9.

Cannot be older than the current age of the respondent. Cannot be younger than 9. Cannot be after recent/current use.

Check: You entered that the respondent first used family planning at the age of {age_at_first_use}. Is that what she said?

Go back and change 320 if that is not correct.

Go back and change 320.

321. How many living children did you have at that time, if any?

Note: the respondent said that she gave birth {birth_events} times in 204.

Enter -99 for no response.

Must be zero or larger, or -99.

WARNING: you entered that the respondent gave birth {children_born} times in 204, and you entered that the respondent had {age_at_first_use_children} children alive at the time she first used a method to delay or avoid getting pregnant in 321. Is this what the respondent said?

It may be that the answers to 204 and 321 are correct. This screen is a warning for verification.

322. Which method did you first use to delay or avoid getting pregnant?

Do not read the method choices. Scroll to bottom to see all choices.

You said you are currently pregnant.

Check here to acknowledge you considered all options.

The respondent said she first used female sterilization, but she did not say that is her current method. Go back to 302a and 302b and update the selection for current method.

LCL_307. PROBE: Was the injection administered via syringe or small needle?

Show the image to the respondent.

323a. You said that you do not want a child soon and that you are not using a method to avoid pregnancy.

323a. You said that you do not want another child soon and that you are not using a method to avoid pregnancy.

323a. You said that you do not want any children and that you are not using a method to avoid pregnancy.

323a. You said that you do not want any more children and that you are not using a method to avoid pregnancy.

Can you tell me why you are not using a method to prevent pregnancy?

PROBE: Any other reason?

RECORD ALL REASONS MENTIONED

Cannot select "Not Married" if 104 is "Yes, currently married".

Scroll to bottom to see all choices.

Cannot select "Do not know" or "No response" with other options.

Cannot select "Not Married" if 104 is "Yes, currently married".

Check here to acknowledge you considered all options.

323b. Would you say that not using contraception is mainly your decision, mainly your husband/partner's decision or did you both decide together?

LCL_308a. If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?

If you select X children, you will enter a number for X on the following screen. If none, select X children, then enter 0.

Enter {children_des_lab}:

LCL_308b. If you could choose exactly the number of children to have in your whole life, how many would that be?

If you select X children, you will enter a number for X on the following screen. If none, select X children, then enter 0.

Enter {children_des2_lab}:

324. In the last 12 months, were you visited by a community health worker who talked to you about family planning?

CCP_301. In the last 12 months, did you participate in a group talk at the community level about family planning?

325a. In the last 12 months, have you visited a health facility or camp for care for yourself?

For any health services.

325a. In the last 12 months, have you visited a health facility or camp for care for yourself or your children?

For any health services.

325b. Did any staff member at the health facility speak to you about family planning methods?

In the last few months have you:

326a. Heard about family planning on the radio?

326b. Seen anything about family planning on the television?

326c. Read about family planning in a newspaper or magazine?

326d. Received a voice or text message about family planning on a mobile phone?

CCP_302a. Have you seen this image?

Show the logo to the respondent.

CCP_302b. Where did you see this image?

PROBE: Anywhere else?

Select all that apply.

CCP_302c. What is this image trying to say?

Select all that apply.

CCP_303a. Have you seen the billboard that states "How many children do you want?", and shows the FP logo?

Show a photo of the billboard to the respondent.

CCP_303b. What is this image trying to say?

Select all that apply.

Section 4. Sexual Activity

CHECK FOR THE PRESENCE OF OTHERS. BEFORE CONTINUING, MAKE EVERY EFFORT TO ENSURE PRIVACY.

401a. How old were you when you first had sexual intercourse?

Current age: {age}

Number of live births: {birth_events}

The respondent is pregnant

Enter the age in years.

Enter -77 if she has never had sex.
Enter -99 for no response.
Enter -88 for do not know.

Answer must agree with the current age and date of first birth.

WARNING: you entered -77, but the respondent is currently pregnant or has given birth before. Go back and fix.

The timing of the number of births should agree with 401a

WARNING: the respondent gave birth {birth_events} times, but first had sex at the age of {age_at_first_sex}, only {years_since_first_sex} years ago. Is that correct?

The timing of the number of births should agree with 401a.

You must reconcile 401a with the respondent's pregnancy history.

You entered that the respondent was {age_at_first_sex} years old the first time she had sexual intercourse. Is that what the she said?

Go back and change 401a if it is not correct.

Invalid. Go back

You entered that the respondent's age at first sex was {age_at_first_sex}. Previously the respondent said she has given birth at an earlier age: {age_first_birth}. Is that correct?

Go back and change "age at first sex" if it is not correct

You must reconcile 401a with the respondent's pregnancy history.

402. When was the last time you had sexual intercourse?

Respondent is {months_pregnant} months pregnant.

Answer must be in days or weeks up to 4 weeks or 30 days

#####

If less than 12 months ago, answer must be recorded in months, weeks, or days.

Enter 0 days for today.

You will enter a number for X on the next screen.

Must agree with the pregnancy status.

402. Enter {last_time_sex_lab}.

If today, enter zero days only, not zero weeks/months/years.

Must agree with the age of first sexual intercourse and the pregnancy status.

Days must be greater or equal to 0. Weeks/months/years must be greater than 0.

The respondent is pregnant. The time since last sex must not be earlier than one month prior to the start of pregnancy.

If number of months pregnant is unknown, then the time since last sex must be less than 11 months.

Months pregnant: {months_pregnant}
Last time sex units: {last_time_sex}
Last time sex value: {last_time_sex_value}

The respondent cannot enter a time since last sex that would be before her age at first sex.

Age at first sex: {age_at_first_sex}
Current age: {age}
Last time sex units: {last_time_sex}
Last time sex value: {last_time_sex_value}

Section 6 - Menstrual Hygiene

Now I'm going to ask you about menstrual hygiene management.
This includes the use of absorbent materials; access to a private, clean, safe space; washing as required; and a place to dispose used materials.

601. The last time you had your period, where were all the places that you changed, washed, dried, or disposed of used sanitary materials?

PROBE: Anywhere else?

Do not read options aloud. Select all that apply.

602a. Where do you most often change your used pads, cloths, or other sanitary materials?

You did not select that choice in 601.

Main Place: {main_mhm_label}

602b. While managing your menstrual hygiene, was this place:

Read each option aloud and select if yes.

Cannot select 'no response' or 'none of the above' with other options.

603. During your last menstrual period, what were all the materials that you used to absorb or collect your menstrual blood?

PROBE: Anything else?

Do not read options aloud. Select all that apply.

Cannot select 'no response' or 'no materials used' with other options.

604a. Did you wash and reuse pads, cloths, or other sanitary materials during your last menstrual period?

604b. During your last menstrual period, were the sanitary materials that you washed and reused completely dried before each reuse?

605. You mentioned that you used {mhm_materials_joined} during your last menstrual period. Where did you dispose of these materials after use?

PROBE: Anywhere else?

Do not read options aloud. Select all that apply.

606. Is there anything else that would help you manage your menstrual hygiene menstrual period that you do not usually have ?

PROBE : Anything else ?

Could include resources, materials, changes to your environment, etc. Do not read options aloud.

Section CCP 1 - Exposure to mass media

Now I would like to talk in more detail about your exposure to family planning information through Mass Media.

MM1. Have you watched the television show Libala Ya Bosembo within the past 6 months?

MM2. At the end of each libala ya bosembo show a message is given. The last time you watched the show, what messages had the greatest impression on you?

PROBE: What else?

Select all that apply.

MM3. Did they talk about using family planning methods during the show?

MM4. Did you speak with someone about the family planning messages from the television show Libala Ya Bosembo?

MM5. With whom did you speak?

PROBE: Anyone else?

Select all that apply.

MM6. Have you ever watched the mini-television show called "Elengi"?

MM7. Last time you watched the mini-television show Elengi, what was it about?

PROBE: What else?

Select all that apply.

MM8. Have you ever called the telephone hotline '3-2-1'?

MM9. The last time you called the hotline 3-2-1, what did you want information about?

PROBE: Anything else?

Select all that apply.

Section CCP 2 - Perceived self-efficacy in contraceptive use

Now I would like to talk about your level of confidence in your ability to access and use family planning methods. If you are not currently married or have a regular partner, try to imagine how you would respond if you were currently in union.

How confident are you that?

SE1. You can start a conversation with your husband/spouse/partner about family planning/birth spacing?

SE2. You can convince your husband/spouse/partner to use a method of family planning/birth spacing?

SE3. You can go to a site where methods of family planning / birth spacing are available if you decide to use one?

SE4. You can get a method of family planning/ birth spacing if you decide to use one?

SE5. You could use a method of family planning / birth spacing, even if your husband/ partner does not want to?

SE6. You can use a method of family planning / birth spacing, even if none of your friends or neighbors use one?

SE7. You could use a method of family / child spacing planning, even if your religious leader does not think you should use it?

SE8. You will continue to use a method of family planning / birth spacing, even if you experience side effects?

Thank the respondent for her time.

The respondent is finished, but there are still more questions for you to complete outside the home.

Thank you.

There are still more questions for you to complete outside the home.

095. Location

Take a GPS point near the entrance to the household. Record location when the accuracy is smaller than 6 m.

096. How many times have you visited this household to interview this female respondent?

097. In what language was this interview conducted?

098. Questionnaire result

Record the result of the female respondent survey

Check answer to 006 and consent.