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 Sante:

Kongo Central - Aire de Sante OR Kinshasa - Quartier:

Kongo Central - Village OR Kinshasa - Localite / rue:

Enumeration Area:

Structure number:

Household number:

001a. Are you in the correct household?

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

Go to the right household.

002. Your ID:

Is this your ID?

002. Enter your ID below.

Please record your ID

003a. Current date and time.

Is this date and time correct?

003b. Record the correct date and time.

The date must be between 2019-10-01 and 2020-10-01.

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 Sante OR Kinshasa - Quartier: ${level3_unlinked}

Kongo Central - Village OR Kinshasa - Localite / 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 ?010.?

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?

INFORMED CONSENT

Find the woman between the ages of 15-49 associated with this Female Questionnaire. The interview must have auditory privacy. Administer the consent procedures.

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?

008a. Provide a paper copy of the Consent Form to the respondent and read it. Then, ask: May I begin the interview now?

008b. Respondent's signature

Please ask the respondent to sign or check the box in agreement of their participation.

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 H to indicate the respondent does not want to be interviewed.

009. Interviewer's ID: ${your_name}

Mark your ID as a witness to the consent process.

009. Interviewer's ID

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

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

010. 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, Employment, and Migration

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:

Cannot be in the future.

102. How old were you at your last birthday?

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

Age in the Household Roster:

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.

#####

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

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

Only record formal schooling. Do not record bible or koranic school or short courses.

104. What is the highest [GRADE/ FORM / STANDARD / YEAR] you completed at that level?

Enter -99 for no response.

105. Are you still attending school?

106. How old were you when you left school?

Must be between 0 and 19.

107. What was the main reason for stopping your education?

108. Are you currently enrolled in any training program?

109. 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.

110. How much were you involved in the decision to get married - very much, not very much or not at all?

111. How much do you think you will be involved in the decision to get married - very much, not very much or not at all?

112. Have you ever had a partner / boyfriend?

113. How old were you the first time you had a boyfriend or partner?

Must be between 15 and 19.

114. Do you currently have a boyfriend or partner?

115. How many times have you been married or lived with a man as if married?

Enter -99 for no response.

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

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

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}

116a. CHECK: Based on the response you entered in 116, the respondent was possibly 15 years old or younger at the time of her first marriage.

Did you enter 116 correctly?

RETURN TO 116 TO CORRECT BEFORE CONTINUING

117. 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 '2030' for year to indicate 'No Response'.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

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}

117a. CHECK: Based on the response you entered in 117, the respondent was possibly 15 years old or younger at the time of her current or most recent marriage.

Did you enter 117 correctly?

117b. RETURN TO 107A TO CORRECT BEFORE CONTINUING

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

119. How long have you been living continuously in [NAME OF CURRENT PLACE OF RESIDENCE]?

Enter answer in years.

Enter 0 if less than 1 year.
Enter -95 for always.
Enter -96 for visitor.
Enter -99 for no response.

Years entered cannot exceed age.

120. How long have you been living continuously in this particular house / structure?

Enter answer in years.

Enter 0 if less than 1 year.
Enter -95 for always.
Enter -96 for visitor.
Enter -99 for no response.

Years entered cannot exceed age. Must be consistent with previous answer.

121. In the last 12 months, for how many nights have you slept away from your community?

PROBE: Community is the area where you are currently living

Enter -99 for no response.

122. In the last 12 months, for how many nights has your husband/partner slept away from your community?

PROBE: Community is the area where you are currently living

Enter -99 for no response.

MIG_1. Please tell me how many locations you have lived in for six (6) months or more after age 15 or after your first marriage (if you were younger than 15 years of age when you first got married).

Probe: Location means a community, village, or neighborhood.

Enter -99 for no response.

Respondent said she has lived in ${locations_lived} locations, is that correct?

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

I am now going to ask you some questions about the places you have lived starting with the place you lived before this place.

Residential history group

MIG_2. What is the name of the place you lived before this place?

MIG_3. Is ${place_lived} located in DRC or in another country?

MIG_4. In which province is ${place_lived}?

MIG_5. Was ${place_lived} a city, a town, or a rural area?

MIG_6. How old were you when you moved to ${place_lived}?

Enter -99 for no response.

Years entered cannot exceed age.

MIG_7. For what reason did you move to ${place_lived}?

Select all that apply.

Cannot select 'no response' with other options.

MIG_8. Now I will ask you about the place you lived before ${place_lived}.

123. Aside from your own housework, have you done any work in the last seven days?

Work is not always paid and can include things like work on the family farm or in the family business, selling things at the market, or running a small business.

124. Aside from your own housework, have you done any work in the last 12 months?

Work is not always paid and can include things like work on the family farm or in the family business, selling things at the market, or running a small business.

125. Are you paid in cash or kind for this work or are you not paid at all?

Receiving a regular salary only is CASH, receiving lodging and food only is IN-KIND, receiving food and money is CASH AND IN-KIND, not being paid - like work on the family farm - is NOT PAID

126. Who usually makes decisions about making large household purchases: you, your husband/partner, you and your husband/partner jointly, or someone else?

127. Who usually makes decisions about making household purchases for daily needs: you, your husband/partner, you and your husband/partner jointly, or someone else?

128. Who usually makes decisions about getting medical treatment for yourself: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_1. Who usually makes decisions about buying clothes for yourself: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_2. Who usually makes decisions about how your earnings will be used: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_3. Who usually makes decisions about how your husband/partner's earnings will be used: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_4. Do you own any land, either jointly or by yourself?

PROBE: This does not include land owned only by your husband.

EMP_5. Would you say that the money that you earn is more than what your husband/partner earns, less than what he earns, or about the same?

EMP_6. Did you take part in any of these activities over the past 30 days?

Read each option aloud and select if yes.

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

FIN_1. Do you currently have any savings for the future, such as a bank account, savings group, or cash?

FIN_2. Do you currently have any mobile money accounts (e.g. Mpesa, Orange Money, Airtel-Money)?

FIN_3. When it comes to managing your money and financial matters, what is your level of knowledge?

FIN_4. Do you know where to go for financial information or advice?

FIN_5. Do you have financial goals toward which you are working?

PROBE: These are specific financial goals you have setup for yourself.

Section 2 - Reproduction, Pregnancy and Fertility Preferences

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

202. How many times have you given birth?

Enter -99 for no response.

203. When was your FIRST birth?

Please record the date of the first live birth. Date should be found by calculating forward or backward from memorable events if needed.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: If the birth was after ${cc_start_date_lab} enter the birth and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' 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 of age. You entered: ${first_birth_lab}

Respondent's birth date: ${birthdate_lab}

CALENDAR: Add a "birth" annotation next to the month ${first_birth_lab} in the contraceptive calendar paper aid and enter the duration of the pregnancy.

204. When was your MOST RECENT birth?

Please record the date of the first live birth. Date should be found by calculating forward or backward from memorable events if needed. Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

CALENDAR: If the birth was after ${cc_start_date_lab} enter the birth and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' 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 of age. 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}

CALENDAR: Add a "birth" annotation next to the month ${recent_birth_lab} in the contraceptive calendar paper aid and enter the duration of the pregnancy.

205. Have you had any other births since January 2017?

206. When was that birth?

CALENDAR: Enter the birth and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

206 ERROR

Go back and correct entry.

Entry must be no earlier than: ${cc_start_date_lab}
Date entered: ${other_birth_lab}

CALENDAR: Add a "birth" annotation next to the month ${other_birth_lab} in the contraceptive calendar paper aid and enter the duration of the pregnancy.

207. Have you ever had a pregnancy that miscarried, was aborted, or ended in a stillbirth since January 2017?

208. When did that pregnancy end?

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Select 'Do not know' for month and '2030' for year to indicate 'No Response'.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future

208 ERROR

Go back and correct entry.

Entry must be no earlier than: ${cc_start_date_lab}
Date entered: ${pregnancy_end_lab}

CALENDAR: Add a "termination" annotation next to the month ${pregnancy_end_lab} in the contraceptive calendar paper aid and enter the duration of the pregnancy.

209. Are you pregnant now?

210. 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.

CALENDAR: Enter number of months pregnant in the calendar.

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

Add a "pregnant" annotation next to the current date ${today_ym} in the contraceptive calendar paper aid.

Add a "pregnant" annotation next to the most recent ${months_pregnant} months, including in ${today_ym}, in the contraceptive calendar paper aid.

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

You entered "Never menstruated" in 211 but the respondent 204 indicates she previously gave birth. Is that what she said?

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

Invalid. Go back

211. 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.

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

You entered "Never menstruated" in 211 but 209 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

212. How old were you at the time you experienced your first menstruation?

Enter -88 for do not know,
Enter -99 for no response.

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?

#####

Now I have some questions about the future.

214a. Would you like to have a child or would you prefer not to have any children?

214a. Would you like to have another child or would you prefer not to have any more children?

214b. After the child you are expecting now, would you like to have another child or would you prefer not to have any more children?

215a. 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.

215a. 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.

215b. 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.

216a. When you found out you were pregnant, how did you feel?

216b. If you got pregnant now, how would you feel?

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.

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 male 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?

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

303. 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.

CALC_CM. CALCULATE: CURRENT METHOD

THIS WILL NOT APPEAR ON THE SCREEN

ODK will identify the most effective method currently being used by the respondent by selecting the highest method in the choice list.

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

Show the image to the respondent.

LCL_302. Did you inject it yourself or did a healthcare provider do it for you?

304. Does your husband/partner know that you are using ${current_method_label}?

304. Does your husband/partner know that you are using family planning?

LCL_303. Did the provider tell you or your partner that this method was permanent?

305. If you needed family planning, where would you go?

306. Why would you choose this location?

307. Please tell me if you agree or disagree with the following statement: I would feel too shy or embarrassed to get family planning at a clinic, health center or physician's office if needed.

PROBE: This question is specifically about your feelings.

308. Please tell me if you agree or disagree with the following statement: I would feel too shy or embarrassed to get family planning at the pharmacy or chemist if needed.

PROBE: This question is specifically about your feelings.

309. 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?

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

311. When do you think you will start using a method?

Enter ${fp_start_lab}:

Use years if more than 36 months.

312. What method do you think you will use?

313. Would your husband/partner be supportive of you using family planning?

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

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

316. Since what month and year have you been using ${current_method_label} without stopping?

Calculate backwards from memorable events if needed.

CALENDAR: Enter episode of contraceptive use in the calendar.
Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

Most Recent Birth: ${rec_birth_date}

Current Marriage: ${rec_husband_date}

Date cannot be in the future.

You entered: ${begin_using_full_lab}
Today: ${today}

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

Respondent's birth date: ${birthdate_lab}

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

Most recent birth: ${rb_y_lab}

Add an annotation for ${current_method_label} next to the current date ${today_ym} in the contraceptive calendar paper aid.

Add an annotation for ${current_method_label} from ${ccal_start_date_label} to the current date ${today_ym} in the contraceptive calendar paper aid.

317. You first started using ${current_method_label} on ${start_date_lab}.

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

Scroll to bottom to see all choices.

317. Where did you or your partner get ${current_method_label} when you first started using it?

Scroll to bottom to see all choices.

Check here to acknowledge you considered all options.

318. When you obtained your ${current_method_label}, were you told by the provider about side effects or problems you might have with a method to delay or avoid pregnancy?

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

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

321. At that time, were you told that you could switch to a different method in the future?

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

323. Why didn't you obtain the method you wanted?

324a. During that visit, who made the final decision about what method you got?

324b. Who made the final decision to use rhythm?

324b. Who made the final decision to use LAM?

325. Would you return to this provider?

Provider: ${provider_label}

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

Provider: ${provider_label}

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

328. 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 328 if that is not correct.

Go back and change 328.

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

Note: the respondent said that she gave birth ${birth_events} times in 202.

Enter -99 for no response.

Must be zero or larger, or -99.

WARNING: you entered that the respondent gave birth ${birth_events} times in 202, 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 329. Is this what the respondent said?

It may be that the answers to 202 and 329 are correct. This screen is a warning for verification.

330. Have you used emergency contraception at any time in the last 12 months?

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

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

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

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

331. 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 109 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 109 is "Yes, currently married".

Check here to acknowledge you considered all options.

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

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

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

For any health services.

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

For any health services.

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

336. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

336a. Heard about family planning on the radio?

336b. Seen anything about family planning on the television?

336c. Read about family planning in a newspaper or magazine?

336d. Received a voice or text message about family planning on a mobile phone?

336e. Seen anything on social media about family planning that is Facebook, Viber, Twitter, WhatsApp or others?

337. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:

1 = Most
2 = Some
3 = Few
-99 = No Response

337. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:

1 = Most
2 = Some
3 = Few
-99 = No Response
337a. Adolescents who use family planning are promiscuous.

337. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:

1 = Most
2 = Some
3 = Few
-99 = No Response
337b. Family planning is only for women who are married.

337. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:

1 = Most
2 = Some
3 = Few
-99 = No Response
337c. Family planning is only for women who don't want any more children.

337. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:

1 = Most
2 = Some
3 = Few
-99 = No Response
337d. People who use family planning have a better quality of life.

338. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?

4 = Strongly agree
3 = Agree
2 = Disagree
1 = Strongly disagree
-99 = No response

338. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?

4 = Strongly agree
3 = Agree
2 = Disagree
1 = Strongly disagree
-99 = No response
338a. Adolescents who use family planning are promiscuous.

338. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?

4 = Strongly agree
3 = Agree
2 = Disagree
1 = Strongly disagree
-99 = No response
338b. Family planning is only for women who are married.

338. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?

4 = Strongly agree
3 = Agree
2 = Disagree
1 = Strongly disagree
-99 = No response
338c. Family planning is only for women who don't want any more children.

338. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?

4 = Strongly agree
3 = Agree
2 = Disagree
1 = Strongly disagree
-99 = No response
338d. People who use family planning have a better quality of life.

339. How important is it for you to achieve the following in the next two years:

339a. Complete secondary school / technical school / vocation school

339b. Attend university / tertiary institution

339c. Have a good job

339d. Start a business

339e. Find a partner

339f. Get married

339g. Have children

340. How important is it to your parents / guardian that you achieve the following in the next two years:

340a. Complete secondary school / technical school / vocation school

340b. Attend university / tertiary institution

340c. Have a good job

340d. Start a business

340e. Find a partner

340f. Get married

340g. Have children

341. Do you have any health insurance or are you a member of a mutual health organization?

342. What type of health insurance do you have?

RECORD ALL MENTIONED

Cannot select "No response" with other options.

Section 4 - Sexual Activity

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

Now I would like to ask some questions about sexual activity in order to gain a better understanding of some important life issues. Let me assure you again that your answers are completely confidential and will not be told to anyone. If we should come to any question that you don't want to answer, just let me know and we will go to the next question.

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

Current age: ${age}

Number of live births: ${birth_events}

The respondent is pregnant

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 401

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 401.

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

402. Looking back to the first time you had sexual intercourse, do you think you would have preferred to: have waited longer before having sex with anyone, not have waited so long, or was it the right time?

403. The first time you had sexual intercourse, would you say you and your partner were both equally willing to have sexual intercourse was one of you more willing than the other?

404. Which of these applied to you at the first time you had sex?

Read each option aloud and select if yes.

Cannot select "None of the above" or "No response" with other options.

405. How much do you think you will be involved in the decision to have sex for the first time -very much, not very much or not at all?

406. Did you and your partner want to avoid a pregnancy the first time you had sexual intercourse?

407. Did you or your partner do something or use any method to delay or avoid getting pregnant?

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

Must agree with the pregnancy status.

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.

Respondent is ${months_pregnant} months pregnant.

408. Enter ${last_time_sex_lab}.

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}

409. The last time you had sex did you or your partner use any method to avoid or prevent a pregnancy?

410. What method did you or your partner use?

411. Whose choice was it to use that method?

WGE_1. At the last time you had sex, did any of the following happen?

1 = Yes
0 = No
-99 = No Response

WGE_1a. I did not want to have sex at that time

WGE_1b. I felt pressured by my husband / partner to have sex then

WGE_1c. I did not consent (was forced) to have sex then

WGE_1d. I felt at risk of physical violence if I declined to have sex at that time

Section 5 - Women and Girls Empowerment Section

Now I'm going to ask you a series of statements about family planning and contraception. Please indicate how much you think these statements could apply to you by indicating how strongly you agree or disagree with the statement. Some will seem similar but we would like you to consider each one as different.
We can pause at any time. If you do not feel comfortable answering any of the statements, let me know and I will move onto the next statement.

501. If I use family planning, my husband/partner may seek another sexual partner.

502. If I use family planning, I may have trouble getting pregnant the next time I want to.

503a. There could be conflict in my relationship/marriage if I use family planning.

503b. There will be conflict in my relationship/marriage if I use family planning.

504. If I use family planning, my children may not be born normal.

505. If I use family planning, my body may experience side effects that will disrupt my relations with my husband/partner.

WGE_2. I can decide to switch from one family planning method to another if I want to.

WGE_3. I feel confident telling my provider what is important for me when selecting a family planning method.

Now I'm going to ask you a series of statements about pregnancy and childbearing. Please indicate how much you think these statements could apply to you by indicating how strongly you agree or disagree with the statement. Some will seem similar but we would like you to consider each one as different. We can pause at any time. If you do not feel comfortable answering any of the statements, let me know and I will move onto the next statement.

WGE_4a. I want to complete my education before I have a child.

WGE_4b. I wanted to complete my education before I had a child.

WGE_5. If I rest between pregnancies, I can take better care of my family.

WGE_6a. I can decide when I want to start having children.

WGE_6b. I could decide when I wanted to start having children.

WGE_7. I feel confident discussing with my husband/partner when to start having children.

WGE_8. I can decide when to have another child.

WGE_9a. I will be able to negotiate with my husband/partner when to stop having children.

WGE_9b. I can negotiate with my husband/partner when to stop having children.

Now I'm going to ask you a series of statements about sexual activity. Please indicate how much you think these statements could apply to you by indicating how strongly you agree or disagree with the statement. If you are not now living with a husband/partner, you can refer to your situation with your last husband/partner. Some will seem similar but we would like you to consider each one as different. We can pause at any time. If you do not feel comfortable answering any of the statements, let me know and I will move onto the next statement.

WGE_10. If I refuse sex with my husband/partner, he may stop supporting me.

WGE_11. If I refuse sex with my husband/partner, he may force me to have sex.

WGE_12. If I refuse sex with my husband/partner, he may physically hurt me.

WGE_13. If I show my husband/partner that I want to have sex, he may consider me promiscuous.

WGE_14. I am confident I can tell my husband/partner when I want to have sex.

WGE_15. I am able to decide when to have sex.

WGE_16. If I do not want to have sex, I can tell my husband/partner.

WGE_17. If I do not want to have sex, I am capable of avoiding it with my husband/partner.

Follow-up Consent

801. Thank you for the time you have kindly granted us.

Would you be willing to participate in another survey one year from now?

802. Do you own a phone?

803. Can I have your primary phone number in case we would like to follow up with you in the future?

Enter an 9-digit number without the country code. Do not include spaces or dashes.
Enter 0 for no response.

Invalid number of digits.

804. Can you repeat the number again?

Enter an 9-digit number without the country code. Do not include spaces or dashes.
Enter 0 for no response.

Number entered must match previously entered number.

805. Can I have your secondary phone number in case we would like to follow up with you in the future?

Enter an 9-digit number without the country code. Do not include spaces or dashes.
Enter 0 for no response.

Invalid number of digits.

806. Can you repeat the number again?

Enter an 9-digit number without the country code. Do not include spaces or dashes.
Enter 0 for no response.

Number entered must match previously entered number.

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.

Location and Questionnaire result

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 questionnaire.

Check answer to 006 and consent.

CONTRACEPTIVE CALENDAR: please enter answers from visual aid paper

2020: ENTER VALUE FROM COL. 1

Enter Value December 2020

Enter Value November 2020

Enter Value October 2020

Enter Value September 2020

Enter Value August 2020

Enter Value July 2020

Enter Value June 2020

Enter Value May 2020

Enter Value April 2020

Enter Value March 2020

Enter Value February 2020

Enter Value January 2020

Please verify your inputs for 2020. Are they correct?

Please correct any mistakes.

2019: ENTER VALUE FROM COL. 1

Enter Value December 2019

Enter Value November 2019

Enter Value October 2019

Enter Value September 2019

Enter Value August 2019

Enter Value July 2019

Enter Value June 2019

Enter Value May 2019

Enter Value April 2019

Enter Value March 2019

Enter Value February 2019

Enter Value January 2019

Please verify your inputs for 2019. Are they correct?

Please correct any mistakes.

2018: ENTER VALUE FROM COL. 1

Enter Value December 2018

Enter Value November 2018

Enter Value October 2018

Enter Value September 2018

Enter Value August 2018

Enter Value July 2018

Enter Value June 2018

Enter Value May 2018

Enter Value April 2018

Enter Value March 2018

Enter Value February 2018

Enter Value January 2018

Please verify your inputs for 2018. Are they correct?

Please correct any mistakes.

2017: ENTER VALUE FROM COL. 1

Enter Value December 2017

Enter Value November 2017

Enter Value October 2017

Enter Value September 2017

Enter Value August 2017

Enter Value July 2017

Enter Value June 2017

Enter Value May 2017

Enter Value April 2017

Enter Value March 2017

Enter Value February 2017

Enter Value January 2017

Please verify your inputs for 2017. Are they correct?

Please correct any mistakes.

Look for COL. 2 on the visual aid paper

2020: ENTER VALUE FROM COL. 2

Enter Value December 2020

Enter Value November 2020

Enter Value October 2020

Enter Value September 2020

Enter Value August 2020

Enter Value July 2020

Enter Value June 2020

Enter Value May 2020

Enter Value April 2020

Enter Value March 2020

Enter Value February 2020

Enter Value January 2020

2019: ENTER VALUE FROM COL. 2

Enter Value December 2019

Enter Value November 2019

Enter Value October 2019

Enter Value September 2019

Enter Value August 2019

Enter Value July 2019

Enter Value June 2019

Enter Value May 2019

Enter Value April 2019

Enter Value March 2019

Enter Value February 2019

Enter Value January 2019

2018: ENTER VALUE FROM COL. 2

Enter Value December 2018

Enter Value November 2018

Enter Value October 2018

Enter Value September 2018

Enter Value August 2018

Enter Value July 2018

Enter Value June 2018

Enter Value May 2018

Enter Value April 2018

Enter Value March 2018

Enter Value February 2018

Enter Value January 2018

2017: ENTER VALUE FROM COL. 2

Enter Value December 2017

Enter Value November 2017

Enter Value October 2017

Enter Value September 2017

Enter Value August 2017

Enter Value July 2017

Enter Value June 2017

Enter Value May 2017

Enter Value April 2017

Enter Value March 2017

Enter Value February 2017

Enter Value January 2017

Take picture of contraceptive calendar visual aid