Province:

Kongo Central - District OR Kinshasa - Zone de Santé:

Kongo Central - Aire de Santé OR Kinshasa - Quartier:

Kongo Central - Village OR Kinshasa - Localité / rue:

Enumeration Area:

Structure number:

Household number:

001a. Are you in the correct household?

EA: {EA_nice}
Household head: {HQ_ODK_display_name}
Structure #: {structure}
Household #: {household}

Go to the right household.

002a. Your ID:

Is this your ID?

002a. Enter your ID below.

Please record your ID

003a. Is this date and time correct?

{today_formatted}

003b. Record the correct date and time.

The date must be between 2021-11-01 and 2022-12-31.

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

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} {hq_structure}

Household number: {household_unlinked} {hq_household}

004a. 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 work for the School of Public Health in Kinshasa in collaboration with the Ministry of Health. We are currently conducting a survey in Kinshasa and in Kongo Central on several issues related to women?s reproductive health and safety. We are asking you to participate in this study as you have participated in a previous study that we conducted last year, and you indicated that you would be willing to be participate in a follow-up survey. Although you agreed then to be recontacted for future surveys, you still have the right to decline to participate at any time. However, we would very much appreciate if you joined this study, as the information we collect will help inform the government to better plan health services. The interview should last about 1 hour, although the survey time for participants has ranged from 45 minutes to 1 hour and 45 minutes. Any information you provide will be strictly confidential and will not be shared with anyone outside our team members.

Participation in this study is voluntary, and if there is any question you do not want to answer, just let me know and I will move on to the next one. You may also interrupt the interview at any time. However, we hope that you will agree to participate in this survey as your point of view is very important.

Our team is collecting information on family planning, including contraception and abortion, in the Democratic Republic of Congo. We would like to ask you a few questions about yourself, as well as about activities related to family planning. Your information may be used for family planning activities and services in the Democratic Republic of Congo. The data collected will also be analyzed by researchers, but your name will be removed from all analyses, so your information remains anonymous.

This study will be carried out over a four-year period (2019-2022). Once you are included in the survey, we will visit you again after one year every year until the end of the study to interview you if you are still available to see us. As I mentioned earlier, each time we come back, you are under no obligation to see us, although our hope is that you will always be available to see us. This study is for public health surveillance. Additionally, there are two modules for research purposes. You have the option to decline to participate in those two modules.
You may refuse to answer any question as many times as you want or decide to end the interview at any time. Do you have any questions about this survey?

B. Researchers Contact Information
Take all the time you need to make your decision to participate or not in this study. We would be happy to answer any questions you may have regarding this research study. If you have additional questions, would like to voice a concern regarding this research, or if you have a research-related issue, you may contact the country coordinator of this study. I will also give you a copy of this form with the contact information of the study coordinator, whom you may contact directly for any questions regarding this study.
Before I proceed, do you have any questions regarding this survey?

008a. Read the verbal consent text.

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

009. Interviewer's ID: {your_name}

Mark your ID as a witness to the consent process.

010. Respondent's first name: {firstname_raw_auto}

Did you want to update the 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.

010. Respondent's first name:

011. Was this woman interviewed in ANY previous survey?

Check your list of panel women

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 {hq_age}.

101. In what month and year were you born?

Month:

Year:

Cannot be this year or in the future.

102. How old were you at your last birthday?

Age in the Household Roster: {hq_age}

Must be more than 14. Must agree with 101.

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

102c. In general, would you say your health is very good, good, moderate, bad, or very bad?

103. Have you attended school in the past 12 months?

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

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

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

Enter -99 for no response.

XS_101. How old were you when you left school?

Must be between 0 and the respondent's age.

107. What was the main reason you stopped attending school?

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. What is the highest level of schooling your husband/partner attended?

PL_101. Did you start living with your current husband / partner in past 12 months?

XS_102a. How much were you involved in the decision to get married ? very much, not very much or not at all?

XS_102b. How much do you think you will be involved in the decision to get married ? very much, not very much or not at all?

113. Have you ever had a partner / boyfriend?

XS_102. How old were you the first time you had a boyfriend or partner?

Must be between 0 and the respondent's age.

114. Do you currently have a boyfriend or partner?

INF_1. In what month and year did you begin this relationship?

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

Month:

Year:

Year should be between 1980 and today. Use 2030 for 'no response'

Year should be between 1980 and today. Use 2030 for 'no response'

XS_103. How many times have you been married or lived with a man as if married?

Enter -99 for no response.

Must be at least 1

XS_104. 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.

115. Now I would like to ask about when you started living with your CURRENT husband / partner. In what month was that?

Select 'Do not know' for month to indicate 'No Response'.
Month:

115. Now I would like to ask about when you started living with your CURRENT/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.

LCL_101. Does your husband / partner have other wives or does he live with other women as if married?

XS_105. 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.

XS_106. 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.

116. 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.

117. 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.

118. As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm or in the family business. Aside from your own housework, have you done any work in the last seven days?

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

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

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

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

123. 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. In the last 30 days, did you take part in any of these activities?

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)?

124. Do you have a way of accessing the internet?

125. How often do you access the internet?

126. What devices do you use to access the internet?

Read all options aloud and select all that apply

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

a. What other device do you use to access the internet?

127. When you use the internet, how often are you able to use it privately?

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.

Note: This respondent reported in a previous annual survey that she has given birth.

PL_201. Have you had any births since [Phase 1 survey interview date]?

PL_202. When was that birth?

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

CALENDAR: 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.

XS_201. 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 January 2019 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.

XS_202. 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 January 2019 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.

XS_203. Have you had any other births since January 2019?

XS_204. When was that birth?

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

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

CALENDAR: 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.

XS_205. Have you ever had a pregnancy that miscarried, was aborted, or ended in a stillbirth since January 2019?

XS_206. When did that pregnancy end?

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

CALENDAR: Enter the termination 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

PL_203. Have you had a pregnancy that miscarried, was aborted, or ended in a stillbirth since [Phase 1 survey interview date]?

PL_204. When did that pregnancy end?

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

CALENDAR: Enter the termination 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

203. Are you pregnant now?

204. How many months pregnant are you?

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.

205. 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.

205. 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.

INF_2. Have you had a procedure to remove the uterus?

INF_3. From one menstrual period to the next, are there certain days when a woman is more likely to become pregnant?

INF_4. Is this just before her period begins, during her period, right after her period has ended, halfway between two periods?

206a. Now I would like to ask a question about your last birth.

206b. 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?

207a. Before you became pregnant with your last birth, which best describes your situation?

Read response options and select one

207b. Before you became pregnant with your current pregnancy, which best describes your situation?

Read response options and select one

Now I have some questions about the future.

208a. Would you like to have a child or would you prefer not to have any children?

208a. Would you like to have another child or would you prefer not to have any more children?

208b. After the child you are expecting now, would you like to have another child or would you prefer not to have any more children?

209a. 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.

209a. 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.

209b. 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.

209c. Enter the number of {waitchild} you would like to wait:

Use years if more than 36 months.

INF_5. Are you currently trying to become pregnant?

INF_6. How long have you been trying to become pregnant?

Probe: ?Do not know? or ?No response?, probe to confirm if trying for more than 1 year.

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.

INF_6a. Enter the number of {preg_trying_lab} you have been trying to get pregnant:

210a. When you found out you were pregnant, how did you feel?

210b. 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 heard that there is a type of injectable that you can inject yourself?

301g. From whom did you hear about it?

301g2. Would your partner be supportive of you using an injection at home?

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

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

301i. 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.

301j. Have you ever heard of male condoms?

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

301k. Have you ever heard of female condoms?

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

301l. Have you ever heard of the diaphragm?

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

301m. 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.

301n. 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.

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

301p. 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.

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

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

301r. 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. Just to check, are you or your partner doing any of the following to avoid pregnancy: deliberately avoiding sex on certain days, using a condom, using withdrawal or using emergency contraception?

304. 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.

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

Show the image to the respondent.

LCL_302. Who administered the injection?

304a. Do you like your {current_method_label}?

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

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

305a. Did you talk with your husband/partner about using your {current_method_label} before you started using, after you started using, or you have not talked about it?

305a. Did you talk with your husband/partner about using your family planning method before you started using, after you started using, or you have not talked about it?

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

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

307. Why would you choose this location?

Cannot select 'no response' or 'do not know' with other options.

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 a clinic, health center or physician's office if needed.

PROBE: This question is specifically about your feelings.

309. 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.

310. 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?

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

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

Enter {fp_start_lab}:

Use years if more than 36 months.

313. What method do you think you will use?

314. Who would you prefer to have administer the injectable?

Read all options

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

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

316. Before you started using family planning, had you discussed the decision to delay or avoid pregnancy with your husband/partner?

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

Now I?m going to ask you a few sensitive questions about your relationship with your husband/partner. You do not have to answer these questions if you do not want to. We can pause at any time. If you do not feel comfortable answering any of the questions, let me know and I will either move onto the next statement or skip this section entirely.

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

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318a. Made you feel bad or treated you badly for wanting to use a FP method to delay or prevent pregnancy?

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318b. Tried to force or pressure you to become pregnant?

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318c. Said he would leave you if you did not get pregnant?

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318d. Told you he would have a baby with someone else if you did not get pregnant?

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318e. Taken away your family planning or kept you from going to the clinic to get family planning?

318. In the last 12 months has your husband/partner:

1 = Yes
0 = No
-99 = No Response

318f. Hurt you physically because you did not get pregnant?

319. 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.

320. 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.

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

Scroll to bottom to see all choices.

321. 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?

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

IMP_302. At the visit when the implant was inserted, were you told for how long the implant would protect you from pregnancy?

IMP_303. How long were you told?

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

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

IMP_303. Enter the number of{implant_duration_lab} you were told:

If more than 12 months record in years

IMP_304. Were you told where you could go to have the implant removed?

Provider: {provider_label}

323. 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?

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

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

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

327a. During that visit, who made the final decision about what method you got?

327b. Who made the final decision to use rhythm?

327b. Who made the final decision to use LAM?

328. Would you return to this provider?

Provider: {provider_label}

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

Provider: {provider_label}

330. When you started using {current_method_label}, did you feel pressured by your provider to accept a specific method?

330. When you started using family planning, did you feel pressured by your provider to accept a specific method?

331. Which method did you feel pressured to use?

332. Right before you started using {current_method_label} in {begin_using_full_lab}, were you doing something else or using a different method to delay or avoid getting pregnant?

332. Right before you started using family planning in {begin_using_full_lab}, were you doing something else or using a different method to delay or avoid getting pregnant?

333. Which method were you using?

LCL_304. PROBE: Was the injection administered via syringe or small needle?

IMP_305. In the past 12 months, have you tried to have your current implant removed?

IMP_306. Where did you go or who attempted to remove your implant?

IMP_307. Why were you not able to have your implant removed?

Cannot select 'no response' or 'do not know' with other options.

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

XS_301. 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.

335. 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.

336. 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.

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

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

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

337. 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".

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

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

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

For any health services.

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

For any health services.

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

342. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

342a. Heard about family planning on the radio?

342. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

342b. Seen anything about family planning on the television?

342. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

342c. Read about family planning in a newspaper or magazine?

342. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

342d. Received a voice or text message about family planning on a mobile phone?

342. In the last 12 months have you:

1 = Yes
0 = No
-99 = No Response

342e. Seen anything on social media about family planning that is Facebook, Viber, Twitter, WhatsApp or others?

343. 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

343a. Adolescents who use family planning are promiscuous.

343. 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

343b. Using family planning preserves a woman's health

343. 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

343c. Family planning is only for women who are married.

343. 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

343d. Women who use family planning can better support their children?s schooling

343. 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

343e. Family planning is only for women who don't want any more children.

343. 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

343f. People who use family planning have a better quality of life.

344. Now, we would 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

344a. Adolescents who use family planning are promiscuous.

344. Now, we would 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

344b. Using family planning preserves a woman's health

344. Now, we would 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

344c. Family planning is only for women who are married.

344. Now, we would 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

344d. Women who use family planning can better support their children?s schooling

344. Now, we would 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

344e. Family planning is only for women who don't want any more children.

344. Now, we would 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

344f. People who use family planning have a better quality of life.

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

1 = Very important
2 = Somewhat important
3 = Not important
-99 = No Response

345a. Complete secondary school / technical school / vocation school

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

1 = Very important
2 = Somewhat important
3 = Not important
-99 = No Response

345b. Attend university / tertiary institution

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

1 = Very important
2 = Somewhat important
3 = Not important
-99 = No Response

345c. Find a husband/partner

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

1 = Very important
2 = Somewhat important
3 = Not important
-99 = No Response

345d. Have children

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

347. 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.

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

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

407. 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.

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

Must agree with the pregnancy status.

407. 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.

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

409. What method did you or your partner use?

410. Whose choice was it to use that method?

INF_7. How many times do you have sex in a typical month?

Use -88 for 'do not know' and -99 for 'no response'

Must be a number or -88, -99

INF_8. In the past 12 months, how many months did you not have any sex with your husband/partner?

Use -88 for 'do not know' and -99 for 'no response'

Must be a number: -88, -99, or 0-12

INF_9. Have you ever sought help because you were having trouble getting pregnant?

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

INF_11. What type of care did you receive?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

INF_12. When did you most recently seek help?

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.

INF_12a. Enter the number of {preg_help_lab} ago you most recently sought help:

INF_13. Some people wonder if they can have children. In your case, what is the sentence that best describes your current situation?

INF_14. And regarding your partner:

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_1. At the last time you had sex, did any of the following happen?

1 = Yes
0 = No
-99 = No Response

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

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

1 = Yes
0 = No
-99 = No Response

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

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

1 = Yes
0 = No
-99 = No Response

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.

WGE_4. I feel confident discussing family planning with my husband/partner.

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_5a. I want to complete my education before I have a child.

WGE_5b. I wanted to complete my education before I had a child.

WGE_6. If I rest between pregnancies, I can take better care of my family.

WGE_7a. I can decide when I want to start having children.

WGE_7b. I could decide when I wanted to start having children.

WGE_8. I feel confident discussing with my husband/partner when to start having children.

WGE_9. I can decide when to have another child.

WGE_10a. I will be able to negotiate with my husband/partner when to stop having children.

WGE_10b. 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_11. If I refuse sex with my husband/partner, he may stop supporting me.

WGE_12. If I refuse sex with my husband/partner, he may force me to have sex.

WGE_13. If I refuse sex with my husband/partner, he may physically hurt me.

WGE_14. If I show my husband/partner that I want to have sex, he may consider me promiscuous.

WGE_15. I am confident I can tell my husband/partner when I want to have sex.

WGE_16. I am able to decide when to have sex.

WGE_17. If I do not want to have sex, I can tell my husband/partner.

WGE_18. If I do not want to have sex, I am capable of avoiding it with my husband/partner.

Section 6.1 ? Confidantes

The following questions will ask you about some relational and reproductive experiences of women in the community. Your answers to these questions will be used for research purposes. There are no additional risks or benefits to answering these questions. As a reminder, your participation is completely voluntary and no identifying information about you will be shared with the researchers or reported in the study results.

May I continue with the questions?

ABT_1a. Now I want to ask some questions about your closest female friend; (this can be a friend or relative. This is a woman whom you share very personal information with and who also share their very personal information with you. Please picture your closest female friend in DRC who is between the ages of 15 and 49. For ease of referencing this woman, please provide a fake name.

Enter 1 for no friend, -88 for do not know, -99 for no response.

ABT_1b. Now I want to ask some questions about your female friend; this can be a friend or relative. Please picture your closest female friend in DRC who is between the ages of 15 and 49. For ease of referencing this woman, please provide a fake name.

Enter 1 for no friend, -88 for do not know, -99 for no response.

ABT_3a. Is this friend a member of your family?

ABT_3b. How old was {friend_name} at her last birthday?

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

age 15-49

ABT_4. What is the highest level of school {friend_name} has ever attended?

ABT_5. Is {friend_name} currently married or living together with a man?

ABT_6a. Does she live in the same area as you?

ABT_6b. Does she live in a city, a town, or a village?

ABT_7. How many children does she have, if any?

Enter 0 if no children, -88 for Do not know, -99 for no response.

0-30

ABT_8. Has she ever used family planning?

ABT_9. Is she or her partner currently doing something or using any method to delay or avoid getting pregnant?

ABT_10. What method is she or her partner using?

Section 6.2 ? Abortion

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

Sometimes women are worried they are pregnant or get pregnant when they do not want to be and they do something to end the pregnancy. The next series of questions are about things your friend may have done to end a pregnancy. This is a common experience in DRC and we simply want to better understand what women do in this situation. I want to remind you that this survey is completely confidential and anonymous and we do not know who your friend is. If we should come to any question that you don't want to answer, just let me know and I will skip to the next question.

ABT_11. Has she ever done something or tried to do something to end a pregnancy when she was pregnant or worried she was pregnant?

Probe to confirm whether the pregnancy removal was successful. If not, select "no".

ABT_12. In what year did this happen?

If indicates happened more than once, specify most recent time. Enter 2030 for "Do not know" or "No response".

ABT_12b. Did it happen in the prior year, 1-5 years ago, 5-10 years ago or greater than 10 years ago?

ABT_13. At the time, was she very certain, somewhat certain, or not at all certain of being pregnant?

ABT_14. Did the pregnancy end spontaneously or was it ended intentionally?

ABT_15. Was the pregnancy successfully ended?

ABT_16. How did you learn about {friend_name}'s experience of ending her pregnancy?

ABT_17. What are all the methods that she used to try to end the pregnancy? Anything else?

ABT_18. What were all the places she went to obtain these methods?

ABT_21a. Besides this event, has {friend_name} ever done something to bring back her period when it was late?

ABT_21b. Has {friend_name} ever done something to bring back her period when it was late?

ABT_22. In what year did this happen?

If indicates happened more than once, specify most recent time. Enter 2030 for "Do not know" or "No response".

ABT_22b. Did it happen in the prior year, 1-5 years ago, 5-10 years ago or greater than 10 years ago?

ABT_23. Did she do this because she was worried she was pregnant?

ABT_24. At the time, was she very certain, somewhat certain, or not at all certain she was pregnant?

ABT_24b. In the end did she successfully bring back her period?

ABT_25. How do you know about {friend_name}'s experience bringing back her period when it was late?

ABT_26. What are all the methods that she used to bring back her period? Anything else?

ABT_27. What were all the places she went to obtain these methods?

We know that relationships can sometimes have conflict and difficulty. These next questions ask about conflicts your confidante may have had in her relationships. Remember, you can skip any question you do not want to answer.

ABT_28. In the last 12 months, has her husband/partner:

1 = Yes
0 = No
-88 = Do not know
-99 = No Response

a. Insulted her, yelled at her, screamed or made humiliating remarks?

ABT_28. In the last 12 months, has her husband/partner:

1 = Yes
0 = No
-88 = Do not know
-99 = No Response

b. Slapped, hit or physically hurt her?

ABT_28. In the last 12 months, has her husband/partner:

1 = Yes
0 = No
-88 = Do not know
-99 = No Response

c. Threatened with a weapon or attempted to strangle or kill her?

ABT_28. In the last 12 months, has her husband/partner:

1 = Yes
0 = No
-88 = Do not know
-99 = No Response

d. Pressured or insisted on having sex when her did not want to (without physical force)?

ABT_28. In the last 12 months, has her husband/partner:

1 = Yes
0 = No
-88 = Do not know
-99 = No Response

e. Physically forced her to have sex when her did not want to?

Section 6.3 ? Respondent Abortion

ABT_29. As part of the research, we would also like to ask about your own experiences.

May I continue with the questions?

ABT_30. Now I would like to ask about your own experience. Have you ever done something or tried to do something to end a pregnancy when you were pregnant or worried you were pregnant?

ABT_31. In what year did this last happen?

If indicates happened more than once, specify most recent time. Enter 2030 for ?Do not know? or ?No response?.

ABT_31b. Did it happen in the prior year, 1-5 years ago, 5-10 years ago or greater than 10 years ago?

ABT_32. At the time, were you very certain, somewhat certain, or not at all certain you were pregnant?

ABT_33. Did you take a pregnancy test to confirm?

ABT_34. Did the pregnancy end spontaneously or was it ended intentionally?

ABT_35. Was the pregnancy successfully ended?

ABT_36a. Who did you tell about this event? Anyone else?

ABT_36a. Specify this other person you told about the pregnancy termination

ABT_36b. Were any of the following people involved in the decision to end the pregnancy? 

Read options aloud. Select all that apply.

ABT_36b. Specify this other person involved in the decision to terminate the pregnancy

ABT_37. Do you think your friend, {friend_name}, knows about this event?

ABT_38. How does {friend_name} know about this event?

ABT_40. At the time of this event were you attending school?

ABT_42. Were you living in a village, a town, or a large city?

ABT_43. How long had you been pregnant when you ended the pregnancy?

ABT_43. Enter {pregnant_how_long_lab}

How long had you been pregnant when you ended the pregnancy

Weeks (0-40) or Months (0-9)

ABT_44. How many periods had you missed?

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

ABT_45. Women sometimes do many things to stop a pregnancy from continuing. Did you do more than one thing to try to end the pregnancy, outside of treating complications?

ABT_46a. What was the first thing you did to try to end the pregnancy?

ABT_46b. What did you do to end the pregnancy?

ABT_47. Where did you get the {abt_first_only_method_lab}?

ABT_48. What was the last thing you did that ultimately ended the pregnancy?

ABT_49. Where did you get the {abt_last_method_lab}?

ABT_50. Did you experience no pain, mild pain, or severe pain during the process of ending the pregnancy?

ABT_51. Were you given something that made the pain go away?

ABT_52. Did you experience any of the following problems at any point in the process of ending the pregnancy:

Read the options aloud. Select all that apply.

ABT_52a. Specify this other problem encountered in the process of ending the pregnancy

ABT_53. Did you receive any of the following treatments for these problems?

Read the options aloud. Select all that apply.

ABT_53a. Specify this other treatment received

ABT_54. Where did you receive this treatment?

Select all that apply.

ABT_55a. Besides this event, have you ever done something or tried to do something to bring back your period when it was late?

ABT_55b. Have you ever done something or tried to do something to bring back your period when it was late?

ABT_56. In what year did this happen?

If indicates happened more than once, specify most recent time. Enter 2030 for "Do not know" or "No response".

ABT_56b. Did it happen in the prior year, 1-5 years ago, 5-10 years ago or greater than 10 years ago?

ABT_57. Were you worried you were pregnant at the time?

ABT_58. At the time, how certain were you that you were pregnant? Very certain, somewhat certain, or not at all certain?

ABT_58b. In the end did you successfully bring back your period?

ABT_59a. Who have you talked to about this event? Anyone else?

Read options aloud. Select all that apply.

ABT_59a. Who is the other person you talked to?

ABT_59b. Were any of the following people involved in the decision to bring back your period? 

Read options aloud. Select all that apply.

ABT_59b. Who is the other person involved?

ABT_60. Do you think your friend, {friend_name}, knows about this event?

ABT_61. How does {friend_name} know about this event?

ABT_63. At the time of this event were you attending school?

ABT_64. Were you living in a village, a town, or a large city?

ABT_65. How many periods had you missed?

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

0-12, -88, -99

ABT_66. Women sometimes do many things to bring back their period. Did you do more than one thing to try to bring back your period?

ABT_67a. What was the first thing you did to try to bring back your period?

ABT_67b. What did you do to bring back your period?

ABT_68. Where did you get the {reg_first_only_method_lab}?

ABT_69. What was the last thing you did that ultimately brought back your period?

ABT_70. Where did you get the {self_reg_last_lab}?

ABT_71. Did you experience no pain, mild pain, or severe pain during the process of regulating your period?

ABT_72. Were you given something that made the pain go away?

ABT_73. Did you experience any of the following problems in the process of regulating your period:

Read all options aloud. Select all that apply.

ABT_73a. Specify this other problem encountered to bring back the rules

ABT_74. Did you receive any of the following treatments for these problems?

Read all options aloud. Select all that apply.

ABT_74a. Specify this other treatment received

ABT_75. Where did you receive this treatment?

Select all that apply.

For the next questions, I would like to collect additional information about the period when the pregnancy was ended: {abt_yearish_lab}

For the next few questions, I'd like to gather more information about when you brought back your period: {reg_yearish_lab}

For the next questions, I would like to collect additional information about the period when the pregnancy was ended: {abt_yearish_lab}
ABT_75b. What were the reason(s) that you decided to end the pregnancy at that time?

For the next few questions, I'd like to gather more information about when you brought back your period: {reg_yearish_lab}
ABT_75b. What were the reason(s) that you decided to bring back your period at that time?

These questions are about the {additional_where_lab} you went to.

ABT_76a. Did any of the following reasons factor into your decision to go to {additional_where_lab}?

Read all options aloud. Select all that apply.

ABT_76a. Specify this other reason for your decision to go to see {additional_where_lab}

ABT_76b. What was the most important reason?

ABT_77a. Was it very difficult, somewhat difficult, or not difficult to find the necessary funds or did the service not require payment?

ABT_77b. Was part of what you paid a bribe?

ABT_78. Did the provider and staff treat you with respect during the service?

ABT_79. Did the provider give you the opportunity to ask questions the way you wanted?

ABT_80. Did you receive care or consultation in a space where no one other than the provider could hear what you were discussing?

ABT_81. Were you given a choice of surgery or medication to [end the pregnancy / bring back your period]?

ABT_82. Did you trust the provider would keep your information private?

ABT_83a. Did you know what to expect after TAKING THE MEDICINE ?

ABT_83b. Did you know what to expect after HAVING THE SURGERY ?

ABT_84. Did you know where to go if you experienced complications?

ABT_85. Thinking about this event, which of the following aspects of care could have been improved:

Read all options aloud. Select all that apply.

ABT_85a. Specify this other else could have been improved

Section 6.4 - Respondent Post-Abortion Contraception

ABT_86a. Were you offered a family planning method at the time of this event?

ABT_86b. After this event, did you start using contraception?

ABT_87. How long after you ENDED THE PREGNANCY did you start using [THIS METHOD / THESE METHODS]?

ABT_87. How long after you BROUGHT BACK YOUR PERIOD did you start using [THIS METHOD / THESE METHODS]?

ABT_88. Which method did you use? Anything else?

Select all that apply.

ABT_89. Were you very involved, somewhat involved, not really or not at all involved in the selection of the contraceptive method you use today?

ABT_90. How common is it for women in the community where you currently live to end their pregnancies because they don't want to or can't be pregnant?

Read all options aloud.

ABT_91. In your opinion, in which of the following circumstances should it be legal for a woman to legally end her pregnancy in DRC:

Read all options aloud. Select all that apply.

ABT_91a. Specify the other option where it should be legal to end a pregnancy:

ABT_92. Does the law in DRC allow a woman to have an abortion under certain circumstances?

ABT_93. What are the circumstances under which the law allows abortion in DRC?

ABT_94. What are all the things that women can do to end a pregnancy? Anything else?

ABT_95. In the area where you live, where can women go to end a pregnancy? Anywhere else?

ABT_95a. Specify other place woman can go to end a pregnancy?

ABT_96. If a friend or relative found herself in a situation where she needed to end a pregnancy, where would you recommend she go to safely end the pregnancy?

ABT_96a. Specify the other place you would recommend to your friend or family member.

ABT_97. What are the reasons you would recommend this provider? Anything else?

ABT_97a. Specify this other reason do you have for recommending this provider

Section 7 ? Violence Against Women and Girls

CHECK FOR THE PRESENCE OF OTHERS. DO NOT CONTINUE UNTIL YOU CAN ENSURE COMPLETE PRIVACY.

We know that relationships can sometimes have conflict and difficulty. These next questions ask about conflicts you may have had in relationships. Remember, you can skip any question you do not want to answer.

VIO_1a. Were you able to obtain complete privacy?

VIO_1. In the last 12 months, has your husband/partner:

1 = Yes
0 = No
-99 = No Response

a. Insulted you, yelled at you, screamed or made humiliating remarks?

VIO_1. In the last 12 months, has your husband/partner:

1 = Yes
0 = No
-99 = No Response

b. Slapped, hit or physically hurt you?

VIO_1. In the last 12 months, has your husband/partner:

1 = Yes
0 = No
-99 = No Response

c. Threatened with a weapon or attempted to strangle or kill you?

VIO_1. In the last 12 months, has your husband/partner:

1 = Yes
0 = No
-99 = No Response

d. Pressured or insisted on having sex when you did not want to (without physical force)?

VIO_1. In the last 12 months, has your husband/partner:

1 = Yes
0 = No
-99 = No Response

e. Physically forced you to have sex when you did not want to?

VIO_2a. How many times has this happened in the last 12 months?

Insulted you, yelled at you, screamed or made humiliating remarks?

VIO_2b. How many times has this happened in the last 12 months?

Slapped, hit or physically hurt you?

VIO_2c. How many times has this happened in the last 12 months?

Threatened with a weapon or attempted to strangle or kill you?

VIO_2d. How many times has this happened in the last 12 months?

Pressured or insisted on having sex when you did not want to (without physical force)?

VIO_2e. How many times has this happened in the last 12 months?

Physically forced you to have sex when you did not want to?

BIAS_1. Is your friend, {friend_name}, aware of the relationship conflict experiences we have discussed?

BIAS_2. How did {friend_name} find out about this event?

VIO_3a. Thinking about the experiences of relationship conflict we have just discussed, have you tried to seek help in the last 12 months?

VIO_3b. From whom have you sought help?

Probe: Anyone else?

Record all mentioned.

VIO_3c1. How helpful was it to seek help from your own family?

VIO_3c2. How helpful was it to seek help from your husband's/partner's family?

VIO_3c3. How helpful was it to seek help from your current/former husband/partner?

VIO_3c4. How helpful was it to seek help from your current/former boyfriend

VIO_3c5. How helpful was it to seek help from your friend?

VIO_3c6. How helpful was it to seek help from your neighbor?

VIO_3c7. How helpful was it to seek help from your pastor?

VIO_3c8. How helpful was it to seek help from your doctor?

VIO_3c9. How helpful was it to seek help from the police?

VIO_3c10. How helpful was it to seek help from your lawyer?

VIO_3c11. How helpful was it to seek help from a social service organization?

VIO_3c12. How helpful was it to seek help from a violence support program?

VIO_4. In the last 12 months, has a member of your household that is not your spouse or partner:

1 = Yes
0 = No
-99 = No Response

VIO_4a. Insulted you, yelled at you, screamed or made humiliating remarks?

VIO_4. In the last 12 months, has a member of your household that is not your spouse or partner:

1 = Yes
0 = No
-99 = No Response

VIO_4b. Slapped, hit or physically hurt you?

VIO_4. In the last 12 months, has a member of your household that is not your spouse or partner:

1 = Yes
0 = No
-99 = No Response

VIO_4c. Threatened with a weapon or attempted to strangle or kill you?

VIO_4. In the last 12 months, has a member of your household that is not your spouse or partner:

1 = Yes
0 = No
-99 = No Response

VIO_4d. Pressured or insisted on having sex when you did not want to (without physical force)?

VIO_4. In the last 12 months, has a member of your household that is not your spouse or partner:

1 = Yes
0 = No
-99 = No Response

VIO_4e. Physically forced you to have sex when you did not want to?

VIO_5a. How many times has this happened in the last 12 months?

Insulted you, yelled at you, screamed or made humiliating remarks?

VIO_5b. How many times has this happened in the last 12 months?

Slapped, hit or physically hurt you?

VIO_5c. How many times has this happened in the last 12 months?

Threatened with a weapon or attempted to strangle or kill you?

VIO_5d. How many times has this happened in the last 12 months?

Pressured or insisted on having sex when you did not want to (without physical force)?

VIO_5e. How many times has this happened in the last 12 months?

Physically forced you to have sex when you did not want to?

VIO_6a. Thinking about the domestic conflict experiences we just discussed, have you tried to seek help in the past 12 months?

VIO_6b. Who did you seek help from?

Then ask, anyone else?

Record all the answers mentioned.

VIO_6c1. How helpful was it to seek help from your own family?

VIO_6c2. How helpful was it to seek help from your husband's/partner's family?

VIO_6c3. How helpful was it to seek help from your current/former husband/partner?

VIO_6c4. How helpful was it to seek help from your current/former boyfriend

VIO_6c5. How helpful was it to seek help from your friend?

VIO_6c6. How helpful was it to seek help from your neighbor?

VIO_6c7. How helpful was it to seek help from your pastor?

VIO_6c8. How helpful was it to seek help from your doctor?

VIO_6c9. How helpful was it to seek help from the police?

VIO_6c10. How helpful was it to seek help from your lawyer?

VIO_6c11. How helpful was it to seek help from a social service organization?

VIO_6c12. How helpful was it to seek help from a violence support program?

VIO_7a. Please indicate your agreement with the following statements:

A woman who seeks help from the police for domestic violence shames her family and should not be welcomed into her home.

VIO_7b. Please indicate your agreement with the following statements:

A person who intervenes when a woman is beaten by her husband is considered to be interfering in the private affairs of the couple.

VIO_7c. Please indicate your agreement with the following statements:

Mediation is the best solution for families experiencing domestic violence.

VIO_7d. Please indicate your agreement with the following statements:

Women's groups that get involved in a domestic violence case usually make the situation worse.

VIO_7e. Please indicate your agreement with the following statements:

Communities must help women get the help they need in situations of violence.

Thank you for sharing your personal experiences with me. I know it may have been difficult for you to talk about your experiences with me. If you would like to talk further about these experiences, I can refer you to a place that can provide you with help.

VIO_9. Did you have to interrupt the interview during this section because some adult was trying to listen, came into the room, or interfered in any other way?

VIO_9a. Husband / partner?

VIO_9. Did you have to interrupt the interview during this section because some adult was trying to listen, came into the room, or interfered in any other way?

VIO_9b. Other male adult?

VIO_9. Did you have to interrupt the interview during this section because some adult was trying to listen, came into the room, or interfered in any other way?

VIO_9c. Female adult?

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?

801b. We would be very interested in learning more about what you went through to end your pregnancy or bring back your period, including your decision-making about which method to use and where to get services, among other things. Would you be willing to get together with another woman from the project at a later date to talk about your experience?

802. Do you have access to a phone?

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

803b. What is your primary phone number?

Enter an 9-digit number without the country code. Do not include spaces or dashes.

803d. Is this your personal phone number?

A personal phone is not shared with other people.

804a. Can I have your secondary phone number in case we would like to follow up with you in the future?

804b. What is your secondary phone number?

Enter an 9-digit number without the country code. Do not include spaces or dashes.

804d. Is this your personal phone number?

A personal phone is not shared with other people.

805. Is {firstname} the name you go by in your household?

806. What is the name you go by in your household?

807. Is {firstname} the name you go by in your community?

808. What is the name you go by in your community?

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.