001a. Are you in the correct household?
EA: [EA entered in the Household Questionnaire]
Structure #: [Structure entered in the Household Questionnaire]
Household #: [Household entered in the Household Questionnaire]
[] No
Please record your name
003b. Record the correct date and time.
Day: Month: Year:
The following information is from the Household Questionnaire. Please review to make sure you are interviewing the correct respondent. [ODK will display the LIST OF GEOGRAPHIES ENTERED, Enumeration Area, Structure Number, and Household Number entered into the Household Questionnaire linked to this Female Questionnaire.] Is the above information correct?
Locality name: {level4_unlinked}
004b. Is the above information correct?
[] No
005. CHECK: You should be attempting to interview [Name of the interviewee]. Is that correct? If misspelled, select "yes" and update the name in question "011." If this is the wrong person, you have two options: (1) exit and ignore changes to this form. Open the correct form. Or (2) find and interview the person whose name appears above.
[] No
006. Is the respondent present and available to be interviewed today?
[] No
007. How well acquainted are you with the respondent?
[] Well acquainted
[] Not well acquainted
[] Not acquainted
008. Has the respondent previously participated in PMA 2020 surveys?
[] No
[] Do not know
[] No response
Find the woman between the age of 15-49 associated with this Female Respondent Questionnaire. The interview must have auditory privacy. Read the following greeting
Hello. My name is ____________________________________ and I am working for the Addis Ababa University, and Federal Ministry of Health. We are conducting a local survey that asks women about various reproductive health issues. We would very much appreciate your participation in this survey. This information will help us inform the government to better plan health services. The survey usually takes between 15 and 20 minutes to complete. Whatever information you provide will be kept strictly confidential and will not be shown to anyone other than members of our survey team. Participation in this survey is voluntary, and if we should come to any question you don't want to answer, just let me know and I will go on to the next question; or you can stop the interview at any time. However, we hope that you will participate in this survey since your views are important. At this time, do you want to ask me anything about the survey?
009a. May I begin the interview now?
[] No
Please record your name as a witness to the consent process. You previously entered "[Interviewer's name]."
[] No
Section 1 - Respondent's Background, Marital Status, Household characteristics
Now I would like to ask about your background and socioeconomic conditions
101. In what month and year were you born?
The age in the household roster is [AGE]
101. In what month and year were you born?
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
102. How old were you at your last birthday?
103. What is the highest level of school you attended?
Only record formal schooling. Do not record bible or koranic school or short courses.
[] Primary 1-8
[] Secondary 9-12
[] Technical/Vocational
[] Higher
[] Don't know
[] No response
104. Are you currently married or living together with a man as if married?
Probe: If no, ask whether the respondent is divorced, separated, or widowed.
[] Yes, living with a man
[] Not currently in union: Divorced / separated
[] Not currently in union: Widow
[] No, never in union
[] No response
105. Have you been married or lived with a man only once or more than once?
[] More than once
[] No response
106a. In what month and year did you start living with your FIRST husband / partner?
Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
106b. CHECK: Based on the response you entered in 106a, the respondent was possibly 15 years old or younger at the time of her first marriage. Did you enter 106a correctly?
[] No
107a. Now I would like to ask about when you started living with your CURRENT or MOST RECENT husband / partner. In what month and year was that?
Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
107b. CHECK: Based on the response you entered in 107a, the respondent was possibly 15 years old or younger at the time of her current or most recent marriage. Did you enter 107a correctly?
[] No
108. Does your husband / partner have other wives or does he live with other women as if married?
[] No
[] Do not know
[] No response
Now I would like to ask about your recent migration to and from your current area of residence
[] Afar
[] Amhara
[] Oromia
[] Ethiopia Somali
[] Benishangul Gumuz
[] SNNPR
[] Gambella
[] Harari
[] Addis Ababa
[] Dire Dawa
[] Abroad
[] No response
MIG-0a. Was the place where you were born rural or urban?
[] Rural
[] Do not know
[] No response
MIG-1. How long have you been living continuously in {selected_region} {level1_unlinked}?
If years, please enter in number of years on the following screen.
[] Currently visiting
[] Years
[] No response
MIG-1a. Number of years you been living continuously in {selected_region} {level1_unlinked}:
The respondent is {age} years old. If the respondent has stayed for less than a year 0 is a possible answer.
MIG-2. Before you moved here, which region or country did you live in most recently?
Select the most recent.
[] Afar
[] Amhara
[] Oromia
[] Ethiopia Somali
[] Benishangul Gumuz
[] SNNPR
[] Gambella
[] Harari
[] Addis Ababa
[] Dire Dawa
[] Yemen
[] Saudi Arabia
[] Libya
[] Beirut
[] United Arab Emirates
[] Sudan
[] South Sudan
[] South Africa
[] Kenya
[] Lebanon
[] Other
[] No response
MIG-3. Just before you moved here, did you live in a rural, or an urban area?
[] Rural area
[] No response
MIG-4. Can you tell me the main reason why you moved to your current place of residence?
Select only one response.
[] Search for work
[] Marriage
[] Divorce/Marriage dissolution
[] Death of spouse
[] Death of other household member
[] Job transfer/have a job
[] Displacement/War/drought
[] Moved with family
[] Returned back home
[] Shortage of land
[] Health problems
[] Other
[] No response
MIG-5. Just before you moved here, did you have any sons or daughters whom you have given birth to?
[] No
[] No response
MIG-6. How many sons/daughters did you have just before you moved here?
Section 2 - Reproduction, Pregnancy and Fertility Preferences
Now I would like to ask about all the births you have had during your life
200. Have you ever given birth?
[] No
[] No response
201. How many times have you given birth?
205. When was your FIRST birth?
Please record the date of the FIRST birth. The date should be found by calculating backwards from memorable events if needed. Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
206. When was your MOST RECENT birth?
Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
[] No
[] Unsure
[] No response
210b. How many months pregnant are you?
The most recent birth was: [Date of most recent birth]
209. When did your last menstrual period start?
If you select days, weeks, months, or years, you will enter a number for X on the next screen. Enter 0 days for today, not 0 weeks/months/years.
[] X weeks ago
[] X months ago
[] X years ago
[] Menopausal / Hysterectomy
[] Before last birth
[] Never menstruated
[] No response
209a. Enter [days / weeks / months / years]
Enter 0 days for today, not 0 weeks/months/years.
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?
[] Later
[] Not at all
[] No response
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?
[] Later
[] Not at all
[] No response
Now I have some questions about the future.
211a. Would you like to have a child or would you prefer not to have any children?
[] Prefer no children
[] Says she can't get pregnant
[] Undecided / Don't know
[] No response
211a. Would you like to have another child or would you prefer not to have any more children?
211b. After the child you are expecting now, would you like to have another child or would you prefer not to have any more children?
[] No more
[] Says she can't get pregnant
[] Undecided / Don't know
[] No response
212a. How long would you like to wait from now before the birth of a child?
If you select months or years, you will enter a number for X on the next screen. Select "Years" if more than 36 months. Please check that you correctly entered the value for months/years.
[] X years
[] Soon/now
[] Says she can't get pregnant
[] Other
[] Don't know
[] No response
212b. After the birth of the child you are expecting now, how long would you like to wait before the birth of another child?
If you select months or years, you will enter a number for X on the next screen. Select "Years" if more than 36 months. Please check that you correctly entered the value for months/years.
[] X years
[] Soon/now
[] Says she can't get pregnant
[] Other
[] Don't know
[] No response
212c. Enter the number of [Months OR Years] you would like to wait:
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 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.
[] No
[] No response
301b. Have you ever heard of male sterilization?
PROBE: Men can have an operation to avoid having any more children.
[] No
[] No response
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. [implant_150x300.png]
[] No
[] No response
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. [IUD_150x300.png]
[] No
[] No response
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. [injectable_150x300.png]
[] No
[] No response
301f. Have you ever heard of the (birth control) pill?
PROBE: Women can take a pill every day to avoid becoming pregnant. [pill_150x300.png]
[] No
[] No response
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 three to five days to prevent pregnancy.
[] No
[] No response
301h. Have you ever heard of condoms?
PROBE: Men can put a rubber sheath on their penis before sexual intercourse. [male_condom_150x300.png]
[] No
[] No response
301i. Have you ever heard of female condoms?
PROBE: Women can put a sheath in their vagina before sexual intercourse. [female_condom_150x300.png]
[] No
[] No response
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. [SDM-beads_only.png]
[] No
[] No response
301m. Have you ever heard of the Lactational Amenorrhea Method or LAM?
[] No
[] No response
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.
[] No
[] No response
301o. Have you ever heard of the withdrawal method?
PROBE: Men can be careful and pull out before climax.
[] No
[] No response
301p. Have you ever heard of any other ways or methods that women or men can use to avoid pregnancy?
[] No
[] No response
302a. Are you or your partner currently doing something or using any method to delay or avoid getting pregnant?
[] No
[] No response
302b. Which method or methods are you using?
PROBE: Anything else? Select all methods mentioned. SCROLL TO THE BOTTOM to see all choices.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
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.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
302c. Does your husband/partner know that you are using [CURRENT METHOD]?
[] No
[] No response
302c. Does your husband/partner know that you are using family planning?
[] No
[] No response
IMP_301a. CHECK. In question 302b, the respondent mentioned that she had been using implants. Is that correct? If she says she is not currently using implants, please verify her answer and go back to 302b and select the correct method.
[] No
IMP_301b. How many rods is your implant?
[] 2
[] 6
[] Don't know
[] No response
IMP_302. At the visit when the implant was inserted, were you told for how long the implant would protect you from pregnancy?
[] No
[] No response
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.
[] X years
[] Don't know
[] No response
IMP_303. Enter the number of [Months or Years] you were told:
If more than 12 months record in years
303. Did the provider tell you or your partner that this method was permanent?
[] No
[] No response
305a. You said that you are not currently using a contraceptive method. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?
[] No
[] No response
305b. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?
[] No
[] No response
306a. In the last 12 months, have you ever done something or used a method to delay or avoid getting pregnant?
[] No
[] No response
306b. Which method did you use most recently?
PROBE: Anything else? Select most effective method (highest method in list). Scroll to bottom to see all choices.
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
307. Before you started using [CURRENT METHOD / MOST RECENT METHOD], had you discussed the decision to delay or avoid pregnancy with your husband/partner?
[] No
[] Do not know
[] No response
308. Would you say that using contraception is mainly your decision, mainly your husband/partner's decision or did you both decide together?
[] Mainly husband/partner
[] Joint decision
[] Other
[] No response
308a. The last time you received your [CURREN METHOD /MOST RECENT METHOD], how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?
Enter all prices in Ethiopian Birr.
309a. Since what month and year have you been using [CURRENT METHOD / MOST RECENT METHOD] without stopping?
Calculate backwards from memorable events if needed.
Month:
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
309b. When did you stop using [CURRENT METHOD / MOST RECENT METHOD]?
Please record the date. The date should be found by calculating backwards from memorable events if needed. Select 'Do not know' for month and '2020' for year to indicate No Response.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
309c. In what month and year had you started using [CURRENT METHOD / MOST RECENT METHOD] before stopping?
Calculate backwards from memorable events if needed. Select 'Do not know' for month and '2020' for year to indicate No Response.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
309d. CHECK: Just to make sure I have this correct, you used [CURRENT METHOD / MOST RECENT METHOD] continuously between [START DATE] and [END DATE] without stopping, is that correct?
[] No
GO BACK TO THE PREVIOUS SCREEN AND PROBE TO DETERMINE THE PERIOD OF MOST RECENT CONTINUOUS USE.
Suggested probes: - When was the last time you used [METHOD]? - How long had you been using [METHOD] without stopping
310. Why did you stop using [CURRENT METHOD / MOST RECENT METHOD?
[] Became pregnant while using
[] Wanted to become pregnant
[] Husband / partner disapproved
[] Wanted a more effective method
[] No method available
[] Health concerns
[] Fear of side effects
[] Lack of access / too far
[] Costs too much
[] Inconvenient to use
[] Fatalistic
[] Difficult to get pregnant / menopausal
[] Interferes with body's processes
[] Other
[] Don't know
[] No response
311a. You first started using [CURRENT METHOD / MOST RECENT METHOD] on [DATE FROM FQ309a OR 309c] Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Govt Health center
[] Govt Health post
[] Family planning clinic
[] Mobile clinic
[] Private hospital/clinic
[] Pharmacy
[] Shop/market
[] Community volunteer
[] Friend / relative
[] NGO
[] other
[] Do not know
[] No response
311a. Where did you or your partner get {current_recent_label} when you first started using it?
Scroll to bottom to see all choices.
312a. When you obtained your [CURRENT METHOD / MOST RECENT METHOD], were you told by the provider about side effects or problems you might have with a method to delay or avoid getting pregnant?
[] No
[] No response
312b. Were you told what to do if you experienced side effects or problems?
[] No
[] No response
IMP_304. Were you told where you could go to have the implant removed?
Provider: [Provider]
[] No
[] Do not know
[] No response
313. At that time, were you told by the family planning provider about methods of family planning other than the [CURRENT METHOD / MOST RECENT METHOD] that you could use?
[] No
[] Do not know
[] No response
314a. During that visit, did you obtain the method you wanted to delay or avoid getting pregnant?
[] No
[] No response
314c. Why didn't you obtain the method you wanted?
[] Method not available at all
[] Provider not trained to provide the method
[] Provider recommended a different method
[] Not eligible for method
[] Decided not to adopt a method
[] Too costly
[] Other
[] No response
315a. During that visit, who made the final decision about what method you got?
[] Provider
[] Partner
[] You and provider
[] You and partner
[] Other
[] Do not know
[] No response
315b. Who made the final decision to use rhythm?
[] Provider
[] Partner
[] You and provider
[] You and partner
[] Other
[] Do not know
[] No response
315b. Who made the final decision to use LAM?
[] Provider
[] Partner
[] You and provider
[] You and partner
[] Other
[] Do not know
[] No response
316. Would you return to this provider?
Provider: [Type of provider selected in 311a or 311b]
[] No
[] Do not know
[] No response
317. Would you refer your relative or friend to this provider / facility?
Provider: [Type of provider selected in 311a or 311b]
[] No
[] Do not know
[] No response
IMP_304b. When you stopped using the implant in [DATE FROM 309b], where did you go to have your implant removed?
Scroll to bottom to see all choices.
[] Govt Health center
[] Govt Health post
[] Family planning clinic
[] Mobile clinic
[] Private hospital/clinic
[] Pharmacy
[] Shop/market
[] Community volunteer
[] Friend / relative
[] NGO
[] other
[] Do not know
[] No response
IMP_305a. In the past 12 months, have you tried to have your current implant removed?
[] No
[] No response
IMP_305b. Where did you go or who attempted to remove your implant?
[] Govt Health center
[] Govt Health post
[] Family planning clinic
[] Mobile clinic
[] Private hospital/clinic
[] Pharmacy
[] Shop/market
[] Community volunteer
[] Friend / relative
[] NGO
[] other
[] Do not know
[] No response
IMP_306. Why were you not able to have your implant removed?
[] Qualified provider not available
[] Provider attempted but could not remove the implant
[] Provider refused
[] Cost of removal services
[] Travel cost
[] Provider counseled against removal
[] Told to return another day
[] Referred elsewhwere
[] Other
[] Don't know
[] No response
SW_1a. Right before you started using [CURRENT METHOD / MOST RECENT METHOD] in [MOIS/ANNEE], were you doing something or using any method to delay or avoid getting pregnant?
[] No
[] No response
SW_1b. Which method were you using?
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
PP_1. Since the birth of your child in [DATE OF MOST RECENT BIRTH], have you ever done something or used any method to delay or avoid getting pregnant?
[] No
[] No response
PP_2. How long after the birth in [DATE OF MOST RECENT BIRTH] did you start doing something or start using a method?
Enter 0 days for today. You will enter a number for X on the next screen.
[] X weeks after
[] X months after
[] X years after
[] No response
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
319. Have you ever done anything or tried in any way to delay or avoid getting pregnant?
[] No
[] No response
320. How old were you when you first used a method to delay or avoid getting pregnant?
The respondent said she was [AGE] years old at her last birthday. Enter the age in years. Cannot be younger than 9.
321. How many living children did you have at that time, if any?
Note: the respondent said that she gave birth [NUMBER OF LIFE BIRTHS] times in 201.
322. Which method did you first use to delay or avoid getting pregnant?
Do not read the method choices. Scroll to bottom to see all choices.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
322a. 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 three to five days to prevent pregnancy.
[] No
[] No response
323a. You said that you do not want a child soon and that you are not using a method to avoid pregnancy.
323a. You said that you do not want another child soon and that you are not using a method to avoid pregnancy.
323a. You said that you do not want any children and that you are not using a method to avoid pregnancy.
323a. You said that you do not want any more children and that you are not using a method to avoid pregnancy.
Can you tell me why you are not using a method to prevent pregnancy? PROBE: Any other reason?
RECORD ALL REASONS MENTIONED Cannot select "Not Married" if 104 is "Yes, currently married". Scroll to bottom to see all choices.
[] Infrequent sex / Not having sex
[] Menopausal / Hysterectomy
[] Subfecund / Infecund
[] Not menstruated since last birth
[] Breastfeeding
[] Husband away for multiple days
[] Up to God / fatalistic
[] Respondent opposed
[] Husband / partner opposed
[] Others opposed
[] Religious prohibition
[] Knows no method
[] Knows no source
[] Fear of side effects
[] Health concerns
[] Lack of access / too far
[] Costs too much
[] Preferred method not available
[] No method available
[] Inconvenient to use
[] Interferes with body's processes
[] Other
[] Don't know
[] No response
323b. Would you say that not using contraception is mainly your decision, mainly your husband/partner's decision or did you both decide together?
[] Mainly husband/partner
[] Joint decision
[] Other
[] No response
324. In the last 12 months, were you visited by a community health worker who talked to you about family planning?
[] No
[] No response
325a. In the last 12 months, have you visited a health facility or camp for care for yourself?
For any health services.
[] No
[] No response
325a. In the last 12 months, have you visited a health facility or camp for care for yourself or your children?
For any health services.
[] No
[] No response
325b. Did any staff member at the health facility speak to you about family planning methods?
[] No
[] No response
326. In the last few months have you:
[] No
[] No response
Seen anything about family planning on the television?
[] No
[] No response
Read about family planning in a newspaper or magazine?
[] No
[] No response
Received a voice or text message about family planning on a mobile phone?
[] No
[] No response
GGR_100. How many visits did you have to make to get {current_recent_label} at that time?
GGR_101a. How long did you have to wait in the facility to get your {current_recent_label} at that time?
[] X minutes
[] Do not know
[] No response
GGR_101b. What was the longest you had to wait in the facility to get {current_recent_label} during one of these visits?
[] X minutes
[] Do not know
[] No response
Enter a value for {fvw_wait_lab}
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.
401a. How old were you when you first had sexual intercourse?
Number of live births: [NUMBER OF LIFE BIRTHS]
402. When was the last time you had sexual intercourse?
402. Enter [# days / weeks / months / years]. If today, enter zero days only, not zero weeks/months/years. Must agree with the age of first sexual intercourse and the pregnancy status.
Now I would like to ask about your water practices
501. On a typical day in the DRY season, how much time do you spend collecting water?
Only record respondent's time; not anyone else's time. If you select minutes or hours you will enter a number for X on the next screen
[] X hours per day
[] No time, someone else collects water
[] No time, No one collects water
[] Don't know
[] No response
501. Enter [# minutes per day / hours per day]:
Either: 1-24 hours or 0-180 minutes.
[] No response
502. On a typical day in the WET season, how much time do you spend collecting water?
Only record respondent's time; not anyone else's time. If you select minutes or hours you will enter a number for X on the next screen
[] X hours per day
[] No time, someone else collects water
[] No time, No one collects water
[] Don't know
[] No response
502. Enter [# minutes per day / hours per day]:
Either: 1-24 hours or 0-180 minutes.
Section 6 - Confidantes Questions
The next series of questions are about women you know in Ethiopia. I want to remind you that your answers will be confidential. If we come to any question that you don't want to answer just let me know and I will skip to the next question
GGR_601. I would like to talk about women with whom you share intimate secrets and who share intimate secrets with you. These women might be relatives, like sisters or aunts, or friends. These women should also be people with whom you have been close to for at least a year or more, are 15-49 years of age and live in Ethiopia. We will not ask you to identify the women who you tell us about. How many women do you know that fit this description?
Probe to confirm all women are age 15-49 and currently living in Ethiopia
Please do not give examples of what these secrets or private information might be. 0 is a possible answer.
GGR_602. Please think about the female who is most likely to share her intimate secrets with you. This should be someone with whom you are also likely to share your intimate secrets.
Picture this person.
For ease of referencing this woman, please provide a fake name for her that you will be able to remember.
GGR_603. How old was she at her last birthday?
GGR_604. What is the highest level of school she attended?
Only record formal schooling. Do not record bible or koranic school or short courses.
[] Primary 1-8
[] Secondary 9-12
[] Technical/Vocational
[] Higher
[] Do not know
[] No response
GGR_605a. What region does she live in?
[] Amhara
[] Afar
[] Oromia
[] SNNPR
[] Ethiopia Somali
[] Benishangul Gumuz
[] Addis Ababa
[] Dire Dawa
[] Gambella
[] Harari
[] None of the above
[] Do not know
[] No response
GGR_605b. What zone does she live in?
GGR_605c. What woreda does she live in?
GGR_605c. What woreda does she live in?
GGR_606. Please think about the female who is second most likely to share her intimate secrets with you, and with whom you are also likely to share your intimate secrets.
Picture this person.
Please provide a fake name for her.
GGR_607. How old was she at her last birthday?
GGR_608. What is the highest level of school she attended?
Only record formal schooling. Do not record bible or koranic school or short courses.
[] Primary 1-8
[] Secondary 9-12
[] Technical/Vocational
[] Higher
[] Do not know
[] No response
GGR_609a. What region does she live in?
[] Amhara
[] Afar
[] Oromia
[] SNNPR
[] Ethiopia Somali
[] Benishangul Gumuz
[] Addis Ababa
[] Dire Dawa
[] Gambella
[] Harari
[] None of the above
[] Do not know
[] No response
GGR_609b. What zone does she live in?
GGR_609c. What woreda does she live in?
GGR_609c. What woreda does she live in?
GGR_610. Please think about the female who is third most likely to share her intimate secrets with you, and with whom you are also likely to share your intimate secrets.
Picture this person.
Please provide a fake name for her.
GGR_611. How old was she at her last birthday?
GGR_612. What is the highest level of school she attended?
Only record formal schooling. Do not record bible or koranic school or short courses.
[] Primary 1-8
[] Secondary 9-12
[] Technical/Vocational
[] Higher
[] Do not know
[] No response
GGR_613a. What region does she live in?
[] Amhara
[] Afar
[] Oromia
[] SNNPR
[] Ethiopia Somali
[] Benishangul Gumuz
[] Addis Ababa
[] Dire Dawa
[] Gambella
[] Harari
[] None of the above
[] Do not know
[] No response
GGR_613b. What zone does she live in?
GGR_613c. What woreda does she live in?
GGR_613c. What woreda does she live in?
GGR_614. Now I would like to ask you just a few questions about each of those females/this female.
First, let's go back to {friend1_name}. Is she using an IUD or implant?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_615. It is not uncommon for women to find that they are pregnant when they don't want to be, or when circumstances would make it difficult to have a child, and sometimes they decide to do something or take something in order to end their pregnancy. As far as you know, has {friend1_name} ever done something that intentionally ended a pregnancy, in other words induced an abortion?
Again, this information will be completely confidential.
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_616a. In what year did this last happen?
Year:
GGR_616b. If you don't know exactly, approximately how many years ago did this occur?
[] 1 to less than 3 years ago
[] 3 to less than 5 years ago
[] 5 or more years ago
[] Do not know
[] No response
GGR_616c. Did {friend1_name} have any health issues and go to a health facility in the process of ending the pregnancy?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_617. Now please think about {friend2_name}. Is she currently using an IUD or implant?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_618. As far as you know has she ever done something that intentionally ended a pregnancy?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_619a. In what year did this last happen?
Year:
GGR_619b. If you don't know exactly, approximately how many years ago did this occur?
[] 1 to less than 3 years ago
[] 3 to less than 5 years ago
[] 5 or more years ago
[] Do not know
[] No response
GGR_619c. Did {friend2_name} have any health issues and go to a health facility in the process of ending the pregnancy?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_620. Now please think about {friend3_name}. Is she currently using an IUD or implant?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_621. As far as you know has she ever done something that intentionally ended a pregnancy?
[] Yes, I think so
[] No
[] Do not know
[] No response
GGR_622a. In what year did this last happen?
Year:
GGR_622b. If you don't know exactly, approximately how many years ago did this occur?
[] 1 to less than 3 years ago
[] 3 to less than 5 years ago
[] 5 or more years ago
[] Do not know
[] No response
GGR_622c. Did {friend3_name} have any health issues and go to a health facility in the process of ending the pregnancy?
[] Yes, I think so
[] No
[] Do not know
[] No response
Section 7 - Network Scale Up Questions
The next series of questions are about people you know in Ethiopia. I want to remind you that your answers will be confidential. If we come to any question that you don't want to answer just let me know and I will skip to the next question
GGR_700. This next set of questions will help us count the number of women who you interact with. These people should be: (a) individuals you know by sight AND name, and who also know you by sight and name. In other words, you should not consider famous people who you know about, but who do not know about you; and (b) individuals you have had some contact with - either in person, over the phone, or on the computer - in the past 12 months. These could be family members, friends, co-workers, neighbors or other people you have had contact with; and (c) individuals 15-49 of age who currently live in Ethiopia.
Is this clear?
[] No
[] Do not know
[] No response
GGR_701. How many women have you had contact with in the last 12 months who gave birth in the last 12 months?
GGR_702. How many women have you had contact with in the last 12 months whose most recent birth was a multiple (twins, etc.)?
Reminder: this is for the most recent birth
GGR_703. How many women have you had contact with in the last 12 months who work as a domestic helper/cleaner?
GGR_704. How many women have you had contact with in the last 12 months who work as a teacher?
GGR_705. How many women have you had contact with in the last 12 months who smoke cigarettes or a pipe?
Reminder: Chewed doesn't count; rolled leaved that are smoked are included Hint: 0 is a possible answer
GGR_706. How many women have you had contact with in the last 12 months who have any education at a level higher than secondary school?
GGR_707. How many women have you had contact with in the last 12 months who live in a household that has water piped inside the home?
Reminder: piped water in the compound does not count as piped water within the household structure
GGR_708. How many women have you had contact with in the last 12 months who live in a household that has a computer?
GGR_709. How many women have you had contact with in the last 12 months who live in a household that owns an animal drawn cart?
GGR_710. How many women have you had contact with in the last 12 months who live in a household that owns a motorcycle or scooter?
GGR_711. How many women have you had contact with in the last 12 months who live in a household that owns a bicycle?
GGR_712. How many women have you had contact with in the last 12 months who live in a household that owns at least one camel?
GGR_713. While people use many different methods to avoid becoming pregnant, some of these methods are longer lasting than others. How many of the women you had contact with in the past 12 months are currently using IUDs or implants?
GGR_714. It is not uncommon for women to find that they are pregnant when they don't want to be, or when circumstances would make it difficult to have a child, and sometimes they decide to do something or take something in order to end their pregnancy. Of the women you have had contact with in the past 12 months, how many have *ever* done something to intentionally end a pregnancy, in other words induce an abortion?
Again, this information will be completely confidential.
GGR_715. Thinking of these {wmn_abt} women who you have had contact with in the past 12 months and who have ever ended a pregnancy, how many have ended a pregnancy in the past 12 months?
Again, this information will be completely confidential.
GGR_801. Now I would like to ask you about your own experience. Were you ever pregnant when you did not want to be, or when circumstances would have made it difficult to have a child?
[] No
[] Do not know
[] No response
GGR_802. Have you ever done anything to try to end a pregnancy, in other words induce an abortion?
[] Yes, but failed
[] No
[] Do not know
[] No response
GGR_803. In what month and year did this last happen?
If respondent knows the year, but not month enter 'Do not know' for month. Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] Tikimt
[] Hidar
[] Tahsas
[] Tir
[] Yakatit
[] Magabit
[] Miyazya
[] Ginbot
[] Sene
[] Hamle
[] Nehasa
[] Pagumiene
[] Do not know
You entered: {period_abt_last_full_lab}
Today: {today}
GGR_804. Were you or your partner using a method of contraception to avoid or delay getting pregnant at the time you became pregnant?
[] No
[] Do not know
[] No response
GGR_805. What methods were you using at the time you became pregnant?
Do not read the choices. Be sure to scroll to bottom to see all choices. Select all that apply.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
GGR_806. Where did you go to end the pregnancy?
PROBE: If she went to more than one place, describe the final place that she went to end the pregnancy. Do not read the choices. Be sure to scroll to bottom to see all choices. Please record only 1 response.
[] Govt Health center
[] Govt Health post
[] Family planning clinic
[] Mobile clinic
[] Private hospital/clinic
[] Pharmacy
[] Shop/market
[] Community volunteer
[] Friend / relative
[] NGO
[] Self
[] other
[] Do not know
[] No response
GGR_806b. Did you have any health issues and go to a health facility in the process of ending the pregnancy?
[] No
[] Do not know
[] No response
GGR_807. Did you discuss ending this pregnancy with the females you listed in the previous section?
Read each name out loud. Select all that apply
[] Friend 2: friend2_name
[] Friend 3: friend3_name
[] None
[] Do not know
[] No response
GGR_808. Did you discuss your use of {current_method_label} with the females you listed in the previous section?
Read each name out loud. Select all that apply
[] Friend 2: friend2_name
[] Friend 3: friend3_name
[] None
[] Do not know
[] No response
GGR_809. I want to ask you again about the women you know by sight AND name, and with whom you have had contact in the past 12 months and who are 15 to 49 years of age and live in Ethiopia. How many know that you ended this pregnancy?
GGR_810. How many of these women who you had contact with in the past 12 months know that you are using an {current_method_label}?
FLW_901. Thank you for the time you have kindly granted us. Would you be willing to participate in another survey on this or any other topic either by phone or in person at some point in the future?
[] No
[] No response
[] No
[] No response
FLW_902a. Can I have your primary phone number in case we would like to follow up with you in the future?
[] No
[] No response
FLW_902b. Enter a 10-digit number without the country code.
Do not include spaces or dashes. Phone numbers start with 0 and then 1-9. Enter 0 for No response
FLW_903. To confirm, here is the number you gave me: {flw_number_typed_prim}. Is that correct?
If not, return to 902b and correct it.
[] No
FLW_904a. Can I have your secondary phone number in case we would like to follow up with you in the future?
[] No
[] No response
FLW_904b. Enter a 10-digit number without the country code.
Do not include spaces or dashes. Phone numbers start with 0 and then 1-9. Enter 0 for No response
FLW_905. To confirm, here is the number you gave me: {flw_number_typed_sec}. Is that correct?
If not, return to 904b and correct it.
[] No
Thank the respondent for her time.
The respondent is finished, but 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?
[] 2nd time
[] 3rd time
097. In what language was this interview conducted?
[] Amharic
[] Oromiffa
[] Tigringna
[] Other
Record the result of the questionnaire.
[] Not at home
[] Postponed
[] Refused
[] Partly completed
[] Incapacitated