READ THIS WARNING: This female questionnaire is not linked to a household questionnaire.
ONLY continue if there is no linked female questionnaire under the "Edit Saved Form" Menu.
Did you check the Edit Saved forms menu for a linked female questionnaire?
[] No
Provide your signature to acknowledge that there is no linked female questionnaire.
Close and exit this form without saving. Look for a linked female questionnaire through the 'Edit Saved Forms' Menu.
001a. Are you in the correct household?
EA: {EA}
Structure #: {structure}
Household #: {household}
Go to the right household.
[] No
[] No
Please record your name
Is this date and time correct?
[] No
003b. Record the correct date and time.
The date must be between 2017-10-01 and 2018-10-01.
004a. The following info is from the household questionnaire. Please review to make sure you are interviewing the correct respondent.
004a. The following info is what you provided previously. Please review.
Enumeration Area: {EA_unlinked}
Structure number: {structure_unlinked}
Household number: {household_unlinked}
004b. Is the above information correct?
Go to the right household or update the Household Roster if needed.
[] No
005. CHECK: You should be attempting to interview {firstname}. Is that correct?
If misspelled, select "yes" and update the name in question "011."
If this is the wrong person, you have two options:
(1) exit and ignore changes to this form. Open the correct form.
Or
(2) find and interview the person whose name appears above.
You must interview the right person.
[] 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 International Center for Reproductive Health in Kenya, in collaboration with the Ministry of Health and the Kenya National Bureau of Statistics. We are conducting a local survey that asks women about various reproductive health issues. We would very much appreciate your participation in this survey. This information will help us inform the government to better plan health services. The survey usually takes between 15 and 20 minutes to complete. Whatever information you provide will be kept strictly confidential and will not be shown to anyone other than members of our survey team.
Participation in this survey is voluntary, and if we should come to any question you don't want to answer, just let me know and I will go on to the next question; or you can stop the interview at any time. However, we hope that you will participate in this survey since your views are important.
At this time, do you want to ask me anything about the survey?
009a. Provide a paper copy of the Consent Form to the respondent and explain it. Then, ask: May I begin the interview now?
[] No
WARNING: The respondent has not signed or checked the box, despite agreeing to be interviewed. To conduct the survey, the respondent must sign or touch the checkbox.
You may go back to obtain a signature or check the box or you should go back to question H to indicate the respondent does not want to be interviewed.
010. Interviewer's name: {your_name}
Mark your name as a witness to the consent process.
Please record your name as a witness to the consent process. You previously entered "{name_typed}."
That is not what you entered for your name earlier in this survey.
You may correct the spelling here if it is not correct, but you must be interviewing the person whose name appears below.
Section 1 - Respondent's Background, Marital Status, Household characteristics
Now I would like to ask about your background and socioeconomic conditions.
101. In what month and year were you born?
The age in the household roster is {age}
101. In what month and year were you born?
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
Cannot be in the future.
102. How old were you at your last birthday?
Age must be less than 130.
Must agree with 101.
WARNING: The age you entered for 102 is {FQ_age}, which makes her ineligible for interview. She must be at least 15 years old and not more than 49 years old.
If that age is correct, update her age on this screen, hit the back key, and save changes to exit the interview. This form will be deleted automatically upon saving it.
If that age is not correct, go back to the previous screen and enter the correct age.
WARNING: The age you entered for 102 is {FQ_age}. This does not agree with the household roster, but she is still eligible to be interviewed. If 102 is correct update the age on this screen to {FQ_age}. Otherwise, return to the previous screen and enter the correct age.
The age in the roster agrees with the age in 102. Go to the next screen without changing the number on this screen.
This screen must agree with the previous one. Enter the right number.
103. What is the highest level of school you attended?
Only record formal schooling. Do not record bible or koranic school or short courses.
[] Primary
[] Post-Primary/Vocational
[] Secondary/'A' Level
[] College (Middle Level)
[] University
[] 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'.
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {husband_cohabit_start_first_lab}
Today: {today}
Date of first living with husband/partner cannot be before respondent's birth. You entered: {husband_cohabit_start_first_lab}
Respondent's birth: {birthdate_lab}
Date of first living with husband/partner cannot be before respondent's birth. You entered: {hcf_y_lab}
Respondent's birth: {birthdate_lab}
106b. CHECK: Based on the response you entered in 106a, the respondent was possibly 15 years old or younger at the time of her first marriage.
Did you enter 106a correctly?
[] 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'.
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {husband_cohabit_start_recent_lab}
Today: {today}
Date of living with current / most recent husband/partner cannot be before respondent's birth. You entered: {husband_cohabit_start_recent_lab}
Respondent's birth: {birthdate_lab}
Date of living with current / most recent husband/partner cannot be before respondent's birth. You entered: {hcs_y_lab}
Respondent's birth: {birthdate_lab}
Date of living with current / most recent husband/partner cannot be before date respondent started living with first partner. You entered: {husband_cohabit_start_recent_lab}
Date started living with first partner: {husband_cohabit_start_first_lab}
Year of living with current / most recent husband/partner cannot be before year respondent started living with first partner. You entered: {hcs_y_lab}
Year started living with first partner: {hcf_y_lab}
107b. CHECK: Based on the response you entered in 107a, the respondent was possibly 15 years old or younger at the time of her current or most recent marriage.
Did you enter 107a correctly?
[] 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
Section 2 - Reproduction, Pregnancy and Fertility Preferences
Now I would like to ask about all the births you have had during your life.
200. Now I would like to ask about all the births you have had during your life. Have you ever given birth?
[] No
[] No response
201. How many times have you given birth?
Enter -99 for no response.
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'.
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {first_birth_lab}
Today: {today}
First birth cannot be before respondent was 10 years of age. You entered: {first_birth_lab}
Respondent's birth date: {birthdate_lab}
206. When was your MOST RECENT birth?
Select 'Do not know' for month and '2020' for year to indicate 'No Response'.
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {recent_birth_lab}
Today: {today}
Date of most recent birth cannot be before respondent was 10 years of age. You entered: {recent_birth_lab}
Respondent's birth date: {birthdate_lab}
Date of most recent birth must be at least 6 months after the first birth. You entered: {recent_birth_lab}
First birth: {first_birth_lab}
Year of most recent birth cannot be before first birth. You entered: {rb_y_lab}
Year of first birth: {fb_y_lab}
[] No
[] Unsure
[] No response
210b. How many months pregnant are you?
The most recent birth was: {rec_birth_date}
Please record the number of completed months. Enter -88 for do not know, -99 for No response.
Value must be at least 0 and not more than 10. A current pregnancy must start after the most recent birth.
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.
[] X weeks ago
[] X months ago
[] X years ago
[] Menopausal / Hysterectomy
[] Before last birth
[] Never menstruated
[] No response
You entered "Never menstruated" in 209 but the respondent 206 indicates she previously gave birth. Is that what she said?
If no, return to the previous screen and change the response.
Invalid. Go back
[] No
209a. Enter {menstrual_period_lab}
Enter 0 days for today, not 0 weeks/months/years.
Must be 0 days or larger. Must be 1 week/month/year or larger.
You entered that the respondent is {months_pregnant} months pregnant, but she said her last menstrual period started {menstrual_period_value} ({menstrual_period_lab}) ago. Is that what she said?
If no, return to the previous screen and change the response.
Invalid. Go back
[] No
You entered "Never menstruated" in 209 but 210a indicates that the respondent is pregnant currently. Is that what she said?
If no, return to the previous screen and change the response.
Invalid. Go back
[] No
213a. Now I would like to ask a question about your last birth.
213b. Now I would like to ask a question about your current pregnancy.
At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any more children at all?
At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any children at all?
[] 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?
[] No more
[] Says she can't get pregnant
[] Undecided / Don't know
[] No response
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
212a. How long would you like to wait from now before the birth of another child?
If you select months or years, you will enter a number for X on the next screen.
Select "Years" if more than 36 months.
Please check that you correctly entered the value for months/years.
[] 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 {waitchild} you would like to wait:
Use years if more than 36 months.
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.
[] 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.
[] 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.
[] 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.
[] 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.
[] 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.
[] No
[] No response
301i. Have you ever heard of female condoms?
PROBE: Women can put a sheath in their vagina before sexual intercourse.
[] No
[] No response
301j. Have you ever heard of the diaphragm?
PROBE: Women can place a thin flexible disk in their vagina before sexual intercourse.
[] No
[] No response
301k. Have you ever heard of foam or jelly as a contraceptive method?
PROBE: Women can place a suppository, jelly, or cream in their vagina before sexual intercourse to prevent pregnancy.
[] 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.
[] 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.
You selected no response with another option.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
Check here to acknowledge you considered all options.
CALC_CM. CALCULATE: CURRENT METHOD
THIS WILL NOT APPEAR ON THE SCREEN
ODK will identify the most effective method currently being used by the respondent by selecting the highest method in the choice list
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
302c. Does your husband/partner know that you are using {current_method_label}?
[] 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 {implant_duration_lab} 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.
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
Check here to acknowledge you considered all options.
307. Before you started using {current_recent_label}, 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
TCI_302. Besides you and your husband/partner, who else influences the decision to use a family planning method?
PROBE: Anybody else?
Do not read options aloud. Select all that apply.
Cannot select "no response" or "no one" with other options.
[] Mother in law
[] Sister(s)
[] Sister(s) in law
[] Grandmother
[] Friend(s)
[] Health worker
[] Community leader
[] Religious leader
[] Aunt
[] Other relatives
[] Other
[] No one
[] No Response
TCI_302x. In the last 12 months, have you recommended any family planning method to your friends and/or relatives?
[] No
[] Do not know
[] No response
308a. The last time you received your {current_recent_label}, 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 Kenyan Shillings. Enter -88 if respondent does not know, -99 for no response.
309a. Since what month and year have you been using {current_recent_label} without stopping?
Calculate backwards from memorable events if needed.
Most Recent Birth: {rec_birth_date}
Current Marriage: {rec_husband_date}
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {begin_using_full_lab}
Today: {today}
Date of starting {current_recent_label} cannot be before 10 years of age. You entered: {begin_using_full_lab}
Respondent's birth date: {birthdate_lab}
Date of starting {current_recent_label} without stopping cannot be before most recent birth. You entered: {begin_using_full_lab}
Most recent birth: {recent_birth_lab}
Date of starting {current_recent_label} without stopping cannot be before most recent birth. You entered: {bus_y_lab}
Most recent birth: {rb_y_lab}
309b. When did you stop using {current_recent_label}?
Please record the date.
The date should be found by calculating backwards from memorable events if needed.
Select 'Do not know' for month and '2020' for year to indicate No Response.
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {stop_using_full_lab}
Today: {today}
Date of stopping {current_recent_label} must be within the last 12 months. Otherwise, the answer to 306a should be no. You entered: {stop_using_full_lab}
Today: {today}
Date of stopping {current_recent_label} must be within the last 12 months. Otherwise, the answer to 306a should be no. You entered: {spu_y_lab}
Today: {today}
309c. In what month and year had you started using [MOST RECENT / CURRENT METHOD] before stopping?
Calculate backwards from memorable events if needed.
Select 'Do not know' for month and '2020' for year to indicate No Response.
Most Recent Birth: {rec_birth_date}
Current Marriage: {rec_husband_date}
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
[] Do not know
If entering '2020' for No Response, must select 'Do not know' for month.
Cannot be in future.
You entered: {ante_start_using_full_lab}
Today: {today}
Date of starting {current_recent_label} cannot be before 10 years of age. You entered: {ante_start_using_full_lab}
Respondent's birth date: {birthdate_lab}
Date of having stopped using {current_recent_label} cannot be before start of usage. You entered: {ante_start_using_full_lab}
Date of stopping use: {stop_using_full_lab}
Year of having stopped using {current_recent_label} cannot be before start of usage. You entered: {sus_y_lab}
Year of stopping use: {spu_y_lab}
309d. CHECK: Just to make sure I have this correct, you used [MOST RECENT / CURRENT METHOD] continuously between {ante_start_using_full_lab} and {stop_using_full_lab} 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 [MOST RECENT / CURRENT METHOD]?
Cannot select 'no response' or 'do not know' with other options.
[] 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 [MOST RECENT / CURRENT METHOD] on [DATE].
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Govt. Health Center
[] Govt. Dispensary
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy/Chemist
[] Nursing/Maternity Home
[] Faith-based, church, mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health volunteer/CHV
[] Friend/relative
[] Other
[] Don't know
[] No Response
Check here to acknowledge you considered all options.
TCI_303. Why did you choose the facility where you received your most recent/current FP method?
PROBE: Any other reasons?
Do not read options aloud. Select all that apply.
Cannot select "no response" or "do not know" with other options.
[] Convenient to your place of work/school
[] Convenient operating hours
[] You can remain anonymous
[] Good reputation
[] Staff are discreet/maintain confidentiality
[] Services are free
[] It is more affordable
[] Provide good quality services
[] They provide desired services
[] Facility accepts insurance.
[] Providers treat patients well
[] Spoke with youth group
[] Referred by community health volunteer
[] Referred by another provider
[] Referred by a friend/relative
[] Loudspeaker announcements
[] Dramas / skits
[] Other
[] Do not know
[] No Response
312a. When you obtained your {current_recent_label}, were you told by the provider about side effects or problems you might have with a method to delay or avoid pregnancy?
[] 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_label}
[] 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 [MOST RECENT/CURRENT 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: {provider_label}
[] No
[] Do not know
[] No response
317. Would you refer your relative or friend to this provider / facility?
Provider: {provider_label}
[] No
[] Do not know
[] No response
IMP_304b. When you stopped using the implant in {stop_using_full_lab}, where did you go to have your implant removed?
Scroll to bottom to see all choices.
[] Govt. Health Center
[] Govt. Dispensary
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy/Chemist
[] Nursing/Maternity Home
[] Faith-based, church, mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health volunteer/CHV
[] Friend/relative
[] Self
[] Other
[] Don't 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. Dispensary
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy/Chemist
[] Nursing/Maternity Home
[] Faith-based, church, mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health volunteer/CHV
[] Friend/relative
[] Self
[] Other
[] Don't know
[] No Response
IMP_306. Why were you not able to have your implant removed?
Cannot select 'no response' or 'do not know' with other options.
[] 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
IMP_306b. Why were you not able to have your implant removed?
SW_1a. Right before you started using [CURRENT/RECENT METHOD] in [MONTH/YEAR], were you doing something or using any method to delay or avoid getting pregnant?
[] No
[] No response
SW_1b. Which method were you using?
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] 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
If today, enter zero days only, not zero weeks/months/years.
Days must be greater or equal to 0. Weeks/months/years must be greater than 0.
Date of having started use {pp_method_lab} cannot be in the future. You entered: {pp_method_value}, {pp_method_units}.
Most recent birth date: {rec_birth_date}
Today: {today}
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
The respondent answered 'female sterilization', but she did not say that is her current method. Go back and update the current method.
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.
Enter -88 if the respondent does not know.
Enter -99 if there is no response.
Cannot be younger than 9.
Cannot be older than the current age of the respondent. Cannot be younger than 9. Cannot be after recent/current use.
Check: You entered that the respondent first used family planning at the age of {age_at_first_use}. Is that what she said?
Go back and change 320 if that is not correct.
Go back and change 320.
[] No
321. How many living children did you have at that time, if any?
Note: the respondent said that she gave birth {birth_events} times in 201.
Enter -99 for no response.
Must be zero or larger, or -99.
WARNING: you entered that the respondent gave birth {birth_events} times in 201, and you entered that the respondent had {age_at_first_use_children} children alive at the time she first used a method to delay or avoid getting pregnant in 321. Is this what the respondent said?
It may be that the answers to 201 and 321 are correct. This screen is a warning for verification.
[] No
322. Which method did you first use to delay or avoid getting pregnant?
Do not read the method choices. Scroll to bottom to see all choices.
You said you are currently pregnant.
[] Male sterilization
[] Implant
[] IUD
[] Injectables
[] Pill
[] Emergency Contraception
[] Male condom
[] Female condom
[] Diaphragm
[] Foam/Jelly
[] Standard Days/Cycle beads
[] LAM
[] Rhythm method
[] Withdrawal
[] No response
Check here to acknowledge you considered all options.
The respondent said she first used female sterilization, but she did not say that is her current method. Go back to 302a and 302b and update the selection for current method.
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.
Cannot select "Do not know" or "No response" with other options.
Cannot select "Not Married" if 104 is "Yes, currently married".
[] 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
Check here to acknowledge you considered all options.
323b. Would you say that not using contraception is mainly your decision, mainly your husband/partner's decision or did you both decide together?
[] Mainly husband/partner
[] Joint decision
[] Other
[] No response
TCI_304. Besides you and your husband/partner, who else influences the decision not to use a family planning method?
PROBE: Any other reasons?
Do not read options aloud. Select all that apply.
Cannot select "no response" " no one" with other options.
[] Mother in law
[] Sister(s)
[] Sister(s) in law
[] Grandmother
[] Friend(s)
[] Health worker
[] Community leader
[] Religious leader
[] Aunt
[] Other relatives
[] Other
[] No one
[] No Response
TCI_304x. In the last 12 months, has a friend and/or relative recommended that you use a family planning method?
[] No
[] No response
324. In the last 12 months, were you visited by a community health volunteer 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
TCI_305. Have you attended a community event in the last year where family planning was favorably discussed?
[] No
[] No response
TCI_306. Do you think there are some people within this community who will call you bad names or avoid your company if they knew that you were using a family planning method?
[] No
[] Do not know
[] No response
TCI_307. Do you think there are some people within this community who will praise, encourage, or talk favorably about you if they knew that you were using a family planning method?
[] No
[] Do not know
[] No response
TCI_308. In the past 12 months, have you heard any of the following people speaking publicly in FAVOR of family planning?
Read all options out loud and select all that apply.
Cannot select "None of the above" or "No response" with other options.
[] County level leaders / local leaders
[] Religious leader
[] None of the above
[] No Response
TCI_309. In the past 12 months, have you heard any of the following people speaking publicly AGAINST family planning?
Read all options out loud and select all that apply.
Cannot select "None of the above" or "No response" with other options.
[] County level leaders / local leaders
[] Religious leader
[] None of the above
[] No Response
TCI_309x. How many of your close friends and relatives do you think use family planning: none, some, most, or all?
[] Some
[] Most
[] All
[] Do not know
[] No Response
326. In the last few months have you:
[] No
[] No response
326a. Heard about family planning on the radio?
[] No
[] No response
326b. Seen anything about family planning on the television?
[] No
[] No response
326c. Read about family planning in a newspaper or magazine?
[] No
[] No response
326d. Received a voice or text message about family planning on a mobile phone?
[] No
[] No response
TCI_310. Read about family planning in a brochure, leaflet, or flyer?
[] No
[] No response
TCI_311. Seen a poster or billboard with a family planning message?
[] No
[] No response
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: {birth_events}
Enter -77 if she has never had sex.
Enter -99 for no response.
Enter -88 for do not know.
Answer must agree with the current age and date of first birth.
WARNING: you entered -77, but the respondent is currently pregnant or has given birth before. Go back and fix.
The timing of the number of births should agree with 401a
WARNING: the respondent gave birth {birth_events} times, but first had sex at the age of {age_at_first_sex}, only {years_since_first_sex} years ago. Is that correct?
The timing of the number of births should agree with 401a.
You must reconcile 401a with the respondent's pregnancy history.
[] No
You entered that the respondent was {age_at_first_sex} years old the first time she had sexual intercourse. Is that what the she said?
Go back and change 401a if it is not correct.
Invalid. Go back
[] No
You entered that the respondent's age at first sex was {age_at_first_sex}. Previously the respondent said she has given birth at an earlier age: {age_first_birth}. Is that correct?
Go back and change "age at first sex" if it is not correct
You must reconcile 401a with the respondent's pregnancy history.
[] No
402. When was the last time you had sexual intercourse?
Respondent is {months_pregnant} months pregnant.
Answer must be in days or weeks up to 4 weeks or 30 days
If less than 12 months ago, answer must be recorded in months, weeks, or days.
Enter 0 days for today.
You will enter a number for X on the next screen.
Must agree with the pregnancy status.
[] X weeks ago
[] X months ago
[] X years ago
[] No response
402. Enter {last_time_sex_lab}.
If today, enter zero days only, not zero weeks/months/years.
Must agree with the age of first sexual intercourse and the pregnancy status.
Days must be greater or equal to 0. Weeks/months/years must be greater than 0.
The respondent is pregnant. The time since last sex must not be earlier than one month prior to the start of pregnancy.
If number of months pregnant is unknown, then the time since last sex must be less than 11 months.
Months pregnant: {months_pregnant}
Last time sex units: {last_time_sex}
Last time sex value: {last_time_sex_value}
The respondent cannot enter a time since last sex that would be before her age at first sex.
Age at first sex: {age_at_first_sex}
Current age: {age}
Last time sex units: {last_time_sex}
Last time sex value: {last_time_sex_value}
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
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
Either: 1-24 hours or 1-180 minutes.
FLW_801. 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_803. Can I have your primary phone number in case we would like to follow up with you in the future?
Enter an 10-digit number without the country code. Do not include spaces or dashes.
Enter -99 for no response.
Invalid number of digits.
FLW_804. To confirm, here is the number you gave me: {flw_number_typed}. Is that correct?
If not, return to 803 and correct it.
You must answer yes.
[] No
Thank the respondent for her time.
The respondent is finished, but there are still more questions for you to complete outside the home.
There are still more questions for you to complete outside the home.
Location and Questionnaire result
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?
[] Kiswahili
[] Other
Record the result of the female respondent survey
Check answer to 006 and consent.
[] Not at home
[] Postponed
[] Refused
[] Partly completed
[] Incapacitated