A. Are you in the correct household?
This is the picture of the front of the home taken during the Household Questionnaire.
[ODK will display the photo taken during the Household Questionnaire linked to this Female Questionnaire]
[] No
B. How many times have you visited this household to interview this female respondent?
[] 2nd time
[] 3rd time
C. Your name:
[Interviewer name from Household Questionnaire]
Is this your name?
[] No
Please record your name
D. Current date and time. [ODK will display on screen]
Is this date and time correct?
[] No
E. Record the correct date and time.
Date____ Month____ Day____ Year____
Time____ Hours____ Minutes____ AM/PM____
F. The following information is from the Household Questionnaire. Please review to make sure you are interviewing the correct respondent.
[ODK will display the Zone, State, LGA, Enumeration Area, Structure Number, and Household Number entered into the Household Questionnaire linked to this Female Questionnaire.]
Is the above information correct?
[] No
If misspelled, select "yes" here and update the name in question "L."
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
G. How well acquainted are you with the respondent?
[] Well acquainted
[] Not well acquainted
[] Not acquainted
H. Is the respondent present and available to be interviewed today?
[] No
INFORMED CONSENT
Find the woman between the ages of 15-49 associated with this Female Questionnaire. The interview must have auditory privacy. Read the following greeting:
Hello. My name is ____________________________________ and I am working for Center for Population and Reproductive Health in collaboration with Center for Research, Evaluation Resources, and Development; Population and Reproductive Health Program; and Bayero University Kano. 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?
I. May I begin the interview now?
[] No
J. Interviewer's name: [Interviewer name from Household Questionnaire]
Mark your name as a witness to the consent process.
K. Respondent's name
You may correct the spelling here if it is not correct, but you must be interviewing the person whose name appears below.
Section 1 - Respondent's Background, Marital Status, HH characteristics
Now I would like to ask about your background and socioeconomic conditions.
0. In what month and year were you born? The age in the household roster is [AGE].
1. How old were you at your last birthday?
2. What is the highest level of school you attended?
[] Primary
[] Secondary
[] Higher
3. 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, currently married
[] Yes, living with a man
[] Not currently in union: Divorced / separated
[] Not currently in union: Widow
4. Have you been married or lived with a man only once or more than once?
[] More than once
5a. In what month and year did you start living with your FIRST husband / partner?
Enter Jan 2020 for no response.
[If ?15 years old at marriage date ODK will display:]
CHECK: Based on the response you entered in FQ5a, the respondent was possibly 15 years old or younger at the time of her first marriage. Did you enter FQ5a correctly?
[] No
5b. 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?
Enter Jan 2020 for no response.
[If ?15 years old at marriage date ODK will display:]
CHECK: Based on the response you entered in FQ5b, the respondent was possibly 15 years old or younger at the time of her first marriage. Did you enter FQ5b correctly?
[] No
CHECK 3: Currently married/cohabitating?
[] Yes
[] No
6. Does your husband / partner have other wives or does he live with other women as if married?
[] No
[] Don't know
7. Is your husband / partner living with you now or is he staying elsewhere?
[] Staying elsewhere
Section 2 - Reproduction, Pregnancy and Fertility Preferences
Now I would like to ask about all the births you have had during your life.
8. How many times have you given birth?
Enter -88 for do not know and -99 for no response 0 is a possible answer.
If no, go back and change FQ8 to record only live birth events.
[] No
8a. When was your FIRST live birth?
Please record the date of the FIRST birth. Date should be found by calculating forward or backward from memorable events if needed. Enter Jan 2020 for no response.
9. When was your MOST RECENT live birth?
Please record the date of the MOST RECENT birth. The date should be found by calculating backwards from memorable events if needed. Enter Jan 2020 for no response.
10. When did you give birth before the most recent one?
Please record the date of the birth before the last. The date should be found by calculating backwards from memorable events if needed. Enter Jan 2020 for no response.
11. Is your last baby / child still alive?
[] No
[] Don't know
12. When did your last baby / child die?
Please record the date of the child's death. The date should be found by calculating backwards from memorable events if needed. Enter Jan 2020 for no response.
13. 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.
Weeks ago____
Months ago____
Years ago____
[] Menopausal / Hysterectomy
[] Before last birth
[] Never menstruated
14. Are you pregnant now?
[] No
[] Unsure
15. How many months pregnant are you? The most recent birth was: [Date of most recent birth]
Please record the number of completed months. Enter -88 for do not know, -99 for no response.
[] No
16a. Now I have some questions about the future. Would you like to have a/another child or would you prefer not to have any / any more children?
[] No more/prefer no children
[] Says she can't get pregnant
[] Undecided / Don't know
16b. Now I have some questions about the future. 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/prefer no children
[] Says she can't get pregnant
[] Undecided / Don't know
17a. How long would you like to wait from now before the birth of a/another child?
If you select months or years, you will enter a number for x on the next screen.
Years____
[] Soon / now
[] Other
[] Says she can't get pregnant
[] Don't know
17b. 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.
Years____
[] Soon / now
[] Says she can't get pregnant
[] Other
[] Don't know
[] No
18a. Now I would like to ask a question about your last live birth.
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 / any more children at all?
[] Later
[] Not at all
18b. 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 / any more children at all?
[] Later
[] Not at all
Section 3 - Contraception
Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.
19. Have you ever used anything or tried in any way to delay or avoid getting pregnant?
[] No
20. How old were you when you first used a method to delay or avoid getting pregnant?
The respondent said she was [age from FQ1] years old at her last birthday.
Enter the age in years. Enter -88 if respondent does not know. Enter -99 if there is no response. Cannot be younger than 9.
20a. How many living children did you have at that time, if any?
Note: the respondent said that she gave birth [number of live births] times in FQ8.
Enter -99 for no response
21. Which method did you first use to delay or avoid getting pregnant?
Do not read the method choices. Be sure to scroll to bottom to see all choices.
[] No
Male Sterilization
[] No
Implant
[] No
IUD
[] No
Injectables
[] No
Pill
[] No
Emergency Contraception
[] No
Male Condom
[] No
Female Condom
[] No
Diaphragm
[] No
Foam/Jelly
[] No
Std. Days/Cycle beads
[] No
LAM
[] No
Rhythm method
[] No
Withdrawal
[] No
Other traditional methods
[] No
[] No
22. Are you currently doing something or using any method to delay or avoid getting pregnant?
[] No
23. Which method or methods are you using?
Probe: Anything else?
Select all methods mentioned. Be sure to scroll to bottom to see all choices.
[] No
Male Sterilization
[] No
Implant
[] No
IUD
[] No
Injectables
[] No
Pill
[] No
Emergency Contraception
[] No
Male Condom
[] No
Female Condom
[] No
Diaphragm
[] No
Foam/Jelly
[] No
Std. Days/Cycle beads
[] No
LAM
[] No
Rhythm method
[] No
Withdrawal
[] No
Other traditional methods
[] No
24. Did the provider tell you or your partner that this method was permanent?
[] No
25. Do you know of a place where you can obtain a method of family planning?
[] No
[] No
26a. 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
26b. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?
[] No
[] No
27. In the last 12 months, have you ever done something or used a method to delay or avoid getting pregnant?
[] No
28. Which method did you use most recently?
Probe: Anything else?
Select most effective method (highest method on list). Scroll to bottom to see all choices.
IUD
Injectables
Pill
Emergency Contraception
Male Condom
Female Condom
Diaphragm
Foam/Jelly
Std. Days/Cycle beads
LAM
Rhythm method
Withdrawal
Other traditional methods
29. When did you begin using your [MOST RECENT / CURRENT METHOD]?
Calculating backwards from memorable events if needed.
Must be at least the ages she started using a contraceptive method (FQ20).
Must be before today. Respondent must be at least 10 years old.
Enter Jan 2020 for no response.
[] No
30. When did you stop using your [MOST RECENT METHOD]?
Please record the date.
The date should be found by calculating backwards from memorable events if needed. Must be after FQ29.
Enter Jan 2020 for no response.
31. Why did you stop using your (MOST RECENT METHOD)?
[] Became pregnant while using
[] Wanted to become pregnant
[] Husband / partner disapproved
[] Wanted 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
32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it?
Scroll to bottom to see all choices.
[] Govt. Hospital
[] Govt. Health Center
[] Family Planning Clinic
[] Mobile Clinic
[] Fieldworker
PRIVATE MEDICAL SECTOR
[] Private Hospital/Clinic
[] Pharmacy
[] Chemist/Pms Store
[] Private Doctor
[] Mobile Clinic
[] Fieldworker
OTHER SOURCE
[] Shop
[] Church
[] Friend/Relative
[] NGO
[] Other
33. In the last 12 months, have you paid any fees for family planning services (including the most recent/current method)?
[] No
34. How much did you pay?
Enter all prices in Nigerian Naira. Enter -88 if respondent does not know, -99 for no response.
35. When you obtained your [MOST RECENT / CURRENT 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
36. Were you told what to do if you experienced side effects or problems?
[] No
37. 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
38. During that visit, did you obtain the method you wanted to delay or avoid getting pregnant?
[] No
39. 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
40. During that visit, who made the final decision about what method you got?
[] Provider
[] Partner
[] You and provider
[] You and partner
[] Other
[] Govt. Hospital
[] Govt. Health Center
[] Family Planning Clinic
[] Mobile Clinic
[] Fieldworker
PRIVATE MEDICAL SECTOR
[] Private Hospital/Clinic
[] Pharmacy
[] Chemist/Pms Store
[] Private Doctor
[] Mobile Clinic
[] Fieldworker
OTHER SOURCE
[] Shop
[] Church
[] Friend/Relative
[] NGO
[] Other
41. Would you return to this provider?
[] No
42. Would you refer your relative or friend to this provider / facility?
[] No
CHECK 16: Desire for future child?
[] No more/none
[] Says she can't get pregnant
[] Undecided / Don't know
[] Less than 2 years
[] 2 or more years
[] No, not using contraceptive
Probe: Any other reason?
Hint: RECORD ALL REASONS MENTIONED
Cannot select "Do Not Know" or "No response" with other options.
Cannot select "Not married" if FQ3 is "Yes, currently married".
Scroll to the bottom to see all choices.
[] Infrequent sex / husband away
[] Menopausal/Hysterectomy
[] Subfecund / infecund
[] Not menstruated since last birth
[] Breastfeeding
[] 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
44. In the last 12 months, were you visited by a community health worker who talked to you about family planning?
[] No
45. In the last 12 months, have you visited a health facility for care for yourself or your children?
For any health services
[] No
46. Did any staff member at the health facility speak to you about family planning methods?
[] No
47. In the last few months have you:
[] No
Seen anything about family planning on the television?
[] No
Read about family planning in a newspaper or magazine?
[] No
OBSERVE: CHECK FOR THE PRESENCE OF OTHERS. BEFORE CONTINUING MAKE EVER EFFORT TO ENSURE PRIVACY.
Verbally prepare the respondent for sexual activity questions.
48. How old were you when you first had sexual intercourse?
Enter the age in years.
The respondent said she was [age from FQ1] years old at her last birthday.
Enter 0 if she never had sex. Enter -88 if respondent does not know. Enter -99 for no response.
[If age at first sex LT 10 years:]
You have entered that the respondent was X years old when she first had sexual intercourse. Is this what she said?
Go back and correct FQ48 if it is not correct.
[] No
49. When was the last time you had sexual intercourse?
If 12 months (one year) or more ago, answer must be recorded in years. If less than 12 months ago, answer must be recorded in days, weeks or months.
Enter 0 days for today.
You will enter a number for X on the next screen.
WEEKS AGO____
MONTHS AGO____
YEARS AGO____
Section 4 - Water
Now I would like to ask you a couple of questions about your water practices.
50. 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
[] X minutes per day
[] No time, someone else collects water
[] No time, no one collects water
[] Don't know
51. 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
[] X minutes per day
[] No time, someone else collects water
[] No time, no one collects water
[] Don't know
Thank the respondent for her time
The respondent is finished, but there are still 2 more questions for you to complete outside the home.
LOCATION
L. Location
Take a GPS point near the entrance to the household. Record location when the accuracy is smaller than 6m. GPS coordinates can only be collected when outside.
QUESTIONNAIRE RESULT
M. Questionnaire result
Record the result of the Female Questionnaire
[] Not at home
[] Postponed
[] Refused
[] Partly completed
[] Incapacitated