EA

Structure number

Household number

Head of household's name

Respondent's name

Respondent's age

Did the respondent report that she "removed a pregnancy" or "regulated her period" in the prior survey?

The year the event took place

Did the respondent report using multiple things?

Only method used

Only source

First method used

First source

Last method used

Last source

Number of friends discussed during first survey

Enter 0, 1, or 2. Enter their information on the next screen.

Friend 1 name

Did she tell friend 1?

Friend 2 name

Did she tell friend 2?

Respondent summary from Round 5

Head of household first name: {hh_head_prev}
Respondent first name: ${first_name_prev}
Age: ${age_prev}

EA name: {ea_prev}
Structure number: ${structure_prev}
Household number: ${household_prev}

What reported in prior round: Pregnancy removal

What reported in prior round: Period regulation

Only method: {only_method_prev_lab}
Only source: ${only_source_prev_lab}
Year: ${event_year_prev}

First method: {first_method_prev_lab}
First source: ${first_source_prev_lab}
Last method: ${last_method_prev_lab}
Last source: ${last_source_prev_lab}
Year: ${event_year_prev}

001a. Are you talking to the correct woman?

RETURN TO INTERVIEW THE CORRECT WOMAN.

002. Your name: {your_name}

Is this your name?

002b. Enter your name below.

Please record your name

003. Current date and time.

Is this date and time correct?

003b. Record the correct date and time.

The date must be between 2019-09-01 and 2020-09-01.

004a. The following information is from the previous female questionnaire. Please review to make sure you are interviewing the correct respondent.

Enumeration area: {ea_prev}
Structure number: ${structure_prev}
Household number: ${household_prev}

First name: {first_name_prev}
Age: ${age_prev}

Is the above information correct?

If misspelled, select "no" here and update the information.

If this is the wrong person, find and interview the person whose name appears above. If this is the wrong person but she is also a respondent, exit and select the correct form from among your list.

Enter corrections

Enumeration area

Previous enumeration area: {ea_prev}

Structure number

Previous structure number: {structure_prev}

Houshold number

Previous household number: {household_prev}

First name

Previous first name: {first_name_prev}

Age

Previous age: {age_prev}

004c. Has the respondent moved since Round 5?

005. Is the respondent present and available to be interviewed today?

006. Did you interview the respondent in the previous round?

INFORMED CONSENT

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

Hello. My name is ................................................ and I am working for Center for Research, Evaluation Resources, and Development and the Centre for Advance Medical Research. This study is being conducted by a team of researchers at Performance, Monitoring and Accountability 2020 (PMA2020), based at Johns Hopkins Bloomberg School of Public Health, in partnership with the Center for Research, Evaluation and Resources Development (CRERD).

Purpose: The purpose of this study is to better understand women's pregnancy removal and period regulation experiences in Nigeria. We are interested in women's knowledge about pregnancy removal services, procedures, and safety, their decision-making processes when seeking care, their experiences accessing care, any complications that occur, and any subsequent treatment they receive.

Participation: We invited you to participate in the survey because you participated in the PMA2020 survey last year where you reported a prior pregnancy removal or period regulation and indicated you were willing to be re-contacted for another interview on the topic. The survey will take between 30 and 40 minutes to complete.

Risks: There are no physical risks associated with participation in this study. However, you may be uncomfortable answering some of the questions. You do not have to answer all of the questions and may stop the interview at any time. With any study, there is a small risk that someone outside the study may see your information, but we will do our best to keep your information private and confidential. If any questions make you uncomfortable and you would like to discuss this with a professional, you will be given a phone number at the end of the interview and our study staff will help you contact someone who will assist you in getting the help you seek.

Benefits: There are no direct benefits associated with participation in this study. However, some participants may feel a sense that they are helping others by being involved in research that will help better understand the reproductive experiences of women, and how to improve their health and well-being. This information will also help us inform the government to better plan health services.

Confidentiality: Your participation in this study and any information you provide will be kept strictly confidential. We will remove your name and any other personally identifiable information before analyzing the data, presenting or publishing results, or sharing data.

Compensation: You will receive a small gift to thank you for your participation.

Voluntary participation: Participation is entirely voluntary. 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. You can choose not to participate at all or to you can stop the interview at any time. However, we hope that you will participate in this survey since your views and your specific experience are important.

If you have any questions about the study and your right as a research participant, you may ask me now or you may also contact Dr. Elizabeth Omoluobi at Center for Research, Evaluation Resources and Development in Ile-ife, Nigeria at +2348033816486.

At this time, do you want to ask me anything about the survey?

007. Read the consent form and verbal consent text.

Then, ask:
May I begin the interview now?

008. Respondent's signature

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

Checkbox

Section 1 â?? Confirmation of Previously Provided Details and Respondent's Background

As previously described, I would like to collect additional information on PREGNANCY REMOVAL. Sometimes women are worried they are pregnant or get pregnant when they do not want to be and they do something to REMOVE THE PREGNANCY. This is a common experience in Nigeria and we simply want to better understand it. I want to remind you that this survey is completely confidential and your responses will not be shared with anyone outside the study.

Section 1 â?? Confirmation of Previously Provided Details and Respondent's Background

As previously described, I would like to collect additional information on PERIOD REGULATION. Sometimes women are worried they are pregnant or get pregnant when they do not want to be and they do something to REGULATE THEIR PERIOD. This is a common experience in Nigeria and we simply want to better understand it. I want to remind you that this survey is completely confidential and your responses will not be shared with anyone outside the study.

In the prior PMA2020 survey that we conducted in April and May of 2018, you told the interviewer that you had done something to REMOVE A PREGNANCY WHEN YOU WERE PREGNANT OR WORRIED YOU WERE PREGNANT.

In the prior PMA2020 survey that we conducted in April and May of 2018, you told the interviewer that you had done something to REGULATE YOUR PERIOD AT A TIME WHEN YOU WERE WORRIED YOU WERE PREGNANT.

100a. You told the interviewer this took place in {event_year_prev}. Is this correct?

100b. In what year did this event occur?

Enter 2020 if do not know.

100c. Approximately how long ago did this event occur?

Read answers aloud.

100d. You told the interviewer you DID MULTIPLE THINGS to try to REMOVE THE PREGNANCY. Is this correct?

100d. You told the interviewer you DID MULTIPLE THINGS to try to REGULATE YOUR PERIOD. Is this correct?

100d. You told the interviewer you DID NOT DO MULTIPLE THINGS to try to REMOVE THE PREGNANCY. Is this correct?

100d. You told the interviewer you DID NOT DO MULTIPLE THINGS to try to REGULATE YOUR PERIOD. Is this correct?

100e. Did you do multiple things?

101a. You told the interviewer that you ONLY used {only_method_prev_lab}. Is this correct?

101a. You told the interviewer that you FIRST used {first_method_prev_lab}. Is this correct?

101b. What was the ONLY method you used?

101b. What was the FIRST method you used?

101c. You said you took pills. Did you take any of these specific medications?

Show pictures of misoprostol and misoprostol/mifepristone packs as well as antibiotics, anti-malarial, EC, and contraceptive medicines. Refer to local brand names as well.

Specify "other"

You said you took pills. Did you take any of these specific medications?

101d. Please describe what you first used in more detail.

Specify "other"

Please describe what you first used in more detail.

102a. You told the interviewer that you got the {only_method_lab} from ${only_source_prev_lab}. Is this correct?

102a. You told the interviewer that you got the {first_method_lab} from ${first_source_prev_lab}. Is this correct?

102b. Where did you go to get the {only_method_lab}?

102b. Where did you go to get the {first_method_lab}?

103a. You told the interviewer that you LAST used {last_method_prev_lab}. Is this correct?

103b. What was the LAST method used?

103c. You said you took pills. Did you take any of these specific medications?

Show pictures of misoprostol and misoprostol/mifepristone packs as well as antibiotics, anti-malarial, EC, and contraceptive medicines. Refer to local brand names as well.

Specify "other"

You said you took pills. Did you take any of these specific medications?

103d. Please describe what you used in more detail.

Specify "other"

104a. You told the interviewer that you got the {last_method_lab} from ${last_source_prev_lab}. Is this correct?

104b. Where did you go to get the {last_method_lab}?

105a. Besides this method, did you do anything else to attempt to REMOVE THE PREGNANCY?

105a. Besides these methods, did you do anything else to attempt to REMOVE THE PREGNANCY?

105a. Besides this method, did you do anything else to attempt to BRING BACK YOUR PERIOD?

105a. Besides these methods, did you do anything else to attempt to BRING BACK YOUR PERIOD?

105b. Where did you go to obtain this method?

105b. Where did you go to obtain these methods?

Check here to acknowledge you considered all options.

107a. At the time that you REMOVED THE PREGNANCY how certain were you that you were pregnant? Very certain, somewhat certain, or not at all certain?

107a. At the time that you BROUGHT BACK YOUR PERIOD how certain were you that you were pregnant? Very certain, somewhat certain, or not at all certain?

107b. Did you take a pregnancy test to confirm?

108a. How long had you been pregnant at the time?

108a. Enter {preg_duration_lab}

How long had you been pregnant at the time?

Enter -88 if Do not know, -99 if No response.

108b. How many periods had you missed?

Enter -88 if Do not know, -99 if No response.

109. At the time of this event, were you married or living with a man as if married?

110a. At the time of this event were you attending school?

110b. What level of school were you attending at the time?

111. At the time of this event did you have any children?

112. At the time of this event were you living where you were at the time of the prior survey?

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

114. Among the following methods for pregnancy removal or bringing back a period, which ones were you aware of at the time you ENDED THE PREGNANCY:

Read all options aloud. Select all that apply.

114. Among the following methods for pregnancy removal or bringing back a period, which ones were you aware of at the time you BROUGHT BACK YOUR PERIOD:

Read all options aloud. Select all that apply.

115. At any point in the process of REMOVING THE PREGNANCY did someone refuse to provide the services or medicines you requested?

115. At any point in the process of REGULATING YOUR PERIOD did someone refuse to provide the services or medicines you requested?

116a. Did you talk to any of the following people about the decision to REMOVE THE PREGNANCY?

Read options aloud. Select all that apply.

Specify "other"

Who ultimately decided that you would do something to REMOVE THE PREGNANCY?

116a. Did you talk to any of the following people about the decision to BRING BACK YOUR PERIOD?

Read options aloud. Select all that apply.

Specify "other"

Who ultimately decided that you would do something to BRING BACK YOUR PERIOD?

116b. Who ultimately decided that you would do something to REMOVE THE PREGNANCY? If multiple people jointly made the final decision, tell me each person involved.

If the woman does not report herself, probe to confirm whether she was involved in the final decision. Select all that apply.

Check here to acknowledge you considered all options.

Specify "other"

Who ultimately decided that you would do something to REMOVE THE PREGNANCY?

116b. Who ultimately decided that you would do something to BRING BACK YOUR PERIOD? If multiple people jointly made the final decision, tell me each person involved.

If the woman does not report herself, probe to confirm whether she was involved in the final decision. Select all that apply.

Check here to acknowledge you considered all options.

Specify "other"

Who ultimately decided that you would do something to BRING BACK YOUR PERIOD?

117a. In the previous survey you talked about your closest female confidante, whose fake name was {friend1_name_prev}. You indicated you did not tell her about this event. But, do you think she is aware of it?

117b. Similarly, you said you did not tell your next closest friend, whose fake name was {friend2_name_prev}. Do you think she is aware of it?

118a. How many women do you know who have intentionally removed a pregnancy? We will not ask any follow-up questions about these women, we just want to know the total number.

Enter -88 if Do not know, -99 if No response.

118b. Similarly, how many women do you know who have done something to bring back a late period when they were worried they were pregnant? We again have no follow-up questions about these women, we just want to know the total number.

Enter -88 if Do not know, -99 if No response.

Section 2 â?? Details of Source

Note: The following questions are about the only source you reported going to, {only_source_lab}.

Section 2 â?? Details of Source

Note: The following questions are about the first source you reported going to, {first_source_lab}.

200. Before deciding to use {only_method_lab} from ${only_source_lab}, did you seek input or information from any of the following sources:

Read options aloud. Select all that apply.

Specify "other"

Before deciding to use {only_method_lab} from ${only_source_lab}, did you seek input or information from any of the following sources:

200. Before deciding to use {first_method_lab} from ${first_source_lab}, did you seek input or information from any of the following sources:

Read options aloud. Select all that apply.

Specify "other"

Before deciding to use {first_method_lab} from ${first_source_lab}, did you seek input or information from any of the following sources:

201. Was {first_only_source_lab} the nearest source you knew of that could provide services or medicines to REMOVE A PREGNANCY?

201. Was {first_only_source_lab} the nearest source you knew of that could provide services or medicines to REGULATE YOUR PERIOD?

202. Did any of the following reasons factor into your choice of this source?

Read all options aloud. Select all that apply.

Specify "other"

Did any of the following reasons factor into your choice to go to this source?

203. Which of these reasons was most important?

204a. Who recommended you use this source? Anyone else?

Select all that apply.

Specify "other"

Who recommended you use this method?

204b. Were you present at the time the {first_only_method_lab} was obtained?

204c. Who obtained the method?

Specify "other"

205. Did you or someone else have to pay to obtain this method?

206. Was it difficult, somewhat difficult, or not at all difficult to find the necessary funds?

207. Did you have to make more than one visit to {first_only_source_lab} to receive ${first_only_method_lab}?

207. Did your {method_who_obtained_lab} have to make more than one visit to ${first_only_source_lab} to receive ${first_only_method_lab}?

208. How long did you have to wait between the first visit and the visit when you received care?

208. How long did your {method_who_obtained_lab} have to wait between the first visit and the visit when you received care?

Enter "{visit_waited_lab}"

How long did you have to wait between the first visit and the visit when you received care?

209. Did you have a problem with the wait time required on the day of service?

209. Did your {method_who_obtained_lab} have a problem with the wait time required on the day of service?

210a. Did the provider or staff make any judgmental comments during the service?

Select do not know if the woman was not involved in the interaction and does not know.

210b. Did the provider and staff treat you with respect during the service?

210c. Did you feel comfortable communicating your questions if you wanted to?

210d. Did you receive care or consultation in a space where no one other than the provider could see you?

210b. Did the provider and staff treat your {method_who_obtained_lab} with respect during the service?

Select do not know if the woman was not involved in the interaction and does not know.

210c. Did your {method_who_obtained_lab} feel comfortable communicating any questions if your ${method_who_obtained_lab} wanted to?

Select do not know if the woman was not involved in the interaction and does not know.

210d. Did your {method_who_obtained_lab} receive care or consultation in a space where no one other than the provider could see your ${method_who_obtained_lab}?

Select do not know if the woman was not involved in the interaction and does not know.

211. Did you have the chance to include a family member or friend with you during your service if desired?

212. Were you given a choice of surgery or medication to end the possible pregnancy?

213. Did the provider:

214. Did the provider ask for your permission before beginning?

215. Did the provider tell you to seek care under any of the following circumstances:

Read all options aloud. Select all that apply.

216. Did the provider tell you where to go to seek care if you experienced any issues?

217. Before TAKING THE MEDICINE:

217. Before HAVING THE PROCEDURE:

218. Was the PREGNANCY REMOVAL complete after doing this?

218. Was the PERIOD REGULATION complete after doing this?

219. Did the provider ask you to come back after REMOVING THE PREGNANCY?

219. Did the provider ask you to come back after BRINGING BACK YOUR PERIOD?

220. Did you return to the provider afterward?

221a. Did you have confidence in the provider's surgical skills?

221b. Did you have confidence in the provider's knowledge?

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

223. If a friend or family member needed this service and asked for your suggestion, would you recommend this source?

Section 3 â?? Symptoms and Complications

300. Did you experience no pain, mild pain, or severe pain during the process of REMOVING THE PREGNANCY?

300. Did you experience no pain, mild pain, or severe pain during the process of REGULATING YOUR PERIOD?

301. Were providers attentive to your pain levels during the service?

302a. Did you take any pain medications?

302b. Did the providers or staff give you any pain medication?

303. Do you feel the providers managed your pain effectively?

304. Did you experience any of the following problems after using {first_only_method_lab}:

Read all options aloud. Select all that apply.

Specify "other"

304. Did you experience any of the following problems after using {first_only_method_lab}:

305. Did you consult anybody about THIS PROBLEM?

305. Did you consult anybody about THESE PROBLEMS?

306. Whom did you consult? Anybody else?

Read options aloud. Select all that apply.

Specify "other"

Whom did you consult? Anybody else?

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

Read options aloud. Select all that apply.

Specify "other"

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

308. Where did you receive this treatment?

Select all that apply.

Section 4 â?? Contraceptive Use

401a. Immediately before this event, were you or your partner using anything to avoid or delay getting pregnant?

401b. What method were you using? Anything else?

Select all that apply.

402. Now I will read a list of situations that describe some people. Tell me which of the following describes your situation at the time you became pregnant:

Read all options aloud. Select all that apply.

Specify "other"

Which of the following best describes your situation at the time you became pregnant:

403. At the time you became pregnant, had you or your partner considered using a contraceptive method to avoid or delay pregnancy?

403b. At the time you became pregnant, had you and your partner been trying to avoid having sex on certain days of the month when you were most at risk of becoming pregnant?

404a. In the process of REMOVING THE PREGNANCY, did you want to talk with anyone about using contraception?

404a. In the process of BRINGING BACK YOUR PERIOD, did you want to talk with anyone about using contraception?

404b. Did anyone talk to you about using contraception?

405. Who discussed using contraception with you?

Probe to determine location if she reports a provider type that could be at many locations.

406. After this event, did you begin using contraception to avoid another pregnancy?

407a. Did you feel you had a choice about whether to use contraception?

407b. Did you feel you had a choice about which contraceptive method to use?

408. Which method did you use? Anything else?

Select all that apply.

409. Were you able to start using this method when you wanted?

410. How long after you ENDED THE PREGNANCY did you start using THIS METHOD?

410. How long after you ENDED THE PREGNANCY did you start using THESE METHODS?

410. How long after you BROUGHT BACK YOUR PERIOD did you start using THIS METHOD?

410. How long after you BROUGHT BACK YOUR PERIOD did you start using THESE METHODS?

411. Now I will read a list of situations that describe some people. Tell me which of the following describes your situation after the pregnancy ended:

Read options aloud. Select all that apply.

Section 5 â?? Abortion Preferences

501. Thinking about this PREGNANCY REMOVAL, which of the following aspects of care could have been improved:

Read all options aloud. Select all that apply.

501. Thinking about this PERIOD REGULATION, which of the following aspects of care could have been improved:

Read all options aloud. Select all that apply.

Specify "other"

Thinking about this PREGNANCY REMOVAL / PERIOD REGULATION, which of the following aspects of care could have been improved:

502a. Beyond those aspects of care, would it have improved your experience if you had better support from your:

Read all options aloud. Select all that apply.

502b. Is this because you received enough support from these people?

503. Although you used {first_only_method_lab}, was there another method you would have preferred to use?

504. What would be your preferred method?

Specify "other"

What would be your preferred method?

505a. Although you used {first_only_source_lab}, was there another source you would have preferred to use?

505b. What would be your preferred source?

506. At the time of the event we have been discussing, what prevented you from USING THIS METHOD?

Select all that apply.

506. At the time of the event we have been discussing, what prevented you from GOING TO THIS SOURCE?

Select all that apply.

506. At the time of the event we have been discussing, what prevented you from USING THIS METHOD AND SOURCE?

Select all that apply.

Specify "other"

At the time of the pregnancy we have been discussing, what prevented you from USING THIS METHOD / GOING TO THIS SOURCE / USING THIS METHOD AND SOURCE?

Section 6 â?? Pregnancy Removal versus Period Regulation

601. Some women describe ending a pregnancy as a pregnancy removal while others talk about bringing back their periods when they think they are pregnant. Do you view these experiences as the same or different?

602. Which of the following situations would you consider to be removing a pregnancy:

Read response options aloud. Select all that apply.

603. Which of the following situations would you consider to be regulating a period:

Read response options aloud. Select all that apply.

604. At the time you REMOVED THE PREGNANCY were you in a situation where you intentionally ended the pregnancy or did it end naturally?

Section 7 â?? Abortion Law

701. Is there a law on abortion in Nigeria?

702. Are there currently any situations when it is legal to have an abortion in Nigeria?

703. In your opinion, in which of the following situations should a woman be able to obtain an abortion in Nigeria?

Read response options aloud. Select all that apply.

Specify "other"

In your opinion, in which of the following situations should a woman be able to obtain an abortion in Nigeria?

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.

096a. Result of attempted phone contact

096b. How many times have you visited this household to interview this female respondent?

Enter 0 if reached respondent using the phone number she provided and she is not eligible for interview because moved too far away or is unwilling to participate.

097. In what language was this interview conducted?

098. Questionnaire result

Record the result of the female respondent survey

Check answer to availability and consent.

Specify "other"

Questionnaire result