State

LGA

Locality

Enumeration Area:

Structure number:

Household number:

001a. Are you in the correct household?

EA: ${EA}
Structure #: ${structure}
Household #: ${household}

Go to the right household.

002. Enter your name below.

Please record your name

003b. Record the correct date and time.

The date must be between 2020-11-01 and 2021-11-01.

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

004b. Is the above information correct?

Go to the right household or update the Household Roster if needed.

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

007. How well acquainted are you with the respondent?

INFORMED CONSENT

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

Is the respondent a minor who requires the consent of a guardian?

Married minors do not need the consent of an adult.

Read the following to the parent/guardian of the minor.

Hello. My name is ____________________________________ and I am working for Center for Research, Evaluation Resources, and Development. We are conducting a local survey that asks women about various reproductive health issues, including knowledge, attitudes, and use of contraception. Your female child/ward _________________________________________has been selected to participate in this survey. We would very much appreciate her participation in this survey. The information that she will provide will help us inform the government to better plan health services. The survey usually takes 60 minutes to complete. Whatever information she will provide will be kept strictly confidential and only fully de-identified data will be used when conducting analyses, presenting results, or sharing data.

Participation in this survey is entirely voluntary. If we should come to any question she don't want to answer, just let her tell me and I will go on to the next question. You can choose not _______________________________________to participate at all or she can stop the interview at any time. However, we hope that she will participate in this survey since her views are important.

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

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

May I begin the interview with her now?

Hello, my name is _____. I am one of the interviewers for the PMA/Lagos survey that is supported by the Center for Research, Evaluation Resources and Development. The survey will collect information from selected households about household characteristics, reproductive behaviour among women of child bearing age and water and sanitation. Your household is one of those selected to participate in the survey.

Would it be alright for me to ask the girl/young woman who has been selected from this household some questions about education, reproductive health and birth history?

Topics that will be discussed include such things as age, education, marital status, birth history and contraception.

008a. May I begin the interview with her now?

Hello. My name is ____________________________________ and I am working for Center for Research, Evaluation Resources, and Development. We are conducting a local survey that asks women about various reproductive health issues, including knowledge, attitudes, and use of contraception. 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 60 minutes to complete. Whatever information you provide will be kept strictly confidential and only fully de-identified data will be used when conducting analyses, presenting results, or sharing data.

Participation in this survey 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 you can stop the interview at any time. However, we hope that you will participate in this survey since your views 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. Musa Sani Zakirai at Center for Research, Evaluation Resources and Development in Ile-ife, Nigeria.

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

Thank you for agreeing to hear more about the survey.

This research is being conducted by Drs. Scott Radloff and Phil Anglewicz of the Johns Hopkins University, and Dr. Funmilola OlaOlorun on behalf of the Center for Research Evaluation and Resource Development, Ile-Ife. This study is sponsored by the Bill and Melinda Gates Foundation through the Bill and Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins University, Baltimore, MD.

The purpose of this research is to learn more about your reproductive behavior, and how you and your household have been impacted by the coronavirus pandemic in order to provide government and other stakeholders with data to improve interventions and programs aimed at this population.

We are asking you to join our study because you were interviewed by a member of our team in December 2019/January 2020 for a similar survey, and agreed to be contacted again. If you agree to participate in the study, we will ask you some of the same questions we asked before, as well as how this virus has impacted you. The questionnaire should take about 30 minutes to complete. After you complete the survey, you will be provided with recharge cards worth N300.

In total, we expect you to be involved in the original research for which we first contacted you for 3 years. Your participation in the study will only include annual or biannual surveys in-person or by phone.

There are no major risks to participating in the study, but you may get tired or bored when completing the questionnaire. Some questions may be personal or sensitive and may make you feel embarrassed or uncomfortable. Please let us know if you feel distressed.

There is a small risk that someone outside the study will see your information. We will do our best to keep your information safe by not including your name anywhere in the survey. Upon completion of the survey, data will be sent to and stored on a secure, password-protected server. Only authorized individuals will be able to access the data. All data are encrypted when transferred. When we share your information with other researchers, we will ask them to use the same protections.

Your participation in this research will not cost you anything, apart from some of your time.

There is no direct benefit to you from being in this study. We hope this knowledge will help us understand about reproductive health issues among women in Lagos, and how the coronavirus is affecting women's lives. The data collected from this study will provide information for future research, interventions, and programs.

All information collected in this study will be given code numbers, and no names will be recorded. Your responses cannot be linked to you in any way, and your name or any identifier will not be used in any publications or reports from this study.

Your participation in this research is entirely voluntary. You do not have to join, it is your choice. There will be no penalty if you decide not to join.

If you choose not to participate, this will not affect your ability to participate in other surveys or receive services in your community.

You will be given a small token for your time. You will receive recharge cards worth ?300 for participating in the study.

You can also choose to withdraw from the research at any time. Please note that any information that has been obtained from you before you choose to withdraw may have been used in data analysis or report writing. These cannot be removed, but the researchers will comply with your wish as much as it is practicable.

If you suffer any injury as a result of your participation in this research, the project will ensure you are referred to appropriate services.

What happens to research participants and communities when the research is over? The researchers will post the outcome of the research on the project website. During the course of this research, you will be informed about anything that may affect your continued participation, or your health.

If this research leads to commercial products, the Johns Hopkins University shall own it. There is no plan to contact any participant now or in the future about such commercial benefits.

We are not aware of anything that may prevent the researchers from conducting the research in a manner that will be fair.

Statement of person giving verbal consent: The description of the research has been read to me, or translated into language I understand. I have also talked it over with the interviewer to my satisfaction. I understand that my participation is voluntary. I know enough about the purpose, methods, risks and benefits of the research study to judge that I want to take part in it. I understand that I may freely stop being part of the study at any time. I am willing to participate.

This research has been approved by the Lagos State University Health Research Ethics Committee (LASUTH HERC) and the committee can be contacted at Health Research and Ethics Committee, Lagos State University Teaching Hospital, Lagos State. The phone number of the committee administrator is. In addition, if you have any question about your participation in this research, you can contact the local principal investigator, Dr. OlaOlorun, at her office in the Department of Community Medicine, College of Medicine, University of Ibadan.

Thank you for agreeing to hear more about the survey.
There are a few things you should know about this survey:
1. You get to decide if you want to be in the survey and whatever you decide is OK.
2. It is also OK to say ?Yes' and change your mind later. You can stop being in the survey at any time. If you want to stop, please tell me and I will not be upset.
3. You can say ?Yes' to the study and as I ask you questions, you can say ?No' to any question that you do not want to answer.
4. Your answers will be kept strictly confidential. That means that your answers will just be between you and me and will never be connected to your name or any other personal information.
5. Sometimes you might not know the answer to a question or might not want to answer a question. I would rather you say you don't know or that you don't want to answer a question than tell me a story that isn't true.
6. We will document your address so we can visit you at least one time a year for the 4 year duration of this study.

I wanted to give you some additional information on the type of questions I will ask you in this survey.

I want to tell you that some of the questions I will ask you are sensitive. I will ask you about your family, marital status and educational attainment. In addition, I will be asking about your sexual activity, pregnancy, fertility preferences and contraception. I know that these are sensitive and sometimes difficult things to talk about, but your answers will help us learn more about women in Nigeria.

The interview will take about 45 minutes to answer the questions.

There is little or no possibility that bad things will happen as a result of answering these questions. As I told you, some of the questions are sensitive and answering questions like this can be difficult, but you can choose not to answer questions that are difficult or end your participation at any time.

There are no direct benefits for being in the survey. This means that you will not get any money or gifts for being in this survey.

The interviewer has told me about the survey research. I had a chance to ask questions. I know that being in the survey is my choice. No one will be upset if I don't want to be in the survey or if I change my mind later. I know I can ask questions any time. I know that my answers will be kept confidential. I want to be in the survey.

008a. May I begin the interview now?

008b. Respondent's signature

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

Checkbox

009. Interviewer's name: ${your_name}

Mark your name as a witness to the consent process.

010. Respondent's first name.

You may correct the spelling here if it is not correct, but you must be interviewing the person whose name appears below.

011. Was this woman interviewed in Phase 1?

Section 1 ? Respondent's Background, Marital Status, Employment, and Migration

Now I would like to ask about your background and socioeconomic conditions.

101. In what month and year were you born?

Month:

Year:

Cannot be this year or in the future.

102. How old were you at your last birthday?

Age in the Household Roster: ${hq_age}

Must be more than 14. Must agree with 101.

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

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

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

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

105. What is the highest [class/year] you completed at that level?

Enter -99 for no response.

XS_101. How old were you when you left school?

Must be between 0 and the respondent's age.

COV_1. Following the emergence of Coronavirus (COVID-19), schools were closed for a time. Were you attending school at that time?

COV_2. Has your school reopened ?

COV_3. Did you resume school when your school opened after Coronavirus (COVID-19) restrictions were lifted?

COV_4. Did you stop school in the past 12 months for any other reason than Coronavirus (COVID-19)?

The next set of questions ask about difficulties you may have doing certain activities because of a health problem

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:
LCL_100a. Seeing, even if wearing glasses?

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:

LCL_100b. Hearing, even if wearing hearing aid?

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:

LCL_100c. Walking or climbing steps?

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:

LCL_100d. Remembering things or concentrating?

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:

LCL_100e. Self-care such as washing or dressing?

LCL_100. Can you please tell me if you currently have no difficulty, some difficulty, a lot of difficulty, or cannot do at all each of the following:

LCL_100f. Communicating, for example understanding or being understood?

107. What was the main reason for stopping your education?

108. Are you currently enrolled in any training program?

109. Are you currently married or living together with a man as if married?

Probe: If no, ask whether the respondent is divorced, separated, or widowed.

110. What is the highest level of schooling your husband/partner attended, attended, no schooling, primary, secondary, or higher?

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

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

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

113. Have you ever had a partner / boyfriend?

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

Must be between 0 and the respondent's age.

114. Do you currently have a boyfriend or partner?

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

Enter -99 for no response.

Must be at least 1

XS_104. In what month and year did you start living with your FIRST husband / partner?

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

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

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

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

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

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

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

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

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

XS_105. How long have you been living continuously in [NAME OF CURRENT PLACE OF RESIDENCE]?

Enter answer in years.

Enter 0 if less than 1 year.
Enter -95 for always.
Enter -96 for visitor.
Enter -99 for no response.

Years entered cannot exceed age.

LCL_102. How long have you been living in Lagos?

Enter 0 if less than 1 year.
Enter -95 for always.
Enter -96 for visitor.
Enter -99 for no response.

XS_106. How long have you been living continuously in this particular house / structure?

Enter answer in years.

Enter 0 if less than 1 year.
Enter -95 for always.
Enter -96 for visitor.
Enter -99 for no response.

Years entered cannot exceed age. Must be consistent with previous answer.

116. In the last 12 months, for how many nights have you slept away from your community?

PROBE: Community is the area where you are currently living

Enter -99 for no response.

117. In the last 12 months, for how many nights has your husband/partner slept away from your community?

PROBE: Community is the area where you are currently living

Enter -99 for no response.

COV_5. You previously mentioned that you spent some time away from your current community this year, did you leave your current community to avoid being infected with Coronavirus (COVID-19)?

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

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

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

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

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

123. Who usually makes decisions about getting medical treatment for yourself: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_1. Who usually makes decisions about buying clothes for yourself: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_2. Who usually makes decisions about how your earnings will be used: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_3. Who usually makes decisions about how your husband/partner's earnings will be used: you, your husband/partner, you and your husband/partner jointly, or someone else?

EMP_4. Do you own any land, either jointly or by yourself?

PROBE: This does not include land owned only by your husband.

EMP_5. Would you say that the money that you earn is more than what your husband/partner earns, less than what he earns, or about the same?

COV_6. Are you currently economically reliant on your husband/partner for basic needs?

EMP_6. Did you take part in any of these activities over the past 30 days?

Read each option aloud and select if yes.

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

FIN_1. Do you currently have any savings for the future, such as a bank account, savings group, or cash?

FIN_2. Do you currently have any mobile money accounts (e.g. Firstmonie, Diamond yello account, OPay)?

FIN_3. When it comes to managing your money and financial matters, what is your level of knowledge?

FIN_4. Do you know where to go for financial information or advice?

FIN_5. Do you have financial goals toward which you are working?

PROBE: These are specific financial goals you have setup for yourself.

Section 2 ? Reproduction, Pregnancy and Fertility Preferences

201. Now I would like to ask about all the births you have had during your life. Have you ever given birth?

202. How many times have you given birth?

Enter -99 for no response.

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

PL_202. When was that birth?

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

CALENDAR: Enter the birth and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

XS_201. When was your FIRST birth?

Please record the date of the first live birth. Date should be found by calculating forward or backward from memorable events if needed.

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

CALENDAR: If the birth was after ${cc_start_date_lab} enter the birth and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

XS_202. When was your MOST RECENT birth?

Please record the date of the first live birth. Date should be found by calculating forward or backward from memorable events if needed.

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

CALENDAR: If the birth was after ${cc_start_date_lab} enter the birth and duration of pregnancy in the calendar.
Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

XS_203. Have you had any other births since January 2018?

XS_204. When was that birth?

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

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

CALENDAR: Enter the birth and duration of pregnancy in the calendar.
Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

XS_205. Have you ever had a pregnancy that miscarried, was aborted, or ended in a stillbirth since January 2018?

XS_206. When did that pregnancy end?

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

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future

PL_203. Have you had a pregnancy that miscarried, was aborted, or ended in a stillbirth since ${p1_survey_date_lab}?

PL_204. When did that pregnancy end?

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

CALENDAR: Enter the termination and duration of pregnancy in the calendar.

Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future

203. Are you pregnant now?

204. How many months pregnant are you?
Please record the number of completed months. Enter -88 for do not know, -99 for No response.

CALENDAR: Enter number of months pregnant in the calendar.

Value must be at least 0 and not more than 10. A current pregnancy must start after the most recent birth.

205. When did your last menstrual period start?

If you select days, weeks, months, or years, you will enter a number for X on the next screen. Enter 0 days for today, not 0 weeks/months/years.

205. Enter ${menstrual_period_lab}

Enter 0 days for today, not 0 weeks/months/years.

Must be 0 days or larger. Must be 1 week/month/year or larger.

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

206b. Now I would like to ask a question about your current pregnancy.

At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any more children at all?

At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any children at all?

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

Read response options and select one

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

Read response options and select one

Now I have some questions about the future.

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

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

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

209a. How long would you like to wait from now before the birth of a child?

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

Select "Years" if more than 36 months.

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

209a. How long would you like to wait from now before the birth of another child?

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

Select "Years" if more than 36 months.

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

209b. After the birth of the child you are expecting now, how long would you like to wait before the birth of another child?

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

Select "Years" if more than 36 months.

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

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

Use years if more than 36 months.

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

210b. If you got pregnant now, how would you feel?

COV_7. Have you changed your mind about wanting to get pregnant due to concerns about Coronavirus (COVID-19)?

Section 3 ? Contraception

Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.

An image will appear on the screen for some methods. If the respondent says that she has not heard of the method or if she hesitates to answer, read the probe aloud and show her the image, if available.

301a. Have you ever heard of female sterilization?

PROBE: Women can have an operation to avoid having any more children.

301b. Have you ever heard of male sterilization?

PROBE: Men can have an operation to avoid having any more children.

301c. Have you ever heard of the contraceptive implant?

PROBE: Women can have one or several small rods placed in her upper arm by a doctor or nurse, which can prevent pregnancy for one or more years.

301d. Have you ever heard of the IUD?

PROBE: Women can have a loop or coil placed inside them by a doctor or a nurse.

301e. Have you ever heard of injectables?

PROBE: Women can have an injection by a health provider that stops them from becoming pregnant for one or more months.

301f. Have you heard that there is a type of injectable that you can inject yourself?

301g. From whom did you hear about it?

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

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

301i. Have you ever heard of emergency contraception?

PROBE: As an emergency measure after unprotected sexual intercourse women can take special pills at any time within five days to prevent pregnancy.

301j. Have you ever heard of male condoms?

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

301k. Have you ever heard of female condoms?

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

301l. Have you ever heard of the diaphragm?

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

301m. Have you ever heard of foam or jelly as a contraceptive method?

PROBE: Women can place a suppository, jelly, or cream in their vagina before sexual intercourse to prevent pregnancy.

301n. Have you ever heard of the standard days method or Cycle Beads?

PROBE: A Woman can use a string of colored beads to know the days she can get pregnant. On the days she can get pregnant, she and her partner use a condom or do not have sexual intercourse.

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

301p. Have you ever heard of the rhythm method?

PROBE: Women can avoid pregnancy by not having sexual intercourse on the days of the month they think they can get pregnant.

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

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

301r. Have you ever heard of any other ways or methods that women or men can use to avoid pregnancy?

302. Are you or your partner currently doing something or using any method to delay or avoid getting pregnant?

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

304. Which method or methods are you using?

PROBE: Anything else?

Select all methods mentioned. SCROLL TO THE BOTTOM to see all choices.

You selected no response with another option.

Check here to acknowledge you considered all options.

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

Show the image to the respondent.

LCL_302. Who administered the injection?

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

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

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

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

307. Why would you choose this location?

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

308. Please tell me if you agree or disagree with the following statement: I would feel too shy or embarrassed to get family planning at a clinic, health center or physician's office if needed.

PROBE: This question is specifically about your feelings.

309. Please tell me if you agree or disagree with the following statement: I would feel too shy or embarrassed to get family planning at the pharmacy or chemist if needed.

PROBE: This question is specifically about your feelings.

310. You said that you are not currently using a contraceptive method. Do you think you will use a contraceptive method to delay or avoid getting pregnant at any time in the future?

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

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

Enter ${fp_start_lab}:

Use years if more than 36 months.

313. What method do you think you will use?

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

Read all options

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

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

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

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

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

318. In the last 12 months has your husband/partner:
318a. Made you feel bad or treated you badly for wanting to use a FP method to delay or prevent pregnancy?

318. In the last 12 months has your husband/partner:
318b. Tried to force or pressure you to become pregnant?

318. In the last 12 months has your husband/partner:
318c. Said he would leave you if you did not get pregnant?

318. In the last 12 months has your husband/partner:
318d. Told you he would have a baby with someone else if you did not get pregnant?

318. In the last 12 months has your husband/partner:
318e. Taken away your family planning or kept you from going to the clinic to get family planning?

319. Since what month and year have you been using ${current_method_label} without stopping?

Calculate backwards from memorable events if needed.

CALENDAR: Enter episode of contraceptive use in the calendar.
Month:

Year:

If entering '2030' for No Response, must select 'Do not know' for month.

Cannot be in future.

320. You first started using ${current_method_label} on ${start_date_lab}.

Where did you or your partner get it at that time?

Scroll to bottom to see all choices.

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

Scroll to bottom to see all choices.

Check here to acknowledge you considered all options.

321. When you obtained your ${current_method_label}, were you told by the provider about side effects or problems you might have with a method to delay or avoid pregnancy?

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

IMP_301. CHECK. In question 304, 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 304 and select the correct method.

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

IMP_303. How long were you told ?

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

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

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

If more than 12 months record in years

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

Provider: ${provider_label}

323. At that time, were you told by the family planning provider about methods of family planning other than the ${current_method_label} that you could use?

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

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

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

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

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

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

328. Would you return to this provider?

Provider: ${provider_label}

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

Provider: ${provider_label}

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

331. Which method did you feel pressured to use?

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

333. Which method were you using?

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

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

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

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

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

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

XS_301. How old were you when you first used a method to delay or avoid getting pregnant?

The respondent said she was ${age} years old at her last birthday.

Enter the age in years.
Enter -88 if the respondent does not know.
Enter -99 if there is no response.
Cannot be younger than 9.

Cannot be older than the current age of the respondent. Cannot be younger than 9. Cannot be after recent/current use.

335. How many living children did you have at that time, if any?

Note: the respondent said that she gave birth ${birth_events} times in 202.

Enter -99 for no response.

Must be zero or larger, or -99.

336. Have you used emergency contraception at any time in the last 12 months?

PROBE: As an emergency measure after unprotected sexual intercourse women can take special pills at any time within five days to prevent pregnancy.

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

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

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

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

Can you tell me why you are not using a method to prevent pregnancy?

PROBE: Any other reason?

RECORD ALL REASONS MENTIONED

Cannot select "Not Married" if 109 is "Yes, currently married".

Scroll to bottom to see all choices.

Cannot select "Do not know" or "No response" with other options.

Cannot select "Not Married" if 109 is "Yes, currently married".

Check here to acknowledge you considered all options.

COV_8. Can you tell me if any of the following Coronavirus (COVID-19) related reasons contribute to why you are not using a method to prevent pregnancy?

Read each option aloud and select if yes.

Cannot select "Do not know" or "No response" with other options.

Cannot select "Not Married" if 109 is "Yes, currently married".

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

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

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

For any health services.

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

For any health services.

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

342. In the last 12 months have you:
342a. Heard about family planning on the radio?

342. In the last 12 months have you:
342b. Seen anything about family planning on the television?

342. In the last 12 months have you:
342c. Read about family planning in a newspaper or magazine?

342. In the last 12 months have you:
342d. Received a voice or text message about family planning on a mobile phone?

342. In the last 12 months have you:
342e. Seen anything on social media about family planning that is Facebook, Viber, Twitter, WhatsApp or others?

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343a. Adolescents who use family planning are promiscuous.

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343b. Using family planning preserves a woman's health

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343c. Family planning is only for women who are married.

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343d. Women who use family planning can better support their children's schooling

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343e. Family planning is only for women who don't want any more children.

343. People have different opinions about family planning. In your community, would you say most people, some people or few people have the following opinions about family planning:
343f. People who use family planning have a better quality of life.

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344a. Adolescents who use family planning are promiscuous.

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344b. Using family planning preserves a woman's health

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344c. Family planning is only for women who are married.

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344d. Women who use family planning can better support their children's schooling

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344e. Family planning is only for women who don't want any more children.

344. Now, we would now like to know about your personal opinions about these issues. Do you strongly agree, agree, disagree, strongly disagree with the following statements?
344f. People who use family planning have a better quality of life.

345. How important is it for you to achieve the following in the next two years:
345a. Complete secondary school / technical school / vocation school

345. How important is it for you to achieve the following in the next two years:
345b. Attend university / tertiary institution

345. How important is it for you to achieve the following in the next two years:
345c. Have a good job

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

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

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

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

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

347. What type of health insurance do you have?

RECORD ALL MENTIONED

Cannot select "No response" with other options.

Section 4 ? Sexual Activity

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

Now I would like to ask some questions about sexual activity in order to gain a better understanding of some important life issues. Let me assure you again that your answers are completely confidential and will not be told to anyone. If we should come to any question that you don't want to answer, just let me know and we will go to the next question.

401. How old were you when you first had sexual intercourse?

Enter the age in years.

Enter -77 if she has never had sex.
Enter -99 for no response.
Enter -88 for do not know.

Answer must agree with the current age and date of first birth.

402. Looking back to the first time you had sexual intercourse, do you think you would have preferred to: have waited longer before having sex with anyone, not have waited so long, or was it the right time?

403. The first time you had sexual intercourse, would you say you and your partner were both equally willing to have sexual intercourse was one of you more willing than the other?

404. Which of these applied to you at the first time you had sex?

Read each option aloud and select if yes.

Cannot select "None of the above" or "No response" with other options.

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

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

407. When was the last time you had sexual intercourse?

Answer must be in days or weeks up to 4 weeks or 30 days
If less than 12 months ago, answer must be recorded in months, weeks, or days.
Enter 0 days for today.
You will enter a number for X on the next screen.
Must agree with the pregnancy status.

407. Enter ${last_time_sex_lab}.

If today, enter zero days only, not zero weeks/months/years.

Must agree with the age of first sexual intercourse and the pregnancy status.

Days must be greater or equal to 0. Weeks/months/years must be greater than 0.

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

409. What method did you or your partner use?

410. Whose choice was it to use that method?

Section 5 ? Women and Girls Empowerment Section

Now I'm going to ask you a series of statements about family planning and contraception. Please indicate how much you think these statements could apply to you by indicating how strongly you agree or disagree with the statement. Some will seem similar but we would like you to consider each one as different.
We can pause at any time. If you do not feel comfortable answering any of the statements, let me know and I will move onto the next statement.

501. If I use family planning, my husband/partner may seek another sexual partner.

502. If I use family planning, I may have trouble getting pregnant the next time I want to.

503a. There could be conflict in my relationship/marriage if I use family planning.

503b. There will be conflict in my relationship/marriage if I use family planning.

504. If I use family planning, my children may not be born normal.

505. If I use family planning, my body may experience side effects that will disrupt my relations with my husband/partner.

WGE_2. I can decide to switch from one family planning method to another if I want to.

WGE_3. I feel confident telling my provider what is important for me when selecting a family planning method.

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

Now I'm going to ask you a series of statements about pregnancy and childbearing. Please indicate how much you think these statements could apply to you by indicating how strongly you agree or disagree with the statement. Some will seem similar but we would like you to consider each one as different. We can pause at any time. If you do not feel comfortable answering any of the statements, let me know and I will move onto the next statement.

WGE_5a. I want to complete my education before I have a child.

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

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

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

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

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

WGE_9. I can decide when to have another child.

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

WGE_10b. I can negotiate with my husband/partner when to stop having children.

Section 6 ? COVID-19 (Coronavirus)

We understand that Coronavirus (COVID-19) has impacted many people's lives. We are interested in learning more about how you are being affected.

COV_9. How concerned are you about getting infected with Coronavirus (COVID-19) yourself?

Read all options

COV_10. During the last 12 months, how much of a loss of income did your household experience?

Read all options

COV_11. Was the income loss resulting from Coronavirus (COVID-19) restrictions?

COV_12. Has your household income recovered partially or fully in the past 4 weeks?

COV_13. During the past 4 weeks, did you or any household member go a whole day and night without eating anything because there was not enough food?

COV_14. During the past 4 weeks, how often did this happen?

COV_15. During the past 4 weeks, did you want to visit a health facility for any of the following services?

Read each option aloud and select if yes.

You selected no response with another option.

COV_16. During the past 4 weeks, did you experience any of the following difficulties in accessing healthcare services?

Read each option aloud and select if yes.

You selected no response with another option.

COV_17. Did you successfully access the health services you needed?

COV_18. Did you stop or interrupt your contraceptive use at any time due to Coronavirus (COVID-19) restrictions?

Follow-up Consent

801. Thank you for the time you have kindly granted us.

Would you be willing to participate in another survey one year from now?

802. Do you have access to a phone?

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

803b. What is your primary phone number?

Enter an 11-digit number without the country code. Do not include spaces or dashes.

803c. Can you repeat the number again?

Enter an 11-digit number without the country code. Do not include spaces or dashes.

Number entered must match previously entered number.

803d. Is this your personal phone number?

A personal phone is not shared with other people.

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

804b. What is your secondary phone number?

Enter an 11-digit number without the country code. Do not include spaces or dashes.

804c. Can you repeat the number again?

Enter an 11-digit number without the country code. Do not include spaces or dashes.

Number entered must match previously entered number.

804d. Is this your personal phone number?

A personal phone is not shared with other people.

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

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

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

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

Thank the respondent for her time.

The respondent is finished, but there are still more questions for you to complete outside the home.

Thank you.

There are still more questions for you to complete outside the home.

Location and Questionnaire result

095. Location

Take a GPS point near the entrance to the household. Record location when the accuracy is smaller than 6 m.

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

097. In what language was this interview conducted?

098. Questionnaire Result

Record the result of the questionnaire.

Check answer to 006 and consent.