C - (MLE) Project for the Urban Reproductive Health Initiative

Transcription

OFFICE USE ONLY: QUESTIONNAIRE NO: [__|__|__|__|__|__|__|__|__||__|__]
(Baseline cluster code 4 digits + HH number 3 digits + household division number 2 digits + Respondent line number 2 digits)
MLE URBAN NIGERIAN SURVEY 2014
WOMAN QUESTIONNAIRE: YORUBA
BASELINE STATE NAME & CODE _____________________________________________________________________
BASELINE CITY NAME & CODE_______________________________________________________________________
(Abuja=1, Benin=2, Ibadan=3, Ilorin=4, Kaduna=5, Zaria=6)
BASELINE LGA NAME & CODE _______________________________________________________________________
BASELINE CLUSTER NAME & CODE __________________________________________________________________
BASELINE HOUSEHOLD NUMBER ………………………………………………………………………….………………………...
RESPONDENT MOVED FROM PREVIOUS (LAST KNOWN) LOCATION?………………………….……….............................
(1=Yes, 2=No)
END LINE CITY NAME & CODE _______________________________________________________________________
(Abuja=1, Benin=2, Ibadan=3, Ilorin=4, Kaduna=5, Zaria=6)
END LINE LGA NAME & CODE ________________________________________________________________________
HOUSEHOLD DIVISION NUMBER…………………………………………………………………………………………………….
(OFFICE USE ONLY)
BASELINE LINE NUMBER OF WOMAN………………………………………………………………………………………………..
NAME OF RESPONDANT____________________________________________________________________________
[SURNAME, GIVEN NAME]
ADDRESS OF HOUSEHOLD
INTERVIEWER VISITS
VISIT No.
DATE
1
2
3
FINAL VISIT
DAY/ MONTH/ YEAR
DAY/ MONTH/ YEAR
DAY/ MONTH/ YEAR
DAY
[____|____]
[____/_____/_14_]
[____/_____/__14_]
[____/_____/__14_]
MONTH
[____|____]
YEAR
[_2_|_0_|_1_|_4_]
INTERVIEWER’S NAME
_________________
__________________
[____/_____/14_]
[____/_____/14_]
____________________
________________________
INTERVIEWER CODE
RESULT*
NEXT VISIT:
DATE
TOTAL NO. OF VISITS
TIME
H
*RESULT CODES:
1. COMPLETED
2. NOT AT HOME
3. POSTPONED
H
M
M
4. REFUSED
5. PARTLY COMPLETED
6. INCAPACITATED
H H
7. OTHER
M M
__________________________________(Specify)
LANGUAGE
MAIN LANGUAGE OF INTERVIEW
LANGUAGE CODES:
HAUSA =1 YORUBA =2
TRANSLATOR USED? YES = 1 NO = 2
ENGLISH = 3
PIDGIN =4
OTHERS = 6 ( Specify_______________________ )
1
SUPERVISOR
FIELD EDITOR
NAME…………………….……….…
NAME………………………….
CODE:
DATE [__ / ___/ 14_]
DD MM YY
OFFICE EDITOR
KEYED BY
NAME………………….........................………………………..…
CODE:
NAME…………….………………............
.
CODE:
DATE [____ / ____/ 14_]
DD
MM YY
DATE [____ / ____/ 14_]
DD MM YY
DATE [_____/ _____/ 14_]
DD MM YY
CODE:
2
Individual Consent: Woman’s Survey on Family Planning
Introduction
Hello! My name is _________________________________; I am part of a research team working for the National Population Commission
(NPC) under the Measurement, Learning and Evaluation (MLE) Project for the Nigerian Urban Reproductive Health Initiative (NURHI). In the
last four years, we visited this household and spoke to you about this study. We may have also spoken to other women that live in this
household or were visiting at that time. We will be asking questions to all women who participated in this study in the last 4 years. Your
participation in this study will help to improve family planning services in this city.
Egbo, orukomi mi ni-------------. mo je okan ninu egbe (igbimo) ton sise fun ile ise Ikaniyan (National Population Commission) labe akanse ise
odiwon, ikeko ati agbeyewo (MLE) fun eto alaafia abiye ni awon ilu nla ni Naijiriya(NURHI). A n se agbeyewo/iwadi lori bi a se nfi alafo (Akoko sile
si) laarin omo kan ti a bi si Ekeji (aburo re) ni awon agbeegbe ilu nla ti Naijiriya. Ninu odun merin ti okoja, a wa si idile yii, o kere ju leekan ati pe a
ba yin soro nipa iwadi yii. A tun ba awon obirin naa ti won ngbe idile yii soro tabi ti won je alejo nigba naa. A fe lati beere awon ibere kan lowo
gbogbo obirin ti o kopa ninu iwadi yii ni odun kerin sehin. Ikopa yin ninu iwadi yii yoo je iranlowo lati mu ki eto ifetosomobibi gberu sii ni ilu yin.
Explanation of Procedure
The interview will take place in or around your home, somewhere private. The interview will take about 60 minutes. I will ask you questions
about your home, child birth spacing, health-care seeking, and family size decisions. You may choose not to give the interview, or not to answer
a question for any reason. You can stop the interview at any time by telling me that you want to stop it. If you decide not to give the interview or
not to answer a question, no harm will come to you, and there will be no effect on your access to health services in the future.
Iforowanilenuwo naa yo waye ninu tabi ni agbegbe ile yin. ibi Ikoko. Iforowanilenuwo naa yoo gba to iseju ogota. mo maa beere awon ibeere nipa ile
yin, ifaye sile laarin ibimo kan si ikeji, wiwa itoju ilera. ati ipunmu nipa bi ebi se ni lati tobi to. E le yan lati ma se Iforowanilenuwo naa, tabi lati
mase dehun ibere kan fun idi kon. E le da Iforowanilenuwo naa duro nigbakugba nipa siso fun mipe e fe denu duro.
Ti e ba yen lati mase Iforowanilenuwo naa tabi lati mase datun ibere kan, ko si ewu ti yo de ba yin ati pe ko si ipa to ni lori anfani ti idile yin ni si eto
ilera ojo iweju.
Confidentiality
Your answers will not be shared with anyone outside this research project. Your name will not appear on the survey. We will not share answers
with community members, health providers, family or anyone else. At the end of the study, we will put all the answers together and make a
report.
Your contact information will be kept in a locked cabinet, and kept apart from your answers to the questions. Once the study is finished, the list
of names with your contact information, and the completed surveys will be destroyed.
Awon idahun yin ni a ko ni se alabapin pelu eni kankan, ti kii se omo egbe iwadi yii. Gbogbo Iforowanilenuwo ni a o se ni idakonko. oruko yin ko ni
Jeyo ninu iwadi naa. A ko ni se alabapin awon idahun (oro) yin pelu awon ara ilu, awon olupese(osise) ilera, ebi tabi enikankan. ni ipari Iwadi naa. a
o ko gbogbo idahun (oro) Jo ati lati se irohin. Awon oro bi a se le se alabapade yin ni a maa fi sinu Apoti ifiwepamo ti a o tipa. yato si awon idahun
yin si awon oruko pelu alaye bi a se le ba yin pade ati awan iwe Akosile Iforowanilenuwo naa ni a o parun.
Benefits
Research helps society by providing new knowledge. You may not benefit directly from this survey. However, your answers will be important
for planning better programs to make sure women can access the health care they need.
Agbeyewo |Iwadi n se Iranlowo fun awujo nipa pipere Inio tuntun. E le ma ri anfani taara ninu Iwadi yii. Bi o ti wu ki o ri awon idahun yin yoo se
pataki ilana awon eto rere lati muu daju pe awon obinrin ati awon okuunrin le ri ona si itoju ilera ti won.
Risks and Discomfort
There is the possibility you may feel uncomfortable about a question I ask. If you feel uncomfortable about any of the questions, you do not
have to answer them. I can skip those questions and go on to the next section. You can end the interview at any time. There is also the
possibility that someone may approach us during the interview to find out what we are discussing. We intend to do this interview in private, if
someone approaches us, we will stop the interview until we can continue in private.
Some questions may not apply to you, but the interviewer must ask the same questions of everyone.
O seese ki o ma rorun to bee nipa ibeere kan ti mo beere. Ti o ba se bi enipe ko rorun nipa okankan ninu awon ibere naa, ko se dandan lati dahun
won. Mo le yago fun iru awon ibeere bee ati lati lo sori ibere ti o ba kan. E le fopin si iwanilenuwo naa nigbakugba.
O tun seese ki enikan ba wa soro nigba ti Iforowanilenuwo n lo lowo lati wadi ohun ti a nsoro le lori. A lero lati se Iforowanilenuwo yii ni Ikoko
(bookele) Ti enikan ba bawa soro a o da Iforowanilenuwo naa duro titi a o fi ni anfani lati tesiwaju ni Ikoko (Idankoko) Awon ibeere kan le ma Je
mom yin. sugbon oluwadi gbogbo beerfe awon ibere kan naa lowo olukuluko.
Costs and Payment Individual Consent:
There are no costs for being in this study. You will not receive any compensation for taking part in this study.
ko si awon inawo fun kikopa ninu Iwadi yii. E ko ni gba owo kankan fun kikopa ninu iwadi yii.
Questions /Your rights as Participants
This study has been approved by the National Health Research Ethics Committee of Nigeria (NHREC) (assigned no. NHREC/01/01/2007,
approved duration from 30/04/2014 to 29/04/2015) and the University of North Carolina (USA). If you have any questions about this study or
the results, you can contact the following: The study coordinator, Mr. Bolaji Akinsulie at the National Population Commission at 08055515054 or
the Institutional Review Board at the University of North Carolina at +1 919-966-3113. You have the right to ask, and have answers, to any
questions you may have about this research. If you have questions or concerns, you should contact the researchers listed above, or ask me
before or after the interview. Do you have any questions now?
Iwadi yii ni a ti fase si lati odo awon igbimo iwa rere fun eto Iwadi ilera lapopo ni Nigeria (NHREC) pelu ami idanimo NHREC|01|)01|2007 fun
Akoko lati 30|04|2014 si 29|04|2015 ati ile eko giga naa yunifesiti ti North Carolina(USA). Ti eba ni ibere kankan nipa Iwadi yii tabi abajade re e le
kan si awon wonyii: Oludari Iwadi naa, Ogbeni Bolaji Akinsulie ni ile ise Ikaniyan (National Population Commission) ero banisoro 08055515054 tabi
ile igbimo agbeyewo ti yunifesiti North Carolina lori ero +1919-966-3113. E ni eto lati beere ati lati ri Idahun gba. Niti awon ibere kankan ti e ni
nipa Iwadi yii. Ti e ba ni awon ibere tabi awon afiyesi e kan si awon Oluwadi ti a koruko won sile yii,tabi ki e beere lowo mi ki a to bere tabi pari
Iforowanilenuwo naa. N je e ni awon ibere kankan nisinisy.
3
Consent
Now, can you tell me if you agree to participate in this research? If you say yes, it means that you have agreed to be part of the study.
Ni bayi, nje e le so fun mi ti e ba gba lati kopa ninu Iwadi| Agbeyewo yii? Ti e ba ni beeni, eyi tumo si pe e ti gba lati kopa ninu Iwadi naa.
May I begin the interview now?
Se mo le bere Iforowanilenuwo naa bayi?
Yes ………………………1
CONTINUE
No …………………………2
THANK RESPONENT AND END INTERVIEW
Would you like a copy of this document?
Nje e nife si eda Iwe yii.
Interviewer’s signature............................................................................. DATE [____/_____/2014]
4
SECTION 1: BACKGROUND CHARACTERISTICS
Qno
Questions and filters
Coding categories
Skip to
HOUR……………………………….[__|__]
RECORD START TIME:
MINUTES…………………………..[__|__]
Thank you for agreeing to participate in this survey. As I mentioned in asking for your consent, we are looking to assess your health and
information needs. To begin, we are going to ask you some background questions about yourself.
E se pupo wipe e gba lati kopa ninu iwadi yi.Bi mo se so nigba ti mo beere fun ikopa yin, a fe mo awon ohun ti e nilo nipa eto ilera ati
ifitonileti ti e nilo. Ni akoko, a o bere awon ibere nipa arayin.
Q101
In what month and year were you born?
MONTH . . . . . . . . . . . . . . . . . ………[__|__]
Ninu osu ati odun wo ni a bi yin?
DON'T KNOW MONTH . . . . . . . . . . . . . . 98
YEAR . . . . . . . . . . . . . . …..…[__|__][__|__]
DON'T KNOW YEAR . . . . . . . . . . . . . . 9998
Q102
How old were you on your last birthday?
Kini ojo ori yin nigba ti e se ojo ibi kehin?
Q103
Q104
Se e lo si ile-iwe
tabi ile-keu ri ?
What is the highest level of school you attended: Quranic
only, primary, junior secondary, senior secondary, or higher?
Ile-iwe ti o ga ju wo ni e lo: ile kewu nikan, ile-iwe
alakobere, ipele kini ile- iwe giga, ipele keji ile iwe giga,
tabi ile-iwe ti o ga juyi lo?
Q105
Now I would like you to read a sentence to me, but please tell
me, what language you are most comfortable with?
Bayi mo fe ki e ka ese oro kan yi si mi? Sugbon e jowo e
so fun mi, ede wo ni ororun funyin julo?
CIRCLE CODE FOR LANGUAGE SELECTED AND HAND
THE RESPONDENT A LITERACY CARD IN THE SELECTED
LANGUAGE
Q108
Q107
Q109
CLASS/YEAR……………………[__|__]
Q109
JSS OR SSS (CODE 2 OR 3)
HAUSA……………………………….……….. …01
YORUBA………………………….................. …02
IGBO………………………………………………03
ENGLISH…………………………………………04
PIDGIN ENGLISH……………………………….05
RESPONDENT CANNOT
READ…………………………………………..... 11
BLIND/VISUALLY IMPAIRED……………….. ..21
OTHER_____________________________ 96
(SPECIFY)
Q109
Q109
Now I would like you to read this sentence to me.
Bayi, mo fe ki o ka oro yi simi.
SHOW A SENTENCE FROM THE LITERACY CARD TO THE
RESPONDENT
IF RESPONDENT CANNOT READ THE WHOLE
SENTENCE, PROBE:
Can you read any part of the sentence to me?
Q109
QURANIC ONLY…………………………..................0
PRIMARY………………………….…………….…….1
JUNIOR SECONDARY (JSS)……..................... ….2
SENIOR SECONDARY (SSS)……..........................3
HIGHER…………………………...….........................4
Q107
IF NO YEAR COMPLETED, WRITE “00”
CHECK 104
PRIMARY (CODE 1)
Q107
YES…………………………………...........................1
NO ………………………………………………...…...2
What is the highest (class/year) you completed at that level?
Ibo ni e ka iwe naa de (Kilaasi, ipele eko/odun) ti e pari ni
ipele na?
Q106
AGE IN COMPLETED YEARS…..…[__|__]
COMPARE AND CORRECT Q101 AND/OR Q102 IF
INCONSISTENT
Have you ever attended school, formal or Qur’anic?
What is your religion?
Kini esin yin?
CANNOT READ AT ALL……………………….. 1
ABLE TO READ ONLY PARTS OF
SENTENCE . . . . . . . . . . . . . . . . ……………... 2
ABLE TO READ WHOLE
SENTENCE………………………..……….……. 3
NO CARD WITH REQUIRED
LANGUAGE………………………………………. 4
CATHOLIC…………………………….………….
PROTESTANT/OTHER
CHRISTIAN……………………….………………
MUSLIM…………………………...………….…..
NO RELIGION ……………….…..………………
OTHER_______________________________
(SPECIFY)
1
2
3
5
6
Q112
5
Q110
How religious do you consider yourself? Do you consider
yourself …
Bawo ni e se ro wipe e gba esin to? Nje e ri ara yin bi e ni
ti o gba gididi tabi ti o gba die, tabi ti ko gba rara.
Q111
Q112
READ OUT RESPONSES
To what degree does your religion influence the decisions you
make about family planning? Would you say that your beliefs:
never, somewhat, often, or always influence the decisions you
make about family planning?
Bawo ni esin yin se n kopa to ninu awon ipinnu yin lori
ifeto somo bibi? Nje e le so wipe esin yin: ko, kopa ri,o ma
n kopa lopo igba, tabi ni gbogbo igba ni o maa n kopa
ninu awon ipinnu ti e ba se lori ifeto somo bibi
What language do you usually speak at home?
Ede wo ni e saba maa nso ni ile?
Q113
Outside your home, what language do you speak the most?
Ede wo ni e ma nso julo ti e ko ba si nile ?
STRONGLY RELIGIOUS ……….………………
SOMEWHAT RELIGIOUS …….………………..
NOT AT ALL
RELIGIOUS…….………………...……………….
1
2
3
NEVER……………………………..…1
SOMEWHAT……..………………..…2
OFTEN/FREQUENTLY…………..…3
ALWAYS…………………………...…4
DON’T KNOW (ABOUT FP)……...…8
HAUSA………………………………1
YORUBA……………………………2
IGBO…………………………………3
ENGLISH………………………….. 4
PIDGIN ENGLISH………………….5
OTHER_____________________ 6
(SPECIFY)
HAUSA………………………….……1
YORUBA………………………..……2
IGBO…………………………….……3
ENGLISH……………………………..4
PIDGIN ENGLISH………………..….5
OTHER______________________6
(SPECIFY)
6
SECTION 2: REPRODUCTION
QNo.
Coding categories
Skip to
Now I would like to ask you about all the births you have had during your life. Please be as honest as possible and know that your
answers will not be shared with anyone else.
Ni bayi, mo fe beere nipa iye igba ti e ti se ikunle abiyamo laye yin. E jowo e so otito bi o ti ye ati ki e mo daju pe a ko ni fi awon
idahun yin han elomiran.
YES……………………………………1
Have you ever had any live birth?
Q201
Q206
Se e ti bi omo ti o wa laaye ri?
NO……………………………………..2
Do you have any sons or daughters to whom you have given
birth who are now living with you?
YES……………………………..…….1
Q202
Q204
Nje e ni omokunrin tabi omobinrin ti e bi ti won n gbe pelu
NO…………………………….……….2
yin lowolowo bayi?
Q203
Q204
How many of these sons live with you?
And how many daughters live with you?
SONS AT HOME………………. [__|__]
DAUGHTERS AT HOME………[__|__]
Awon melo ninu awon omo okunrin lo n gbe pelu yin?
Ati melo ni omo obirin ti o ngbe pelu yin?
Do you have any sons or daughters to whom you have given
birth who are alive but do not live with you?
YES…………………………………...1
NO……………………….……………2
Q206
Nje eni omokunrin tabi omobirin ti e bi, ti won wa laaye
sugbon ti won ko gbe pelu yin?
How many sons are alive but not living with you?
Q205
Q206
And how many daughters are alive but not living with you?
SONS ELSEWHERE……………….…. [__|__]
‘Melo ni okunrin ti o wa laaye sugbon ti ko gbe pelu yin?
Ati melo ni obirin ti o wa laaye sugbon ti ko gbe pelu yin?
Sometimes it happens that children die. It may be painful to talk
about and I am sorry to ask you about painful memories, but it is
important to get correct information. Have you given birth to a
boy or a girl who was born alive but later died?
DAUGHTERS ELSEWHERE………… [__|__]
YES……………………………………..1
NO………………………….……………2
Q208
IF NO, PROBE: Any baby who cried or showed signs of life but
did not survive?
Nigbamiran o ma nsele pe awon omo se alaisi, A si ma je
ohun ti o dun ni lati so nipa re, mo toro gafara lati mu iranti
yi pada, sugbon o se pataki ki ani akosile ti o peye
Nje e bi omokunrin tabi omobinrin laaye ri sugbon ti o pada
se alaisi.
IF NO, PROBE: Omo Kankan ti o ke tabi fi amin iwalaye han
sugbon ti ko ye?
Q207
How many boys have died?
BOYS DEAD…………….………………. [__|__]
And how many girls have died?
GIRLS DEAD…………………….……… [__|__]
Awon omokunrin melo lo ti jalaisi?
Ati awon omobinrin melo lo ti jalaisi?
Q208
SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL.
TOTAL……………………………..………[__|__]
Q209
If none, record 00.
CHECK 208
Just to make sure that I have this right: you have had in TOTAL _______ birth. Is that correct?
Lati rii daju pe mo gbo yin ye, e ti se kunle abiyamo ni igba _______ se eleyi je otito?
YES
Q210
NO
PROBE AND CORRECT 201-208 as necessary.
CHECK Q208:
YES, HAS ONE OR MORE BIRTHS
NO BIRTHS
Q233
7
BIRTH HISTORY
Now I would like to record the names of all your births whether still alive or not, starting with the first one you had.
Bayi mo fe ko oruko gbogbo awon omo ti e ti bi , ibaa je boya won si wa laaye tabi,se alaisi, bere lati omo akobi yin
RECORD NAMES OF ALL THE LIVE BIRTHS in Q212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. IF THERE ARE MORE THAN 18 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE.
STARTING WITH THE SECOND ROW. CIRCLE LINE NUMBER AND NAME OF ALL CHILDREN BORN IN JANUARY 2012 OR LATER.
(Q211)
(Q212)
(Q213)
(Q214)
(Q215)
(Q216)
(Q217)
(Q218)
(Q219)
(Q220)
IF DEAD:
Line no.
What name was given to your
Were any
Is
In what month and
Is (NAME)
IF ALIVE:
IF ALIVE:
Were there any other
baby?
of these
(NAME)
year was (NAME)
still alive?
How old is
Is (Name) living How old was (NAME) when
live births between
births
a boy or born? PROBE: What
(NAME)
with you?
she/he died?
(NAME OF PREVIOUS
Oruko wo le so omo yin?
twins/triplet
a girl?
is her/his birthday?
currently?
IF LESS THAN 2 YEARS,
BIRTH) and (NAME),
Se
s?
(other probes: what
PROBE:
including any children
(ORUKO)
Ti (oruko) ba wa
season was it)
RECORD AGE
who died after birth?
Nje ikankan
si wa
laye nje o ngbe
IN
How many months old was
ninu awon
laaye?
pelu yin?
Ninu osu ati odun wo
COMPLETED
(NAME)?
N je e bi omo kankan
ibimo yi je
Se
ni a bi (ORUKO)?
YEARS
laarin
ibeji/ibeta?
okunrin
(NAME OF PREVIOUS
IF LESS THAN 1 MONTH
tabi
PROBE: Igba wo ni ojo
BIRTH) ati (ORUKO), eyi
IF LESS THAN
OLD, RECORD DAYS;
obinrin
ibi re? (OTHER
pelu awon omo ti o se
1 YEAR,
MONTHS IF LESS THAN
ni
PROBES: igba wo ninu
alaisi lehin igba ti e bii?
RECORD “00”
TWO YEARS; OR YEARS
(ORUK
odun ni?)
. Omo odun melo
IF 2 OR MORE YEARS
O)?
ni (ORUKO)
OLD
bayi?
Omo odun melo ni
(oruko) ni akoko ti o se
alaisi?
Omo osu melo ni
(oruko)?
YES….1
01
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
02
NAME:
__________________________
03
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
04
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
YES….1
NO……2
Q219
YES….1
NO……2
Q219
YES….1
NO……2
Q219
YES….1
NO……2
Q219
AGE IN YEARS
NO……2
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
[__|__]
ALL SKIP TO
(02)
YES….1
DK………...…….998
AGE IN YEARS
NO……2
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
[__|__]
ALL SKIP TO
Q220
YES….1
DK…………...….998
AGE IN YEARS
NO……2
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
[__|__]
ALL SKIP TO
Q220
YES….1
AGE IN YEARS
[__|__]
NO……2
ALL SKIP TO
Q220
YES…1
NO....2
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
8
(Q211)
Line no.
(Q212)
baby?
Oruko wo ni e so omo yin?
(Q213)
Were any
of these
births
twins/triplet
s?
Nje ikankan
ninu awon
ibimo yi je
ibeji/ibeta?
CIRCLE
(Q214)
Is
(NAME)
a boy or
a girl?
Se
okunrin
tabi
obinrin
ni
(ORUK
O)?
CIRCLE
(Q215)
In what month and
year was (NAME)
born?
(Q216)
Is (NAME)
still alive?
PROBE: What is
her/his birthday?
(other probes: what
season was it)
Se
(ORUKO)
si wa
laaye?
ni a bi (ORUKO)?
ibi re? (OTHER
PROBES: igba wo ni
ninu odun ni?)
(Q217)
IF ALIVE:
How old is
(NAME)
currently?
Omo odun melo
ni (ORUKO)
bayi?
(Q218)
IF ALIVE:
Is (Name) living
with you?
Ti (oruko) ba wa
laye nje o ngbe
pelu yin?
RECORD AGE
IN
COMPLETED
YEARS
(Q219)
IF DEAD:
How old was (NAME) when
she/he died?
PROBE:
(NAME)?
OLD, RECORD DAYS;
MONTHS IF LESS THAN
TWO YEARS; OR YEARS
IF 2 OR MORE YEARS
OLD
Omo odun melo ni
(oruko)ki o to se alaisi?
IF LESS THAN
1 YEAR,
RECORD “00”.
(Q220)
live births between
(NAME OF PREVIOUS
BIRTH) and (NAME),
N je e bi omo kan laarin
(NAME OF PREVIOUS
Omo osu melo ni
(oruko)?
YES….1
05
NAME:
_____________________________
06
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
07
NAME:
__________________________
SING……1
BOY…1
MULT…..2
GIRL...2
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
YES….1
NO……2
Q219
YES….1
NO……2
Q219
YES….1
NO……2
Q219
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
DK…………...….998
AGE IN YEARS
NO……2
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
[__|__]
ALL SKIP TO
Q220
YES….1
DK………...…….998
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
YES….1
08
NAME:
_____________________________
10
SING……1
BOY…1
MULT…..2
GIRL...2
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
_____________________________
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
YES….1
NO……2
Q219
YES….1
NO……2
Q219
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
AGE IN YEARS
DK…………...….998
DAYS….….1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
DK…………...….998
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS……3 [__|__]
YES…1
NO....2
YES…1
NO....2
YES…1
NO....2
YES…1
NO....2
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
DK…………...….998
9
(Q211)
Line no.
(Q212)
baby?
Oruko wo ni e so omo yin?
(Q213)
Were any
of these
births
twins/triplet
s?
Nje ikankan
ninu awon
ibimo yi je
ibeji/ibeta?
CIRCLE
(Q214)
Is
(NAME)
a boy or
a girl?
Se
okunrin
tabi
obinrin
ni
(ORUK
O)?
(Q215)
In what month and
year was (NAME)
born? PROBE: What
(other probes: what
season was it)
ni a bi (ORUKO)?
ibi re? (OTHER
PROBES: igba wo ni
ninu odun ni?)
(Q216)
Is (NAME)
still alive?
Se
(ORUKO)
si wa
laaye?
CIRCLE
(Q217)
IF ALIVE:
How old is
(NAME)
currently?
Omo odun melo
ni (ORUKO)
bayi?
RECORD AGE
IN
COMPLETED
YEARS
(Q218)
IF ALIVE:
Is (Name) living
with you?
Ti (oruko) ba wa
laye nje o ngbe
pelu yin?
(Q219)
IF DEAD:
she/he died?
PROBE:
(NAME)?
Omo odun melo ni (oruko)ki o
to se alaisi?
(Q220)
live births between
(NAME OF PREVIOUS
BIRTH) and (NAME),
(NAME OF PREVIOUS
alaisi lehini igba ti e bii?
OLD, RECORD DAYS;
MONTHS IF LESS THAN
TWO YEARS; OR YEARS
IF 2 OR MORE YEARS
OLD
IF LESS THAN
1 YEAR,
RECORD “00”.
YES….1
11
NAME:
_____________________________
12
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
SING……1
BOY…1
_____________________________
MULT…..2
13
NAME:
__________________________
14
GIRL...2
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
15
NAME:
SING……1
BOY…1
MULT…..2
GIRL...2
_____________________________
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
YES…..1
NO……2
Q219
YES…...1
NO….…2
Q219
YES…...1
NO….…2
Q219
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES…...1
NO….…2
Q219
YES…...1
NO….…2
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
Q219
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
ADD BIRTH
NEXT BIRTH
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
10
(Q211)
Line no.
(Q212)
baby?
Oruko wo ni e fun omo yin?
(Q213)
Were any
of these
births
twins/triplet
s?
(Q214)
Is
(NAME)
a boy or
a girl?
Nje ikankan
ninu awon
ibimo yi je
ibeji/ibeta?
Se
okunrin
tabi
obinrin
ni
(ORUK
O)?
CIRCLE
CIRCLE
(Q215)
In what month and
year was (NAME)
born? PROBE: What
(other probes: what
season was it)
ni a bi (ORUKO)?
ibi re? (OTHER
PROBES: igba wo ni
ninu odun ni?
(Q216)
Is (NAME)
still alive?
Se
(ORUKO)
si wa
laaye?
(Q217)
IF ALIVE:
How old is
(NAME)
currently?
Omo odun melo
ni (ORUKO)
bayi?
(Q218)
IF ALIVE:
Is (Name) living
with you?
Ti (oruko) ba wa
laye nje o ngbe
pelu yin?
RECORD AGE
IN
COMPLETED
YEARS
(Q219)
IF DEAD:
she/he died?
PROBE:
(NAME)?
Omo odun melo ni (oruko)ki
o to se alaisi?
PROBE:
IF LESS THAN
1 YEAR,
RECORD “00”.
(Q220)
live births between
(NAME OF PREVIOUS
BIRTH) and (NAME),
(NAME OF PREVIOUS
(NAME)?
Omo osu melo ni (oruko)
16
NAME:
_____________________________
17
SING……1
BOY…1
MULT…..2
GIRL...2
NAME:
SING……1
BOY…1
_____________________________
MULT…..2
18
NAME:
__________________________
GIRL...2
SING……1
BOY…1
MULT…..2
GIRL...2
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
MONTH [__|__]
YEAR [__|__][__|__]
YES…...1
NO….…2
Q219
YES…...1
NO….…2
Q219
YES…...1
NO….…2
Q219
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
AGE IN YEARS
NO……2
[__|__]
ALL SKIP TO
Q220
YES….1
lF LESS THAN 1 MONTH
OLD, RECORD DAYS;
MONTHS IF LESS THAN
TWO YEARS; OR YEARS
IF 2 OR MORE YEARS
OLD
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
DK…………...….998
AGE IN YEARS
NO……2
DAYS……..1 [__|__]
MONTHS…2 [__|__]
YEARS …..3 [__I__]
[__|__]
ALL SKIP TO
Q220
DK…………...….998
YES…1
NO....2
ADD BIRTH
NEXT BIRTH
11
Have you had any live births since the birth of (NAME
OF LAST BIRTH)?
YES………………………………..…1
RECORD
BIRTH(S)
IN BIRTH
HISTORY
TABLE
RECORD
BIRTH(S)
IN BIRTH
HISTORY
TABLE
NO………………………………..…..2
Q221
Nje e ti bi omo miran laaye lehin igba ti e bi (Oruko
abikehin)?
Before the birth of (NAME OF FIRST BIRTH), did you
have any other live births?
YES………………………………….1
NO…………………………………...2
Q222
Ki e to bi (NAME OF FIRST BIRTH), nje e ni omo
miran?
COMPARE Q208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:
NUMBERS
NUMBERS ARE
ARE SAME
DIFFERENT
(PROBE AND RECONCILE)
CHECK: FOR EACH BIRTH: YEAR OF BIRTH IS RECORDED.
Q223
FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED.
FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED.
Q224
C
Q225
Q226
FOR AGE AT DEATH 12 MONTHS OR 1 YEAR: PROBE TO DETERMINE EXACT
NUMBER OF MONTHS.
FOR EACH BIRTH SINCE JANUARY 2009, ENTER ‘B’ IN THE MONTH OF BIRTH IN COLUMN 1 OF THE
CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE ‘B’ CODE. FOR EACH BIRTH, ASK
THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD ‘P’ IN EACH OF THE PRECEDING
MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF ‘P’s MUST EQUAL
THE NUMBER OF COMPLETED MONTHS OF PREGNANCY.)
CHECK Q215 AND ENTER THE NUMBER OF BIRTHS SINCE 2012. IF NONE, RECORD “0”.
CHECK Q225:
YES, HAS ONE OR MORE
NO BIRTHS SINCE January 2012
BIRTHS SINCE January 2012
Q233
ENTER NAME AND LINE NUMBER
OF YOUNGEST CHILD BORN SINCE JANUARY 2012 FROM Q211 AND Q212:
Q227
__________________________[___|___]
NAME
LINE NUMBER
LIVING
Are you currently breastfeeding (NAME OF LAST CHILD)?
Q228
Nje e nfun (NAME OF LAST CHILD) ni oyan bayi?
How many times did you breastfeed (NAME) in the last 24
hours?
Q229
Igba melo le fifun (NAME) loyan laarin wakati
merinlelogun sehin?
DEAD
YES………………………………
NO………………………………..
Q231
1
2
Q231
NUMBER OF
FEEDINGS…………….…[__|__]
IF NUMBER IS NOT NUMERIC, PROBE FOR
APPROXIMATE NUMBER.
In the last 24 hours, did (NAME) drink anything from a bottle
with a nipple or eat any foods or liquids?
Q230
Ni bi wakati merinlelogun sehin, nje (NAME) mu nkankan
lati inu igo ti oni enu bi omun tabi je ounje kankan tabi
mu nkan olomi?
At the time you became pregnant with [NAME ABOVE], 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?
YES………………………………
NO………………………………..
DON’T KNOW…………………..
THEN……………………………1
1
2
8
Q233
LATER………………………..…2
Q231
Lasiko ti e loyun,(NAME ABOVE) n je e fe loyun nigba
naa, tabi e fe duro di igba miran tabi e ko fe bimo miran
mo rara
NOT AT ALL……………………3
Q233
12
How much longer would you have liked to wait?
Q232
Bi akoko wo ni e ba fe fi duro pe to sii ki e to loyun
IF RESPONSE IS A DECIMAL FOR YEARS (2.5YRS), THEN
CONVERT INTO MONTHS AND FILL IN ONLY MONTHS.
Q233
Are you currently pregnant now?
Nje e ni oyun bayi?
MONTHS………………………………1 [__|__]
OR
YEARS..……………………………….2 [__|__]
OR
OTHER (SPECIFY)__________________996
OR
DON’T KNOW………….…………………..998
YES………………………………
1
NO………………………………..
2
UNSURE……………………… .
8
Q241
Q241
How many months pregnant are you?
Q234
Oyun yin ti di osu melo bayi?
RECORD NUMBER OF COMPLETED MONTHS.
C
MONTHS………………………… [__|__]
ENTER ‘P’S IN THE CALENDAR IN COLUMM 1,
BEGINNING WITH THE MONTH OF INTERVIEW AND FOR
THE TOTAL NUMBER OF COMPLETED MONTHS.
At any time during this pregnancy, have you gone for an
antenatal check up?
YES………………………………………1
Q235
Nje e ti lo fun ayewo ti awon oloyun ma nse Ni akoko
kankan ninu oyun yi?
NO……………………………………..…2
From where or whom did you obtain (A CHECK UP) last
time? PROBE: What is the name of this place/person? And
where is it/he/she located?
NAME OF FACILITY /PERSON
_________________________________
Q239
_________________________________
WRITE NAME OF PERSON ONLY IF PROVIDER
WORKS AS AN INDIVIDUAL
Q236
Nibo ni tabi odo tani e ti gba ayewo (ACHECK UP)
kehin?
Kini oruko ibe/eni yi? Ati pe ibo ni agbegbe ti
ibe/okunrin/obirin na wa?
CODE BOXES: OFFICE ONLY
[__|__|__|__|__]
STREET
NAME/ADDRESS__________________
_______________________________
LAND MARK
DESCRIPTION______________________
__________________________________
13
Q237
From which type of facility did you obtain (A CHECK UP)
last time?
Nibo tabi ni odo tani e ti lo se ayewo yi ni igba tie se
kehin?
PUBLIC SECTOR
GOVT HOSPITAL……………………….…11
WOMEN AND CHILDREN’S
HOSPITAL…………………………….........12
CHILD WELFARE CLINIC…………………13
GOVT. HEALTH CENTER………….........14
GOVERNMENT POST/DISPENSARY.....15
MATERNITY HOME…………….......…….16
MOBILE CLINIC……….…………….........17
OTHER PUBLIC_____________________18
(SPECIFY)
PRIVATESECTOR
PRIVATE HOSPITAL/CLINIC....................21
PRIVATE DOCTOR’S OFFICE…….……..22
NURSING/MATERNITY HOME……...……23
PHARMACY…………………..………..……24
PMS/CHEMIST…………………….….…….25
MOBILE CLINIC………….…………...........26
CHW/TBA……………………………...........27
TRADITIONAL HEALER……………..........28
OTHER PRIVATE____________________29
(SPECIFY)
FAITH-BASED SECTOR
MISSION HOSPITAL……………..............31
FAITH-BASED, CHURCH CLINIC…..……32
OTHER SOURCE
OTHER NGO HOSPITAL/CLINIC…………41
WORKSITE CLINIC………….…………..…42
OTHER ____________________________96
(SPECIFY)
DON'T KNOW . . . . . . . . . . . . . . …..………... .98
Q238
Q239
Was this place you received your most recent antenatal
visit in this city, in another city or town, or in a rural area?
Nje ibi yi ni e ti gba itoju alaboyun kehin ninu ilu yi,
ninu ilu nla miran tabi igberiko?
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?
THIS CITY/TOWN ………………………...
ANOTHER CITY/TOWN…………………..
A RURAL AREA …………………………
1
2
3
THEN…………………………..…...….…...1
Q241
LATER…………………….……………...… 2
Lasiko ti e loyun, n je e fe loyun nigba naa, tabi e fe
duro di igba miran tabi e ko fe bimo miran mo rara?
Q240
Bi akoko wo ni e ba fe fi duro pe to sii ki e to loyun?
IF RESPONSE IS A DECIMAL FOR MONTHS & YEARS
(2.5YRS), THEN CONVERT IN MONTH AND FILL IN
ONLY MONTHS.
Q241
When did your last menstrual period start?
_____________________________________
(DATE, IF GIVEN)
IF LESS THAN ONE DAY, CIRCLE “1” AND WRITE “00”
DAYS AGO.
Igba wo ni nnkan osu ti e se gbeyin bere?
Q242
From one menstrual period to the next, are there certain
days when a woman is more likely to get pregnant if she
has sex?
Laarin nkan osu kan si ekeji, n je awon ojo kan wa
ninu osu ti obirin le loyun ti o ba ni ibalopo?
NOT AT ALL……………………………...…3
Q241
MONTHS……………………….……..1 [__|__]
OR
YEARS..………………………………..2 [__|__]
OR
OTHER (SPECIFY)___________________996
OR
DON’T KNOW…………………………….…998
DAYS AGO…………………………..……1 [__|__]
WEEKS AGO………………………...……2 [__|__]
MONTHS AGO……………………...…… 3 [__|__]
YEARS AGO………………………...…….4 [__|__]
IN MENOPAUSE/HAS HAD
HYSTERECTOMY……………………….….994
BEFORE LAST BIRTH……………………......995
NEVER MENSTRUATED…………………..…996
CANT REMEMBER………………………..…..998
YES…………………………….……………1
NO…………………………….……………..2
DON’T KNOW……………….……………..8
Q244
Q244
14
Q243
Which days are these? Would you say that this time is just
before her period begins, during her period, right after her
period has ended, or halfway between two periods??
Awon ojo wo ni eyi? Se akoko yi wa ki nkan osu to
bere ni, ni akoko nkan osu, ni kete ti nkan osu pari tabi
laarin awon nkan osu kan si ekeji?
Q244
Do you think that a woman who is breastfeeding her baby
can become pregnant?
Nje e ro wipe obirin ti o n fun omo re loyan le loyun?
Q245
What are the criteria in which breastfeeding is effective as
a family planning / birth spacing method?
Anything else?
MARK ALL THAT APPLY.
Kini awon ilana tio le mu, fifun omo loyan danganjia
gegebi ilana ifetosomobibi /fifi alafo si aarin omo?
JUST BEFORE HER PERIOD
BEGINS……………………………........
DURING HER PERIOD.………….……
RIGHT AFTER IT ENDS..…….......…..
HALFWAY BETWEEN TWO
PERIODS ……………………………….
OTHER________________________
(SPECIFY)
DON’T KNOW……………….………....
YES . . . . . . . . . . . . . . . . . . . . ………..
NO . . . . . . . . . . . . . .. . . . . . . . ……….
DEPENDS…………………..………….
DON’T KNOW . . . . . . . . . . . . . ……….
EXCLUSIVE BREASTFEEDING
(NO SUPPLEMENTS)…………….. …..
EXCLUSIVE BREASTFEEDING
FOR UP TO 6 MONTHS……………….
MENSTRUAL PERIOD HASN’T
RETURNED…………..…………………
OTHERS _______________________
(SPECIFY)
NO CRITERIA/NOT A METHOD ……..
DON’T KNOW…………………………..
1
2
3
4
6
8
1
2
3
8
Q246
A
B
C
X
Y
Z
CHECK FOR PRESENCE OF OTHERS. BEFORE CONTINUING, MAKE EVERY EFFORT TO ENSURE PRIVACY.
Q246
Have you ever had a pregnancy that ended in a miscarriage,
abortion or stillbirth?
YES………………………………1
By miscarriage I mean a pregnancy that ended just by itself.
NO………………………………..2
Q254
By abortion, I mean a pregnancy that ended, because you did
something or used something.
By still birth, I mean a baby that was born at full term and did not
show any sign of life.
Q247
N je e ti ni oyun ti o wa sile fun ara re, tabi ti a mu wa sile,
tabi ti o yori si oku omo ri?
Oyun ti o wa sile tumo si pe oyun na baje fun ara re,
ki a ba oyun je tumo si pe a se nkankan lati mu oyun wasile,
nigbati oku omo tumo si omo ti a bi ti ko fi amin iwalaye
han.
How many miscarriages have you ever had?
NUMBEROF MISCARRAIGES………….[__]__]
Q248
Oyun ti o w asile fun ara re melo ni e ti ni ri?
How many abortions have you ever had?
NUMBER OF ABORTIONS…………..….[__]__]
Oyun ti a mu wa sile melo ni eti ni ri?
How many still births have you ever had?
Omo ti abi ti ko fi amin iwalaaye han melo ni e ti ni ri?
NUMBER OF STILL
BIRTHS……………………..…………..….[__]__]
Q249
15
C
PREGNANCY
OUTCOME
SINCE JANUARY 2009
250. Since January
2009, have you
had a pregnancy
that ended in a
(PREGNANCY
OUTCOME)?
Lati osu kini odun
2009,nje e ti ni
oyun ti o yori si
(abajade iloyun?)
251. How many
times has this
occurred since
January 2009?
252. When did the last
such pregnancy end?
Igba wo ni iru oyun be wa
si opin gbeyin?
Igba melo ni eyi ti
sele lati osu kini ,
odun 2009
253. How many months pregnant
were you when the last such
pregnancy ended?
Osu melo ni e fi wa ni ipo iloyun ki
oyun na to wa sopin?
ENTER 'M' FOR MISCARRIAGE,
'A' FOR ABORTION, OR 'S' FOR
STILLBIRTH IN COLUMN 1 OF
THE CALENDAR IN THE MONTH
IN WHICH
THE PREGNANCY WAS
TERMINATED. ENTER ‘P’s FOR
THE NUMBER OF COMPLETED
MONTHS. THE TOTAL
NUMBER OF 'P's MUST BE ONE
LESS THAN THE NUMBER OF
MONTHS PREGNANT AT THE
TIME OF THE TERMINATION.
FOLLOW THIS PROCEDURE
FOR THE NUMBER OF TIMES
THE EVENT HAPPENED
ACCORDING TO Q251.
Stillbirth (pregnancy was
full term but the baby
showed no signs of life)
YES…..………..1
NO………..……2
(01)
(02)
Omo ti a bi ti ko fi
amin iwalaaye han
Miscarriage (pregnancy
ended just by itself)
(02)
(03)
NUMBER OF
TIMES……..[__|__]
MONTHS….…[__|__]
YES…………....1
NO…..…………2
Q254
NUMBER OF
TIMES……..[__|__]
MONTH…………….[__|__]
MONTHS….…[__|__]
YEAR………..[__|__|__|__]
CHECK Q208 AND Q246:
ONE OR MORE
BIRTHS, ABORTIONS, MISCARRIAGES, OR STILLBIRTHS
(Q208=1 OR MORE OR Q246=1)
Q256
MONTH…………….[__|__]
YEAR………..[__|__|__|__]
Oyun ti o wa sile nitori
e se nkan sii?
Q255
MONTHS….…[__|__]
YES…..………..1
NO………..……2
(03)
Q254
MONTH…….[__|__]
YEAR…..[__|__|__|__].
Oyun ti o wa sile fun
ara re
Abortion (pregnancy
ended by something you
did or used, e.g. manual
vacuum aspiration)
NUMBER OF
TIMES……..[__|__]
How old were you when you got pregnant for the very
first time?
Kini ojo ori yin, ni akoko ti e ni oyun fun igba akoko?
At the time you became pregnant the first time, 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?
HAS HAD
NO BIRTHS
(Q208=0),
NO ABORTIONS,
NO MISCARRIAGE, AND
NO STILLBIRTHS (Q246=2)
[___]___]
RECORD EXACT AGE
THEN……………………………….……………..1
Lasiko ti e loyun akoko, n je e fe loyun nigba naa, tabi
e fe duro di igba miran tabi e ko fe bimo miran mo
rara?
Bi akoko wo ni e ba fe fi duro pe to sii ki e to loyun?
ONLY MONTHS.
Q301
LATER………………………… …………….. …..2
NOT AT ALL………………………………………3
Q257
Q301
Q301
MONTHS……..1
OR
YEARS………...2
OR
OTHER (SPECIFY)_______________996
OR
DON’T KNOW…998
16
SECTION 3: CONTRACEPTION
Qno
Coding categories
Skip to
CHECK FOR PRESENCE OF OTHERS. BEFORE CONTINUING, MAKE EVERY EFFORT TO ENSURE PRIVACY.
Now I would like to talk about family planning/child spacing/birth spacing, the various ways or methods that a couple/ partners can use to delay or
avoid a pregnancy.
Ni bayi, mo fe soro nipa ifetosomobibi tabi fifi alafo saarin omo, orisirisi ona tabi ilana ti toko-taya le gba lati lora ati loyun tabi dena
iloyun
INSTRUCTIONS: CIRCLE ‘1’ FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN READING THE
NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE ‘2’ FOR EACH METHOD RECOGNIZED
UPON LISTENING TO DESCRIPTION. CIRCLE ‘3’ FOR EACH METHOD NOT MENTIONED NOR RECOGNIZED.
Q301. Which ways or methods have you heard of?
Q302. Have you ever used
(METHOD)?
Awon ona tabi liana wo ni e ti gbo ri?
Nje e ti lo (METHOD) ri?
PROBE: HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT WOMEN OR MEN CAN USE TO
AVOID PREGNANCY?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK: Have you ever heard of (METHOD)?
Nje e ti gbo nipa (METHOD)?
Yes,
Yes,
MENTIONED
WHEN
SPONTANEO PROBED
USLY
01
FEMALE STERILIZATION/ TUBAL LIGATION:
Women can have an operation to avoid having any
1
2
3
more children.
No
Next
Method
Have you ever had an
operation to avoid having
any more children?
Nje e ti se ise abe ri ti e ko
fi ni le bi omo si mo?
Obirin le se ise abe lati dena omo bibi sii?
YES……………….
NO…………………
02
MALE STERILIZATION/VASECTOMY: Men can have
an operation to avoid having any more children.
1
2
3
Next
Method
1
2
Has your partner ever had
an operation to avoid having
any more children?
Okunrin le se ise abe lati dena omo bibi sii?
Nje onibalopo yin ti se ise
abe ri ti e ko fi ni le bi omo
si mo?
03
04
05
06
YES……………….
NO…………………
1
2
DAILY PILL: Women can take a pill every day to avoid
becoming pregnant.
1
2
3
Next
Method
YES……………….
NO…………………
1
2
Obinrin le maa lo egbogi onihoro lojoojumo ki o fi
dena oyun.
IUD: Women can have a loop or coil placed inside
them by a health provider.
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
Obinrin le gba pe ki Dokita tabi Noosi fi koili soju
ara oun
INJECTABLES OR INJECTIONS: Women can have
an injection by a health provider that stops them from
becoming pregnant for one or more months.
Obinrin le gba abere lodo awon onise isegun lati
dena oyun nini fun osu kan tabi ju bee lo.
IMPLANTS/IMPLANON/JADELLE: Women can have a
small rod placed in their upper arm by a health
provider, which can prevent pregnancy for one to three
years.
Dokita tabi Noosi le fi awon ohun ose kekeke sibi
igunpa obinrin lati dena oyun fun odun kan tabi ju
bee loo
17
07
08
09
10
11
MALE CONDOM: Men can put a rubber sheath on
their penis before sexual intercourse.
1
2
3
Next
Method
YES……………….
NO…………………
1
2
Okunrin le fi roba idaabobo soju ara ki o to ba
obinrin lo po
FEMALE CONDOM: Women can place a sheath in
their vagina before sexual intercourse.
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
1
2
3
Next
Method
YES……………….
NO…………………
1
2
YES……………….
NO…………………
1
2
YES……………….
NO…………………
1
2
YES……………….
NO…………………
1
2
Obinrin le fi roba idaabobo soju ara ki o to ba
okunrin lopo.
STANDARD DAYS/CYCLE BEADS: Every month that
a woman is sexually active she can avoid pregnancy
by not having sexual intercourse on the days of the
month she is most likely to get pregnant. She keeps
track of this using a color-coded string of beads that
indicates fertile and non-fertile days of a menstrual
cycle.
Obirin a ma lo awon ileke alawo orisirisi lati mo
awon ojo ti o le loyun. ki o le lo roba idabobo ni
awon ojo won yi tabi ko sera fun ibalopo
RHYTHM METHOD: Every month that a woman is
sexually active she can avoid pregnancy by not having
sexual intercourse on the days of the month she is
most likely to get pregnant.
Obinrin le ma loyun bi ko ba sunmo okunrin ni
awon ojo kan ninu osu ti o je wi pe o seese ki o
loyun
WITHDRAWAL Men can be careful and pull out before
climax.
Okunrin le sera, ki o tete yora lasiko ibalopo pelu
obinrin, ki nkan omokunrin re to da
12
EMERGENCY CONTRACEPTION/MORNING AFTER
PILL/ POSTINOR 2 Women can take pills up to 3 days
after sexual intercourse to avoid becoming pregnant.
Obinrin le lo egboogi laarin ojo meta lehin ibalopo
pelu okunrin lati dena oyun .
13
14
15
16
17
LACTATIONAL AMENORRHEA (LAM) Up to six (6)
months after childbirth, a woman can use a method
that requires that she feeds the baby with only
breastmilk (no other formula, water or other food) and
that her menstrual period has not returned.
Laarin osu mefa ti obinrin ti bimo, o le lo ilana eyi
ti o nilo pe ki o ma fun omo loyan leralera losan ati
loru, ni won gba ti nnkan osu re ko i ti pada
SPERMICIDE Women can place a suppository, jelly,
or cream in their vagina before intercourse.
Obirin le fi nkan bii jeeli tabi ohun ipara si oju ara
ki o to ni ibalopo.
DIAPHRAGM Women can place a thin flexible disk in
their vagina before intercourse.
Obirin le fi nka felefele bo oju ara ki o to ni
ibalopo
Have you heard of any other ways or methods that
women or men can use to avoid pregnancy?
NOTE: IF RESPONDENT MENTIONS ABSTINENCE
AS A METHOD OF FP, DO NOT RECORD AS A
METHOD. PROBE FOR ANY OTHER METHOD
KNOWN.
Nje e ti gbo nipa awon ilana tabi ona miran ti
okunrin tabi obirin le fi dena oyun?
1
2
3
YES______________
(SPECIFY)
1
NO……………………
3
YES______________
(SPECIFY)
NO…………………
1
3
Next
Method
Q303
Q303
18
Q303
CHECK 301 (KNOWLEDGE OF ANY CONTRACEPTIVE METHOD).
IF 301=YES FOR ANY METHOD
IF 301=NO FOR ALL METHOD
Q316
Q304
In the past year, from whom or where have you seen or
heard about birth spacing or family planning?
Ni odun sehin, lodo tani tabi nibo le ti ri tabi gbo
nipa fifi alafo sarin omo tabi ifetosomobibi?
CIRCLE ALL RESPONSES MENTIONED.
PROBE: ANY OTHER?
MEDIA SOURCES
RADIO……………………………………….
TV …………………………………………..
NEWSPAPERS…………………………….
MAGAZINES……………………………….
BILLBOARDS……………………………..
WALL PAINTING…………………………
MOBILE PHONE/SMS………………….
INTERNET………………………………..
CINEMA…………………………………..
LIVE DRAMA/PUPPET SHOW…………...
POSTER……………………………………
LEAFLET/BROCHURE……………………
PUBLIC SECTOR
GOVERNMENT HOSPITAL ………… . . . .
WOMEN AND CHILDREN HOSPITAL
/CHILD WELFARE CLINIC……………
GOVT. HEALTH CENTER . . . . . . ………..
GOVERNMENT POST/DISPENSARY……
OTHER PUBLIC____________________
(SPECIFY)
PRIVATE/FBO/NGO SECTOR
FAITH-BASED, CHURCH, MISSION
HOSPITAL/CLINIC.....................................
PRIVATE HOSPITAL/CLINIC....................
NURSING/MATERNITY HOME……………
TRADITIONAL BIRTH ATTENDANT…….
COMMUNITY MIDWIFE……………………
COMMUNITY HEALTH WORKER ………..
TRADITIONAL HEALER……………………
PHARMACY………………………………….
PMS/CHEMIST…………………….……….
OTHER SOURCE
WORKSITE CLINIC…………….……
MOBILE CLINIC . . . . . . . . . . . . . . . .
YOUTH CENTER……………………
VCT……..………………….………....
BAR……………………………………
KIOSK/SHOP/MARKET……………
AA
AB
AC
AD
AE
AF
AG
AH
AI
AJ
AK
AL
BA
BB
BC
BD
BE
CA
CB
CC
CD
CE
CF
CG
CH
CI
DA
DB
DC
DD
DE
DF
INTERPERSONAL SOURCES
TEACHER……………………………………
PARENTS……………………………………
PARENTS-IN-LAW…………………………..
SPOUSE/PARTNER………………………...
SISTER/BROTHER…………………………
SISTER-IN-LAW/BROTHER-IN- LAW……
FRIENDS//NEIGHBOURS………………….
GRANDPARENTS………………………….
PEER EDUCATOR…………………………
WOMEN’S GROUP………………………..
EA
EB
EC
ED
EE
EF
EG
EH
EI
EJ
OTHER (SPECIFY)__________________
XX
HAS NOT SEEN OR HEARD IN THE LAST
YEAR……………………………………………
DON’T KNOW WHERE HEARD……………...
YY
ZZ
19
Q305
Have you ever recommended any family planning
methods to your friends and/or relatives?
YES…………………………..…………………..
NO………………………………………..……….
1
2
FEMALE STERILIZATION……………………..
MALE STERILIZATION………………..............
IMPLANT………………………………..............
IUD………………………………………………
INJECTABLE... . . . . . . . . . ………...………….
DAILY PILL……….………………………………
EMERGENCY PILL (Postnor2, etc.)………….
MALE CONDOM . . . . . . . .…………..............
FEMALE CONDOM . .. . .…. . . …………......
STANDARD DAYS METHOD/
CYCLE BEADS…..………….………………….
BREASTFEEDING/LAM . . . . . …..…………...
OTHER MODERN METHOD
________________________________
(SPECIFY)
RHYTHM METHOD …….………………..
WITHDRAWAL ………...………………...
OTHER TRADITIONAL METHOD
______________________________
(SPECIFY)
A
B
C
D
E
F
G
H
I
Q307
Nje e ti fi ilana ifetosomobibi lo awon ore yin pelui/
tabi ibatan yin ri?
Q306
Which methods have you recommended?
CIRCLE ALL MENTIONED.
IF RESPONDENT SAYS “PILL”, PROBE FURTHER
TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR
THE “EMERGENCY PILL”
Iru ilana wo le fi lo won?
Q307
Q308
CHECK 302:
AT LEAST ONE "YES"
(EVER USED)
Now I would like to ask you about the first time that you
did something or used a method to avoid getting
pregnant.
J
K
L
M
N
X
NOT A SINGLE “YES”
(NEVER USED)
NUMBER OF CHILDREN . . . . .
NONE…………………………………..00
How many living children did you have at that time, if
any?
NUMBER OF BOYS
How many boys?
And how many girls?
NUMBER OF GIRLS
Q312
GO TO
Q309
Bayi, mo fe bere nipa igba akoko ti e se nkankan tabi
lo ilana kan lati dena oyun nini?
Omo melo, ti owa laaye le ni ni akoko naa, ti okankan
ba wa?
Melo ni omokunrin?
Ati melo ni omobirin?
IF NONE, RECORD '00'.
Q309
CHECK Q233 CURRENTLY PREGNANT
NOT CURRENTLY PREGNANT (Q233=2 OR =8)
Q310
Are you (or your partner) currently doing something or
using any method to delay or avoid getting pregnant?
Nje eyin {tabi enikeji yin} nse nkan lowolowo abi nlo
ilana kan lati sun nini oyun siwaju tabi dena oyun?
CURRENTLY PREGNANT (Q233=1)
YES………………………………..……..………1
NO……………………………………….……….2
SAYS SHE CAN’T GET PREGNANT……..….3
Q312
Q312
Q312
IF RESPONDENT OR RESPONDENT’S PARTNER HAS
EVER BEEN STERILIZED, CIRCLE “YES” (CODE=1)
20
Q311
Which method(s) are you (or your partner) currently
using?
MULTIPLE METHODS – CIRCLE ALL MENTIONED
IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO
ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE
“EMERGENCY PILL”
Iru liana tabi awon ilana wo ni eyin (onibalopo yin) nlo
lowolowo?
Q312
FEMALE STERILIZATION……………………...A
MALE STERILIZATION………………..............B
IMPLANT………………………………...............C
IUD……..…………………………………………D
INJECTABLE... . . . . . . . . . ………...…………..E
DAILY PILL……….………………………………F
EMERGENCY PILL (Postnor2, etc.)…………..G
MALE CONDOM . . . . . . . .…………...............H
FEMALE CONDOM . .. . .…. . . …………........I
CYCLE BEADS…..………….…………………..J
BREASTFEEDING/LAM . . . . . …..…………...K
OTHER MODERN METHOD
______________________________________ L
(SPECIFY)
RHYTHM METHOD …….……………………….M
WITHDRAWAL ………...……………….............N
______________________________________X
(SPECIFY)
NO CODE CIRCLED…………………………………00
Q316
FEMALE STERILIZATION…………………………..01
MALE STERILIZATION……………………………...02
IMPLANT……………………………………………...03
IUD…………………………………………….……….04
CHECK Q311:
CIRCLE METHOD CODE:
IF MORE THAN ONE METHOD CODE CIRCLED IN
Q311, CIRCLE CODE FOR HIGHEST METHOD IN LIST
INJECTABLE... . . . . . . . . . ………………….………05
DAILY PILL ……….………………………………..…06
EMERGENCY PILL (Postnor2, etc.)………….……07
MALE CONDOM . . . . . . . . ………………….…......08
FEMALE CONDOM . .. . . …. . . ………………….…09
STANDARD DAYS METHOD /CYCLE
BEADS………………………………………..….........10
LAM / BREASTFEEDING........................................11
OTHER MODERN METHOD………………………..12
RHYTHM METHOD …………………………………13
WITHDRAWAL ……………………….......................14
OTHER TRADITIONAL METHOD………………….15
Q313
Since what month and year have you been using
[CURRENT METHOD IN Q312] without stopping?
MONTH…………….[__|__]
Lati osu tabi odun wo ni e ti n lo CURRENT METHOD]
lai dawo duro?
Q314
YEAR………..[__|__|__|__]
CHECK Q313, Q215, Q252(01)- Q252(03)
ANY BIRTH OR PREGNANCY TERMINATION AFTER
MONTH AND YEAR OF START OF USE OF
CONTRACEPTION IN 313?
YES
NO
FOR METHODS OTHER THAN MALESTERILIZATION:
GO BACK TO 313, PROBE AND RECORD MONTH AND
YEAR AT START OF CONTINUOUS USE OF
CURRENT METHOD (MUST BE AFTER LAST BIRTH
OR PREGNANCY TERMINATION)
FOR MALE STERILIZATION: GO BACK TO 313,
PROBE AND RECORD MONTH AND YEAR OF
STERILIZATION
21
CHECK 313:
Q315
YEAR IS JANUARY 2009 OR
LATER
C
C
Q316
ENTER CODE FOR METHOD USED IN MONTH OF
INTERVIEW IN COLUMN 1 OF THE CALENDAR AND
IN EACH MONTH BACK TO THE DATE STARTED
USING METHOD
YEAR IS 2008 OR EARLIER
ENTER CODE FOR METHOD USED IN MONTH OF
INTERVIEW IN COLUMN 1 OF THE CALENDAR
AND EACH MONTH BACK TO JANUARY 2009
THEN SKIP TO
THEN CONTINUE WITH Q316
I would like to ask you some questions about the times you or your partner may have used a method to avoid
getting pregnant since January 2009.
Q317
Mo fe bere awon ibere kan nipa awon akoko ti e yin tabi onibalopo yin ti lo ilana kan lati dena oyun lati osu
kini odun 2009
C
USE CALENDAR TO PROBE FOR EARLIER PERIODS OF USE AND NONUSE, STARTING WITH MOST
RECENT USE, BACK TO JANUARY 2009.
USE NAMES OF CHILDREN, DATES OF BIRTH, AND PERIODS OF PREGNANCY AS REFERENCE POINTS.
IN COLUMN 1, ENTER METHOD USE CODE OR ‘0’ FOR NONUSE IN EACH BLANK MONTH
ILLUSTRATIVE QUESTIONS:

When was the last time you used a method? Which method was that?
Igba wo le lo ilana kan kehin? iIana wo ni eyi?

When did you start using that method? How long after the birth of (NAME)?
Igba wo ni e bere si ni lo ilana yi? O to igbawo lehin ti e bi (Oruko) ti e ti n lo ilana yi?

How long did you use the method then?
O to igbawo ti e fi lo ilana yi nigba yen?
IN COLUMN 2, ENTER CODES FOR DISCONTINUATION NEXT TO THE LAST MONTH OF USE.
NUMBER OF CODES IN COLUMN 2 MUST BE SAME AS NUMBER OF INTERRUPTIONS OF
METHOD USE IN COLUMN 1.
ASK WHY SHE STOPPED USING THE METHOD. IF A PREGNANCY FOLLOWED, ASK WHETHER
SHE BECAME PREGNANT UNINTENTIONALLY WHILE USING THE METHOD OR DELIBERATELY
STOPPED TO GET PREGNANT.
ILLUSTRATIVE QUESTIONS:

Why did you stop using the (METHOD)?
Kilode ti e fi dawo lilo (METHOD) duro?

Did you become pregnant while using (METHOD), or did you stop to get pregnant, or did you
stop for some other reason?
Se e loyun lasiko ti e nlo (METHOD) ni, abi e dawo lilo re duro ki e le loyun, abi e dawo re
duro fun awon idi miran?
IF DELIBERATELY STOPPED TO BECOME PREGNANT, ASK:

How many months did it take you to get pregnant after you stopped using (METHOD)? AND
ENTER ‘0’ IN EACH SUCH MONTH IN COLUMN 1.
O to osu melo ki e to ni oyun lehin igba ti e da lilo (METHOD) duro?
22
Q317
Q318
Q319
Q320
CHECK Q312:
CIRCLE METHOD CODE:
Who decided which type of family planning/ child birth
spacing/child spacing method to use? Is it mainly your
decision, mainly your partner's decision, or did you both
decide together?
Se lilo ilana ifetosomobibi/fifaye si ibimo/fifaye si omo
bibi je ipinu ti ara yin, ipinu ti oko/ onibalopo yin, tabi
ipinu eyin mejeji lapapo?
Were you ever told by a health or family planning worker
about side effects or problems you might have using this
family planning method [CIRCLED IN Q317]?
Nje osise ilera tabi osise ile ifetosomobibi so fun yin ri
nipa awon isoro tabi alebu kokan ti e le ni nipa lilo ilana
ifetosomobibi?
Were you told by a health or family planning worker what to
do if you experienced side effects or problems with this
method [CIRCLED IN Q317]?
NO CODE CIRCLED…………………………...
FEMALE STERILIZATION……………………..
MALE STERILIZATION………………..............
IMPLANT………………………………..............
IUCD………………………………………………
INJECTABLE... . . . . . . . . . ………...………….
DAILY PILL……….……………………………
EMERGENCY PILL (Postnor2, etc.)………….
MALE CONDOM . . . . . . . .…………..............
FEMALE CONDOM . .. . .…. . . …………......
CYCLE BEADS…..………….………………….
BREASTFEEDING/LAM . . . . . …..…………..
OTHER MODERN METHOD…………………..
RHYTHM METHOD …….………………………
WITHDRAWAL ………...……...……….............
OTHER TRADITIONAL METHOD……...……..
MAINLY YOU..………..……………….……1
MAINLY PARTNER………..…………….…2
JOINTLY…………………….……………….3
OTHER____________________________6
(SPECIFY)
00
01
02
03
04
05
06
07
08
09
Q338
10
11
12
13
14
15
YES . . . . . . . . . . . . . ………… . . . . . . . ………...
1
NO . . . . . . . . .. . . . . . . . . . . . . …………………..
2
Q321
DON’T KNOW . . . . . . . . . . . . …………. ………..
8
Q321
YES . . . . . . . . . . . . . . . . . . …………….. . . .1
NO . . . . . . . . . . . . . . . . . . . . . ……………. . 2
DON’T KNOW/CAN’T REMEMBER . .. .…. .8
Nje eleto ilera tabi osise ile ise ifetosomobibi so ohun ti
e le se bi e ba sakiyesi alebu tabi isoro ni pa lilo ona ara
yi [CIRCLED IN Q317]?
Q321
Q322
Were you ever told by a health or family planning worker
about other methods of family planning (beside the one you
are currently using)?
Nje eleto ilera tabi osise ile ise ifeto somo bibi so fun
yin nipa ilana miran yato si eyi ti e nlo lowo bayi?
How many living children did you have when you began
using [CURRENT METHOD CIRCLED IN Q317] if any?
Omo melo ni eni ti owa laaye nigbati e bere si ni lo ilana
[CURRENT METHOD CIRCLED IN Q317] ti o ba wa?
IF NONE, RECORD 00.
YES . . . . . . . . . . . . . . . ……………. . . . . . .1
NO . . . . . . . . . . . . . . ……………. . . . . . . . .2
DON’T KNOW . . . . . . . . ……………. . . . . .8
NUMBER OF CHILDREN…………..[__|__]
NONE………………………………00
GO TO
Q323
SONS ………………………………. .[__|__]
DAUGHTERS ……………………… [__|__]
How many sons?
Omokunrin melo?
How many daughters?
Omobinrin melo?
Q323
CHECK Q317:
IF CIRCLED FEMALE STERILIZATION “01” MALE
STERILIZATION “02”, IMPLANT “03”, IUD “04”,
INJECTABLE “05”, DAILY PILL “06”, EMERGENCY PILL
“07”, MALE CONDOM “08”, FEMALE CONDOM “09”,
STANDARD DAYS/SAFE DAYS/CYCLE
BEADS “10”, OR
OTHER MODERN METHOD “12”
IF CIRCLED
BREASTFEEDING/LAM “11”,
RHYTHM METHOD “13” WITHDRAWAL“14” OR
OTHER TRADITIONAL METHOD“15”
Q333
23
Q324
From where or whom did you obtain [CURRENT METHOD]
last time?
NAME OF FACILITY /PERSON
_________________________________
Nibo ni tabi owo eni wo ni eti gba ilana [CURRENT
METHOD] kehin?
_________________________________
CODE BOXES: OFFICE ONLY [__|__|__|__|__]
PROBE: What is the name of this place/person? And
where is it located?
Kini oruko ibe/eniyen? Nibo nii ibe wa?
STREET NAME/ADDRESS_____________
____________________________________
LAND MARK
DESCRIPTION_______________________
____________________________________
Q325
What type of place/person is this?
Iru ibo ni ibe/tani eni na?
SINGLE MENTION.
PUBLIC SECTOR
GOVT HOSPITAL………………………………11
HOSPITAL……………………………….….…..12
CHILD WELFARE CLINIC………………...…..13
GOVT. HEALTH CENTER…………………….14
GOVERNMENT
POST/DISPENSARY……………..……….......15
MATERNITY HOME………………………..….16
MOBILE CLINIC…………….…………….……17
OTHER PUBLIC______________________18
(SPECIFY)
PRIVATESECTOR
PRIVATE
HOSPITAL/CLINIC........................................21
PRIVATE DOCTOR’S
OFFICE.…………..….....................................22
NURSING/MATERNITY HOME………...……23
PHARMACY………………………………....…24
PMS/CHEMIST………………………….….....25
MOBILE
CLINIC…………….…………………...............26
CHW/TBA……………………………….…….27
TRADITIONAL HEALER……………………...28
OTHER PRIVATE_____________________29
(SPECIFY)
FAITH-BASED SECTOR
MISSION
HOSPITAL……………...................................31
FAITH-BASED, CHURCH
CLINIC……........................................……….32
OTHER SOURCE
OTHER NGO
HOSPITAL/CLINIC………........................…..41
WORKSITE
CLINIC……………………....................….…..42
YOUTH
CENTER……………………...........…….…….43
VENDING
MACHINE/DISPENSER…...............…………44
VCT…….………………….………….…..........45
BAR………………………………… ….….…..46
KIOSK/SHOP/MARKET………………… …..47
OTHER _____________________________96
(SPECIFY)
DON'T KNOW . . . . . . . . . . . . . . ………………… 98
Q326
Have you or your partner faced any challenges in obtaining
this [CURRENT METHOD]?
Nje eyin tabi enikeji yin dojuko isoro Kankan nigba ti e
fe gba ilana [CURRENT METHOD]? eyi ti e nlo
lowolowo?
YES……………………………………………….
NO………………………………………………
DON’T KNOW, PARTNER
OBTAINS METHOD…………………………….
1
2
Q328
8
Q328
24
Q327
What are some of the challenges you have faced in
obtaining this [CURRENT METHOD]?
MULTIPLE RESPONSE – CIRCLE ALL MENTIONED
Kini die ninu isoro ti e dojuko nigbati e fe gba ilana yi
[CURRENT METHOD]?
FEAR OF PARTNER KNOWING; HE
OPPOSES USE………………………………..
FEAR OF OTHER RELATIVES KNOWING,
AS THEY OPPOSE USE……………………..
UNABLE TO LEAVE HOUSEWORK/
WORK…………………………………………..
LACK OF CHILDCARE ………………...........
HIGH COST OF TRANSPORTATION TO
FACILITY…..…………………………………..
FACILITY OFTEN CLOSED…………………
HIGH COST OF SERVICE ………………….
LONG WAITING TIMES AT FACILITY ……..
PERIODIC STOCK-OUTS AT FACILITY……
PROVIDERS OFTEN AWAY………………..
UNFRIENDLY STAFF AT FACILITY ……….
OTHER _____________________________
(SPECIFY)
Q328
A
B
C
D
E
F
G
H
I
J
K
X
CHECK Q317:
IF CIRCLED MALE CONDOM “08”
Q331
IF CIRCLED DAILY PILL “06”
IF CIRCLED FEMALE STERILIZATION “01”, MALE STERILIZATION
“02”, IMPLANT “03”, IUD “04”,
INJECTABLE “05”, EMERGENCY PILL “07”,
FEMALE CONDOM “09”,
OTHER MODERN METHOD “12”
Q329
FOR DAILY PILL USERS ONLY: Which brand of pills did
you buy/get the last time?
Iru oogun onihoro wo ni e ra /gba kehin?
VERIFY BY ASKING TO SEE THE PACKAGE OF PILLS
Q330
FOR DAILY PILL USERS ONLY: How many (pill cycles)
did you buy/get the last time?
CONFIDENCE…………………………..01
LOFEMINAL……………..………………02
NORIDAY………………………………...03
MICROGYNON…………………………..04
DUOFEM………………………….………05
NEGYNON………………………………..06
OTHER _________________________ 96
[SPECIFY]
DON’T KNOW……………………………98
NUMBER OF PILL
CYCLES
Oogun onihoro melo ni e ra /gba kehin?
DON’T KNOW…………….98
Q331
FOR CONDOM USERS ONLY: How many condom
pieces did you buy/get the last time?
Q332
ALL
skip to
Q332
NUMBER OF
CONDOM PIECES
Eyo roba idabobo melo lera/gba kehin?
DON’T KNOW…………….998
Example RESPONDENT BOUGHT ONE 3-PACK, WRITE
“3”
Q332
Q333
What price did you pay for this current method [CIRCLED
IN Q317]?
AMOUNT
(in NAIRA)
Eelo le san fun ilana ti e nlo lowolowo?
FREE…………………………………...……00000
DON’T KNOW…………………………….…99998
Before you started using [CURRENT METHOD] did you
(or your partner) use a different method?
YES . . . . . . . . . . . . . . . . . . ………………. . . . 1
NO . . . . . . . . . . . . . . . . . . . . . ……………… . 2
Q339
Ki e to bere si ni lo [CURRENT METHOD] nje eyin (tabi
ekeji yin) lo ilana miran?
25
Q334
Which method were you using before the [CURRENT
METHOD]?
Iru ilana wo ni e nlo saaju [CURRENT METHOD]?
IF MULTIPLE METHODS MENTIONED, CIRCLE THE
HIGHEST METHOD ON THE LIST AND PROCEED WITH
QUESTIONS REGARDING THIS METHOD.
Q335
How many living children did you have when you began
using [PREVIOUS METHOD], if any?
Omo melo leni ti o wa laaye lakoko ti e bere si ni
lo[PREVIOUS METHOD]?
FEMALE STERILIZATION……………………..01
MALE STERILIZATION………………..............02
IMPLANT………………………………..............03
IUD…..……………………………………………04
INJECTABLE... . . . . . . . . . ………...………….05
DAILY PILL……….………………………………06
EMERGENCY PILL (Postnor2, etc.)…………..07
MALE CONDOM . . . . . . . .…………...............08
FEMALE CONDOM . .. . .…. . . …………........09
CYCLE BEADS…..………….…………………..10
BREASTFEEDING/LAM . . . . . …..…………..11
OTHER MODERN METHOD
____________________________________ 12
(SPECIFY)
RHYTHM METHOD …….……………………. 13
WITHDRAWAL ………...……………….......... 14
___________________________________ 15
(SPECIFY)
NUMBER OF CHILDREN………...[__|__]
NONE………………………………..00
GO TO
Q336
SONS ………………………………..[__|__]
IF NONE, RECORD 00.
DAUGHTERS ………………………[__|__]
How many sons?
Omokunrin melo?
Q336
How many daughters?
Omobirin melo ?
How long did you use the last method [CIRCLED IN
Q334]?
O to igbawo ti e fi lo ilana yi nigba yen?
ONLY MONTHS
Q337
Why did you stop using the method [CIRCLED IN Q334]?
MULTIPLE RESPONSE - CIRCLE ALL MENTIONED.
Kilode ti e fi dawo lilo (METHOD) duro?
1 [__|__] DAYS
OR
2 [__|__] WEEKS
OR
3 [__|__] MONTHS
OR
4 [__|__] YEARS
UNSURE/CAN’T REMEMBER…………998
WANTED TO GET PREGNANT………….... A
METHOD FAILED/GOT PREGNANT……... B
LACK OF SEXUAL URGE………….…….… C
FEAR OF BECOMING INFERTILE………… D
CREATED MENSTRUAL PROBLEM……...E
CREATED HEALTH PROBLEM…………… F
INFREQUENT SEX/NO SEX………………. G
INCONVENIENT TO USE………………….. H
HARD TO GET………………… ……………. I
GAINED WEIGHT………………………….… J
LOST WEIGHT………………………………. K
COSTS TOO MUCH……………………….…L
DID NOT LIKE METHOD…………………… M
LACK OF PRIVACY…………………………. N
SPOUSE/PARTNER DID NOT APPROVE...O
MENOPAUSE/HYSTERECTOMY……….… P
HEALTH PROVIDER ADVISED TO STOP...Q
METHOD NOT AVAILABLE………………... R
OTHER_____________________________ X
(SPECIFY)
All skip
to Q339
26
Q338
What are the main reasons why you are not currently
using a method of family planning/ child birth spacing to
delay or avoid pregnancy?
Lowolowo bayi, kini awon idi pataki ti e ko fi lo ilana
ifetosomobibi /fifalafo saarin omo kan lati sun oyun
siwaju tabi dena oyun?
CIRCLE ALL MENTIONED
PROBE: Any other?
FERTILITY RELATED REASONS:
A. NO SEX
B. INFREQUENT SEX
C. NOT MARRIED YET/ NO PARTNER
D. AWAY FROM SPOUSE
E. ALREADY PREGNANT
F. BREASTFEEDING
G. RECENTLY HAD BABY
H. WANTS MORE CHILDREN/TRYING TO GET
PREGNANT
I.
MENOPAUSAL/HYSTERECTOMY
J. CAN’T HAVE (MORE) CHILDREN
Q343
Q343
Omiran wa bi?
OPPOSITION TO USE:
K. RESPONDENT OPPOSES
L. PARTNER OPPOSES
M. OTHERS OPPOSE
N. RELIGIOUS PROHIBITION
LACK OF KNOWLEDGE:
O. KNOWS NO METHOD
P. DOESN’T KNOW WHICH METHOD TO USE
Q. DON’T KNOW HOW TO USE METHOD
R. KNOWS NO SOURCE
METHOD-RELATED REASONS:
S. HEALTH CONCERNS
T. FEAR OF SIDE EFFECTS
U. LACK OF ACCESS/TOO FAR
V. COSTS TOO MUCH
W. INCONVENIENT TO USE
X. DON’T LIKE EXISTING METHODS
Y. BAD EXPERIENCE WITH EXISTING
METHODS
FATALISTIC:
Z. UP TO GOD
OTHER:
WW. OTHER ____________________________
XX. OTHER ____________________________
YY. OTHER ____________________________
ZZ. DON'T KNOW
Q339
CHECK Q317
NO CODE CIRCLED, IMPLANT, IUD, INJECTABLE,
DAILY PILL, EMERGENCY PILL, MALE CONDOM,
FEMALE CONDOM, SDM, LAM, OTHER MODERN
METHOD, RHYTHM METHOD, WITHDRAWAL, OTHER
TRADITIONAL METHOD CIRCLED (0, 03-15)
Q340
Do you or your partner intend to use/continue to use a
method to delay or avoid pregnancy within the next
twelve (12) months?
Nje eyin tabi enikeji yin pinu lati lo/ tesiwaju lati lo
ilana kan lati da oyun duro tabi dena re laarin osun
mejila si akoko yi?
FEMALE STERILIZATION OR MALE
STERILIZATION CIRCLED (01,02)
Q343
YES . . . . . . . . . . . . . . . . . . . . . . ………..1
NO . . . . . . . . . . . . . . . . . . . . . . . ………..2
DON’T KNOW . . . . . . . . . . . . . . ………..8
Q343
Q343
27
Q341
What method would you prefer MOST to use, if you do
use a method in the future?
Iru ilana wo le faramo lati lo julo?ti e bani lati lo o ni
ojo iwaju?
SINGLE MENTION
Q342
Do you know of a place where or person from whom you
can obtain this method?
FEMALE STERILIZATION……………………....01
MALE STERILIZATION………………................02
IMPLANT………………………………................03
IUD…..………………………………………….…04
INJECTABLE... . . . . . . . . . ………...…………...05
DAILY PILL……….…………………………….…06
EMERGENCY PILL (Postnor2, etc.)…………....07
MALE CONDOM . . . . . . . .………….................08
FEMALE CONDOM . .. . .…. . . …………..........09
CYCLE BEADS…..………….…………………....10
BREASTFEEDING/LAM . . . . . …..…………….11
OTHER MODERN METHOD
_____________________________________ 12
(SPECIFY)
RHYTHM METHOD …….………………………. 13
WITHDRAWAL ………...………………........... .. 14
______________________________________ 15
(SPECIFY)
YES………………………………………..… 1
NO……………………………………….….. 2
Q343
Q343
Nje e mo ibi ti tabi odo eni ti e ti le ri ilana yi gba?
Do you approve of using family planning?
Q343
Nje e fowo si lilo ilana ifetosomobibi?
YES……………………………………………….1
NO…………………………………………………2
DON’T KNOW……………………………………8
Quality of Care – Services and Treatment
Please tell me how you would agree or disagree with the following statements.
If you say you disagree, I will ask you to tell me if you strongly disagree or just
disagree. If you say you agree, I will ask you to tell me if you strongly agree or
just agree.
Strongly
Agree
Ejowo, e so fun mi, bi ese ma fara mo tabi sai fara mo awon gbolohun
oro wonyi. Ti e ko ba faramo o, ma a ro yin lati so fun mi ti e ba sai
faramo gidigidi tabi die, Ti e ba so pe e fara mo ma ro yin na lati so funmi
ti e ba fara mo gidigidi tabi ekan faramo be e
Agree
Disagree
Strongly
Disagree
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
Family planning providers around here treat clients very badly.
Q344
Awon ti o n pese ona Ifetosomobibi ni agbagbe yi maa n baa awon
ti o nfe eto yi lo lona ti ko bojumu.
Women don't like the way they are treated in family planning clinics
around here.
Q345
Awon obirin ko faramo bi a se n toju won ni awon ile iwosan
ifetosomobibi ni agbegbe yi
Family planning sellers/providers make women like you feel bad
when obtaining contraceptives.
Q346
Awon ti o n ta / pese awon ohun ifetosomobibi a ma mu obirin bi
tiyin banuje ti won ba fe awon ohun to ndena oyun
Women in this community believe that FP providers in this
community are knowledgeable
Q347
Awon obirin ninu agbegbe yi gbagbo pe awon ti o n pese ilana
ifetosomobibi ni agbegbe yi ni imo ti o peye
28
Beliefs
Please tell me how you would agree or disagree with the following statements. If you say you
disagree, I will ask you to tell me if you strongly disagree or just disagree. If you say you agree,
I will ask you to tell me if you strongly agree or just agree.
Strongly
Agree
Agree
Disagree
Strongly
Disagree
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
Ejowo, e so fun mi, bi ese ma fara mo tabi sai fara awon gbolohun oro wonyi. Ti e ko ba
faramo o, ma a ro yin lati so fun mi ti e ba sai faramo gidigidi tabi die, Ti e ba so pe e
fara mo ma ro yin na lati so funmi ti e ba fara mo gidigidi tabi be ekan faramo be e
Use of a contraceptive injection can make a woman permanently infertile.
Q348
Lilo abere to ndena oyun le mu ki obirin ma le bi omo mo lailai
People who use family planning end up with health problems.
Q349
Awon eniyan ti o nlo ohun idena oyun a maa ni awon isoro pelu ilera nigbehin
Contraceptives can harm your womb.
Q350
Awon ohun idena oyun le pa ile omo yin lara
Contraceptives reduce women’s sexual urge.
Q351
Awon ohun idena oyun le din ife obinrin si ibalopo ku
Contraceptives can cause cancer.
Q352
Awon ohun idena oyun le fa arun jejere
Contraceptives can give you deformed babies.
Q353
Awon ohun idena oyun le fun yin ni awon omo alabo ara
Contraceptives are dangerous to your health.
Q354
Awon ohun idena oyun je ewu fun ilera yin
Women who use family planning /child birth spacing may become promiscuous
Q355
Awon obinrin ti o n lo ilana ifetosomobibi tabi fifi alafo sarin omo di oni sekuse
A man should accompany his wife to the health facility for family planning
Q356
Okunrin ni lati tele iyawo re lo si ile iwosan funifetosomobibi
29
Section 4: MATERNAL AND CHILD HEALTH
Qno
Q401
CHECK Q225:
ONE OR MORE BIRTHS
SINCE JANUARY 2012
Coding categories
Skip to
NO BIRTHS
SINCE JANUARY 2012
Q413
ENTER NAME AND LINE NUMBER OF YOUNGEST CHILD BORN SINCE JANUARY 2012 FROM Q211 AND Q212:
Q402
Q403
Q404
Q405
___________________________
NAME
[__|__]
LINE NUMBER
Now I would like to ask you about the delivery of [NAME OF YOUNGEST CHILD].
Nibayi, mo fe bere lowo yin nipa ikunle [NAME OF YOUNGEST CHILD)
Who assisted with the delivery of [NAME]?
DOCTOR/ CLINICAL OFFICER ……………. A
NURSE/ MIDWIFE…………………………… B
(NAME OF CHILD)
TBA . . . . . . . . . . . . . ………………………… C
COMMUNITY HEALTH WORKER …………. D
FRIEND/RELATIVE…………………………… E
OTHER______________________________ X
Talo ran yin lowo pelu ibi [NAME]?
(SPECIFY)
NO ONE……………………………………….. Y
PUBLIC SECTOR
Where did you give birth to [NAME]?
GOVT HOSPITAL…………………….…11
Nibo ni e bi [NAME] si?
HOSPITAL…………………………….....12
CHILD WELFARE CLINIC……….….....13
GOVT. HEALTH CENTER…………..….14
GOVERNMENT
POST/DISPENSARY…………………...15
MATERNITY HOME…………………….16
MOBILE CLINIC……..…………….…....17
OTHER PUBLIC__________________18
(SPECIFY)
PRIVATESECTOR
PRIVATE HOSPITAL/CLINIC..............21
PRIVATE DOCTOR’S OFFICE……….22
NURSING/MATERNITY HOME………23
MOBILE CLINIC…………….……….…..26
CHW/TBA…………………………….…..27
TRADITIONAL HEALER……………….28
OTHER PRIVATE_________________29
(SPECIFY)
FAITH-BASED SECTOR
MISSION HOSPITAL……………...........31
FAITH-BASED, CHURCH CLINIC..……32
OTHER SOURCE
OTHER NGO HOSPITAL/CLINIC……….41
WORKSITE CLINIC…………….…………42
YOUTH CENTER………………………….43
OTHER FACILITY _________________48
(SPECIFY)
AT HOME…………………………………..51
OTHER(specify) ___________________96
What is the name of this place? And where is it located?
NAME OF
FACILITY________________________________
Nibo ni ibe ati agbegbe wo lo wa?
________________________________________
Q409
Q409
STREET
NAME/ADDRESS_________________________
________________________________________
LAND MARK
DESCRIPTION___________________________
________________________________________
30
Q406
Q407
Q408
When you came to the facility for delivery, did anyone give
you information or counsel you on family planning before
you delivered?
Ni akoko ti ewa si ile iwosan lati bimo, nje enikankan
fun yin ni ifitonileti tabi gbayinmoran nipa
ifetosomobibi ki e to bimo?
After you had delivered, did anyone talk to you about using
a family planning method postpartum before you left the
health facility?
Lehin igba ti e bimo nje enikeni ba yin soro nipa lilo
ilana ifetosomobibi ki e to kuro ni ile iwosan
After you had delivered, did anyone talk to you about
exclusive breastfeeding for contraceptive purposes?
YES……………………………………………1
NO……………………………………………..2
YES……………………………………………1
NO……………………………………………..2
YES……………………………………………1
Q410
NO……………………………………………..2
Lehin igba ti e bimo nje enikeni ba yin soro nipa fifun
omo loyan gegebi ilana ifetosomobibi?
31
Q409
Why didn’t you deliver in a health facility?
COSTS TOO MUCH……………………..…..A
FACILITY NOT OPEN…………………….…B
DIDN’T HAVE TIME/LABOUR PAINS CAME
EARLY…….……………………….................C
DON’T TRUST THE STAFF…………….…..D
NOT NECESSARY…………………………...E
TRADITION………..………………………..…F
TOO FAR………………………………….…..G
NO TRANSPORT AVAILABLE……………..H
NO ONE AVAILABLE TO ACCOMPANY HER
……………………………………………….….I
POOR QUALITY SERVICES………………..J
DO NOT OFFER SERVICES REQUIRED…K
PROVIDERS OFTEN AWAY………………..L
DOES NOT ACCEPT INSURANCE………..M
NO FEMALE PROVIDER……………………N
PARTNER/FAMILY WON’T ALLOW……….O
HUSBAND/SPOUSE NOT AT HOME………P
DIDN’T HAVE MONEY……………………....Q
POOR PROVIDER ATTITUDE………………R
POOR FACILITY ENVIRONMENT…………..S
FEAR OF HIV TESTING ……………………..T
OTHER_____________________________ X
(SPECIFY)
YES…………………………..……….…….1
NO……………………………………….….2
Kini idi re ti e ko fi bimo si ile iwosan?
Q410
Q411
Within 12 months of delivery of [NAME ABOVE], did you
start using a family planning method?
Laarin osu mejila si akoko ti e bi (Oruko),nje e bere si
ni lo ilana ifetosomobibi kan?
Which method(s)?
FEMALE STERILIZATION……………………...A
MALE STERILIZATION………………..............B
IMPLANT………………………………...............C
IUD…………………………………………………D
INJECTABLE... . . . . . . . . . ………...…………..E
DAILY PILL……….………………………………F
EMERGENCY PILL (Postnor2, etc.)…………..G
MALE CONDOM . . . . . . . .…………...............H
FEMALE CONDOM . .. . .…. ... . …………........I
CYCLE BEADS…..………….…………………..J
BREASTFEEDING/LAM . . . . . …..…………...K
OTHER MODERN METHOD
______________________________________ L
(SPECIFY)
RHYTHM METHOD …….……………………….M
WITHDRAWAL ………...……………….............N
______________________________________X
(SPECIFY)
DAYS POST PARTUM……………..1. [__|__]
Iru ilana wo ni eyi?
PROBE: Any others?
Omiran wa bi?
Q412
Q413
When did you start using the method (how long after
delivery of ________[NAME ABOVE]
WEEKS POST PARTUM……….…..2 [__|__]
Igbawo ni e bere si ni lo ilana yi? Bawo ni o tipe to
lehin ti e bi ________[NAME ABOVE]
MONTHS POST PARTUM…………3 [__|__]
RECORD COMPLETED DAYS IF LESS THAN 1 WEEK;
COMPLETED WEEKS IF MORE THAN 7 DAYS AND
LESS THAN 1 MONTH; COMPLETED MONTHS IF 1
MONTH OR MORE
Q413
IMMEDIATELY POST PARTUM/TIME OF
DELIVERY………….……………….. 993
CHECK BIRTH HISTORY (Q216 & Q219) FOR ANY LIVE CHILDREN
YES, HAS ONE OR MORE
LIVING CHILD
NO, DOES NOT HAVE LIVING CHILDREN
Q421
Now I am going to ask you questions about your experience seeking and receiving health services.
Bayi mo fe beere lowo yin nipa iriri yin nipa wiwa ati gbigba eto ilera
32
Q414
In the last three months, have you gone to a health
facility for any child health services?
YES . . . . . . . . . . . . . . . . . . . . . . ………………..….1
NO . . . . . . . . . . . . . . . . . . . . . . . …………...………2
Q415
Ni bi osu meta sehin nje e ti lo si ile iwosan fun
ilera omo yin?
What types of services did you receive during
this/these child health visit(s)?
Iru itoju wo le ri gba lakoko ibewo/awon ibewo
fun itoju omo yi?
Q416
Where did you go for child services at your last
visit?
Q421
IMMUNIZATION………………………………..... A
DISEASE PREVENTION………………….….… B
DEWORMING……………………………………. C
TREATMENT FOR CHILD (FOR DIARRHEA,
MALARIA, OR RESPIRATORY INFECTION).... D
GROWTH MONITORING OF CHILD………….. E
HEALTH CHECK-UP . . . . . . . . . . . …….. …..… F
OTHER________________________________ X
(SPECIFY)
NAME OF FACILITY__________________________________
_________________________________________________
Nibo ni e lo fun awon ibewo omo nigba ti e wa
kehin?
STREET NAME/ADDRESS_____________________________
PROBE: What is the name of this place? And
_________________________________________________
Nibo ni ibe ati agbegbe wo lo wa?
LAND MARK DESCRIPTION____________________________
____________________________________________________
Q417
What type of facility is this?
Iru ile iwosan wo ni?
PUBLIC SECTOR
GOVERNMENT HOSPITAL……..……................11
WOMEN AND CHILDREN’S HOSPITAL……….12
CHILD WELFARE CLINIC………………….……13
GOVT. HEALTH CENTER………………….……14
GOVERNMENT POST/DISPENSARY………….15
MATERNITY HOME……………………….…..….16
MOBILE CLINIC……………………………..……17
OTHER PUBLIC________________________18
(SPECIFY)
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC…………………..21
PRIVATE DOCTOR’S OFFICE…………………22
NURSING/MATERNITY HOME………………...23
PHARMACY…………………………………….…24
PMS/CHEMIST…………………..…………….…25
MOBILE CLINIC………………………………….26
CHW/TBA…………………………………….……27
TRADITIONAL HEALER………………………....28
OTHER PRIVATE_______________________29
(SPECIFY)
FAITH-BASED SECTOR
MISSION HOSPITAL…………….……................31
FAITH-BASED, CHURCH CLINIC……………...32
OTHER SOURCE
OTHER NGO
HOSPITAL/CLINIC…………………..…………..41
WORKSITE CLINIC…………….…………….….42
YOUTH CENTER………………………………...43
OTHER ______________________________96
(SPECIFY)
DON'T KNOW . . . . . . . . . . . . . . …………………... . .98
33
Q418
Why did you choose this facility?
Kini nidi re ti e fi yan ibe?
PROBE: ANY OTHER REASON?
Q419
Q420
Q421
Q422
Did you receive any information or counseling on
family planning/child birth spacing/child spacing
during this visit?
Nje e gba ifitonileti / amoran lori ifetosomobibi /
fifi alafo saarin omo lakoko ibewo yi?
Did you receive a method or a referral for family
planning/child birth spacing at that time?
Nje e gba ona kan tabi itokasi fun ona
ifetosomobibi / fifi aye sarin ibimo/fifi aye si arin
omo ni akoko yi?
In the last year, have you gone to a health facility
for maternal health services, such as prenatal and
postpartum care?
SERVICES ARE FREE/ AFFORDABLE………………..
FACILITY OPEN/CONVENIENT HOURS OF
OPERATION…..……………………..……………. …….
STAFF ARE POLITE AND RESPECTFUL…………….
CONVENIENT TO MY HOME…………………………..
CONVENIENT TO MY WORK…………………………..
CONVENIENT TO WHERE I SHOP……………………
CONVENIENT USING AVAILABLE
TRANSPORT………………………………….. …………
GOOD QUALITY SERVICES……………………………
OFFER SERVICES REQUIRED…………………….…..
PROVIDERS AVAILABLE………………………………..
ACCEPT INSURANCE…………………………………...
OFFER CREDIT FACILITIES……………………………
FACILITY HAS A GOOD REPUTATION……………….
IT PROVIDES MULTIPLE SERVICES………………….
REFERRED THERE……………………………………...
A
OTHER____________________________________
(SPECIFY)
YES . . . . . . . . . . . . . . . . . . . . . ……………………….1
X
Nibo le lo lenu lolo yi fun itoju awon
alabiyamo?
G
H
I
J
K
L
M
N
O
NO . . . . . . . . . . . . . . . . . . . . . …………...………….. .2
YES, RECEIVED A METHOD. . . . . . . . . . …………….1
YES, RECEIVED A PRESCRIPTION……………...…....2
YES, RECEIVED A REFERRAL . . . . . . . ……………...3
NO, DID NOT RECEIVE ANY OF THESE…………..….4
YES . . . . . . . . . . . . . . . . . . . . . . ………….1
NO . . . . . . . . . . . . . . . . . . . . . . . ………….2
Ninu odun tokoja, nje e ti lo si ile iwosan fun
ibewo nipa itoju ninu oyun tabi lehin ibimo?
Where did you go most recently for maternal health
services?
B
C
D
E
F
Q427
NAME OF FACILITY
_____________________________________________
_____________________________________________
STREET
NAME/ADDRESS______________________________
Kini oruko ibe ati agbegbe wo lo wa?
_____________________________________________
LAND MARK
DESCRIPTION________________________________
_____________________________________________
34
Q423
What type of health facility did you go to for
maternal health services at your last visit?
Iru ile iwosan wo ni e lo fun itoju awon
alabiyamo nigba ti e lo kehin?
PUBLIC SECTOR
GOVERNMENT HOSPITAL……..……......................
WOMEN AND CHILDREN’S HOSPITAL…………….
CHILD WELFARE CLINIC…………………...………..
GOVT. HEALTH CENTER…………………...………..
GOVERNMENT POST/DISPENSARY……………….
MATERNITY HOME……………………………………
MOBILE CLINIC………………………………………
OTHER PUBLIC____________________________
(SPECIFY)
PRIVATE SECTOR
PRIVATE
HOSPITAL/CLINIC…………………………...………
PRIVATE DOCTOR’S OFFICE………………………..
NURSING/MATERNITY HOME…………….…………
PHARMACY………………………………...…………..
PMS/CHEMIST…………………..………..….………
MOBILE CLINIC……………………………………….
CHW/TBA……………………………………...………
TRADITIONAL HEALER…………………….…………
OTHER PRIVATE___________________________
(SPECIFY)
FAITH-BASED SECTOR
MISSION HOSPITAL…………….…………................
FAITH-BASED, CHURCH CLINIC………………….
Q424
Why did you choose this facility?
MULTIPLE RESPONSES
Kini idi ti e fi yan ile iwosan yi?
OTHER SOURCE
OTHER NGO
HOSPITAL/CLINIC……………………..………………
WORKSITE CLINIC…………….……………..............
YOUTH CENTER……………………………...............
VCT……………………………………………..............
OTHER ___________________________________
(SPECIFY)
DON'T KNOW . . . . . . . . . . . . . . ………………… . ……….
SERVICES ARE FREE/ AFFORDABLE….…. …………….
FACILITY OPEN/CONVENIENT HOURS OF
OPERATION…..……………………..……….……………….
STAFF ARE POLITE AND RESPECTFUL…. …………….
CONVENIENT TO MY HOME……………..… …………….
CONVENIENT TO MY WORK……………..… ……………..
CONVENIENT TO WHERE I SHOP……….………………..
CONVENIENT USING AVAILABLE TRANSPORT………..
GOOD QUALITY SERVICES…………….…………………..
OFFER SERVICES REQUIRED…………..………………..
PROVIDERS AVAILABLE……………………………………
ACCEPT INSURANCE……………………………………….
OFFER CREDIT FACILITIES……………………………….
FACILITY HAS A GOOD REPUTATION…………………..
IT PROVIDES MULTIPLE SERVICES……………………..
REFERRED THERE………………………………..………..
OTHER______________________________________
(SPECIFY)
Q425
At your last visit, did you receive any information or
counseling on family planning/ child birth spacing?
Lakoko ayewo ti e se kehin, nje e gba ifitonileti /
amoran lori ifetosomobibi /fifi alafo saarin
omo?
Q426
planning/ contraceptive method at that time?
Nje e gba ilana kan tabi itokasi fun ilana
ifetosomobibi / idena oyun lakoko yi?
11
12
13
14
15
16
17
18
21
22
23
24
25
26
27
28
29
31
32
41
42
43
45
96
98
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
X
YES . . . . . . . . . . . . . . . . . . . . . . ………...……………..1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………………….2
YES, RECEIVED A METHOD. . . . . . . …………. . . 1
YES, RECEIVED A PRESCRIPTION……………....2
YES, RECEIVED A REFERRAL . . . . . . . . ……..….3
NO, DID NOT RECEIVE ANY OF THESE………….4
35
Q427
I don’t want to know the results, but in the last year,
have you gone to a health facility for an HIV test?
Mi o fe mo abajade ayewo, sugbon se e lo si ile
iwosan lodunkan se yin fun ayewo aisan HIV?
Q428
YES . . . . . . . . . . . . . . . . . . . . . . ……………….….1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………….….2
Q432
Where did you go for your last HIV test?
NAME OF FACILITY_________________________________
Nibo le lo fun ayewo HIV kehin?
STREET
NAME/ADDRESS___________________________________
Kini oruko ibe? Ati agbegbe wo lo wa?
__________________________________________________
LAND MARK DESCRIPTION
__________________________________________________
__________________________________________________
Q429
What type of facility did you go to for your last HIV
test?
Iru ile iwosan wo le lo laipe yi fun ayewo HIV?
PUBLIC SECTOR
GOVERNMENT HOSPITAL……..……....................
WOMEN AND CHILDREN’S HOSPITAL…………….
CHILD WELFARE CLINIC…………………...………..
GOVT. HEALTH CENTER…………………...………..
GOVERNMENT POST/DISPENSARY……………….
MATERNITY HOME……………………………………
OTHER PUBLIC____________________________
(SPECIFY)
PRIVATE SECTOR
PRIVATE
HOSPITAL/CLINIC………………………….............…
PRIVATE DOCTOR’S OFFICE………………………..
NURSING/MATERNITY HOME…………….…………
PHARMACY………………………………...…………..
PMS/CHEMIST…………………..………..….………
CHW/TBA……………………………………...………
TRADITIONAL HEALER…………………….…………
OTHER PRIVATE___________________________
(SPECIFY)
FAITH-BASED SECTOR
MISSION HOSPITAL…………….…………................
FAITH-BASED, CHURCH CLINIC……………………
OTHER SOURCE
OTHER NGO
HOSPITAL/CLINIC……………………..………………
WORKSITE CLINIC…………….……………..............
YOUTH CENTER……………………………...............
VCT……………………………………………..............
OTHER ___________________________________
(SPECIFY)
DON'T KNOW . . . . . . . . . . . . . . ………………… . ……….
Q430
At the time of your last test, did you receive any
information or counseling on family planning/ child
birth spacing?
11
12
13
14
15
16
17
18
21
22
23
24
25
26
27
28
29
31
32
41
42
43
45
96
98
YES . . . . . . . . . . . . . . . . . . . . . . ……………………………… 1
NO . . . . . . . . . . . . . . . . . . . . . . . …………………………….
Q431
Lakoko ayewo ti e se keyin, nje e gba ifitonileti /
amoran lori ifetosomobibi /fifi alafo saarin
omo?
planning/contraceptive method at that time?
Nje e gba liana kan tabi itokasi fun ilana
ifetosomobibi / idena oyun lakoko yi?
YES, RECEIVED A CONDOM…………………………………...
YES, RECEIVED A METHOD OTHER THAN
A CONDOM………………... . . . . . . . ……... ………. ……
YES, RECEIVED A PRESCRIPTION. . . . ……. . . ……………
YES, RECEIVED A REFERRAL . . . . . . .……... . …………….
NO, DID NOT RECEIVE ANY OF THESE……..………………
2
1
2
3
4
5
36
Q432
In the last year, how often did you visit a
pharmacy?
TIMES PER YEAR…………….…..1
Laarin odun kan sehin, bawo ni abewo yin si ile
ita ogun se wopo to?
TIMES PER MONTH………………2
TIMES PER WEEK..………………3……..
Never visit a pharmacy…………………………..
Q433
Have you ever received any information or
counseling on family planning/birth spacing while
purchasing or obtaining medicine from this
pharmacy?
997
Q435
YES . . . . . . . . . . . . . . . . . . . . . . …………….1
NO . . . . . . . . . . . . . . . . . . . . . . . …………….2
Nje e ti gba ifitonileti kankan tabi amoran nipa
ifetosomobibi /fifi alafo sarin omo ti e ba nra
tabi gba oogun ni ile ita oogun?
Q434
Q435
In the past year, did you receive a method,
information or counseling or a referral for family
planning/ child birth spacing methods at the
pharmamcy?
Laarin odun kan ti o koja,nje e gba ifitonileti /
amoran/itokasi lori ifetosomobibi tabi fifi alafo
saarin omo ni ile ita ogun?
In the last year, how often did you visit a PMS/
chemist?
Laarin odun kan sehin, bawo ni ibewo yin si ile
ogun se po to?
YES, RECEIVED A METHOD……………….…..….….A
YES, RECEIVED INFORMATION OR
COUNSELING…………………………..… . . . . . . ... . .B
YES, RECEIVED A REFERRAL . . . …………... ... .. .C
NO, DID NOT RECEIVE ANY OF THESE………...….Y
TIMES PER YEAR………….……...1
TIMES PER MONTH………………2
TIMES PER WEEK..……….………3……..
Never visit a PMS/ chemist……………………..
Q436
In the past year, did you receive a method,
information or counseling or a referral for family
planning/ child birth spacing methods at the
PMS/chemist?
Laarin odun kan ti o koja,nje e gba ifitonileti /
amoran/itokasi lori ifetosomobibi tabi fifi alafo
saarin omo ni ile ita ogun?
997
Q501
YES, RECEIVED A METHOD…………………....……A
YES, RECEIVED INFORMATION OR
COUNSELING……………… . . . . . . . . …............. . .B
YES, RECEIVED A REFERRAL . . . . . . …. . ….…. .C
NO, DID NOT RECEIVE ANY OF THESE…..…........Y
37
SECTION 5: SEXUAL ACTIVITY AND MARRIAGE
Qno
Coding categories
Skip
to
Now I would like to ask you some questions about your recent sexual activity. Let me assure you again that your answers are
completely confidential and will not be told to anyone. If we should come to a question that you don’t want to answer, just let me
know and we will go to the next question
MAKE SURE YOU ARE SITTING IN A PRIVATE PLACE TO DISCUSS THE FOLLOWING QUESTIONS.
Q501
Q502
Q503
Q504
Q505
Ni bayi mo fe beere awon ibeere nipa ibalopo yin lowolowo.Mo fe fi da yin loju pe idahun yin yi o je asiri ti a o ni so fun
enikeni. Ti aba de ibi ibeere ti eko fe fesi si, e saa je ki n mo, maa si lo si ibeere miran
Now I need to ask you some questions about sexual activity
in order to gain a better understanding of some family life
AGE…..…………………..…
issues. How old were you when you had sexual intercourse
for the very first time?
NEVER HAD SEXUAL
Q510
INTERCOURSE…………….…00
Ni bayi, mo fe beere awon ibeere nipa ibalopo ki a le ni
imo ti oye kooro nipa awon nkankan ti o ro mo ebi. Omo
odun melo ni yin nigba ti e koko sunmo okunrin fun igba
akoko?
The first time you had sexual intercourse; did you or your
partner use a family planning/birth spacing method to avoid
YES………………………………….…………………….1
Q504
getting pregnant?
NO…………………………………………………………2
Q504
CAN’T REMEMBER……………………………………..8
Ni igba akoko ti e ni ibalopo, nje eyin tabi enikeji yin lo
ilana ifetosomobibi / fifi alafo sarin omo kan lati dena
oyun?
Which method(s) was used?
FEMALE STERILIZATION………………….…A
MALE STERILIZATION……………….............B
Iru ilana (awon ilana) wo le lo?
IMPLANT……………………………….............C
IUD…..……………………………………….….D
INJECTABLE... . . . . . . . . . ………...…………E
DAILY PILL……….……………………………..F
EMERGENCY PILL (Postnor2, etc.)………....G
MALE CONDOM . . . . . . . .…………..............H
“EMERGENCY PILL”.
FEMALE CONDOM . .. . .…. . . …………........I
STANDARD DAYS METHOD/ SAFE DAYS/
CYCLE BEADS…..………………....................J
BREASTFEEDING/LAM . . . . . …..…………..K
OTHER MODERN METHOD
_____________________________________ L
(SPECIFY)
RHYTHM METHOD …….………………….…..M
WITHDRAWAL ………...………………............N
_____________________________________X
(SPECIFY)
When was the last time you had sexual intercourse?
DAYS AGO……………1 [__|__]
Igba wo ni e ni ibalopo kehin
OR
WEEKS AGO…………2 [__|__]
WHEN LESS THAN A DAY, RECORD “00” DAYS.
OR
IF LESS THAN ONE WEEK AGO, RECORD DAYS
MONTHS AGO……… 3 [__|__]
IF LESS THAN ONE MONTH AGO, RECORD WEEKS
OR
AGO
YEARS AGO………….4 [__|__]
Q510
IF LESS THAN 12 MONTHS AGO, RECORD MONTHS
IF 12 MONTHS OR MORE, RECORD IN YEARS
How many times have you had sex in the last three (3)
months?
NUMBER OF TIMES…………… [__|__|__]
OR
Iye igba melo le ni ibalopo laarin osu meta sehin?
NONE…………………………………….…….000
DAILY……………………………………….….991
WEEKLY ……………………………………....992
MONTHLY……………………………………..993
OTHER_____________________________ 996
(SPECIFY)
DON’T KNOW………………………………. 998
38
Q506
In total, how many men have you had sex with in the last 12
months?
Ni apapo, okunrin melo leti ba ni ibalopo laarin osu
mejila sehin?
NUMBER OF PARTNERS…..[__|__]
TOO MANY TO ESTIMATE……96
Q507
IF MORE THAN 95, WRITE 95.
In the last twelve (12) months, have you ever given or
received money, gifts, or favours in return for sex?
YES . . . . . . . . . . . …….. . . . . . . . . . . 1
NO . . . . . . . . . . . . . . . . ……. . . . . . . 2
Q508
Ni osu mejila sehin, nje eyin ti fun tabi gba owo, ebun
tabi ojurere fun ibalopo ti eni?
The last time you had sexual intercourse, did you or your
partner use a family planning/birth spacing/child spacing
method?
YES…………………………………….….. 1
NO…………………………………………..2
CAN’T REMEMBER………………………8
Q510
Q510
Nigba ikehin ti eni ibalopo, nje eyin abi enikeji yin lo
ilana ifetosomobibi/fifi alafo saarin omo kan?
Q509
Which method was used?
Iru ilana wo ni eyi?
FEMALE STERILIZATION………………….…A
MALE STERILIZATION……………….............B
IMPLANT……………………………….............C
IUD…………………………………………….….D
INJECTABLE... . . . . . . . . . ………...…………E
DAILY PILL……….……………………………..F
EMERGENCY PILL (Postnor2, etc.)………....G
MALE CONDOM . . . . . . . .…………..............H
FEMALE CONDOM . .. . .…. . . ……….…........I
STANDARD DAYS METHOD/ CYCLE
BEADS…..……………….................................J
BREASTFEEDING/LAM . . . . . …..…………..K
OTHER MODERN METHOD
____________________________________ L
(SPECIFY)
RHYTHM METHOD …….………………….…..M
WITHDRAWAL ………...………………............N
______________________________________X
(SPECIFY)
Now I would like to ask you some questions about marriage. Remember that your responses will
be kept confidential.
Bayi mo fe beere awon ibeere kan lowo yin nipa igbeyawo. E ranti wipe idahun yin yi o je o hun
asiri.
Q510
Q511
What is your marital status now: are you currently married
or living with man as if married, widowed, divorced, or
separated?
CURRENTLY MARRIED…………………….…..1
LIVING WITH A MAN………………...................2
REMARRIED…………………………………...…3
Kini ipo yin bayi gege bi obinrin, se e ni oko/tabi e ngbe
pelu okunrin bii lokolaya, opo ni yin, e ti ko oko yin, tabi
e ko gbe papo pelu oko yin?
WIDOWED………………..………….……….…..4
DIVORCED…………………………….………....5
SEPARATED………………………………….….6
NEVER MARRIED…………………………….…7
Is your husband/partner living with you now, or is he staying
elsewhere?
Q512
LIVING WITH YOU……..………………... 1
STAYING ELSEWHERE …………………2
Se oko yin/onibalopo yin n ba yin gbe tabi o n gbe nibo
miran?
CHECK Q510:
Q512
C
DETERMINE MONTHS MARRIED, REMARRIED OR LIVING WITH A MAN SINCE JANUARY 2009. ENTER ‘X’ IN
COLUMN 3 OF CALENDAR FOR EACH MONTH MARRIED, REMARRIED OR LIVING WITH A MAN. ENTER ‘O’ IN
COLUMN 3 OF CALENDAR FOR EACH MONTH SHE WAS NOT IN UNION.
FOR WOMEN WHO ARE WIDOWED/DIVORCED/SEPARATED/NEVER MARRIED(Q510=4 OR Q510=5 OR Q510=6 OR
Q510=7):
PROBE FOR DATE WHEN LAST MARRIAGE STARTED AND TERMINATION DATE. ENTER ‘X’ IN COLUMN 3 OF
CALENDAR FOR EACH MONTH MARRIED ENTER ‘O’ IN COLUMN 3 OF CALENDAR FOR EACH MONTH
WIDOWED/DIVORCED/SEPARATED
39
CHECK MARITAL STATUS Q510
CURRENTLY MARRIED:
IF CIRCLED RESPONSES ‘1’ FOR CURRENTLY MARRIED OR
‘2’ FOR LIVING WITH A MAN OR ‘3’ FOR REMARRIED
NOT CURRENTLY MARRIED:
IF CIRCLED RESPONSES ‘4’ FOR WIDOWED
OR ‘5’ FOR DIVORCED OR ‘6’ FOR SEPERATED
Q513
Q518
‘7’ FOR NEVER MARRIED
Q601
Besides yourself, does your husband/partner have other
wives?
Q514
Q515
Yato si eyin, Se oko yin/ onibalopo yin ni awon iyawo
miran tabi t’o n gbe pelu bi eni pe t’oko t’aya ni won?
Including yourself, in total, how many wives does your
husband/partner have?
Pelu yin, ni apapo, iyawo tabi alabagbepo melo ni oko
yin mba gbe bayi ,bi eni pe t’aya t’oko ni won?
Are you the first, second, third, fourth…… wife?
YES . . . . . . . . . . . . . . . . . . …………………. . . …..1
NO . . . . . . . . . . . . . . . . . . . …………….. . . …........2
DON’T KNOW . . . . . . . . . . . . …………….. ……….8
Q517
Q517
TOTAL NUMBER OF WIVES………….. [__|__]
DON'T KNOW . . . . . . . . . . . . ..………..… . . 98
RANK……………
Q516
Se eyin ni iyawo akoko, ekeji, eketa, ekerin…......?
Do you think your spouse/partner has any other sexual
partners who are not wives? If so, how many do you
think?
NUMBER OF PARTNERS……………..
Nje e lero wipe oko/onibalopo yin ni awon miran ti
won nba ni ibalopo sugbon ti ki se iyawo won? Ti o ba
je be, won to melo?
DON’T KNOW……………………………. 98
Have you been married or lived with a man as if married
only once or more than once?
ONLY ONCE……………………….. 1
MORE THAN ONCE……………….. 2
IF NONE, FILL IN ‘00’
Q517
Q518
Nje e ti se igbeyawo ri tabi gbe papo pelu okunrin
gege bi oko ati aya leekan soso tabi ju be lo?
CHECK 518
MARRIED/LIVED
WITH MAN ONLY
ONCE
MARRIED/LIVED WITH
MORE THAN ONE MAN
MONTH…………………………………….
DON’T KNOW MONTH………………………….98
YEAR……………………………………….
Q519
In what month and
year did you start
living with your husband/
Partner?
Now I would like to ask
about when you started
living with your first
husband/partner. In what
month and year was that?
DON’T KNOW YEAR………………………….9998
Ninu osu ati odun wo ni e bere si ni gbe pelu oko /
enikeji yin?
Bayi mo fe beere lowo yin nipa igba ti e bere si ni gbe
pelu oko/enikeji yin akoko . Ninu osu ati odun wo ni
yen?
How old were you when you first started living with him?
Q520
AGE…..……………
Omo odun melo le je nigba ti e bere si ni gbe pelu re?
DON’T REMEMBER…….98
40
SECTION 6: FERTILITY PREFERENCES
CHECK Q312: METHOD CURRENTLY USING
Q601
DOES NOT USE
FEMALE STERILIZATION
Coding categories
Skip to
FEMALE STERILIZATION (Q312=1)
Q604
Now, I would like to ask you a few questions about you and your opinion about births.
Bayi mo fe beere awon ibeere die nipa yin ati ero yin nipa omo bibi.
Q602
CHECK Q233:
NOT PREGNANT
OR UNSURE
Now I have some questions about
the future. Would you like to have
(a/another) child, or would you
prefer not to have any (more)
children?
Ni bayi mo ni awon ibeere
nipa ojo iwaju. Se e fe lati ni
omo (kan/omiran) tabi e ko
fe bi omo sii mo?
Q603
PREGNANT
Now I have some questions about
the future. After the birth of the
child you are expecting now,
would you like to have another
child, or would you prefer not to
have any more children?
HAVE (A/ANOTHER) CHILD…….1
NO MORE/NONE………….……...2
Q604
SAYS SHE CAN’T GET
PREGNANT……………….…........3
Q604
Ni bayi mo ni awon ibeere kan
nipa ojo iwaju.
Lehin ti e ba sokale oyun ti e ni
yi, se e fe lati bimo miran tabi
yo wu yin lati da omo bibi
duro?
UNDECIDED/DON’T KNOW…….8
Q604
PREGNANT
MONTHS . . . . . . . . . . . . . . . . 1
CHECK Q602:
NOT PREGNANT
OR UNSURE
YEARS . . . . . . . . . . . . . . . . . . 2
SOON/NOW . . . . . . . . . ……… .. . .. .993
How long would you like to wait
from now before having
(a/another) child?
O maa to igba wo ti e fe duro
da lati isinyi ki e to bi omo
(miran)?
IF RESPONSE IS IN MONTHS
AND YEARS (E.G. 2 ½ YEARS),
CONVERT TO MONTHS (e.g. 30
months)
After the birth of the child you are
expecting now, how long would
you like to wait before having
another child?
Lehin ti e ba ti sokale oyun ti e
ni yi ba wo ni e se fe duro to,
ki e to bi omo miran?
AFTER MARRIAGE…………………..995
OTHER ______________________ 996
(SPECIFY)
DON’T KNOW . . . . . . . . . . . . . . .. ... . 998
months)
41
Q604
CHECK Q510: CURRENTLY MARRIED
CURRENTLY MARRIED OR LIVING TOGETHER
OR REMARRIED
(Q510=1, 2 or 3)
Q605
Q609
NOT IN A UNION
Q510=(4, 5, 6 OR 7)
Now let’s talk about your partner and his preferences for the future.
Nibayi, e je ki a soro lori alabagbepo yin ati erongba won fun ojo iwaju
HAVE (A/ANOTHER) CHILD . . . . …1
CHECK Q602:
NOT PREGNANT
OR UNSURE
Would he like to have
(a/another) child, or
would he prefer not
to have any (more)
children?
Se won fe lati ni omo
(kan/omiran) tabi won
ko fe bi omo sii mo?
Q606
PREGNANT
After the child you are expecting
now, would your partner like to
have another child, or would he
prefer not to have any more
children?
NO MORE/NONE . . . . . . . . . . … . . 2
SAYS SHE CAN’T
GET PREGNANT…………..….….….3
Q607
DON’T KNOW PARTNER’S
DESIRE………………………………….8
Lehin ti e ba ti sokale oyun ti e
ni yi, se won fe lati bimo miran
tabi yo wu won lati da Omo bibi
duro?
Again, this question relates to your partner’s preferences for the
future.
Lekansi, ibeere yi je mo awon nkan ti enikeji nfe fun ojo iwaju.
CHECK Q605:
NOT PREGNANT
OR UNSURE
How long would your
partner/husband like to wait
before the birth of
(a/another) child?
Igba wo ni oko yin fe
duro da lati isinyi ki won
to, bi omo (miran)?
MONTHS . . . . . . . . . . .1
PREGNANT
YEARS . . . . . . . . . . . . . 2
After the birth of the child that
you and your partner are now
expecting, how long would your
partner like to wait before you
have another child?
SOON/NOW . . . . . . . . .. . .. . . 993
Lehin ti e ba bi omo ti e ni
oyun re yi igbawo ni oko yin
maa fe duro da ki e to bi omo
miran?
OTHER _________________ 996
(SPECIFY)
SAYS SHE CAN’T GET
PREGNANT…994
DON’T KNOW PARTNERS DESIRE. . .998
CONVERT TO MONTHS (e.g.
30 months)
Q607
months)
Does your husband/partner want the same number of children that
you want, or does he want more or fewer than you want?
Nje oko/onibalopo yin fe iye omo kana ti e fe, tabi won fe ju eyi ti
e fe lo tabi kere si eyi ti e fe?
SAME NUMBER……………………..1
MORE CHILDREN……………….….2
FEWER CHILDREN………………...3
DON’T KNOW…………………..……8
42
Q608
Who (will) decides how many children that you are going to have
Would you say that it is mainly your decision, mainly your
husband's/partner's decision, or do you decide together?
Tani o maa n se ipinu iye omo ti e maa bi – Nje ele so wipe ipinu
yin nikan ni, ipinu oko/alabagbepo yin nikan ni, tabi eyin mejeeji
maa n se ipinu papo?
MAINLY YOU………………….…….1
MAINLY PARTNER…………………2
JOINTLY……………………………..3
OTHER______________________6
(SPECIFY)
Q609
CHECK BIRTH HISTORY (Q216 & Q219): ANY LIVING CHILDREN?
Now let’s talk about you again and your childbearing preferences.
NONE . . . . . . . . . . . . . . . . . . . . . . . . 00
Q611
Bayi e je ki a tun soro nipa ara yin ati nipa bi e se fe lati bimo
PROBE FOR A NUMERIC RESPONSE.
NUMBER . . . . . . . . . . . . . . . .
HAS LIVING
CHILDREN
NO LIVING
CHILDREN
If you could go back to the time
you did not have any children
and could have exactly the
number of children you wanted to
have in your whole life, how
many would that be?
If you could have exactly the
number of children you wanted to
have in your whole life, how
many would that be?
Ti e ba le foju da asiko ti e
ko bi omo kankan rara ti e
ba ni anfani lati yan iye
omo ti e fe nigbesi aye yin,
melo ni e ba yan?
Q610
OTHER ______________________ 96
(SPECIFY)
Q611
Ti e ba ni anfaani lati yan iye
omo ti e ba fe nigbesi aye
yin, omo melo ni e ba yan?.
Of this number, how many of these children would you like to be
boys, how many would you like to be girls and for how many would the
sex not matter?
BOYS
GIRLS EITHER
NUMBER
Ninu iye yi, melo ninu awon omo wonyi le fe ko je okunrin, melo
le fe ko je obirin , melo ni e fe ko jo je eyi keyi?
OTHER _______________________ 96
(SPECIFY)
Now, I would like to ask you a few questions about how other women like you think about children and births.
Bayi mo beere awon ibeere die nipa bii awon obinrin miran bi ti yin se n ronu nipa awon omo ati omo bibi.
Q611
In your opinion, how long should a couple wait to have their first
child?
Ninu ero okan yin, bawo ni o ye ki oko ati aya se duro to ki
won to bimo akoko?
Q612
Q613
In your opinion, what should be the ideal age in years for a
woman to get her first child/ pregnancy?
Ninu ero okan yin, kini o ye ki o je ojo ori ti o boju mu fun
obirin lati ni omo/oyun akoko?
In your opinion, what should be the ideal age gap between two
children?
Ninu ero ti yin,kini o ye ko je iye odun to ye ko wa laarin
omo meji?
IMMEDIATELY…………………….1
LESS THAN ONE YEAR………….2
MORE THAN 1 YR BUT LESS
THAN 2 YRS……………………....3
2 OR MORE YEARS…………..…4
OTHER ____________________6
(SPECIFY)
DON’T KNOW……………….….…8
AGE IN YEARS………………….[__|__]
DON’T KNOW……………………….98
MONTHS………………….1
OR
YEARS…………………….2
[__|__]
[__|__]
DON’T KNOW…………………….998
IF RESPONSE IS IN MONTHS AND YEARS (E.G. 2.5
YEARS), CONVERT TO MONTHS (e.g. 30 months)
43
SECTION 7: SPOUSAL AND INTERPERSONAL COMMUNICATION
Qno
Coding categories
Skip to
Now, I would like to ask you a few questions on discussions that you might have had with other people on
health issues.
Q701
Bayi mo fe beere awon ibeere die lowo yin lori iforojomitoro oro ti e ti le ni pelu elomiran lori ohun to
jemo ilera
CHECK Q510:
CURRENTLY MARRIED OR LIVING
TOGETHER (Q510=1, 2 OR 3)
Q702
How often have you talked to your spouse/partner
about the number of children you would like to have
in the last six (6) months?
Bawo ni o se wopo to pe ki e se ijiriro pelu
oko/enikeji yin nipa iye omo ti e fe laarin osu
mefa sehin?
Q703
Q704
How often have you talked to your spouse/partner
about the use of a family planning method in the
last six (6) months?
NOT IN A UNION (Q510= 4, 5,6, OR 7)
NUMBER OF TIMES TOPIC DISCUSSED
NOT DISCUSSED AT ALL IN LAST SIX (6)
MONTHS……………………………………………..97
NUMBER OF TIMES TOPIC DISCUSSED
Bawo ni o se wopo to pe ki e se ijiroro pelu
oko/enikeji yin nipa lilo ilana ifetosomobibi
laarin osu mefa sehin?
NOT DISCUSSED AT ALL IN LAST SIX (6)
MONTHS……………………………………………..97
Who usually starts a discussion about family
planning, you or your spouse/partner?
YOU......................................................................1
SPOUSE/PARTNER.............................................2
EITHER………………………………………..…….3
NEITHER / NEVER TALK ABOUT FP……………4
Tani o koko ma nbere ijiroro lori ifetosomobibi?
Eyin abi oko/alabagbepo
How difficult is it to start a conversation about family
planning with your spouse/partner – is it very
difficult, somewhat difficult, or easy?
Q709
VERY DIFFICULT ……………………………..…..1
SOMEWHAT DIFFICULT ……………………..….2
EASY………………………………………….……..3
Q705
Bawo ni o se nira to lati bere ijiroro pelu
oko/alabagbepo yin lori ilana ifetosomobibi?
Onira gidigidi,onira die tabi o rorun.
Do you intend to talk to your spouse/partner about
family planning in the next three months?
Q706
Q707
Q708
Nje eyin ngbero lati ba oko yin soro nipa ifeto
somo bibi laarin osu meta sibi yi ?
Does your husband/partner approve or disapprove
of couples using a contraceptive method to avoid
pregnancy/child birth spacing?
Nje oko/enikeji yin fowo si tabi ko fowo si ki oko
ati aya ma lo ilana ifetosomobibi kan lati dena
oyun/fi alafo saarin omo?
Has your spouse/partner ever accompanied you (or
your child) to a health facility?
YES ……………………………………………..…1
NO………………………………………………….2
DON’T KNOW…………………………………….8
APPROVE…. . . . . . . . . . . . . . . …………….. 1
DISAPPROVE. . . . . . . . . . . . . . . ……………. 2
DON’T KNOW……………………………………8
YES . . . . . . . . . . . . . . . . . . . . . . …………….. 1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………. 2
Nje oko tabi alabagbepo yin ti sin yin tabi omo
yin lo si ile eto ilera ri ?.
44
Q709
Besides yourself (or your husband/partner) who
else influences the decision whether you use a
method of birth spacing or not?
Yato si eyin funra yin,(tabi oko yin/enikeji yin) ta
ni o tun le yi ipinnu lati lo tabi lat ma lo ilana fifi
alafo saarin omo?
MOTHER……………….. ....................................A
MOTHER-IN-LAW …………......………..….….…B
SISTER(S)……………………………………….…C
SISTER(S)-IN-LAW………………………….…….D
GRANDMOTHER………………………...............E
FRIEND(S)………………………………………....F
HEALTH WORKER.............................................G
COMMUNITY LEADER......................................H
RELIGIOUS LEADER………………………….….I
AUNT………..…………………………………..….J
OTHER RELATIVES……………………………...K
OTHER
______________________________ X
(SPECIFY)
NO ONE………………………..…..…………….…Y
Q710
If you wanted to use a method of family planning,
would you need anyone’s permission?
YES . . . .. . . . . . . . . . . . . . . . . . ………………….1
NO . . . . . . . . . . . . . . . . . . . . . . . ………………....2
DON’T KNOW………….…………………………...8
Q712
Q712
Ti e ba fe lo ilana ifetosomobibi kan, nje e nilo
lati gba ase lodo enikankan?
Q711
From whom would you need permission?
Odo tani e ti ma nilo lati gba ase?
Q712
Q713
Q714
Q715
Q716
Q717
Do you think that government officials should speak
publicly about family planning/child birth spacing?
HUSBAND/PARTNER……………………..…A
FATHER....................................................... B
MOTHER………….. .....................................C
FATHER-IN-LAW..........................................D
MOTHER-IN-LAW …………......…………….E
SISTER(S)…………………………………..…F
SISTER(S)-IN-LAW…………………………..G
OTHER RELATIVE……………………….….H
OTHER ____________________________X
(SPECIFY)
YES…………………………………………….…1
NO……………………………………………...…2
DON’T KNOW ……………………………..……8
Nje e ro wipe oye ki osise ijoba soro nipa ifeto
somo bib/fifi alafo saarin omo ni ita gbangba?
In the past year, have you heard or seen a Local
Government Official speaking publicly against
family planning/ child birth spacing?
YES………………………………………………1
NO…………………………………………….….2
DON’T REMEMBER …………………………..8
Laarin odun kan sehin,nje e ti gbo tabi ri osise
ijoba ibile ki o ma soro ni gbangba lodi si
ifetosomobibi/fif alafo saarin omo ?
In the past year, have you heard or seen a Local
Government Official speaking publicly in favor of
family planning/ child birth spacing/
YES………………………………………..……1
NO……………………………………………….2
DON’T REMEMBER ………………………….8
Laarin odun kan sehin,nje e ti gbo tabi ri osise
ijoba ibile ki o ma soro ni gbangba lati polongo
ifetosomobibi/fifi alafo saarin omoa?
Do you think that religious leaders should speak
publicly about family planning/child birth spacing?
YES . . . . . . . . . . . . . . . . . . . . . . …………….1
NO . . . . . . . . . . . . . . . . . . . . . . . …………….2
DON’T KNOW………….………………………8
Nje e lero wipe oye ki olori esin polongo ifeto
somobibi ni gbangba?
In the past year, have you heard or seen a religious
leader speaking publicly against family
planning/child birth spacing?
YES…………………………………………..…1
NO…………………………………………...….2
DON’T REMEMBER ………………………….8
Laarin odun kan sehin,nje e ti gbo tabi ri olori
esin kan ki o ma soro ni gbangba lati lodi si
ifetosomobibi/fifi alafo saarin omo?
In the past year, have you heard or seen a religious
leader speaking publicly in favor of family
planning/child birth spacing?
YES………………………………………….…1
NO…………………………………………..….2
DON’T REMEMBER ………………………...8
Laarin odun kan sehin,nje e ti gbo tabi ri olori
esin kan ki o ma soro ni gbangba lati polongo fi
fowo si ifetosomobibi/fifi alafo saarin omo?
45
Q718
Q719
How many of your close friends and relatives do
you think use family planning: none, some, most, or
all?
Melo ninu awon ore yin ni e le so wipe o nlo
ilana ifetosomobibi: Ko si, awon kan, opolopo
won, tabi gbogbo won?
Do you think there are some people within this
community who will call you bad names or avoid
your company if they knew that you were using a
family planning/contraceptive method?
NONE………………………………………….1
SOME…………………………………….……2
MOST…………………………………….……3
ALL………………………………………..……4
DON’T KNOW…………………………….…..8
YES . . . . . . . . . . . . . . . . . . . . . . ………….…..1
NO . . . . . . . . . . . . . . . . . . . . . . . …………..….2
DON’T KNOW……...……………………...…….8
Nje e lero pe awon eniyan kan wa ni agbegbe
yin ti won yi o pe yin ni oruko buruku tabi ki
won yago fun yin patapata ti won ba mo wipe
eyin nlo ilana ifetosomobibi/idena oyun?
Q720
Q721
Q722
Do you think there are some people within this
community who will praise, encourage, or talk
favorably about you if they knew that you were
using a family planning/contraceptive method?
Nje e lero pe awon eniyan kan wa ni agbegbe
yin ti yo gbe ori yin fun , ki won tu bo ran yin
lowo tabi soro daradara nipa yin, ti won ba mo
wipe eyin nlo ilana ifetosomobibi/idena oyun?
Are you willing to pay for family planning services
(commodities and consumables)?
Nje eyin mura la ti san owo fun ilana
ifetosomobibi (awon nkan lilo ati jije)?
Do you think that the government should offer free
FP services? (commodities and consumables)?
YES . . . . . . . . . . . . . . . . . . . . . . ……………..1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………..2
DON’T KNOW……...…….………………….….8
YES . . . . . . . . . . . . . . . . . . . . . . ……………..1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………..2
DON’T KNOW……...…….………………….….8
YES . . . . . . . . . . . . . . . . . . . . . . ……………..1
NO . . . . . . . . . . . . . . . . . . . . . . . ……………..2
DON’T KNOW……...…….………………….….8
Nje e lero pe oye ki ijoba pese eto ifetosomobibi
lofe. (awon ohun elo ati jije)
46
Please tell me how you would agree or disagree with the following
statements. Do you strongly agree, agree, disagree or strongly
disagree?
Strongly
Agree
Agree
Disagree
Strongly
Disagree
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
Ejowo, e so fun mi, bi ese ma fara mo tabi sai fara mo awon
gbolohun oro wonyi. Ti e ko ba faramo o, ma a ro yin lati so fun
mi ti e ba sai faramo gidigidi tabi die, Ti e ba so pe e fara mo ma
ro yin na lati so funmi ti e ba fara mo gidigidi tabi be ekan
faramo be e
Q723
Q724
Q725
Q726
Q727
Q728
Q729
You could start a conversation with your partner about
family planning/child birth spacing.
E le bere oro si so pelu alalopo yin nipa ifeto somo
bibi/fifi alafo saarin omo bibi ?
It is a woman’s right to access and use family
planning/child birth spacing
Eto obirin ni lati wa ati lo ilana ifetosomobibi/fifi alafo
saarin omo
You could convince your spouse/partner that you should
use a method of family planning/child birth spacing.
E le mu ki oko/alabalopo yin gba pe ki e lo ilana
ifetosomobibi?
You could obtain a family planning/child birth spacing if
you decided to use one.
E le lo gba ilana ifetosomobibi ti e ba pinu lati lo
okan?
You could use a method of family planning/ child birth
spacing even if your partner doesn’t want you to.
E le lo ilana ifeto somo bibi/fifi alafo saarin omo bibi,
bo tile je pe alabalopo, oko tabi ore kunrin yin ko fe ki
e lo o?
You could use a method of family planning/child birth
spacing/ even if none of your friends or neighbors uses
one.
E le lo ilanra ifeto somo bibi/fifi alafo saarin omo bibi,
bo tile je pe ko si ore kan tabi aladugbo ti o nlo?
You could use a method of family planning/child birth
spacing/ even if your religious leader did not think you
should use one.
E le lo ilana ifetosomobibi tabi fifi alafo saarin omo
bibi, bo tile je wipe olori esin yin ko ro pe oye ki e lo.
Q730
You could continue to use a family planning/child birth
spacing/child spacing method even if you experience
some side effects.
E le tesiwaju lati ma loilana ifetosomobibi/fii alafo
saarin omo bibi bo tile je pe eri awon alebu to ro mo?
47
INSTRUCTIONS: ASK QUESTION Q731, THEN QUESTION Q732, Q733 AND
LISTED IN THE LEFT COLUMN BEFORE MOVING ON TO THE NEXT PERSON.
a) Your mother
Mama yin
b) Mother-in-law
Mama oko yin
c) Sister-in-law
Aburo oko yin obirin
d) Father-in-law
Baba oko yin
e) Members of your
religious community?
Awon elesin kan na
pelu yin ni
agbegbe yin?
f) Best friend?
Ore ti o sunmo yin
julo?
Q734,
Q731. In the past one year,
have you talked about
family planning with
__________?
Ni odun kan sehin, nje eti
soro nipa ifetosomobibi
pelu------------?
Q732. How important is this
person's opinion to you with
regard to family planning/birth
spacing issues?
YES..............
NO...............
NA………….
YES..............
NO...............
NA………….
YES..............
NO...............
NA………….
YES..............
NO...............
NA………….
YES..............
NO...............
NA………….
1
2
7(b)
1
2
7(c)
1
2
7(d)
1
2
7(e)
1
2
7(f)
NOT AT ALL……..
SOMEWHAT………
VERY ……………
NOT AT ALL……..
SOMEWHAT………
NOT AT ALL……..
SOMEWHAT………
NOT AT ALL……..
SOMEWHAT………
NOT AT ALL……..
SOMEWHAT………
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
Nje e lero pe eni yi le
se atilehin fun yin nipa
lilo ilana
ifetosomobibi?
YES...................
1
NO.....................
2
DK.....................
8
YES...................
1
NO.....................
2
DK.....................
8
YES...................
1
NO.....................
2
DK.....................
8
YES...................
1
NO.....................
2
DK.....................
8
YES...................
1
NO.....................
2
DK.....................
8
YES..............
NO...............
NA………….
1
2
7Q801
NOT AT ALL……..
SOMEWHAT………
1
2
3
YES...................
NO.....................
DK.....................
Bawo ni ero eni yi se se
pataki si yin to nipa
ifetosomobibi/fifi alafo saarin
omo?
Q733. Do you think that
this person would
support your using a
method of family
planning?
1
2
8
FOR EACH PERSON
Q734. Is this person’s
approval necessary for
you to use family
planning?
Nje ase eni yi se Pataki
fun yin lati lo ilana
ifetosomobibi?
YES………
NO……….
1
2
YES………
NO……….
1
2
YES………
NO……….
1
2
YES………
NO……….
1
2
YES………
NO……….
1
2
YES………
NO……….
1
2
48
SECTION 8: GENDER INEQUITY MEASURES
Qno
Coding categories
Skip to
Now I would like to ask you some questions regarding your partner and how you and your partner make household decisions. Please remember
to be as honest as possible and that your responses will remain confidential; that is, no one will see your answers.
Bayi mo fe beere awon ibeere kokan nipa enikeji yin ati pe bawo ni eyin ati enikeji yin se n se ipinnu nipa idile yin. Ejowo e ranti lati so
otito ati pe idahun yin yio wa ni bonkele, eyi ti o tumo si pe ,ko si elomiran to le ri idahun si ibeere yin.
Q801
OR REMARRIED (Q510=1 OR 2 OR 3)
Q802
Q811
NOT IN A UNION
(Q510=4 OR 5 OR 6 OR 7)
How old was your partner on his last birthday?
AGE IN COMPLETED YEARS……………[__|__]
Kini ojo ori enikeji yin lakoko ti o se ojo ibi kehin?
Q803
Did your husband/partner ever attend school?
Q804
Nje oko yin tabi enikeji yin lo si ile iwe ri?
What was the highest level of school he attended:
quranic, primary, secondary, or higher?
Kini ile iwe ti o ga julo , ti won lo ? quranic,
primary, secondary, or higher?
Q805
YES . . . . . . . . . . . . . . . …………………………….
NO . . . . . . . . . . . . . . ……………………………….
1
2
QURANIC ONLY………………………………………
PRIMARY………………………………………………
JUNIOR SECONDARY (JSS)…......…………………
SENIOR SECONDARY (SSS)……………………….
HIGHER………………………………………………..
DON’T KNOW.…………………………………………
0
1
2
3
4
8
What is the highest (class/year) he completed at that
level?
CLASS/YEAR……………………….…
Kini ipele to ga ju ti o pari ni ibuso yi?
DON’T KNOW………………………………98
Q806
Q806
Q806
[__|__]
RECORD “00“ IF NO COMPLETED YEARS
Q806
What is your partner’s occupation, that is, what kind of
work does he mainly do when he is/was working?
Kini ise enikeji yin ani iru ise wo ni won nse ti won
ba wa ni ile ise?
Q807
Is your husband/partner currently working?
Nje oko yin nsise lowolowo bayi?
Q808
What has he been doing for most of the time over the
last 12 months?
Kini ohun tin won se fun opo igba laarin osu mejila
ti o koja?
Q809
Does he usually work throughout the year, seasonally,
or only once in a while?
Nje won ma sise lati ibere odun di ipari odun, tabi
ni akoko kan ninu odun tabi le kokan?
HEALTH SERVICE PROVIDER
& RELATED WORKERS ………………………………….. 01
PROFESSIONAL, TECHNICAL, ADMINISTRATIVE,
MANAGERIAL & RELATED WORKERS ……………….. 02
SALES & RELATED WORKERS ………………………… 03
SERVICE, INSTALLATIONS, MAINTENANCE
& REPAIR WORKERS ……………………………………. 04
AGRICULTURAL, ANIMAL HUSBANDRY, FORESTRY
WORKERS, FISHERMEN & HUNTERS ………………… 05
TRANSPORTATION, PRODUCTION,
CONSTRUCTION & EXTRACTION WORKERS ………. 06
STUDENT ONLY (NOT EMPLOYED) ………………….. 07
NOT EMPLOYED (NOT STUDENT) ……………………. 08
OTHER _____________________________________ 96
(SPECIFY)
YES . . . . . . . . . . . . . . . . . . . . . . …………………….
1
NO . . . . . . . . . . . . . . . . . . . . . . . …………………….
2
DON’T KNOW……...…………………………………..
8
NOTHING/IDLE…………………………………………..
LOOKING FOR WORK………………………………….
GOING TO SCHOOL/STUDYING……………………..
UNABLE TO WORK DUE TO ILLNESS/DISABILITY..
RETIRED………………………………………………….
01
02
03
04
05
HOUSEHOLD/FARM WORK………………………..
OTHER (SPECIFY)___________________________
06
96
THROUGHOUT THE YEAR . . . . . . . . . . . …………
SEASONALLY/PART OF THE YEAR . . ……………..
ONCE IN A WHILE . . . . . . . . . . . . . . . . . . …………
1
2
3
Q809
Q811
49
Q810
Does he usually earn cash for this work?
Q811
Nje won a ma gba owo fun ise ti won ba se yi?
What is your occupation, that is, what kind of work do
you mainly do?
Kini ise yin, ani iru ise wo ni e ma nse ni pataki?
Q812
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. In the last seven days, have you
done any of these things or any other work?
YES . . . . . . . . . . . . . . . ……………………………1
NO . . . . . . . . . . . . . . . ………………………….… 2
DON’T KNOW……………………………………… 8
HEALTH SERVICE PROVIDER
& RELATED WORKERS ………………………………….. 01
PROFESSIONAL, TECHNICAL, ADMINISTRATIVE,
MANAGERIAL & RELATED WORKERS ……………….. 02
SALES & RELATED WORKERS ………………………… 03
SERVICE, INSTALLATIONS, MAINTENANCE
& REPAIR WORKERS ……………………………………. 04
AGRICULTURAL, ANIMAL HUSBANDRY, FORESTRY
WORKERS, FISHERMEN & HUNTERS ………………… 05
TRANSPORTATION, PRODUCTION,
CONSTRUCTION & EXTRACTION WORKERS ………. 06
STUDENT ONLY (NOT EMPLOYED) ………………….. 07
NOT EMPLOYED (NOT STUDENT) ……………………. 08
OTHER ……………………………………………………… 96
(SPECIFY) _______________________________________
YES . . . . . . . . . . . . . . . …………………………………
NO . . . . . . . . . . . . . . . ………………………….………
1
2
YES . . . . . . . . . . . . . . . …………………………………
NO . . . . . . . . . . . . . . . ………………………………….
1
2
Q819
FOR FAMILY MEMBER . . . . . . . . . . . . . . ……………
FOR SOMEONE ELSE . . . . . . . . . . . . ………………..
SELF-EMPLOYED……………………….......................
1
2
3
Q817
YES . . . . . . . . . . . . . . . . . . . . . ………………………..
NO . . . . . . . . . . . . . . . . . . . . . . . ………………………
DON’T KNOW……………………………………………
1
2
8
YES . . . . . . . . . . . . . . . . . . . . . . …………………….
NO . . . . . . . . . . . . . . . . . . . . . . ……………………..
DON’T KNOW…………………………………………
1
2
8
THROUGHOUT THE YEAR . . . . . . . . .. . . . …………
SEASONALLY/PART OF THE YEAR . .. . …………
ONCE IN A WHILE . . . . . . . . . . . . . . . . .. . . …………
1
2
3
IN CASH ONLY………………………….………………
IN CASH AND IN KIND……………………...................
IN KIND ONLY……………………………..……………..
NOT PAID………………………….….…………………
1
2
3
4
YES . . . . . . . . . . . . . . . . . . . . . . …………………….
NO . . . . . . . . . . . . . . . . . . . . . . ……………………..
DON’T KNOW…………………………………………
1
2
8
Q814
Gegebi eti mo, awon obirin miran nse ise, eyi ti
won a ma gba owo tabi ounkan. Awon miran a ma
ta oja, won le ni isowo kereje tabi sise ninu oko ti o
je tiebi won tabi ni okowo tiebi. Laarin ojo meje
sehin, nje e ti se nkankan ninu awon ise wonyi tabi
ise miran.
Q813
Have you done any work in the last 12 months?
Q814
Nje e ti se ise kankan laarin osu mejila sehin
Do you do this work for a member of your family, for
someone else, or are you self-employed?
Nje e se ise yi fun okan ninu awon ebi yin, fun
elomiran tabi e nse ise ti ara yin?
Q815
Q816
Q817
Q818
Does your employer provide health care services on
site for its employees?
Nje awon ti o gba yin sise se ipese eto ilera ni
agbegbe ile ise fun gbogbo osise?
Would you access family planning/contraceptive
services if your employer offered the service on site (at
the work place)?
Nje e ma lo fun eto ifetosomobibi, ti awon ti oni ile
ise yin ba pese eto naa ni ibi ti e ti nsise (Ni ile ise)
Do you usually work throughout the year, or do you
work seasonally, or only once in a while?
Nje eyin a m a se ise ninu gbogbo odun , abi
lekokan tabi ni akoko kan?
Are you paid in cash or kind for this work, or are you
not paid at all?
Se owo ni won nsan fun yin abi ounkan fun ise yi
abi e o gba nkankan rara?
Q819
Do you have health insurance?
Nje eni eto isura ti ilera?
Q822
Q822
50
Q820
What type of health insurance do you have?
Iru eto isura wo le ni?
Q821
Q822
Q823
Does your health insurance cover family planning/child
birth spacing services?
Nje eto isura fun ilera yi ni aye fun ilana
ifetosomobibi
Do you think health insurance should cover family
planning/child birth spacing services?
YES . . . . . . . . . . . . . . . . . . . . . . ………….…………..
NO . . . . . . . . . . . . . . . . . . . . . . . …………..………….
DON’T KNOW……...……………………...…………….
1
2
8
8
1
2
8
Q829
NOT IN A UNION
(Q510=4 OR 5 OR 6 OR 7)
IF SHE DOESN’T WORK
OR DOES NOT EARN CASH
(Q813=2 OR Q818=3 OR 4)
IF SHE IS CURRENTLY
WORKING AND EARNS CASH
(Q818=1 OR 2)
Q825
1
2
6
Nje eyin ro wipe oye ki eto isura ti ilera nilati pese
fun ifetosomobibi/fifi alafo saarin omo?
OR REMARRIED (Q510=1 OR 2 OR 3)
Q824
NATIONAL HEALTH INSURANCE ……………………
COMMUNITY HEALTH INSURANCE ……………….
OTHER____________________________________
(SPECIFY)
DON’T KNOW……………………………………………
YES . . . . . . . . . . . . . . . . . . . . . . …………………….
NO . . . . . . . . . . . . . . . . . . . . . . ……………………..
DON’T KNOW…………………………………………
Who decides how the money that you earn will be
used: mainly you, mainly your partner, or you and your
partner jointly?
Tani o ma se eto bi e o se lo owo ti e ngba,: se
eyin fun ra yin ni, enikeji yin nikan tabi eyin ati
enikeji yin papo?
Q826
RESPONDENT . . . . . . . . . . . . . . . . . ……. . ………….
PARTNER . . . . . . . . . . . . . . . . . …….. . . . . . …………
RESPONDENT AND PARTNER JOINTLY. ……..…….
1
2
3
OTHER ___________________________________
(SPECIFY)
6
Q826
IF HE DOESN’T WORK
OR DOES NOT EARN CASH
(Q807=2 OR 8; OR Q810=2 OR 8)
IF HE IS CURRENTLY
WORKING AND EARNS CASH
(Q810=1)
Q827
Q828
Who decides how the money that your partner earns
will be used: Mainly you, mainly your partner, or you
and your partner jointly?
RESPONDENT . . . . . . . . . . . . . . . . . ….…. ………..…
PARTNER . . . . . . . . . . . . . . . . . …….. . . . . . ………...
RESPONDENT AND PARTNER JOINTLY. …………..
Tani o ma nso bi e o se na owo ti enikeji yin gba;
se eyin ni, enikeji yin nikan tabi eyin mejeeji
OTHER ______________________________
lapapo?
(SPECIFY)
Sometimes in a marriage or a relationship, a man prohibits his wife from doing
certain things. Does your husband prohibit you from:
Nigbamiran ninu igbeyawo tabi ni ibasepo, okunrin le ma gba fun iyawo re
lati se awon ohun kan; Nje oko yin ndi yin lowo lati;
Q828
1
2
3
6
YES
NO
a. Working outside the home?
Sise nibo miran, yato si inu ile yin?
1
2
b. Having visits from people?
Gba alejo awon eniyan miran?
1
2
C.Visiting your friends?
Se abewo si awon ore yin?
1
2
d. Visiting your family?
Se abewo si awon ebi yin?
1
2
e. Using contraceptives?
Lo egbo igi ti ifetosomobibi?
1
2
f. Using a mobile phone?
Lo ero ibanisoro ala gbeka?
1
2
51
Q829
Do you have any money of your own that you alone can decide how to use?
YES . . . . . . . . . .
NO . . ... . . . . . . .
Nje eni owo kankan ti o je tiyin , ti eyin fun ra yin nikan le seto nina re ?
Q830
Q831
In a couple, who do you think should have the greater say in each of
the following decisions: the husband, the wife, or both equally:
Laarin oko ati aya , tani ero wipe o ye ko ni ase to po nipa okokan
ninu awon ipinnu wonyi; Oko, Iyawo tabi awon mejeeji deede:
1
2
HUSBAND
WIFE
BOTH
EQUALLY
DK/DEPENDS
a) Making large household purchases?
Rira awon ohun elo ti o tobi ninu ile?
1
2
3
8
b) Making small daily household purchases?
Rira awon ohun elo kekeke ninu ile?
1
2
3
8
c. Deciding when to visit family, friends, or relatives?
Sise ipinnu nipa igba ti e le se abewo si awon ebi?
1
2
3
8
d. Deciding when and where to seek medical care for your
own health?
Sise ipinnu nipa akoko ati ibi ti e lo fun itoju ilera yin?
1
2
3
8
Sometimes a man is annoyed or angered by things that his wife does. In your
opinion, is a man justified in hitting or beating his wife in the following situations?
Lekokan,okunrin le binu tabi ki awon nkan ti iyawo re nse ma dun mo ninu, Ninu
ero ti yin , nje o tona fun okunrin lati gba tabi na iyawo re ni awon akoko wonyi?
a.
b.
If she goes out without telling him?
Ti o ba jade lai so fun oko re?
YES
NO
DON’T
KNOW
1
2
8
1
2
8
1
2
8
1
2
8
1
2
8
1
2
8
1
2
8
If she neglects the house or the children?
Ti o ba ko lati se itoju ile ati awon omo?
c. If she argues with him?
Ti o ban se ariyan jiyan pelu re?
d.
If she refuses to have sex with him?
Ti o ba ko lati ni ibalopo pelu re?
e.
If she cooks the food improperly?
Ti ko ba se ounje daradara?
f.
If he suspects her of being unfaithful?
Ti o ba fura wipe ko se otito?
g.
. If she refuses to have another child?
Ti o ba ko lati bi omo miran?
Now I am going to read some statements to you about relationships and children. For each statement, please tell me your opinion as to
whether you strongly agree, agree, disagree, or strongly disagree with it.
Bayi maa ka awon gbolohun oro wonyi si yin nipa ibasepo ati awon omo. Fun oro kokan, ejowo e so ero yin fun mi nipa boya e
faramo gidigidi, e faramo, e ko faramo tabi e ko faramo rara.
Strongly
Agree
Disagree
Strongly
Agree
disagree
Q832
The husband should be the one to decide whether the couple should use a
family planning/birth spacing/child spacing method
4
3
2
1
Oko ni o ye ki o je eni ti yio so boya ki tokotaya lo ilana ifetosomobibi /fifi
alafo saarin bibi omo/fifi alafo saarin omo?
Q833
Couples who practice family planning have a better quality of life than those
who do not.
4
3
2
1
Tokotaya ti o ba nse ifetosomobibi ni igbe aiye ti o dara ju awon ti ko se lo
Q834
Husbands and wives should discuss family planning.
4
3
2
1
Awon Oko ati awon aya ni lati jiroro nipa ifetosomobibi.
52
Q835
Q836
Q837
Q838
Q839
Q840
Q841
Q842
Men should not allow their wives to use family planning.
Awon okunrin ko gbudo gba awon iyawo won laye lati lo ilana
ifetosomobibi.
A woman who uses family planning without her husband’s knowledge
should be punished.
O ye ki a fi iya je Obirin ti o ba nse ifetosomobibi lai je ki oko re mo si
A woman who has no children is not completed/fulfilled.
Obirin ti ko ba ni omo ko pe tabi ko ni ifokanbale.
A man who has no children is not completed/fulfilled.
Okunrin ti ko ba ni omo ko pe tabi ko ni ifokanbale.
It is good to have many children because one is not sure who among them
will survive to care for the parents at old age.
Odara ki enia ni omo to po nitori ako mo eyi ti yio ye lati toju awon obi re ni
ojo ale.
The number of children a couple will have is for God only to decide.
Iye omo ti tokotaya ma ni wa lowo Olorun
A woman should continue bearing children until she has at least one son.
Obirin ni lati ma bi omo titi yio fi ni omo okunrin kan okere ju.
A woman should continue bearing children until she has at least one
daughter.
Obirin ni lati ma bi omo titi yio fi ni omo birin kan okere ju.
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
4
3
2
1
53
SECTION 9: MEDIA EXPOSURE
Qno
Q901
Now I would like to talk to you about your information needs
and where you get information regarding health issues.
Bayi mo fe ba yin soro nipa awon ifitonileti ti e nilo ati ibi ti
e ti le gba ifitonileti nipa eto ilera.
What are your main sources for receiving health information?
Kini awon ona pataki ti e ti nri ifitonileti lori eto ilera gba?
PROBE SEPARATELY FOR:
A. Media sources:
Awon ile ise eleto irohin
B. Health personnel sources:
Awon osise eleto ilera:
C Community sources:
Awon ara ilu
D Interpersonal sources:
Lati enu de enu
PROBE: Any other source?
(FOR EACH CATEGORY)
Se omiran wa bi?
Coding categories
Skip
to
Media Sources
RADIO .................................................................AA
..
TV ..........................................................................
AB
VIDEOS ..............................................................AC
..
NEWSPAPERS .....................................................
AD
MAGAZINES/BOOKS ...........................................
AE
FLYERS/LEAFLETS/ POSTERS/
STICKERS .............................................................
AF
BILL BOARDS………………………………….. AG
WALL PAINTING…………………………….…
AH
FACE BOOK……………………………….…… AI
INTERNET…………..……………………….…. AJ
E-MAIL…………….…………………….………
AK
SMS/CELLPHONE/TEXT MESSAGE……….
AL
Health Personnel Sources
CLINICAL OFFICER/DOCTOR .………..……
NURSE/MIDWIFE………………………………
COMMUNITY HEALTH WORKER……..…….
PHARMACY/PHARMACIST…………………
PMV/CHEMIST………………….……………
HOSPITAL……………………………………
CLINIC …………………………………………
TBA………..……………………………….……
HERBALIST/TRADITIONAL HEALER………
Community Sources
CINEMA/MOBILE CINEMA……………………
VIDEO SHOPS/VIEWING CENTER…………
SOCIAL/COMMUNITY HALLS……………….
COMMUNITY OUTREACH EVENTS
(THEATRE, PUPPETS,
ROAD SHOWS, ETC)…………………………
CHANGE TO LIFE EVENTS
(WEDDING, NAMING CEREMONY,
HOUSEWARMING) ……………….. …………
PEER EDUCATION……………………………
SCHOOL………………………………………..
NGOS…………………………………………...
FBOS/CHURCH/MOSQUES………………….
COMMUNITY
MEETINGS/ASSOCIATIONS…………………
WOMEN’S/MEN’S GROUPS…………………
SOCIAL MOBILIZER/MOBILIZERS …………
BA
BB
BC
BD
BE
BF
BG
BH
BI
CA
CB
CC
CD
CE
CF
CG
CH
CI
CJ
CK
CL
Interpersonal Sources
PARENTS . …………………………………………….
DA
IN-LAWS ………………………………………………
DB
SPOUSE/PARTNER…………………………...
DC
SIBLINGS……………………………………….
DD
SISTER/BROTHER IN LAWS………………...
DE
FRIENDS/NEIGHBORS ..……………………..……..
DF
OTHER RELATIVES…………………………... DG
CHILDREN ……………………………………..
DH
Q902
XX
NONE……………………………………………
DON’T KNOW………………..…………………
YY
ZZ
Do you read newspaper(s)?
Nje e n ka (awon) iwe iroyin ?
Q903
OTHER SOURCES: ___________________
YES .............................................................. 1
NO .................................................................. 2
Do you read magazine(s)?
Nje e n ka (awon) iwe irohin tigba deegba
(magasin)?
YES .............................................................. 1
NO .................................................................. 2
54
Q904
Q905
Q906
CHECK: Q902 & 903: READ NEWSPAPERS AND/OR MAGAZINES
Q907
IF YES TO EITHER
IF NO TO BOTH
Have you read any articles on family planning/child birth
spacing in newspapers/magazines in the past three months?
YES .................................................................... 1
NO ...................................................................... 2
Nje e ti ka ninu iwe irohin tabi iwe irohin Igba de igba laarin
osu meta sehin? nipa ifetosomobibi?
What information did you read in the newspapers/magazines
about family planning/ birth spacing?
Ifitonileti wo le ka ninu iwe iroyin tabi magaasin nipa
MULTIPLE RESPONSES - CIRCLE ALL MENTIONED.
Q907
METHODS
DAILY PILLS ....................................................... A
IUD ..................................................................... B
MALE CONDOMS............................................... C
FEMALE CONDOMS ………………………………D
INJECTABLES……………………………………. E
IMPLANTS…………………………………………. F
EC/MORNING AFTER PILL/ POSTINOR 2 ......... G
FEMALE STERILIZATION .................................. H
MALE STERILZATION ..........................................I
STANDARD DAYS METHOD (SDM)
/CYCLE BEADS .................................................. J
ISSUE
AGE AT MARRIAGE……………………………… K
DELAYING FIRST BIRTH………………………… L
DELAYING AGE AT FIRST SEX/ABSTINENCE…M
SPACING BETWEEN BIRTHS……………….…….N
LIMITING FAMILY SIZE……………………. ………O
GOVT STATEMENTS REGARDING FP……….... P
SPOUSE/PARTNER COMMUNICATION
(TALK TO YOUR PARTNER) …………… ………. Q
GO FOR FAMILY PLANNING …………………….. R
PROMOTING BENEFITS OF FP………………….. S
PROVIDERS STATEMENTS REGARDING FP …..T
RELIGIOUS LEADERS STATEMENTS
REGARDING FP ………………………………………U
TALK TO A HEALTH PROVIDER
ABOUT FP ……………………………………………..V
OTHERS (Specify)_________________________X
DON’TREMEMBER ………………………………….Z
Q907
Do you listen to the radio?
Q908
Nje e ma nteti si ero asoromagbesi ?
Which radio stations do you listen to?
Ile ise redio asoromagba esi wo le ma ngbo?
LIST THE FULL NAME OF THE TOP THREE RADIO
STATIONS MENTIONED
Q909
YES .............................................................. 1
NO…………………………………………………2
Q913
CODE BOXES:
OFFICE USE ONLY
1._________________________________
2._________________________________
3._________________________________
How many days in a week do you listen to radio?
NUMBER OF DAYS IN A WEEK
Ojo melo ninu ose le ma fi ngbo redio asoromagbesi ?
LESS THAN WEEKLY/NOT REGULARLY .......... 8
Q910
Q911
On average how long in total do you listen to radio on a normal
day?
Ni idiwon, bawo ni ose pe to ni apapo ti e fi n teti si ero
asoromagbasi ni ojo kan?
Have you heard any family planning/ child birth spacing
information on the radio in the past three months?
HOURS PER DAY…………………1 [__|__]
OR
MINUTES PER DAY………………2 [__|__]
YES................................………….………….…...1
NO....................................………….....................2
Q913
Nje e ti gbo ifitonileti nipa ifetosomobibi lori ero
asoromagbesi ni bii osu meta sasiko yi?
55
Q912
What information did you hear on the radio about family
planning/birth spacing?
Kini ifitonileti ti e gbo ninu asoromagbesi nipa
METHODS
DAILY PILLS ....................................................... A
IUD ..................................................................... B
MALE CONDOMS............................................... C
IMPLANTS…………………………………………. F
EC/MORNING AFTER PILL/ POSTINOR 2 ......... G
MALE STERILZATION ..........................................I
/CYCLE BEADS .................................................. J
ISSUE
AGE AT MARRIAGE…………………………………K
DELAYING FIRST BIRTH………………………….. L
DELAYING AGE AT FIRST SEX/ABSTINENCE….M
SPACING BETWEEN BIRTHS……………….……..N
LIMITING FAMILY SIZE……………………. ……….O
GOVT STATEMENTS REGARDING FP……….......P
(TALK TO YOUR PARTNER) …………… …………Q
GO FOR FAMILY PLANNING ……………………… R
PROMOTING BENEFITS OF FP…………………… S
ABOUT FP ……………………………………………..V
OTHERS (Specify)__________________________X
DON’TREMEMBER ……………………………………Z
Q913
In your opinion, how acceptable or not acceptable are the
following topics on radio?
Ninu ero ti yin, bawo ni ose je itewogba to tabi ko je
itewogba lati gbo nipa awon koko oro wonyi lori redio asoro
ma gbesi?
a. Family planning/birth spacing:
Ifetosomobibi/Fifi alafo saarin omo:
b.
c.
HIV/AIDS:
Aarun kogboogun eedi:
ACCEPTABLE
UNACCEPTABLE
1
2
1
2
1
2
1
2
1
2
Maternal health (antenatal care, delivery services,
postpartum care) :
d.
Itoju ilera alaboyun ( itoju alaboyun, eto ibimo, itoju fifun
omo loyan)
Child health (immunizations, disease prevention, nutrition)
e.
Itoju omo owo ( abere ajesara,didena aarun,ounje)
Reproductive health (STIs, infertility problems)
Eto ilera nipa ibisi (Aarun atosi, isoro airomobi)
56
Q914
ASK THE FOLLOWING QUESTION BASED ON CITY:
YES………………………………………………..…1
FCT ABUJA:
Have you ever heard about a radio program called “Second
Chance”?
NO…………………………………………………...2
Q919
DON’T KNOW ................................................. …8
Q919
Nje eti gbo nipa eto kan lori ero asoromagbesi ti a pe ni
“Anfani elekeji
IBADAN OR ILORIN:
Have you ever heard about a radio program called “Ireti Eda”?
Nje eti gbo nipa eto kan lori ero asoromagbesi ti a pe ni
“Ireti Eda?
KADUNA/ZARIA:
Have you ever heard about a radio program called “Komai
Nisan Jifa”?
Nje eti gbo nipa eto kan lori ero asoromagbesi ti won
pe ni “Komai Nisan Jifa?
BENIN CITY:
Have you ever heard about a radio program called “Life Don
Beta”?
Nje eti gbo nipa eto kan lori ero asoromagbesi ti won
peni “Life don beta”?
PROBE: “You may have heard this program played on the
radio or on a CD or through a radio listener’s group”
Q915
E le tigbo ki won ma gbe sori afefe ninu redio tabi awon
igbohun sile (CD)
What was the program about?
Kini eto na da le lori?
Q916
Have you ever listened to this radio program?
Nje eti teti si eto yi ninu ero asoromagbesi ri?
Q917
How often did you listen to this program – every week, once or
twice a month, or less than once a month?
Igba melo ni e maa n teti si eto yi – osose, eekan tabi
eemeji losu tabi kere ju eekan losu.
Q918
Q919
Have you ever attended a meeting where this program was
played or discussed?
Nje e ti lo si ipade ni ibi ti a ti soro tabi fenu ba eto yi?
Have you heard a radio jingle or spot with people talking about
family planning or child spacing during a naming ceremony?
AGE AT MARRIAGE……………………………………A
DELAYING FIRST BIRTH……………………………...B
USE/GO FOR FAMILY PLANNING...………………...C
DELAYING AGE AT FIRST SEX……………………...D
ABSTINENCE…………………………………………...E
SPACING BETWEEN BIRTHS………………………..F
LIMITING FAMILY SIZE……………………………….G
TALK TO HEALTH PROVIDER ABOUT FP…………H
TALK TO SPOUSE/PARTNER ABOUT FP…………..I
PLAN YOUR FAMILY …………………………………. J
GET IT TOGETHER…………………………………….K
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW………………………………………....8
DON’T LISTEN TO THE RADIO…………………….7
Q918
Q918
Q918
EVERY WEEK…………………………………………1
ALMOST EVERY WEEK……………………………..2
ONCE OR TWICE A MONTH………………………..3
LESS THAN ONCE A MONTH………………………4
USED TO LISTEN BUT DON’T ANYMORE……….5
ONLY LISTENED ONCE……………………………..6
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q921
Q921
Nje e ti gbo ikede tabi ipolongo lori ero asoromagbesi nipa
ifetosomobibi /fifi alafo saarin omo ni akoko isomoloruko?
57
Q920
What were the key messages of this radio spot or jingle?
Kinni awon koko ohun ti ikede/ipolongo lori ero asoromagbesi
yi da le lori?
Q921
Have you heard a radio jingle or spot with people talking about
family planning or child spacing in a hair dressing salon/
barbing salon?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q923
Q923
Nje e ti gbo ikede tabi ipolongo lori ero asoromagbesi nibi ti
awon eniyan tin so nipa ifetosomobibi /fifi alafo saarin omo ni
odo awon aserunloso obinrin tabi okunrin?
Q922
yi da le lori?
Q923
Have you heard a radio jingle or spot with a family planning
service provider answering questions about FP or talking to a
couple?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q925
Q925
Nje e ti gbo ikede tabi ipolongo lori ero asoromagbesi nibiti
osise ifetosomobibi ti n dahun ibere nipa ifetosomobibi tabi ti o
ti n ba tokotaya soro?
Q924
yi da le lori?
Q925
Have you heard a radio jingle or spot with a couple talking
about FP?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q927
Q927
Nje e ti gbo ikede tabi ipolongo lori ero asoromagbesi nibiti
tokotaya ti n ba ara won soro nipa ifetosomobibi?
58
Q926
yi da le lori?
Q927
Have you heard a woman sharing her experience supporting
the use of FP (Testimonial) on radio?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q929
Q929
Nje e ti gbo lori ero asoromagbesi nibi ti obinrin kan ti n so iriri
re nipa lilo liana ifetosomobibi ati bi ose faramo lilo re?
Q928
yi da le lori?
Q929
Do you watch television?
Q930
Nje e ma nwo ero amohunmaworan, telifison?
How many days in a week do you watch television?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES ............................................................... 1
NO .................................................................. 2
Q936
NUMBER OF DAYS PER WEEK
Ojo melo ninu ose ni e ma nfi wo telifison?
NOT REGULARLY……………………….….8
Q931
On average how long in total do you watch television on a
normal day?
Ni idiwon, bi igba melo lojo kan ni e ma nfi wo telifison?
HOURS PER DAY…………………1 [__|__]
OR
MINUTES PER DAY………………2 [__|__|
Q932
What channels do you generally watch on TV?
Ori ikanni wo le ma nwo lopo igba ?
Q933
CODE BOXES:
OFFICE USE ONLY
1._________________________________
LIST THE FULL NAME OF THE TOP THREE TV STATIONS
MENTIONED
2._________________________________
What kind of TV programs do you normally watch?
NEWS/CURRENT AFFAIRS……………………A
RELIGIOUS PROGRAMMING………………….B
TALK SHOWS……………………………………C
NATURE PROGRAMS………………………….D
DOCUMENTARIES……………………………...E
SOAP OPERAS/DRAMA………………………..F
CARTOONS……………………………………..G
MUSIC TELEVISION……………………………H
POLITICAL DEBATES…………………………..I
SPORTS………………………………………….J
CONTESTS………………………………………K
FILMS/MOVIES………………………………….L
Iru eto telifison wo le saba ma nwo?
3._________________________________
OTHER ______________________________X
(SPECIFY)
59
Q934
Have you seen any family planning/child birth spacing
programs/ information on the TV in the past three months?
N je e ti ri ilana ifetosomobi/ fifi alafo sarin omo lori
telifison laarin osu meta sehin?
Q935
What information did you see on the TV about family
planning/birth spacing in the last three month?
Iru ifitonileti wo le wo lori ero amohunmaworan laarin osu
meta to koja nipa ifetosomobibi/fifi alafo saarin omo?
YES................................…………..…………….1
NO.................................…………………..……..2
Q936
METHODS
DAILY PILLS ....................................................... A
IUD ...................................................................... B
MALE CONDOMS .............................................. C
IMPLANTS…………………………………………. F
EC/MORNING AFTER PILL/ POSTINOR 2 ........ G
MALE STERILZATION ......................................... I
/CYCLE BEADS .................................................. J
ISSUE
AGE AT MARRIAGE…………………………….. K
DELAYING FIRST BIRTH………………………. L
DELAYING AGE AT FIRST SEX/ABSTINENCE…M
SPACING BETWEEN BIRTHS……………….…….N
LIMITING FAMILY SIZE……………………. ………O
GOVT STATEMENTS REGARDING FP………... P
(TALK TO YOUR PARTNER) …………… ………. Q
GO FOR FAMILY PLANNING …………………….. R
PROMOTING BENEFITS OF FP………………….. S
ABOUT FP ……………………………………………..V
OTHERS (Specify)_________________________X
DON’TREMEMBER ………………………………….Z
Q936
Have you seen a television jingle or spot that shows people
talking about family planning or child spacing during a naming
ceremony?
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q938
Q938
Nje eti ri ere lori telifison to nfi awon enia to nse iforowe
oro lori ifetosomobibi / ffii alafo si aarin omo lakoko
isomo loruko?
Q937
What were the key messages of this television spot or jingle?
Kini awon koko inu oro ere tabi ipolongo ninu telifison yi?
Q938
Have you seen a television jingle or spot that shows people
talking about family planning or child spacing in a hair dressing
salon/ barbing salon?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q940
Q940
Nje eti ri ere lori telifison to nfi awon enia to nse iforowe
oro lori ifetosomobibi / fifi alafo si aarin omo ni ile ti
obirin /okunrin ti se irun?
60
Q939
Kini awon koko inu oro ere/ipolongo yi ninu telifison?
Q940
Have you seen a television jingle or spot that shows a family
planning service provider answering questions about FP or
talking to a couple?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q942
Q942
Nje eti ri ere lori telifison to nfi awon osise eleto
ifetosomobibi han,nibi ti won ti se idahun si awon ibeere
nipa ifetosomobibi tabi soro si awon tokotaya?
Q941
Q942
Q943
Have you seen a television jingle or spot that shows a couple
talking about FP?
Nje eti ri ere lori telifison to nfi tokotaya han,nibi ti won ti
se iforo we oro lori ifetosomobibi?
Q944
Have you seen a woman on television sharing her experience
supporting the use of FP (Testimonial)?
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q944
Q944
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
YES……………………………………………………..1
NO………………………………………………………2
DON’T KNOW ................................................. …...8
Q946
Q946
Nje e ti ri obirin lori telifisan ti o nso nipa iriri re lati se ati
lehin fun ifetosomobibi?
61
Q945
Q946
In your opinion, how acceptable or not acceptable are the
following topics on TV?
Ninu ero ti yin, bawo ni ose je itewogba to tabi ko je
itewogba lati gbo nipa awon koko oro wonyi lori amohun
ma woran?
a. Family planning/birth spacing :
Ifetosomobibi/Fifi alafo saarin omo:
b.
c.
d.
e.
HIV/AIDS:
Aarun kogboogun eedi:
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
ACCEPTABLE
UNACCEPTABLE
1
2
1
2
1
2
1
2
1
2
Maternal health (antenatal care, delivery services,
postpartum care) :
Itoju ilera alaboyun ( itoju alaboyun, eto ibimo, itoju
fifun omo loyan)
Child health (immunizations, disease prevention,
nutrition)
Itoju omo owo, (abere ajesara, didena arun, ounje
jije)
Reproductive health (STIs, infertility problems)
Eto ilera obinrin (arun ibalopo, isoro airomobi)
62
Q947.
Do you go to video shows/viewing centers?
Q948
Nje e ma lo si ile iwo fidio / gbagede iworan?
How often do you go to video shows?
Bawo ni e se ma nlo si ibe to?
SINGLE RESPONSE
Q949
Q951
Q952
Q953
Q954
YES………………………………….……….1
NO……………………………………….……2
Q953
DON’T KNOW MOBILE PHONE…………..8
Q953
YES…………………………………………..….1
NO……………………………………….……….2
Q953
Do you own a mobile phone that is mainly for your own use?
Nje e ni ero ibanisoro alagbeka eyi ti o je fun ilo yin
nikan?
In the past six months, have you received a family planning
message on your mobile phone?
Laarin osu mefa sehin, nje e ti gba oro nipa ifetosomobibi
lori ero ibanisoro alagbeka yin?
How useful was the family planning message you received on
your mobile phone?
Bawo ni oro ifetosomobibi ti e gba lori ero alagbeka yi se
je anfani to?
In the past year, have you heard or seen the phrase “Get it
Together”
Laarin odun kan sehin, nje e ti ri tabi gbo gbolohun oro
yi “too papo”.
What does this phrase mean to you?
Kini eyi tumo si fun yin?
Q955
Q949
Do you have access to mobile phone?
Nje eni anfani si lilo ero ibanisoro alagbeka ?
Q950
YES………………………………….1
NO……………………………………2
MORE THAN ONCE PER WEEK…….…..1
EVERY WEEK ………………………….…..2
A COUPLE OF TIMES A MONTH ..……...3
AT LEAST ONCE A MONTH …..…………4
AT LEAST ONCE A YEAR …….…….……5
RARELY………………………….………….6
Where did you see or hear this phrase?
Nibo leti gbo tabi ri gbolohun na?
YES…………………………………………….1
NO………………………………………………2
DON’T KNOW…………………………………8
Q953
Q953
VERY USEFUL…………………………………..1
SOMEWHAT USEFUL………………………….2
NOT USEFUL…………………………………….3
DON’T KNOW…………………………………….8
YES.………………………………………………..…1
NO……………………………………………..……...2
DON’T KNOW…..…………………………...………8
Q957
Q957
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW..................................................…….Z
RADIO DRAMA PROGRAM..…………..………...…...A
RADIO JINGLE/SPOT…………………………………..B
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………...D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
SHOPPING BAG…………………….………………….G
TSHIRT………. ………………………………………....H
LEAFLET/STICKERS…………………………………..I
BADGE/BUTTON……………………………………….J
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
ON A SIGN AT A HEALTH FACILITY……….……….M
ON A SIGN AT A PHARMACY / CHEMIST…………N
AT A ROADSHOW / RALLY…………………………..O
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T KNOW………………………………………….…Z
63
In the past year, have you attended any meetings about family
planning/child birth spacing that were led by someone wearing
a T-shirt with this phrase?
YES……………………………………………………….1
NO………………………………………………………...2
DON’T KNOW……………………………………………8
Laarin odun kan sehin, nje e ti kopa ninu ipade nipa
ifetosomobibi tabi fifi alafo sarin omo eyi ti enikan tio o
wo ewu pelebe ti a ko gbolohun yi si?
In the past year, have you seen/heard the phrase “Know, Talk,
Go.”
Laarin odun kan sehin, nje eti gbo gbolohun yi “Mo, So,
Lo”
YES…………………………………………………….1
NO……………………………………………………...2
Q956
Q957
Kini gbolohun yi tumo si fun yin?
Q958
DON’T KNOW…………………………………………8
ABSTINENCE…………………………………………...E
Q960
Q960
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
Q959
Nibo ni eti ri tabi gbo gbolohun yi?
Q960
Q961
In the past year, have you seen/heard the phrase ““No
dulling”?
Laarin odun kan sehin nje e ti gbo gbolohun yi ‘”Ma
jafara”
RADIO JINGLE/SPOT …..……………………………..B
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………..D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T
KNOW………………………………………….…Z
YES…………………………………………………..1
NO……………………………………………………2
DON’T KNOW………………………………………8
Q963
Q963
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
64
Q962
RADIO JINGLE/SPOT …...…………………...………..B
TELEVISION…………………………….……………….C
NEWSPAPER ……………………………………...…...D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T
KNOW………………………………………….…Z
Q963
Q964
Do you understand Yoruba language?
Nje ede Yoruba ye yin?
In the past year, have you heard the phrase “Se o jasi” –
(meaning “Are you into it?” or Are you part of it”)?
YES………………………………….……………….1
NO…………………………………….……………...2
YES………………………………………………….1
NO…………………………………………………...2
DON’T KNOW………………………………………8
Q965
Laarin odun kan sehin,nje e ti gbo gbolohun yi “Se o
jasi”
[IF RESPONDENT ONLY GIVES THE COMMON DEFINITION
OF THE PHRASE, PROBE TO SEE IF THERE IS ANY
OTHER MEANING.
Q966
Q967
In the past year, have you heard the phrase “Mo ti feto si” –
Iwo nko? (Meaning “I have planned my own, what about you?)
Laarin odun kan sehin, nje e ti gbo akanso “Mo ti feto
si” – iwo nko?
Q973
Q967
Q967
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
RADIO JINGLE/SPOT …...……………...……………..B
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………..D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T
KNOW………………………………………….…Z
YES……………………………………………….….1
NO……………………………………………………2
Q970
DON’T KNOW………………………………………8
Q970
65
Q968
[IF RESPONDENT ONLY GIVES THE COMMON DEFINITION
OF THE PHRASE, PROBE TO SEE IF THERE IS ANY
OTHER MEANING.
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
Q969
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………...D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T KNOW………………………………………….…Z
Q970
In the past year, have you heard the phrase “Ki la siri
ewa re” – “ifeto somo bibi lasiri ewa mi” (meaning what
is the secret of your beauty? Family planning is the
secret of my beauty)
YES……………………………………………….…….1
NO……………………………………………….……...2
Q973
DON’T KNOW…………………………………….……8
Q973
Ni odun to koja nje e ti gbo gbolohun yi “ki la siri ewa
re” – “ifetosomobibi lasiri ewa mi”
Q971
[IF RESPONDENT ONLY GIVES THE COMMON
DEFINITION OF THE PHRASE, PROBE TO SEE IF
THERE IS ANY OTHER MEANING.
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
66
Q972
Q973
Q974
Do you understand Hausa language?
Nje ede aarewa (hausa ) ye yin ?
In the past year, have you heard the phrase “Kun
gane, tazaran haihuwa” (meaning Go for family
planning)?
Laarin odun kan sehin nje e ti gbo gbolohun yi “Kun
gane, tazaran haihuwa” eyi ti o tumo si “Lo fun
ifetosomobibi”
Q975
[IF RESPONDENT ONLY GIVES THE COMMON
DEFINITION OF THE PHRASE, PROBE TO SEE IF
THERE IS ANY OTHER MEANING.
Q976
CIRCLE ALL MENTIONED .
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………...D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T KNOW………………………………………….…Z
YES……………………………………………………1
NO……………………………………………………..2
Q977
YES……………………………………………………1
NO……………………………………………………..2
Q977
DON’T KNOW……………………………………......8
Q977
ABSTINENCE…………………………………………...E
OTHERS (Specify)__________________________X
DON’T KNOW ................................................. …….Z
TELEVISION…………………………….……………….C
NEWSPAPER …………………………………………...D
POSTER …………………………….…………….…….E
UMBRELLA……………………….………………..…….F
TSHIRT………. ………………………………………....H
CAPS…………………………………………………….K
WRISTBAND……………………………………………L
AT A PARADE………………………………………….P
BILLBOARD……………………………………………..Q
PENS……………………………………………………..R
OTHER (Specify)____________________________X
DON’T KNOW………………………………………….…Z
Q977
In the past year, have you seen or heard the word
“NURHI”
Laarin odun kan sehin nje eti gbo tabi ri oro yi “
NURHI”
YES……………………………………………………1
NO……………………………………………………..2
DON’T KNOW……………………………………......8
67
Q978
Which of the following logos have you seen in the past
year?
Ewo ninu awon akole yi ni e ti ri laarin odun to
koja?
Q979
SHOW A CARD WITH THREE LOGOS.
Where did you see this logo?
Nibo le ti ri akole na?
Q980
What does this logo(s) mean to you?
Kini akole(awon akole) yi tumo si fun yin?
LOGO A/PUZZLE…………………………...A
LOGO B………………………………...…….B
LOGO C………………………………………C
NONE…………………………………………Y
Q981
TELEVISION…………………………….……………….A
NEWSPAPER …………………………………………...B
POSTER …………………………….…………….…….C
UMBRELLA……………………….………………..…….D
SHOPPING BAG…………………….………………….E
TSHIRT………. ………………………………………....F
LEAFLET/STICKERS…………………………………..G
BADGE/BUTTON……………………………………….H
CAPS…………………………………………………….I
WRISTBAND……………………………………………J
ON A SIGN AT A HEALTH FACILITY……….……….K
ON A SIGN AT A PHARMACY / CHEMIST…………L
AT A ROADSHOW / RALLY…………………………..M
AT A PARADE………………………………………….N
BILLBOARD……………………………………………..O
PENS……………………………………………………..P
OTHER (Specify)____________________________X
DON’T KNOW………………………………………….…Z
ABSTINENCE…………………………………………...E
OTHER (Specify)__________________________X
DON’T KNOW
…………………………………….Z
Q981
In the past year, have you seen a card with the phrase
“Be Successful” written on it and the picture of three
men in front?
YES…………………………………………………….1
NO……………………………………………………...2
DON’T KNOW…………………………………………8
Q983
Q983
Laarin odun to koja, nje e ti ri kadi ti o ni akole pe
“se ase yori” pelu foto okunrin meta niwaju re?
Q982
What were the key messages on the card?
Kini awon koko oro inu kadi yi?
ABSTINENCE…………………………………………...E
OTHER (Specify)__________________________X
DON’T KNOW
………………………………..….Z
Q983
In the past year, have you seen a card with the phrase
“Be Beautiful” written on it and pictures of three
beautiful women in front?
YES…………………………………………………….1
NO……………………………………………………...2
DON’T KNOW…………………………………………8
Q985
Q985
Laarin odun to koja, nje eti ri kadi ti o ni akole pe
“se ara re lo so” pelu foto obinrin meta ti o rewa
niwaju re?
68
Q984
What were the key messages on the card?
Kini awon koko oro inu kadi yi?
ABSTINENCE…………………………………………...E
OTHER (Specify)__________________________X
DON’T KNOW
…………………………………….Z
Q985
Q986
In the past year, have you seen any health provider
wearing a badge/button that said “Ask me about FP?”
YES……………………………………………………….1
NO………………………………………………………...2
DON’T KNOW……………………………………………8
Laarin odun to koja, nje e ti ri osise ilera ti o wo
aso ti o ni akole ti o so pe “beere nipa
ifetosomobibi lowo mi?
In the past three months, have you accessed the internet, web, or email at least once through the following?
Laarin osu meta sehin nje eti lo ero
ayara bi asa tabi ero ayelujara bo se eekan nipase awon ohun wonyi?
a)
b)
a mobile phone?
Ero ibanisoro alagbeka (fonu)
A computer?
Ero ayara bi asa ?
YES………………………………………………………1
NO……………………………………………………….2
DONT KNOW INTERNET…………………………….8
Q989
YES…………………………………………………………1
NO………………………………………………………….2
69
Q987
In the past three months, have you accessed the
internet, web, facebook or email at least once?
Laarin osu meta sehin nje eti lo ero ayara bi asa,
facebook tabi ero ayelujara boti le se leekan?
Have you seen any family planning/child birth
spacing messages on the internet, web, facebook or
email in the past three months?
Q988
Q989
Nje eti ri atotonu nipa ifetosomobibi lori ero
ayara bi asa, (web, facebook tabi ero ayelujara)
laarin osu meta to koja?.
Do you belong to any groups, clubs, or organizations?
YES…………………………………………………….1
NO……………………………………………………...2
Q989
DON’T KNOW………………………………………...8
Q989
YES……………………………………………………….1
NO………………………………………………………...2
DON’T KNOW……………………………………………8
YES………………………………………………………1
NO………………………………………………………..2
Q990
Q991
Nje eyin nse omo egbe akojopo kan ,ile iyeju
tabi egbe alasepo?
Have you heard or seen any family planning/child birth
spacing information at these meetings?
Nje eti gbo tabi ri liana ifetosomobibi/fifi aye
saarin omo bibi ni ibi ipade wonyi?
In the past year, have you heard any information about
family planning/child birth spacing at any of the
following events [READ LIST]:
Naming Ceremonies
Freedom ceremonies from an apprenticeship
School graduation ceremonies
Christmas/Eid celebration
Wedding
Q991
YES………………………………………………………1
NO………………………………………………………..2
DON’T KNOW…………………………………………..8
NAMING CEREMONY…………………………………A
FREEDOM CEREMONY………………………………B
GRADUATION………………………………………….C
CHRISTMAS/EID……………………………………….D
WEDDING……………………………………………….E
NONE…………………………………………………….Y
Laarin odun kan sehin, nje e gbo ifitonileti nipa
ifetosomobibi tabi fifi alafo saarin omo laarin
awon awujo wonyi?
Ibi ti won ti nsomo loruko
Ibiti omo ekose tin se firidomu
Ibi eto ase kagba ni ile eko
Nibi ti ati nse odun keresi tabi odun ileya tabi
itunu aawe
Ibi igbeyawo
70
SECTION 10: MIGRATION HISTORY
Qno
Coding categories
Skip to
Now I would like to ask you about how often you visit other areas. Specifically, if you have visited an urban area or city/town and if you
have visited a rural area or a village.
Ni bayi, mo fe beere nipa bi e se nse abewo si awon agbegbe miran.Paapaa julo, ti e ba ti se abewo si ilu nla/igboro tabi ti e ba
ti se abewo si igberiko/abule tabi ileto.
Q1001 Where were you born? In this city, another
THIS CITY……………………………………………………………...1
city, a town or a rural area/village?
ANOTHER CITY………………………………………………………2
A TOWN………………………………………………………………..3
Nibo ni Ilu ti ati bi yin? Ninu Ilu yi abi
A RURAL AREA OR VILLAGE………………………………………4
omiran, igboro tabi abule?
ABROAD………………………………………………………………..5
Q1002 How long have you been living
continuously in this city?
NUMBER OF MONTHS……………………1
Bawo ni e ti se gbe pe to ni ilu
yi lai kuro?
NUMBER OF YEARS………………………2
HAVE ALWAYS LIVED IN THIS CITY…………….....995
Q1003
Just before you moved here, did you live
in ABUJA, KADUNA, ZARIA, BENIN,
IBADAN, ILORIN OR ELSEWHERE?
Ni kete ki e to ko wa si ibi, nje eyin
ngbe ni ABUJA, KADUNA, ZARIA,
BENIN, IBADAN, ILORIN TABI IBO
MIRAN?
Q1004
Q1005
IF THE RESPONDENT MENTION
ELSEWHERE, ASK IF THE PLACE IS
RURAL AREA OR TOWN
Since JANUARY 2010, have you moved
residences/houses?
Lati osu kini odun 2010,nje eti yi
ibugbe pada?
Since you started living here, have you
stayed away from this city for 6 (six)
months or longer?
ABUJA …………………………………….. …….
BENIN ………………………………..…....... ….
IBADAN……………………………………………
ILORIN……………………………………………
KADUNA ………………………………………….
ZARIA ……………………………........................
01
02
03
04
05
06
ANOTHER CITY …………………………………
ANOTHER TOWN ……………………………….
RURAL AREA/VILLAGE….…………….………
ANOTHER COUNTRY………………………….
07
08
09
10
Q1004
YES . . . . . . .. . . . . . . . . . …………………………….1
NO . . . . . . . .. . . . . . . . . . ……………………………..2
YES . . . . . . . . . . . . . . . . . . . . ………………………..1
NO . . . . . . . .. . . . . . . . . . . . . …………………………2
Lati igba ti e ti ngbe nibi, nje eyin ti sai
duro ni ilu yi fun bi osu mefa tabi ju be
lo?
Q1006
Which city or town did you visit most
often in the past 12 months?
SHE HAS TRAVELED IN THE PAST YEAR……………….1
NAME OF TOWN/CITY
_______________________________________________
Laarin osu mejila sehin, ilu nla tabi
abule wo le ti se abewo si ni opo
igba?
WRITE NAME OF THE CITY, LGA AND
STATE
LGA NAME:_____________________________________
CODE BOXES: OFFICE ONLY [__|__|__]
STATE NAME:__________________________________
CODE BOXES: OFFICE ONLY[__|__|__]
SHE HAS NOT TRAVELED IN THE PAST YEAR………..2
Q1007
How often did you visit this city/town
[NAME OF CITY/TOWN Q1006] in the
last 12 months?
Bawo ni ibewo yin yi si ilu se po to
larin osu mejila sehin?
Q1011
PER WEEK……………………..….…1 [__|__]
PER MONTH…………………………2
[__|__]
PER YEAR……………………………3
[__|__]
71
Q1008
How long do you usually stay when you
visit [NAME OF CITY/TOWN]?
Bawo ni e se ma nduro pe to ti e ba
se ibewo?
Q1009
During your visit(s), do you ever discuss
family planning/child birth spacing/child
spacing with anybody?
DAYS…………………………………..1 [__|__]
WEEKS ……………………………….2 [__|__]
MONTHS …………………..………....3 [__|__]
YES………………………………………………1
NO………………………………………………..2
Ni asiko abewo tabi awon abewo
yi, nje e jiroro lori ifeto somo
bibi/fifi alafo si ibimo/fifi alafo
saarin omo bibi pelu enikeni?
Q1010
During your visit(s), do you ever seek
family planning /child spacing services?
Ni asiko abewo yi, nje e wa ilana
ifeto somo bibi?
Q1011
Q1012
Q1013
Do friends or family from ANOTHER CITY
OR TOWN IN NIGERIA ever come to visit
you?
YES………………………………………....……1
NO…………………………………………...…..2
YES……………………………..……….………1
Nje awon ore tabi ebi lati ilu nla
miran ni Nigeria fi igba kan wa be
yin wo?
Do you ever talk about family planning
with your friends and family who are
visiting you here?
NO…….…………………….…………….……..2
Nje e ti fi igbakan soro nipa ifeto
somo bibi pelu awon ore ati ebi ti
won beyin wo nibi yi ri?
Do your friends and family who visit ever
seek family planning services when they
are visiting?
NO………………………………………………..2
Q1014
YES………………………………………………1
YES………………………………………………1
NO………………………………………………..2
Q1014
Nje awon ore ati ebi ti o n be yin wo fi
igbakan beere fun ilana ifeto somo
bibi ni igba ti won beyin wo?
In the past 12 months, have you visited a
rural area in Nigeria in order to visit family
or friends?
DON’T KNOW………………………..…………8
YES . . . . . . . . . . . . . . . ………………………1
NO . . . . . . . .. . . . . . . . …………………..……2
Q1015
Laarin osu mejila sehin, nje eti be
igberiko kan wo ni orile ede Nigeria
lati be ebi tabi awon ore wo?
Which rural area did you visit most often
in the past 12 months?
Igberiko wo ni e ti be wo lopolopo
igba laarin osu mejila sehin?
End of QRE
NAME OF
VILLAGE_______________________
LOCAL GOVERNMENT
AREA:________________________________
GIVE THE NAME OF THE VILLAGE, LGA
AND STATE
STATE___________________________
Q1016
How often did you visit this rural area
[NAME OF PLACE IN Q1015 in the last
12 months?
Bawo ni ibewo yin si igberiko yi se
wopo to laarin osu mejila sehin?
PER WEEK……………………..….…1
[__|__]
PER MONTH…………………………2
[__|__]
PER YEAR……………………………3
[__|__]
72
Q1017
How long do you usually stay when you
visit [NAME OF PLACE)?
Bawo ni e se ma nduro pe to ni
asiko ibewo si [NAME OF PLACE)?
Q1018
Q1019
During your visit(s), do you ever discuss
family planning/child birth spacing/child
spacing with anybody?
Ni awon asiko abewo yi, nje e
jiroro lori ifeto somo bibi/fifi alafo
saarin omo bibi/fifi alafo si ibimo
pelu eni keni ri?
During your visit(s), do you ever seek
family planning spacing services?
DAYS ………………………………..1
[__|__]
WEEKS …………………………… 2 [__|__]
MONTHS …………………..……....3
[__|__]
YES………………………………………….……1
NO…………………………………………….…..2
YES…………………………………………….…1
NO………………………………………………...2
Q1020
Q1021
Q1022
Ni awon asiko abewo yi, nje e
beere fun eto ifeto somo bibi ri?
Do friends or family from this rural area
[MENTIONED IN Q1015] ever come to
visit you?
Nje awon ore tabi ebi lati igberiko
[MENTIONED IN Q1016] yi ti fi igba
kan be yin wo?
Do you ever talk about family planning
with your friends and family who are
visiting you here?
Nje e ti fi igba kan soro nipa ifeto
somo bibi pelu awon ore ati ebi ti o
n beyin wo ni biyi?
Do your friends and family who visit, ever
seek family planning services when they
are visiting?
YES………………………………………………1
NO………………………………………………..2
End of QRE
YES………………………………………………1
NO………………………………………………..2
YES………………………………………………1
NO………………………………………………..2
DON’T KNOW……..…………………...………8
Nje awon ore tabi ebi ti o n beyin
wo fi igbakan beere fun liana ifeto
somo bibi nigba ti won beyin wo?
73
COL1
INSTRUCTIONS:
ONLY ONE CODE SHOULD APPEAR IN ANY BOX
ALL MONTHS SHOULD BE FILLED IN COL 1 AND COL 3
INFORMATION TO BE CODED FOR EACH COLUMN
COL 1
BIRTHS, PREGNANCIES, CONTRACEPTIVE USE
B
BIRTHS
P
PREGNANCIES
A
ABORTION
M
MISCARRIAGE
S
STILL BIRTH
0
1
2
3
4
5
6
7
8
9
H
L
X
R
W
Y
COL 2
COL 3
NO METHOD
MALE STERILIZATION
IMPLANT
IUD
INJECTABLES
DAILY PILL
EMERGENCY PILL
MALE CONDOM
FEMALE CONDOM
STANDARD DAYS METHOD
LAM
OTHER MODERN METHOD (SPECIFY________)
RHYTHM METHOD
WITHDRAWAL
OTHER TRADITIONAL METHODS
DISCONTINUATION OF CONTRACEPTIVE USE
0
INFREQUENT SEX/HUSBAND AWAY
1
METHOD FAILED/BECAME PREGNANT WHILE
USING
2
WANTED TO BECOME PREGNANT
3
HUSBAND/PARTNER DISAPPROVED
4
WANTED MORE EFFECTIVE METHOD
5
FEAR OF SIDE EFFECTS/HEALTH CONCERNS
6
LACK OF ACCESS/TOO FAR
7
COSTS TOO MUCH
8
INCONVENIENT TO USE
9
FATALISTIC/UP TO GOD
F
DIFFICULT TO GET PREGNANT/MENOPAUSAL
A
MARITAL DISSOLUTION/SEPARATION
D
LACK OF SEXUAL SATISFACTION
L
CREATED MENSTRUAL PROBLEM
M GAINED WEIGHT
G DID NOT LIKE METHOD
N LACK OF PRIVACY FOR USE
X
OTHER ____________________________
(SPECIFY)
Z
DON’T KNOW
MARRIAGE
X
MARRIED, REMARRIED OR LIVING WITH
A MAN
O
NOT MARRIED/WIDOWED/
SEPARATED/DIVORCED
COL2
COL3
12
DEC
1
1
DEC
11
NOV
2
2
NOV
10
OCT
3
3
OCT
9
SEP
4
4
SEP
2
8
AUG
5
5
AUG
2
0
7
JUL
6
6
JUL
0
1
6
JUN
7
7
JUN
1
4
5
MAY
8
8
MAY
4
4
APR
9
9
APR
3
MAR
10
10
MAR
2
FEB
11
11
FEB
1
JAN
12
12
JAN
12
DEC
13
13
DEC
11
NOV
14
14
NOV
10
OCT
15
15
OCT
9
SEP
16
16
SEP
2
8
AUG
17
17
AUG
2
0
7
JUL
18
18
JUL
0
1
6
JUN
19
19
JUN
1
3
5
MAY
20
20
MAY
3
4
APR
21
21
APR
3
MAR
22
22
MAR
2
FEB
23
23
FEB
1
JAN
24
24
JAN
12
DEC
25
25
DEC
11
NOV
26
26
NOV
10
OCT
27
27
OCT
9
SEP
28
28
SEP
2
8
AUG
29
29
AUG
2
0
7
JUL
30
30
JUL
0
1
6
JUN
31
31
JUN
1
2
5
MAY
32
32
MAY
2
4
APR
33
33
APR
3
MAR
34
34
MAR
2
FEB
35
35
FEB
1
JAN
36
36
JAN
74
COL1
COL2
COL3
12
DEC
37
37
DEC
11
NOV
38
38
NOV
10
OCT
39
39
OCT
9
SEP
40
40
SEP
2
8
AUG
41
41
AUG
2
0
7
JUL
42
42
JUL
0
1
6
JUN
43
43
JUN
1
1
5
MAY
44
44
MAY
1
4
APR
45
45
APR
3
MAR
46
46
MAR
2
FEB
47
47
FEB
1
JAN
48
48
JAN
12
DEC
49
49
DEC
11
NOV
50
50
NOV
10
OCT
51
51
OCT
9
SEP
52
52
SEP
2
8
AUG
53
53
AUG
2
0
7
JUL
54
54
JUL
0
1
6
JUN
55
55
JUN
1
0
5
MAY
56
56
MAY
0
4
APR
57
57
APR
3
MAR
58
58
MAR
2
FEB
59
59
FEB
1
JAN
60
60
JAN
12
DEC
61
61
DEC
11
NOV
62
62
NOV
10
OCT
63
63
OCT
9
SEP
64
64
SEP
2
8
AUG
65
65
AUG
2
0
7
JUL
66
66
JUL
0
0
6
JUN
67
67
JUN
0
9
5
MAY
68
68
MAY
9
4
APR
69
69
APR
3
MAR
70
70
MAR
2
FEB
71
71
FEB
1
JAN
72
72
JAN
INSTRUCTIONS:
ONLY ONE CODE SHOULD APPEAR IN ANY BOX
ALL MONTHS SHOULD BE FILLED IN COL 1 AND COL 3
INFORMATION TO BE CODED FOR EACH COLUMN
COL 1
BIRTHS, PREGNANCIES, CONTRACEPTIVE USE
B
BIRTHS
P
PREGNANCIES
A
ABORTION
M
MISCARRIAGE
S
STILL BIRTH
0
1
2
3
4
5
6
7
8
9
H
L
X
R
W
Y
COL 2
COL 3
NO METHOD
MALE STERILIZATION
IMPLANT
IUD
INJECTABLES
DAILY PILL
EMERGENCY PILL
MALE CONDOM
FEMALE CONDOM
STANDARD DAYS METHOD
LAM
OTHER MODERN METHOD (SPECIFY________)
RHYTHM METHOD
WITHDRAWAL
OTHER TRADITIONAL METHODS
DISCONTINUATION OF CONTRACEPTIVE USE
0
INFREQUENT SEX/HUSBAND AWAY
1
METHOD FAILED/BECAME PREGNANT WHILE
USING
2
WANTED TO BECOME PREGNANT
3
HUSBAND/PARTNER DISAPPROVED
4
WANTED MORE EFFECTIVE METHOD
5
FEAR OF SIDE EFFECTS/HEALTH CONCERNS
6
LACK OF ACCESS/TOO FAR
7
COSTS TOO MUCH
8
INCONVENIENT TO USE
9
FATALISTIC/UP TO GOD
F
DIFFICULT TO GET PREGNANT/MENOPAUSAL
A
MARITAL DISSOLUTION/SEPARATION
D
LACK OF SEXUAL SATISFACTION
L
CREATED MENSTRUAL PROBLEM
M GAINED WEIGHT
G DID NOT LIKE METHOD
N LACK OF PRIVACY FOR USE
X
OTHER ____________________________
(SPECIFY)
Z
DON’T KNOW
MARRIAGE
X
MARRIED, REMARRIED OR LIVING WITH
A MAN
O
NOT MARRIED/WIDOWED/
SEPARATED/DIVORCED
75
OFFICE USE ONLY: QUESTIONNAIRE NO: [__|__|__|__|__|__|__|__||__|__]
(cluster code 4 digits + HH number 3 digits + household division number + Respondent line number 2 digits)
HOUR……………………………….[__|__]
RECORD END TIME.
MINUTES…………………………..[__|__]
COMMENTS:
END THE INTERVIEW AND THANK THE RESPONDENT FOR HER TIME AND PARTICIPATION.
76

C - (MLE) Project for the Urban Reproductive Health Initiative

Transcription

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