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Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

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NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP<br />

314 How many (pill cycles/condoms) did you get NUMBER OF PILL<br />

the last time? CYCLES/CONDOMS . . .<br />

DON'T KNOW . . . . . . . . . . . . . . . . . . 998<br />

315 The last time you obtained (HIGHEST METHOD ON LIST IN 311),<br />

how much did you pay in total, including the cost <strong>of</strong> the method COST . . . . . . . . . . . . . . . .<br />

<strong>and</strong> any consultation you may have had? 319A<br />

FREE . . . . . . . . . . . . . . . . . . . . . . . . . 995<br />

DON'T KNOW . . . . . . . . . . . . . . . . . . 998<br />

316 In what facility did the sterilization take place? PUBLIC SECTOR<br />

NATIONAL HOSPITAL 11<br />

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE REFERRAL HOSPITAL . . . . . 12<br />

THE APPROPRIATE CODE. COMMUNITY HEALTH CEN. 13<br />

OTHER PUBLIC 16<br />

IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER (SPECIFY)<br />

OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE<br />

THE NAME OF THE PLACE. NON-GOVT (NGO) SECTOR<br />

MARIE STOPES . . . . . . . . . . . . . . . . 21<br />

OTHER NGO ________________ 26<br />

(SPECIFY)<br />

317 CHECK 311/311A:<br />

PRIVATE MEDICAL SECTOR<br />

(NAME OF PLACE) PRIVATE HOSPITAL/CLINIC . . . 31<br />

PRIVATE DOCTOR'S OFFICE . . . 32<br />

OTHER PRIVATE<br />

MEDICAL 36<br />

(SPECIFY)<br />

CODE 'A' CODE 'A'<br />

CIRCLED NOT CIRCLED<br />

OTHER ______________________ 96<br />

(SPECIFY)<br />

DON'T KNOW . . . . . . . . . . . . . . . . . . 98<br />

Before your sterilization Before the sterilization operation, YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

operation, were you told was your husb<strong>and</strong>/partner told NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

that you would not be able that he would not be able to DON'T KNOW . . . . . . . . . . . . . . . . . . . . 8<br />

to have any (more) children have any (more) children<br />

because <strong>of</strong> the operation? because <strong>of</strong> the operation?<br />

318 How much did you (your husb<strong>and</strong>/partner) pay in total for the<br />

sterilization, including any consultation you (he) may have had? COST (Rp)<br />

319 In what month <strong>and</strong> year was the sterilization performed?<br />

COST (USD) ....................<br />

FREE . . . . . . . . . . . . . . . . . . . . . . . . . 9995<br />

DON'T KNOW . . . . . . . . . . . . . . . . . . 9998<br />

319A Since what month <strong>and</strong> year have you been using (CURRENT MONTH . . . . . . . . . . . . . . . . . .<br />

METHOD) without stopping?<br />

YEAR . . . . . . . . . . . .<br />

PROBE: For how long have you been using (CURRENT<br />

METHOD) now without stopping?<br />

320 CHECK 319/319A, 215 AND 230:<br />

ANY BIRTH OR PREGNANCY TERMINATION AFTER MONTH AND<br />

YEAR OF START OF USE OF CONTRACEPTION IN 319/319A<br />

YES NO<br />

GO BACK TO 319/319A, PROBE AND RECORD MONTH AND YEAR AT START OF CONTINUOUS<br />

USE OF CURRENT METHOD (MUST BE AFTER LAST BIRTH OR PREGNANCY TERMINATION).<br />

Appendix E<br />

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