questionnaire no: [||||||||__] - Measurement ...

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Q404 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. Ni bayi mo fe beere awon ibeere kan nipa ibalopo ti e se lai pe. Mo fe fi dayin loju lee kan si wipe awon idahun yin yi o je bonkele ti ako si ni fi han eni kan kan. Ti a ba de ibere ti e ko ni ife lati dahun, e saa je ki a mon a o si lo si ibeere miran ti o tele When was the last time you had sexual intercourse? Igba wo ni e ni ibalopo kehin? IF 12 MONTHS OR LESS, ANSWER MUST BE RECORDED IN DAYS, WEEKS OR MONTHS. IF MORE THAN 12 MONTHS ANSWER MUST BE RECORDED IN YEARS. WHEN LESS THAN A DAY, RECORD “00” DAYS. DAYS AGO……………1 [__|__] OR WEEKS AGO…………2 [__|__] OR MONTHS AGO……… 3 [__|__] OR YEARS AGO………….4 [__|__] Q415 INSTRUCTIONS: Ask question Q407, then question Q408, Q409 Q410, Q411, Q412, and Q413 for the last sexual partner before moving on to the second most recent sexual partner. Qno. QUESTIONS LAST Q405 Q406 When was the last time you had sexual intercourse with this person? Nigbawo le ni ibalopo pelu eni yi kehin The last time you had sexual intercourse with this (second/third) person, did you or she do something or use any method to avoid a pregnancy? SEXUAL PARTNER YES.................... 1 NO..................... 2 Q410 UNSURE/DON’T KNOW............ 8 Q410 SECOND MOST RECENT SEXUAL PARTNER DAYS ……………1 [__|__] WEEKS …………2 [__|__] MONTHS ……… 3 [__|__] YES.................... 1 NO..................... 2 Q410 UNSURE/DON’T KNOW............ 8 Q410 THIRD MOST RECENT SEXUAL PARTNER DAYS ……………1 [__|__] WEEKS …………2 [__|__] MONTHS ……… 3 [__|__] YES.................... 1 NO..................... 2 Q410 UNSURE/DON’T KNOW............ 8 Q410 Q407 Ni igba ti e ni ibalopo kehin pelu (enikeji/iketa) yi, nje eyin tabi eni na se nkankan tabi lo ona ara Kankan lati dena oyun? What method(s) were used? Awon eto abo wo ni e lo? CIRCLE ALL THAT APPLY IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” FEMALE STERILIZATION..A MALE STERILIZATION……B IMPLANT……………………C IUCD…...……………………D INJECTABLE... . . . . . . . ….E DAILY PILL ……….………..F EMERGENCY PILL (Postnor2, etc.)…………….G MALE CONDOM . . . . . . . .H FEMALE CONDOM . .. . . …I LAM………J STANDARD DAYS/..K RHYTHM METHOD…..L WITHDRAWAL……………….M FEMALE STERILIZATION..A MALE STERILIZATION……B IMPLANT……………………C IUCD…...……………………D INJECTABLE... . . . . . . . ….E DAILY PILL ……….………..F EMERGENCY PILL (Postnor2, etc.)…………….G MALE CONDOM . . . . . . . .H FEMALE CONDOM . .. . . …I LAM………J STANDARD DAYS/..K RHYTHM METHOD…..L WITHDRAWAL……………….M FEMALE STERILIZATION..A MALE STERILIZATION……B IMPLANT……………………C IUCD…...……………………D INJECTABLE... . . . . . . . ….E DAILY PILL ……….………..F EMERGENCY PILL (Postnor2, etc.)…………….G MALE CONDOM . . . . . . . .H FEMALE CONDOM . .. . . …I LAM………J STANDARD DAYS/..K RHYTHM METHOD…..L WITHDRAWAL……………….M OTHER _______________X (SPECIFY) OTHER _______________X (SPECIFY) OTHER _______________X (SPECIFY) 16
Q408 CHECK Q408: NO CONDOM USED AT LAST SEX Q411 CHECK Q408: NO CONDOM USED AT LAST SEX Q411 CHECK Q408: NO CONDOM USED AT LAST SEX Q411 MALE OR FEMALE CONDOM (CODE=H OR I) WERE USED AT LAST SEX MALE OR FEMALE CONDOM (CODE=H OR I) WERE USED AT LAST SEX MALE OR FEMALE CONDOM (CODE=H OR I) WERE USED AT LAST SEX Q409 USED A CONDOM AT LAST SEX: What was the main reason you used a condom on that occasion? Kinni idi Pataki ti e fi lo roba idabobo ni akoko na? PREVENT DISEASE…….…..1 PREVENT PREGNANCY.......2 PREVENT BOTH STI/HIV AND PREGNANCY.............3 DO NOT TRUST PARTNER..4 PARTNER REQUESTED/ INSISTED...........................5 OTHER _________________6 (SPECIFY) ALL SKIP TO Q411 PREVENT DISEASE…….…..1 PREVENT PREGNANCY.......2 PREVENT BOTH STI/HIV AND PREGNANCY.............3 DO NOT TRUST PARTNER..4 PARTNER REQUESTED/ INSISTED...........................5 OTHER _________________6 (SPECIFY) ALL SKIP TO Q411 PREVENT DISEASE………1 PREVENT PREGNANCY....2 PREVENT BOTH STI/HIV AND PREGNANCY...........3 DO NOT TRUST PARTNER.4 PARTNER REQUESTED / INSISTED.........................5 OTHER ________________6 (SPECIFY) ALL SKIP TO Q411 Q410 What is the main reason a method was not used (OR DON’T KNOW IF USED)? Kinni idi Pataki ti e ko fi lo ona ara Kankan? (Tabi e ko mo boya e lo o? CASUAL PARTNER, DOESN’T CARE….. 11 CONTRACEPTION IS WOMEN’S BUSINESS………… 12 WOMAN IS MENOPAUSAL……..21 COUPLE INFERTILE/ SUB-FERTILE........... 22 WOMAN WAS PREGNANT.............. 23 WOMAN NO LONGER HAVING PERIOD....... 24 WOMAN WAS BREASTFEEDING ... 25 WANTED (MORE) CHILDREN ............... 26 RESPONDENT OPPOSED………….. 31 WOMAN OPPOSED .....32 OTHERS OPPOSED..... 33 RELIGIOUS PROHIBITION……….34 KNOWS NO METHOD...41 KNOWS NO SOURCE.. 42 HEALTH CONCERNS ...51 FEAR OF SIDE EFFECTS…………... 52 LACK OF ACCESS/ TOO FAR.................. 53 COST TOO MUCH........ 54 INCONVENIENT TO USE........................... 55 INTERFERES WITH BODY’S NORMAL PROCESSES ……… 56 DON’T USE WITH REGULAR PARTNER…..61 REGULAR PARTNER WOULD BECOME SUSPICIOUS……………62 CASUAL PARTNER, DOESN’T CARE….. 11 CONTRACEPTION IS WOMEN’S BUSINESS………… 12 WOMAN IS MENOPAUSAL……..21 COUPLE INFERTILE/ SUB-FERTILE........... 22 WOMAN WAS PREGNANT.............. 23 WOMAN NO LONGER HAVING PERIOD....... 24 WOMAN WAS BREASTFEEDING ... 25 WANTED (MORE) CHILDREN ............... 26 RESPONDENT OPPOSED………….. 31 WOMAN OPPOSED .....32 OTHERS OPPOSED..... 33 RELIGIOUS PROHIBITION……….34 KNOWS NO METHOD...41 KNOWS NO SOURCE.. 42 HEALTH CONCERNS ...51 FEAR OF SIDE EFFECTS…………... 52 LACK OF ACCESS/ TOO FAR.................. 53 COST TOO MUCH........ 54 INCONVENIENT TO USE........................... 55 INTERFERES WITH BODY’S NORMAL PROCESSES ……… 56 DON’T USE WITH REGULAR PARTNER…..61 REGULAR PARTNER WOULD BECOME SUSPICIOUS……………62 CASUAL PARTNER, DOESN’T CARE….. 11 CONTRACEPTION IS WOMEN’S BUSINESS………… 12 WOMAN IS MENOPAUSAL……..21 COUPLE INFERTILE/ SUB-FERTILE........... 22 WOMAN WAS PREGNANT.............. 23 WOMAN NO LONGER HAVING PERIOD....... 24 WOMAN WAS BREASTFEEDING ... 25 WANTED (MORE) CHILDREN ............... 26 RESPONDENT OPPOSED………….. 31 WOMAN OPPOSED .....32 OTHERS OPPOSED..... 33 RELIGIOUS PROHIBITION……….34 KNOWS NO METHOD...41 KNOWS NO SOURCE.. 42 HEALTH CONCERNS ...51 FEAR OF SIDE EFFECTS…………... 52 LACK OF ACCESS/ TOO FAR.................. 53 COST TOO MUCH........ 54 INCONVENIENT TO USE........................... 55 INTERFERES WITH BODY’S NORMAL PROCESSES ……… 56 DON’T USE WITH REGULAR PARTNER…..61 REGULAR PARTNER WOULD BECOME SUSPICIOUS……………62 OTHER_____________96 (SPECIFY) DOES NOT KNOW .......98 OTHER_____________96 (SPECIFY) DOES NOT KNOW .......98 OTHER_____________96 (SPECIFY) DOES NOT KNOW .......98 17
Page 1 and 2: OFFICE USE ONLY: QUESTIONNAIRE NO:
Page 3 and 4: O seese ki e lora nipa ibeere ti mo
Page 5 and 6: Q110 How religious do you consider
Page 7 and 8: Q209 CHECK Q208: HAS A CHILD OR CHI
Page 9 and 10: 13 Have you heard of any other ways
Page 11 and 12: Q310 Why are you (your partner) usi
Page 13 and 14: Q315 What are the main reasons why
Page 15: Q322 Q323 Q324 Q325 Q326 Q327 Q328
Page 19 and 20: Now I would like to ask you some qu
Page 21 and 22: Now, I would like to ask you a few
Page 23 and 24: Q611 Q612 Do you watch television?
Page 25 and 26: Q626 Q627 Q628 Q629 Q630 Q631 In th
Page 27 and 28: Q641 Q642 Q643 Q644 Q645 Q646 Q647
Page 29 and 30: Q708 Do you intend to talk to your
Page 31 and 32: SECTION 8: MIGRATION HISTORY Q NO.

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