PACKARD WESTERN KENYA BASELINE SURVEY 2010

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Q305 Have you ever recommended any contraceptive methods to your friends and/or relatives Umewahi kupendekeza njia yoyote ya kupanga uzazi kwa marafiki au jamaa zako YES…………………………..………………….. NO………………………………………..………. 1 2 KQ2 Q306 KQ2 Which methods have you recommended Umependekeza njia kama zipi CIRCLE ALL MENTIONED. IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” Recently, the Ministries of Health have initiated a community strategy which includes the creation of Community Health Workers. They are volunteers at the village level who will be trained in many areas. Would you accept the oral contraceptive pill from this Community Health Worker Hivi majuzi, Wizara ya Afya ilianzisha mradi wa kijamii ambao pia ulianzisha wahudumu wa afya ya jamii.Hawa ni watu wanaojitolea kutoka katika kijiji chenu na watafunzwa nyanja mbalimbali za kiafya. Utakubali tembe za kumeza kila siku kuzuia mimba kutoka kwa huyu mhudumu wa afya wa jamii FEMALE STERILIZATION……………….. MALE STERILIZATION…………………... IMPLANT…………………………………... IUCD……………………………………….. INJECTABLE... . . . . . . . . . ……………… DAILY PILL ……….……………………… EMERGENCY PILL (Postnor2, etc.)…… MALE CONDOM . . . . . . . . …………...... FEMALE CONDOM . .. . . …. . . ………… SPERMICIDE/FOAM/JELLY..………….... NATURAL METHODS (STANDARD DAYS/SAFE DAYS/ WITHDRAWAL)……… BREASTFEEDING/LAM . . . . . …..……. OTHER ________________________ (SPECIFY) YES………………………………………………. NO………………………………………………… DON’T KNOW (PILL)…….…………………….. A B C D E F G H I J K L X 1 2 8 KQ3 Would you accept the emergency contraception pill from a Community Health Worker Utakubali tembe ya dharura ya kuzuia mimba kutoka kwa Mhudumu wa Afya wa Jamii YES………………………………………………. NO………………………………………………… DON’T KNOW (EC)…….…………………….. 1 2 8 KQ4 Would you accept receiving an injectable (Depo) from a Community Health Worker Utakubali kupata sindano ya kuzuia kupata mimba (depo) kutoka kwa mhudumu wa Afya wa jamii YES………………………………………………. NO………………………………………………… DON’T KNOW (INJECTABLE)……….……….. 1 2 8 Q307 CHECK 302: AT LEAST ONE "YES" (EVER USED) NOT A SINGLE “YES” (NEVER USED) Q346 Q308 Now I would like to ask you about the first time that you did something or used a method to avoid getting pregnant. How many living children did you have at that time, if any How many boys And how many girls Sasa ningependa kukuuliza kuhusu mara ya kwanza ulipofanya kitu ama kutumia njia kuzuia kupata mimba Kama ulikuwa na watoto wakati huo, ni wangapi walikuwa hai Wavulana wangapi Wasichana wangapi IF NONE, RECORD '00'. NUMBER OF CHILDREN . . . . …… NUMBER OF BOYS……………. NUMBER OF GIRLS……………. Page 18
Q309 CHECK Q235 CURRENTLY PREGNANT NOT CURRENTLY PREGNANT (Q235=2 OR =8) CURRENTLY PREGNANT (Q235=1) Q336 Q310 Are you (or your partner) currently doing something or using any method to delay or avoid getting pregnant YES………………………………..……..……… NO……………………………………….………. 1 2 Q336 Je wewe au mumeo/mpenzi wako mnafanya lolote ama kutumia njia yoyote kwa sasa ya kuchelewesha au kuzuia kupata mimba SAYS SHE CAN’T GET PREGNANT………… 3 Q336 IF RESPONDENT OR RESPONDENT’S PARTNER HAS EVER BEEN STERILIZED, CIRCLE “YES” (CODE=1) Q311 Which method(s) are you (or your partner) currently using FEMALE STERILIZATION……………….. A Ni njia gani wewe au mumeo/mpenzi wako anatumia kwa sasa MALE STERILIZATION…………………... IMPLANT…………………………………... B C MULTIPLE METHODS – CIRCLE ALL MENTIONED IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” IUCD……………………………………….. INJECTABLE... . . . . . . . . . ……………… DAILY PILL ……….……………………… EMERGENCY PILL (Postnor2, etc.)…… D E F G IF RESPONDENT OR SPOUSE IS EVER STERILIZED THEN RECORD UNDER MALE OR FEMALE STERLIZATION MALE CONDOM . . . . . . . . …………...... FEMALE CONDOM . .. . . …. . . ………… SPERMICIDE/FOAM/JELLY..………….... H I J NATURAL METHODS (STANDARD DAYS /SAFE DAYS/ WITHDRAWAL)…… K BREASTFEEDING/LAM . . . . . …..……. L OTHER ________________________ X (SPECIFY) Q312 CHECK Q311: IF MULTIPLE METHODS MENTIONED ABOVE, CIRCLE THE HIGHEST METHOD ON THE LIST AND PROCEED WITH QUESTIONS REGARDING THIS METHOD. IF ONLY ONE METHOD IS CIRCLED ABOVE, CIRCLE THE SAME METHOD AGAIN HERE. FEMALE STERILIZATION……………….. MALE STERILIZATION…………………... IMPLANT…………………………………... IUCD……………………………………….. INJECTABLE... . . . . . . . . . ……………… DAILY PILL ……….……………………… EMERGENCY PILL (Postnor2, etc.)…… MALE CONDOM . . . . . . . . …………...... FEMALE CONDOM . .. . . …. . . ………… SPERMICIDE/FOAM/JELLY..………….... NATURAL METHODS (STANDARD DAYS/SAFE DAYS/ WITHDRAWAL) … BREASTFEEDING/LAM . . . . . …..……. OTHER ________________________ (SPECIFY) 01 02 03 04 05 06 07 08 09 10 11 12 96 Page 19
Page 1 and 2: QUESTIONNAIRE NO: [__|__|__|__|__|_
Page 3 and 4: Costs and Payment for Participation
Page 5 and 6: Q109 Please read for me the sentenc
Page 7 and 8: Q212 Q213 Have you ever had a pregn
Page 9 and 10: (Q21 7C) Line no. (Q218) What name
Page 11 and 12: (Q21 7C) Line no. (Q218) What name
Page 13 and 14: Q239 What type of facility did you
Page 15 and 16: SECTION 3: CONTRACEPTION CHECK FOR
Page 17: Q303 CHECK 301 (KNOWLEDGE OF ANY CO
Page 21 and 22: KQ5 How many living children did yo
Page 23 and 24: Q330 FOR A WOMAN WHO HAS BEEN STERI
Page 25 and 26: Q337 What method(s) did you use (th
Page 27 and 28: KQ10 Before you started using last
Page 29 and 30: Q350 Which is this place or person
Page 31 and 32: Q371 Q372 Why did/do you prefer to
Page 33 and 34: SECTION 4: MATERNAL AND CHILD HEALT
Page 35 and 36: KQ19 KQ20 Where did [NAME] receive
Page 37 and 38: Q414 Did you receive any informatio
Page 39 and 40: Q424 What type of facility is this
Page 41 and 42: Q507 In the last twelve (12) months
Page 43 and 44: Q601 SECTION 6: FERTILITY PREFERENC
Page 45 and 46: Q610 Does your husband/partner want
Page 47 and 48: Q701 SECTION 7: SPOUSAL AND INTERPE
Page 49 and 50: Q720 Do you think there are some pe
Page 51 and 52: Q730 Q731 Q732 Q733 Q734 Q735 RECOR
Page 53 and 54: SECTION 8: GENDER INEQUITY MEASURES
Page 55 and 56: Q819 CHECK Q510 AND Q511: EVER MARR
Page 57 and 58: Now I am going to read some stateme
Page 59 and 60: Q903 Which newspaper(s) do you read
Page 61 and 62: Q920 Q921 What time of the day do y
Page 63 and 64: Q936 In the past three months, have
Page 65 and 66: Q938. What are the names and types
Page 67 and 68: Q1008 How long do you usually stay
Page 69 and 70:
FOLLOW-UP CONTACTS Q1100 Q1101 WOMA
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PACKARD WESTERN KENYA BASELINE SURVEY 2010

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