PACKARD WESTERN KENYA BASELINE SURVEY 2010

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Q313 Why are you using this method (CIRCLED IN Q312) Kwa nini unatumia njia hii [CIRCLED IN Q312] PROBE: Is there any other reason you are using this method PROBE: Kuna sababu nyingine yeyote ambayo inakufanya uitumie njia hii EFFECTIVE/DON’T WANT TO GET PREGNANT……………………………..….. SAFE/FEW OR NO SIDE EFFECTS…….. DON’T WANT TO GET INFECTED WITH HIV OR OTHER STIs……….….. CONVENIENT TO USE………………..….. DISCREET…………………………………. AFFORDABLE…………………………….. EASY TO OBTAIN………………………… EASY TO USE……………………………. MANY PEOPLE USE IT…………………… YOU LIKE THAT YOU TAKE IT EVERY DAY……………………………………..….. YOU LIKE THAT YOU DON’T HAVE TO TAKE EVERY DAY….……………………. HELPS YOU TO LOSE WEIGHT………. HELPS YOU TO GAIN WEIGHT…………. MAKES SKIN LOOK HEALTHIER……… RECOMMENDED BY PROVIDER……… PARTNER PREFERS…………………… DON’T HAVE TO WORRY ABOUT IT; PARTNER IS RESPONSIBLE FOR IT….. A B C D E F G H I J K L M N O P Q OTHER _________________________ (SPECIFY) X Q314 Q315 Who decided which type of family planning/ birth spacing/child spacing method to use Is it mainly your decision, mainly your partner's decision, or did you both decide together Ni nani aliyeamua aina ya njia ya kupanga uzazi/kuweka nafasi kati ya watoto ya kutumia Je ni uamuzi wako mwenyewe ama ni uamuzi wa mumeo/mpenzi wako ama mliamua nyote kwa pamoja 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 Q312] Umewahi kuelezewa na mhudumu wa afya ama mfanyikazi wa upangaji uzazi kuhusu madhara unayoweza kupata kutokana na utumizi wa njia hii ya kupanga uzazi [CIRCLED IN Q312] MAINLY YOURS………………………… MAINLY PARTNER………..………….… JOINTLY…………………….……………. OTHER_________________________ (SPECIFY) YES . . . . . . . . . . . . . . ………… . . . . . . . NO . . . . . . . . . . . . . . . . . . . . . . …………. DON’T KNOW . . . . . . . . . . . . . …………. 1 2 3 6 1 2 8 Q317 Q317 Q316 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 Q312] Ulielezwa kitu cha kufanya iwapo utahisi madhara ama kupata shida zozote kutokana na njia hii [CIRCLED IN Q312] YES . . . . . . . . . . . . . . . . . . . . . . NO . . . . . . . . . . . . . . . . . . . . . . . DON’T KNOW . . . . . . . . . . . . . . 1 2 8 Q317 Were you ever told by a health or family planning worker about other methods of family planning (beside the one you are currently using) Uliwahi kuelezwa juu ya njia nyingine mbali na hii, za upangaji uzazi na mhudumu wa Afya ama mafanyi kazi wa upangaji uzazi YES . . . . . . . . . . . . . . . . . . . . . . NO . . . . . . . . . . . . . . . . . . . . . . . DON’T KNOW . . . . . . . . . . . . . . 1 2 8 Q318 In what month and year did you start using [CURRENT METHOD CIRCLED IN Q312] continuously MONTH..…………………..[__|__] Ni mwaka gani na mwezi gani ulianza kutumia (MBINU UNAYOTUMIA Q312) kwa mfululizo au bila kuacha kuitumia DON’T KNOW MONTH…..98 YEAR..……………..[__|__][__|__] DON’T KNOW YEAR....9998 Page 20
KQ5 How many living children did you have when you began using [CURRENT METHOD CIRCLED IN Q312] if any Kama ulikuwa na watoto ulipoanza kutumia njia hii ni watoto wangapi walikuwa hai [CURRENT METHOD CIRCLED IN Q312] IF NONE, RECORD 00. How many sons Wavulana wangapi/ NUMBER OF CHILDREN…………..[__|__] SONS ………………………………. .[__|__] DAUGHTERS ……………………… [__|__] How many daughters Wasichana wangapi Q319 CHECK Q312: IF CIRCLED IMPLANT “3”, IUCD “4”, INJECTABLE “5”, DAILY PILL “6”, EMERGENCY PILL “7”, MALE CONDOM “8”, FEMALE CONDOM “9”, SPERMICIDE “10”, OR OTHER PRODUCT “96” IF CIRCLED FEMALE STERILIZATION “1” IF CIRCLED MALE STERILIZATION “2”, NATURAL METHODS “11”, LAM “12”, OR OTHER NATURAL METHOD “96” (POSTPARTUM ABSTINENCE, ETC) Q330 Q334 Q320 From where or whom did you obtain [CURRENT METHOD] last time PROBE: What is the name of this place/person And where is it/he/she located (NJIA HII UNAYOTUMIA SASA) mara ya mwisho uliipata wapi au kutoka kwa nani ULIZA: Mtu huyo au pahali hapo paitwaje Mtu huyo au pahali hapo pako wapi NAME OF FACILITY_________________ _________________________________ PHYSICAL LOCATION_______________ _________________________________ LAND MARK________________________ Q321 What type of place/person is this Ni mahali pa aina gani hapo/ ni mtu wa aina gani au wa kazi gani huyo SINGLE MENTION. PUBLIC SECTOR GOVERNMENT HOSPITAL . . . . . GOVT. HEALTH CENTER . . . . . . GOVERNMENT DISPENSARY . . OTHER PUBLIC______________ (SPECIFY) 11 12 13 16 PRIVATE MEDICAL SECTOR FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC………………...... PRIVATE HOSPITAL/CLINIC........... NURSING/MATERNITY HOME…… CHW/TBA…………………………….. TRADITIONAL HEALER…………… PHARMACY………………………… CHEMIST/DUKA LA DAWA……….. OTHER PRIVATE _____________ (SPECIFY) 21 22 23 24 25 26 27 28 OTHER SOURCE WORKSITE CLINIC…………….…… MOBILE CLINIC . . . . . . . . . . . . . . . . YOUTH CENTER…………………… VENDING MACHINE/DISPENSER.. VCT/CCC………………….……….... BAR…………………………………… KIOSK/SHOP/MARKET…………… OTHER ______________________ (SPECIFY) DON'T KNOW . . . . . . . . . . . . . . …… . . 31 32 33 34 35 36 37 96 98 Page 21
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 and 18: Q303 CHECK 301 (KNOWLEDGE OF ANY CO
Page 19: Q309 CHECK Q235 CURRENTLY PREGNANT
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

PACKARD WESTERN KENYA BASELINE SURVEY 2010

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