PACKARD WESTERN KENYA BASELINE SURVEY 2010

More documents

Recommendations

Info

Q341 Q342 What problems did you have with this last method Ulipata shida gani kutokana na njia hii uliyotumia mara ya mwisho CIRCLE ALL MENTIONED. Did you speak to anyone about your problems Uliongea na mtu yeyote kuhusu shida hizo METHOD FAILED/GOT PREGNANT……... LACK OF SEXUAL URGE………………….. BLEEDING/MENSTRUAL PROBLEMS…... BACKACHE………………………………….. HEADACHE…………………………………. NAUSEA/VOMITING……………………….. CREATED OTHER HEALTH PROBLEM… HARD/INCOVENIENT TO USE………… HARD TO GET………………………………. ADDED WEIGHT……………………..…….. LOST WEIGHT………………………………. MAKES YOU WEAK/TIRED……………….. COSTS TOO MUCH………………………… DID NOT LIKE METHOD…………………… LACK OF PRIVACY…………………………. PARTNER/HUSBAND DOES NOT APPROVE…………………………………. OTHER____________________________ (SPECIFY) YES . . . . . . . . . . . . . . . . . . . . ……... …….. NO . . . . . . . . . . . . . . . . . . . . . . . ………….. A B C D E F G H I J K L M N O P X 1 2 Q344 Q343 Q344 Q345 Who did you speak to Ulizungumza na nani CIRCLE ALL MENTIONED. Did you seek help for your problems at any health facility or from any health care worker Je, ulitafuta usaidizi kwa sababu ya shida hizo kutoka kwa kituo chochote cha Afya au mhudumu wowote wa afya Where did you go or from whom did you seek help Ulienda kutafuta usaidizi wapi au kutoka kwa nani CIRCLE ALL MENTIONED. TBA . . . . . . . . . . . . . ………………………. TRADITIONAL HEALER/ HERBALIST…… CBD/CHW…………………………. ……….. NURSE/MIDWIFE ………………………….. CLINICAL OFFICER………………………… DOCTOR …………………………………….. PHARMACIST/CHEMIST……………….. FRIEND………………………………………. PARTNER/HUSBAND………………………. MOTHER……………………………………... MOTHER-IN-LAW…………………………… SISTER……………………………………….. SISTER-IN-LAW…………………………….. OTHER RELATIVES………………………... PEER EDUCATOR………………………….. OTHER ___________________________ (SPECIFY) YES . . . . . . . . . . . . . . . . . . . . . . ………….. NO . . . . . . . . . . . . . . . . . . . . . . . ………….. DON’T KNOW . . . . . . . . . . . . . . ………….. PUBLIC SECTOR GOVERNMENT HOSPITAL . . . . . GOVT. HEALTH CENTER . . . . . . GOVERNMENT DISPENSARY . . OTHER PUBLIC______________ (SPECIFY) A B C D E F G H I J K L M N O X 1 2 8 A B C D KQ10 KQ10 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) E F G H I J K L OTHER SOURCE WORKSITE CLINIC…………….…… MOBILE CLINIC . . . . . . . . . . . . . . . . YOUTH CENTER…………………… VCT/CCC………………….……….... OTHER ______________________ (SPECIFY) M N O P X Page 26
KQ10 Before you started using last method [CIRCLED IN Q338], did you (or your partner) use a different method Kabla ya kuanza kutumia njia uliyotumia mara ya mwisho [CIRCLED IN Q338],je, wewe (au mpenzi wako) mlitumia njia nyingine tofauti YES . . . . . . . . . . . . . . . . . . . . . . NO . . . . . . . . . . . . . . . . . . . . . . . 1 2 Q346 KQ11 KQ12 Which method were you using before Ni njia gani wewe au mumeo/mpenzi wako mulikuwa mukitumia hapo awali IF RESPONDENT GIVE MULTIPLE METHODS CIRCLE THE HIGHEST METHOD YOU FIND ON THE LIST IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” How many living children did you have when you began using [METHOD CIRCLED IN KQ11], if any 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) NUMBER OF CHILDREN………..[__|__] 01 02 03 04 05 06 07 08 09 10 11 96 Kama ulikua na watoto waliokuwa hai wakati huwo ulipoanza kuitumia [METHOD CIRCLED IN KQ11], ulikuwa na watoto wangapi, SONS ……………………………….[__|__] How many sons How many daughters Wavulana wangapi Wasichana wangapi DAUGHTERS ……………………[__|__] KQ13 IF NONE, RECORD 00. How long did you use the [METHOD CIRCLED IN KQ11] for Ulitumia njia hii ya [METHOD CIRCLED IN KQ11] kwa muda gani IF RESPONSE IS A DECIMAL FOR MONTHS & YEARS (2.5YRS), THEN CONVERT IN MONTH AND FILL IN ONLY MONTHS 1 [__|__] DAYS OR 2 [__|__] WEEKS OR 3 [__|__] MONTHS OR 4 [__|__] YEARS UNSURE/CAN’T REMEMBER………998 KQ14 Why did you switch from [METHOD CIRCLED IN KQ11] to [CIRCLED Q338] Kwa nini ulibadili kutoka kwa [ METHOD CIRCLED IN KQ11] hadi kwa [CIRCLED IN Q338] METHOD FAILED/GOT PREGNANT…… LACK OF SEXUAL URGE………….… MORE FREQUENT SEX……………….. CREATED MENSTRUAL PROBLEM…… CREATED HEALTH PROBLEM……… INFREQUENT SEX/NO SEX………… STOPPED BREASTFEEDING………… WANTED MORE EFFECTIVE METHOD.. WANTED TO TRY THE METHOD……… INCONVENIENT TO USE……………… HARD TO GET/…………………….……… CURRENT METHOD MORE AVAILABLE GAINED WEIGHT…………………….. LOST WEIGHT……………………………. COSTS TOO MUCH……………………… DID NOT LIKE METHOD………………… LACK OF PRIVACY……………………… HEALTH PROVIDER RECOMMENDED. FAMILY/FRIENDS RECOMMENDED…. SPOUSE/PARTNER DID NOT APPROVE………………………………… MENOPAUSE……………………………… METHOD NOT AVAILABLE……………… OTHER___________________________ (SPECIFY) A B C D E F G H I J K L M N O P Q R S T U V X Page 27
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 and 20: Q309 CHECK Q235 CURRENTLY PREGNANT
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: Q337 What method(s) did you use (th
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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?