PACKARD WESTERN KENYA BASELINE SURVEY 2010

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Q406 Q407 Why didn’t you deliver in a health facility Mbona hukuzalia kenye kituo cha Afya CIRCLE ALL MENTIONED. Were you provided with any information or counseling about family planning/contraceptive methods from a health or family planning worker either before you delivered or after Je, ulipata ushauri wowote ama mafunzo kuhusu mpango wa uzazi au njia ya kuzuia mimba kutoka kwa mhudumu wa afya au mfanyi kazi wa upangaji wa uzazi kabla ya kuzaa ama baadaye COSTS TOO MUCH……………………….. FACILITY NOT OPEN…………………… DIDN’T HAVE TIME/LABOUR PAINS CAME EARLY…….……………………….... DON’T TRUST THE STAFF……………… NOT NECESSARY………………………… TRADITION………..……………………… TOO FAR…………………………………… NO TRANSPORT AVAILABLE…………… NO ONE AVAILABLE TO ACCOMPANY HER ………………………………………. POOR QUALITY SERVICES……………… DO NOT OFFER SERVICES REQUIRED… PROVIDERS OFTEN AWAY……………… DOES NOT ACCEPT INSURANCE……….. NO FEMALE PROVIDER…………………… PARTNER/FAMILY WON’T ALLOW………. HUSBAND/SPOUSE NOT AT HOME……… DIDN’T HAVE MONEY……………………… POOR PROVIDER ATTITUDE……………… POOR FACILITY ENVIRONMENT…………. FEAR OF HIV TESTING ……………………. OTHER_____________________________ (SPECIFY) YES, BEFORE DELIVERY………………… YES, AFTER DELIVERY…………………… YES, AT BOTH TIMES……………………… NO, NOT AT ALL…………………………… DON’T KNOW/REMEMBER………….…… 1 2 3 4 8 A B C D E F G H I J K L M N O P Q R S T X ALL SKIP TO KQ15 Now I would like to ask you some questions about the health status of your youngest born child, specifically about whether or not he or she has received any immunizations. Sasa nataka kukuuliza maswali kuhusu afya ya mtoto wako wa mwisho, hasa ikiwa alipata chanjo za kinga. KQ15 KQ16 CHECK Q402 FOR YOUNGEST CHILD’S NAME: Which vaccinations did [NAME] receive Ni chanjo zipi ambazo [JINA] amepata CIRCLE ALL MENTIONED. ASK TO SEE THE CHILD’S HEALTH CARD TO VERIFY VACCINATION RECORD. Did [NAME] ever receive the Polio vaccine, that is, drops in the mouth; including vaccine received in a Ministry of Health Polio campaign BCG……………………………………………………… BIRTH POLIO………………………………………… PENTA/DPT - 1st DOSE…………………………… PENTA/DPT – 2 nd DOSE…………………………… PENTA/DPT – 3 rd DOSE……………………………… OPV – 1…………………………………………………... OPV – 2…………………………………………………... OPV – 3…………………………………………………... INJECTION AGAINST MEASLES……………............ OTHER____________________________________ (SPECIFY) NONE……………………………………………………... DON’T KNOW……………………………………………. YES . . . . ………………………………….. . . . . . . . . . . NO . . . . . . . . . . . . . . . ………………………………….. DON’T KNOW . . . . . . ………………………………….. A B C D E F G H I X Y Z 1 2 8 Q408 KQ19 KQ19 KQ17 KQ18 Je, [JINA] alipata chanjo ya pepo punda (polio), yaani matone kuwekwa mdomoni: ukijumulisha na kampeni zozote za polio za Wizara ya Afya Was the first polio vaccine received in the first two weeks after birth or later Je, alipokea chanjo ya pepo punda (polio) ya kwanza kati ya wiki mbili baada ya kuzaliwa ama baadaye How many times was the polio vaccine received IF MORE THAN 7, RECORD ‘7’. Je, alipokea chanjo za polio mara ngapi FIRST 2 WEEKS . . . . . 1 LATER . . . . . . . . . . . . . 2 DON’T KNOW. . . . . . …8 NUMBER OF TIMES . . . . . . . . ………………………. Page 34
KQ19 KQ20 Where did [NAME] receive the majority of his/her vaccinations Kati ya chanjo hizo (JINA) alipata wapi chanjo nyingi zaidi PROBE: What is the name of this place And where is it located ULIZA: paitwaje mahali hapo Na ni wapi What type of facility is this Ni kituo cha aina gani hicho NAME OF FACILITY______________________________________ PHYSICAL LOCATION_______________ ____________________ LAND MARK__________________________________________ PUBLIC SECTOR GOVERNMENT HOSPITAL. …………………... . . . GOVT. HEALTH CENTER . . . . . . …………………. GOVERNMENT DISPENSARY. . …………………. OTHER PUBLIC___________________________ (SPECIFY) 11 12 13 16 KQ21 KQ22 Q408 At any immunization visits, did you receive any information or counseling on family planning/birth spacing/child spacing Kuna wakati wowote ulipopeleka mtoto kupokea chanjo, ulipata habari zozote ama mawaidha kuhusu mpango wa uzazi/kuchelewesha mamba ili/kuweka nafasi kati ya watoto At any immunization visits, did you receive a method or a referral for family planning/birth spacing/child spacing method Kuna wakati wowote ulipopeleka mtoto kupokea chanjo, ulipopatiwa njia au ulipotumwa kupata njia ya kupanga uzazi/ kuchelewesha mimba/kuweka nafasi kati ya watoto CHECK BIRTH HISTORY (Q218 AND Q222): YES, HAS ONE OR MORE LIVING CHILDREN PRIVATE MEDICAL SECTOR FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC................................................... PRIVATE HOSPITAL/CLINIC.................................. NURSING/MATERNITY HOME…………………….. TRADITIONAL BIRTH ATTENDANT…………….. COMMUNITY MIDWIFE…………………….. COMMUNITY HEALTH WORKER ……………….. TRADITIONAL HEALER…………………………….. PHARMACY…………………………………………… CHEMIST/DUKA LA DAWA…………………………. OTHER PRIVATE _______________________ (SPECIFY) OTHER FACILITY WORKSITE CLINIC………………………………….. MOBILE CLINIC . . . . . . . . . . . . . . . . ……………… YOUTH CENTER……………………….................... OTHER _________________________________ (SPECIFY) DON'T KNOW . . . . . . . . . . . . . . …… . . ………………… YES . . . . . . . . . . . . . . . . . . . . . . ……………………….. NO . . . . . . . . . . . . . . . . . . . . . . . ……………………….. DON’T REMEMBER . . . . . . . . . . ………………………. YES, RECEIVED A METHOD. . . . . . . . . . . . . . … ... . . . YES, RECEIVED A PRESCRIPTION………………..…… YES, RECEIVED A REFERRAL . . . . . . . . . . . . . . . ….. . NO, DID NOT RECEIVE ANY OF THESE…………. DON’T REMEMBER . . . . . ……………………….. . . . . ... NO, DOES NOT HAVE ANY LIVING CHILDREN 21 22 23 24 25 26 27 28 29 30 31 32 33 96 98 1 2 8 1 2 3 4 8 Q408 Q408 Q416 Now I am going to ask you questions about your experience seeking and receiving health services. Sasa nitakuuliza maswali kuhusu uzoefu wako unapotafuta na unapopata huduma za afya. Q409 In the last three months, have you gone to a health facility for any child health services Katika miezi 3 iliyopita, umeenda katika kituo cha Afya kwa huduma za afya ya watoto YES . . . . . . . . . . . . . . . . . . . . . . …………. NO . . . . . . . . . . . . . . . . . . . . . . . ………… 1 2 Q416 Page 35
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 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: SECTION 4: MATERNAL AND CHILD HEALT
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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