PACKARD WESTERN KENYA BASELINE SURVEY 2010

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Q501 SECTION 5: SEXUAL ACTIVITY AND MARRIAGE Questions and filters Coding categories Skips Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family life issues. How old were you when you had sexual intercourse for the very first time Sasa ningetaka kukuuliza kuhusu mambo ya ngono ili niweze kupata ufahamu kuhusu mambo ya kifamilia. Ulikuwa na umri gani ulipofanya ngono kwa mara ya kwanza AGE…..…………………..… NEVER HAD SEXUAL INTERCOURSE…………….…00 Q510 Q502 The first time you had sexual intercourse; did you or your partner use a contraceptive method to avoid getting pregnant Je, ulipofanya ngono kwa mara ya kwanza, wewe ama mwenzio mlitumia njia yoyote ya kuzuia kupata mimba YES…………………………………. NO……………………………………. CAN’T REMEMBER……………… 1 2 8 Q504 Q504 Q503 Which method(s) was used Ni njia gani iliyotumika IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” CIRCLE ALL MENTIONED 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) ……. OTHER ________________________ (SPECIFY) 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. Sasa nataka kukuuliza kuhusu shughuli zako za ngono za hivi karibuni. Nakuhakikishia tena kuwa majibu yako ni ya siri na hayatajulkana na mtu yeyote. Kama tukifikia swali ambalo hutaki kulijibu, nieleze niliwache na niende kwenye swali litakalofuata A B C D E F G H I J K X Q504 When was the last time you had sexual intercourse Ni lini mara ya mwisho ulifanya ngono WHEN LESS THAN A DAY, RECORD “00” DAYS. IF ‘12 MONTHS’ RECORD IN MONTHS, WEEKS OR DAYS IF MORE THAN 12 MONTHS RECORD IN YEARS Q505 How many times have you had sex in the last three (3) months Katika muda wa miezi mitatu iliyopita umefanya ngono mara ngapi Q506 In total, how many men have you had sex with in the last 12 months Katika muda wa miezi 12 iliyopita, umefanya ngono na wanaume wangapi DAYS AGO……………1 [__|__] OR WEEKS AGO…………2 [__|__] OR MONTHS AGO……… 3 [__|__] OR YEARS AGO………….4 [__|__] Q510 NUMBER OF TIMES…………… [__|__|__] OR NONE………………………………………….000 DAILY………………………………………….991 WEEKLY ……………………………………..992 MONTHLY……………………………………..993 OTHER____________________________ 996 (SPECIFY) DON’T KNOW………………………………. 998 NUMBER OF PARTNERS…..[__|__] TOO MANY TO ESTIMATE………96 IF MORE THAN 95, WRITE 95. Page 40
Q507 In the last twelve (12) months, have you ever given or received money, gifts, or favours in return for sex Katika muda wa miezi 12 iliyopita, umewahi kupewa au kupokea pesa, zawadi, ama mapendeleo ili ufanye ngono YES . . . . . . . . . . . …….. . . . . . . . . . . NO . . . . . . . . . . . . . . . . ……. . . . . . . 1 2 Q508 The last time you had sexual intercourse, did you or your partner use a family planning/birth spacing/child spacing method Wakati ulifanya ngono mara ya mwisho, je wewe ama mwenzio mlitumia njia yoyote ya kupanga uzazi/ kuchelewesha kupata mimba/kuweka nafasi kati ya watoto YES………………………………….. NO……………………………………. CAN’T REMEMBER………………… 1 2 8 Q510 Q510 Q509 Which method was used Ni njia gani iliyotumiwa CIRCLE ALL MENTIONED. IF RESPONDENT SAYS “PILL”, PROBE FURTHER TO ESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE “EMERGENCY PILL” 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) A B C D E F G H I J K L X Now I would like to ask you some questions about marriage. Remember that your responses will be kept confidential. Sasa ningetaka kukuuliza maswali kuhusu Ndoa. Kumbuka majibu yote yatawekwa siri. Q510 Have you ever been married or lived together with a man as if married Usha wahi kuolewa ama kuishi na mwanamume kama mmeoana YES, EVER MARRIED…………...… YES, LIVED WITH A MAN………… NO………………… ………………… 1 2 3 Q601 Q511 What is your marital status now: are you currently married or living with a man as if married, widowed, divorced, or separated Hali yako ya ndoa iko vipi hivi sasa; umeolewa, unaishi na mwanamume kama vile mumeowana, u mjane, umetalakiwa au kutengana na mwenzio YES, CURRENTLY MARRIED…………. LIVING WITH A MAN AS IF MARRIED... WIDOWED………………..…………… DIVORCED……………………………. SEPARATED………………………….. 1 2 3 4 5 SKIP TO Q516 Q512 Is your husband/partner living with you now, or is he staying elsewhere Je, mumeo/mwenzio anaishi na wewe ama anaishi mahali pengine LIVING WITH YOU……..…………. STAYING ELSEWHERE ………….. 1 2 Q513 Besides yourself, does your husband/partner have other wives Kando na wewe, mumeo/mwenzio ana wake wengine YES . . . . . . . . . . . . . . . . . . . . . . NO . . . . . . . . . . . . . . . . . . . . . . . DON’T KNOW . . . . . . . . . . . . . . 1 2 8 Q516 Q516 Q514 Q515 Including yourself, in total, how many wives does your husband/partner have Kwa jumla mumeo/mwenzio ana wanawake wangapi ukijihesabu na wewe pia Are you the first, second ….wife Je, wewe ni wa kwanza, wa wapili ……wa…. TOTAL NUMBER OF WIVES... [__|__] DON'T KNOW . . . . . . . . . . . . .. . . . 98 RANK…………… Q516 Have you been married or lived with a man as if married only once or more than once Je umewahi kuolewa au kuishi na mwanamume kama mliyeoana mara moja ama zaidi ya mara moja ONLY ONCE……………………….. MORE THAN ONCE……………….. 1 2 Page 41
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 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: Q424 What type of facility is this
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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