Baseline Women's questionnaire - Yoruba/English

OFFICE USE ONLY: QUESTIONNAIRE NO: [__|__|__|__|__|__|__|__|__](cluster code 4 digits + HH number 3 digits + Respondent line number 2 digits)MLE URBAN NIGERIAN SURVEY 2010WOMAN QUESTIONNAIRE; 15-49 YEAR OLDENGLISH/YORUBASTATE NAME & CODE _______________________________________________________CITY NAME & CODE_________________________________________________________(Abuja=1, Benin=2, Ibadan=3, Ilorin=4, Kaduna=5, Zaria=6)LGA NAME & CODE __________________________________________________________LOCALITY NAME & CODE_____________________________________________________CLUSTER NAME & CODE _____________________________________________________STRUCTURE NUMBER…………………………………………………………………………………HOUSEHOLD NUMBER ………………………………………………………………………………LINE NUMBER OF WOMAN……………………………………………………………………………NAME OF RESPONDENT _____________________________________________________[surname, given name]ADDRESS OF HOUSEHOLD ____________________________________________________[__|__|__][__][__|__|__][__|__|__|__][__|__|__|__][__|__|__][__|__|__][__|__]INTERVIEWER VISITSVISIT No. 1 2 3 FINAL VISITDATEDAY/ MONTH/ YEARDAY/ MONTH/ YEARDAY/ MONTH/ YEARDAY[____|____][____/_____/_10_][____/_____/__10_][____/_____/__10_]MONTH[____|____]YEAR[_2_|_0_|_1_|_0_]INTERVIEWER’S NAME______________________________________________________________________INTERVIEWER CODERESULT*NEXT VISIT:DATE[____/_____/10_][____/_____/10_]TOTAL NO. OF VISITSTIMEH H M M H H M M*RESULT CODES:1. COMPLETED 4. REFUSED2. NO AT HOME 5. PARTLY COMPLETED3. POSTPONED 6. INCAPACITATED7. OTHER __________________________________(Specify)LANGUAGEMAIN LANGUAGE OF INTERVIEW TRANSLATOR USED? YES = 1 NO = 2LANGUAGE CODES: HAUSA =1 YORUBA =2 ENGLISH = 3 PIDGIN =4 OTHERS = 6 ( Specify_______________________ )SUPERVISOR FIELD EDITOR OFFICE EDITOR KEYED BYNAME…………………….……….…NAME………………………….NAME…………….……………………NAME…………………………………………..…CODE:CODE:CODE:CODE:DATE [__ / ___/ 10_]DD MM YYDATE [__ / __/ 10_]DD MM YYDATE [__ / ___/ 10_]DD MM YYDATE [__/ __/ 10_]DD MM YYPage 1

Individual Consent: Woman’s Survey on Family Planning IntroductionHello! My name is _________________________________; I am part of a research team working for the National Population Commissionunder the Nigerian Urban Reproductive Health Initiative (NURHI). We are carrying out research on child spacing / birth spacing in urban areasof Nigeria. Your participation in this study will help to improve child spacing / birth spacing services in this city. We will be asking women aged15-49 questions from this household for this study.Explanation of ProcedureThe interview will take place in or around your home, somewhere private. The interview will take about 60 minutes. I will ask you questionsabout your home, child spacing / birth spacing, health-care seeking, and family size decisions. You may choose not to give the interview, or notto answer a question for any reason. You can stop the interview at any time by telling me that you want to stop it. If you decide not to give theinterview or not to answer a question, no harm will come to you, and there will be no effect on your access to health services in the future.ConfidentialityYour answers will not be shared with anyone outside this research project. Your name will not appear on the survey. We will not share answerswith community members, health providers, family or anyone else. At the end of the study, we will put all the answers together and make areport.In addition to the interview today, we would like to meet with you twice more to ask you some more questions. We will need to contact you in 2years to interview you a second time, and again two years after that to interview you a third time. We would like to interview you three times tosee how the circumstances in your life change. So we can find you again in two years, we need to ask questions on how, where and when tobest contact you. We will make every effort to plan the next interview without anyone knowing. Your contact information will be kept in a lockedcabinet, and kept apart from your answers to the questions. Once the study is finished, the list of names with your contact information, and thecompleted surveys will be destroyed.How many People will take part in this study?If you decide to be interviewed, you will be one of about 18,000 women from urban areas of Nigeria who will be interviewed.BenefitsResearch helps society by providing new knowledge. You may not benefit directly from this survey. However, your answers will be importantfor planning better programs to make sure women can access the health care they need.Risks and DiscomfortThere is the possibility you may feel uncomfortable about a question I ask. If you feel uncomfortable about any of the questions, you do nothave to answer them. I can skip those questions and go on to the next section. You can end the interview at any time. There is also thepossibility that someone may approach us during the interview to find out what we are discussing. We intend to do this interview in private, ifsomeone approaches us, we will stop the interview until we can continue in private.Some questions may not apply to you, but the interviewer must ask the same questions of everyone.Costs and Payment Individual Consent:There are no costs for being in this study. You will not receive any compensation for taking part in this study.Questions /Your rights as ParticipantsThis study has been approved by the Nigerian Ministry of Health Ethics Review Board and the University of North Carolina (USA). If you haveany questions about this study or the results, you can contact the following: The study coordinator, Mr. Babatunde Ishola Okuboyejo at theNational Population Commission (0803-497-0932) or the Institutional Review Board at the University of North Carolina at +1 919-966-3113.You have the right to ask, and have answers, to any questions you may have about this research. If you have questions or concerns, youshould contact the researchers listed above, or ask me before or after the interview. Do you have any questions now?ConsentNow, can you tell me if you agree to participate in this research? If you say yes, it means that you have agreed to be part of the study.May I begin the interview now? YES CONTINUENOTHANK RESPONDENT AND END INTERVIEWWould you like a copy of this document?Interviewer’s signature............................................................................. DATE [____/_____/2010]Page 2

SECTION 1: BACKGROUND CHARACTERISTICSQno Questions and filters Coding categories Skip toHOUR……………………………….[__|__]RECORD START TIME:MINUTES…………………………..[__|__]Thank you for agreeing to participate in this survey. As I mentioned in asking for your consent, we are looking to assess your health andinformation needs. To begin, we are going to ask you some background questions about yourself.E se pupo wipe e gba lati kopa ninu iwadi yi.Bi mo se so nigba ti mo beere fun ikopa yin, a fe mo awon ohun ti e nilo nipa eto ilera atiifitonileti ti e nilo. Ni akoko, a o bere awon ibere nipa arayin.Q101 In what month and year were you born?MONTH . . . . . . . . . . . . . . . . . ………[__|__]Ninu osu ati odun wo ni a bi yin?DON'T KNOW MONTH . . . . . . . . . . . . . . 98YEAR . . . . . . . . . . . . . . …..…[__|__][__|__]DON'T KNOW YEAR . . . . . . . . . . . . . . 9998Q102 How old were you on your last birthday?Kini ojo ori yin nigba ti e se ojo ibi kehinMPARE AND CORRECT Q101 AND/OR Q102 IFINCONSISTENTQ103 CHECK 101 & 102:IF AGE (15-49)YRSCHECK THAT CONSENT FORM HAS BEEN COMPLETEDAGE IN COMPLETED YEARS……[__|__]ELSEENDINTER-VIEWIF NOT, ENSURE THAT YOU OBTAIN A CONSENT FROM THE RESPONDENT BEFORE YOU CONTINUEQ104Q105Have you ever attended school?Se e lo si ile-iwe ri?What is the highest level of school you attended: Quranic only,primary, junior secondary, senior secondary, or higher?Ile-iwe ti o ga ju wo ni e lo: ile kewu nikan, ile-iwe alakobere,ipele kini ile- iwe giga, ipele keji ile iwe gigai, tabi ile-iwe ti o gajuyi lo?YES……………………NO ……………………..QURANIC ONLY…………………….PRIMARY…………………………….JUNIOR SECONDARY (JSS)…...SENIOR SECONDARY (SSS)….HIGHER…………………………12 Q10801234Q108Q110Q106What is the highest (class/form/year) you completed at thatlevel?CLASS/FORM/YEAR…………[__|__]Ibo ni e ka iwe naa de (Kilaasi, ipele eko/odun) ti e pari ni ipelena?IF NO YEAR COMPLETED, WRITE “00”Q107 CHECK 105:QURANIC OR PRIMARYJSS OR HIGHER(CODE 0 OR 1) (CODE 2, 3 OR 4)Q110Q108Now I would like you to read a sentence to me, but please tellme, what language are you most comfortable with?Ni bayi mo fe ki e ka gbolohun oro yi fun mi. sugbon ejowo,Ede wo ni o rorun ju fun yin lati ka?CIRCLE CODE FOR LANGUAGE SELECTED AND HANDTHE RESPONDENT A LITERACY CARD IN THE SELECTEDLANGUAGEHAUSA……………………………..YORUBA…………………………..IGBO……………………………….ENGLISH……………………………PIDGIN ENGLISH………………….RESPNDENT CANNOTREAD………………………………BLIND/VISUALLY IMPAIRED…….123451121Q110Q110OTHER_____________________(SPECIFY)96Page 3

SECTION 2: REPRODUCTIONQNo. Questions and filters Coding categories Skip toNow I would like to ask you about all the births you have had during your life. Please be as honest as possible and know thatyour answers will not be shared with anyone else.Ni bayi, mo fe beere nipa iye igba ti e ti se ikunle abiyamo laye yin. E jowo e so otito bi o ti ye ati ki e mo daju pe a ko ni fi awonidahun yin han elomiran.Q201Q202Have you ever given birth?Se e ti bimo ri?Do you have any sons or daughters to whom youhave given birth who are now living with you?Nje e ni omokunrin tabi omobinrin ti e bi ti won n gbepelu yin lowolowo bayi?YES………………………………NO………………………………..YES……………………………….NO……………………………….12 Q20612 Q204Q203How many of these sons live with you?And how many daughters live with you?Awon omo yin okunrin melo lo n ba yin gbe?Ati omo yin obinrin melo lo n ba yin gbe?SONS AT HOME…………………… [__|__]DAUGHTERS AT HOME…………. [__|__]Q204Do you have any sons or daughters to whom youhave given birth who are alive but do not live withyou?N je e ni omokunrin tabi omobinrin ti e bi, ti won si walaaye, sugbon ti won ko gbe pelu yin?YES……………………………..NO………………………………12 Q206Q205Q206Q207How many sons are alive but not living with you?And how many daughters are alive but not living withyou?Awon omo yin okunrin melo lo wa laaye ti won ko bayin gbe?Ati awon omo yin omobirin melo lo wa laaye, ti won koba yin gbe?Sometimes it happens that children die. It may bepainful to talk about and I am sorry to ask you aboutpainful memories, but it is important to get correctinformation. Have you ever given birth to a boy or agirl who was born alive but later died?IF NO, PROBE: Any baby who cried or showed signsof life but did not survive?Nigbamiran o ma nsele pe awon omo se alaisi, A sima je ohun ti o dun ni lati so nipa re, mo toro gafaralati mu iranti yi pada sugbon o se pataki ki ani akosileti o peye .Nje e ti bi omokunrin tabi omobinrin laaye risugbon ti o pada se alaisi.IF NO, PROBE: Omo Kankan ti ofi amin iwalaye hansugbon ti ko ye?How many boys have died?And how many girls have died?Awon omokunrin melo lo ti jalaisi?Ati awon omobinrin melo lo ti jalaisi?SONS ELSEWHERE………………. [__|__]DAUGHTERS ELSEWHERE……… [__|__]YES ............................................................ 1 1NO ……………………………….. 2 Q208BOYS DEAD………………. [__|__]GIRLS DEAD……………… [__|__]Q208SUM ANSWERS TO 203, 205, AND 207, ANDENTER TOTAL.TOTAL………………………[__|__]Page 5

Q209 CHECK 208:Just to make sure that I have this right: you have had in TOTAL _______ births during your life. Is thatcorrect?Lati rii daju pe mo gbo yin ye, e ti kunle abiyamo ni igba _______ titi doni, se eleyi je otito?YES NO PROBE AND CORRECT 201-208 as necessary.Q210Have you ever had a pregnancy that ended in amiscarriage or abortion? By miscarriage or abortion, Imean a pregnancy that ended early, either becauseyou did something or because it just ended by itself.YES………………………NO…………………………12 Q212N je eti loyun to wale funra re, tabi eyi ti a se? Ki oyunwale tabi ki a se oyun tumo sipe oyun na ko pe osumesan yala nipa pe ase nkankan si ki o le wale tabi peo kan wale funrara re.Q211When did the last such pregnancy end?MONTH..…………………..[__|__]DON’T KNOW MONTH…..98Igba wo ni iru oyun bee wale gbeyin?YEAR..……………..[__|__][__|__]Q212Have you ever had a pregnancy that ended in astillbirth? By still birth, I mean a baby that was born atfull term and did not show any sign of life.DON’T KNOW YEAR....9998YES…………………………………NO…………………………………..12 Q214Q213N je e ti ni oyun ti o yori si oku omo ri?oku omo tumo si omo ti a bi ti ko fi amin iwalaye han.When did the last such pregnancy end?Igba wo ni e se iru oyun be gbeyin?MONTH..…………………..[__|__]DON’T KNOW MONTH…..98YEAR..…………….. [__|__][__|__]Q214 CHECK Q208, Q210 AND Q212:DON’T KNOW YEAR..9998ONE OR MOREBIRTHS, ABORTIONS, MISCARRIAGES, OR STILLBIRTHSHAS HADNO BIRTHS,NO ABORTIONS,NO MISCARRIAGE, ANDNO STILLBIRTHSQ235Q215How old were you when you got pregnant for the very firsttime?RECORD EXACT AGE [___]___]Omo odun melo ni yin nigba ti e loyun fun igba akoko?Q216At the time you became pregnant the first time, did youwant to become pregnant then, did you want to wait untillater, or did you not want to have any children at all?Lasiko ti e loyun, n je e fe loyun nigba naa, tabi e fe duro diigba miran tabi e ko fe bimo miran mo rara?THEN……………………………….1LATER………………………… ….. 2NOT AT ALL………………………..3Q217BQ217BQ217Q217BHow much longer would you have liked to wait?Igba wo ni e ba fe duro da?IF RESPONSE IS A DECIMAL FOR MONTHS & YEARS(2.5YRS), THEN CONVERT IN MONTH AND FILL INONLY MONTHS.ANY LIVE BIRTHS (Q208=1 OR MOREBIRTHS)MONTHS……..1ORYEARS………...2OROTHER(SPECIFY)_______________996ORDON’T KNOW…998NO LIVE BIRTHS (Q208=0)Q235Page 6

BIRTH HISTORYNow I would like to record the names of all your births, whether still alive or not, starting with the first one you had.Bayi mo fe ko oruko gbogbo awon omo ti e ti bi ri sile , boya won si wa laaye tabi rara, bere lati omo ako bi yin.RECORD NAMES OF ALL THE LIVE BIRTHS in Q209 in Q218. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. IF THERE ARE MORE THAN 18 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE.STARTING WITH THE SECOND ROW.CIRCLE ALL CHILDREN BORN IN 2008 OR LATER.(Q217C)Line no.01020304(Q218)What name was given to your(first/next) baby?Oruko wo ni e fun (akobi/atele) omoyin?NAME:_____________________________NAME:__________________________NAME:_____________________________NAME:_____________________________(Q219)Were any ofthese birthstwins/triplets?Nje ikankanninu awonibimo yi jeibeji/ibeta?CIRCLESING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2(Q220)Is(NAME)a boy ora girl?Seokunrintabiobinrinni(ORUKO)?CIRCLEBOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2(Q221)In what month andyear was (NAME)born? PROBE:What is her/hisbirthday? (otherprobes: whatseason was it)Ninu osu ati odunwo ni a bi(ORUKO)?PROBE: Igba woni ojo ibi re?(OTHER PROBES:igba wo ni ninuodun)MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998(Q222)Is(NAME)stillalive?Se(ORUKO) si walaaye?YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225(Q223)IF ALIVE:How old was(NAME) at his/herlast birthday?Omo odun melo ni(ORUKO) nigba tio se ojo-ibi kehin?RECORD AGE INCOMPLETEDYEARS; IF LESSTHAN ONE YEAR,RECORD “00”.AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__](Q224)IF ALIVE:Is (NAME) livingwith you?Se (ORUKO)ngbe pelu yin?YES….1NEXT BIRTHNO……2Q226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226(Q225)IF DEAD:How old was (NAME) whenshe/he died?IF LESS THAN 2 YEARS,PROBE:How many months old was(NAME)?Omo odun melo ni (ORUKO)nigba ti o salaisi?IF 1 YR, PROBE:Omo osu melo ni (ORUKO)?IF LESS THAN 1 MONTHOLD, RECORD DAYS; IFLESS THAN 2 YEARS,RECORD MONTHSDAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998(Q226)Were there any otherlive births between(NAME OFPREVIOUS BIRTH)and (NAME),including any childrenwho died after birth?N je e bi abiye laarin(NAME OFPREVIOUS BIRTH)ati (ORUKO), eyi peluawon omo ti o kulehin ti e bi?YES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHPage 7

(Q217C)Line no.0506070809(Q218)What name was given to your(first/next) baby?Oruko wo ni e fun (akobi/atele) omoyin?NAME:_____________________________NAME:__________________________NAME:_____________________________NAME:_____________________________NAME:_____________________________(Q219)Were any ofthese birthstwins/triplets?Nje ikankanninu awonibimo yi jeibeji/ibeta?CIRCLESING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2(Q220)Is(NAME)a boy ora girl?Seokunrintabiobinrinni(ORUKO)?CIRCLEBOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2(Q221)In what month andyear was (NAME)born? PROBE:What is her/hisbirthday? (otherprobes: whatseason was it)Ninu osu ati odunwo ni a bi(ORUKO)?PROBE: Igba woni ojo ibi re?(OTHER PROBES:igba wo ni ninuodun)MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998(Q222)Is(NAME)stillalive?Se(ORUKO) si walaaye?YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225(Q223)IF ALIVE:How old was(NAME) at his/herlast birthday?Omo odun melo ni(ORUKO) nigba tio se ojo-ibi kehin?RECORD AGE INCOMPLETEDYEARS; IF LESSTHAN ONE YEAR,RECORD “00”.AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__](Q224)IF ALIVE:Is (NAME) livingwith you?Se (ORUKO)ngbe pelu yin?YES….1NEXT BIRTHNO……2Q226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226(Q225)IF DEAD:How old was (NAME) whenshe/he died?IF LESS THAN 2 YEARS,PROBE:How many months old was(NAME)?Omo odun melo ni (ORUKO)nigba ti o salaisi?IF 1 YR, PROBE:Omo osu melo ni (ORUKO)?IF LESS THAN 1 MONTHOLD, RECORD DAYS; IFLESS THAN 2 YEARS,RECORD MONTHSDAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998(Q226)Were there any otherlive births between(NAME OFPREVIOUS BIRTH)and (NAME),including any childrenwho died after birth?N je e bi abiye laarin(NAME OFPREVIOUS BIRTH)ati (ORUKO), eyi peluawon omo ti o kulehin ti e bi?YES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHPage 8

(Q217C)Line no.1011121314(Q218)What name was given to your(first/next) baby?Oruko wo ni e fun (akobi/atele) omoyin?NAME:_____________________________NAME:__________________________NAME:_____________________________NAME:_____________________________NAME:_____________________________(Q219)Were any ofthese birthstwins/triplets?Nje ikankanninu awonibimo yi jeibeji/ibeta?CIRCLESING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2(Q220)Is(NAME)a boy ora girl?Seokunrintabiobinrinni(ORUKO)?CIRCLEBOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2(Q221)In what month andyear was (NAME)born? PROBE:What is her/hisbirthday? (otherprobes: whatseason was it)Ninu osu ati odunwo ni a bi(ORUKO)?PROBE: Igba woni ojo ibi re?(OTHER PROBES:igba wo ni ninuodun)MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998(Q222)Is(NAME)stillalive?Se(ORUKO) si walaaye?YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225(Q223)IF ALIVE:How old was(NAME) at his/herlast birthday?Omo odun melo ni(ORUKO) nigba tio se ojo-ibi kehin?RECORD AGE INCOMPLETEDYEARS; IF LESSTHAN ONE YEAR,RECORD “00”.AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__](Q224)IF ALIVE:Is (NAME) livingwith you?Se (ORUKO)ngbe pelu yin?YES….1NEXT BIRTHNO……2Q226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226(Q225)IF DEAD:How old was (NAME) whenshe/he died?IF LESS THAN 2 YEARS,PROBE:How many months old was(NAME)?Omo odun melo ni (ORUKO)nigba ti o salaisi?IF 1 YR, PROBE:Omo osu melo ni (ORUKO)?IF LESS THAN 1 MONTHOLD, RECORD DAYS; IFLESS THAN 2 YEARS,RECORD MONTHSDAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998(Q226)Were there any otherlive births between(NAME OFPREVIOUS BIRTH)and (NAME),including any childrenwho died after birth?N je e bi abiye laarin(NAME OFPREVIOUS BIRTH)ati (ORUKO), eyi peluawon omo ti o kulehin ti e bi?YES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHPage 9

(Q217C)Lineno.15161718(Q218)What name was given to your(first/next) baby?Oruko wo ni e fun (akobi/atele) omoyin?NAME:_____________________________NAME:__________________________NAME:_____________________________NAME:_____________________________(Q219)Were any ofthese birthstwins/triplets?Nje ikankanninu awonibimo yi jeibeji/ibeta?CIRCLESING………1MULT……..2SING………1MULT……..2SING………1MULT……..2SING………1MULT……..2(Q220)Is(NAME)a boy ora girl?Seokunrintabiobinrinni(ORUKO)?CIRCLEBOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2BOY…1GIRL...2(Q221)In what month andyear was (NAME)born? PROBE:What is her/hisbirthday? (otherprobes: whatseason was it)Ninu osu ati odunwo ni a bi(ORUKO)?PROBE: Igba woni ojo ibi re?(OTHER PROBES:igba wo ni ninuodun)MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998MONTH [__|__]DK……..98YEAR[__|__][__|__]DK….9998(Q222)Is(NAME)stillalive?Se(ORUKO) si walaaye?YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225YES….1NO……2Q225(Q223)IF ALIVE:How old was(NAME) at his/herlast birthday?Omo odun melo ni(ORUKO) nigba tio se ojo-ibi kehin?RECORD AGE INCOMPLETEDYEARS; IF LESSTHAN ONE YEAR,RECORD “00”.AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__]AGE IN YEARS[__|__](Q224)IF ALIVE:Is (NAME) livingwith you?Se (ORUKO)ngbe pelu yin?YES….1NEXT BIRTHNO……2Q226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226YES….1NO……2ALL SKIP TOQ226(Q225)IF DEAD:How old was (NAME) whenshe/he died?IF LESS THAN 2 YEARS,PROBE:How many months old was(NAME)?Omo odun melo ni (ORUKO)nigba ti o salaisi?IF 1 YR, PROBE:Omo osu melo ni (ORUKO)?IF LESS THAN 1 MONTHOLD, RECORD DAYS; IFLESS THAN 2 YEARS,RECORD MONTHSDAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998DAYS…….1 [__|__]MONTHS…2 [__|__]YEARS…….3[__|__]DK………….998(Q226)Were there any otherlive births between(NAME OFPREVIOUS BIRTH)and (NAME),including any childrenwho died after birth?N je e bi abiye laarin(NAME OFPREVIOUS BIRTH)ati (ORUKO), eyi peluawon omo ti o ku lehinti e bi?YES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHYES...1ADD BIRTHNO….2NEXT BIRTHPage 10

Q227Q228Q229Have you had any live births since the birth of (NAME OF LASTBIRTH)?N je e ni abiye lehin ti e bi (NAME OF LAST BIRTH)?Before the birth of (NAME OF FIRST BIRTH), did you have anyother live births?Ki e to bi (NAME OF FIRST BIRTH), nje e ni abiye miran?YES………………………………NO………………………………..YES………………………………NO………………………………..COMPARE Q208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:NUMBERSNUMBERS AREARE SAME DIFFERENT (PROBE AND RECONCILE)1212RECORDBIRTH(S)IN BIRTHHISTORYTABLERECORDBIRTH(S)IN BIRTHHISTORYTABLECHECK: FOR EACH BIRTH: YEAR OF BIRTH IS RECORDED.FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED.FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED.Q230FOR AGE AT DEATH 12 MONTHS OR 1 YEAR: PROBE TO DETERMINE EXACTNUMBER OF MONTHS.CHECK Q221 AND ENTER THE NUMBER OF BIRTHS SINCE 2008. IF NONE, RECORD “0”.Q231 CHECK Q230:YES, HAS ONE OR MORE NO BIRTHS SINCE 2008BIRTHS SINCE 2008Q235Q232ENTER NAME AND LINE NUMBEROF YOUNGEST CHILD BORN FROM Q217C AND Q218: ______________________________NAMECHECK Q222;[___|___]LINE NUMBERDEADLIVINGQ233Q234Q235Q236Q237Q238At the time you became pregnant with [NAME ABOVE], did you wantto become pregnant then, did you want to wait until later, or did younot want to have any more children at all?Lasiko ti e loyun, n je e fe loyun nigba naa, tabi e fe duro di igba mirantabi e ko fe bimo miran mo rara?How much longer would you have liked to wait?Igba wo ni e ba fe duro da?IF RESPONSE IS A DECIMAL FOR YEARS (2.5YRS), THENCONVERT INTO MONTHS AND FILL IN ONLY MONTHS.Are you pregnant now?Nje e loyun bayi?How many months pregnant are you?Oyun yin ti di osu melo bayi?RECORD IN COMPLETE MONTHS OF PREGNANCYAt any time during this pregnancy, have you gone for an antenatalcheck up?Ni asiko ti e loyun yi, nje e lo fun ayewo aboyun?From where or whom did you obtain (A CHECK UP) last time?PROBE: What is the name of this place/person? And where isit/he/she located?Nibo ni e lo laipe yi fun eto ilera omode?PROBE: Kini oruko lbe? Nibo ni o wa?THEN……………………………LATER…………………………NOT AT ALL……………………123MONTHS………..1 [__|__]ORYEARS..………...2 [__|__]OROTHER(SPECIFY)__________________996ORDON’T KNOW……………………….998YES………………………………NO………………………………..UNSURE……………………… .MONTHS…………………..[__|__]DON’T KNOW…………….98YES………………………………1NO………………………………..2NAME OF FACILITY /PERSON128__________________________________________________________________Q235Q235Q243Q243Q241WRITE NAME OF PERSON ONLY IF PROVIDER WORKS AS ANINDIVIDUALSTREET NAME/ADDRESS______________________________________________LAND MARKDESCRIPTION_______________________Page 11

Q239What type of facility is this?Iru ile iwosan wo ni eyi?PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLETHE APPROPRIATE CODE.ASSIST THE RESPONDENT TO DETERMINE IF THE FACILITY IS AHOSPITAL, HEALTH CENTER OR CLINIC AND IF IT IS PUBLIC ORPRIVATE.PUBLIC SECTORGOVT. HOSPITAL……………………...WOMEN AND CHILDREN HOSPITALCHILD WELFARE CLINIC……………GOVT. HEALTH CENTRE…………….GOVT. HEALTH POST/DISPENSARYMATERNITY HOME……………………MOBILE CLINIC………………………..OTHER PUBLIC_________________(SPECIFY)PRIVATE SECTORPRIVATE HOSPITAL………………….PRIVATE CLINIC………………………PRIVATE DOCTOR’S OFFICE……….NURSING/MATERNITY HOME………PRIVATE PHARMACY………………...PMS/CHEMIST…………………..……..MOBILE CLINIC………………………..OTHER PRIVATE________________(SPECIFY)FBOMISSION HOSPITAL………………….FAITH-BASED HOME/HEALTHCENTRE……………………………..111213141516171821222324252628293132OTHEROTHER NGO HOSPITAL…………….OTHER NGO CLINIC…………………TRADITIONAL BIRTH ATTENDANT..COMMUNITY MIDWIFE………………COMMUNITY HEALTH WORKER…..HER HOME…………………………….OTHER HOME………………….……..41424344454647OTHER________________________96(SPECIFY)Q240Q241Q242Was this place you received your most recent antenatal visit in thiscity, in another city or town, or in a rural area?Nje ibi ti e ti gba itoju oyun yi wani ilu nla yi, ilu nla miran tabi ilumiran tabi ilu kekere?At the time you became pregnant, did you want to become pregnantthen, did you want to wait until later, or did you not want to have anymore children at all?Lasiko ti e loyun, n je e fe loyun nigba naa, tabi e fe duro di igba mirantabi e ko fe bimo miran mo rara?How much longer would you have liked to wait?Igba wo ni e ba fe duro da?IF RESPONSE IS A DECIMAL FOR MONTHS & YEARS (2.5YRS),THEN CONVERT IN MONTH AND FILL IN ONLY MONTHS.THIS CITY/TOWN…………………………ANOTHER CITY/TOWN…………….A RURAL AREA……………………..THEN……………………………LATER…………………………NOT AT ALL……………………MONTHS………..1 [__|__]ORYEARS..………...2 [__|__]OROTHER (SPECIFY)__________________996ORDON’T KNOW………………………………998123123Q243Q243Q243When did your last menstrual period start?Igba wo ni nnkan osu ti e se gbeyin bere?______________________________________(DATE, IF GIVEN)IF LESS THAN ONE DAY, CIRCLE “1” AND WRITE “00” DAYS AGO.DAYS AGO……………1 [__|__]WEEKS AGO…………2 [__|__]MONTHS AGO……… 3 [__|__]YEARS AGO………….4 [__|__]IN MENOPAUSE/HAS HADHYSTERECTOMY………….994BEFORE LAST BIRTH……....995NEVER MENSTRUATED……996CANT REMEMBER…………..998Q244From one menstrual period to the next, are there certain days when awoman is more likely to get pregnant if she has sex?N je awon ojo kan wa ninu osu ti obirin le loyun ti o ba ni ibalopo?YES………………………………1NO………………………………..2DON’T KNOW…………………..8Q246Q246Page 12

Q245Q246Q247Which days are these? Would you say that this time is just before herperiod begins, during her period, right after her period has ended, orhalfway between two periods?Se akoko yi wa ki nkan osu to bere ni, ni akoko nkan osu, ni kete tinkan osu pari tabi laarin awon nkan osu kan si ekeji?SINGLE MENTIONDo you think that a woman who is breastfeeding her baby can becomepregnant?Nje e lero wipe obinrin ti o n fun omo loyan le loyun?What are the criteria in which breastfeeding is effective as a birthspacing or child spacing method?Kini awon ohun amuye ti o mu ifomo loyan mu na doko gege bi onaifeto-somo bibi/fi faye si ibimo/fi faye si omo bibi?Anything else?Nje a ri oun miran?MARK ALL THAT APPLY.JUST BEFORE HER PERIODBEGINS…………………….....DURING HER PERIOD.………...RIGHT AFTER IT ENDS..………HALFWAY BETWEEN TWOPERIODS…………………..….OTHER___________________(SPECIFY)DON’T KNOW…………………...YES . . . . . . . . . . . . . . . . . . . . ..NO . . . . . . . . . . . . . .. . . . . . . . .DEPENDS…………………..……DON’T KNOW . . . . . . . . . . . . .EXCLUSIVE BREASTFEEDING(NO SUPPLEMENTS)…………EXCLUSIVE BREASTFEEDINGFOR UP TO 6 MONTHS………MENSTRUAL PERIOD HASN’TRETURNED…………..……….OTHERS ___________________(SPECIFY)NO CRITERIA/NOT A METHODDON’T KNOW……………………..1234681238 Q301ABCXYZPage 13

SECTION 3: CONTRACEPTIONCHECK FOR PRESENCE OF OTHERS. BEFORE CONTINUING, MAKE EVERY EFFORT TO ENSURE PRIVACY.Now I would like to talk about family planning, the various ways or methods that a couple/ partners can use to delay or avoid a pregnancy.Ni bayi, mo fe soro ni pa ifeto somo bibi orisirisi ona tabi ara ti toko-taya le gba lati lora ati loyun tabi dena iloyun.INSTRUCTIONS: CIRCLE ‘1’ FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN READING THENAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY. CIRCLE ‘2’ FOR EACH METHOD RECOGNIZEDUPON LISTENING TO DESCRIPTION. CIRCLE ‘3’ FOR EACH METHOD NOT MENTIONED NOR RECOGNIZED.Q301. Which ways or methods have you heard of?Awon ona tabi ara wo ni e ti gbo ri?PROBE: HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT WOMEN OR MEN CAN USE TOAVOID PREGNANCY?FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK:Have you ever heard of (METHOD)?Nje e ti gbo nipa (METHOD)?01 FEMALE STERILIZATION/ TUBAL LIGATIONWomen can have a simple operation to avoid havingany more childrenObirin le se ise abe lati dena omo bibi sii?Yes,MentionedSpontaneouslyYes,WhenProbedNo1 2 3 NextMethodQ302. Have you everused (METHOD)?Nje eti lo (METHOD)rii?Have you ever had anoperation to avoidhaving any morechildren?Nje e se ise abe latidena omobibi sii ri?02 MALE STERILIZATION/VASECTOMY Men can havea simple operation to avoid having any more children.Okunrin le se ise abe lati dena omo bibi sii?03 DAILY PILL Women can take a pill every day to avoidbecoming pregnant.Obinrin le maa lo egbogi onihoro lojoojumo ki o fi denaoyun.04 IUCD Women can have a loop or coil placed insidethem by a health provider.Obinrin le gba pe ki Dokita tabi Noosi fi koili soju araoun.05 INJECTABLES OR INJECTIONS Women can have aninjection by a health provider that stops them frombecoming pregnant for one or more months.1 2 3 NextMethod1 2 3 NextMethod1 2 3 NextMethod1 2 3 NextMethodYES……………….NO…………………Has your partner everhad an operation toavoid having any morechildren?12Nje alabalopo yin ti seise abelati dena omo bibi sii ri?YES…………………..1NO……………………2YES……………….NO…………………YES……………….NO…………………YES……………….NO…………………121212Obinrin le gba abere lodo awon onise isegun lati denaoyun nini fun osu kan tabi ju bee lo.06 IMPLANTS/IMPLANON/JADELLE Women can have asmall rod placed in their upper arm by a healthprovider, which can prevent pregnancy for one to threeyears.1 2 3 NextMethodYES……………….NO…………………12Dokita tabi Noosi le fi awon ohun ose kekeke sibiigunpa obinrin lati dena oyun fun odun kan tabi ju beeloo.Page 14

Q301. Which ways or methods have you heard of?Awon ona tabi ara wo ni e ti gbo ri?Q302. Have you ever used(METHOD)?Nje eti lo (METHOD) rii?FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK:Have you ever heard of (METHOD)?Yes,MentionedSpontaneouslyYes,WhenProbedNo07 MALE CONDOM Men can put a rubber sheath ontheir penis before sexual intercourse.Okunrin le fi roba idaabobo soju ara ki o to ba obinrinlo po.08 FEMALE CONDOM: Women can place a sheath intheir vagina before sexual intercourse.Obinrin le fi roba idaabobo soju ara ki o to ba okunrinlopo.09 RHYTHM METHOD/STANDARD DAYS METHOD/SAFE DAYS/ CYCLE BEADS: Every month that awoman is sexually active she can avoid pregnancy bynot having sexual intercourse on the days of the monthshe is most likely to get pregnant.1 2 3 NextMethod1 2 3 NextMethod1 2 3 NextMethodYES……………….NO…………………YES……………….NO…………………YES……………….NO…………………121212Obinrin le ma loyun bi ko ba sunmo okunrin ni awonojo kan ninu osu ti o je wi pe o seese ki o loyun.10 WITHDRAWAL Men can be careful and pull out beforeclimax.Okunrin le sera, ki o tete yora lasiko ibalopo peluobinrin, ki nkan omokunrin re to da11 EMERGENCY CONTRACEPTION/MORNING AFTERPILL/ POSTINOR 2 Women can take pills up to fivedays after sexual intercourse to avoid becomingpregnant1 2 3 NextMethod1 2 3 NextMethodYES……………….NO…………………YES……………….NO…………………1212Obinrin le lo egboogi laarin ojo meta lehin ibalopo peluokunrin lati dena oyun.12 LACTATIONAL AMENORRHEA (LAM) Up to six (6)months after childbirth, a woman can use a methodthat requires that she feeds the baby with onlybreastmilk (no other formula, water or other food) andthat her menstrual period has not returned.1 2 3 NextMethodYES……………….NO…………………12Laarin osu mefa ti obinrin ti bimo, o le lo ilana eyi ti onilo pe ki o ma fun omo loyan leralera losan ati loru, niwon gba ti nnkan osu re ko i ti pada.13 SPERMICIDE Women can place a suppository, jelly,or cream in their vagina before intercourse.Obinrin le fi awon ohun ipara kan soju ara ki o to baokunrin lopo.14 DIAPHRAGM Women can place a thin flexible disk intheir vagina before intercourse.Obinrin le fi ate pelebe kan soju ara ki o to ba okunrinlopo.15 Have you heard of any other ways or methods thatwomen or men can use to avoid pregnancy?16Nje e ti gbo nipa awon ilana tabi ona ara miran tiobinrin tabi okunrin le gba lati dena oyun nini?NOTE: IF RESPONDENT MENTIONS ABSTINENCEAS A METHOD OF FP, DO NOT RECORD AS AMETHOD. PROBE FOR ANY OTHER METHODKNOWN.1 21 2YES__________________(SPECIFY)NO………………………...…YES__________________(SPECIFY)NO………………………...…13133 NextMethod3 NextMethodYES……………….NO…………………YES……………….NO…………………YES……………….NO…………………YES……………….NO…………………12121212Page 15

Now I would like to talk about family planning/birth spacing/child spacing, the various ways or methods that a couple can use to delay or avoid apregnancy.Ni bayi, mo fe soro ni pa ifeto somo bibi/fifi aye si ibimo/fifi aye si omo bibi – orisirisi ona tabi ara ti toko-taya le gba lati lora lati loyun tabi deiloyun.Q303CHECK 301 (KNOWLEDGE OF ANY CONTRACEPTIVE METHOD).IF 301=YES FOR ANY METHODIF 301=NO FOR ALL METHODQ401Q304In the past year, from whom or where have you seen orheard about family planning/birth spacing?Ni odun to koja, lodo tani tabi nibo ni e ti ri tabi gbo,nipaawon ohun ti dena oyun ati ifeto somo bibi.CIRCLE ALL RESPONSES MENTIONED.PROBE: ANY OTHER?MEDIA SOURCESRADIO……………………………………….TV …………………………………………..NEWSPAPERS…………………………….MAGAZINES……………………………….BILLBOARDS……………………………..WALL PAINTING…………………………MOBILE PHONE/SMS………………….INTERNET………………………………..CINEMA…………………………………..LIVE DRAMA/PUPPET SHOW…………...POSTER……………………………………LEAFLET/BROCHURE……………………AAABACADAEAFAGAHAIAJAKALPUBLIC SECTORGOVERNMENT HOSPITAL ………… . . . .WOMEN AND CHILDREN HOSPITAL/CHILD WELFARE CLINIC……………GOVT. HEALTH CENTER . . . . . . ………..GOVERNMENT POST/DISPENSARY……OTHER PUBLIC____________________(SPECIFY)BABBBCBDBEPRIVATE/FBO/NGO SECTORFAITH-BASED, CHURCH, MISSIONHOSPITAL/CLINIC.....................................PRIVATE HOSPITAL/CLINIC....................NURSING/MATERNITY HOME……………TRADITIONAL BIRTH ATTENDANT…….COMMUNITY MIDWIFE……………………COMMUNITY HEALTH WORKER ………..TRADITIONAL HEALER……………………PHARMACY………………………………….PMS/CHEMIST…………………….……….CACBCCCDCECFCGCHCIOTHER SOURCEWORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………VCT……..………………….………....BAR……………………………………KIOSK/SHOP/MARKET……………DADBDCDDDEDFINTERPERSONAL SOURCESTEACHER……………………………………PARENTS……………………………………PARENTS-IN-LAW…………………………..SPOUSE/PARTNER………………………...SISTER/BROTHER…………………………SISTER-IN-LAW/BROTHER-IN- LAW……FRIENDS//NEIGHBOURS………………….GRANDPARENTS………………………….PEER EDUCATOR…………………………WOMEN’S GROUP………………………..EAEBECEDEEEFEGEHEIEJOTHER (SPECIFY)__________________XXHAS NOT SEEN OR HEARD IN THE LASTYEAR……………………………………………DON’T KNOW WHERE HEARD……………...YYZZPage 16

Q305Q306Have you ever recommended any family planningmethods to your friends and/or relatives?Nje e ti fi okan ninu awon liana ifeto somo bibi lo oreati/tabi ebi yin?Which methods have you recommended?Awon ilana wo ni e figbani ni yanju?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” ORTHE “EMERGENCY PILL”YES…………………………..…………………..NO………………………………………..……….FEMALE STERILIZATION………………..MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)………BREASTFEEDING/LAM . . . . . …..…….OTHER _______________________12 NQ4ABCDEFGHIJKLMXNQ4Would you accept the emergency contraception pillfrom a Community Health Worker?Nje e ma gba awon horo ti o ndena oyun lojiji lowoosise ilera agbegbe?YES……………………………………………….NO…………………………………………………DON’T KNOW (EC)…….……………………..128NQ5Would you accept receiving an injectable (Depo) from aCommunity Health Worker?Nje e le gba abere ti o ndena oyun lodo Osise ileraagbegbe?YES……………………………………………….NO…………………………………………………DON’T KNOW (INJECTABLE)……….………..128Q307 CHECK 302:AT LEAST ONE "YES"(EVER USED)NOT A SINGLE “YES”(NEVER USED)Q346Q308Now I would like to ask you about the first time that youdid something or used a method to avoid gettingpregnant.How many living children did you have at that time, ifany?How many boys?And how many girls?Nibayi mo fe beere nipa igba akoko ti e lo ara Kankanlati dena atiloyun ,Omo melo ni e ti bi lasiko yi, ti e ba ni?Okunrin melo?Obinrin melo?IF NONE, RECORD '00'.NUMBER OF CHILDREN . . . . .NUMBER OF BOYSNUMBER OF GIRLSPage 17

Q309CHECK Q235 CURRENTLY PREGNANTNOT CURRENTLYPREGNANT (Q235=2 OR =8)CURRENTLY PREGNANT (Q235=1)Q336Q310Are you (or your partner) currently doing something orusing any method to delay or avoid getting pregnant?Nje eyin (tabi oko/onibalopo yin) nse nkankan lowolowo, tabi nlo ona ifeto somo bibi kan kan lati dadurotabi dena oyun?IF RESPONDENT OR RESPONDENT’S PARTNERHAS EVER BEEN STERILIZED, CIRCLE “YES”(CODE=1)YES………………………………..……..………NO……………………………………….……….SAYS SHE CAN’T GET PREGNANT…………123Q336Q336Q311Which method(s) are you (or your partner) currently using?Iru ona wo ni eyin (tabi oko/onibalopo yin) n lo lowolowo?MULTIPLE METHODS – CIRCLE ALL MENTIONEDIF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”IF RESPONDENT OR SPOUSE IS EVER STERILIZEDTHEN RECORD UNDER MALE OR FEMALESTERLIZATIONFEMALE STERILIZATION………………..MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….ABCDEFGHIJKLMQ312 CHECK Q311:IF MULTIPLE METHODS MENTIONED ABOVE, CIRCLETHE HIGHEST METHOD ON THE LIST AND PROCEEDWITH QUESTIONS REGARDING THIS METHOD.IF ONLY ONE METHOD IS CIRCLED ABOVE, CIRCLETHE SAME METHOD AGAIN HERE.OTHER ________________________(SPECIFY))FEMALE STERILIZATION………………..MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….OTHER ________________________(SPECIFY)X0102030405060708091011121396Page 18

Q313Why are you using this method (CIRCLED IN Q312)?MULTIPLE RESPONSES POSSIBLE.PROBE: Is there any other reason you are using thismethod?Kini idi re ti e fi n lo ona ara yi (CIRCLED IN Q312)?MULTIPLE RESPONSES POSSIBLE.PROBE:Nje idi miran wa ti e fi n lo ona ara yi?EFFECTIVE/DON’T WANT TO GETPREGNANT……………………………..…..SAFE/FEW OR NO SIDE EFFECTS……..DON’T WANT TO GET INFECTEDWITH 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 EVERYDAY……………………………………..…..YOU LIKE THAT YOU DON’T HAVE TOTAKE 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…..ABCDEFGHIJKLMNOPQOTHER _________________________(SPECIFY)XQ314Who decided which type of family planning/ birthspacing/child spacing method to use? Is it mainly yourdecision, mainly your partner's decision, or did you bothdecide together?MAINLY YOU..………..…………………MAINLY PARTNER………..………….…JOINTLY…………………….…………….123Q315Q316Q317Q318Se lilo liana ifeto somo bibi/fifaye si ibimo/fifaye si omo bibije ipinu ti ara yin, ipinu ti oko/ alabagbepo yin, tabi ipinueyin mejeji lapapo ?Were you ever told by a health or family planning workerabout side effects or problems you might have using thisfamily planning method [CIRCLED IN Q312]?Nje osise eleto ilera tabi ti ifeto-somo bibi ba yin soro nipaalebu ati awon isoro ti e le ri pelu ilana ifeto somo bibi[CIRCLED IN Q312]?Were you told by a health or family planning worker whatto do if you experienced side effects or problems with thismethod [CIRCLED IN Q312]?Nje eleto ilera tabi osise ibi eto ifeto somo bibi so ohun ti ele se bi e ba sakiyesi alebu tabi isoro?Were you ever told by a health or family planning workerabout other methods of family planning (beside the oneyou are currently using)?Nje osise eleto ilera tabi ti ifeto-somo bibi kan,so fun yin rinipa awon ona ara ifeto somo bibi miran ti e tun le lo yatosi eleyi ti e n lo bayi?In what month and year did you start using [CURRENTMETHOD CIRCLED IN Q312] continuously?OTHER_________________________(SPECIFY)YES . . . . . . . . . . . . . . ………… . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . ………….DON’T KNOW . . . . . . . . . . . . . ………….YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .DON’T KNOW/CAN’T REMEMBER . . . .YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .DON’T KNOW . . . . . . . . . . . . . .MONTH..…………………..[__|__]6128128128Q317Q317Inu osu ati odun wo ni e bere sii lo [CURRENT METHODCIRCLED IN Q312] lai dawo duro?DON’T KNOW MONTH…..98YEAR..……………..[__|__][__|__]DON’T KNOW YEAR....9998Page 19

NQ6How many living children did you have when you beganusing [CURRENT METHOD CIRCLED IN Q312] if any?How many sons?How many daughters?Awon omo melo ni e ni nigba ti e bere si lo [CURRENTMETHOD CIRCLED IN Q312] ti o ba si?Okunrin meloObinrin meloNUMBER OF CHILDREN…………..[__|__]SONS ………………………………. .[__|__]DAUGHTERS ……………………… [__|__]IF NONE, RECORD 00.Q319 CHECK Q312:IF CIRCLED IMPLANT “03”, IUCD “04”,INJECTABLE “05”, DAILY PILL “06”,DIAPHRAGM “07, EMERGENCY PILL “08”,MALE CONDOM “09”, FEMALECONDOM “10”, SPERMICIDE “11”,OR OTHER PRODUCT “96”IF CIRCLED FEMALE STERILIZATION “01”IF CIRCLED MALE STERILIZATION “02”,NATURAL METHODS “12”, LAM “13”,OR OTHER NATURAL METHOD“96” (POSTPARTUM ABSTINENCE, ETC)Q330Q334Q320From where or whom did you obtain [CURRENTMETHOD] last time? PROBE: What is the name of thisplace/person? And where is it located?Nibo ni tabi owo eni ti e ti gba [CURRENT METHOD]kehin?PROBE: Kini oruko ibe/eniyen? Nibo nii be wa?FOR ADDRESS, GET LGA AND STATE.NAME OF FACILITY /PERSON_____________________________________________________________STREET NAME/ADDRESS________________________________________________________________LAND MARKDESCRIPTION_______________________________Q321What type of place/person is this?Iru ibo ni ibe/tani eni na?SINGLE MENTION.PUBLIC SECTORGOVERNMENT HOSPITAL………...WOMEN AND CHILDREN’SHOSPITAL…………………………..GOVT. HEALTH CENTER………….CHILD WELFARE CLINIC…………..GOVERNMENTPOST/DISPENSARY………………..OTHER PUBLIC________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL/CLINIC...........NURSING/MATERNITY HOME……CHW/TBA……………………………..TRADITIONAL HEALER……………PHARMACY…………………………PMS/CHEMIST…………………..….OTHER PRIVATE______________(SPECIFY)21222324252627FAITH-BASED SECTORMISSION HOSPITAL……………......FAITH-BASED, CHURCH CLINIC…3132OTHER SOURCEOTHER NGO HOSPITAL/CLINIC….WORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………VENDING MACHINE/DISPENSER..VCT…….………………….………....BAR……………………………………KIOSK/SHOP/MARKET……………OTHER ______________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .41424344454647489698Page 20

Q322Q323Have you or your partner faced any challenges in obtainingthis [CURRENT METHOD]?Nje eyin tabi alabalopo yin ni idiwo ninu gbigba[CURRENT METHOD] yi?What are some of the challenges you have faced inobtaining this [CURRENT METHOD]?Kini awon idojuko ti e ti ri nipa gbigba [CURRENTMETHOD] yi?MULTIPLE RESPONSE – CIRCLE ALL MENTIONEDQ324 CHECK Q312:Q325IF CIRCLED DAILY PILL “06”FOR DAILY PILL USERS ONLY: Which brand of pills didyou buy/get the last time?Iru oogun onihoro ifeto somo bibi wo ni e ra/gba kehinVERIFY BY ASKING TO SEE THE PACKAGE OF PILLSYES………………………………………NO…………………………………………DON’T KNOW, PARTNEROBTAINS METHOD…………………….FEAR OF PARTNER KNOWING; HEOPPOSES USE………………………….FEAR OF OTHER RELATIVESKNOWING, AS THEY OPPOSE USE…..UNABLE TO LEAVE HOUSEWORK/WORK………………………………………LACK OF CHILDCARE ……………….....HIGH COST OF TRANSPORTATION TOFACILITY…..……………………………….FACILITY OFTEN CLOSED………………HIGH COST OF SERVICE ………………LONG WAITING TIMES AT FACILITY …PERIODIC STOCK-OUTS AT FACILITY..PROVIDERS OFTEN AWAY…………….UNFRIENDLY STAFF AT FACILITY …….OTHER __________________________(SPECIFY)IF CIRCLED MALE CONDOM “09”IF CIRCLED IMPLANT “03”, IUCD “04”,INJECTABLE “05”, DIAPHRAGM “07”,EMERGENCY PILL “08”, FEMALE CONDOM “10”,SPERMICIDE “11”, OR OTHER PRODUCT “96”CONFIDENCE………………………………LOFEMINAL……………..………………….NORIDAY……………………………………MICROGYNON……………………………..DUOFEM………………………….……….NEGYNON…………………………………..128ABCDEFGHIJKX010203040506Q324Q324Q327Q328OTHER _________________________[SPECIFY]DON’T KNOW………………………………9698Q326Q327Q328FOR DAILY PILL USERS ONLY: How many (pill cycles)did you buy/get the last time?Iye (tabuleti) melo ni e ra/gba kehinFOR CONDOM USERS ONLY: How many condompieces did you buy/get the last time?Roba idabobo melo ni e ra/gba kehin?Example RESPONDENT BOUGHT ONE 3-PACK,WRITE “3”What price did you pay for this current method [CIRCLEDIN Q312]?Eelo ni e san/gba kehin?NUMBER OF PILLCYCLESDON’T KNOW…………….98NUMBER OFCONDOM PIECESDON’T KNOW…………….998AMOUNT(in NAIRA)FREE………………………………..…….0000DON’T KNOW…………………………….9998ALLskip toQ328Q334Q334Q329Do you think this price was cheap, fair, or expensive?Nje e lero wipe owo yi po, se deede, tabi o won ?CHEAP………………………….............FAIR……………………………………..EXPENSIVE………………………………123ALLSKIP TOQ334Page 21

Q330FOR A WOMAN WHO HAS BEEN STERILIZED,a) In what month and year was the sterilizationperformed?Osu wo ati odun wo ni e se ise abe lati dena omobibi?b) How many children did you have at that time?Number of sons? Number of daughters?Omo melo ni e ni nigba na?Iye omokunrin?Iye omobinrin?MONTH………………………….[__|__]DON’T KNOW MONTH………..98YEAR…………………….[__|__][__|__]DON’T KNOW YEAR…………..9998NUMBER OF CHILDREN………………..[__|__]SONS …………………………………….. [__|__]DAUGHTERS ………… …………………[__|__]Q331Where was the sterilization done?Ibo ni ati se ise abe yi?What type of facility was this?Iru ile iwosan wo ni eyi?PUBLIC SECTORGOVERNMENT HOSPITAL………...WOMEN AND CHILDREN’SHOSPITAL…………………………..GOVT. HEALTH CENTER………….GOVERNMENTPOST/DISPENSARY………………..OTHER PUBLIC________________(SPECIFY)1112131516PRIVATE SECTORPRIVATE HOSPITAL………………..PRIVATE CLINIC.............................NURSING/MATERNITY HOME……OTHER PRIVATE______________(SPECIFY)21222324FAITH-BASED SECTORMISSION HOSPITAL……………......FAITH-BASED, CHURCH CLINIC…3132OTHER SOURCEOTHER NGO HOSPITAL……………OTHER NGO CLINIC………………..WORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………4142434445OTHER ______________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .9698Q332What price did you pay for the sterilization procedure?Eelo ni e san fun ise abe yi?AMOUNT(in Naira)FREE…………………….00000DON’T KNOW…………..99998Q334Q334Q333Do you think this price was cheap, fair, or expensive?Nje e ro wipe iye yip o, se deede, tabi o won?CHEAP……………………….............FAIR……………………………………..EXPENSIVE……………………………123Q334Before you started using [CURRENT METHOD] did you(or your partner) use a different method?Ki e to bere si lo [CURRENT METHOD] nje eyin (tabialabalopo yin) lo ona miranYES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .12 Q353Page 22

Q335Which method were you using before the [CURRENTMETHOD]?Iru ona wo ni e n lo ki e to bere sii lo [CURRENTMETHOD] ?IF MULTIPLE METHODS MENTIONED, CIRCLE THEHIGHEST METHOD ON THE LIST AND PROCEED WITHQUESTIONS REGARDING THIS METHOD.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….020304050607080910111213OTHER ________________________(SPECIFY)96DON’T KNOW/CAN’T REMEMBER…..98NQ7How many living children did you have when you beganusing [PREVIOUS METHOD], if any?IF NONE, RECORD 00.How many sons?How many daughters?NUMBER OF CHILDREN……….. [__|__]SONS ……………………………. [__|__]Omo melo ni e ni nigba ti e bere si n lo [PREVIOUSMETHOD] ti o ba wa?Iye omokunrin?Iye omobinrin?DAUGHTERS …………………… [__|__]NQ8How long did you use the [PREVIOUS METHOD] for?[PREVIOUS METHOD]Bawo ni e se lo [PREVIOUS METHOD] pe toIF RESPONSE IS A DECIMAL FOR MONTHS & YEARS(2.5YRS), THEN CONVERT IN MONTH AND FILL INONLY MONTHS1 [__|__] DAYSOR2 [__|__] WEEKSOR3 [__|__] MONTHSOR4 [__|__] YEARSUNSURE/CAN’T REMEMBER……998Q336Now I would like to ask you about the last time that you didsomething or used a method to avoid getting pregnant.How many living children did you have at the time youstarted using, if any?How many sons?How many daughters?NUMBER OF CHILDREN……… [__|__]Nibayi mo fe beere nipa ti e lo ara Kankan lati denaatiloyun kehin ,omo melo ni e ti bi lasiko yi, ti e ba ni?Okunrin melo?Obinrin melo?IF NONE, RECORD 00.SONS ………………………….DAUGHTERS ………………[__|__][__|__]Page 23

NQ9Why did you switch from [PREVIOUS METHODMENTIONED IN Q335] to [CURRENT METHODMENTIONED IN Q312]?Kini idi re ti e ko fi lo [PREVIOUS METHOD MENTIONEDIN Q335]MULTIPLE RESPONSE – CIRCLE ALL MENTIONED.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 AVAILABLEGAINED WEIGHT……………………..LOST WEIGHT…………………………….COSTS TOO MUCH………………………DID NOT LIKE METHOD…………………LACK OF PRIVACY………………………HEALTH PROVIDER RECOMMENDED.FAMILY/FRIENDS RECOMMENDED….SPOUSE/PARTNER DID NOTAPPROVE…………………………………MENOPAUSE/HYSTERECTOMY……….METHOD NOT AVAILABLE………………OTHER___________________________(SPECIFY)ABCDEFGHIJKLMNOPQRSTUVXALL SKIPTO Q353Q337What method(s) did you use (the last time youused)?Kini e lo (nigba ti e lo nkan lati dena oyun kehin)CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHERTO ESTABLISH IF THEY MEAN THE “DAILY PILL”OR THE “EMERGENCY PILL”MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….BCDEFGHIJKLMOTHER ________________________(SPECIFY)XQ338 CHECK Q337:IF MULTIPLE METHODS MENTIONED ABOVE,CIRCLE THE HIGHEST METHOD ON THE LISTAND PROCEED WITH QUESTIONS REGARDINGTHIS METHODIF ONLY ONE METHOD IS CIRCLED ABOVE,CIRCLE THE SAME METHOD AGAIN HERE.MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….OTHER ________________________(SPECIFY)02030405060708091011121396Page 24

Q343Q344Who did you speak to?Awon wo ni e ba soro?CIRCLE ALL MENTIONED.Did you seek help for your problems at any healthfacility or from any health care worker?Nje e lo fun itoju fun awon isoro yin ni ile ise ilerakankan bi tabi lati odo osise ilera?TBA . . . . . . . . . . . . . ……………………….TRADITIONAL HEALER/ HERBALIST……COMMUNITY HEALTH WORKER ………..NURSE/MIDWIFE …………………………..CLINICAL OFFICER…………………………DOCTOR ……………………………………..PHARMACIST………………………………..FRIEND……………………………………….PARTNER/HUSBAND……………………….MOTHER……………………………………...MOTHER-IN-LAW……………………………SISTER………………………………………..SISTER-IN-LAW……………………………..OTHER RELATIVES………………………...PEER EDUCATOR…………………………..OTHER ___________________________(SPECIFY)YES . . . . . . . . . . . . . . . . . . . . . . …………..NO . . . . . . . . . . . . . . . . . . . . . . . …………..DON’T KNOW . . . . . . . . . . . . . . …………..ABCDEFGHIJKLMNOX128Q346Q346Q345Where did you go or from whom did you seek help?Iru ibo ni e lo tabi lati odo e ni wo ni e lo fun itoju?CIRCLE ALL MENTIONED.PUBLIC SECTORGOVERNMENT HOSPITAL………...WOMEN AND CHILDREN’SHOSPITAL…………………………..GOVT. HEALTH CENTER………….CHILD WELFARE CLINIC…………..GOVERNMENTPOST/DISPENSARY………………..OTHER PUBLIC________________(SPECIFY)ABCDEFPRIVATE SECTORPRIVATE HOSPITAL/CLINIC...........NURSING/MATERNITY HOME……CHW/TBA……………………………..TRADITIONAL HEALER……………PHARMACY…………………………PMS/CHEMIST…………………..….OTHER PRIVATE______________(SPECIFY)EFGHIJKFAITH-BASED SECTORMISSION HOSPITAL……………......FAITH-BASED, CHURCH CLINIC…LMOTHER SOURCEOTHER NGO HOSPITAL/CLINIC….WORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………VCT…….………………….………....OTHER ______________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .NOPQRXZPage 26

Q346What are the main reasons why you are notcurrently using a method of family planning/ birthspacing/child spacing to delay or avoid pregnancy?CIRCLE ALL MENTIONED.PROBE: Any other?Kini idi pataki ti e ko fi nlo okan kan ninu ona ara ifetosomo bibi/fifaye si ibimo/fifaye si omo bibi lati dadurotabi dena oyun bayi?PROBE: Se omiran wa?RECORD THE ANSWERS IN ORDER OFRESPONSE BY WRITING THE LETTER CODE(S)OF THE REASON(S) IN THE BOX(ES) ON THERIGHT. WRITE “Z” IF THE RESPONDENT DOESNOT KNOW A 1 ST , 2 ND , OR 3 RD REASON.NOTE YOU CAN HAVE MORE THAN THREERESPONSES, CIRCLE ALL ANSWERS PROVIDEDAND RANK THE FIRST THREEFERTILITY RELATED REASONS:A. INFREQUENT SEX/NO SEXB. AWAY FROM SPOUSEC. ALREADY PREGNANTD. BREASTFEEDINGE. WANTS MORE CHILDREN/TRYING TO GETPREGNANTF. MENOPAUSAL/HYSTERECTOMY Q353G. CAN’T HAVE (MORE) CHILDREN Q353OPPOSITION TO USE:H. RESPONDENT OPPOSESI. PARTNER OPPOSESJ. OTHERS OPPOSEK. RELIGIOUS PROHIBITIONLACK OF KNOWLEDGE:L. DOESN’T KNOW WHICH METHOD TO USEM. DON’T KNOW HOW TO USE METHODN. KNOWS NO SOURCEMETHOD-RELATED REASONS:O. HEALTH CONCERNSP. FEAR OF SIDE EFFECTSQ. LACK OF ACCESS/TOO FARR. COSTS TOO MUCHS. INCONVENIENT TO USET. DON’T LIKE EXISTING METHODSU. BAD EXPERIENCE WITH EXISTINGMETHODS1 ST MENTION2 ND MENTION3 RD MENTIONFATALISTIC:V. UP TO GODOTHER:W. OTHER ____________________________X. OTHER ____________________________Y. OTHER ____________________________Q347Q348Q349Do you or your partner intend to use a method todelay or avoid pregnancy within the next twelve (12)months?Nje e ro wipe eyin tabi alabalopo yin, yio lo ona arakan lati daduro tabi dena oyun laarin osu mejila siasiko yi?What method would you prefer MOST to use, if youdo use a method in the future?Iru ara wo ni e faramo lati lo, ti e ba fe lo ara kan niojo iwaju?SINGLE MENTIONDo you know of a place where or person from whomyou can obtain this method?Nje e mo ibi ti tabi odo eni ti e ti le gba ona yi?Z. DON'T KNOWYES . . . . . . . . . . . . . . . . . . . . . . ………..NO . . . . . . . . . . . . . . . . . . . . . . . ………..DON’T KNOW . . . . . . . . . . . . . . ………..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 . . . . . …..…….DIAPHRAGM……………………………..OTHER ________________________(SPECIFY)YES………………………………….NO………………………………….1280102030405060708091011121396Q353Q353Q353Q35312 Q351Page 27

Q350Which is this place or person where/from whom youthink you can obtain or purchase this method?Nibo tabi latido e ni wo leti le gba tabi ra ona yi?SINGLE RESPONSE.PUBLIC SECTORGOVERNMENT HOSPITAL………...WOMEN AND CHILDREN’SHOSPITAL…………………………..GOVT. HEALTH CENTER………….CHILD WELFARE CLINIC…………..GOVERNMENTPOST/DISPENSARY………………..OTHER PUBLIC________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL/CLINIC...........NURSING/MATERNITY HOME……CHW/TBA……………………………..TRADITIONAL HEALER……………PHARMACY…………………………PMS/CHEMIST…………………..….OTHER PRIVATE______________(SPECIFY)21222324252627FAITH-BASED SECTORMISSION HOSPITAL……………......FAITH-BASED, CHURCH CLINIC…3132OTHER SOURCEOTHER NGO HOSPITAL/CLINIC….WORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………VENDING MACHINE/DISPENSER..VCT…….………………….………....BAR……………………………………KIOSK/SHOP/MARKET……………OTHER ______________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .41424344454647489698Q351Would you be willing to pay for this method?Se e maa ni ife si lati san woo fun ona yi?YES . . . . . . . . . . . . . . . ……………………NO . . . . . . . . . . . . . . . ……………………..DON’T KNOW…………………….. ….……128Q353Q353Q352How much are you willing to pay?Eelo ni e le sanAMOUNT(in Naira)Q353Now I would like to ask you a few questions relatedto what you know and think about hormonal methodslike pills and injectables. What are the most commonside effects of these methods?Probe: Any other?Nibayi mofe beere awon ibeere die lowo yin nipa ohun ti o jomo o hun ti e mo ti e sir o nipa ona ara biihoro oogun ati abere. Kini awon aleebu ti o jeyo junipa awon ona yi?Probe: se omiran wa?BLEEDING OR MENSTRUAL PROBLEMS…….WEIGHT GAIN……………………………………..WEIGHT LOSS……..……………………………...HEADACHES……………………………………….BACKACHES……………………………………….NAUSEA/VOMITING………………………………SLEEPLESSNESS…………………………………WEAKNESS……………………………………….LACK OF SEXUAL URGE………….…………….OTHER HEALTH PROBLEMS……………………INFERTILITY………………………………………..CANCER…………………………………………….DEFORMED CHILDREN………………………….ABCDEFGHIJKLMOTHER________________________________(SPECIFY)WMULTIPLE RESPONSES.OTHER________________________________(SPECIFY)XDON’T KNOW ANY SIDE EFFECTS ORDISADVANTAGES……………………………..DON’T KNOW HORMONAL METHODS……….YZPage 28

EMERGENCY CONTRACEPTIONNow I would like to ask you some questions about a specific contraceptive method, Postinor 2.Bayi , Ma fe lati beere awon ibeere kan nipa awon ona pato ti o dena oyun, Postinor 2Q360 What is Postinor 2 (also called emergencycontraception, and morning after pill)?Q361Q362Q363Kinni postinor 2(eyi ti o tumo si idena oyun pajawiri) E -ogun horo ati owuro lehin ogun oni horo ?What name do you usually use to refer to this method?SINGLE RESPONSEOruko wo ni e saba ma npe iru ara yi?How many pills are in one pack of [NAME USEDABOVE]?Horo melo lowa ninu idi (pali) kan?How long (how many hours/days) after having sexshould one take this method?PILLS YOU TAKE IMMEDIATELY AFTERSEX TO PREVENT PREGNANCY.................OTHER (SPECIFY)_____________________DON’T KNOW…………………………….……EMERGENCY CONTRACEPTION………...….EC…………………………………………………POSTINOR 2…………………………………….P2…………………………………………………MORNING AFTER PILL…………………........OTHER (SPECIFY)_____________________ONE…………………………………………….TWO……………………………………………..OTHER __________________________(SPECIFY)DON’T KNOW……………….…………………..0-5 DAYS.........................................................168 Q37212345612681Q364O to gbawo,wakati,/ojo melo) lehin ibalopo loye ki enialo ona ara yi?If you needed to use this method where would youMOST LIKELY obtain it from?Ti e ba nilo lati lo ara yi, nibo ni e ti le ri gba ju?OTHER (SPECIFY)____________________DON’T KNOW................................................PUBLIC SECTORGOVERNMENT HOSPITAL………...WOMEN AND CHILDREN’SHOSPITAL…………………………..GOVT. HEALTH CENTER………….CHILD WELFARE CLINIC…………..GOVERNMENTPOST/DISPENSARY………………..OTHER PUBLIC________________(SPECIFY)68111213141516PRIVATE SECTORPRIVATE HOSPITAL/CLINIC...........NURSING/MATERNITY HOME……CHW/TBA……………………………..TRADITIONAL HEALER……………PHARMACY…………………………PMS/CHEMIST…………………..….OTHER PRIVATE______________(SPECIFY)21222324252627FAITH-BASED SECTORMISSION HOSPITAL……………......FAITH-BASED, CHURCH CLINIC…3132Q365Have you ever used any brand of [NAME USEDABOVE]?Nje e ti lo kankan ninu ona yi ri (Eyi ti a daruko loke)?OTHER SOURCEOTHER NGO HOSPITAL/CLINIC….WORKSITE CLINIC…………….……MOBILE CLINIC . . . . . . . . . . . . . . . .YOUTH CENTER……………………VENDING MACHINE/DISPENSER..VCT…….………………….………....BAR……………………………………KIOSK/SHOP/MARKET……………OTHER ______________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .YES………………………………………………NO………………………………………………..4142434445464748969812 Q372Page 29

Q366When was the last time that you used [NAME]?Nigbawo ni e lo (ORUKO) kehin ?LESS THAN 6 MONTHS AGO........................6-12 MONTHS AGO........................................13-24 MONTHS AGO......................................MORE THAN 2 YEARS AGO………………....CAN’T REMEMBER/DON’T KNOW…………..12348Q372Q372Q372Q367How many times have you used [NAME] in the past oneyear?Igba melo leti lo (ORUKO) laarin odun kan sehin?NUMBER OF TIMES[__|__|__]Q368Q369Q370Q371IF THEY REPLY “TOO MANY TIMES TO ESTIMATE”,ASK ABOUT THEIR USE ON A TYPICAL MONTHLYBASIS AND MULTIPLY BY 12.Over the past one year, have you used [NAME] morethan once in a month?Laarin odun kan sehin, nje eti lo (ORUKO) ju ekan lolosu?In the past year, have you used [NAME] as your mainmethod of family planning?Laarin odun kan sehin, nje eti lo (ORUKO) gegebi onakan pato lati dena oyun?Do you consider [NAME] to be your main method offamily planning currently?Nje ero (ORUKO) gegebi ona Pataki lati dena oyunlowolowo bayi?Why did/do you prefer to use [NAME] rather thananother method of family planning?Kinni idi ti e fi fe lati lo (ORUKO) yato si ona miran?PROBE: Any other reason?MULTIPLE RESPONSES ALLOWED; record allmentioned.CAN’T REMEMBER/DON’T KNOW............998YES……………………………………………….NO………………………..……………………….YES……………………………………….………NO………………………..…………..…………..DON’T KNOW…………………………..……….YES……………………………………………….NO………………………..…………….…………DON’T KNOW……………………………………CONVENIENT/EASY TO USE………………..AFFORDABLE…………………………………..EASY TO OBTAIN………………………...…….DISCREET………………………………..……...FEWER SIDE EFFECTS THAN OTHERMETHODS……………………………………….OTHER METHODS ARE NOT RELIABLE…..INFREQUENT SEX……………………………..12128128ABCDEFGQ372Q373Nje idi miran wa?Now I would like to ask you a few questions related towhat you know and think about condoms. If a malecondom is used correctly, do you think that it protectsagainst pregnancy most of the time, only sometimes, ornot at all?Bayi, ma fe beere awon ibeere die lowo yin ti o je moohun ti e mo ati ti e ro nipa roba idabobobo.Ti a ba loroba idabobo ti okunri bayi,nje e ro wipe o dena oyun niopo igba, lee kookan tabi ko se idabobo rara?Do you think using a male condom reduces a woman’ssexual pleasure?Nje e ro wipe lilo roba idaabobo ti obinrin din adun ti owa ninu ibalopo fun obinrin ku?OTHER (SPECIFY)___________________DON’T KNOW…………………………...……MOST OF THE TIME . . . . . . . . . . . . . …SOMETIMES . . . . . . . . . . . . . . . . . . . . .NOT AT ALL . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW/UNSURE . . . . . . . . . . …DON’T KNOW CONDOMS……………….YES……………………………………………….NO………………………………………………..DON’T KNOW . . . . . . . . . . . . . . ……………..XZ12387 Q376128Q374Q375Do you think using a male condom reduces a man’ssexual pleasure?Nje e ro wipe lilo roba idaabobo ti okunrin din adun ti owa ninu ibalopo fun okunrin ku?Do you think using a male condom is a sign ofcheating?Se e ro wipe lilo roba idaabobo okunrin je amin irejeYES……………………………………………….NO………………………………………………..DON’T KNOW . . . . . . . . . . . . . . ……………..YES……………………………………………….NO………………………………………………..DON’T KNOW . . . . . . . . . . . . . . ……………..128128Page 30

Quality of Care – Services and TreatmentPlease tell me how you would agree or disagree with the following statements. If Stronglyyou say you disagree, I will ask you to tell me if you strongly disagree or just Agreedisagree. If you say you agree, I will ask you to tell me if you strongly agree orjust agree.Agree Disagree StronglydisagreeEjowo, e so fun mi, bi ese ma fara mo tabi sai fara awon gbolohun oro wonyi. Tie ko ba faramo o, ma a royin lati so fun mi ti e ba sai faramo gidigidi tabi die, Tie ba so pe e fara mo ma ro yin na lati so funmi ti e ba fara mo gigidi tabi be ekanfaramo be e.Q376Q377Q378Family planning providers around here treat clients very badly.Awon ti o n pese ona Ifetosomobibi ni agbagbe yi maa n baa awon tio nfe eto yi lo lona ti ko bojumu.Women don't like the way they are treated in family planning clinicsaround here.Awon obirin ko faramo bi ase toju won ni awon ile iwosanifetosomobibi ni agbegbe yi.Family planning sellers/providers make women like you feel badwhen obtaining contraceptives.Awon ti oun ta / pese awon ohun ifetosomobibi a ma mu obirin bi tiyinbanuje ti won ba few awon ohun to ndena oyun.4 3 2 14 3 2 14 3 2 1BeliefsPlease tell me how you would agree or disagree with the following statements. If yousay you disagree, I will ask you to tell me if you strongly disagree or just disagree. If yousay you agree, I will ask you to tell me if you strongly agree or just agree.Ejowo, e so fun mi, bi ese ma fara mo tabi sai fara awon gbolohun oro wonyi. Ti e ko bafaramo o, ma a royin lati so fun mi ti e ba sai faramo gidigidi tabi die, Ti e ba so pe efara mo ma ro yin na lati so funmi ti e ba fara mo gigidi tabi be ekan faramo be e.StronglyAgreeAgree Disagree StronglydisagreeQ379Q380Q381Q382Q383Use of a contraceptive injection can make a woman permanently infertile.Lilo abere to ndena oyun le mu ki obirin ma le bi omo mo laiai.4 3 2 1People who use family planning/birth spacing end up with health problems.Awon enia ti ounlo ohun idena oyun a ma ni awon isoro pelu ilera nigbehin.4 3 2 1Contraceptives can harm your womb..4 3 2 1Awo ohun idena oyun le pa ile omo yin lara.Contraceptives reduce women sexual urge.Awon ohun idena oyun le din ife obinrin si ibalopo ku.4 3 2 1Contraceptives can cause cancer.Awon ohun idena oyun le fa arun jejere. 4 3 2 1Q384Q385Q386Contraceptives can give you deformed babies.Awon ohun idena oyun le fun yin ni awon omo alabo ara.Contraceptive are dangerous to your health..Awon ohun idena oyun je ewu fun ilera yin.Women who use family planning may become promiscuousAwon obinrin ti o n lo ona ifeto somo bibi le wa di oni sekuse4 3 2 14 3 2 14 3 2 1Page 31

Section 4: MATERNAL AND CHILD HEALTHQ401 CHECK Q230:ONE OR MORE BIRTHSNO BIRTHSSINCE 2008 SINCE 2008 Q408Q402 ENTER NAME AND LINE NUMBER OF YOUNGEST CHILD BORN SINCE 2008 FROM Q217C AND Q218:___________________________ [__|__]NAMELINE NUMBERNow I would like to ask you about the delivery of [NAME OF YOUNGEST CHILD]Q403Nibayi, mo fe bere lowo yin nipa ikunle omo [NAME OF YOUNGEST CHILD].Who assisted with the delivery of [NAME]?NO ONE………………………………………..DOCTOR/ CLINICAL OFFICER ……………Tani o gbebi abigbehin (ORUKO)NURSE/ MIDWIFE……………………………TBA . . . . . . . . . . . . . ………………………..COMMUNITY HEALTH WORKER …………CIRCLE ALL MENTIONED.FRIEND/RELATIVE…………………………..YABCDEQ404Q405Was the place you delivered in this city, in another city, orin a rural area?Se ibi ti e ti bi omo yi je ilu nla yi, ilu nla miran tabiigberiko?Where did you give birth to [NAME]?Nibo ni e bi (ORUKO) si?OTHER (SPECIFY)___________________THIS CITY/TOWN………….………………ANOTHER CITY OR TOWN………….…….A RURAL AREA……………………….……..PUBLIC SECTORGOVERNMENT HOSPITAL…………..WOMEN AND CHILDREN HOSPITALCHILD WELFARE CLINIC…………….GOVT. HEALTH CENTER…………….GOVERNMENT POST/DISPENSARYOTHER PUBLIC______________(SPECIFY)X123111213141516PRIVATE MEDICAL SECTORPRIVATE HOSPITAL…………………..PRIVATE CLINIC……………...............NURSING/MATERNITY HOME………TRADITIONAL BIRTH ATTENDANT…COMMUNITY MIDWIFECOMMUNITY HEALTH WORKER……TRADITIONAL HEALER……………….OTHER PRIVATE________________(SPECIFY)FBOFAITH-BASED OR MISSIONHOSPITAL...........................................FAITH-BASED HOME/HEALTHCENTRE………………………..……….CHURCH/MOSQUE……………………OTHEROTHER NGO HOSPITAL………………OTHER NGO CLINIC………………….WORKSITE CLINIC………………..…..MOBILE CLINIC . . . . . . . . . . . …. . . . .YOUTH CENTER……………………….AT HOME………………………………………OTHER ____________________________(SPECIFY)212223242526272831323341424344455196Q407Q406Page 32

Q406Q407Why didn’t you deliver in a health facility?Kini idi ti e ko fi bimo si ile iwosan?CIRCLE ALL MENTIONED.Were you provided with any information or counselingabout family planning/birth spacing methods from a healthor family planning worker either before you delivered orafter?Nje won fi ara ifeto somo bibi/fifaye si ibimo/fifaye si omobibi to yin leti lati odo osise ilera tabi osise ifeto somo bibi,yala ki e to bimo tabi lehin ibimo?COSTS TOO MUCH………………………..FACILITY NOT OPEN……………………DIDN’T HAVE TIME/LABOUR PAINSCAME EARLY…….………………………....DON’T TRUST THE STAFF………………NOT NECESSARY…………………………TRADITION………..………………………TOO FAR……………………………………NO TRANSPORT AVAILABLE……………NO ONE AVAILABLE TO ACCOMPANYHER ……………………………………….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………….……ABCDEFGHIJKLMNOPQRSTX12348ALL SKIPTO Q408Q408CHECK BIRTH HISTORY(Q218 AND Q222): YES,HAS ONE OR MORELIVING CHILDRENNO, DOES NOT HAVE ANY LIVING CHILDRENQ416Now I am going to ask you questions about your experience seeking and receiving health services.Bayi mofe beere lowo yin nipa iriri yin nipa wiwa ati gbigba eto ilera.Q409Q410Q411In the last three months, have you gone to ahealth facility for any child health services?Ni bi osu meta sehin nje e ti lo si ile iwosan fun ilera omo yin?What types of services did you receive duringthis/these child health visit(s)?Iru awon eto ilera won ni e gba nigba ti e lo funitoju omo/awon omo yi?CIRCLE ALL MENTIONED.Where did you go most recently for childservices?PROBE: What is the name of this place? Andwhere is it located?Nibo ni e lo lai pe yi fun itoju omoYES . . . . . . . . . . . . . . . . . . . . . . ………….NO . . . . . . . . . . . . . . . . . . . . . . . …………IMMUNIZATION……………………………….....DISEASE PREVENTION………………….….…DEWORMING…………………………………….TREATMENT FOR CHILD (FOR DIARRHEA,MALARIA, OR RESPIRATORY INFECTION)...GROWTH MONITORING OF CHILD………….HEALTH CHECK-UP . . . . . . . . . . . …….. ……OTHER_______________________________(SPECIFY)NAME OF FACILITY__________________________________________________________________STREET NAME/ADDRESS_____________12 Q416ABCDEFX_________________________________LAND MARKDESCRIPTION_______________________Page 33

Q412What type of facility is this?Iru ile iwosan wo ni?PUBLIC SECTORGOVERNMENT HOSPITAL……..……......WOMEN AND CHILDREN’S HOSPITAL...GOVT. HEALTH CENTER…………………CHILD WELFARE CLINIC…………………GOVERNMENT POST/DISPENSARY…..OTHER PUBLIC____________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL………………………PRIVATE CLINIC…………………….........NURSING/MATERNITY HOME………….CHW/TBA……………………………………TRADITIONAL HEALER…………………..PHARMACY…………………………………PMS/CHEMIST…………………..…………OTHER PRIVATE___________________(SPECIFY)2122232425262728FAITH-BASED SECTORMISSION HOSPITAL…………….……......FAITH-BASED, CHURCH CLINIC……….3132OTHER SOURCEOTHER NGO HOSPITAL………………….OTHER NGO CLINIC………......................WORKSITE CLINIC…………….………….MOBILE CLINIC . . . . . . . . . . . . . . . ……...YOUTH CENTER…………………………...OTHER ___________________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .41424344459698Q413Why did you choose this facility?CIRCLE ALL MENTIONED.Kinni idi ti e fi yan ile iwosan yi?PROBE: ANY OTHER REASON? Idi miran?SERVICES ARE FREE/ AFFORDABLE……FACILITY OPEN/CONVENIENT HOURS OFOPERATION…..……………………..………STAFF ARE POLITE AND RESPECTFUL…CONVENIENT TO MY HOME………………CONVENIENT TO MY WORK………………CONVENIENT TO WHERE I SHOP…………CONVENIENT USING AVAILABLETRANSPORT…………………………………..GOOD QUALITY SERVICES…………………OFFER SERVICES REQUIRED……………PROVIDERS AVAILABLE……………………ACCEPT INSURANCE………………………OFFER CREDIT FACILITIES…………………FACILITY HAS A GOOD REPUTATION…….IT PROVIDES MULTIPLE SERVICES………REFERRED THERE……………………………ABCDEFGHIJKLMNOQ414Did you receive any information or counseling onfamily planning/birth spacing/child spacing duringthis visit?OTHER_____________________________(SPECIFY)YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .X12 Q416Nje e gba ifitonileti / amoran lori ifetosomobibilakoko abewo yi?Q415Did you receive a method or a referral for familyplanning/birth spacing/child spacing method atthat time?Nje e gba ona kan tabi itokasi fun onaifetosomobibi / fifi aye sarin ibimo/fifi aye si arinomolakoko yi?YES, RECEIVED A METHOD. . . . . . . . . .YES, RECEIVED A PRESCRIPTION……..YES, RECEIVED A REFERRAL . . . . . . . .NO, DID NOT RECEIVE ANY OF THESE……1234Page 34

Q416In the last year, have you gone to a health facilityfor maternal health services, such as prenatal andpostpartum care?YES . . . . . . . . . . . . . . . . . . . . . . ………….NO . . . . . . . . . . . . . . . . . . . . . . . …………12 Q422Q417Niniu odun toja,nje e ti lo si ile iwosan fun itojualabiyamo gegebi itoju lakoko iloyun ati lehin ti aba ti bi omo?Where did you go most recently for maternalhealth services?Nibo le lo laipe yi fun itoju alabiyamo?NAME OF FACILITY_________________________________PROBE: What is the name of this place? Andwhere is it located?Kinni oruko ibe ? ati nibo ni agbegbe ti o wa?STREET NAME/ADDRESS______________________________________________LAND MARKDESCRIPTION_______________________Q418What type of facility is this?Iru ile iwosan wo ni eyi?PUBLIC SECTORGOVERNMENT HOSPITAL……..……......WOMEN AND CHILDREN’S HOSPITAL...GOVT. HEALTH CENTER…………………CHILD WELFARE CLINIC…………………GOVERNMENT POST/DISPENSARY…..OTHER PUBLIC____________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL………………………PRIVATE CLINIC…………………….........NURSING/MATERNITY HOME………….CHW/TBA……………………………………COMMUNITY MIDWIFE…………………..PHARMACY…………………………………PMS/CHEMIST…………………..…………OTHER PRIVATE___________________(SPECIFY)2122232425262728FAITH-BASED SECTORMISSION HOSPITAL…………….……......FAITH-BASED, CHURCH CLINIC……….3132Q419Why did you choose this facility?PROBE: ANY OTHER REASON?Kinni idi tie r fi yan ile iwosan yi?MULTIPLE RESPONSESOTHER SOURCEOTHER NGO HOSPITAL………………….OTHER NGO CLINIC………......................WORKSITE CLINIC…………….………….MOBILE CLINIC . . . . . . . . . . . . . . . ……...YOUTH CENTER…………………………...OTHER ___________________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .SERVICES ARE FREE/ AFFORDABLE…….FACILITY OPEN/CONVENIENT HOURS OFOPERATION…..……………………..…………STAFF ARE POLITE AND RESPECTFUL…CONVENIENT TO MY HOME………………CONVENIENT TO MY WORK………………CONVENIENT TO WHERE I SHOP…………CONVENIENT USING AVAILABLETRANSPORT………………………………….GOOD QUALITY SERVICES………………OFFER SERVICES REQUIRED……………PROVIDERS AVAILABLE…………………ACCEPT INSURANCE…………………………OFFER CREDIT FACILITIES…………………FACILITY HAS A GOOD REPUTATION…….IT PROVIDES MULTIPLE SERVICES………REFERRED THERE……………………………41424344459698ABCDEFGHIJKLMNOOTHER___________________________(SPECIFY)XPage 35

Q420At your last visit, did you receive any informationor counseling on family planning/birth spacing?Nje e gba ifitonileti / amoran lori ifetosomobibilakoko abewo yi?YES . . . . . . . . . . . . . . . . . . . . . . ………….NO . . . . . . . . . . . . . . . . . . . . . . . …………12 Q422Q421Did you receive a method or a referral for familyplanning/ contraceptive method at that time?Nje e gba ona kan tabi itokasi fun onaifetosomobibi / fifi aye sarin ibimo/fifi aye si arinomolakoko yi?YES, RECEIVED A METHOD. . . . . . . ….. . .YES, RECEIVED A PRESCRIPTION………...YES, RECEIVED A REFERRAL . . . . . . . . ….NO, DID NOT RECEIVE ANY OF THESE…….1234Q422In the last year, have you gone to a health facilityfor an HIV test?Niniu odun toja,nje e ti lo si ile iwosan fun ayewoaarun HIV?YES . . . . . . . . . . . . . . . . . . . . . . …………….NO . . . . . . . . . . . . . . . . . . . . . . . …………….12 Q427Q423Where did you go most recently for an HIV test?Nibo le lo laipe yi fun ayewo HIV?PROBE: What is the name of this place? Andwhere is it located?NAME OF FACILITY__________________________________________________________________Kinni oruko ibe? Ati nibo ni agbegbe ti o wa?STREET NAME/ADDRESS______________________________________________LAND MARKDESCRIPTION_______________________Q424What type of facility is this?Iru ile iwosan wo ni eyi?PUBLIC SECTORGOVERNMENT HOSPITAL……..……......WOMEN AND CHILDREN’S HOSPITAL...GOVT. HEALTH CENTER…………………CHILD WELFARE CLINIC…………………GOVERNMENT POST/DISPENSARY…..OTHER PUBLIC____________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL………………………PRIVATE CLINIC…………………….........NURSING/MATERNITY HOME………….CHW/TBA……………………………………COMMUNITY MIDWIFE…………………..PHARMACY…………………………………PMS/CHEMIST…………………..…………OTHER PRIVATE___________________(SPECIFY)2122232425262728FAITH-BASED SECTORMISSION HOSPITAL…………….……......FAITH-BASED, CHURCH CLINIC……….3132OTHER SOURCEVCT…………………………………………..OTHER NGO HOSPITAL………………….OTHER NGO CLINIC………......................WORKSITE CLINIC…………….………….MOBILE CLINIC . . . . . . . . . . . . . . . ……...YOUTH CENTER…………………………...414243444546OTHER ___________________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .9698Page 36

Q425At the time of your last test, did you receive anyinformation or counseling on family planning/birthspacing?YES . . . . . . . . . . . . . . . . . . . . . . ……………..NO . . . . . . . . . . . . . . . . . . . . . . . ……………..12 Q427Lakoko ayewo yin, nje e gba ifitonileti / amoranlori ifetosomobibi /idena oyun lakoko abewo yi?Q426Q427Q428Did you receive a method or a referral for familyplanning/contraceptive method at that time?Nje e gba ona kan tabi itokasi fun onaifetosomobibi / idena oyun lakoko yi?What is the name of the pharmacy or that youusually go to for medicine? And where is itlocated?Kinni oruko ile ipo ogun tabi ita oogun ti e ma nlofun oogun? Ati nibo ni agbegbe ti owa?Have you ever received any information orcounseling on family planning/birth spacing whilepurchasing or obtaining medicine from thispharmacy?Nje e ti gba ifitonileti / amoran ri, loriifetosomobibi /idena oyun lakoko ti e nra / gbaogun ni ile ipo ogun yi?YES, RECEIVED A CONDOM………………YES, RECEIVED A METHOD OTHER THANA CONDOM………………... . . . . . . . . . . .YES, RECEIVED A PRESCRIPTION. . . . . . .YES, RECEIVED A REFERRAL . . . . . . . . . .NO, DID NOT RECEIVE ANY OF THESE…….NAME OF PHARMACY_______________________________________________________________________STREET NAME/ADDRESS______________________________________________________________________LAND MARK/DIRECTIONS______________________________________________________________________YES . . . . . . . . . . . . . . . . . . . . . . …………….NO . . . . . . . . . . . . . . . . . . . . . . . …………….1234512Q501Q502Q503SECTION 5: SEXUAL ACTIVITY AND MARRIAGEQuestions and filters Coding categories SkipsNow I need to ask you some questions about sexual activityin order to gain a better understanding of some family lifeissues. How old were you when you had sexualintercourse for the very first time?Ni bayi, mo fe beere awon ibeere nipa ibalopo ki a le ni imoti oye kooro nipa awon nkankan ti o ro mo ebi. Omo odunmelo ni yin nigba ti e koko sunmo okunrin fun igba akoko?The first time you had sexual intercourse; did you or yourpartner use a family planning/birth spacing method to avoidgetting pregnant?Nigba akoko ti e sunmo okunrin, se eyin tabi alabagbepoyin lo ara ifeto somo bibi/fifaye si ibimo lati dena oyun?Which method(s) was used?Ara wo le lo?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”.AGE…..…………………..…NEVER HAD SEXUALINTERCOURSE…………….…00YES………………………………….NO…………………………………….CAN’T REMEMBER………………FEMALE STERILIZATION………………..MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……128ABCDEFGHIJKLQ510Q504Q504OTHER ________________________(SPECIFY)XPage 37

Now I would like to ask you some questions about your recent sexual activity. Let me assure you again that your answers arecompletely confidential and will not be told to anyone. If we should come to a question that you don’t want to answer, just let meknow and we will go to the next questionNi bayi mo fe beere awon ibeere kan nipa ibaopo ti e se lai pe. Mo fe fi dayin loju lee kan si wipe awon idahun yin yi o je bonkele tiako si ni fi han eni kan kan. Ti a ba de ibere ti e ko ni ife lati dahun, e saa je ki a mon a o si lo si ibeere miran.Q504 When was the last time you had sexual intercourse?DAYS AGO……………1 [__|__]Igba wo ni e ni ibalopo kehin?ORWEEKS AGO…………2 [__|__]WHEN LESS THAN A DAY, RECORD “00” DAYS.IF LESS THAN A WEEK, RECORD IN DAYSORMONTHS AGO……… 3 [__|__]IF LESS THAN ONE YEAR, RECORD IN MONTHS.ORYEARS AGO………….4 [__|__] Q510IF 12 MONTHS OR MORE, RECORD IN YEARSQ505 How many times have you had sex in the last three (3)months?NUMBER OF TIMES…………… [__|__|__]Q506Bawo ni ibalopo yin se wopo to laarin osu meta sehin?In total, how many men have you had sex with in the last12 months?Ni apapo, okunrin melo ni e ti ni ibalopo pelu laarin osumejila sehin?ORNONE………………………………………….000DAILY………………………………………….991WEEKLY ……………………………………..992MONTHLY……………………………………..993OTHER____________________________ 996(SPECIFY)DON’T KNOW………………………………. 998NUMBER OF PARTNERS…..[__|__]TOO MANY TO ESTIMATE……96Q507IF MORE THAN 95, WRITE 95.In the last twelve (12) months, have you ever given orreceived money, gifts, or favours in return for sex?Laarin osu mejila sehin, nje e ti fun tabi gba owo, ebun,tabi ojurere fun ibalopo?YES . . . . . . . . . . . …….. . . . . . . . . . .NO . . . . . . . . . . . . . . . . ……. . . . . . .12Q508The last time you had sexual intercourse, did you or yourpartner use a family planning/birth spacing/child spacingmethod?Ni igba ti e ni ibalopo kehin, se eyin tabi onibagbepo yin loara ifeto somo bibi/fifaye si ibimo/fifaye si omo bibi??YES…………………………………..NO…………………………………….CAN’T REMEMBER…………………128Q510Q510Q509Which method was used?Ara wo ni e lo?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”FEMALE STERILIZATION………………..MALE STERILIZATION…………………...IMPLANT…………………………………...IUCD………………………………………..INJECTABLE... . . . . . . . . . ………………DAILY PILL ……….………………………DIAPHRAM ……………………………….EMERGENCY PILL (Postnor2, etc.)……MALE CONDOM . . . . . . . . …………......FEMALE CONDOM . .. . . …. . . …………SPERMICIDE/FOAM/JELLY..…………....NATURAL METHODS (STANDARDDAYS/SAFE DAYS/ WITHDRAWAL)……BREASTFEEDING/LAM . . . . . …..…….ABCDEFGHIJKLMOTHER ________________________(SPECIFY)XPage 38

Now I would like to ask you some questions about marriage. Remember that your responses will be kept confidential.Bayi, mo fe bere lowo yin awon ibeere nipa igbeyawo yin. Eranti pe a won idahun yin na yio je bonkele.Q510 Have you ever been married or lived together with a manas if married?Q511Se e loko bayi tabi e n gbe po pelu okunrin gege bi eni tio loko?What is your marital status now: are you currently marriedor living with a man as if married, widowed, divorced, orseparated?Kini ipo yin bayi gege bi obinrin, se e ni oko/ opo ni yin, eti ko oko yin, tabi e ko gbe papo pelu oko yin?YES, EVER MARRIED…………...…YES, LIVED WITH A MAN…………NO………………… …………………YES, CURRENTLY MARRIED………..LIVING WITH A MAN………………....WIDOWED………………..……………DIVORCED…………………………….SEPARATED…………………………..123 Q60112345Q516Q512Q513Q514Q515Is your husband/partner living with you now, or is hestaying elsewhere?Se oko yin/alabagbepo yin n ba yin gbe tabi o n gbe loto?Besides yourself, does your husband/partner have otherwives?Yato si eyin, Se oko yin/ alabagbepo yin ni awon iyawomiran tabi t’o n gbe pelu bi eni pe t’aya t’oko ni won?Including yourself, in total, how many wives does yourhusband/partner have?Pelu yin, ni apapo, iyawo tabi alabagbepo melo ni oko yinmba gbe bayi ,bi eni pe t’aya t’oko ni won?Are you the first, second ….wife?Se eyin ni iyawo akoko,ekeji………LIVING WITH YOU……..………….STAYING ELSEWHERE …………..YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .DON’T KNOW . . . . . . . . . . . . . .TOTAL NUMBER OF WIVES... [__|__]DON'T KNOW . . . . . . . . . . . . .. . . . 98RANK……………12128Q516Q516Q516Have you been married or lived with a man as if marriedonly once or more than once?Se e ti se igbeyawo tabi gbe pelu okunrin kan leekansoso ri tabi ju bee lo?ONLY ONCE………………………..MORE THAN ONCE………………..12Q517 CHECK 516MARRIED/LIVED WITH AMANONLY ONCEIn what month andyear did you startliving with yourhusband/partner?Ninu osu ati odunwo ni e bere si ngbe po peluoko/alabagbepoyin?MARRIED/LIVED WITH MORETHAN ONE MANNow I would like to ask about whenyou started living with your firsthusband/ partner. In what monthand year was that?Na bayi a fe soro nipa igba ti ebere sig be po peluoko/alabagbepo yin kini.Ninu osu ati odun wo ni?MONTH……………DON’T KNOW MONTH……98YEAR…………DON’T KNOW YEAR……..9998Q518How old were you when you first started living with him?Omo odun melo ni yin nigba ti e bere si gbe papo?AGE…..……………DON’T REMEMBER…….98Page 39

SECTION 6: FERTILITY PREFERENCESQuestions and filters Coding categories Skip toQ601CHECK Q312: METHOD CURRENTLY USINGDOES NOT USEFEMALE STERILIZATIONFEMALE STERILIZATION (Q312=1)Q610Now, I would like to ask you a few questions about you and your opinion about births.Bayi mo fe beere awon ibeere die lowo nipa yin ati ero yin nipa ibimo.Q602 CHECK Q235:NOT PREGNANTPREGNANTOR UNSURENow I have some questionsabout the future. Would youlike to have (a/another) child, orwould you prefer not to haveany (more) children?Ni bayi mo ni awon ibeere nipaojo iwaju. Se e fe lati ni omo(kan/omiran) tabi e ko febi omo sii mo?Q603 CHECK Q602:Now I have some questionsabout the future. After the birthof the child you are expectingnow, would you like to haveanother child, or would youprefer not to have any morechildren?Ni bayi mo ni awon ibeere kannipa ojo iwaju.Lehin oyun ti e ni yi, se e fe latbimo miran tabi yo wu yin lati daomo bibi duro?HAVE (A/ANOTHER) CHILD……NO MORE/NONE………………...SAYS SHE CAN’T GETPREGNANT……………………...UNDECIDED/DON’T KNOW……1238Q604Q607Q604NOT PREGNANTOR UNSUREPREGNANTMONTHS . . . . . . . . . . . . . . . . 1YEARS . . . . . . . . . . . . . . . . . . 2How long would you like to waitfrom now before having(a/another) child?O maa to igba wo ti e fe duroda lati isinyi ki e to bi omo(miran)?IF RESPONSE IS IN MONTHSAND YEARS (E.G. 2 ½YEARS), CONVERT TOMONTHS (e.g. 30 months)Q604 CHECK Q603:After the birth of the child youare expecting now, how longwould you like to wait beforehaving another child?Lehin ti e ba ti sokale oyun ti eni yi ba wo ni e se fe duro to,ki e to bi omo miran?IF RESPONSE IS IN MONTHSAND YEARS (E.G. 2 ½YEARS), CONVERT TOMONTHS (e.g. 30 months)SOON/NOW . . . . . . . . . ……… .. . . .993AFTER MARRIAGE………………….995OTHER _____________________ 996(SPECIFY)DON’T KNOW . . . . . . . . . . . . . . . . . 998NOT PREGNANT ORUNSUREPREGNANTQ607Q605In the next few weeks, if you discovered that you were pregnant,would that be a big problem, a small problem or no problem at all?Laarin ose die to mbo, ti e ba ri wipe e loyun, nje o maa je isoronla, isoro kekere, tabi ko ni je isoro rara?BIG PROBLEM . . . . . . . . . . . . . . .SMALL PROBLEM . . . . . . . . . . . .NO PROBLEM . . . . . . . . . . . . . . .SAYS SHE CAN'T GETPREGNANT/OR NOT HAVING SEX1234Q607Q607Page 40

Q606If it would be a problem, why?Ti o ba maa je isoro, kini idi re?CIRCLE ALL MENTIONED.ECONOMIC STATUS/JOB..………TOO MANY/ENOUGH CHILDRENHEALTH OF MOTHER..…………..NO SPOUSE………………………..HAVE SMALL BABY ALREADY….RELIGIOUS REASONS…………..SCHOOL RELATED REASONS…PARTNER DOES NOT WANTCHILD……………………………..FAMILY DISAPPROVE………….SHE DOES NOT WANT CHILD….ABCDEFGHIJQ607OTHER _____________________(SPECIFY)CHECK Q510 AND Q511: EVER MARRIED AND CURRENTLY MARRIEDCURRENTLY MARRIED OR LIVING TOGETHERNOT IN A UNION(Q511=1 OR 2) Q510=3 OR Q511=(3, 4 OR 5)XQ612Q608Now let’s talk about your partner and his preferences for thefuture.Bayi e je ka soro nipa oko yin ati awon ohun ti o ni i fe si fun ojoiwaju.CHECK Q604:Q609NOT PREGNANTOR UNSUREWould he like to have(a/another) child, orwould he prefer notto have any (more)children?Se won fe lati ni omo(kan/omiran) tabi wonko fe bi omo sii mo?PREGNANTAfter the child you are expectingnow, would your partner like tohave another child, or would heprefer not to have any morechildren?Lehin oyun ti e ni yi, se won fe latibimo miran tabi yo wu won lati daomo bibi duro?Again, this question relates to your partner’s preferences for thefuture.HAVE (A/ANOTHER) CHILD . . . .NO MORE/NONE . . . . . . . . . . .. . .SAYS SHE CAN’T GETPREGNANT. …………….………….DON’T KNOW PARTNER’SDESIRE………………………..…….1238Q610Q610Q610Leekan si, ibeere yi wa fun eleyi ti oko yin n fe ni ojo iwaju.CHECK Q608:NOT PREGNANTOR UNSUREHow long would yourpartner/husband like to waitbefore the birth of(a/another) child?PREGNANTAfter the birth of the child thatyou and your partner are nowexpecting, how long would yourpartner like to wait before youhave another child?MONTHS . . . . . . . . . . . . . . . .1SOON/NOW . . . . . . . . . . .. . . 993SAYS SHE CAN’T GETPREGNANT………………… 994OTHER _________________ 996(SPECIFY)Q610Q611Igba wo ni oko yin feduro da lati isinyi ki wonto, bi omo (miran)?IF RESPONSE IS IN MONTHSAND YEARS (E.G. 2 ½YEARS), CONVERT TOMONTHS (e.g. 30 months)Lehin ti e ba bi omo ti e ni oyunre yi,igbawo ni oko yin maas fe duroda ki e to bi omo miran?IF RESPONSE IS IN MONTHSAND YEARS (E.G. 2 ½YEARS), CONVERT TOMONTHS (e.g. 30 months)Does your husband/partner want the same number of children thatyou want, or does he want more or fewer than you want?Nje oko/onibalopo yin fe iye omo kana ti e fe, tabi won fe ju eyi ti efe lo tabi kere si i?Who (will) decides how many children that you are going to haveWould you say that it is mainly your decision, mainly yourhusband's/partner's decision, or do you decide together?Tani o maa se ipinu iye omo ti e maa bi – Nje ele so wipe ipinu yinnikan ni, ipinu oko/alabagbepo yin nikan ni, tabi eyin mejeeji maa nse ipinu papo ?SAYS SHE CAN’T GETPREGNANT……………………… 994DON’T KNOW PARTNERS DESIRE. . .998SAME NUMBER………………..MORE CHILDREN…………….FEWER CHILDREN…………..DON’T KNOW…………………MAINLY YOU………………….MAINLY PARTNER……………JOINTLY………………………..OTHER_____________________(SPECIFY)12381236Page 41

Q612CHECK BIRTH HISTORY (Q218 AND Q222): ANY LIVINGCHILDREN?Now let’s talk about you again and your childbearing preferencesBayi e je ki a tun soro nipa ara yin ati nipa bi e se fe lati bimo.PROBE FOR A NUMERIC RESPONSE.HAS LIVINGCHILDRENNO LIVINGCHILDRENQ613If you could go back to the timeyou did not have any childrenand could have exactly thenumber of children you wantedto have in your whole life, howmany would that be?Ti e ba le foju da asiko ti eko bi omo kankan rara ti eba ni anfani lati yan iyeomo ti e fe nigbesi aye yin,melo ni e ba yan?If you could have exactly thenumber of children you wantedto have in your whole life, howmany would that be?Ti e ba ni anfaani lati yan iyeomo ti e ba fe nigbesi ayeyin, omo melo ni e ba yan?.Of this number, how many of these children would you like to beboys, how many would you like to be girls and for how many wouldthe sex not matter?NONE . . . . . . . . . . . . . . . . . . . . . . . . 00NUMBER . . . . . . . . . . . . . . .OTHER _____________________ 96(SPECIFY)NUMBERBOYS GIRLS EITHERQ614Q614Melo lara awon omo naa ni e fe ki won je okunrin, melo ninu wonle fe ko je obinrin ati pe melo ni e ko bikita pe won je okunrin tabiobinrin?OTHER _______________________ 96(SPECIFY)Now, I would like to ask you a few questions about how other women like you think about children and births.Bayi mo beere awon ibeere die nipa bii awon obinrin miran bi ti yin se n ronu nipa awon omo ati omo bibi.In your opinion, how long should a couple wait to have their firstQ614 child?Ninu ero okan yin, bawo ni o ye ki oko ati aya se duro to lehin omoakoko?IMMEDIATELY……………………LESS THAN ONE YEAR………MORE THAN 1 YR BUT LESSTHAN 2 YRS…………………….2 OR MORE YEARS……………OTHER ___________________(SPECIFY)DON’T KNOW……………………123468Q615In your opinion, what should be the ideal age in years for a womanto get her first child/ pregnancy?Ninu ero okan yin, kini o ye ki o je ojo ori ti o boju mu fun obirin latini omo/oyun akokoAGE IN YEARS………………….[__|__]DON’T KNOW…………………….98Q616In your opinion, what should be the ideal age gap between twochildren?Ninu ero okan yin, kini o ye ki o je ojo ori ti yio wa laarin omo mejiMONTHS………………….1ORYEARS…………………….2[__|__][__|__]IF RESPONSE IS IN MONTHS AND YEARS (E.G. 2.5 YEARS),CONVERT TO MONTHS (e.g. 30 months)DON’T KNOW…………………….998Page 42

Q617What are the impacts on the mother if she uses amethod of family planning?Kini awon ipa ti lilo ona ifeto somo bibi/fifaye siibimo/fifaye si omo bibi lori iya?PROBE: ANY OTHER REASONS?DO NOT READ ANSWERSCIRCLE ALL MENTIONED.NONE……………………………………………..EASY TO SPACE PREGNANCIES/CHILDREN..BETTER NUTRITIONAL STATUS…………..…..LOWER INCIDENCE OF ANEMIA……………….LESS PREGNANCY COMPLICATIONS………..AVOID STIS/HIV……………………………………REDUCE UNWANTED PREGNANCIES………..BETTER HEALTH………………………………….SPOUSAL HARMONY/MARITAL HAPPINESS...FEWER CHILDREN TO EDUCATE……………...SHE HAS MORE FREE TIME…………………….FAMILY HAS MORE MONEY…………………….PEACE OF MIND…………………………………..PARTNER/SPOUSAL DISCORD………………..PROBLEMS WITH MENSTRUAL CYCLE……..HEALTH PROBLEMS…………………………….GAIN WEIGHT…………………………………….LOSE WEIGHT……………………………………FATIGUE/WEAKNESS……………………………INFERTILITY……………………………………….OTHER________________________________(SPECIFY)OTHER________________________________(SPECIFY)DON’T KNOW………………………………………YABCDEFGHIJKLMNOPQRSWXZQ618What are the impacts on the child if the mother usesa method of family planning?Kini ipa ti yi o ko lori omo ti iya re ba n lo ona ifetosomo bibi?PROBE: ANY OTHER REASONS?DO NOT READ ANSWERSCIRCLE ALL MENTIONED.NONE……………………………………………….BETTER GROWTH………………………………..BETTER NUTRITIONAL STATUS………….……BETTER HEALTH…………………………………BETTER SURVIVAL CHANCE…………………..BETTER ATTENTION BY MOTHER…………….BETTER EDUCATED……………………………..MORE OPPORTUNITIES…………………………DEFORMATIONS………………………………….PROBLEMS WITH GROWTH……………………NUTRITIONAL PROBLEMS…………………….FREQUENT ILLNESS……………………………..YABCDEFGHIJKOTHER________________________________(SPECIFY)WOTHER________________________________(SPECIFY)DON’T KNOW………………………………………XZQ619CHECK Q510 AND Q511: EVER MARRIED AND CURRENTLY MARRIEDCURRENTLY MARRIED OR LIVING TOGETHERNOT IN A UNION(Q511=1 OR 2) Q510=3 OR Q511=(3, 4 OR 5)Q701Q620Has your partner ever accompanied you (or yourchild) to a health facility?Nje oko/onibalopo yin ti figbakan bayin (tabi omoyin) lo si ile iwosan?YES . . . . . . . . . . . . . . . . . . . . . . ……………..NO . . . . . . . . . . . . . . . . . . . . . . . …………….12 Q701Q621How often does he accompany you (or your child) toa health facility?Bawo ni ose ma n ba yin (tabi omo yin) lo si ileiwosan to?RARELY…………………………………………SOMETIMES……………………………………OFTEN………………………………………….ALWAYS…………………………………………1234Page 43

Q701SECTION 7: SPOUSAL AND INTERPERSONAL COMMUNICATIONQuestions and filters Coding categories SkipNow, I would like to ask you a few questions on discussions that you might have had with other people on healthissues.Bayi mo fe beere awon ibeere die lowo yin lori iforojomitoro oro ti e ti le ni pelu elo miran lori o n to jomo ileraCHECK Q510 AND Q511: EVER MARRIED AND CURRENTLY MARRIEDCURRENTLY MARRIED OR LIVING TOGETHERNOT IN A UNION(Q511=1 OR 2) Q510=3 OR Q511=(3, 4 OR 5)Q709Q702Q703Have you and your spouse/partner ever discussed thenumber of children you would like to have?Nle eyin tabi oko/alabagbepo yin ti soro lori iye omo ti emaa bi ri?How often have you talked to your spouse/partner aboutthis subject in the last six (6) months?Bawo ni e ti ba oko/alabegbepo yin soro lori koko yi tolaarin osu mefa sehin?YES ……………………………………………NO……………………………………………..NOT DISCUSSED IN LAST SIX (6)MONTHS…………………………………..…ONCE OR TWICE… ...............................MORE THAN TWICE................................OFTEN/REGULARLY……………………..12 Q7041234OTHER (SPECIFY)__________________6Q704Q705Have you ever discussed the use of a family planningmethod with your spouse/ partner?Nje eti ba oko/alabagbepo yin soro nipa lilo onaifetosomobibi ri?How often have you talked to your spouse/partner aboutthis subject in the last six (6) months?Bawo ni e ti ba oko/alabegbepo yin soro lori koko yi tolaarin osu mefa sehin?YES …………………………………………NO…………………………………………..NOT DISCUSSED IN LAST SIX (6)MONTHS…………………………………..…ONCE OR TWICE… ...............................MORE THAN TWICE................................OFTEN/REGULARLY……………………..12 Q7081234OTHER (SPECIFY)__________________6Q706Who usually starts the discussion about family planning,you or your spouse/partner?Talo ma nkoko bere ijiroro lori ifetosomobibi, eyin tabioko/alabagbepo yin?YOU............................................................SPOUSE/PARTNER..................................EITHER………………………………………123Q707How difficult is it to start a conversation about familyplanning with your partner –is it very difficult, somewhatdifficult, or easy?Bawo lose je inira to lati bere iforowero lori ifetosomobibipelu alabagbepo yin? Onira gidi gan, onira die , oororunVERY DIFFICULT …………………………..SOMEWHAT DIFFICULT ………………….EASY…………………………………………..123Q708Do you intend to talk to your spouse about family planningin the next three months?Nje e lero lati ba oko yin soro nipa ifeto somo bibi ni osumeta sibi yiYES …………………………………NO…………………………………..DON’T KNOW……………………..128Page 44

Q709Besides yourself (or your husband/partner) who elseinfluences the decision whether you use a method offamily planning/birth spacing or not?Yato si ara yin,(tabi oko/iyawo/onibalopo yin) tani o tun leda si imoran lati se ifetosomobibi tabi ki e ma se?CIRCLE ALL MENTIONED.NO ONE………………………………………MOTHER……………….. ............................MOTHER-IN-LAW …………......……….……SISTER(S)……………………………………SISTER(S)-IN-LAW………………………….GRANDMOTHER………………………......FRIEND(S)…………………………………..HEALTH WORKER.....................................COMMUNITY LEADER...............................RELIGIOUS LEADER……………………...AUNT………………………………………….OTHER RELATIVES……………………..YABCDEFGHIJKQ710Q711Q712If you wanted to use a method of family planning/birthspacing, would you need anyone’s permission?Ti e ba fe lo ona ifeto somo bibi, nje e ni lati gba aye lowoenikeni?From whom would you need permission?Odo tani eyin ma nilati gba aye ?CIRCLE ALL MENTIONED.Do you think that government officials should speakpublicly about family planning/birth spacing?Nje e ro wipe oye ki osise ijoba soro sise polongo nipaifeti somo bibi?OTHER__________________________(SPECIFY)YES . . . . . . . . . . . . . . . . . . . . . . ………….NO . . . . . . . . . . . . . . . . . . . . . . . ………….DON’T KNOW………….…………………..HUSBAND/PARTNER………………………FATHER......................................................MOTHER………….. ..............................FATHER-IN-LAW.........................................MOTHER-IN-LAW …………......…………….SISTER(S)……………………………..…SISTER(S)-IN-LAW……………………...OTHER RELATIVE……………………….OTHER ___________________________(SPECIFY)YES…………………………………………….NO……………………………………………DON’T KNOW …………………………X128ABCDEFGHX128Q712Q712Q713Q714Q715Q716Q717Q718In the past year, have you heard or seen a LocalGovernment Official speaking publicly against familyplanning/ birth spacing/child spacing?Laarin odun kan sehin,nje e ti gbo tabi ri osise ijoba ibileki o ma soro ni gbangba lodi si ifetosomobibi ?In the past year, have you heard or seen a LocalGovernment Official speaking publicly in favor of familyplanning/ birth spacing/child spacing?Laarin odun kan sehin,nje e ti gbo tabi ri osise ijoba ibileki o ma soro ni gbangba lati polongo ifetosomobibi?Do you think that religious leaders should speak publiclyabout family planning/birth spacing?Nje e lero wipe oye ki olori esin polongo ifeto somobibi nigbangbaIn the past year, have you heard or seen a religiousleader speaking publicly against family planning/birthspacing?Laarin odun kan sehin,nje e ti gbo tabi ri olori esin kan kio ma soro ni gbangba lodi si ifetosomobibi?In the past year, have you heard or seen a religiousleader speaking publicly in favor of family planning/birthspacing?Laarin odun kan sehin,nje e ti gbo tabi ri olori esin kan kio ma soro ni gbangba lati polongo ifetosomobibi?How many of your close friends and relatives would yousay use family planning: none, some, most, or all?Melo ninu awon ore yin ni e le so wipe o nlo ilanaifetosomobibi: Ko si, awon kan, opolopo won, tabi gbogbowon?YES…………………………………………NO………………………………………….DON’T REMEMBER …………………….YES…………………………………………NO………………………………………….DON’T REMEMBER …………………….YES . . . . . . . . . . . . . . . . . . . . . . ……….NO . . . . . . . . . . . . . . . . . . . . . . . ……….DON’T KNOW………….…………………YES…………………………………………NO………………………………………….DON’T REMEMBER …………………….YES…………………………………………NO………………………………………….DON’T REMEMBER …………………….NONE……………………………………….SOME………………………………………MOST………………………………………ALL…………………………………………DON’T KNOW……………………………..12812812812812812348Page 45

Q719Do you think there are some people within this communitywho will call you bad names or avoid your company if theyknew that you were using a family planning/contraceptivemethod?YES . . . . . . . . . . . . . . . . . . . . . . …………..NO . . . . . . . . . . . . . . . . . . . . . . . ………….DON’T KNOW……...……………………….128Nje e lero pe awon eniyan kan wa ni agbegbe yin tiwon yi o pe yin ni oruko buruku tabi ki won yago funyin patapata ti won ba mo wipe eyin nlo ilanaifetosomobibi?Q720Do you think there are some people within this communitywho will praise, encourage, or talk favorably about you ifthey knew that you were using a familyplanning/contraceptive method?YES . . . . . . . . . . . . . . . . . . . . . . …………..NO . . . . . . . . . . . . . . . . . . . . . . . ………….DON’T KNOW……...……………………….128Nje e lero pe awon eniyan kan wa ni agbegbe yi ti won yoma gboriyin fun yin ,gbayiniyanju,tabi soro daradara nipayin ti won ba mo wipe e nse ifetosomobibi?Please tell me how you would agree or disagree with the followingstatements.Ejowo e so fun mi be e se maa gba tabi ki e ma gba pelu gbolounwon yi.Q721 You could start a conversation with your partner aboutfamily planning.Q722Q723Q724Q725Q726Q727Q728E le bere oro si so pelu oko/alalopo yin nipa ifeto somobibi/fifaye si ibimo/fifaye si omo bibi?You could convince your partner that you should use amethod of family planning.E le mu ki enikeji yin gba pe ki e lo ona ifetosomobibi?You could get to a place where family planning / birthspacing / child spacing methods are offered if you decidedto use one.E le de ibi ti eti le ri ona ifeto somo bibi/fifaye siibimo/fifaye si omo bibi, ti e ba pinu lati lo okan?You could obtain a family planning/birth spacing/childspacingmethod if you decided to use one.E le gba ona ifeto somo bibi/fifaye si ibimo/fifaye si omobibi?You could use a method of family planning/birthspacing/child spacing even if your partner doesn’t wantyou to.E le lo ara ifeto somo bibi/fifaye si ibimo/fifaye si omo bibi,bo tile je pe alabalopo, oko tabi ore kunrin yin ko fe ki e loo?You could use a method of family planning/birthspacing/child spacing even if none of your friends orneighbors uses one.E le lo ara ifeto somo bibi/fifaye si ibimo/fifaye si omo bibi,bo tile je pe ko si ore kan tabi aladugbo ti o nlo?You could use a method of family planning/birthspacing/child spacing even if your religious leader did notthink you should use one.E le lo ara ifeto somo bib/fifaye si ibimo/fifaye si omo bibii, bo tile je pe olori esin yin ko ro wipe o ye ki elo kan?You could continue to use a family planning/birthspacing/child spacing method even if you experiencesome side effects.E le tesiwaju lati ma lo ara ifeto somo bibi/fifaye siibimo/fifaye si omo bibi, to ba tile je pe eri awon alebu towa nibe ?Strongly Agree Agree Disagree Stronglydisagree4 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 1Page 46

Q729Excluding your husband/partner, pleasePlease think of three people with whomyou feel most comfortable discussingprivate matters, and then give me theirFIRST names.Ejowo e ronu eyan meta ti okan yin balesi lati soro asiri nipa ara yin peluifokanbale ki e si funmi ni oruko akokowon?NAME 1 __________________________________NAME 2 __________________________________NAME 3 ___________________________________NONE……………………………………………0SKIP TO Q736Page 47

RECORD THE THREENAMES MENTIONED INQ729 (1-3)1______________(NAME)Q730 Q731 Q732 Q733 Q734 Q735What is your relationship to______?Bawo ni ese je si ______?MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE . .….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)Does this person live in this city,another city or town, or a ruralarea (village)?Se ilu nla yi ni eni yi n gbe tabi ilunla miran, tabi igberiko(ilukekere)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3Have you discussedabout familyplanning/birthspacing with _____in the past year?Nje e ti soro nipaifeto somo bibi/fifayesi ibimo/fifaye siomo bibi pelu_____laarin osumefa sehin?YES .................. 1NO .................... 2DON’T KNOW ... 8Does ____ currentlyuse a familyplanning/birth spacingmethod?Nje ____ nlo ara ifetosomo bibi/fifaye siibimo/fifaye si omo bibikan lowolowo?YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735What method does____ currently use?Iru ara wo ni ____ nlolowolowo?MULTIPLERESPONSESPOSSIBLE.STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYDoes ______ think that youshould use a familyplanning/birth spacing methodor that you should not use afamily planning/ birth spacingmethod?Nje ______ fara mo pe ki e loara ifeto somo bibi/fifaye siibimo/fifaye si omo bib Kankantabi ki e ma lo ara ifeto somobibi/fifaye si ibimo/fifaye siomo bib Kankan?THINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..8Page 48

Q730 Q731 Q732 Q733 Q734 Q735RECORD THE THREENAMES MENTIONED INQ729 (1-3)What is your relationship to______?Bawo ni ese je si ______?Does this person live in this city,another city or town, or a ruralarea (village)?Se ilu nla yi ni eni yi n gbe tabi ilunla miran, tabi igberiko(ilukekere)Have you discussedabout familyplanning/birthspacing with _____in the past year?Nje e ti soro nipaifeto somo bibi/fifayesi ibimo/fifaye siomo bibi pelu_____laarin osumefa sehin?Does ____ currentlyuse a familyplanning/birth spacingmethod?Nje ____ nlo ara ifetosomo bibi/fifaye siibimo/fifaye si omo bibikan lowolowo?What method does____ currently use?Iru ara wo ni ____ nlolowolowo?Does ______ think that youshould use a familyplanning/birth spacing methodor that you should not use afamily planning/ birth spacingmethod?Nje ______ fara mo pe ki e loara ifeto somo bibi/fifaye siibimo/fifaye si omo bib Kankantabi ki e ma lo ara ifeto somobibi/fifaye si ibimo/fifaye siomo bib Kankan?2______________(NAME)MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE . .….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3YES .................. 1NO .................... 2DON’T KNOW ... 8YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYTHINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..83______________(NAME)MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE ..….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3YES .................. 1NO .................... 2DON’T KNOW ... 8YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYTHINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..8Page 49

INSTRUCTIONS: Ask question Q736, then question Q737, Q738 AND Q739, for each person listed in the left column before moving on tothe next person.Q736. In the past year, Q737. How important is thisQ739. Is this person’shave you talked about person's opinion to you withapproval necessary forfamily planning with regard to family planning/birthyou to use family__________?spacing issues?planning/birth spacing?Laarin odun kan sehin,njee soro nipa ifetosomobibipelu__________?Bawo ni amoran eniyi se jepataki si fun yin, nipa awonohun ti o je mo ifeto somobibi/fifaye si ibimo/fifaye siomo bibi ?Q738. Do you thinkthat this person wouldsupport your using amethod of familyplanning/birthspacing?Nje e ro wipe eni yi lese atilehin fun pe ki elo ara ifetosomobibikan?Nje ifowosi eni yi sepataki fun yin ki e to lelo ara ifetosomobibi?a. Your motherMama yinb. Mother-in-lawIya oko/iyawo yinc. Sister-in-lawAburo tabi egbonoko yind. Father-in-lawBaba oko yine. Members of yourreligiouscommunity?Awon elesin iluyin?YES..............NO...............NA………….YES..............NO...............NA………….YES..............NO...............NA………….YES..............NO...............NA………….YES..............NO...............NA………….127(b)127(c)127(d)127(e)127Q740NOT AT ALL……..SOMEWHAT………VERY ……………NOT AT ALL……..SOMEWHAT………VERY ……………NOT AT ALL……..SOMEWHAT………VERY ……………NOT AT ALL……..SOMEWHAT………VERY ……………NOT AT ALL……..SOMEWHAT………VERY ……………123123123123123YES...................NO.....................DK.....................YES...................NO.....................DK.....................YES...................NO.....................DK.....................YES...................NO.....................DK.....................YES...................NO.....................DK.....................128128128128128YES………NO……….YES………NO……….YES………NO……….YES………NO……….YES………NO……….1212121212Q740In your opinion, is it okay for a woman to use familyplanning/birth spacing/child spacing without herhusband’s or partner’s knowledge if:Ni ero tiyin,nje o tona ki obirin lo ona ifetosomobibi /fifi ayesarin ibimo/fifi aye sarin omo lai je ki oko tabi enikeji re monipa re ti……a. He is against family planning use but she wantsto use it?Ko ba fara mo lilo ona ti o ndena oyun sugbon tiobirin si fe lob. They have many children?YES NO DON’T KNOW1 2 8Ti won ba ni omo to po. 1 2 8c. The husband is violent towards her and/or thechildren?Oko nse ika si obirin na ati / tabi si awon omo.d. The couple does not have enough money forany more children?Idile ko ni owo to fun omo kankan si?1 2 81 2 8Page 50

SECTION 8: GENDER INEQUITY MEASURESQuestions and filters Coding categories SkipNow I would like to ask you some questions regarding your partner and how you and your partner make household decisions. Please rememberto be as honest as possible and that your responses will remain confidential; that is, no one will see your answers.Ni bayi mo fe bere awon ibeere lori bi eyin ati onibalopo yin se nse eto lori awon ohun ti je mo idile yin. Ejowo, eranti esa gbogbo ipa yin lati sootito. A si nfi da yin loju pe gbogbo idahun yin ni yo je bonkele ,eyi ti o tu mo sipe ko si enikeni ti yio ri awon idahun yinQ801 CHECK Q510 AND Q511: EVER MARRIED AND CURRENTLY MARRIEDCURRENTLY MARRIED OR LIVING TOGETHERNOT IN A UNION(Q511=1 OR 2) Q510=3 OR Q511=(3, 4 OR 5)Q811Q802How old was your partner on his last birthday?AGE IN COMPLETED YEARS……………[__|__]Q803Q804Kini ojo ori oko/alabagbepo yin ni akoko ti won se ojoibi kehin?Did your husband/partner ever attend school?Se oko/alabagbepo yin lo si ile iwe ri?What was the highest level of school he attended:quranic, primary, secondary, or higher?YES . . . . . . . . . . . . . . . …………….NO . . . . . . . . . . . . . . .QURANIC ONLY…………………….12 Q8060Q806Kini ile iwe ti o ga ju ti won lo?,Ile iwe alakobere,Ile iwegiga odun meta akoko, Ile iwe giga odun meta keji tabiile iwe ti o ga julo?PRIMARY…………………………….JUNIOR SECONDARY (JSS)…......SENIOR SECONDARY (SSS)…….HIGHER…………………………………DON’T KNOW.………………………….12348Q806Q806Q805What is the highest (class/year) he completed at thatlevel?CLASS/YEAR…………………………[__|__]Kinnikilaasi/ odun) ti o ga ju ti o pari ni ipele yi?DON’T KNOW………………………………98Q806RECORD “00“ IF NO COMPLETED YEARSWhat is your partner’s occupation, that is, what kind ofwork does he mainly do when he is/was working?ACTUAL NAME OF OCCUPATION:Kini ise alabagbepo yin, eyi tumo sipe iru ise wo ni wonse julo?____________________________________________________________________________________CODE (OFFICE USE ONLY)…..…………[__|__]Q807Is your husband/partner currently working?Nje oko/alabagbepo yin ise lowo bayi?YES . . . . . . . . . . . . . . . . . . . . . . …………..NO . . . . . . . . . . . . . . . . . . . . . . . ………….DON’T KNOW……...……………………….128Q809Q808What has he been doing for most of the time over thelast 12 months?Kiniwon ti n se ni opo igba lenu odun kan sehin?NOTHING/IDLE…………………………………………..LOOKING FOR WORK………………………………….GOING TO SCHOOL/STUDYING……………………..UNABLE TO WORK DUE TO ILLNESS/DISABILITY..RETIRED………………………………………………….0102030405Q811HOUSEHOLD/FARM WORK………………………..06OTHER (SPECIFY)___________________________96Q809Does he usually work throughout the year, seasonally,or only once in a while?Nje won sise yipo odun, ni asiko kan ninu odun tabileekan kan?THROUGHOUT THE YEAR . . . . . . . . . . . …………SEASONALLY/PART OF THE YEAR . . ……………..ONCE IN A WHILE . . . . . . . . . . . . . . . . . . …………123Q810Does he usually earn cash for this work?Nje won gba owo fun ise yi?YES . . . . . . . . . . . . . . . …………………………………NO . . . . . . . . . . . . . . . ………………………….………DON’T KNOW……………………………………………128Page 51

Q811What is your occupation, that is, what kind of work doyou mainly do?ACTUAL NAME OF OCCUPATION:Kini ise yin eyi tumo sip e iru ise wo ni e n se?____________________________________________________________________________________Q812As you know, some women take up jobs for which theyare paid in cash or kind. Others sell things, have asmall business or work on the family farm or in thefamily business. In the last seven days, have youdone any of these things or any other work?CODE (OFFICE USE ONLY)…..………… [__|__]YES . . . . . . . . . . . . . . . …………………………………NO . . . . . . . . . . . . . . . ………………………….………12Q813Q814Gegebi e ti mo, awon obirin kan a ma se ise eyi ti wonngba owo tabi ohunkan fun, awon miran ma nta oja,awon miran je onise adani kerekere , awon miran jeosise ni oko tabi okowo ti oje ti idile. Laarin ojo mejesehin nje e ti se kankan ninu eyi tabi se ise miran?Have you done any work in the last 12 months?Nje e ti se ise kankan laarin osu mejila sehin?Do you do this work for a member of your family, forsomeone else, or are you self-employed?Se e n sise fun okan ninu idile yin, fun elo miran , tabi en se ise ti ara yin ni?YES . . . . . . . . . . . . . . . …………………………………NO . . . . . . . . . . . . . . . ………………………………….FOR FAMILY MEMBER . . . . . . . . . . . . . . ……………FOR SOMEONE ELSE . . . . . . . . . . . . ………………..SELF-EMPLOYED……………………….......................12 Q819123 Q817Q815Does your employer provider health care services onsite for its employees?Nje eni ti o gbayin sise pese eto ilera fun awon osise reni ibi ise?YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .DON’T KNOW……………………128Q816Q817Q818Would you access family planning/contraceptiveservices if your employer offered the service on site (atthe work place)?Nje e ma gba ona ifetosomobibi/idena oyun ti agbanisise yin ba fi eyi lo yin ni ibi ise yin.Do you usually work throughout the year, or do youwork seasonally, or only once in a while?Se e n sise yipo odun, ni asiko kan ninu odun tabileekan kan?Are you paid in cash or kind for this work, or are younot paid at all?Nje won nsan owo fun yin tabi ohun miran fun ise tie setabi won ki san ohun Kankan rara?YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .DON’T KNOW……………………THROUGHOUT THE YEAR . . . . . . . . . . . . …………SEASONALLY/PART OF THE YEAR . . . …………ONCE IN A WHILE . . . . . . . . . . . . . . . . . . . …………IN CASH ONLY………………………….………………IN CASH AND IN KIND……………………...................IN KIND ONLY……………………………..……………..NOT PAID………………………….….…………………1281231234Q819CHECK Q510 AND Q511: EVER MARRIED AND CURRENTLY MARRIEDCURRENTLY MARRIED OR LIVING TOGETHERNOT IN A UNION(Q511=1 OR 2) Q510=3 OR Q511=(3, 4 OR 5)Q825Q820 CHECK Q813 AND Q818:IF SHE IS CURRENTLYIF SHE DOESN’T WORKWORKING AND EARNS CASHOR DOES NOT EARN CASH(Q818=1 OR 2) (Q813=2 OR Q818=3 OR 4)Q822Q821Who decides how the money that you earn will beused: mainly you, mainly your partner, or you and yourpartner jointly?Tani o n pinu bi eti maa na owo ti e n gba: eyin nikan,alabagbepo tabi eyin/alabalopo yin papoRESPONDENT . . . . . . . . . . . . . . . . . ……. . ………….PARTNER . . . . . . . . . . . . . . . . . …….. . . . . . …………RESPONDENT AND PARTNER JOINTLY. ………….OTHER ___________________________________(SPECIFY)1236Page 52

Q822CHECK Q807 AND Q810:IF HE IS CURRENTLYIF HE DOESN’T WORKWORKING AND EARNS CASHOR DOES NOT EARN CASH(Q810=1) (Q807=2 OR 8; OR Q810=2 OR 8)Q824Q823Who decides how the money that your partner earnswill be used: Mainly you, mainly your partner, or youand your partner jointly?Tani o n pinu bii ese maa na owo ti alabalopo yin gbaeyin nikan, alabalepo tabi eyin/alabalopo yin papo?RESPONDENT . . . . . . . . . . . . . . . . . ……. …………PARTNER . . . . . . . . . . . . . . . . . …….. . . . . . ……….RESPONDENT AND PARTNER JOINTLY. ……….OTHER ______________________________(SPECIFY)1236Q824Sometimes in a marriage or a relationship, a man prohibits his wifefrom doing certain things. Does your husband prohibit you from:Lekokan ninu igbeyawo tabi ibasepo,okunrin maa n se idiwo fun iyawore lati se awon ohun kan. Nje oko yin se idiwo fun yin lati ;YESNOa. Working outside the home?Sise ni ibomiran yato si ile?b. Having visits from people?Gbigba ibewo lati odoawon eniac. Visiting your friends?Sise abewo si awon ore?d. Visiting your family?Sise abewo si awon ebi yin?e. Using contraceptives?Lilo awon ohun ti oun se idena si oyunf. Using a mobile phone?Lilo ero ibanisoro alagbeka?1 21 21 21 21 21 2Q825Do you have any money of your own that you alone can decidehow to use?Nje eni owo kankan fun ara yin eyi ti o je wipe eyin nikan ni o lepinu bi e se ma na ?YES . . . . . . . . . . . . . . . . . . . . . .NO . . ... . . . . . . . . . . . . . . . . . . .12Q826In a couple, who do you think should have the greater say ineach of the following decisions: the husband, the wife, or bothequally:Laarin oko ati aya tani e yin ro wipe o ye ki o ni ase julo loriawon ipinu wonyi; Oko, Aya,awon mejeeji ni dede:HUSBANDWIFEBOTHEQUALLYDK/DEPENDSa) Making large household purchases?Rira awon ohun elo pataki ninu ile?b) Making small daily household purchases?Rira awon ohun elo kekeke ninu ile?c. Deciding when to visit family, friends, or relatives?Ipinu igbati e le lo ki awon ebi, ore ati ojulumo?d. Deciding when and where to seek medical care for your ownhealth?Ipinnu igba ati ibi ti e ti le lo fun itoju fun fun ile ra yin1 2 3 81 2 3 81 2 3 81 2 3 8Page 53

Q827Sometimes a man is annoyed or angered by things that his wife does. In your opinion, is aman justified in hitting or beating his wife in the following situations?Lekokan,oko a ma binu si ohun ti iyawo re ba se, ni ero ti yin, nje oko ni awijare lati gba tabina iyawo re ni awon akoko wonyi;YES NO DON’TKNOWa. If she goes out without telling him?Ti o ba jade lai so fun oko?1 2 8b. If she neglects the house or the children?Ti ko ba bojuto ile tabi awon omo?1 2 8c. If she argues with him?Ti o ba n gbo oko lenu?1 2 8d. If she refuses to have sex with him?Ti o ba ko lati ba oko lopo?1 2 8e. If she cooks the food improperly?Ti o ba ko lati dana?1 2 8f. If he suspects her of being unfaithful?Ti o ba ri apere pe obirin nse agbere ?1 2 8g. If she refuses to have another child?Ti o ba ko lati bimo miran?1 2 8Page 54

Now I am going to read some statements to you about relationships and children. For each statement, please tell me your opinion as to whether youstrongly agree, agree, disagree, or strongly disagree with it.Nibayi, mofe ka awon oro kan si yin leti nipa ibasep ati awon omo.Fun awon oro kokan yi, ejowo e so fun mi nipa ero yin, boya e faramo awon oro wonyigidigan, efaramo die, eko faramo tobe tabi e o faramo rara.StronglyAgreeAgree Disagree StronglydisagreeQ828Q829Q830Q831Q832Q833Q834Q835Q836Q837Q838The husband should be the one to decide whether the couple should use afamily planning/birth spacing/child spacingmethod.Oko ni oye ko pinu boya ki tokotaya lo ona ifeto somo bibi/fifaye si ibimo/fifayesi omo bibiCouples who practice family planning have a better quality of life than thosewho do not.Awon tokotaya ti o nfetosomobibi a ma gbe igbe aiye to dara ju awon ti ko sebe lo.Husbands and wives should discuss family planning.Oko ati aya nilati jiroro lori ifetosomobibi.Men should not allow their wives to use family planning.Ko ye ki okunrin gba iyawo won laye lati lo ona ifeto somo bibiA woman who uses family planning without her husband’s knowledge shouldbe punished.Oye ki a je obinrin ti o ba lo ona ifeto somo bibi ni iya ti o ba lo lai je wipe oko remo siA woman who has no children is not complete/fulfilled.Obirin ti ko lomo kope /yege.A man who has no children is not complete/fulfilled.Okunrin ti ko lomo ko pe /yege.It is good to have many children because one is not sure who among them willsurvive to care of the parents at old age.O dara ki eniyan ni omo to po nitori ako mo eyi ti yio ye lati toju awon obi ni ojoogbo.The number of children a couple will have is for God only to decide.Olorun nikan lo le so Iye omo ti toko taya ma ni..A woman should continue bearing children until she has at least one son.Obirin nilati ma bi omo titi yio fi ni omokunrin kan.A woman should continue bearing children until she has at least one daughter.Obirin nilati ma bi omo titi yio fi ni omobirin kan.4 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 14 3 2 1Page 55

Q901SECTION 9: MEDIA EXPOSUREQuestions and filters Coding categories SkipNow I would like to talk to you about your information needsand where you get information regarding health issues.What are your main sources for receiving healthinformation?Nibayi mo fe soro lori awon iforotonileti ti e nilo ati ibi ti e tile ri iforotonileti gba nipa o hun ti o jo mo ilera.PROBE SEPARATELY FOR:A. Media sources lati odo awon ile ise irohinB. Health personnel sources lati odo awon osiseIleraC. Community sources Lati Odo ara iluD. Interpersonal sources Lati odo enikan si ekejiPROBE: Any other source? (FOR EACH CATEGORY)PROBE: Nje awon ona miran wa? (FOR EACHCATEGORY)CIRCLE ALL MENTIONED.Media SourcesRADIO ............................................................ ..AATV..................................................................... ABVIDEOS ......................................................... ..ACNEWSPAPERS ............................................... ADMAGAZINES/BOOKS ...................................... AEFLYERS/LEAFLETS .........................................AFBILL BOARDS…………………………………….AGWALL PAINTING……………………………….…AHFACE BOOK………………………………….……AIINTERNET…………..……………………….…….AJE-MAIL…………….……………………….………AKSMS……………………………………….………..ALHealth Personnel SourcesCLINICAL OFFICER/DOCTOR .………..…………BANURSE/MIDWIFE……………………………………BBCOMMUNITY HEALTH WORKER……..…….……BCPHARMACY/PHARMACIST………………………..BDPMV/CHEMIST………………….. …….……………BEHOSPITAL……………………………………………BFCLINIC ……………………………………………….BGTBA………..……………………………….………….BHHERBALIST/TRADITIONAL HEALER…………….BICommunity SourcesCINEMA/MOBILE CINEMA………………………….CAVIDEO SHOPS/DEN…………………………………CBSOCIAL/COMMUNITY HALLS……………………..CCCOMMUNITY OUTREACH EVENTS (THEATRE,PUPPETS, ROAD SHOWS, ETC)…………………CDPEER EDUCATION………………………………….CESCHOOL………………………………………………CFNGOS………………………………………………….CGFBOS/CHURCH/MOSQUES…………………….… CHCOMMUNITY MEETINGS…………………….…… . CIWOMEN’S GROUPS………………………………... CJInterpersonal SourcesPARENTS…………………………………………….DAIN-LAWS………………………………………………DBSPOUSE/PARTNER……………………………….....DCSIBLINGS…………………………………………..…DDSISTER/BROTHER IN LAWS………………………DEFRIENDS/NEIGHBORS……………………..…….. DFOTHER RELATIVES…………………………………DGOTHER SOURCES: _______________________XXQ902Q903Do you read newspaper(s)?Nije e n ka awon iwe iroyin?Which newspaper(s) do you read most often?Ewo ninu iwe irohin ni e ma nka ni opo igba?LIST THE FULL NAME OF THE TOP THREENEWSPAPERS MENTIONEDNONE…………………………………………………YYDON’T KNOW………………..………………………ZZYES ............................................................... 1NO ................................................................... 21.__________________________________2.__________________________________3.__________________________________Q904Q904Do you read magazine(s)?Nje e ma nka iwe irohin igba deegba?YES ............................................................... 1NO ................................................................... 2Q906Page 56

Q905Which magazine(s) do you read most often?Ewo ninu awon iwe irohin igba deegba wo le ma nka ni opo igba?LIST THE FULL NAME OF THE TOP THREE MAGAZINESMENTIONED1.__________________________________2.__________________________________3.__________________________________Q906CHECK: Q902 & 904: READ NEWSPAPERS AND/OR MAGAZINESIF YES TO EITHERIF NO TO BOTHQ909Q907Q908Have you read any articles on family planning/birth spacing innewspapers/magazines in the past three months?Nje e ti ka nipa ifetosomobibi ninu iwe irohin tabi iwe irohin Igbade igba laarin osu meta sehin?What information did you read in the newspapers/magazinesabout family planning/ birth spacing?Iru iforotonileti wo le eka ninu iwe irohin tabi iwe irohin Igba deigba lori ifetosomobibi ?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”YES................................…..………1NO.....................................………..2METHODSDAILY PILLS ....................................................... AIUCD ................................................................... BCONDOMS ......................................................... CINJECTABLES…………………………………… DIMPLANTS………………………………………….EEC/MORNING AFTER PILL/ POSTINOR 2 ......... FFEMALE STERILIZATION .................................. GMALE STERILZATION ....................................... HSTANDARD DAYS METHOD (SDM) ................... IISSUEAGE AT MARRIAGE ..... ……………………………JDELAYING FIRST BIRTH ............................ …….KDELAYING AGE AT FIRST SEX/ABSTINENCE…..LSPACING BETWEEN BIRTHS……………….……..MLIMITING FAMILY SIZE ........ …………………….NGOVT STATEMENTS REGARDING FP………...OQ909OTHERS (Specify)_________________________XQ909Do you listen to the radio?Nje ema nteti si ero asoro ma gbesi?YES ............................................................... 1NO ................................................................... 2Q916Q910Which radio stations do you listen to?Awon ile ise ero asoromagbesi wo ni e ma nteti si?LIST THE FULL NAME OF THE TOP THREE RADIO STATIONSMENTIONED1.__________________________________2.__________________________________3.__________________________________Q911How many days in a week do you listen to radio?Ojo melo laarin ose lefi ma nteti si ero asoromagbesi?NUMBER OF DAYS IN A WEEKQ912On average how long in total do you listen to radio on a normalday?LESS THAN WEEKLY/NOT REGULARLY ...... 8HOURS PER DAY…………………1 [__|__]Ni idiwon, bawo ni ose pe to ni apapo ni e fi n tati si ero asoromagbasi ni ojo kan?ORMINUTES PER DAY………………2 [__|__]Q913What time of day do you most often listen to the radio?Ni akoko wo ni e ma nteti si ero asoromagbesi ni ojoojumo?SINGLE RESPONSEMORNING (FOUR AM TO NOON)..................................1AFTERNOON (NOON TO SIX PM).................................2EVENING (SIX PM TO TEN PM)....................................3NIGHT (TEN PM AND LATER) ......................................4Page 57

Q914Q915Have you heard any family planning/ birth spacing information onthe radio in the past three months?Nje e ti gbo iroyin ifeto somo bibi lori ero asoro magbesi ni bi osumeta sasiko yi?What information did you hear on the radio about familyplanning/birth spacing?Iru iroyin wo ni e gbo lori e ro asosro ma gbesi nipa ifeto somobibi?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHER TOESTABLISH IF THEY MEAN THE “DAILY PILL” OR THE“EMERGENCY PILL”YES................................…………1NO....................................………..2METHODSDAILY PILLS ....................................................... AIUCD ................................................................... BCONDOMS ......................................................... CINJECTABLES……………………………………..DIMPLANTS………………………………………….EEC/MORNING AFTER PILL/ POSTINOR 2 ......... FFEMALE STERILIZATION .................................. GMALE STERILZATION ....................................... HSTANDARD DAYS METHOD (SDM) ................... IISSUEAGE AT MARRIAGE ....................................... ….JDELAYING FIRST BIRTH .................................... KDELAYING AGE AT FIRST SEX/ABSTINENCE.....LSPACING BETWEEN BIRTHS ………………….MLIMITING FAMILY SIZE .................... ……… ….NGOVT STATEMENTS REGARDING FP……….OQ916OTHERS (Specify)_______________________XQ916In your opinion, how acceptable or not acceptable are thefollowing topics on radio?ACCEPTABLEUNACCEPTABLENi ero tiyin, bawo ni awon ipolongo lori awon isori ti akosile wonyilori ero asoro magbesi, se je itewogba to tabi pe ko je itewogba?a. Family planning/birth spacing Ifetosomobibi.b. HIV/AIDS Arun eedic. Maternal health (antenatal care, delivery services,postpartum care)Ilera obirin (Itoju oyun, eto ibimo,itoju iya lehin ibimo)d. Child health (immunizations, disease prevention, nutrition)Ilera omo (abere ajesara, idena aisan, eto ounje)e. Reproductive health (STIs, infertility problems)Ibisi (Arun ibalopo, isoro airomobi)1 21 21 21 21 2Q917Q918Do you watch television?Nje e ma nwo ero amohunmaworan?How many days in a week do you watch television?YES ............................................................... 1NO .................................................................. 2NUMBER OF DAYS PER WEEKQ926Q919Ojo melo laarin ose kan ni e ma nwo eroamohunmaworan?On average how long in total do you watch televisionon a normal day?Ni idiwon bawo ni o se peto ni apapo ni e fi n woamoun maworan ni ojumo?NOT REGULARLY……………………….8HOURS PER DAY…………………1 [__|__]ORMINUTES PER DAY………………2 [__|__|Q920What time of the day do you most often watch TV?Ni akoko wo ni e ma n wo ero amohun maworan ju niojoojumo?SINGLE RESPONSEMORNING (FOUR AM TO NOON)......................1AFTERNOON (NOON TO SIX PM).....................2EVENING (SIX PM TO TEN PM).........................3NIGHT (TEN PM AND LATER) ...........................4Page 58

Q921Q922Where do you normally watch TV?Nibo ni e ti saba ma n wo ero amohun maworan?CIRCLE ALLWhat channels do you generally watch on TV?Awon ikanni wo ni e ma nsaba wo lori eroamohunmaworan?LIST THE FULL NAME OF THE TOP THREE TVSTATIONS MENTIONEDOWN HOUSE......................................................ARELATIVE/FRIEND/NEIGHBOR’S HOUSE…....BSOCIAL HALL/COMMUNITY CENTER..............CVIDEO DEN….....................................................DPOOL HALL/BAR................................................EOTHER _______________________________X(SPECIFY)1.__________________________________2.__________________________________3.__________________________________Q923What kind of TV programs do you normally watch?Iru awon eto amohun maworan wo ni e maa n wo ju?CIRCLE ALL MENTIONED.NEWS/CURRENT AFFAIRS……………………ARELIGIOUS PROGRAMMING..……………….BTALK SHOWS……………………………………CNATURE PROGRAMS………………………….DDOCUMENTARIES……………………………...ESOAP OPERAS/DRAMA………………………..FCARTOONS……………………………………..GMUSIC TELEVISION……………………………HPOLITICAL DEBATES…………………………..ISPORTS………………………………………….JCONTESTS………………………………………KFILMS/MOVIES………………………………….LQ924Q925Have you seen any family planning programs/information on the TV in the past three months?Nje e ti ri ifitonileti ti o jo mo ifetosomobibi lori eroamohunmaworan laarin osu meta sehin?What information did you see on the TV about familyplanning/birth spacing?Iru iforotonileti wo le eri lori ero amohunmaworan nipaifetosomobibi?CIRCLE ALL MENTIONED.IF RESPONDENT SAYS “PILL”, PROBE FURTHERTO ESTABLISH IF THEY MEAN THE “DAILY PILL”OR THE “EMERGENCY PILL”OTHER ______________________________X(SPECIFY)YES................................…………..…1NO.................................………..……..2METHODSDAILY PILLS ....................................................... AIUCD ................................................................... BCONDOMS ......................................................... CINJECTABLES……………………………………..DIMPLANTS………………………………………….EEC/MORNING AFTER PILL/ POSTINOR 2 ......... FFEMALE STERILIZATION .................................. GMALE STERILZATION ........................................ HSTANDARD DAYS METHOD (SDM) .................. IISSUEAGE AT MARRIAGE ....................................... ….JDELAYING FIRST BIRTH ................................... KDELAYING AGE AT FIRST SEX/ABSTINENCE……………………………………....LSPACING BETWEEN BIRTHS ………………….MLIMITING FAMILY SIZE ..................... ……… ….NGOVT STATEMENTS REGARDING FP……….OQ926OTHERS (Specify)_______________________XPage 59

Q926In your opinion, how acceptable or not acceptable are thefollowing topics on TV?ACCEPTABLEUNACCEPTABLENi ero ti yin, bawo ni awon ipolongo lori awon isori ti ako sile wonyilori ero amohunmaworan, se je itewogba to tabi pe ko je itewogba?a. Family planning/birth spacing Ifetosomobibi1 2b. HIV/AIDS Arun eedi1 2c. Maternal health (antenatal care, delivery services,postpartum care)1 2Q927Q928Q929Eto ilera abiyamo(itoju oyun, eto ibimo, itoju ara lehin ibimo)d. Child health (immunizations, disease prevention, nutrition)Eto ilera awon omo (abere aje sara, idena arun, eto onje)e. Reproductive health (STIs, infertility problems)Eto ibimo(Kiko aisan nipa ibalopo, Idojuko ai room bi)Do you go to video shows?Nje e n lo si ile iworan sinimo?How often do you go to video shows?Bi igba melo le ma nlo si ile iworan sinima?SINGLE RESPONSEWhere do you go for video shows?Iru ile iworan wo ni e ma n lo?CIRCLE ALL MENTIONED1 21 2YES………………………………….1NO……………………………………2MORE THAN ONCE PER WEEK…….…..1EVERY WEEK ………………………….…..2A COUPLE OF TIMES A MONTH ..……...3AT LEAST ONCE A MONTH …..…………4AT LEAST ONCE A YEAR …….…….……5RARELY………………………….………….6VIDEO DENS ………….…………………... ……….AMOBILE CINEMA…………...…...............................BCHURCH/MOSQUE .…………………..…………….CSOCIAL HALLS ……...……….…………..................DBARS AND RESTAURANTS..………………………EPRIVATE HOUSES (OWN HSE, FRIENDS’ HSE,NEIGHBORS’ HSE, ETC) .…………………………..FCLINIC………………………………………………….GQ930OTHER __________________________________XQ930Do you have access to mobile phone?Nje e ni anfani si ero ibani soro alagbeka?YES………………………………….1NO……………………………………2Q931Q932Q933Do you own a mobile phone that is mainly for your own use?Nje e ni ero ibani soro alagbeka ti yin?Have you ever had a conversation about family planning over thephone?Nje eti se ijiroro lori ero ibanisoro alagbeka nipa ifetosomobibi?Was the person (or people) you talked to about family planningover the phone in this city, in another city, in a rural area or inanother country?Nje eni (tabi awon eni) ti e ba soro nipa ifeto somo bibilori ero ibanisoro alagbeka yi n gbe ilu nla yi, ilu nlamiran, igberiko tabi orile ede miranDON’T KNOW MOBILE PHONE….8YES………………………………….1NO……………………………………2YES………………………………….1NO……………………………………2THIS CITY………………………………..AANOTHER CITY…………………………BRURAL AREA……………………………CANOTHER COUNTRY…………………..DDON’T KNOW…………………………….ZQ936BQ934CIRCLE ALL MENTIONEDPage 60

Q934Would you be comfortable receiving family planning/ birthspacing and other health messages by SMS/text messages?Se yio royinlorun lati gba iroyin lori ifeto somo bibi atiiroyin lori ilera lati inu ero ibani soro alagbekaYES…………………………………..1NO…………………………………….2DON’T KNOW SMS………………...8Q936AQ935Have you received any family planning/birth spacing messagesvia SMS in the last three months?Nje e ti gba oro nipa ifeto somo bibi lati ori ero ibanisoro alagbeka lenu osu meta sehin?YES………………………………….1NO……………………………………2Q936In the past three months, have you accessed the internet, web, or email at least once through the following?Laarin osu meta to koja,nje eti wo ero ayelujara yin, okereju leekan nipa ona wanyia. a mobile phone?Ero ibani soro alagbeka?b. A computer?Ero ayara bi asa (komputa)YES…………………………………………………………1NO………………………………………………………….2DONT KNOW INTERNET…………………………….8YES…………………………………………………………1NO………………………………………………………….2Q937Q937Do you belong to any group(s), club(s) or organization(s)?Nje e dara po mo egbe(awon egbe tabi ajo (awon ajo) kankan?YES . . . . . . . . . . . . . . . ……………………NO . . . . . . . . . . . . . . . ………………………12 Q1001Page 61

Q938. What are the names and types ofthese organizations to which you belong?Kini oruko awon iru egbe ti e dara po mo?01_____________________________________GROUP NAME_____________________________________GROUP TYPE02_____________________________________GROUP NAME_____________________________________GROUP TYPEQ939. How longhave you been amember of thisgroup ororganization?O to igba wo ni eti dara po moegbe yi?

Q938. What are the names and types ofthese organizations to which you belong?Kini oruko awon iru egbe ti e dara po mo?03____________________________________GROUP NAME_____________________________________GROUP TYPE04_____________________________________GROUP NAME_____________________________________GROUP TYPEQ939. How longhave you been amember of thisgroup ororganization?O to igba wo ni eti dara po moegbe yi?

SECTION 10: MIGRATION HISTORYQuestions and filters Coding categories SkipNow I would like to ask you about how long you have lived here and where you come from and how often you visit other areas.Ni bayi, mo fe beere nipa akoko ti e ti ngbe nibi ati ibi ti e ti wa si bi pelu bi e se nse abewo si awon ibomiran to.Q1001How long have you been living continuously in this house?O to igba wo ni e ti ngbe ni nu ile yi?MONTHS………………………….YEARS…………………………….1 [__|__]2 [__|__]IF A FEW WEEKS TO 11 MONTHS, RECORD 00-11.OTHERWISE, RECORD NUMBER OF YEARS.ALWAYS…………………………..VISITOR ………………………….995996Q1004Q1002Just before you moved here, did you live in ABUJA, KADUNA,ZARIA, BENIN, IBADAN, ILORIN OR ELSEWHERE?Ki e to wa si bi, nje e ti gbe ni ABUJA, KADUNA, ZARIA, BENIN,IBADAN, ILORIN tabi, ilu miran?IF THE RESPONDENT MENTION ELSEWHERE, ASK IF THEPLACE IS RURAL AREA OR TOWNABUJA ………………………………………………….BENIN ………………………………..….................IBADAN…………………………………………………...ILORIN……………………………………………………KADUNA ……………………………….. …………….ZARIA ……………………………...............................ANOTHER TOWN ………………………………………RURAL AREA….………………………………………...ANOTHER COUNTRY………………………………….010203040506070809Q1004Q1004Q1003What is the name of the village, town/city and state of yourformer residence?Kini oruko abule ilu nla ati ipinle ibi e n gbe tele?NAME OFVILLAGE/TOWN/VCITY:_________________________LGA NAME:___________________________________CODE BOXES: OFFICE ONLY [__|__|__]STATE NAME: _________________________________CODE BOXES: OFFICE ONLY [__|__|__]Q1004Q1005Since you started living here, have you stayed away from thiscity for 6 (six) months or longer?Lati igba ti e ti n gbe ibi yi, nje e ti rin irn ajo kuro ni ilu nla yi ti eko si pada fun bi osu mefa tabi ju bee lo?In the past 12 months, have you visited another city/town inNigeria in order to visit family or friends?Laarin osu mejila sehin, nje e ti lo si ilu nla miran ni orile edeNigeria lati lo ri ebi ati awon ore?YES . . . . . . . . . . . . . . . . . . . . . . ………………………..NO . . . . . . . . . . . . . . . . . . . . . . …………………………YES . . . . . . . . . . . . . . . . . . . . . . ………………………..NO . . . . . . . . . . . . . . . . . . . . . . …………………………1212 Q1015Q1006 Which city or town did you visit most often in the past 12months?Ilu nla tabi ilu wo ni e ti lo ni opolopo igba laarin osu mejilasehin?WRITE NAME OF THE CITY, LGA AND STATENAME OF TOWN/CITY _______________________LGA NAME:___________________________________CODE BOXES: OFFICE ONLY [__|__|__]STATE NAME:____________________________CODE BOXES: OFFICE ONLY [__|__|__]Q1007How often did you visit this city/town [NAME OF CITY/TOWNQ1006] in the last 12 months?Bawo ni e se lo si ilu nla/ilu [NAME OF CITY/TOWN Q1006] yito laarin osu mejila sehin?PER WEEK……………………..….…1PER MONTH…………………………2PER YEAR……………………………3[__|__][__|__][__|__]Page 64

Q1008Q1009Q1010Q1011How long do you usually stay when you visit [NAME OFCITY/TOWN?Bawo ni e se maa n duro peto ti e ba lo si [NAME OFCITY/TOWN]?In the last year, how much time have you spent at [NAME OFTOWN/CITY ]?Laarin odun ti o koja o to asiko wo ni e lo ni [NAME OFTOWN/CITY ]?During your visit(s), do you ever discuss family planning/birthspacing/child spacing with anybody?Ni asiko abewo tabi awon abewo yi, nje e jiroro lori ifeto somobibi/afo si ibimo/ afo somo bibiDuring your visit(s), do you ever seek family planning spacingservices?Ni asiko ibewo yi, nje e wa eto ifeto somo bibi?HOURS…………………..…………...2 [__|__]DAYS…………………………………..3 [__|__]WEEKS ……………………………….4 [__|__]MONTHS …………………..………....5 [__|__]HOURS…………………..…………...1 [__|__]DAYS…………………………………..2 [__|__]WEEKS ……………………………….3 [__|__]MONTHS …………………..………....4 [__|__]YES………………………………………………………..1NO…………………………………………………………2YES………………………………………………………..1NO…………………………………………………………2Q1012 Do friends or family from this city/town [MENTIONED IN Q1006]ever come to visit you?Q1013Q1014Nje awon ore tabi ebi lati ilu nla/ ilu yi [MENTIONED IN Q1006] fiigba kan wa be yin wo?Do you ever talk about family planning with your friends andfamily who are visiting you here?Nje e ti fi igbakan soro nipa ifeto somo bibi pelu awon ore ati ebiti won beyin wo nibi yi?Do your friends and family who visit ever seeks family planningservices when they are visiting?Nje awon ore ati ebi ti o n be yin wo fi igbakan beere fun onaifeto somo bibi ni igba ti won beyin wo?YES………………………………………………………...1NO………………………………………………………….2YES………………………………………………………...1NO………………………………………………………….2YES……………………………………………………NO……………………………………………………..DON’T KNOW………………………………………128Q1015Q1015In the past 12 months, have you visited a rural area in Nigeriain order to visit family or friends?Laarin osu mejila sehin, nje eti be igberiko kan wo ni orile edeNigeria lati be ebi tabi awon ore wo?YES . . . . . . . . . . . . . . . . . . . . . . ………………NO . . . . . . . . . . . . . . . . . . . . . . …………………12 Q1101Q1016 Which rural area did you visist most often in the past 12months?Igberiko wo ni e ti be wo lopolopo igba laarin osu mejila sehin?GIVE THE NAME OF THE VILLAGE, LGA AND STATENAME OF VILLAGE_______________________LOCAL GOVERNMENTAREA:_____________________________________CODE BOXES: OFFICE ONLY [__|__|__]STATE___________________________CODE BOXES: OFFICE ONLY [__|__|__]Q1017How often did you visit this rural area [NAME OF PLACE INQ1016] in the last 12 months?PER WEEK……………………..….…1[__|__]Bawo ni e se n be igberiko [NAME OF PLACE IN Q1016] wo tolaarin osu mejila sehin?PER MONTH…………………………2[__|__]PER YEAR……………………………3[__|__]Page 65

Q1018Q1019How long do you usually stay when you visit [NAME OFPLACE)?Bawo ni e se n duro pe to ni igba ti e ba be [NAME OF PLACE)wo?In the last year, how much time have you spent at [NAME OFPLACE ]?Laarin odun ti o koja, o to asiko wo ni e lo ni [NAME OF PLACE]?HOURS…………………..…………...2 [__|__]DAYS…………………………………..3 [__|__]WEEKS ……………………………….4 [__|__]MONTHS …………………..………....5 [__|__]HOURS…………………..…………...1 [__|__]DAYS…………………………………..2 [__|__]WEEKS ……………………………….3 [__|__]MONTHS …………………..………....4 [__|__]Q1020Q1021Q1022Q1023Q1024During your visit(s), do you ever discuss family planning/birthspacing/child spacing with anybody?Ni awon asiko abewo yi, nje e jiroro lori ifeto somo bibi/fi ayesi ibimo/ fi aye si ibimo?During your visit(s), do you ever seek family planning spacingservices?Ni awon asiko yi, nje e beere fun eto ifeto somo bibi yi?Do friends or family from this rural area [MENTIONED INQ1016] ever come to visit you?Nje awon ore tabi ebi lati igberiko [MENTIONED IN Q1016] yiti fi igba kan be yin wo?Do you ever talk about family planning with your friends andfamily who are visiting you here?Nje e ti fi igba kan soro nipa ifeto somo bibi pelu awon ore atiebi ti o n beyin wo ni biyi?Do your friends and family who visit ever seek family planningservices when they are visiting?Nje awon ore tabi ebi ti o n beyin wo fi igbakan beere fun ifetosomo bibi nigba ti won beyin wo?YES…………………………………………………… 1NO…………………………………………………….. 2YES……………………………………………………NO……………………………………………………..YES…………………………………………………… 1NO…………………………………………………….. 2 1101YES…………………………………………………… 1NO…………………………………………………….. 2YES…………………………………………………… 1NO…………………………………………………….. 2DON’T KNOW……………………………………… 312Page 66

OFFICE USE ONLY: QUESTIONNAIRE NO: [__|__|__|__|__|__|__|__|__](cluster code 4 digits + HH number 3 digits + Respondent line number 2 digits)Q1101FOLLOW-UP CONTACTSSURNAME OF RESPONDENT: ____________________________________________________Q1102FIRST OR GIVEN NAME OF RESPONDENT:__________________________________________Q1103PASSPORT NUMBER/ NATIONAL ID NUMBER OF RESPONDENT [__|__|__|__|__|__|__|__]__|__]__]DON’T HAVE ID NUMBER………99999999998Q1104 STREET NAME / ADDRESS OF RESIDENCE:_______________________________________________________________________________________________________________________________________________________________________As I mentioned earlier, we would like to follow-up with this household in two years and then again in another 2 years to see what, if anything,has changed according to health and information needs. For this reason, I will be asking for the contact information of people that maybeable to tell us where you and your household are in 2 years and in 4 years in case you move. Remember you are free to skip any questionsthat you are uncomfortable providing answers to. This information will be kept separate from your responses in a locked cabinet in a securedroom where only the primary researcher can assess. Remember you are free to skip any questions that you are uncomfortable providinganswers toBi mo se so tele, a ma fe lati tesiwaju pelu yin ninu iwadi ni odun meji si asiko ti a wa yi ,lehin eyi atun ma pada wa ti odun meji miran ba pelati ri awon iyipada to ba wa pelu eto ilera yin ati awon ifitonileti ti e nilo. Fun idi eyi, ma fe lati gba akosile to peye nipa awon ti o le se alayebi ase le ri yin ni odun meji ati merin si akoko yi, nitoripe o sese pe ki e ti pa ibugbe da. Eranti wipe e le sai dahun eyi keyi ninu awon ibeerewonyi ti ko ba rorun fun yin lati fun wa lesi fun.A o pa Ifitonileti yi mo si aye oto kuro lara awon idahun yin toku.Yio wa ninu apoti onirin ti a osi ti pa.Osise agba ti o dari iwadi yi nikan ni yo ni anfani lati ri. E ranti wipe e le ko lati dahun awon ibeere ti ko ba fe dahunsiQ1105 What other names are youcommonly known by?_______________________________________________________Q1106Q1107Q1108Q1109Q1110Kini oruko inagije eyi ti a fi mo yindada?Do you have access to a mobilephone OR landline telehone?Nje e ni ero ibanisoro alagbeka tabiti inu ile?If yes, could you please share withme a mobile phone number ORlandline for contacting you?To ba je be, nje e le fun mi ni awonnomba ero ibanisoro alagbeka tabitinu ile lati le fi pe yin?Could you also please share with mea second mobile phone number orlandline number for contacting you?Nje e tun le so fun mi nipa nombaibanisoro alagbeka keji/tinu ile ti a lefi bayin soro?Does your family/household haveany plans to move in the next twoyears?IF YES, where do you plan to moveto?Nje ebi yin ni ero lati ko kuro nibiodun meji si asiko yi?IF YES, Nibo ni e lero lati ko lo?IF RESPONDENT IS NOT HHHEAD:What is the name and mobile phonenumber (if possible) of the head ofthis household?Kini oruko tabi nomba ibanisoro (ti oba seese) olori idile yi?YES…………………..1NO…………………….2 skip to 1109PRIMARY MOBILE NUMBER [ __|__|___|___|___|___|___|___|___|___|___|PRIMARY LANDLINE /FIXED WIRELESS NUMBER_____________________________SECONDARY MOBILE NUMBER: [ __|___|___|___|___|___|___|___|___|___|___|SECONDARY LANDLINE/FIXED WIRELESS NUMBER_________________________YES, ___________________________________________________________________________________...1(SPECIFY)NO PLANS TO MOVE………………………………….…….2NAME: _________________________MOBILE NUMBER: [ __|__|___|___|___|___|___|___|___|___|___|Page 67

Q1111Q1112Q1113What is the name and mobile phonenumber (if possible) of someone elsewithin your household?Kini oruko tabi nomba ibanisoro (ti oba seese) ti elo miran ninu idile yin?What is the name, location (addressand description), and mobile phonenumber (if possible) of someoneoutside of your household?Kini oruko, agbegbe (amono atiapejuwe), ati nomba ero ibanisoroalagbeka (ti o ba see se) eni kan tiko si ninu idile yin?What is the name, location (addressand description), and mobile phonenumber (if possible) of anotherperson outside of your household?Kini oruko, agbegbe (amono atiapejuwe), ati nomba ero ibanisoroalagbeka (ti o ba see se) eni kan tiko si ninu idile yin?NAME: _________________________MOBILE NUMBER: [ __|___|___|___|___|___|___|___|___|___|___|ENTER LINE NUMBER FROM THE HOUSEHOLD SCHEDULE |___|___|NAME: _________________________LOCATION:_____________________________________________________MOBILE NUMBER: [ __|__|___|___|___|___|___|___|___|___]___]RELATIONSHIP TO RESPONDENT_____________________________NAME: _________________________LOCATION:_____________________________________________________MOBILE NUMBER: [ __|___|___|___|___|___|___|___|___|___]___]RELATIONSHIP TO RESPONDENT_____________________________Q1114Other than this place of residence(house), where else does thehousehold head frequently stay? Isthere a phone number and contactperson there?OTHER RESIDENCEPHONE NUMBER________________________________________________________________Yato si ibi ti e n gbe yi, ibo miranwo ni e saba ma n duro si? Se elefun wa ni nomba ero ibanisoro e niti ale basoro nibei ibe?Se nomba ero ibanisoro ati eni ti aleba soro wa nibeCONTACT PERSON THERE____________________________Q1115Do you have an email address forcontacting you?Nje e ni adiresi ero ayelujara ti a le fibayin soro?EMAIL ADDRESS _____________________________________________RECORD END TIME.HOUR……………………………….[__|__]MINUTES…………………………..[__|__]COMMENTS:END THE INTERVIEW AND THANK THE RESPONDENT FOR HER TIME AND PARTICIPATION.Page 68