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Baseline Women's questionnaire - Yoruba/English

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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

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