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Baseline Women's questionnaire - Yoruba/English

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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

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