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Baseline Women's questionnaire - Yoruba/English

Baseline Women's questionnaire - Yoruba/English

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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

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