Baseline Women's questionnaire - Yoruba/English

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