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Baseline Women's questionnaire - Yoruba/English

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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

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