Baseline Women's questionnaire - Yoruba/English

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RECORD THE THREENAMES MENTIONED INQ729 (1-3)1______________(NAME)Q730 Q731 Q732 Q733 Q734 Q735What is your relationship to______?Bawo ni ese je si ______?MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE . .….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)Does this person live in this city,another city or town, or a ruralarea (village)?Se ilu nla yi ni eni yi n gbe tabi ilunla miran, tabi igberiko(ilukekere)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3Have you discussedabout familyplanning/birthspacing with _____in the past year?Nje e ti soro nipaifeto somo bibi/fifayesi ibimo/fifaye siomo bibi pelu_____laarin osumefa sehin?YES .................. 1NO .................... 2DON’T KNOW ... 8Does ____ currentlyuse a familyplanning/birth spacingmethod?Nje ____ nlo ara ifetosomo bibi/fifaye siibimo/fifaye si omo bibikan lowolowo?YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735What method does____ currently use?Iru ara wo ni ____ nlolowolowo?MULTIPLERESPONSESPOSSIBLE.STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYDoes ______ think that youshould use a familyplanning/birth spacing methodor that you should not use afamily planning/ birth spacingmethod?Nje ______ fara mo pe ki e loara ifeto somo bibi/fifaye siibimo/fifaye si omo bib Kankantabi ki e ma lo ara ifeto somobibi/fifaye si ibimo/fifaye siomo bib Kankan?THINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..8Page 48
Q730 Q731 Q732 Q733 Q734 Q735RECORD THE THREENAMES MENTIONED INQ729 (1-3)What is your relationship to______?Bawo ni ese je si ______?Does this person live in this city,another city or town, or a ruralarea (village)?Se ilu nla yi ni eni yi n gbe tabi ilunla miran, tabi igberiko(ilukekere)Have you discussedabout familyplanning/birthspacing with _____in the past year?Nje e ti soro nipaifeto somo bibi/fifayesi ibimo/fifaye siomo bibi pelu_____laarin osumefa sehin?Does ____ currentlyuse a familyplanning/birth spacingmethod?Nje ____ nlo ara ifetosomo bibi/fifaye siibimo/fifaye si omo bibikan lowolowo?What method does____ currently use?Iru ara wo ni ____ nlolowolowo?Does ______ think that youshould use a familyplanning/birth spacing methodor that you should not use afamily planning/ birth spacingmethod?Nje ______ fara mo pe ki e loara ifeto somo bibi/fifaye siibimo/fifaye si omo bib Kankantabi ki e ma lo ara ifeto somobibi/fifaye si ibimo/fifaye siomo bib Kankan?2______________(NAME)MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE . .….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3YES .................. 1NO .................... 2DON’T KNOW ... 8YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYTHINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..83______________(NAME)MOTHER…………….......01MOTHER-IN-LAW………02SISTER (OR IN-LAW).…03DAUGHTER (IN-LAW)…04AUNTIE………………….05OTHER RELATIVE ..….06FRIEND .................... ...07OTHER PERSON………96___________(SPECIFY)THIS CITY/TOWN..…1OTHER CITY/TOWN.….2RURAL……..….3YES .................. 1NO .................... 2DON’T KNOW ... 8YES .................. 1NO .................... 2DON’T KNOW .. 8SKIP NO/DK TO Q735STERLIZATION……AIMPLANT……………BIUD………………….CINJECTABLES…… DDAILY PILL…………EEC…………………..FCONDOM……………GOTHER………………X______________SPECIFYTHINKS YOUSHOULD USE…………..1THINKS YOUSHOULD NOT USE……2OTHER………………….6____________________SPECIFYDON’T KNOW…………..8Page 49
Page 1 and 2: OFFICE USE ONLY: QUESTIONNAIRE NO:
Page 3: SECTION 1: BACKGROUND CHARACTERISTI
Page 6 and 7: Q209 CHECK 208:Just to make sure th
Page 8 and 9: (Q217C)Line no.0506070809(Q218)What
Page 10 and 11: (Q217C)Lineno.15161718(Q218)What na
Page 12 and 13: Q239What type of facility is this?I
Page 14 and 15: SECTION 3: CONTRACEPTIONCHECK FOR P
Page 16 and 17: Now I would like to talk about fami
Page 18 and 19: Q309CHECK Q235 CURRENTLY PREGNANTNO
Page 20 and 21: NQ6How many living children did you
Page 22 and 23: Q330FOR A WOMAN WHO HAS BEEN STERIL
Page 24: NQ9Why did you switch from [PREVIOU
Page 27 and 28: Q346What are the main reasons why y
Page 29 and 30: EMERGENCY CONTRACEPTIONNow I would
Page 31 and 32: Quality of Care - Services and Trea
Page 33 and 34: Q406Q407Why didn’t you deliver in
Page 35 and 36: Q416In the last year, have you gone
Page 37 and 38: Q425At the time of your last test,
Page 39 and 40: Now I would like to ask you some qu
Page 41 and 42: Q606If it would be a problem, why?T
Page 43 and 44: Q617What are the impacts on the mot
Page 45 and 46: Q709Besides yourself (or your husba
Page 47: Q729Excluding your husband/partner,
Page 51 and 52: SECTION 8: GENDER INEQUITY MEASURES
Page 53 and 54: Q822CHECK Q807 AND Q810:IF HE IS CU
Page 55 and 56: Now I am going to read some stateme
Page 57 and 58: Q905Which magazine(s) do you read m
Page 59 and 60: Q921Q922Where do you normally watch
Page 61 and 62: Q934Would you be comfortable receiv
Page 63 and 64: Q938. What are the names and types
Page 65 and 66: Q1008Q1009Q1010Q1011How long do you
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Baseline Women's questionnaire - Yoruba/English

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