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Mics questionnaire for individual women


Belarus, 2019

Woman's information panel: WM

WM1. Cluster number: _ _ _

WM2. Household number: _ _

WM3. Woman's name and line number:
Name ____ _ _

WM4. Supervisor's name and number:
Name ____ _ _ _

WM5. Interviewer's name and number:
Name ____ _ _ _

WM6. Day/month/year of interview:
_ _ / _ _ / 2019

Check woman's age in HL6 in list of household members, household questionnaire: If age 15-17, verify in HH33 that adult consent for interview is obtained or not necessary (HL20=90). If consent is needed and not obtained, the interview must not commence and '06' should be recorded in WM17.

WM7. Record the time:
Hours : minutes _ _ : _ _

WM8. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?

[] 1 Yes, interviewed already (Go to WM9B)
[] 2 No, first interview (Go to WM9A)

WM9A. I am from the Main Statistical Department of (city of Minsk, region). We are conducting a survey in the Republic of Belarus about the situation of children and women. In this regard I would like to ask you a few questions. This interview will take 25 minutes. All the information we obtain will remain strictly confidential and will be used only for statistical purposes. If you do not wish to answer a question or wish to stop the interview, please let me know. May I start now?

WM9B. Now I would like to talk to you about your health and other topics in more detail. This interview will take about 25 minutes. Again, all the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?

[] 1 Yes, permission is given (Go to WB1)
[] 2 No, permission is not given, not asked (Go to WM17)

WM17. Result of woman's interview.
Discuss any result not completed with Supervisor.

[] 01 Completed
[] 02 Not at home
[] 03 Refused
[] 04 Partly completed
[] 05 Incapacitated (specify) ____
[] 06 No adult consent for respondent age 15-17
[] 96 Other (specify) ____

Woman's background: WB

WB1. Check the respondent's line number (WM3) in woman's information panel and the respondent to the household questionnaire (HH47):
[] 1 WM3=HH47
[] 2 WM3 does not equal HH47 (Go to WB3)

WB2. Check ED5 in education module in the household questionnaire for this respondent: Highest level of school attended:
[] 1 ED5=2, 3, 4, 5, 6 or 7 (Go to WB15)
[] 2 ED5=0, 1, 8 or blank (Go to WB14)

WB3. In what month and year were you born?

Date of birth
_ _ Month
[] 98 DK month
_ _ _ _ Year
[] 9998 DK year

WB4. How old are you (in complete years)?
If responses to WB3 and WB4 are inconsistent, probe further and correct.
Age (in completed years) _ _

WB5. Have you ever attended educational institution, including preschool?

[] 1 Yes
[] 2 No (Go to WB14)

WB6. What is the highest level and grade or year of school you have attended?

[] 000 Preschool (Go to WB14)
[] 1 Primary _ _
[] 2 General basic _ _
[] 3 General secondary _ _
[] 4 Vocational technical _ _
[] 5 Secondary specialized _ _
[] 6 Higher _ _
[] 7 Postgraduate _ _

WB7. Did you complete that (grade/year)?

[] 1 Yes
[] 2 No

WB8. Check WB4: Age of respondent:
[] 1 Age 15-24
[] 2 Age 25-49 (Go to WB13)

WB9. At any time during the 2018/2019 school year did you attend school?

[] 1 Yes
[] 2 No (Go to WB11)

WB10. During the 2018/2019 school year, which level and grade or year are you attending?

[] 1 Primary _ _
[] 2 Lower secondary _ _
[] 3 Upper secondary _ _
[] 4 Higher _ _

WB11. At any time during the 2017/2018 school year did you attend school?

[] 1 Yes
[] 2 No (Go to WB13)

WB12. During that 2017/2018 school year, which level and grade or year did you attend?

[] 1 Primary _ _
[] 2 Lower secondary _ _
[] 3 Upper secondary _ _
[] 4 Higher _ _

WB13. Check WB6: Highest level of school attended:
[] 1 WB6=2, 3, 4, 5, 6 or 7 (Go to WB15)
[] 2 WB6=1

WB14. Now I would like you to read this sentence to me.
Show sentence on the card to the respondent. If respondent cannot read whole sentence, probe: Can you read part of the sentence to me?
[] 1 Cannot read at all
[] 2 Able to read only parts of sentence
[] 3 Able to read whole sentence
[] 4 No sentence in required language/braille (specify language) ____

WB15. How long have you been continuously living in (name of current city, town or village of residence)?
If less than one year, record '00' years.
Years _ _
[] 95 Always/since birth (Go to WB18)

WB16. Just before you moved here, did you live in a city (urban type of the settlement) or in a rural area?

[] 1 City (specify) ____
[] 2 Urban type of the settlement
[] 3 Rural area

WB17. Before you moved here, did you live in the Republic of Belarus or outside/abroad?
If in the Republic of Belarus ask: In what region (city of Minsk) did you live? If "outside/abroad", ask: In what country did you live?.
In the Republic of Belarus:
[] 01 Brest
[] 02 Vitebsk
[] 03 Gomel
[] 04 Grodno
[] 05 Minsk City
[] 06 Minsk
[] 07 Mogilev
[] 96 Outside of Belarus (specify)

Adult functioning: AF

AF1. Check WB4: Age of respondent?
[] 1 Age 15-17 years (Go to CM1A)
[] 2 Age 18-49 years

AF2. Do you use glasses, include glasses for reading or contact lenses?

[] 1 Yes
[] 2 No

AF3. Do you use a hearing aid?

[] 1 Yes
[] 2 No

AF4. I will now ask you about difficulties you may have doing a number of different activities. For each activity there are four possible answers: Please tell me if you have: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty or 4) that you cannot do the activity at all.
Repeat the categories during the individual questions whenever the respondent does not use an answer category. Show the card to the respondent.

AF5. Check AF2: Respondent uses glasses or contact lenses?
[] 1 Yes, AF2=1 (Go to AF6A)
[] 2 No, AF2=2 (Go to AF6B)

AF6A. When using your glasses or contact lenses, do you have difficulty seeing?
AF6B. Do you have difficulty seeing?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all

AF7. Check AF3: Respondent uses a hearing aid?
[] 1 Yes, AF3=1 (Go to AF8A)
[] 2 No, AF3=2 (Go to AF8B)

AF8A. When using your hearing aid(s), do you have difficulty hearing?
AF8B. Do you have difficulty hearing?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all

AF9. Do you have difficulty walking or climbing steps?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot walk/climb steps at all

AF10. Do you have difficulty remembering information or concentrating?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot remember/concentrate at all

AF11. Do you have difficulty with self-care, for example, eating, washing all over, dressing?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot care for self at all

AF12. Using your usual language, do you have difficulty communicating, for example understanding or being understood?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty

Fertility: CM

CM1A. Now I would like to ask about all the births you have had during your life. Have you ever given birth?
This module should only include children born alive.
[] 1 Yes
[] 2 No (Go to CP1)

CM11A. How many births have you had in total during your life?

_ _ Number of births

CM15C. In what month and year was your (last) child born (even if the child later died)?
Month and year must be recorded.
Date of last birth

[] Month _ _
[] Year _ _ _ _

CM17. Check CM15C: Last birth occurred within the last 2 years, that is, since (month of interview) in 2017?
If the month of interview and the month of birth are the same, and the year of birth is 2017, record "1".
[] 0 No live births in the last 2 years (Go to CP1)
[] 1 One or more live births in the last 2 years

CM18. Record the name of the last-born child.
If the child has died, take special care when referring to this child by name in the following modules.
Name: ________

Desire for last birth: DB

DB1. Check CM17: Was there a live birth in the last 2 years?
Copy name of last birth listed in the birth history (CM18) to here and use where indicated:

Name ____

[] 1 Yes, CM17=1
[] 2 No, CM17=0 or blank (Go to MN1)

DB2. When you got pregnant with (name), did you want to get pregnant at that time?

[] 1 Yes (Go to MN1)
[] 2 No

DB3. Check CM11A: Number of births:
[] 1 Only 1 birth (Go to DB4A)
[] 2 2 or more births (Go to DB4B)

DB4A. Did you want to have a baby later on, or did you not want any children?
DB4B. Did you want to have a baby later on, or did you not want any more children?

[] 1 Later
[] 2 No more/none

Maternal and newborn health: MN

MN1. Check CM17: Was there a live birth in the last 2 years?
Copy name of last birth listed in the birth history (CM18) to here and use where indicated:

Name ____

[] 1 Yes, CM17=1
[] 2 No, CM17=0 or blank (Go to CP1)

MN2. Did you see anyone for antenatal care during your pregnancy with (name)?

[] 1 Yes
[] 2 No (Go to MN19)

MN3. Whom did you see?
Probe: Anyone else? Probe for the type of person seen and record all answers given.
Health professional
[] A Doctor
[] B Nurse/midwife
[] C Feldsher
Other person
[] H Relative/friend
[] X Other (specify) ____

MN3AA. To monitor the course of pregnancy, did you use free and/or paid services?

[] 1 Free services (Go to MN4)
[] 2 Paid services
[] 3 Both

MN3AB. Decision on the use of paid medical services was taken independently by you alone or together with the husband/partner?

[] 1 Independently
[] 2 Together with the husband/partner
[] 6 Other (specify)

MN4. How many weeks or months pregnant were you when you first received antenatal care for this pregnancy?
Record the answer as stated by respondent. If "9 months" or later, record 9.
[] 1 Weeks _ _
[] 2 Months 0 _
[] 998 DK

MN5. How many times did you receive antenatal care during this pregnancy?
If "10" or more, record 10.
_ _ Number of times
[] 98 DK

MN6. As part of your antenatal care during this pregnancy, were any of the following done at least once:

[A] Was your blood pressure measured?
[] 1 Yes
[] 2 No

[B] Did you give a urine sample?
[] 1 Yes
[] 2 No

[C] Did you give a blood sample?
[] 1 Yes
[] 2 No

MN19. Who assisted with the delivery of (name)?
Probe: Anyone else? Probe for the type of person assisting and record all answers given.
Health professional
[] A Doctor
[] B Nurse/midwife
[] C Feldsher
Other person
[] H Relative/friend
[] X Other (specify) ____
[] Y No one

MN20. Where did you give birth to (name)?
Probe to identify the type of place. If unable to determine whether public or private, write the name of the place and then temporarily record '76'.
(Name of place) ____

Home
[] 11 Respondent's home (Go to MN23)
[] 12 Other home (Go to MN23)
Public medical sector
[] 21 Government hospital
[] 22 Government clinic/health centre
[] 26 Other public (specify) ____
Private medical sector
[] 32 Private clinic
[] 36 Other private (specify) ____
[] 76 DK public or private
[] 96 Other (specify) ____ (Go to MN23)

MN21. Was (name) delivered by caesarean section?

[] 1 Yes
[] 2 No (Go to MN23)

MN22. Was the caesarean section planned or emergency?

[] 1 Planned
[] 2 Emergency

MN23. Immediately after the birth, was (name) put directly on the bare skin of your chest?
If necessary, show the picture of skin-to-skin position. [Image omitted]
[] 1 Yes
[] 2 No (Go to MN25)
[] 8 DK/don't remember (Go to MN25)

MN24. Before being placed on the bare skin of your chest, was the baby wrapped up?

[] 1 Yes
[] 2 No
[] 8 DK/don't remember

MN25. Was (name) dried or wiped soon after birth?

[] 1 Yes
[] 2 No
[] 8 DK/don't remember

MN32. When (name) was born, was (he/she) very large, larger than average, average, smaller than average, or very small?

[] 1 Very large
[] 2 Larger than average
[] 3 Average
[] 4 Smaller than average
[] 5 Very small
[] 8 DK

MN33. Was (name) weighed at birth?

[] 1 Yes
[] 2 No (Go to MN35)
[] 8 DK (Go to MN35)

MN34. How much did (name) weigh?
If a card is available, record weight from card.
[] 1 From card (KG) _ . _ _ _
[] 2 From recall (KG) _ . _ _ _
[] 99998 DK

MN35. Has your menstrual period returned since the birth of (name)?

[] 1 Yes
[] 2 No

MN36. Did you ever breastfeed (name)?

[] 1 Yes
[] 2 No (Go to MN39B)

MN37. How long after birth did you first put (name) to the breast?
If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days.
[] 000 Immediately
[] 1 Hours _ _
[] 2 Days _ _
[] 998 DK/don't remember

MN38. In the first three days after delivery, was (name) given anything to drink other than breast milk?

[] 1 Yes (Go to MN39A)
[] 2 No (Go to PN1)

MN39A. What was (name) given to drink?
'Not given anything to drink' is not a valid response.
MN39B. In the first three days after delivery, what was (name) given to drink?
Probe: Anything else? Probe for all kinds of drinks that were given to the child and check the codes of all mentioned drinks.
[] A Milk (other than breast milk)
[] B Plain water
[] C Sugar or glucose water
[] D Gripe water
[] E Sugar-salt-water solution
[] F Fruit juice
[] G Infant formula
[] H Tea herbal preparations
[] I Honey
[] J Prescribed medicine
[] X Other (specify) ____
[] Y Not given anything to drink

Post-natal health checks: PN

PN1. Check CM17: Was there a live birth in the last 2 years?
Copy name of last birth listed in the birth history (CM18) to here and use where indicated:

Name ____

[] 1 Yes, CM17=1
[] 2 No, CM17=0 or blank (Go to CP1)

PN2. Check MN20: Was the child delivered in a health facility?
[] 1 Yes, MN20=21-36 or 32-36 or 76
[] 2 No, MN20=11-12 or 96 (Go to PN7)

PN3. Now I would like to ask you some questions about what happened in the hours and days after the birth of (name).
You have said that you gave birth in (name or type of facility in MN20). How long did you stay there after the delivery?
If less than one day, record hours. If less than one week, record days. Otherwise, record weeks.
[] 1 Hours _ _
[] 2 Days _ _
[] 3 Weeks _ _
[] 998 DK/don't remember

PN4. I would like to talk to you about checks on (name)'s health after delivery - for example, someone examining (name), checking the cord, or seeing if (name) is ok.
Before you left the (name or type of facility in MN20), did anyone check on (name)'s health?

[] 1 Yes
[] 2 No

PN5. And what about checks on your health - for example, someone assessing your health?
Did anyone check on your health before you left (name or type or facility in MN20)?

[] 1 Yes
[] 2 No

PN6. Now I would like to talk to you about what happened after you left (name or type of facility in MN20).
Did anyone check on (name)'s health after you left (name or type of facility in MN20)?

[] 1 Yes (Go to PN12)
[] 2 No (Go to PN17)

PN7. Check MN19: Did a health professional, assist with the delivery?
[] 1 Yes, at least one of the categories A to C recorded
[] 2 No, none of the categories A to C recorded (Go to PN11)

PN8. You have already said that (person or persons in MN19) assisted with the birth. Now I would like to talk to you about checks on (name)'s health after delivery, for example examining (name), checking the cord, or seeing if (name) is ok.
After the delivery was over and before (person or persons in MN19) left you, did (person or persons in MN19) check on (name)'s health?

[] 1 Yes
[] 2 No

PN9. And did (person or persons in MN19) check on your health before leaving. I mean, did (person or persons in MN19) assess your health status?

[] 1 Yes
[] 2 No

PN10. After the (person or persons in MN19) left you, did anyone check on the health of (name)?

[] 1 Yes (Go to PN12)
[] 2 No (Go to PN19)

PN11. I would like to talk to you about checks on (name)'s health after delivery -- for example, someone examining (name), checking the cord, or seeing if the baby is ok.
After (name) was delivered, did anyone check on (his/her) health?

[] 1 Yes
[] 2 No (Go to PN20)

PN12. Did such a check happen only once, or more than once?

[] 1 Once (Go to PN13A)
[] 2 More than once (Go to PN13B)

PN13A. How long after delivery did that check happen?
PN13B. How long after delivery did the first of these checks happen?
If less than one day, record hours. If less than one week, record days. Otherwise, record weeks.
[] 1 Hours _ _
[] 2 Days _ _
[] 3 Weeks _ _
[] 998 DK/don't remember

PN14. Who checked on (name)'s health at that time?

Health professional
[] A Doctor
[] B Nurse/midwife
[] C Feldsher
Other person
[] H Relative/friend
[] X Other (specify) ____

PN15. Where did this check take place?
Probe to identify the type of place. If unable to determine whether public or private, write the name of the place and then temporarily record '76'.
(Name of place) ____

Home
[] 11 Respondent's home
[] 12 Other home
Public medical sector
[] 21 Government hospital
[] 22 Government clinic/health centre
[] 24 Policlinic
[] 26 Other public (specify) ____
Private medical sector
[] 32 Private clinic
[] 36 Other private (specify) ____
[] 76 DK public or private
[] 96 Other (specify) ____

PN16. Check MN20: Was the child delivered in a health facility?
[] 1 Yes, MN20=21-36 or 32-36 or 76
[] 2 No, MN20=11-12 or 96 (Go to PN18)

PN17. After you left (name or type of facility in MN20), did anyone check on your health?

[] 1 Yes (Go to PN21)
[] 2 No (Go to PN25)

PN18. Check MN19: Did a health professiona assist with the delivery?
[] 1 Yes, at least one of the categories A to C recorded
[] 2 No, none of the categories A to C recorded (Go to PN20)

PN19. After the delivery was over and (person or persons in MN19) left, did anyone check on your health?

[] 1 Yes (Go to PN21)
[] 2 No (Go to PN25)

PN20. After the birth of (name), did anyone check on your health? I mean, did anyone assess your health status?

[] 1 Yes
[] 2 No (Go to PN25)

PN21. Did such a check happen only once, or more than once?

[] 1 Once (Go to PN22A)
[] 2 More than once (Go to PN22B)

PN22A. How long after delivery did that check happen?
PN22B. How long after delivery did the first of these checks happen?
If less than one day, record hours. If less than one week, record days. Otherwise, record weeks.
[] 1 Hours _ _
[] 2 Days _ _
[] 3 Weeks _ _
[] 998 DK/don't remember

PN23. Who checked on your health at that time?

Health professional
[] A Doctor
[] B Nurse/midwife
[] C Feldsher
Other person
[] H Relative/friend
[] X Other (specify) ____

PN24. Where did this check take place?
Probe to identify the type of place.
If unable to determine whether public or private, write the name of the place and then temporarily record '76'.

(Name of place)____

Home
[] 11 Respondent's home
[] 12 Other home
Public medical sector
[] 21 Government hospital
[] 22 Government clinic/health centre
[] 24 Policlinic
[] 26 Other public (specify) ____
Private medical sector
[] 32 Private clinic
[] 36 Other private (specify) ____
[] 76 DK public or private
[] 96 Other (specify) ____

PN25. During the first two days after birth, did any health care provider do any of the following either at home or at a facility:

[A] Examine (name)'s cord?
[] 1 Yes
[] 2 No
[] 8 DK

[B] Take the temperature of (name)?
[] 1 Yes
[] 2 No
[] 8 DK

[C] Counsel you on breastfeeding?
[] 1 Yes
[] 2 No
[] 8 DK

PN26. Check MN36: Was child ever breastfed?
[] 1 Yes, MN36=1
[] 2 No, MN36=2 (Go to PN28)

PN27. Did any health care provider observe (name)'s breastfeeding?

[] 1 Yes
[] 2 No
[] 8 DK

PN28. Check MN33: Was child weighed at birth?
[] 1 Yes, MN33=1 (Go to PN29A)
[] 2 No, MN33=2 (Go to PN29B)
[] 8 DK, MN33=8 (Go to PN29C)

PN29A. You mentioned that (name) was weighed at birth. After that, was (name) weighed again by a health care provider within two days?
PN29B. You mentioned that (name) was not weighed at birth. Was (name) weighed at all by a health care provider within two days after birth?
PN29C. You mentioned that you do not know if (name) was weighed at birth. Was (name) weighed at all by a health care provider within two days after birth?

[] 1 Yes
[] 2 No

PN30. During the first two days after (name)'s birth, did any health care provider give you information on the symptoms that require you to take your sick child to a health facility for care?

[] 1 Yes
[] 2 No

Contraception: CP

CP1. I would like to talk with you about another subject: family planning.
Are you pregnant now?

[] 1 Yes, currently pregnant (Go to CP3)
[] 2 No
[] 8 DK or not sure

CP2. Couples use various ways or methods to delay or avoid getting pregnant.

[] 1 Yes (Go to CP4)
[] 2 No

CP3. Have you ever done something or used any method to delay or avoid getting pregnant?

[] 1 Yes (Go to UN1)
[] 2 No (Go to UN1)

CP4. What are you doing to delay or avoid a pregnancy?
Record all mentioned methods, but do not prompt.
[] A Female sterilization
[] B Male sterilization
[] C IUD
[] D Injectables
[] E Implants
[] F Pill
[] G Male condom
[] H Female condom
[] I Diaphragm
[] J Foam/jelly
[] L Periodic abstinence/rhythm
[] M Withdrawal
[] X Other (specify) ____

Unmet need: UN

UN1. Check CP1: Currently pregnant?
[] 1 Yes, CP1=1
[] 2 No, DK or not sure, CP1=2 or 8 (Go to UN6)

UN2. Now I would like to talk to you about your current pregnancy. When you got pregnant, did you want to get pregnant at that time?

[] 1 Yes (Go to UN5)
[] 2 No

UN3. Check CM1A: Any births?
[] 1 Yes, CM1A=1 (Go to UN4B)
[] 2 No, CM1A=2 (Go to UN4A)

UN4A. Did you want to have a baby later on or did you not want any children?
UN4B. Did you want to have a baby later on or did you not want any more children?

[] 1 Later
[] 2 None/no more

UN5. Now I would like to ask some questions about the future. After the child you are now expecting, would you like to have another child, or would you prefer not to have any more children?

[] 1 Have another child (Go to UN8)
[] 2 No more/none (Go to UN14)
[] 8 Undecided/DK (Go to UN14)

UN6. Check CP4: Currently using 'Female sterilization'?
[] 1 Yes, CP4=A (Go to UN14)
[] 2 No, CP4 does not equal A

UN7. Now I would like to ask you some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children?

[] 1 Have (a/another) child
[] 2 No more/none (Go to UN10)
[] 3 Says she cannot get pregnant (Go to UN12)
[] 8 Undecided/DK (Go to UN10)

UN8. How long would you like to wait before the birth of (a/another) child?
Record the answer as stated by respondent.
[] 1 Months _ _
[] 2 Years _ _
[] 993 Soon/now
[] 994 She cannot get pregnant (Go to UN12)
[] 995 After marriage
[] 996 Other
[] 998 DK

UN9. Check CP1: Currently pregnant?
[] 1 Yes, CP1=1 (Go to UN14)
[] 2 No, DK or not sure, CP1=2 or 8

UN10. Check CP2: Currently using a method?
[] 1 Yes, CP2=1 (Go to UN14)
[] 2 No, CP2=2

UN11. Do you think you are physically able to get pregnant at this time?

[] 1 Yes (Go to UN14)
[] 2 No
[] 8 DK (Go to UN14)

UN12. Why do you think you are not physically able to get pregnant?

[] A Infrequent sex/no sex
[] B Menopausal
[] C Never menstruated
[] D Hysterectomy (surgical removal of uterus)
[] E Has been trying to get pregnant for 2 years or more without result
[] F Postpartum amenorrheic
[] G Breastfeeding
[] H Too old
[] X Other (specify) ____
[] Z DK

UN13. Check UN12: 'Never menstruated' mentioned?
[] 1 Mentioned, UN12=C (Go to MA1)
[] 2 Not mentioned, UN12 does not equal C

UN14. When did your last menstrual period start?
Record the answer using the same unit stated by the respondent. If '1 year', probe: How many months ago?
[] 1 Days ago _ _
[] 2 Weeks ago _ _
[] 3 Months ago _ _
[] 4 Years ago _ _
[] 993 In menopause/has had hysterectomy (Go to end)
[] 994 Before last birth (Go to end)
[] 995 Never menstruated (Go to end)

Marriage/union: MA

MA1. Are you currently married or living together with someone as if married?

[] 1 Yes, currently married
[] 2 Yes, living with a partner
[] 3 No, not in union (Go to MA5)

MA2. How old (in complete years) is your (husband/partner)?

_ _ Age in (complete) years (Go to MA7)
[] 98 DK (Go to MA7)

MA5. Have you ever been married or lived together with someone as if married?

[] 1 Yes, formerly married
[] 2 Yes, formerly lived with a partner
[] 3 No (Go to ID1)

MA6. What is your marital status now: are you widowed, divorced or separated?

[] 1 Widowed
[] 2 Divorced
[] 3 Separated

MA7. Have you been married or lived with someone only once or more than once?

[] 1 Only once (Go to MA8A)
[] 2 More than once (Go to MA8B)

MA8A. In what month and year did you start living with your (husband/partner)?
MA8B. In what month and year did you start living with your first (husband/partner)?

_ _ Month
[] 98 DK Month
_ _ _ _ Year
[] 9998 DK Year

MA9. Check MA8A/B: Is 'DK year' recorded?
[] 1 Yes, MA8A/B=9998
[] 2 No, MA8A/B does not equal 9998 (Go to ID1)

MA10. Check MA7: In union only once?
[] 1 Yes, MA7=1 (Go to MA11A)
[] 2 No, MA7=2 (Go to MA11B)

MA11A. How old were you when you started living with your (husband/partner)?
MA11B. How old were you when you started living with your first (husband/partner)?

Age in (complete) years _ _

Informed decisions on reproductive health care: ID

ID1. Check MA1: Is woman currently married or living together with someone as if married?
[] 1 Yes, MA1=1 or 2
[] 2 No, MA1=3 (Go to DV1)

ID2. Can you say not to your husband (partner) if you do not want to have sexual intercourse?

[] 1 Yes
[] 2 No
[] 8 Not sure/depends

ID3. Now, I would like to ask you some questions about health care.
Who usually makes decisions about health care for yourself: you, your (husband/partner), you and your (husband/partner) jointly, or someone else?

[] 1 Respondent
[] 2 Husband/partner
[] 3 Joint decision
[] 6 Other (specify)

ID4. Who takes the decision on when you can go to seek reproductive health care. Would you say is mainly your decision, mainly your husband's/partner's decision, or did you both decide together?

[] 1 Mainly respondent
[] 2 Mainly husband/partner
[] 3 Joint decision of respondent and husband/partner
[] 6 Other (specify)

ID5A. Check CP1: Currently pregnant?
[] 1 Yes, CP1=1
[] 2 No, DK, not sure, CP1=2 or 8 (Go to DV1)

ID5B. Check CP2: Is woman currently doing something or using any method to delay or avoid getting pregnant?
[] 1 Yes, CP2=1 (Go to ID6A)
[] 2 No, CP2=2

ID5C. Check UN12: Is there at least one answer category (A to Z) recorded?
[] 1 Yes, at least one answer A-Z record (Go to DV1)
[] 2 No, none answer A-Z recorded (Go to ID6B)

ID6A. You mentioned that you currently use contraception. Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together.
ID6B. You have mentioned that you currently do not use contraception. Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together.

[] 1 Mainly respondent
[] 2 Mainly husband/partner
[] 3 Joint decision of respondent and husband/partner
[] 6 Other (specify)

Attitudes toward domestic violence: DV

Check for the presence of others. Before continuing, ensure privacy.

DV1. Sometimes a husband (partner) is annoyed or angered by things that his wife (partner) does. In your opinion, is a husband (partner) justified in hitting or beating his wife (partner) in the following situations:

[A] If she goes out without telling him?
[] 1 Yes
[] 2 No
[] 8 DK

[B] If she neglects the children?
[] 1 Yes
[] 2 No
[] 8 DK

[C] If she argues with him?
[] 1 Yes
[] 2 No
[] 8 DK

[D] If she refuses to have sex with him?
[] 1 Yes
[] 2 No
[] 8 DK

[E] If she burns the food?
[] 1 Yes
[] 2 No
[] 8 DK

Victimisation: VT

VT1. Check for the presence of others. Before continuing, ensure privacy. Now I would like to ask you some questions about crimes in which you personally were the victim.
The information we obtain from you will remain strictly confidential. In the last three years, that is since (month of interview) 2016, has anyone taken or tried taking something from you, by using force or threatening to use force?
If the respondent have difficulties to answer, make sure that you allow adequate time for the recall. You may reassure: It can be difficult to remember this sort of incidents, so please take your time while you think about your answers.

[] 1 Yes
[] 2 No (Go to VT9B)
[] 8 DK (Go to VT9B)

VT2. Did this last happen during the last 12 months, that is, since (month of interview) 2018?

[] 1 Yes
[] 2 No (Go to VT5B)
[] 8 DK/don't remember (Go to VT5B)

VT3. How many times did this happen in the last 12 months?

[] 1 One time
[] 2 Two times
[] 3 Three or more times
[] 8 DK/don't remember

VT4. Check VT3: The violent action happened only one time?
[] 1 One time, VT3=1 (Go to VT5A)
[] 2 More than once or DK, VT3=2, 3 or 8 (Go to VT5B)

VT5A. When this happened, was anything stolen from you?
VT5B. The last time this happened, was anything stolen from you?

[] 1 Yes
[] 2 No
[] 8 DK/not sure

VT6. Did the person(s) have a weapon?

[] 1 Yes
[] 2 No (Go to VT8)
[] 8 DK/not sure (Go to VT8)

VT7. Was a knife, a gun or something else used as a weapon?
Record all that apply, but do not prompt.
[] A A knife
[] B A gun
[] X Something else

VT8. Did you or anyone else report the incident to the police?
If 'Yes', probe: Was the incident reported by you or someone else?
[] 1 Yes, respondent reported (Go to VT9A)
[] 2 Yes, someone else reported (Go to VT9A)
[] 3 No (Go to VT9A)
[] 8 DK/not sure (Go to VT9A)

VT9A. Apart from the incident(s) just covered, have you in the last three years, that is since (month of interview) 2016, been physically attacked?
VT9B. In the same period of the last three years, that is since (month of interview) 2016, have you been physically attacked?
Probe: An attack can happen at home or any place outside of the home, such as in other homes, in the street, at school, on public transport, public restaurants, or at your workplace.

[] 1 Yes
[] 2 No (Go to VT20)
[] 8 DK (Go to VT20)

VT10. Did this last happen during the last 12 months, that is, since (month of interview) 2018?

[] 1 Yes, during the last 12 months
[] 2 No, more than 12 months ago (Go to VT12B)
[] 8 DK/Don't remember (Go to VT12B)

VT11. How many times did this happen in the last 12 months?

[] 1 One time (Go to VT12A)
[] 2 Two times (Go to VT12B)
[] 3 Three or more times (Go to VT12B)
[] 8 DK/don't remember (Go to VT12B)

VT12A. Where did this happen?
VT12B. Where did this happen the last time?

[] 11 At home
[] 12 In another home
[] 21 In the street
[] 22 On public transport
[] 23 Public restaurant/cafe/bar
[] 26 Other public (specify) ____
[] 31 At school
[] 32 At workplace
[] 96 Other place (specify) ____

VT13. How many people were involved in committing the offence?

[] 1 One person (Go to VT14A)
[] 2 Two people (Go to VT14B)
[] 3 Three or more people (Go to VT14B)
[] 8 DK/don't remember (Go to VT14B)

VT14A. At the time of the incident, did you recognize the person?
VT14B. At the time of the incident, did you recognize at least one of the persons?

[] 1 Yes
[] 2 No
[] 8 DK/don't remember

VT17. Did the person(s) have a weapon?

[] 1 Yes
[] 2 No (Go to VT19)
[] 8 DK (Go to VT19)

VT18. Was a knife, a gun or something else used as a weapon?
Record all that apply, but do not prompt.
[] A A knife
[] B A gun
[] X Something else

VT19. Did you or anyone else report the incident to the police?
If 'Yes', probe: Was the incident reported by you or someone else?
[] 1 Yes, respondent reported
[] 2 Yes, someone else reported
[] 3 No
[] 8 DK/not sure

VT20. How safe do you feel walking alone in your neighbourhood after dark?

[] 1 Very safe
[] 2 Safe
[] 3 Unsafe
[] 4 Very unsafe
[] 7 Never walk alone after dark

VT21. How safe do you feel when you are at home alone after dark?

[] 1 Very safe
[] 2 Safe
[] 3 Unsafe
[] 4 Very unsafe
[] 7 Never alone after dark

VT22. In the past 12 months, have you personally felt discriminated against or harassed on the basis of the following grounds?

[A] Because you are a foreigner?
[] 1 Yes
[] 2 No
[] 8 DK

[B] Sex?
[] 1 Yes
[] 2 No
[] 8 DK

[C] Sexual orientation?
[] 1 Yes
[] 2 No
[] 8 DK

[D] Age?
[] 1 Yes
[] 2 No
[] 8 DK

[E] Religion or belief?
[] 1 Yes
[] 2 No
[] 8 DK

[F] Disability?
[] 1 Yes
[] 2 No
[] 8 DK

[X] For any other reason?
[] 1 Yes
[] 2 No
[] 8 DK

Sexual behavior: SB

SB1. Check for the presence of others. Before continuing, make every effort to ensure privacy. Now I would like to ask you some questions about sexual activity in order to gain a better understanding of some important life issues.
The information we obtain from you will remain strictly confidential. If we should come to any question that you don't want to answer, just let me know and we will go to the next question.
How old were you when you had sexual intercourse for the very first time?

[] 00 Never had intercourse (Go to HA1)
_ _ Age in years
[] 95 First time when started living with (first husband/partner)

SB2. I would like to ask you about your recent sexual activity.
When was the last time you had sexual intercourse?
Record answers in days, weeks or months if less than 12 months (one year). If 12 months (one year) or more, answer must be recorded in years.
[] 1 Days ago _ _
[] 2 Weeks ago _ _
[] 3 Months ago _ _
[] 4 Years ago _ _ (Go to end)

SB3. The last time you had sexual intercourse, was a condom used?

[] 1 Yes
[] 2 No

SB4. What was your relationship to this person with whom you last had sexual intercourse?
Probe to ensure that the response refers to the relationship at the time of sexual intercourse
If 'Boyfriend', then ask: Were you living together as if married? If 'Yes', record '2'. If 'No', record '3'.
[] 1 Husband
[] 2 Cohabiting partner
[] 3 Boyfriend (Go to SB6)
[] 4 Casual acquaintance (Go to SB6)
[] 6 Other (specify) ____ (Go to SB6)

SB5. Check MA1: Currently married or living with a partner?

[] 1 Yes, MA1=1 or 2 (Go to SB7)
[] 2 No, MA1=3

SB6. How old is this person?
If response is 'DK', probe: About how old is this person?
_ _ Age of sexual partner
[] 98 DK

SB7. Apart from this person, have you had sexual intercourse with any other person in the last 12 months?

[] 1 Yes
[] 2 No (Go to HA1)

SB8. The last time you had sexual intercourse with another person, was a condom used?

[] 1 Yes
[] 2 No

SB9. What was your relationship to this person?
Probe to ensure that the response refers to the relationship at the time of sexual intercourse
If 'Boyfriend' then ask: Were you living together as if married? If 'Yes', record '2'. If 'No', record '3'.
[] 1 Husband
[] 2 Cohabiting partner
[] 3 Boyfriend (Go to SB12)
[] 4 Casual acquaintance (Go to SB12)
[] 6 Other (specify) ____ (Go to SB12)

SB10. Check MA1: Currently married or living with a partner?
[] 1 Yes, MA1=1 or 2
[] 2 No, MA1=3 (Go to SB12)

SB11. Check MA7: Married or living with a partner only once?
[] 1 Yes, MA7=1 (Go to HA1)
[] 2 No, MA7=2 or blank

SB12. How old is this person?
If response is 'DK', probe: About how old is this person?
_ _ Age of sexual partner
[] 98 DK

HIV/AIDS: HA

HA1. Now I would like to talk with you about something else.
Have you ever heard of HIV or AIDS?

[] 1 Yes
[] 2 No (Go to TA16)

HA2. HIV is the virus that can lead to AIDS.
Can people reduce their chance of getting HIV by having just one uninfected sex partner who has no other sex partners?

[] 1 Yes
[] 2 No
[] 8 DK

HA3. Can people get HIV from mosquito bites?

[] 1 Yes
[] 2 No
[] 8 DK

HA4. Can people reduce their chance of getting HIV by using a condom every time they have sex?

[] 1 Yes
[] 2 No
[] 8 DK

HA5. Can people get HIV by sharing food with a person who has HIV?

[] 1 Yes
[] 2 No
[] 8 DK

HA6. Can people get HIV because of witchcraft or other supernatural means?

[] 1 Yes
[] 2 No
[] 8 DK

HA7. In your opinion, is it possible for a healthy-looking person to have HIV?

[] 1 Yes
[] 2 No
[] 8 DK

HA8. Can HIV be transmitted from a mother to her baby:

[A] During pregnancy?
[] 1 Yes
[] 2 No
[] 8 DK

[B] During delivery?
[] 1 Yes
[] 2 No
[] 8 DK

[C] By breastfeeding?
[] 1 Yes
[] 2 No
[] 8 DK

HA9. Check HA8[A], [B] and [C]: At least one 'Yes' recorded?
[] 1 Yes
[] 2 No (Go to HA11)

HA10. Are there any special drugs that a doctor or a nurse can give to a woman infected with HIV to reduce the risk of transmission to the baby?

[] 1 Yes
[] 2 No
[] 8 DK

HA11. Check CM17: Was there a live birth in the last 2 years?
Copy name of last birth listed in the birth history (CM18) to here and use where indicated:

Name ____

[] 1 Yes, CM17=1
[] 2 No, CM17=0 or blank (Go to HA24)

HA12. Check MN2: Was antenatal care received?
[] 1 Yes, MN2=1
[] 2 No, MN2=2 (Go to HA17)

HA13. During any of the antenatal visits for your pregnancy with (name), were you given any information about:

[A] Babies getting HIV from their mother?
[] 1 Yes
[] 2 No
[] 8 DK

[B] Things that you can do to prevent getting HIV?
[] 1 Yes
[] 2 No
[] 8 DK

[C] Getting tested for HIV?
[] 1 Yes
[] 2 No
[] 8 DK

Were you:
[D] Offered a test for HIV?
[] 1 Yes
[] 2 No
[] 8 DK

HA14. I don't want to know the results, but were you tested for HIV as part of your antenatal care?

[] 1 Yes
[] 2 No (Go to HA17)
[] 8 DK (Go to HA17)

HA15. I don't want to know the results, but did you get the results of the test?

[] 1 Yes
[] 2 No (Go to HA17)
[] 8 DK (Go to HA17)

HA16. After you received the result, were you given any health information or counselling related to HIV?

[] 1 Yes
[] 2 No
[] 8 DK

HA17. Check MN20: Was the child delivered in a health facility?
[] 1 Yes, MN20=21-26 or 32-36 or 76
[] 2 No, MN20=11-12 or 96

HA18. Between the time you went for delivery but before the baby was born were you offered an HIV test?

[] 1 Yes
[] 2 No

HA19. I don't want to know the results, but were you tested for HIV at that time?

[] 1 Yes
[] 2 No (Go to HA21)

HA20. I don't want to know the results, but did you get the results of the test?

[] 1 Yes (Go to HA22)
[] 2 No (Go to HA22)

HA21. Check HA14: Was the respondent tested for HIV as part of antenatal care?
[] 1 Yes, HA14=1
[] 2 No, HA14=2 or 8 or blank (Go to HA24)

HA22. Have you been tested for HIV since that time you were tested during your pregnancy?

[] 1 Yes (Go to HA25)
[] 2 No

HA23. How many months ago was your most recent HIV test?

[] 1 Less than 12 months ago (Go to HA28)
[] 2 12-23 months ago (Go to HA28)
[] 3 2 or more years ago (Go to HA28)

HA24. I don't want to know the results, but have you ever been tested for HIV?

[] 1 Yes
[] 2 No (Go to HA27)

HA25. How many months ago was your most recent HIV test?

[] 1 Less than 12 months ago
[] 2 12-23 months ago
[] 3 2 or more years ago

HA26. I don't want to know the results, but did you get the results of the test?

[] 1 Yes (Go to HA28)
[] 2 No (Go to HA28)
[] 3 2 or more years ago (Go to HA28)

HA27. Do you know of a place where people can go to get an HIV test?

[] 1 Yes
[] 2 No

HA28. Have you heard of test kits people can use to test themselves for HIV?

[] 1 Yes
[] 2 No (Go to HA30)

HA29. Have you ever tested yourself for HIV using a self-test kit?

[] 1 Yes
[] 2 No

HA30. Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had HIV?

[] 1 Yes
[] 2 No
[] 8 DK/Not sure/depends

HA31. Do you think children living with HIV should be allowed to attend school with children who do not have HIV?

[] 1 Yes
[] 2 No
[] 8 DK/Not sure/depends

HA32. Do you think people hesitate to take an HIV test because they are afraid of how other people will react if the test result is positive for HIV?

[] 1 Yes
[] 2 No
[] 8 DK/Not sure/depends

HA33. Do people talk badly about people living with HIV, or who are thought to be living with HIV?

[] 1 Yes
[] 2 No
[] 8 DK/Not sure/depends

HA34. Do people living with HIV, or thought to be living with HIV, lose the respect of other people?

[] 1 Yes
[] 2 No
[] 8 DK/Not sure/depends

HA35. Do you agree or disagree with the following statement?
I would be ashamed if someone in my family had HIV.

[] 1 Agree
[] 2 Disagree
[] 8 DK/Not sure/depends

HA36. Do you fear that you could get HIV if you come into contact with the saliva of a person living with HIV?

[] 1 Yes
[] 2 No
[] 7 Says she has HIV
[] 8 DK/Not sure/depends

Alcohol use: TA

TA16. Now I would like to ask you some questions about drinking alcohol.
Have you ever drunk alcohol?

[] 1 Yes
[] 2 No (Go to LS1)

TA17. We count one drink of alcohol as 330 ml of beer (one glass), 100 ml of wine (champagne), 30 ml of strong alcoholic drink (cognac, vodka, whiskey, rum, moonshine) or other alcohol-containing liquid.
How old were you when you had your first drink of alcohol?

[] 00 Never had one drink of alcohol (Go to LS1)
_ _ Age

TA18. During the last 12 months, did you have at least one drink of alcohol?

[] 1 Yes (Go to TA20)
[] 2 No

TA19. Have you stopped drinking alcohol because of its negative impact on your health or on the advice of your doctor or other health care professional?

[] 1 Yes (Go to LS1)
[] 2 No (Go to LS1)

TA20. During the last 12 months how often have you drank at least one drink of alcohol?

[] 1 Every day
[] 2 5-6 days a week
[] 3 3-4 days a week
[] 4 1-2 days a week
[] 5 1-3 days per month
[] 6 Less than once a month

TA21. During the last 30 days did you have at least one drink of alcohol?

[] 1 Yes
[] 2 No (Go to LS1)

TA22. During the last 30 days, on how many days did you have at least one drink of alcohol?

Number of days _ _

TA23. During the last 30 days, how many drinks of any alcohol did you usually have per day on the days that you drank alcohol

Number of drinks _ _

TA24. During the last 30 days, on the days when you drank alcohol, what is the highest number of drinks of alcohol you drank per day, taking into account all types of alcoholic drinks?
If responses to TA23 and (or) TA24 are inconsistent, probe further and correct.
The highest number of drinks _ _

TA25. During the last 30 days, how many days have you had six or more drinks per day?
If less than six drinks, record "00". If responses to TA22 and (or) TA25 are inconsistent, probe further and correct.
Number of days _ _

TA26. How many drinks of any alcohol have you consumed each day in the last 7 days?
If none, record "00".
On Monday? _ _
On Tuesday? _ _
On Wednesday? _ _
On Thursday? _ _
On Friday? _ _
On Saturday? _ _
On Sunday? _ _

TA27. During the last 30 days, have you consumed homemade alcohol, any type of alcohol brought from abroad, non-food alcohol-containing liquid or other types of alcohol, not marked with excise stamps?

[] 1 Yes
[] 2 No (Go to LS1)

TA28. During the last 30 days, on how many days did you have at least one drink of those types of alcohol?
If responses to TA22 and (or) TA28 are inconsistent, probe further and correct.
Number of days _ _

TA29. During the last 30 days, on how many drinks of those types of alcohol did you usually have per day on the days that you drank alcohol?
If responses to TA23 and (or) TA29 are inconsistent, probe further and correct.
Number of drinks _ _

TA30. How many drinks of those types of alcohol have you consumed each day in the last 7 days?
If none, record "00".
On Monday? _ _
On Tuesday? _ _
On Wednesday? _ _
On Thursday? _ _
On Friday? _ _
On Saturday? _ _
On Sunday? _ _

TA31. During the last 7 days how many drinks of the following alcohol did you usually drink on average?
If none, record "00".
[] A Strong homemade alcohol?
[] B Homemade wine?
[] C Alcohol brought from abroad?
[] D Non-food alcohol-containing liquid?
[] E Other types of alcohol, not marked with excise stamps?

Life satisfaction: LS

LS1. I would like to ask you some simple questions on happiness and satisfaction.
Taking all things together, would you say you are very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy or very unhappy?
Show the woman the card 1. [Image omitted].
You can also look at this card that will help you give the correct answer.

[] 1 Very happy
[] 2 Somewhat happy
[] 3 Neither happy nor unhappy
[] 4 Somewhat unhappy
[] 5 Very unhappy

LS2. Show the woman the card 2.
Now, look at this ladder with steps numbered from 0 at the bottom to 10 at the top. [Image omitted].
Suppose we say that the top of the ladder represents the best possible life for you and the bottom of the ladder represents the worst possible life for you.
On which step of the ladder do you feel you stand at this time?
Probe if necessary: Which step comes closest to the way you feel?
Ladder step _ _

LS3. Compared to this time last year, would you say that your life has improved, stayed more or less the same, or worsened, overall?

[] 1 Improved
[] 2 More or less the same
[] 3 Worsened

LS4. And in one year from now, do you expect that your life will be better, will be more or less the same, or will be worse, overall?

[] 1 Better
[] 2 More or less the same
[] 3 Worse

[Image omitted]
[Image omitted]
WM10. Record the time.

Hours and minutes _ _ : _ _

WM11. Was the entire interview completed in private or was there anyone else during the entire interview or part of it?
[] 1 Yes, the entire interview was completed in private
[] 2 No, Others were present during the entire interview (specify) ____
[] 3 No, Other were present during part of the interview (specify) ____

WM16. Check columns HL10 and HL20 in list of household members, household questionnaire:
Is the respondent the mother or caretaker of any child age 0-4 living in this household?

[] Yes (Go to WM17 in woman's information panel and record '01'. Then go to the questionnaire for children under five for that child and start the interview with this respondent.)
[] No (Check HH26-HH27 in household questionnaire: Is there a child age 5-17 selected for questionnaire for children age 5-17?)
[] Yes [Check column HL20 in list of household members, household questionnaire: Is the respondent the mother or caretaker of the child selected for questionnaire for children age 5-17 in this household?]
[] Yes (Go to WM17 in woman's information panel and record '01'. Then go to the questionnaire for children age 5-17 for that child and start the interview with this respondent.)
[] No (Go to WM17 in woman's information panel and record '01'. Then end the interview with this respondent by thanking her for her cooperation. Check to see if there are other questionnaires to be administered in this household.)
[] No (Go to WM17 in woman's information panel and record '01'. Then end the interview with this respondent by thanking her for her cooperation. Check to see if there are other questionnaires to be administered in this household.)

Interviewer's observations

Supervisor's observations