Algeria 2018

Woman's information panel: WM

WM1. Cluster number: _ _ _ _

WM2. Household number: _ _

WM3. Woman's name and line number:
WM4. Supervisor's name and number:
WM5. Interviewer's name and number:
WM6. Day/month/year of interview:
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:
WM8. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?

WM9A. Hello, my name is (your name). We are from [National Statistical Office]. We are conducting a survey about the situation of children, families and households. I would like to talk to you about your health and other topics. This interview usually takes about 45 minutes. We are also interviewing mothers about their children. 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?

WM9B. Now I would like to talk to you about your health and other topics in more detail. This interview will take about 45 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?


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

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):
WB3. In what month and year were you born?

WB4. How old are you?
Probe: How old were you at your last birthday? If responses to WB3 and WB4 are inconsistent, probe further and correct. Age must be recorded.
WB5. Have you ever attended school or any early childhood education programme?

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

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

WB8. Check WB4: Age of respondent:
WB9. At any time during the current school year (2018-2019), did you attend school?

WB10. During this current school year (2018-2019), which level and grade or year are you attending?

WB11. At any time during the previous school year (2017-2018), did you attend school?

WB12. During that previous school year (2017-2018), which level and grade or year did you attend?

WB12A. Check WB9 and WB11 to see where [name] attended school.
WB12B. Verify HL6: Age of the questionnaire list of HH members for this respondent:
WB12C. Check ED9 and ED15 to see where [name] attended school in the education module of the household questionnaire:
WB12AA. During the last school year (2017-2018), did you attend a vocational institute or a professional training center?

WB12AB. During the current school year (2018-2019), did you attend a vocational institute or a professional training center?

WB12AC. Who referred you to vocational training?

WB12D. Check WB1
WB13. Check WB6: Highest level of school attended:
WB13B. Check ED5 in the module education in the household questionnaire for this respondent: Highest level of school attended:
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?
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.
WB16A. Where did you live before moving here?
Record both the code of the 'wilaya' and that of the commune.
WB18. Are you covered by any health insurance?

WB19. What type of health insurance are you covered by?
Record all mentioned.
WB20. Do you practice a sport or a sport-based activity?

WB20A. What type of activity do you practice?
Circle all that are mentioned.
WB20B. Where do you practice these sports?

WB20C. For how many hours each week do you practice these sports?

WB20E. Why don't you practice a sport?

WB21. Over the last five (5) years, have you experienced a situation that caused you to seek litigation or to be sued?

WB21A Did this situation pertain to civil affairs or to criminal affairs?
If multiple situations, cite the most recent one.
WB21B. Civil affairs: What was the main reason in this situation that led you to go to court or to be taken to court?

WB21C. Criminal case, what was the main reason for this situation that led you to go to court or to be taken to court?

Mass media and ICT: MT

MT0. Check WB14: Is the respondent able to read?
MT1. Do you read a newspaper or magazine at least once a week, less than once a week or not at all?
If 'At least once a week', probe: Would you say this happens almost every day? If 'Yes' record 3, if 'No' record 2.
MT2. Do you listen to the radio at least once a week, less than once a week or not at all?
If 'At least once a week', probe: Would you say this happens almost every day? If 'Yes' record 3, if 'No' record 2
MT3. Do you watch television at least once a week, less than once a week or not at all?
If 'At least once a week', probe: Would you say this happens almost every day? If 'Yes' record 3, if 'No' record 2
MT4. Have you ever used a computer or a tablet from any location?

MT5. During the last 3 months, did you use a computer or a tablet at least once a week, less than once a week or not at all?
If 'At least once a week', probe: Would you say this happened almost every day? If 'Yes' record 3, if 'No' record 2
MT6. During the last 3 months, did you:










MT7. Check MT6[C]: Is 'Yes' recorded?
MT8. Check MT6[F]: Is 'Yes' recorded?
MT9. Have you ever used the internet from any location and any device?

MT10. During the last 3 months, did you use the internet at least once a week, less than once a week or not at all?
If 'At least once a week', probe: Would you say this happens almost every day? If 'Yes' record 3, if 'No' record 2.
MT11. Do you own a mobile phone?

MT12. During the last 3 months, did you use a mobile telephone at least once a week, less than once a week or not at all?
Probe if necessary: I mean have you communicated with someone using a mobile phone. If 'At least once a week', probe: Would you say this happens almost every day? If 'Yes' record 3, if 'No' record 2.
Marriage/union: MA

MA1. Are you currently married?

MA1A. Is your marriage currently registered?
If yes, is it directly registered with the civil state or by a judge?
MA2. How old is your (husband/partner)?
Probe: How old was your (husband/partner) on his last birthday?
MA3. Besides yourself, does your (husband/partner) have any other wives or partners or does he live with other women as if married?

MA4. How many other wives or partners does he have?

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

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

MA6A. In what year did your husband die?

MA6B. In what year did you divorce?

MA6C. For how months have you been separated?
If less than one month, record -00. If 8 months or more record 96 months. If DK, try to provide the best guess possible.
MA7. Have you been married or lived with someone only once or more than once?

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)?

MA9. Check MA8A/B: Is 'DK year' recorded?
MA10. Check MA7: In union only once?
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)?

MA12. Check MA1 (currently married), MA5 (previously/already married) and MA7 (number of marriages)
MA12A. Are you related to your husband?
MA12B. Were you related to your husband?
MA12C. Were you related to your first husband?

MA13. What is the relation?

MA14. Are you for or against marriage between cousins?

MA14A. Why do you support the marriage between cousins?

MA14B. Why are you against marriage between cousins?

Fertility/Birth history: CM

CM0. Check MA1 and MA5: is the respondent currently married or has already been married before?
CM1. Now I would like to ask about all the births you have had during your life. Have you ever given birth?
This module and the birth history should only include children born alive. Any stillbirths should not be included in response to any question.
CM2. Do you have any sons or daughters to whom you have given birth who are now living with you?

CM3. How many sons live with you?
If none, record '00'.
CM4. How many daughters live with you?
If none, record '00'.
CM5. Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?

CM6. How many sons are alive but do not live with you?
If none, record '00'.
CM7. How many daughters are alive but do not live with you?
If none, record '00'.
CM8. Have you ever given birth to a boy or girl who was born alive but later died?
If 'No' probe by asking:
I mean, to any baby who cried, who made any movement, sound, or effort to breathe, or who showed any other signs of life even if for a very short time?

CM9. How many boys have died?
If none, record '00'.
CM10. How many girls have died?
If none, record '00'.
CM11. Sum answers to CM3, CM4, CM6, CM7, CM9 and CM10.
CM12. Just to make sure that I have this right, you have had in total (total number in CM11) births during your life. Is this correct?

CM13. Check responses to CM1-CM10 and make corrections as necessary until response in CM12 is 'Yes'.

CM14. Check CM11: How many live births?
Fertility/birth history: BH

BH0. Now I would like to record the names of all of your births, whether still alive or not, starting with the first one you had.
Record names of all of the births in BH1. Record twins and triplets on separate lines.

BH0. BH line number _ _

BH1. What name was given to your (first/next) baby? ____

BH2. Were any of these births twins?

BH3. Is (name of birth) a boy or a girl?

BH4. In what month and year was (name of birth) born?
Probe: What is (his/her) birthday?
BH5. Is (name of birth) still alive?

BH6. How old was (name of birth) at (his/her) last birthday?
Record age in completed years.
BH7. Is (name of birth) living with you?

BH8. Record household line number of child (from HL1)
Record '00' if child is not listed.
BH9. How old was (name of birth) when (he/she) died?
If '1 year', probe: How many months old was (name of birth)? Record days if less than 1 month; record months if less than 2 years; or years
BH10. Were there any other live births between (name of previous birth) and (name of birth), including any children who died after birth?

BH11. Have you had any live births since the birth of (name of last birth listed)?

CM15. Compare number in CM11 with number of births listed in the birth history above and check:
CM16. Probe and reconcile responses in the birth history until response in CM12 is 'Yes'.

CM16A. Some pregnancies end prematurely in miscarriage or abortion and other pregnancies end in stillbirth. Have you ever had a pregnancy that did not end in a live birth?

CM16B. In total, how many of your pregnancies ended in miscarriage?

CM16C. In total, how many of your pregnancies ended in abortion?

CM16D. In all, how many of your pregnancies have ended in stillbirths?

CM17. Check BH4: The last live birth was within the last 2 years i.e.
- since (Month of interview) in 2016, if interview is conducted before December 31, 2018?
- since (Month of interview) in 2017, if interview is conducted in 2019?
In both cases, if the month of the interview and the month of the living birth are the even consider this as a live birth that took place in the 2 years.

CM18. Copy name of the last child listed in BH1.
If the child has died, take special care when referring to this child by name in the following modules.
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 ____

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

DB3. Check CM11: Number of births:
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?

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 ____

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

MN3. Whom did you see?
Probe: Anyone else? Probe for the type of person seen and record all answers given.
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.
MN4A. What was your primary reason for having your first prenatal visit?
Insist on the main reason.
MN5A. How many prenatal visits did you make during the first trimester of your pregnancy?
Insist on the number of times prenatal visits were received. If a range is given, record the minimum number of times prenatal visits were made.
MN5B. How many prenatal visits did you make during the second trimester of your pregnancy?
Insist on the number of times prenatal visits were received. If a range is given, record the minimum number of times prenatal visits were made.
MN5C. How many prenatal visits did you make during the third trimester of your pregnancy?
Insist on the number of times prenatal visits were received. If a range is given, record the minimum number of times prenatal visits were made.
MN5. Add up answers from MN5A, MN5B, MN5C.

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









MN6AA. During this pregnancy, did you experience any of the following complications?

[A] Did you have vaginal bleeding?

[B] Have you had high blood pressure arterial complication/hypertension?

[C] Did you have facial or body edema?

[D] Have you had recurrent headaches?

[E] Have you had gestational diabetes?

[F] Have you had cardiovascular disease?

[G] Have you had a vaginal infection?

[H] Have you had burning of the bladder?

MN6BA How many complications were reported in this pregnancy?
MN6CA. Did you receive treatment for these complications?

MN6DA. Were you hospitalized as a result of these complications?

MN6EA. Did you consult the dentist during (name)'s pregnancy?

MN6FA. Did the doctor, gynecologist or midwife as you to consult a dentist?

MN6GA. Do you think that a pregnant woman can take care of her teeth?

MN6HA. Do you think that poor oral health can have an impact on having a health pregnancy?

MN7. Do you have a card or other document with your own immunisations listed?
If yes, ask: May I see it please? If a card is presented, use it to assist with answers to the following questions.
MN8. When you were pregnant with (name), did you receive any injection in the arm or shoulder to prevent the baby from getting tetanus, that is, convulsions after birth?

MN9. How many times did you receive this tetanus injection during your pregnancy with (name)?

MN10. Check MN9: How many tetanus injections during last pregnancy were reported?
MN11. At any time before your pregnancy with (name), did you receive any tetanus injection either to protect yourself or another baby?
Include DTP (Tetanus) vaccinations received as a child if mentioned.
MN12. Before your pregnancy with (name), how many times did you receive a tetanus injection?
If 7 or more times, record '7'. Include DTP (Tetanus) vaccinations received as a child if mentioned.
MN13. Check MN12: How many tetanus injections before last pregnancy were reported?
MN14A. How many years ago did you receive that tetanus injection
MN14B. How many years ago did you receive the last of those tetanus injections?
The reference is to the last injection received prior to this pregnancy, as recorded in MN12. If less than 1 year, record '00'.
MN19. Who assisted with the delivery of (name)?
Probe: Anyone else? Probe for the type of person assisting and record all answers given.
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' until you learn the appropriate category for the response.
(Name of place) ____

MN21. Was (name) delivered by caesarean section? That is, did they cut your belly open to take the baby out?

MN21A. Did the baby arrive normally or was it necessary to use instruments (forceps instruments (forceps/vacuum)?

MN21B. During or just prior to the delivery of (name), did you experience any complications?

MN21C. Did this/these complication(s) consist of:

[A] Hemorrhage?

[B] High blood pressure/clinical signs of eclampsia?

[C] Long labor lasting more than 12 hours?

[D] Shock?

MN21D. Were you resuscitated?

MN22. When was the decision made to have the caesarean section?
Probe if necessary: Was it before or after your labour pains started?
MN22A. Was the cesarean section performed as an emergency or was it scheduled?

MN22B. Was the decision made by the doctor, yourself or someone else?

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

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

MN26. How long after the birth was (name) bathed for the first time?
If "immediately" or less than 1 hour, record '000'. If less than 24 hours, record hours. If "1 day" or "next day", probe: About how many hours after the delivery? If "24 hours", probe to ensure best estimate of less than 24 hours or 1 day. If 24 hours or more, record days.
MN27. Check MN20: Was the child delivered in a health facility?
MN28. What was used to cut the cord?

MN29. Was the instrument used to cut the cord boiled or sterilised prior to use?

MN30. After the cord was cut and until it fell off, was anything applied to the cord?

MN31. What was applied to the cord?
Probe: Anything else?
MN32. When (name) was born, was (he/she) very large, larger than average, average, smaller than average, or very small?

MN32A. Was (name) born at full term or prematurely?

MN33. Was (name) weighed at birth?

MN34. How much did (name) weigh?
If a card is available, record weight from card.
MN35. Has your menstrual period returned since the birth of (name)?

MN36. Did you ever breastfeed (name)?

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

MN39A. What was (name) given to drink?
Probe: Anything else? 'Not given anything to drink' is not a valid response and response category Y cannot be recorded.
MN39B. In the first three days after delivery, what was (name) given to drink?
Probe: Anything else? 'Not given anything to drink' (category Y) can only be recorded if no other response category is recorded.
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 ____

PN2. Check MN20: Was the child delivered in a health facility?
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.
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?

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

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)?

PN7. Check MN19: Did a health professional, traditional birth attendant, or community health worker assist with the delivery?
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?

PN9. And did (person or persons in MN19) check on your health before leaving, for example asking questions about your health or examining you?

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

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?

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

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

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' until you learn the appropriate category for the response.
(Name of place) ____

PN16. Check MN20: Was the child delivered in a health facility?
PN17. After you left (name or type of facility in MN20), did anyone check on your health?

PN18. Check MN19: Did a health professional, traditional birth attendant, or community health worker assist with the delivery?
PN19. After the delivery was over and (person or persons in MN19) left, did anyone check on your health?

PN20. After the birth of (name), did anyone check on your health, for example asking questions about your health or examining you?

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

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.
PN23. Who checked on your health at that time?

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' until you learn the appropriate category for the response.
(Name of place)____

PN24A. After the birth of (name), did you experienced any of the following complications?

[A] Vaginal bleeding?

[B] Swelling and pain in the legs?

[C] Vaginal discharge or pelvic pain with fever?

[D] Back pain/lumbar pain with fever?

[E] Burning of the bladder with fever?

[F] Anemia?

PN24B. Check PN24A: Did the respondent experience a complication?
PN24C. How long after the delivery of (name) did you experience this (these) complication(s)?
If less than one day, record in hours. If less than a week, record in days. Otherwise, record in weeks.
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:






PN26. Check MN36: Was child ever breastfed?
PN27. Observe (name)'s breastfeeding?

PN28. Check MN33: Was child weighed at birth?
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?

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?

PN31. Sometimes children are seriously ill and need to be taken to a health care facility immediately. What types of symptoms would prompt you to take your child to a health care facility immediately?
Insist: no other symptoms? Insist on other signs or symptoms until the mother/caregiver can no longer remember any other signs or symptoms. Circle all symptoms mentioned, but do not suggest answers
Contraception: CP

CP0. Verify MA1 - Is the respondent married?
CP1. I would like to talk with you about another subject: family planning.
Are you pregnant now?

CP2. Couples use various ways or methods to delay or avoid getting pregnant.
Are you currently doing something or using any method to delay or avoid getting pregnant?

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

CP4. What are you doing to delay or avoid a pregnancy?
Do not prompt. If more than one method is mentioned, record each one.
CP5. Who decided to use contraception?

CP6. Why do you use your current methods of contraceptives rather than other ones?

CP7. Check CP4: Does the respondent and her partner use a modern contraceptive method?
CP8. Who prescribed this contraceptive method that you and your husband are currently using?
It is the prescription and or renewal of the prescription for the purchase of the contraceptive method that the woman or her husband are using
CP9. Where did you obtain the contraceptive that you and your husband are currently using?

CP10. The contraceptive method you or your husband are currently using is the one you have chosen and/or recommended

CP11. When did you start using the contraceptive method you or your husband are currently using on an ongoing basis?

CP12. At what age did you start using contraception for the first time?

CP13. Check CM11: Does the woman have children?

CP14. How many living children did you have when you first started using contraception? If none record "00"

CP15. Have you been informed by health care staff or a family planning worker about side effects or problems that may occur as a result of using this method?

CP16. What is the main reason you do not use birth control to avoid pregnancy?

CP17. Can you say that the decision not to use contraception is a personal decision, of your husband, of the two of you together, or rather a medical decision?

CP18. Do you play to use a method of contraception to slow down or to avoid a future pregnancy?

CP19. What is the primary method you or your husband plan to use to delay or avoid pregnancy?

CP20. Who usually makes decisions about your reproductive care: yourself, your husband, the two of you together, or someone else?

Unmet need: UN

UN1. Check CP1: Currently pregnant?
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?

UN3. Check CM11: Any births?
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?

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?

UN6. Check CP4: Currently using 'Female sterilization'?
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?

UN8. How long would you like to wait before the birth of (a/another) child?
Record the answer as stated by respondent.
UN9. Check CP1: Currently pregnant?
UN10. Check CP2: Currently using a method?
UN11. Do you think you are physically able to get pregnant at this time?

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

UN13. Check UN12: 'Never menstruated' mentioned?
UN13A. Have you already had your period?

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?
UN15. Check UN14: Was the last menstrual period within last year?
UN16. Due to your last menstruation, were there any social activities, school or work days that you did not attend?

UN17. During your last menstrual period were you able to wash and change in privacy while at home?

UN18. Did you use any materials such as sanitary pads, tampons or cloth?

UN19. Were the materials reusable?

Opinions on marriage and fertility: WMF

WMF1. In your opinion, what's the ideal age for a woman to get married?

WMF2. In your opinion, what's the ideal age for a man to get married?

WMF3. In your opinion, what's the ideal number of kids for a couple to have?
If the answer is not a number (ex., what Allah wants), try to get an estimate.
WMF4: Of this number of children, how many girls would you want, how many boys would you want? Would gender be important?
The question is asked of women who gave a numerical response to WMF3. Record the preferred number of boys and girls in the boxes provided under 'boys' and 'girls' respectively. If the woman says that the sex of the child is not important to her, write the number in the boxes under 'does not matter'. If she gives you another answer, circle '96' for 'other' and write her answer exactly in the space provided.
Interviewer: Check for consistency between WMF3 and WMF4.
Attitudes toward domestic violence: DV

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










Attitudes toward domestic verbal violence: DVV

DVV1. Sometimes a husband gets upset or angry about certain things his wife does. In your opinion, is it justified for a husband to verbally abuse his wife in the following situations:










Adult functioning: AF

AF1. Check WB4: Age of respondent?
AF2. Do you use glasses or contact lenses?
Include the use of glasses for reading.
AF3. Do you use a hearing aid?

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:
Remember, the four possible answers are: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that you cannot do the activity at all.

AF5. Check AF2: Respondent uses glasses or contact lenses?
AF6A. When using your glasses or contact lenses, do you have difficulty seeing?
AF6B. Do you have difficulty seeing?

AF7. Check AF3: Respondent uses a hearing aid?
AF8A. When using your hearing aid(s), do you have difficulty hearing?
AF8B. Do you have difficulty hearing?

AF9. Do you have difficulty walking or climbing steps?

AF10. Do you have difficulty remembering or concentrating?

AF11. Do you have difficulty with self-care, such as washing all over or dressing?

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

HIV/AIDS: HA

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

HA1A. Through what source of information were you informed about this disease?

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?

HA3. Can people get HIV from mosquito bites?

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

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

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

HA7. Is it possible for a healthy-looking person to have HIV?

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




HA9. Check HA8[A], [B] and [C]: At least one 'Yes' recorded?
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?

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 ____

HA12. Check MN2: Was antenatal care received?
HA13. During any of the antenatal visits for your pregnancy with (name), were you given any information about:





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

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

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

HA17. Check MN20: Was the child delivered in a health facility?
HA18. Between the time you went for delivery but before the baby was born were you offered an HIV test?

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

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

HA21. Check HA14: Was the respondent tested for HIV as part of antenatal care?
HA22. Have you been tested for HIV since that time you were tested during your pregnancy?

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

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

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

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

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

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

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

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

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

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?

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

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

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

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

HA37. Now, I would like to talk to you about other illnesses that can be transmitted sexually. Do you know other illnesses that can be transmitted sexually?

HA38. What are other illnesses that you know? Probe: another illness?

Life satisfaction: LS

LS1. I would like to ask you some simple questions on happiness and satisfaction.
First, taking all things together, would you say you are very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy or very unhappy?
I am now going to show you pictures to help you with your response. [Image omitted].
Show smiley card and explain what each symbol represents. Record the response code selected by the respondent.
LS2. Show the picture of the ladder.
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?
LS3. Compared to this time last year, would you say that your life has improved, stayed more or less the same, or worsened, overall?

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?

LS4A. Are you satisfied with living in your community?
Show side 2 of the answer card and explain what each symbol represents. Record the answer shown by the respondent.
[Image omitted]
[Image omitted]
WM10. Record the time.

WM11. Was the entire interview completed in private or was there anyone else during the entire interview or part of it?
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?)
Interviewer's observations

Supervisor's observations