2018 Georgia MICS


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 Statistics Office of Georgia. 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 [number 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 20 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):
WB2. Check ED5 in education module in the household questionnaire for this respondent: Highest level of school attended:
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 2018-2019 school year did you attend school?

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

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

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

WB13. Check WB6: 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?
WB18. Are you covered by any health insurance?

WB19. What type of health insurance are you covered by?
Record all mentioned.
Fertility: CM

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?
CM15A. How many girls have died?
CM15B. In what month and year was the last of your (total number in CM11) births?
Month and year must be recorded.
CM16A. Check CM11: How many live births?
CM16B. In what month and year was the first of your (total number in CM11) births?
Month and year must be recorded.
CM16C. Check CM16B: Is year of birth recorded?
CM16D. How many years ago did you first give birth?
Probe: How old is or would your child have been today? How old were you you're your child was born? If using the second probe, remember to use respondent's age to calculate completed years since first birth.
CM17. Check CM15A/B: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)? If the month of interviews and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years
CM18. Ask for 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.
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)?

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 '96' 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?

MN22. When was the decision made to have the caesarean section?
Probe if necessary: Was it before or after your labour pains started?
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]
MN23A. How long (name) stayed directly on the bare skin on your chest?

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

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?

[p. 17]
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?
PN6A. Now I would like to talk to you about what happened after you left health facility.
Did anyone check on (name)'s health after you left (name or type of facility in MN20)?
PN6B. Now I would like to talk to you about what happened after you delivered at home
Did anyone check on (name)'s health after you delivered at home?

PN6C. When did (name) get his/her health checked after you delivered?

PN16. Check MN20: Was the child delivered in a health facility?
PN17A. After you left (name or type of facility in MN20), did anyone check on your health?
PN17B. After you delivered at home did anyone check on your health?

PN17C. When did you get your health checked after you delivered?

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?

Contraception: CP

CP0. I would like to talk with you about another subject: family planning.
Couples use various ways or methods to delay or avoid a pregnancy. Have you heard of?

CP1. Are you pregnant now?

CP2. 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. What do you think which of the above mentioned contraceptive method is the most effective?
Do not prompt.
CP6. Check CM1: Any births?
CP7A. If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?
CP7B. If you choose exactly the number of children to have in your whole life, how many would that be?
Probe for a numeric response.
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?

[p. 25]
UN12. Why do you think you are not physically able to get pregnant?

UN13. Check UN12: 'Never menstruated' mentioned?
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?
Interrupted pregnancies

IP1. 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.
Sometimes women have pregnancies that do not end with a live birth. This may happen at different moments during the pregnancy and because of various reasons. For example, sometimes a woman may lose the child, sometimes the child is not born alive, and on other occasions there is a decision to end the pregnancy.
Let me assure you again that your answers are completely confidential and will not be told to anyone. 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.

IP2. Check CM11: Number of live births?
IP3A. You have told me that you have not given birth. Now I would like to ask you about pregnancies that did not end with a live birth. Have you ever had any pregnancy that was miscarried, ended in stillbirth or that was aborted?
IP3B. You have told me that you have given birth to (number of children in CM11) children. Now I would like to ask you about pregnancies that did not end with a live birth. Have you ever had any pregnancy that was miscarried, ended in stillbirth or that was aborted?

IP4. Have you ever had a pregnancy end with a stillbirth?
By stillbirth, I mean a pregnancy of more than 5 months that you did not choose to end and where the child did not show any signs of life.
IP5. How many pregnancies ended with a stillbirth?

IP6. Have you ever had a pregnancy end with a miscarriage?
By miscarriage, I mean a pregnancy of less than 5 months that you did not choose to end.
IP7. How many pregnancies ended with a miscarriage?

IP8. Have you ever had a pregnancy end with an abortion?
By miscarriage, I mean a pregnancy that you decided to or had to end, for whatever reason.
IP9. How many pregnancies ended with an abortion?

IP10. Check IP9: Number of abortions?
IP11A. In what month and year did the abortion take place?
IP11B. In what month and year did the most recent abortion take place?

IP11C. Check IP11A/B: Is month and/or year of the last abortion recorded?
IP11D. Did the abortion/ the most recent abortion take place after 2011?

IP12. Check IP11A/B: Last abortion occurred within the last 7 years, that is, since (month of interview) (year of interview minus 7)? If the month of interview and the month of abortion are the same, and the year of abortion is (year of interview minus 7), consider this as an abortion within the last 7 years.
IP13. Check IP9B: Number of abortions?
IP14. You have told me that you have had (sum in IP9) pregnancies that ended in abortion.

[List A2 (2nd most recent abortion) through A5 (5th most recent abortion)]

IP15. Before this (most recent one), in what month and year did the previous abortion take place?

IP15A. Check IP15: Is month and/or year of the last abortion recorded?

IP15B. Did the abortion/ the most recent abortion take place after 2011?

IP16. Was the abortion within the last 7 years?

IP17. Is there another abortion?

[] Tick here if additional questionnaire used

IP18. Just to make sure that I have this right, you had (Total number of "ONLY YEAR, YYYY greater than 2011" in IP15A + Total number of "Yes" in IP15B + Total number of "Yes" in IP16 + 1) pregnancies that ended in abortion in the last 7 years, that is, since (month of interview) (year of interview minus 7). Is this correct?
If necessary, probe using already obtained information, including total number of abortions in IP9.
IP19. Check responses and make corrections as necessary until response in IP18 is 'Yes'.

IP20A. Where was the most recent abortion performed?
IP20B. Where was that abortion performed?

IP21. What method was used?

IP22. Within 30 days of the abortion, did you have one of the following health problems as a result of the abortion?

IP23. Either before or after the most recent abortion, did a doctor talk to you about contraception?

IP24. Was this talk before or after the abortion?

IP25. After the abortion, did you receive a method of contraception or prescription for a method from the doctor?

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.
Let me assure you again that your answers are completely confidential and will not be told to anyone. In the last three years, that is since (month of interview) (year of interview minus 3), has anyone taken or tried taking something from you, by using force or threatening to use force?
Include only incidents in which the respondent was personally the victim and exclude incidents experienced only by other members of the household. If necessary, help the respondent to establish the recall period and 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.
VT2. Did this last happen during the last 12 months, that is, since (month of interview) (year of interview minus 1)?

VT3. How many times did this happen in the last 12 months?
If 'DK/Don't remember', probe: Did it happen once, twice, or at least three times?
VT4. Check VT3: One or more times?
VT5A. When this happened, was anything stolen from you?
VT5B. The last time this happened, was anything stolen from you?

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

VT7. Was a knife, a gun or something else used as a weapon?
Record all that apply.
VT8. Did you or anyone else report the incident to the police?
If 'Yes', probe: Was the incident reported by you or someone else?
VT9A. Apart from the incident(s) just covered, have you in the last three years, that is since (month of interview) (year of interview minus 3), been physically attacked?
VT9B. In the same period of the last three years, that is since (month of interview) (year of interview minus 3), have you been physically attacked?
If 'No', 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.
Include only incidents in which the respondent was personally the victim and exclude incidents experienced only by other members of the household. Exclude incidents where the intention was to take something from the respondent, which should be recorded under VT1.
VT10. Did this last happen during the last 12 months, that is, since (month of interview) (year of interview minus 1)?

VT11. How many times did this happen in the last 12 months?
If 'DK/Don't remember', probe: Did it happen once, twice, or at least three times?
VT12A. Where did this happen?
VT12B. Where did this happen the last time?

VT13. How many people were involved in committing the offence?
If 'DK/Don't remember', probe: Was it one, two, or at least three people?
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?

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

VT18. Was a knife, a gun or something else used as a weapon?
Record all that apply.
VT19. Did you or anyone else report the incident to the police?
If 'Yes', probe: Was the incident reported by you or someone else?
VT20. How safe do you feel walking alone in your neighbourhood after dark?

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

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








Marriage/union: MA

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

MA2. How old is your (husband/partner)?
Probe: How old was your (husband/partner) on his last birthday?
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?

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)?

Informed decision on reproductive health care

ID1. Check MA1: Is woman currently married or living together with someone as if married?
ID2. Can you say no to your husband/partner if you do not want to have sexual intercourse?

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), or someone else?
If someone else or together, probe: Could you tell me (with) who(m)?.
ID4.Who takes the decision on when you can go seek reproductive health care; for example, if you experience a painful or burning sensation when urinating?
If someone else or together, probe: Could you tell me (with) who(m)?.
ID5A. Check CP1: Currently pregnant?
ID5B. Check CP2: Is woman currently doing something or using any method to delay or avoid getting pregnant?
ID5C. Check UN12: Is there at least one answer category (A to Z) recorded?
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 mentioned that you currently do not use contraception.
Would you say that not using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together?

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?

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:





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?

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?

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?

[p. 46] [Image omitted]
[p. 47] [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?
WM12. Language of the Questionnaire.

WM13. Language of the Interview.

WM14. Native language of the Respondent.

WM15. Was a translator used for any parts of this questionnaire?

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 ________