[p. 1]

Kazakhstan 2010

Woman's information panel: WM

This questionnaire is to be administered to all women age 15 through 49 (see Household Listing Form, column HL7). A separate questionnaire should be used for each eligible woman.

WM1. Cluster number: _ _ _

WM2. Household number: _ _

WM3. Woman's name:
WM4. Woman's line number: _ _

WM5. Name and number of interviewer
WM6. Day/month/year of interview _ _ / _ _ / _ _ _ _

WM6A. Check the Household questionnaire. H20AC.
Is this woman selected for questions on domestic violence?
Repeat greeting if not already read to this woman:
We are from the agency of statistics, the republic of kazakhstan. We are working on a project concerned with family health, education, status of women and children.. I would like to talk to you about these subjects. The interview will take about 20 minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team.

If greeting at the beginning of the household questionnaire has already been read to this woman, then read the following:
Now I would like to talk to you more about your health and other topics. This interview will take about 20 minutes. Again, all the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team.

May I start now?

WM7. Result of woman's interview

WM8. Field edited by (name and number):
WM9. Data entry clerk (name and number):
[p. 2]
WM10. Record the time.
Woman's Background: WB

WB1. In what month and year were you born?

WB2. How old are you?
Probe: How old were you at your last birthday? Compare and correct WB1 and/or WB2 if inconsistent.
WB3. Have you ever attended school or preschool?

WB4. What is the highest level of school you attended?

WB5. What is the highest grade you completed at that level?
If less than 1 grade, enter "00"
WB6. Check WB4:
WB7. Now I would like you to read this sentence to me.
Show sentence on the card to the respondent. If respondent is not able to read the sentence in full ask: Would you please read a part of this sentence?
[p. 3]
Access to mass media and use of information/communication technology: MT

MT1. Check WB7:
MT2. How often do you read a newspaper or magazine: almost every day, at least once a week, less than once a week or not at all?

MT3. Do you listen to the radio almost every day, at least once a week, less than once a week or not at all?

MT4. How often do you watch television: would you say that you watch almost every day, at least once a week, less than once a week or not at all?

MT5. Check WB2: Age of respondent between 15 and 24?
MT6. Have you ever used a computer?

MT7. Have you used a computer from any location in the last 12 months?

MT8. During the last one month, how often did you use a computer: almost every day, at least once a week, less than once a week or not at all?

MT9. Have you ever used the internet?

MT10. In the last 12 months, have you used the internet?

MT11. During the last one month, how often did you use the internet: almost every day, at least once a week, less than once a week or not at all?

[p. 4]
Child mortality: CM

All questions from CM1 to CM12 refer only to live births.

CM1. Now I would like to ask about all the births you have had during your life. Have you ever given birth?

CM2. What was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner.
Skip to CM4 only if year of first birth is given. Otherwise, continue with CM3.
CM3. How many years ago did you have your first birth?

CM4. Do you have any sons or daughters to whom you have given birth who are now living with you?

CM5. How many sons live with you? How many daughters live with you?
If none, record '00'.
CM6. Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?

CM7. How many sons are alive but do not live with you? 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 a child who ever breathed or cried or showed other signs of life -- even if he or she lived only a few minutes or hours?
CM9. How many boys have died? How many girls have died?
If none, record '00'.
CM10. Sum answers to CM5, CM7, and CM9.
[p. 5]
CM11. Just to make sure that I have this right, you have had in total (total number in cm10) live births during your life. Is this correct?

CM12. Of these (total number in CM10) births you have had, when did you deliver the last one (even if he or she has died)?
Month and year must be recorded.

CM12A. Women sometimes have pregnancies which do not end in a live born child. Have you ever had a pregnancy that miscarried, was aborted, or ended with a stillbirth?

CM12B. How many such pregnancies (miscarriages, abortions or stillbirths) have you had over your lifetime?

CM12C. When did the last such pregnancy (miscarriages, abortions or stillbirths) end?
Fill in both the month and the year.
CM12D. Check CM12C: Last miscarriage, abortion or stillbirth ended within the last 2 years, that is, since _______ (month of interview) in 2008?
CM12E. Ask the respondent to tell you, in which Month and Year each miscarriage, abortion or live birth had a place during last 2 years and record Month and Year for each pregnancy in CM12F, started from the last miscarriage, abortion or stillbirth.
Then, ask to answer the questions from CM12G till CM12H for each miscarriage, abortion and stillbirth.
CM12F. In which Month and Year the previous pregnancy ended?

CM12G. How many months you were pregnant, when this pregnancy ended?

CM12H. Did that pregnancy end in a spontaneous miscarriage, an induced abortion, or a stillbirth?

CM12I. Check CM12H, the column Last miscarriage, Abortion or Stillbirth?
Dis that pregnancy end with the induced abortion?
CM12J. Now let me ask you about your last pregnancy which ended with the Abortion in _______ (Month and year from CM12C).
Who was the person that had the final say on taking the abortion decision?

CM12K. Who made the abortion?
Specify the person with the highest qualification.

CM12L. Where did that abortion take place?
Probe to identify the type of place and circle the appropriate code. If unable to determine whether the abortion took place in a hospital, health center or clinic, public or private institution, write down the name of the place that the respondent provided.

CM12M. What abortion technique was used for that abortion?
Do not tell the respondent the methods and techniques used for aborton.
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (day and month of interview) in 2008

If child has died, take special care when referring to this child by name in the following modules. Continue with the next module.

[p. 6]
Desire for last birth: DB

This module is to be administered to all women with a live birth in the 2 years preceding date of interview.
Check child mortality module CM13 and record name of last-born child here ____
Use this child's name in the following questions, where indicated.

DB1. When you got pregnant with (name), did you want to get pregnant at that time?

DB2. Did you want to have a baby later on, or did you not want any (more) children?

DB3. How much longer did you want to wait?

[p. 7]
Maternal and newborn health: MN

This module is to be administered to all women with a live birth in the 2 years preceding date of interview.
Check child mortality module CM13 and record name of last-born child here ____
Use this child's name in the following questions, where indicated.

MN1. Did you see anyone for antenatal care during your pregnancy with (name)?

MN2. Whom did you see?
Probe: Anyone else? Probe for the type of person seen and circle all answers given.
MN3. How many times did you receive antenatal care during this pregnancy?

MN4. As part of your antenatal care during this pregnancy, were any of the following done at least once:

[A] Was your blood pressure measured?

[B] Did you give a urine sample?

[C] Did you give a blood sample?

MN17. Who assisted with the delivery of (name)?
Probe: Anyone else? Probe for the type of person assisting and circle all answers given. If respondent says no one assisted, probe to determine whether any adults were present at the delivery.
[p. 9]
MN18. Where did you give birth to (name)?
Probe to identify the type of source. If unable to determine whether public or private, write the name of the place.
(Name of place) ____

MN19. Was (name) delivered by caesarean section? That is, did they cut your belly open to take the baby out?

MN20. When (name) was born, was he/she very large, larger than average, average, smaller than average, or very small?

MN21. Was (name) weighed at birth?

MN22. How much did (name) weigh?
Record weight from health card, if available.
MN23. Has your menstrual period returned since the birth of (name)?

MN24. Did you ever breastfeed (name)?

MN25. 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.
[p. 10]
MN26. In the first three days after delivery, was (name) given anything to drink other than breast milk?

MN27. What was (name) given to drink?
Probe: Anything else?
[p. 11]
Illness Symptoms: IS

IS1. Check Household Listing, column HL9
Is the respondent the mother or caretaker of any child under age 5?

IS2. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
Probe: Any other symptoms? Keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions
[p. 16]
Contraception: CP

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 a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant?

CP3. What are you doing to delay or avoid a pregnancy?
Do not prompt. If more than one method is mentioned, circle each one.
[p. 17]
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. Did you want to have a baby later on or did you not want any (more) children?

UN4. 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?

UN5. Check CP3. Currently using "female sterilization"
UN6. 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?

UN7. How long would you like to wait before the birth of (a/another) child?

UN8. Check CP1. Currently pregnant?
[p. 18]
UN9. Check CP2. Currently using a method?
UN10. Do you think you are physically able to get pregnant at this time?

UN11. Why do you think you are not physically able to get pregnant?

UN12. Check UN11. "Never menstruated" mentioned?
UN13. When did your last menstrual period start?

[p. 19]
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:

[A] If she goes out without telling him?

[B] If she neglects the children?

[C] If she argues with him?

[D] If she refuses to have sex with him?

[E] If she burns the food?

[p. 23]
Marriage/union: MA

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

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

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

MA8. In what month and year did you first marry or start living with a man as if married?

MA9. How old were you when you started living with your first husband/partner?

[p. 24]
Sexual behavior: SB

SB1A. Check WB2: Age of the respondent between 15 and 24?Check for the presence of others. Before continuing, ensure privacy.

SB1. 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 you supply will remain strictly confidential.
How old were you when you had sexual intercourse for the very first time?

SB2. The first time you had sexual intercourse, was a condom used?

SB3. When was the last time you had sexual intercourse?
Record 'years ago' only if last intercourse was one or more years ago. If 12 months or more the answer most be recorded in year.
SB4. The last time you had sexual intercourse, was a condom used?

SB5. 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', circle '2'. If 'no', circle'3'.
SB6. Check MA1:
SB7. How old is this person?
If response is DK, probe: About how old is this person?
SB8. Have you had sexual intercourse with any other person in the last 12 months?

SB9. The last time you had sexual intercourse with this other person, was a condom used?

[p. 25]
SB10. 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', circle '2'. If 'no', circle '3'.
SB11. Check MA1 and MA7:
SB12. How old is this person?
If response is DK, probe: About how old is this person?
SB13. Other than these two persons, have you had sexual intercourse with any other person in the last 12 months?

SB14. In total, with how many different people have you had sexual intercourse in the last 12 months?

SB15. In total, with how many different people have you had sexual intercourse in your lifetime?
If a non-numeric answer is given, probe to get an estimate. If number of partners is 95 or more, write '95'.
[p. 26]
HIV/AIDS: HA

HA1. Now I would like to talk with you about something else.
Have you ever heard of an illness called HIV?

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

HA3. Can people get the HIV virus because of witchcraft or other supernatural means?

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

HA5. Can people get the HIV virus from mosquito bites?

HA6. Can people get the HIV virus by sharing food with a person who has the HIV virus?

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

HA8. Can the virus that causes HIV be transmitted from a mother to her baby:

[A] During pregnancy?

[B] During delivery?

[C] By breastfeeding?

HA9. In your opinion, if a female teacher has the HIV virus but is not sick, should she be allowed to continue teaching in school?

HA10. Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the HIV virus?

HA11. If a member of your family got infected with the HIV virus, would you want it to remain a secret?

HA12. If a member of your family became sick with HIV, would you be willing to care for her or him in your own household?

[p. 27]
HA13. Check CM13: Any live birth in last 2 years?
HA14. Check MN1: Received antenatal care?
HA15. During any of the antenatal visits for your pregnancy with (name), were you given any information about AIDS or HIV?

HA15A. During any of the antenatal visits for your pregnancy with (name),

Were you given any information about:

[A] Babies getting the HIV virus from their mother?

[B] Things that you can do to prevent getting the HIV virus?

[C] Getting tested for the HIV virus?

Were you:
[D] Offered a test for the HIV virus?

HA16. I don't want to know the results, but were you tested for the HIV virus as part of your antenatal care?

HA17. I don't want to know the results, but did you get the results of the test?

HA18. Regardless of the result, all women who are tested are supposed to receive counseling after getting the result. After you were tested, did you receive counselling?

HA19. Check MN17: Birth delivered by health professional (A, B, C or D)?
HA20. I don't want to know the results, but were you tested for the HIV virus between the time you went for delivery but before the baby was born?

HA21. I don't want to know the results, but did you get the results of the test?

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

[p. 28]
HA23. When was the most recent time you were tested for the HIV virus?

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

HA25. When was the most recent time you were tested?

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 tested for the HIV virus?

[p. 29]
Tobacco and alcohol use: TA

TA1. Have you ever tried cigarette smoking, even one or two puffs?

TA2. How old were you when you smoked a whole cigarette for the first time?

TA3. Do you currently smoke cigarettes?

TA4. In the last 24 hours, how many cigarettes did you smoke?

TA5. During the last one month, on how many days did you smoke cigarettes?
If less than 10 days, record the number of days. If 10 days or more but less than a month, circle "10". If "everyday" or "almost every day", circle "30"
TA6. Have you ever tried any smoked tobacco products other than cigarettes, such as cigars, water pipe, cigarillos or pipe?

TA7. During the last one month, did you use any smoked tobacco products?

TA8. What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
TA9. During the last one month, on how many days did you use smoked tobacco products?
If less than 10 days, record the number of days. If 10 days or more but less than a month, circle "10". If "everyday" or "almost every day", circle "30"
TA10. Have you ever tried any form of smokeless tobacco products, such as chewing tobacco, snuff, or dip?

TA11. During the last one month, did you use any smokeless tobacco products?

[p. 32]
TA12. What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
TA13. During the last one month, on how many days did you use smokeless tobacco products?
If less than 10 days, record the number of days. If 10 days or more but less than a month, circle "10". If "everyday" or "almost every day", circle "30"
TA14. Now I would like to ask you some questions about drinking alcohol.
Have you ever drunk alcohol?

TA15. We count one drink of alcohol as one can or bottle of beer, one glass of wine, or one shot of cognac, vodka, whiskey or rum.
How old were you when you had your first drink of alcohol, other than a few sips?

TA16. During the last one month, on how many days did you have at least one drink of alcohol?
If respondent did not drink, circle "00". If less than 10 days, record the number of days. If 10 days or more but less than a month, circle "10". If "everyday" or "almost every day", circle "30"
TA17. In the last one month, on the days that you drank alcohol, how many drinks did you usually have?

[p. 33]
Domestic Violence: DA

DA1A. Check the question WM6A, from the information section about woman
DA1B. Check if anybody else is presented in the room.
Do not continue unless you get privacy with the respondent
Read to the respondent:
Now I would like to ask you questions about some other important aspects of a woman's life. I know that some of these questions are very personal. However, your answers are crucial for helping to understand the condition of women in Kazakhstan. Let me assure you that your answers are completely confidential and will not be told to anyone and no one else will know that you were asked these questions.

DA2. Check MA1 and MA5
DA3. First, I am going to ask you about some situations which happen to some women. Please tell me if these apply to your relationship with your (last) husband/partner?

[A] He (is/was) jealous or angry if you (talk/talked) to other men?

[B] He frequently (accuses/accused) you or being unfaithful?

[C] He (does/did) not permit you to meet your family friends?

[D] He (tries/tried) to limit your contact with your family?

[E] He (insits/insisted) on knowing where you (are/were) at all times?

[F] He (does/did) not trust you with any money?

DA4. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. If we should come to any questions that you do not want to answer, just let me know and we will go on to the next question:

[A1]. Did your (last) husband/partner ever say or do something to humiliate you in front of others?

[A2]. Check MA6
[A3]. How often did this happen during the last 12 months?

[B1]. Your (ex) husband/partner threatened to hurt or harm you or someone else close to you?

[B2]. Check MA6
[B3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[C1]. Your (ex) husband/partner insulted you or made you feel bad about yourself?

[C2]. Check MA6
[C3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

DA5. (Does/did) your (last) husband/partner ever do any of the following things to you:

[A1]. Push you, shae you, or throw something at you?

[A2]. Check MA6
[A3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[B1]. (Does/did) your (last) husband/partner slap you?

[B2]. Check MA6
[B3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[C1]. (Does/did) your (last) husband/partner twist your arm or pull your hair?

[C2]. Check MA6
[C3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[D1]. (Does/did) your (last) husband/partner punch you with his fist or with something that could hurt you?

[D2]. Check MA6
[D3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[E1]. (Does/did) your (last) husband/partner kick you, drag you or beat you up?

[E2]. Check MA6
[E3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[F1]. (Does/did) your (last) husband/partner try to choke you or burn you on purpose?

[F2]. Check MA6
[F3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[G1]. (Does/did) your (last) husband/partner threaten or attack you with a knife, gun, or any other weapon?

[G2]. Check MA6
[G3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[H1]. (Does/did) your (last) husband/partner physically force you to have sexual intercourse with him even when you did not want to?

[H2]. Check MA6
[H3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

[I1]. (Does/did) your (last) husband/partner force you to perform any sexual acts you did not want to?

[I2]. Check MA6
[I3]. How often did this happen during the last 12 months: Often, Sometimes, Never?

DA6. Check DA6
DA7. How long after you first got married/started living with your (last) husband/partner did (This/any of these things) first happen?
If less than one year, record 00
DA8. Did the following ever happen as a result of what your (last) husband/partner did to you:

[A] You had cuts, bruises or arches?

[B] You had eye injuries, sprains, dislocations, or burns?

[C] You had deep wounds, broken bones, broken teeth, or any other serious injury?

DA9. Have you ever hit, slapped, kicked, or done anything else to physically hurt your (last) husband/partner at times when he was not already beating or physically hurting you?

DA10. Check MA6
DA11. In the last 12 months, how often have you done this to your husband/partner: often, only sometimes, or not at all?

DA12. Does (did) your husband/partner drink alcohol?

DA13. How often does (did) he get drunk: often, only sometimes, or never?

DA14. Check MA1 and MA5
DA14A. From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?

DA14B. From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?

DA15. How has hurt you in this way? Anyone else?
Circle all mentioned.
DA16. In the last 12 months, how often have you been hit, slapped, kicked, or physically hurt by this/these person(s): often, only sometimes, or not at all?

DA17. Check CM1, CM12, and CP1
DA18. Has anyone hit, slapped, kicked, or done anything else to hurt you physically while you were pregnant?

DA15. Who has done any of these things to physically hurt you while you were pregnant? Anyone else?
Circle all mentioned.
DA20. Check: have you had sexual intercourse?
DA21. The first time you had sexual intercourse, would you say that you had it because you wanted to, or because you were forced to have it against your will?

DA22. Check: MA1 and MA5?
DA22A. In the last 12 months has anyone apart from your (present/former) husband forced you to have sexual intercourse against your will?

DA22B. In the last 12 months has anyone forced you to have sexual intercourse against your will?

DA28. Check DA5 (A,B,C,D,E,F,G,H,I), DA14 (A,B), DA18, DA21, DA22 (A,B)
If there is an answer 'Yes' to one of these questions or Da21=2 (Continue from DA29)
DA29. Thinking about what you yourself have experienced among the different things we have been talking about, have you ever tried to seek help to stop (the/these) person(s) from doing this to you again?

DA30. From whom have you sought help? Anyone else?
Circle all mentioned.
DA31. Have you ever told anyone about this?

DA32. As far as you know, did your father ever beat your mother?

Thank the respondent for her cooperation and reassure her about the confidentiality of all her answers. Fill out the questions below with reference to the domestic violence module only.

DA33. Did you have to interrupt the interview because some adult was trying to listen, or came into the room, or interrupted it in any other way?

Husband

Other adult male

Female adult

DA34. Interviewer's comments / Explanation for not completing the domestic violence module
__________________________________

WM11. Record the time.
WM12. Check Household Listing Form, column HL9.
Is the respondent the mother or caretaker of any child age 0-4 living in this household?
Interviewer's observations

Field editor's observations