[p. 1]

This part is to be administered to all women age 15 through 49( see column HL6 section 1B) Fill in one column for each eligible woman. The name and line number of the woman is taken from section 1B

Part2, section A: Women's Information and education: WM

Women No: _ _
Name: ___

WM8. In what day, month and year were [NAME] born?

WM9. How old were [NAME] at your last birthday?

[p. 2]
WM10. Have [NAME] ever attended school?

WM11. What is the highest level of school [NAME] attended?

WM12. What is the highest grade that [NAME] completed? (record school grade)

WM13. Check the response of question WM11:
WM14. Now I would like you to read the following sentence to me.
Interviewer show the respondent the relevant sentences.
If respondent cannot read whole sentence, probe: Can you read part of the sentence to me?
[p. 3]
Part 2, section B: Child Mortality Module: CM

This section is to be administered to all women age 15-49. All questions refer to live births only. Interviewer speak the introduction printed in the sided paper.

CM1. Now I would like to ask about all the births you have had in your life. Have you ever given birth?
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?
CM2a. 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 CM3 only if year of first birth is given. Otherwise, continue with CM2b.
CM2B. How many years ago did you have your first birth?

CM3. Do you have any sons or daughters to whom you have given birth who are now living with you?

CM4A. Out of these, how many sons live with?

CM4B. Out of these, how many daughters live with?

CM5 Do you have any children to whom you have given birth who are alive but do not live with you?

CM6B. Out of these, how many daughters who are alive but do not live with you?

CM6B. Out of these, how many sons who are alive but do not live with you?

CM7. Have you ever given birth to a child who was born alive but later died?

CM8A. How many boys have died?

CM8B. How many girls have died?

CM9. Sum answers to CM4, CM6, and CM8
CM10 Just to make sure that I have this right, you have had (total number) births during your life. Is this correct?

[p. 4]
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
CM13. At the time you became pregnant with (name), did you want to become pregnant then, did you want to wait until later, or did you want no (more) children at all?

[p. 5]
Part 2, section c: Tetanus Toxoid: TT

This section is to be administered to all women with a live birth in the 2 years preceding date of interview.

TT1. Do you have a card or other document with your own immunizations listed?
If a card is presented, use it to check the answers to the following questions.

TT2. When you were pregnant with your last child, did you receive any injection to prevent tetanus, an injection at the top of the arm or shoulder)?

TT3: How many times did you receive this anti-tetanus injection during your last pregnancy?

TT4. Interviewers check how many anti-receive this anti-tetanus injection during your last pregnancy?

TT5. Did you receive any anti-receive injection at any time before your last pregnancy?

TT6. During this period, how many times did you receive anti-tetanus injection?
If number of times is not known, enter 98
TT7. In what month and year did you receive the anti-tetanus injection before that last pregnancy?
If do not know month, enter 98
If do not know year, enter 9998
If year is given (Go to next module)
TT8. How many years ago did you receive the last anti-tetanus injection before that last pregnancy?

[p. 6]
Part 2, section D: Maternal and newborn health module: MN

This section is to be administered to all women age 15-49 who had live birth in the 2 years before the interview. Check answer of CM12 in section 2B and enter the name of the last-born child use the name of this child in the following questions

MN1. In the first two months after your last birth [the birth of name], did you receive a vitamin A dose like this?
Show 200,000 IU capsule or dispenser.
MN2. Did you see anyone for antenatal care for this pregnancy?
If yes: Whom did you see? Anyone else? Probe and circle answers given.
MN3. During the antenatal visits for the pregnancy, did you have [?] done at least once?

MN3A. Were you weighed?

MN3B. Was your blood pressure measured?

MN3C. Did you give a urine sample?

MN3D. Did you give a blood sample?

MN3E. Did you get an Ultra-sound scan?

MN4. During any of the antenatal visits for the pregnancy, were you given any information or counseled about AIDS/AIDS?

MN5. I don't want to know the results, but were you tested for the AIDS virus as part of your antenatal care?

MN6. I don't want to know the results, but did you get the results of the test?

MN6A. During this pregnancy, did you take any medicine in order to prevent you from getting malaria?

MN6B. Which medicines did you take to prevent malaria?
Circle all medicines taken. If type of medicine is not determined, show typical anti-malarial to respondent
MN6C. Interviewer check MN6B for medicine taken. If SP/Fansider has not been takne(Go to MN7)

MN6D. During this pregnancy, how many times did you take SP/fansidar to prevent malaria.

MN7. Who assisted with the delivery of your last born child (name)? Anyone else?
Probe and circle all answers given
[p. 7]
Part 2, section D: Maternal and newborn health module (cont): MN

MN8. Where did you give birth to (name)?

MN9. When you last child (name) was born, was he/she very large, larger than average, average, smaller than average, or very small?

MN10. Was (name) weighed at birth?

MN11. How much did (name) weigh?
Record from health card or birth certificate, if available
MN11A. Record from health card or recall?

MN12. Did you ever breastfeed (name)

MN13. 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.
MN13A. Time until has been used?

[p. 8]
Part 2, section E: Marriage/union: MA

MA.1 Are you currently married or in union?

MA2. How old was your husband/partner on his last birthday? (age in completed years)
If don?t know, enter 98 (Go to MA 5)
MA3. Have you ever been married or in union?

MA4. What is your marital status now?

MA5. Have you been married or in union only once or more than once?

MA6A. In what month and year were you married/ in union?

MA6B. In what month and year were you first married/ in union?

MA8. How old were you when you started living with your first husband/partner? (age in completed years)

[p. 9]
Part 2, section F: Contraception module: CP

Administrate CP0 to all women age 15-49
The next questions in this section are only to be administrated to women age 15-49 who are currently married or in union.

CP0. Interviewer check MA1 of the section 2E

CP1. Are you pregnant now?

CP2. Are you and your husband currently using any method to delay or avoid getting pregnant?

CP3. Which method are you using?
Do not prompt. Circle all answers given.
[p. 10]
Part 2, section G: HIV/AIDS knowledge: HA

HA1. Now I would like to talk with you about disease, particularly HIV virus and AIDS disease.
Have you ever heard of the virus HIV or an illness called AIDS?

Now I would like toa ask some questions about how to protect yourself from having HIV/ AIDS that including sensitive questions related to sexual matters. However, these questions are just raised in order to understand the attitude and knowledge of Vietnamese women on HIV/AIDS. Please give Yes or No answers to the following questions:

HA2. Can people protect themselves from getting HIV/AIDS by having one sexual partner who is not infected and also and also does not have sex with other partners?

HA3. Can people get infected with the AIDS virus because of witchcraft or other supernatural means?

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

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

HA6. Can people reduce their chance of getting infected with the HIV/AIDS by not having sex at all?

HA7. Can people get the HIV/AIDS by sharing food with a person who has HIV/aids?

HA7A. Can people get the HIV/aids by getting injections with a needle that was already used by someone else?

HA8. Is it possible for a healthy-looking person to have the HIV/AIDS?

HA9. Can the HIV virus be transmitted from a mother to a baby

HA9A. During pregnancy?

HA9B. During delivery?

HA9C. By breastfeeding?

HA10. In your opinion, if a female teacher has the HIV/AIDS still looking healthy, should she be allowed to continue teaching in school?

HA11. Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this vendor if you knew that this person is living with HIV/AIDS?

HA12. If a member of your family became infected with the HIV/AIDS virus, would this family remain such information a secret?

HA13. If you were living in a family whose member has became sick with the AIDS virus, would you be willing to care for him or her in your household?

[p. 11]
HA14. Interviewer check MN5 to see whether tis woman has been tested for HIV during antenatal care.

HA15. I do not want to know the results, but have you ever been tested to see if you have HIV virus?

HA16. I do not want you to tell me the results of the test, but have you been told the results?

HA17. Did you, yourself, ask for the test, was it offered to you and you accepted, or was it required?

HA18. At this time, do you know of a place where you can go to get such a test to see if you have the AIDS virus?

HA18A. Other than at the antenatal clinic, do you know of a place where you can go to get a test to see if you have the HIV virus?

Part 2, section H: Attitudes toward domestic violence

This section is to be administrated to all women age 14-49

DV1. In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations:

DV1A. If she goes out with out telling him?

DV1B. If she neglects the children?

DV1C. If she argues with him?

DV1D. If she refuses sex with him?

DV1E. If she burns the food?

When completing interview with all women age 15-49 in the household, move to part 3