Questionnaire Text

Argentina 2019 Kyrgyzstan 2014 Montenegro 2018 Tajikistan 2005
Belarus 2012 Kyrgyzstan 2018 Montenegro (Roma) 2018 Turkmenistan 2006
Bosnia and Herzegovina 2011 Laos 2011 Samoa 2019 Turkmenistan 2015
Bosnia and Herzegovina (Roma) 2011 Macedonia 2011 Serbia 2014 Turkmenistan 2019
El Salvador 2014 Macedonia (Roma) 2011 Serbia (Roma) 2014 Ukraine 2012
Fiji 2021 Macedonia 2018 Serbia 2019 Uzbekistan 2021
Georgia 2018 Macedonia (Roma) 2018 Serbia (Roma) 2019
Kazakhstan 2015 Moldova 2012 South Sudan 2010
Kiribati 2018 Mongolia 2013 Sudan 2010
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Argentina 2019
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CP0A. Now I would like to talk to you about another subject: sexual and reproductive health, and contraceptive methods.
Have you ever heard of?

[E] Implant or chip
[] 1 Yes
[] 2 No

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Belarus 2012
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CP0. I would like to talk with you about another subject ? family planning. Some people use various ways or methods to delay or avoid a pregnancy.
Have you heard of:

[E] Implants

[] 1 Yes
[] 2 No

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Bosnia and Herzegovina 2011
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CP0. I would like to talk with you about another subject -- family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:

[A] Female sterilization?
Probe: An operation women undertake in order to avoid pregnancy
[] 1 Yes
[] 2 No
[B] Male sterilisation?
Probe: An operation men undertake in order to avoid pregnancy

[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a coil placed inside the uterus by a doctor.

[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can receive injections that have an effect on their hormones and prevent pregnancy over a period of a few months.

[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small implants (rods) implanted in their upper arm by a doctor that prevent pregnancy for a number of years.

[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take pills on an everyday basis to avoid getting pregnant.

[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber cover on their penis before or during sexual intercourse.

[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can put a cover inside their vagina before sexual intercourse

[] 1 Yes
[] 2 No
[I] Diaphragm
Probe: Women can insert a soft rubber cup in their vagina to block the sperm from entering their uterus or fallopian tubes.

[] 1 Yes
[] 2 No
[J] Foam / jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.

[] 1 Yes
[] 2 No
[K] Lactational amnorrhoea method (LAM)?

[] 1 Yes
[] 2 No
[L] Periodic abstinence / rhythm method?
Probe: The woman can avoid pregnancy by not having sexual intercourse during fertile days in the month, i.e. days she is most likely to get pregnant.

[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can pull out directly before ejaculating.

[] 1 Yes
[] 2 No
[N] Emergency / postcoital contraception?
Probe: As an emergency measure, within a period of 3 days, after having unprotected sexual intercourse, women can take special pills to prevent pregnancy.

[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or methods that men or women can utilize in order to avoid pregnancy?

[] 1 Yes (specify) ______
[] 2 No (specify) ______

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Bosnia and Herzegovina (Roma) 2011
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CP0. I would like to talk with you about another subject -- family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:

[A] Female sterilization?
Probe: An operation women undertake in order to avoid pregnancy

[] 1 Yes
[] 2 No
[B] Male sterilization?
Probe: An operation men undertake in order to avoid pregnancy

[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a coil placed inside the uterus by a doctor.

[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can receive injections that have an effect on their hormones and prevent pregnancy over a period of a few months

[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small implants (rods) implanted in their upper arm by a doctor that prevent pregnancy for a number of years.

[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take pills on an everyday basis to avoid getting pregnant.

[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber cover on their penis before or during sexual intercourse.

[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can put a cover inside their vagina before sexual intercourse

[] 1 Yes
[] 2 No
[I] Diaphragm
Probe: Women can insert a soft rubber cup in their vagina to block the sperm from entering their uterus or fallopian tubes.

[] 1 Yes
[] 2 No
[J] Foam / jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.

[] 1 Yes
[] 2 No
[K] Lactational amnorrhoea method (LAM)?

[] 1 Yes
[] 2 No
[L] Periodic abstinence / rhythm method?
Probe: The woman can avoid pregnancy by not having sexual intercourse during fertile days in the month, i.e. days she is most likely to get pregnant.

[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can pull out directly before ejaculating.

[] 1 Yes
[] 2 No
[N] Emergency / postcoital contraception?
Probe: As an emergency measure, within a period of 3 days, after having unprotected sexual intercourse, women can take special pills to prevent pregnancy.

[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or methods that men or women can utilize in order to avoid pregnancy?

[] 1 Yes (specify) ______
[] 2 No (specify) ______

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El Salvador 2014
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CP0. I would like to talk with you about another subject: Family planning. Couples make use of several methods to delay or prevent pregnancy. Have you ever heard about...
Read each option.

[E] Implants (NORPLANT)?
Probe: Implants are tiny capsules implanted subdermally on the arm by a doctor or nurse, they can prevent pregnancy for one or more years.

[] 1 Yes
[] 2 No

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Fiji 2021
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[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Georgia 2018
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WM16. Check columns HL10 and HL20 in list of household members, household questionnaire:
Is the respondent the mother or caretaker of any child age 0-4 living in this household?

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

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Kazakhstan 2015
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[E] Implants?
Probe: women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Kiribati 2018
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CP0. I would like to talk with you about another subject: family planning. Have you ever heard of (method)?

[E] Implant
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years
[] 1 Yes
[] 2 No

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Kyrgyzstan 2014
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CP0. I would like to talk with you about another subject -- family planning.
Have you heard of:

[E] Implants?
Probe: women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.

[] 1 Yes
[] 2 No

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Kyrgyzstan 2018
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WM14. Native language of the Respondent.

[] 1 Kyrgyz
[] 2 Russian
[] 3 Uzbek
[] 4 Kazakh
[] 5 Tajik
[] 6 Dungan
[] 7 Uygur
[] 96 Other language (specify) ____
[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Laos 2011
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CP0E. Implants?
Probe: Women can have one or more small rod) placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Macedonia 2011
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[E] Implants?
Probe: Women can have one or more small rods implanted in their upper arm (by a doctor or a nurse) and thus prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Macedonia (Roma) 2011
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[E] Implants?
Probe: Women can have one or more small rods implanted in their upper arm (by a doctor or a nurse) and thus prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Macedonia 2018
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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?

[A] Female sterilization?
Probe: Women can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[B] Male sterilization?
Probe: Men can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a loop or coil placed inside them by a doctor.
[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can have an injection by a doctor that stops them from getting pregnant for one or more months.
[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small implants (rods) placed in their upper arm by a doctor which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take a pill every day to avoid getting pregnant.
[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber sheath on their penis before sexual intercourse.
[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can place a rubber sheath in their vagina before sexual intercourse.
[] 1 Yes
[] 2 No
[I] Diaphragm?
Probe: Women can place a reusable soft rubber cup in their vagina to block sperm from entering uterus or tubes.
[] 1 Yes
[] 2 No
[J] Foam/ Jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.
[] 1 Yes
[] 2 No
[L] Periodic abstinence / Rhythm?
Probe: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can be careful and pull out before climax ("the husband keeps me" or "we keep ourselves").
[] 1 Yes
[] 2 No
[N] Emergency/ postcoital contraception?
Probe:As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or method did women or men can apply to avoid pregnancy?
Other (specify):____
[] 1 Yes
[] 2 No

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Macedonia (Roma) 2018

No questionnaire text is available for this sample.


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Moldova 2012
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CP0. I would like to talk with you about another subject ? family planning. Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:

[E] Implants?
Probe: Women can have one or more small implants (rods) implanted in their upper arm by a doctor that prevent pregnancy for a number of years.

[] 1 Yes
[] 2 No

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Mongolia 2013
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CP0A. Have you ever heard of or read about contraceptive methods? Please name them. For contraceptive methods named by the woman, record "1". For the remaining methods, probe using CP0B and record "2" if heard or read.

[D] Injectables (women can have an injection by a health provider that stops them from becoming pregnant for one or more months)

[] 1 Yes

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[F] Pill (women can take a pill every day to avoid becoming pregnant.)

[] 1 Yes

[D] Injectables (women can have an injection by a health provider that stops them from becoming pregnant for one or more months)

[] 2 Yes
[] 3 No

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Montenegro 2018
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CP0. I would like to talk with you about another subject: family planning.
Couples use various ways or methods to delay or avoid getting pregnant.
Have you heard of:

[A] Female sterilization?
Probe: Women can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[B] Male sterilization?
Probe: Men can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a loop or coil placed inside them by a doctor or nurse.
[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can have an injection by a doctor that stops them from getting pregnant for one or more months.
[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse that can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take a pill every day to avoid becoming pregnant.
[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber sheath on their penis before sexual intercourse.
[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can place a sheath in their vagina before sexual intercourse.
[] 1 Yes
[] 2 No
[I] Diaphragm?
Probe: Women can insert a soft rubber cup in their vagina to block sperm from entering their uterus or fallopian tubes.
[] 1 Yes
[] 2 No
[J] Foam/ Jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.
[] 1 Yes
[] 2 No
[L] Periodic abstinence / Rhythm method?
Probe: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can be careful and pull out before climax.
[] 1 Yes
[] 2 No
[N] Emergency/postcoital contraception?
Probe: As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or methods that women or men can use to avoid pregnancy?
[] 1 Yes (specify) ____
[] 2 No

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Montenegro (Roma) 2018
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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?

[A] Female sterilization?
Probe: Women can have an operation to avoid having any more.
[] 1 Yes
[] 2 No
[B] Male sterilization?
Probe: Men can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a loop or coil placed inside them by a doctor or nurse.
[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can have an injection by a doctor that stops them from getting pregnant for one or more months.
[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take a pill every day to avoid getting pregnant.
[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber sheath on their penis before sexual intercourse.
[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can place a rubber sheath in their vagina before sexual intercourse.
[] 1 Yes
[] 2 No
[I] Diaphragm?
Probe: Women can place a reusable soft rubber cup in their vagina to block sperm from entering uterus or tubes.
[] 1 Yes
[] 2 No
[J] Foam/ Jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.
[] 1 Yes
[] 2 No
[L] Periodic abstinence / Rhythm method?
Probe: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can be careful and pull out before climax.
[] 1 Yes
[] 2 No
[N] Emergency/postcoital contraception?
Probe:As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or method did women or men can apply to avoid pregnancy?
Other (specify):____
[] 1 Yes
[] 2 No

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Samoa 2019
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[E] Implant - Women can have several small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years
[] 1 Yes
[] 2 No

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Serbia 2014
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CP0. I would like to talk with you about another subject - family planning.
Couples use various ways or methods to delay or avoid getting pregnant.
Have you heard of:

[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse that can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Serbia (Roma) 2014
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CP0. I would like to talk with you about another subject - family planning.
Couples use various ways or methods to delay or avoid getting pregnant.
Have you heard of:

[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse that can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Serbia 2019
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Interviewer's observations
[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse that can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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Serbia (Roma) 2019
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Interviewer's observations
[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse that can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No

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South Sudan 2010
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CP01. Which methods to avoid or delay pregnancy that you know about?

List and describe methods. Circle each method known by respondent.
If mentioned male condom skip CP02
[] A Condom (male)
[] B Diaphragm/Cervical cap/Female comdon
[] C Spermicides/cream/jelly/foam/vaginal pills/suppositories
[] D IUD
[] E Oral hormonal contraceptives (pills)
[] F Hormonal injections
[] G Hormonal implants
[] H Emergency contraception
[] I Lactation amenorrhea method
[] J Withdrawal
[] K Calendar method
[] L Abstinence
[] M Douching
[] N Tubal ligation (female sterilization)
[] O Vasectomy (male sterilization)
[] X Other methods
[] Z DK/difficult answer

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Sudan 2010
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CP01. Which methods to avoid or delay pregnancy that you know about?
List and describe methods. Circle each method known by respondent.
[] A Condom (male)
[] B Diaphragm/cervical cap/female condom
[] C Spermicides/crea/jelly/foam/vaginal pilla/suppositories
[] D IUD
[] E Oral hormonal contraceptives (pills)
[] F Hormonal implants
[] G Hormonal implants
[] H Emergency contraception
[] I Lactation amenorrhea method
[] J Withdrawal
[] K Calendar method
[] L Abstinence
[] M Douching
[] N Tubal ligation (female sterilization)
[] O Vasectomy (male sterilization)
[] X Other methods
[] Z DK/difficult answer

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Tajikistan 2005
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CP0A. People can use the various ways or methods to delay or avoid a pregnancy.
Which ways or methods have you heard about? Do not prompt. If more than one method is mentioned, circle each one.
[] A Female sterilization
[] B Male sterilization
[] C Pill
[] D IUD
[] E Injections
[] F Implants
[] G Condom
[] H Female condom
[] I Diaphragm
[] J Foam/jelly
[] k Lactational amenorrhea method (LAM)
[] L Periodic abstinence
[] M Withdrawal
[] X Other (specify)
[] Y No any method was mentioned

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Turkmenistan 2006
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CP0A. People can use the various ways or methods to delay or avoid a pregnancy.
Which ways or methods have you heard about? Do not prompt. If more than one method is mentioned, circle each one.
[] A Female sterilization
[] B Male sterilization
[] C Pill
[] D IUD
[] E Injections
[] F Implants
[] G Condom
[] H Female condom
[] I Diaphragm
[] J Foam/jelly
[] k Lactational amenorrhea method (LAM)
[] L Periodic abstinence
[] M Withdrawal
[] X Other (specify)
[] Y None specified

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Turkmenistan 2015
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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 about:

[E] Implants?
Probe: women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.

[] 1 Yes
[] 2 No

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Turkmenistan 2019
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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?

[A] Female sterilization?
Probe: Women can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[B] Male sterilization?
Probe: Men can have an operation to avoid having any more children.
[] 1 Yes
[] 2 No
[C] IUD?
Probe: Women can have a loop or coil placed inside them by a doctor.
[] 1 Yes
[] 2 No
[D] Injectables?
Probe: Women can have an injection by a doctor that stops them from getting pregnant for one or more months.
[] 1 Yes
[] 2 No
[E] Implants?
Probe: Women can have one or more small implants (rods) placed in their upper arm by a doctor which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No
[F] Pill?
Probe: Women can take a pill every day to avoid getting pregnant.
[] 1 Yes
[] 2 No
[G] Male condom?
Probe: Men can put a rubber sheath on their penis before sexual intercourse.
[] 1 Yes
[] 2 No
[H] Female condom?
Probe: Women can place a rubber sheath in their vagina before sexual intercourse.
[] 1 Yes
[] 2 No
[I] Diaphragm?
Probe: Women can place a reusable soft rubber cup in their vagina to block sperm from entering uterus or tubes.
[] 1 Yes
[] 2 No
[J] Foam/ Jelly?
Probe: Women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.
[] 1 Yes
[] 2 No
[L] Periodic abstinence / Rhythm?
Probe: To avoid pregnancy, women do not have sexual intercourse on the days of the month they think they can get pregnant.
[] 1 Yes
[] 2 No
[M] Withdrawal?
Probe: Men can be careful and pull out before climax ("the husband keeps me" or "we keep ourselves").
[] 1 Yes
[] 2 No
[N] Emergency/ postcoital contraception?
Probe:As an emergency measure, within three days after they have unprotected sexual intercourse, women can take special pills to prevent pregnancy.
[] 1 Yes
[] 2 No
[X] Have you heard of any other ways or method did women or men can apply to avoid pregnancy?
Other (specify):____
[] 1 Yes
[] 2 No

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Ukraine 2012
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CP0E. Have you ever heard of implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.

[] 1 Yes
[] 2 No

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Uzbekistan 2021
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CP0. I would like to talk with you about another subject: family planning. Couples use various ways or method to delay or avoid getting pregnant. Have you heard of:

[E] Implants?
Probe: Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
[] 1 Yes
[] 2 No