1 - ESDS

1 - ESDS 1 - ESDS

24.08.2013 Views

Questionnaire Ref Question No Q44 Q44 Q44 Q44 Q45 Q46 Coding Sheet Reference INFERT UNSATI S RELIG Q45 Q46 (1) No of Soxesf Characters 2 2 2 2 2 2 Coding Instruct ions /Remarks Values -3-01 Unlikely to conceive because possibly infertile? Yes .......................Ol No .......................00 Values -3-01 Don, t like contraception and/or find methods unsatisfactory? Yes .......................01 No ........................00 values -3-o~ Against teachings of churchj religious belief? Yes .......................01 No .......................00 Values -3-01 Another reason? Yes ......................01 No ......................00 Values -3-02 Used any of these methods? Yes ......................01 No .......................02 Values -3-13 1st method. Withdrawal ................01 Sheath/condom .............02 Safe period/rhythm method. 03

Qu9sta0nnaar* Raf Qu*staon No Q46 Q46 Q46 Q47 Q48 Rof,r,ncm Q46 (2) Q46 (3) Q46 (4) Q47 Q48 liTH No of sOxes/ Characters 2 2 2 2 2 Codang Instructions/Remarks Cap/dLaphrqn.. ...........O4 Contracmptiva sponga. .....05 Pill: mLn~ pill ...........O6 Pill: combinad (Lnc multi phas~c )........ ....07 Pill: not aura ~f min~ or cambumd . ................08 IUD/co~l/intra utarLne dav~ce . ..................O9 FOtis/gala/apray n/~ssarzes (s~rm>cidas ).......... ..lO Going wzthout saxual mtercoursa to avoid pregnancy, .............. 11 Injections ................12 Anothar method ............13 -S .- ? 2nd mmthod. coda as Q46 (1) . yQJ9s .- U 3rd mmthod. Code as Q46 (1) . Values -3-U 4th method. Cedm a, Q46 (1) . Values -3-0~ Any othar operatxon? Yea ................. ......01 No .. ........ ..............02 Values -3-l Z Enter month of operation. 171

Qu9sta0nnaar* Raf<br />

Qu*staon No<br />

Q46<br />

Q46<br />

Q46<br />

Q47<br />

Q48<br />

Rof,r,ncm<br />

Q46 (2)<br />

Q46 (3)<br />

Q46 (4)<br />

Q47<br />

Q48 liTH<br />

No of<br />

sOxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Remarks<br />

Cap/dLaphrqn.. ...........O4<br />

Contracmptiva sponga. .....05<br />

Pill: mLn~ pill ...........O6<br />

Pill: combinad (Lnc<br />

multi phas~c )........ ....07<br />

Pill: not aura ~f min~ or<br />

cambumd . ................08<br />

IUD/co~l/intra utarLne<br />

dav~ce . ..................O9<br />

FOtis/gala/apray n/~ssarzes<br />

(s~rm>cidas ).......... ..lO<br />

Going wzthout saxual<br />

mtercoursa to avoid<br />

pregnancy, .............. 11<br />

Injections ................12<br />

Anothar method ............13<br />

-S .- ?<br />

2nd mmthod.<br />

coda as Q46 (1) .<br />

yQJ9s .- U<br />

3rd mmthod.<br />

Code as Q46 (1) .<br />

Values -3-U<br />

4th method.<br />

Cedm a, Q46 (1) .<br />

Values -3-0~<br />

Any othar operatxon?<br />

Yea ................. ......01<br />

No .. ........ ..............02<br />

Values -3-l Z<br />

Enter month of operation.<br />

171

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