Tanzania HIV/AIDS and Malaria Indicator Survey ... - Measure DHS

LASTSEXUAL PARTNERSECOND-TO-LASTSEXUAL PARTNERTHIRD-TO-LASTSEXUAL PARTNER430 When was the last time you hadsexual intercourse with this person? DAYS . 1 DAYS . 1WEEKS 2 WEEKS 2MONTHS 3 MONTHS 3431 The last time you had sexual YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1intercourse (with this second/third NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2person), was a condom used? (SKIP TO 433) (SKIP TO 433) (SKIP TO 433)432 Was a condom used every YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1time you had sexual intercourse NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2with this person in the last12 months?433 What was your relationship to HUSBAND/WIFE . . . . . . 1 HUSBAND/WIFE . . . . . . 1 HUSBAND/WIFE . . . . . . 1this (second/third) person with (SKIP TO 439) (SKIP TO 439) (SKIP TO 439)whom you had sexual intercourse? LIVE-IN PARTNER . . . . 2 LIVE-IN PARTNER . . . . 2 LIVE-IN PARTNER . . . . 2BOYFRIEND/GIRLFRIEND BOYFRIEND/GIRLFRIEND BOYFRIEND/GIRLFRIENDIF BOYFRIEND/GIRLFRIEND: NOT LIVING WITH NOT LIVING WITH NOT LIVING WITHWere you living together as if RESPONDENT . . . . 3 RESPONDENT . . . . 3 RESPONDENT . . . . 3married? CASUAL CASUAL CASUALIF YES, CIRCLE '2' ACQUAINTANCE. . . . 4 ACQUAINTANCE. . . . 4 ACQUAINTANCE. . . . 4IF NO, CIRCLE '3' PROSTITUTE . . . . . . . . . 5 PROSTITUTE . . . . . . . . . 5 PROSTITUTE . . . . . . . . . 5OTHER _____________ 6 OTHER _____________ 6 OTHER _____________ 6(SPECIFY) (SPECIFY) (SPECIFY)434 For how long (have you had/didyou have) a sexual relationship DAYS . 1 DAYS . 1 DAYS . 1with this (second/third) person?IF ONLY HAD SEXUAL MONTHS 2 MONTHS 2 MONTHS 2RELATIONS WITH THIS PERSONONCE, RECORD '01' DAYS. YEARS 3 YEARS 3 YEARS 3435 CHECK 103: MAN 15-49/ MAN 15-49/ MAN 15-49/WOMAN WOMAN WOMAN WOMAN WOMAN WOMAN15-24 25-49 15-24 25-49 15-24 25-49(SKIP TO 439) (SKIP TO 439) (SKIP TO 439)436 How old is this person? AGE OF AGE OF AGE OFPARTNER PARTNER PARTNER(SKIP TO 439) (SKIP TO 439) (SKIP TO 439)DON'T KNOW . . . . . 98 DON'T KNOW . . . . . 98 DON'T KNOW . . . . . 98437 Is this person older than you, OLDER . . . . . . . . 1 OLDER . . . . . . . . 1 OLDER . . . . . . . . 1younger than you, or about the YOUNGER . . . . . 2 YOUNGER . . . . . 2 YOUNGER . . . . . 2same age? SAME AGE . . . . . 3 SAME AGE . . . . . 3 SAME AGE . . . . . 3DON'T KNOW . . . 8 DON'T KNOW . . . 8 DON'T KNOW . . . 8(SKIP TO 439) (SKIP TO 439) (SKIP TO 439)438 Would you say this person is ten TEN OR MORE TEN OR MORE TEN OR MOREor more years older than you or YEARS OLDER . 1 YEARS OLDER . 1 YEARS OLDER . 1less than ten years older than you? LESS THAN TEN LESS THAN TEN LESS THAN TENYEARS OLDER . 2 YEARS OLDER . 2 YEARS OLDER . 2OLDER, UNSURE OLDER, UNSURE OLDER, UNSUREHOW MUCH . . . 3 HOW MUCH . . . 3 HOW MUCH . . . 3Appendix D |261