ANNEX 2
Questionnaires (Contd.)

Module I: Contraceptive use and perceptions

Interviewer:

It is imperative that both female and male respondents answer the questions in this module!For example, question I2e and I3g are to be asked also to women, whereas l1a, l1f, l3f are also to asked to male respondents!

Knowledge of contraceptive methods:

Now I would like to talk about family planning issues, that is the various methods that a couple can use to delay or avoid a pregnancy.

Interviewer:

Note that only the spontaneous recognition of the method must be registered.

Have you ever heard of (method)?

Have you ever used (method)?

Do you know where to get the method?

(1=yes, 2=no)

a. Pill

b. IUD

c. Injections

d. Diaphragm, foam or jelly, cream

e. Condom

f. Ligation/Female steralization

g. Vasectomy/ Male steralization

h. Natural FP, rhythm, period abstinence

i. Withdrawal

I4.

Have you ever heard of other methods used here in this community that I have not read out to you? Could you also say whether you have used such methods?

1 Yes -------→

I4a

Please describe the (those) methods(s) to me.

2 No

Interviewer:

Interviewer: only register the first two spontaneously mentioned methods.

(office)

Method 1:

I4aa

Method 2:

I4ab

↓

I4b

Have you used one of these methods?

I4b

1. Yes

2. No

Interviewer, verify:

- If not a single “yes” (1) in I2 and in I4b -------→

Respondent=never user
Go to I5

- If at least one “yes” (1) in I2 and in l4b -------→

Respondent=ever user
Go to I11

Never users:

Do you intend to use a contraceptive method to delay or avoid pregnancy at any time in the future?

1. Yes

2. No

I6	Could you mention the main reason why you do not intend to use a contraceptive method?
	Interviewer:	Do not read out categories but compare answer with categories below and register appropriate one.	I6

	1. Wants Children
	2. Lack of knowledge
	3. Opposed to family planning
	4. Costs too much
	5. Side effects
	6. Health concerns
	7. Hard to get methods here
	8. Religion
	9. Fatalistic
	10. Difficult to get pregnant
	11. Husband often away
	12. Infrequent sexual intercourse
	13. Age/Menopause
	14. Inconvenient
	15. Not married
	16. No partner to have sex with
	17. Other, specify
I7	Do you intend to use a method to delay or avoid pregnancy within the next 12 months?		I7
	1. Yes
	2. No
I8	If you would use a method, which method would you prefer to use?		I8
	1. Pill
	2. IUD
	3. Injections
	4. Diaphragm, foam, jelly, cream
	5. Condom
	6. Ligation/Female sterilization
	7. Vasectomy/Male sterilization
	8. Natural Family Planning, rhythm method, period abstinence
	9. Withdrawal
	10 Other, specify:
I9	Do you know of a place where you can get (method mentioned in 18)?		I9
	1. Yes
	2. No
I10	How long would it take you to travel from your home to that place?
	Hours -------→		I10h
	Minutes -------→		I10m
	↓
	*Interviewer, after l10, go to 125*
Ever use:
I11	Which contraceptive method did you used first to avoid a pregnancy?		I11
	1 Pill
	2 IUD
	3 Injections
	4 Diaphragm, foam, jelly, cream
	5 Condom
	6 Ligation/Female sterilization
	7 Vasectomy/Male sterilization
	8 Natural FP, rhythm, periodic abstinence
	9 Withdrawal
	10 Other, specify
I12	How many children did you have at that time, if any?
	Number of children -------→		I12

I13	How old were you when you started to use a MODERN contraceptive method for the first time?		I13
	Interviewer:	1. Modern contraceptives are those listed in l11, options 1–7 .
		2. Register the age in completed years.

I14	When you started to use a contraceptive method for the first time, where did you go to get that method?
	Government facilities:	1. Government hospital	I14
		2. MCH/FP clinic
		3. Local health post
	Private facilities:	4. NGO/Family Guidance Association
		5. Private hospital or clinic
		6. Pharmacy/Dispensary
		7. Private doctor
		8. Local store/shop
		9. Church
		10 Clinic on my work
		11 Local development project
		12 Friends/Relatives
		13 Nowhere, I used Natural Family Planning method
		14 Other, specify
I15	From whom or from where did you obtain information on contraceptive methods for the first time?		I15
	1. Doctor/physician
	2. Nurse
	3. Family planning educator
	4. Parents
	5. Brother/Sister
	6. Friends/relatives or neighbours
	7. Radio
	8. Television
	9. Printed materials (brochure/pamphlet/newspaper)
	10. Local development project
	11. School
	12. Other, specify
I16	Are you currently doing something or using any method to delay or avoid a pregnancy?		I16
	1. Yes -------→	Go to l17
	2. No -------→	Go to l25
Current users:
I17	In what year and what month did you start using that method?
	Year -------→		I17y
	Month -------→		I17m

I18	Which method are you using now?		Il18
	1 Pill
	2 IUD
	3 Injections
	4 Diaphragm, foam, jelly, cream
	5 Condom
	6 Ligation/Female sterilization
	7 Vasectomy/Male sterilization
	8 Natural FP, rhythm, periodic abstinence
	9 Withdrawal
	10 Other, specify
Interviewer:		Now, check l18 answer:
	1.	If respondent uses one of the methods 1–7, or specified another MODERN method in 10 -------→ go to l20
	2.	If respondent uses one of the methods in 8, 9, or another Natural/traditional method in 10 -------→ go to l19
I19	What type of Traditional/Natural family planning method are you using?		I19
	1. Periodic abstinence
	2. Cord around waist
	3. Rhythm method
	4. Herbs
	5. Other, specify:
	Interviewer: After you completed l19, go to l25

I20	From where did you obtain the MODERN method that you are currently using?
	Government facilities		I20
		1. Government hospital
		2. MCH/FP clinic
		3. Local health post
	Private facilities
		4. NGO/Family Guidance Association
		5. Private hospital or clinic
		6. Pharmacy/Dispensary
		7. Private doctor
		8. Local store/shop
		9. Church
		10. Clinic on my work
		11. Local development project
		12. Friends/Relatives
		13. Other, specify
I21	How long does it take you to travel from your home to that place?
	Hours -------→		I21h
	Minutes -------→		I21m

I22	Is it easy or difficult to get there?		I22
	1. Easy
	2. Difficult
I23	How did you travel to that place the last time that you went?		I23
	1. On foot
	2. Bus
	3. Taxi
	4. Car
	5. Bicycle
	6. Other, specify
I24	Are the days and opening hours of the place where you obtain your contraceptive method convenient for you?		I24
I24
	1. Days and opening hours are convenient
	2. Days and opening hours are not convenient
	3. Days are convenient but opening hours are not convenient
	4. Days are not convenient but opening hours are convenient
I25	Does your partner approve the use of MODERN family planning methods?		I25
	Interviewer: See l13 and l11 about what is meant with MODERN methods.
	1. Yes
	2. No
	3. Respondent does not have partner
I26	In the relationship with your partner, how often do you discuss about family planning issues?		I26
	1. Yes, regularly
	2. Yes, every now and then
	3. Yes, but rarely/seldom
	4. No, avoid talking about any family planning issue
	5. No, it simply never comes to discussion about that topic
	6. Respondent has no partner
	7. Other, specify:

I27	If a couple wants to delay or avoid getting pregnant, who should be responsible for getting information about family planning methods?
I27			I27
	1. Man
	2. Woman
	3. Both man and woman
	4. It does not matter, either one
	5. Other persons
I28	If a couple wants to delay or avoid getting pregnant, who should decide about the use of family planning methods?		I28
I28
	1. Man
	2. Woman
	3. Both should have equal say
	4. It does not matter, either one
	5. Other persons
I29	In many places in the world women have abortions. The reasons why women resort to an abortion are many. We would like to know whether you approve or disapprove of abortion under the following circumstances:
	Interviewer:	Use the following codes to register the answer of the respondent:
		1=approve
		2=disapprove
		3=don't know
	a. When the mothers health is at risk from the pregnancy		I29a

	b. When the child is likely to be born physically handicapped		I29b

	c. When the woman is not married		I29c

	d. When the married couple does not want to have any more children		I29d

	e. When the woman does not wish to have a child for the time being		I29e

	f. When the woman became pregnant after being raped.		I29f
Interviewer:
Verify again (e.g. Module D, D12) whether this household is a fisherfolk household
- *If a fisherfolk household* -------→ GO TO MODULE J
- If NOT a fisherfolk household -------→ END OF INDIVIDUAL INTERVIEW

Module J: Aquatic Resources and Coastal Environment
Interviewer:
This module is only for eligible male and female respondents in a FISHERFOLK HOUSEHOLD.
J1	I would like to know whether you agree or disagree with the following seven statements.
	Interviewer:		Use the following answer categories and codes to register the answer of the respondent:
			1=Agree
			2=Neither agree, nor disagree
			3=Disagree
			4=Don't know
	Only use the option “don't know” after you really tried to make the respondent choose between the three options 1…3 .
	a.	Over the last few years, the TOTAL CATCH has seriously declined because of an ever increasing number of fishermen and fishing boats.			J1a
	a.

	b.	Over the last few years, the VARIETY OF FISH caught has seriously decreased because of an ever increasing number of fishermen and fishing boats.			J1b
	b.

	c.	Over the last few years, the SIZE OF THE FISH caught has seriously decreased because of an ever increasing number of fishermen and fishing boats.			J1c
	c.

	d.	Over the last few years, the QUALITY OF THE SEA WATER has seriously deteriorated due to the inflow of industrial waste and/or sewage water and household waste and/or pollution by ships.			J1d
	d.

	e.	The Government has taken adequate steps for the CONSERVATION and PROTECTION of the FISHERIES RESOURCES in this region.			J1e
	e.				J1e

	f.	The Government has taken adequate steps for the CONSERVATION and PROTECTION of the COASTAL ENVIRONMENT in this region.			J1f
	f.				J1f

	g.	Strict regulations should be introduced to REGULATE THE TYPE OF FISHING GEAR to be operated on the various fishing grounds.			J1g
	g.				J1g

J2	According to you, should action be undertaken, irrespective by whom, to improve the fisheries in this region?				J2

	1. Yes -------→		J2a	What do you think is the most important action that should be undertaken to improve the fisheries in this region?	(office)
	2. No		J2a		J2a
	↓			Description of most important action:
J3	Have you personally taken any steps to preserve or improve the fisheries resources and the coastal environment in this region?				J3

	1. Yes -------→		J3a	Could you give me the most important step that you have taken personally to improve the fisheries resources and the coastal environment in this region?	(office)
	2. No		J3a		J3a
	↓			Description of most important personal step:
	END OF INDIVIDUAL QUESTIONNAIRE

Key-informant questionnaire (FPA/INT/287/FPA)

Community/Village profile

Country: Bangladesh

Interviewer:

In case not all questions in this questionnaire can be answered by one key informant only, please obtain answers from other key informants.

District

District ID number

Tana

Tana ID number

Union

Union ID number

Village

Village ID number

Name Interviewer:

Date start of interview:

Day

Month

Number of days it took to complete this questionnaire:

Interviewer, please read out the following text to the key informant.

… I would like to ask you about site and situation characteristics of this community/village. All the information you give will be used for research purposes only. I would appreciate it very much if you would tell me as accurately as you can about the issues addressed below.....".

Interviewer:

In the questions that follow we want to know, among others, about “distances”. Indicate here whether distances are reported in kilometers (code 1) or in miles

(code 2). -------→

Measure

If distance is less than 1 km or 1 mile then enter 00 in box.

Some question coding boxes are accompanied by the word “(office)”. This means that you do not have to fill in a code. That will be done by coders and editors in the office

Identity of key informant(s)

Sex

(office)

1=male

Description of position held (*)

Position Code

Name

Age

2=female

Key informant 1

Key informant 2

Key informant 3

Key informant 4

(*) Interviewer:

describe position held by key-informant, such as: e.g. village chief/leader,schoolmaster, religious leader, local factory owner, village doctor.

Location/situation of the community/village

What is the name of the nearest urban center?

(office)

Name:

What is the distance to the nearest urban center?

ANNEX 2 Questionnaires (Contd.)

ANNEX 2
Questionnaires (Contd.)