| INSTRUCTION: I am going to ask you a few questions in relation to SRH information | |||||
| No. | Questions and Filters |
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| Q401 | Have you received any information about sexual reproductive health in the last 3 months? | Yes No | 1 2 |
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| Q402 | If yes, which components of SRH information have you received? [DO NOT PROMPT] | Pregnancy prevention Knowledge on STIs Knowledge on HIV Knowledge of use of contraceptives/family planning Knowledge on Pubertal development including menstruation | 1 2 3 4
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| Q403 | Where do you get Sexual Reproductive Health information? [MULTIPLE RESPONSE] [DO NOT PROMPT] | Dispensary/Health center Hospital Community outlets Pharmacy School Church/Mosque Peers Parents Family members Others (specify)_______ | 1 2 3 4 5 6 7 8 9 96 |
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| Q404 | What is your preferred source of SRH information? [MULTIPLE RESPONSE] [DO NOT PROMPT] | Parents School Peers Health facilities Social media Others (specify) _______ | 1 2 3 4 5 96 |
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| Q405 | Have you ever had sexual intercourse? | Yes No Don’t remember | 1 2 8 |
àQ411 àQ411 | |
| Q406 | If yes, how old were you the first time you had sex? |
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| Q407 | If yes, How old was the person? [can estimate] |
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| Q408 | If yes, what was your relationship with the person? | Boyfriend Other | 1 2 |
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| Q409 | If yes, did you consent or not? | Yes No Don’t remember | 1 2 8 |
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| Q410 | If yes, did you use a condom? | Yes No Don’t remember | 1 2 8 |
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| Q410b | If yes, how many people have you had sex with? |
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| Now I would like to talk about ways or means of preventing pregnancy. Answer True, false or I don’t know | |||||
| Q411 | Abstaining from sexual intercourse | True False Don’t know | 1 2 8 |
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| Q411 | Using Traditional herbs can prevent pregnancy | True False Don’t know | 1 2 8 |
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| Q412 | Using condoms for every act of sexual intercourse | True False Don’t know | 1 2 8 |
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| Q413 | Having sexual intercourse only during safe period | True False Don’t know | 1 2 8 |
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| Q414 | Are there days in the monthly period when a girl might never get pregnant when she has sex? (safe days) | Yes No | 1 2 |
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| Q415 | Use of any modern method of contraceptives can prevent pregnancy | True False Don’t know | 1 2 8 |
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| Q416 | Avoiding sex can help prevent you from getting pregnant | True False Don’t know | 1 2 8 |
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| Knowledge on ways of avoiding STIs/HIV: Answer True, false or I don’t know One can avoid STIs/HIV by: | |||||
| Q417 | Abstaining from sex completely | True False Don’t know | 1 2 8 |
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| Q418 | Being faithful to one partner | True False Don’t know | 1 2 8 |
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| Q419 | Avoiding casual sex | True False Don’t know | 1 2 8 |
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| Q420 | Using condom for every act of sexual intercourse | True False Don’t know | 1 2 8 |
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| Q421 | Not sharing of toilets | True False Don’t know | 1 2 8 |
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| Q422 | Not sharing of eating plates or utensils | True False Don’t know | 1 2 8 |
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| Q423 | HIV is known as Human Immunodeficiency Virus | True False Don’t know | 1 2 8 |
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| Q424 | HIV develops into AIDS | True False Don’t know | 1 2 8 |
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| Q425 | HIV is present in semen, blood, vaginal secretions and breast milk | True False Don’t know | 1 2 8 |
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| Q426 | Gonorrhoea is a sexually transmitted infection | True False Don’t know | 1 2 8 |
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| Knowledge relating to puberty: Answer True, false or I don’t know | |||||
| Q427 | Presence of breasts means a girl is old enough to deliver a baby | True False Don’t know | 1 2 8 |
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| Q428 | Puberty is the beginning sign that a girl is ready for sex | True False Don’t know | 1 2 8 |
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| Q429 | Puberty starts in girls earlier than boys | True False Don’t know | 1 2 8 |
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| Q430 | Girls aged 10 - 14 years who experience menstruation cannot become pregnant because they are too young | True False Don’t know | 1 2 8 |
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| Q431 | Attraction towards opposite sex is normal at puberty | True False Don’t know | 1 2 8 |
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| Q432 | It is possible for a male adolescent to impregnate girl | True False Don’t know | 1 2 8 |
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| Q433 | Adolescent who don’t have sex occasionally are sexually unhealthy | True False Don’t know | 1 2 8 |
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| Q434 | Boys not having sex at all or having sex few times can become sick | True False Don’t know | 1 2 8 |
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| Q435 | Girls not having sex at all or having sex few times can become sick | True False Don’t know | 1 2 8 |
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| Knowledge on personal attitudes towards sexuality and reproduction and peer influences | |||||
| Q436 | Sex before marriage is acceptable | True False Don’t know | 1 2 8 |
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| Q437 | For a woman, having multiple sex partners is an indication of her attractiveness | True False Don’t know | 1 2 8 |
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| Q438 | A female who remains a virgin during her adolescence is old-fashioned | True False Don’t know | 1 2 8 |
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| Q439 | Having a baby at an early age is a sign of maturity | True False Don’t know | 1 2 8 |
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| Q440 | Abstaining from sex is difficult during adolescence | True False Don’t know | 1 2 8 |
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| Q441 | Most of my friends believe in waiting for marriage to have sex | True False Don’t know | 1 2 8 |
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| Q442 | Most of my friends do not believe in using contraception | True False Don’t know | 1 2 8 |
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| Q443 | Most of friends do not believe in using condoms | True False Don’t know | 1 2 8 |
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| Q444 | How many of your friends have had pregnancies during adolescence? | Many (about 10+) Some (5 < 10) Few (<5) None | 1 2 3 8 |
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| Knowledge on contraceptive use: Answer True, false or I don’t know | |||||
| Q445 | Using a condom during sexual intercourse is a wrong practice for adolescents | True False Don’t know | 1 2 8 |
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| Q446 | The use of contraceptives causes sterility in women | True False Don’t know | 1 2 8 |
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| Q447 | Family planning services can prevent an unwanted pregnancy | True False Don’t know | 1 2 8 |
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| Q448 | I would be too embarrassed to buy or find condoms | True False Don’t know | 1 2 8 |
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| Q449 | Are you able to access condoms when you need them? | Yes No | 1 2 |
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| Q450 | It is the female’s responsibility to protect herself during sexual intercourse | True False Don’t know | 1 2 8 |
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| Now I would like to ask you if own or have access to the following? | |||||
| Q451 | Do you own a mobile phone? | Yes No | 1 2 | àQ453
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| Q452 | Do you have access to a mobile phone? | Have access to a phone No access to a phone | 1 2 |
àQ454 | |
| Q453 | If she owns/ access to a phone, what type of phone? | Smart phone Not smart phone | 1 2 |
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| Q454 | Have you seen pornographic materials before? | Yes No | 1 2 |
àQ501 | |
| Q455 | If yes, what was/is the source? [MULTIPLE RESPONSE] | Smart phone Movies Internet Others (specify)_______ |
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