Questionnaire Text

Questionnaire form view entire document:  text  image

VII. Ever married women age 10 or older
[Questions 701 - 723 were asked of women age 10 or older who have ever been married.]


[Questions 714-716 were asked of married women currently using the family planning methods of "Female sterilization", "Male sterilization", "Pill", "IUD", "Injection, 1 month", "Injection, 3 months", "Implant, 3 years", "Implant, 5 years", "Condoms", or "Intra-vaginal/diaphragm", as per questions 711-713.]


714. Where did you obtain the method the last time you used it?

Public Sector

[] 11 Hospital
[] 12 Village health clinic [puskesmas/pustu]
[] 13 Clinic
[] 14 Fieldworker [PLKB]
[] 15 Mobile unit [TKBK/TMK]
[] 16 Other (specify) ____

Private medical center

[] 21 Hospital
[] 22 Clinic
[] 23 Doctor
[] 24 Village midwife
[] 25 Pharmacy/drug store

Other

[] 31 Polindes
[] 32 Health post [KB/PPKBD]
[] 33 P.P. post [IHC]
[] 34 Friend/relative
[] 35 Shop
[] 36 Other (specify) ____

[] 98 Don't know

Questionnaire instructions view entire document:  text  image

4. For every female member of the household who has ever been married (WPK - Indonesian Wanita Pernah Kawin) and age 10 or older complete Blocks VII.A, VII.B, VII.C, VII.D and VII.E. Block VII.C is filled in only if WPK has ever had a live birth. Begin with the WPK household member who has the lowest serial number and continue until all WPK household members have been interviewed.

Complete Blocks VI.A, VI.B, VI.C and VI.D for every household member and then continue the interviews with WPK household members to complete Blocks VII.A, VII.B, VII.C, VII.D and VII.E.

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There are several ways of completing form SUPAS05-S; these are:

1) Write answers in the space provided.
2) Write answers in the space provided and write in the codes in boxes provided.
3) Cross out the incorrect answers.
4) Circle the appropriate code.
5) Circle the appropriate code, and then write in the code in the box provided.
6) Place a check in the space provided.
7) Follow the instructions indicated by the arrow sign
8) Write the complete answer and leave blank the box marked "To be filled by supervisor/editor"
9) Note any important items in the Note section and/or in the margin of the page of the questionnaire.
Instructions and possible answers are printed in upper-case letters whereas questions that must be read by the enumerator are printed in lower case letters.

[Examples of correct and incorrect writing in the original document are not presented here.]


7.8 Block VII. Ever-married women age 10 or older
The questions in this block are asked only to women who have ever been married (Q 405, codes 2, 3, or 4) and are age 10 or older (Q 404 ? 10).


7.8.2 Block VII.B. Family planning
This block collects information on the use of different types of family planning (KB) devices/ methods, that is, devices/methods couples use to prevent or delay pregnancy.

Matters related to family planning may be considered private matters by the respondent, and she may be reluctant to discuss this matter. To overcome this feeling, show the respondent that you do not feel embarrassed or awkward to talk about this matter. Ask all the questions in the same way as you ask all the other questions on the form. If she is reluctant in answering any of the questions, the enumerator must assure the respondent that the same questions are being asked to all women in Indonesia.
Note that all questions about contraceptive devices/methods used by men apply to all husbands or former husbands. If the respondent has been married more than once, it does not matter which husband used which device/method.


Question 714: Services for the last FP device/method used
Ask Q 714 to those respondents who are using devices/methods 01 through 10 in Q713. FP services can be a place or person. For example, code 11 is "Government hospital" and

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code 34 is "Friend/family". Write the name of the place mentioned by the respondent in the space provided, and circle the corresponding code. If the respondent says that she obtains the devices/methods from a friend or family, ask if she knows where that person obtained them.
The interviewer may face difficulties in determining which code must be circled for this question, because some respondents may not know the source of the services. If the respondent mentions the name of a clinic or hospital, ask if she knows if it is organized by the government or the private sector. If the respondent does not know, write the name that she mentioned in the space provided and ask the supervisor to obtain that information. Some family planning services are detailed below:

"Government hospital" is a hospital managed by the government through the Department of Health, local government, military (ABRI), Pertamina, for example, general hospital in the provinces, general hospital in the regency/municipality, army hospitals, Pertamina hospital, hospitals for special needs, and plantation hospitals.

"Private sector hospital" is a hospital that is managed by the private sector.

"Community health center (puskesmas)" is all types of community health centers including those that are managed by the Department of Health as well as the local government.

"Village maternity clinic (polindes)" is a maternity clinic managed by the government for the community and is used by midwives as a place for their services.

"Integrated services center (posyandu - Post Pelayanan Terpadu)" is a center that provides integrated services between various programs and serves as a communication forum for integrated, dynamic services between the Family Planning Program (KB), Mother and Child Health (KIA), nutrition, immunization and diarrhea prevention programs.

"Private sector clinic" is a clinic managed by the private sector.

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"Family planning field officer (PLKB)" is a government field officer (of the National Family Planning Board - BKKBN) stationed in the village with the duty, authority and responsibility to provide advice, motivation, services, evaluation and development of the National Family Planning Program and other development program activities commissioned by the local government in his area of work.

"Traveling family planning/medical team (TKBK/TMK)" is a mobile family planning facility to bring the services closer to the community by an integrated work unit and has the capacity and authority to provide simple family planning contraceptive device/method services such as the FP pill, injections, IUD and implants. Especially for contraceptive implants, the services must be carried out in the community health center (Puskesmas).

"Village family planning officer (PPKBD - Pembantu Pembina Keluarga Berencana Desa)" is a person or a group of people within the volunteer village organization who actively promote and implement the national family planning program at the village/neighborhood/RW level.

"Midwife services" is services provided by a local midwife on her own/private sector.

"Village midwife" is a midwife appointed to provide services in certain villages, usually 1 or 2 villages and provides services at any time there is a need and reports directly to the sub-district health center (puskesmas).

"Pharmacy/drugstore" is a place that sells medicines, family planning contraceptives / devices / methods, and other health-care needs.

"Store" is a place that sells various items, for example, food stall, supermarket, canteen and traditional herb stall.

If the respondent mentions the name of a place that the enumerator does not recognize, ask for further clarification. For example, "Is that general hospital managed by the government or the private sector?", or "Is Klinik Budi Asih managed by the government or private sector?" If

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she does not know, write the name she mentions, and ask the supervisor to check with others regarding the place that the respondent mentioned.