Section 1: Demographics (Part 1) R1. Nigeria Kenya South ...

Section 1: Demographics (Part 1)

R1. Please confirm which province/state you live in?

Nigeria Kenya South Africa 9 North Central 1

Nairobi 46 Western Cape

10 North East 2 Central

47 Eastern Cape

11 North West 3 Eastern

48 Northern Cape

12 South East 4 Coast 49 Free State

13 South South 5 North-Eastern

50 Kwazulu-Natal

14 South West 6 Nyanza

51 North West

7 Rift Valley

52 Gauteng

8 Western

53 Mpumalanga

54 Limpopo

R1_5. Nigeria State

9 Abia 10 Adamawa

11 Akwa Ibom

12 Anambra 13 Bauchi

14 Bayelsa 15 Benue

16 Borno 17 Cross River

18 Delta

19 Ebonyi 20 Edo

21 Ekiti 22 Enugu

23 Federal Capital Territory (Abuja) 24 Gombe

25 Imo

26 Jigawa 27 Kaduna

28 Kano

29 Katsina 30 Kebbi

31 Kogi 32 Kwara

33 Lagos 34 Nasarawa

35 Niger

36 Ogun 37 Ondo

38 Osun 39 Oyo

40 Plateau 41 Rivers

42 Sokoto

43 Taraba 44 Yobe

45 Zamfara R2. [IF COUNTRY IS NIGERIA]

Please confirm which LGA you live in?

1 Aba North 102 Katagum

104 Misau

105 Ningi 107 Tafawa-Balewa

108 Toro 11 Osisioma Ngwa

114 Nembe 117 Southern Ijaw

118 Yenagoa

119 Ado 123 Gboko

128 Konshisha 131 Makurdi

134 Ohimini 135 Oju

136 Okpokwu

137 Oturkpo 139 Ukum

146 Biu 15 Umuahia North

150 Gubio 152 Gwoza

153 Hawul

154 Jere 158 Kukawa

162 Maiduguri 17 Umu-Nneochi

170 Akamkpa 171 Akpabuyo

176 Calabar Municipal 177 Calabar South

179 Ikom

18 Demsa 182 Obudu

185 Yakurr 187 Aniocha North

193 Ika North East 195 Isoko North

199 Okpe

2 Aba South 200 Oshimili North

201 Oshimili South 203 Sapele

204 Udu 205 Ughelli North

206 Ughelli South

208 Uvwie 209 Warri North

21 Girei 210 Warri South

212 Abakaliki 213 Afikpo North

215 Ebonyi

217 Ezza South 22 Gombi

222 Ohaozara 223 Ohaukwu

224 Onicha 225 Akoko-Edo

226 Egor

229 Esan South East 23 Guyuk

230 Esan West 233 Etsako West

234 Igueben 235 Ikpoba-Okha

236 Oredo

240 Owan East 243 Ado Ekiti

245 Efon 247 Ekiti South West

248 Ekiti West 25 Jada

250 Ido-Osi 252 Ikere

256 Ise/Orun 258 Oye

26 Lamurde

261 Enugu East 262 Enugu North

263 Enugu South 265 Igbo-Etiti

269 Nkanu East 271 Nsukka

275 Uzo-Uwani

277 Abuja Municipal Area Council 278 Bwari

279 Gwagwalada 28 Maiha

282 Akko 284 Billiri

286 Funakaye

287 Gombe 288 Kaltungo

293 Abo-Mbaise 294 Ahiazu-Mbaise

296 Ezinihitte 3 Arochukwu

30 Michika

303 Mbaitoli 304 Ngor-Okpala

316 Owerri Municipal 317 Owerri North

32 Mubi South 321 Babura

325 Dutse

335 Kaugama 348 Chikun

350 Igabi 354 Kachia

355 Kaduna North 356 Kaduna South

361 Kubau

369 Zaria 370 Ajingi

374 Bichi 376 Dala

378 Dawakin Kudu 38 Yola South

381 Fagge 387 Gwale

39 Abak 390 Kano Municipal

394 Kumbotso

400 Nasarawa 407 Tarauni

41 Eket 411 Ungogo

418 Bindawa 421 Danja

423 Daura

426 Faskari 431 Kaita

434 Katsina 439 Mani

44 Etim Ekpo 443 Rimi

445 Safana

446 Sandamu 449 Arewa-Dandi

45 Etinan 453 Birnin Kebbi

455 Dandi 463 Sakaba

464 Shanga

47 Ibesikpo Asutan 470 Ajaokuta

477 Ijumu 478 Kabba/Bunu

480 Lokoja 484 Okehi

485 Okene

490 Asa 496 Ilorin South

497 Ilorin West 50 Ikono

502 Offa 506 Agege

507 Ajeromi-Ifelodun

508 Alimosho 509 Amuwo-Odofin

510 Apapa 511 Badagry

512 Epe 514 Ibeju/Lekki

515 Ifako-Ijaye 516 Ikeja

517 Ikorodu 518 Kosofe

519 Lagos Island

52 Ikot Ekpene 520 Lagos Mainland

521 Mushin 522 Ojo

523 Oshodi-Isolo 524 Shomolu

525 Surulere

526 Akwanga 529 Karu

531 Keffi 532 Kokona

533 Lafia 534 Nasarawa

535 Nasarawa-Eggon

54 Itu 541 Bida

542 Borgu 543 Bosso

544 Chanchaga 547 Gurara

549 Kontagora

552 Magama 555 Mokwa

56 Mkpat Enin 560 Shiroro

561 Suleja 563 Wushishi

564 Abeokuta North

565 Abeokuta South 566 Ado-Odo/Ota

568 Ifo 57 Nsit Atai

572 Ijebu Ode 573 Ikenne

576 Obafemi-Owode

583 Yewa South (Egbado South) 584 Akoko North East

587 Akoko South West 588 Akure North

589 Akure South 591 Idanre

592 Ifedore 593 Ilaje

594 Ile-Oluji-Okeigbo 596 Odigbo

598 Ondo East

599 Ondo West 604 Atakunmosa East

607 Boripe 608 Ede North

610 Egbedore 612 Ife Central

62 Onna

628 Olorunda 630 Orolu

631 Osogbo 633 Akinyele

640 Ibadan South East 641 Ibadan South West

645 Ido

651 Lagelu 656 Oluyole

657 Ona-Ara 666 Bassa

669 Jos North 67 Uruan

670 Jos South

675 Mangu 682 Abua - Odual

684 Ahoada West 686 Andoni

688 Bonny 69 Uyo

694 Ikwerre

695 Khana 696 Obio/Akpor

697 Ogba - Egbema - Ndoni 7 Isiala-Ngwa South

70 Aguata 700 Omumma

703 Port-Harcourt

707 Dange Shuni 712 Illela

714 Kebbe 72 Anambra West

720 Sokoto North 721 Sokoto South

725 Wamakko 73 Anaocha

733 Gassol 734 Ibi

735 Jalingo

736 Karim-Lamido 742 Wukari

747 Damaturu 75 Awka South

750 Geidam 751 Gujba

758 Potiskum

76 Ayamelum 766 Bungudu

767 Gummi 768 Gusau

769 Kaura Namoda 774 Tsafe

79 Idemili North

80 Idemili South 82 Njikoka

87 Onitsha South 89 Orumba South

90 Oyi 91 Alkaleri

92 Bauchi

93 Bogoro 96 Dass

98 Ganjuwa

R3. What is the name of the town/village you live in? ____

R4. Gender (from observation)

Male 1

Female 2

Prefer not to Answer 99

R5. What is your age in years? __________

R6. What is your marital status?

Single, Never married 1 Married 2

Partner/Common Law/ Open Union 3 Separated or Divorced 4

Widowed 5 Other 96

No Response 99

R7. Which ethnic group do you belong to?

Nigeria Kenya South Africa

13 Fulani 1 Kikuyu 24 Black African

14 Hausa 2 Luhya 25 Coloured

15 Ibibio 3 Luo 26 Indian or Asian

16 Igala 4 Kalenjin 27 White

17 Igbo 5 Kamba 96 Other (Fill in)

18 Ijaw/Izon 6 Turkana 99 No Response

19 Kanuri/BeriBeri 7 Somali 20 Tiv 8 Meru

21 Yoruba 9 Kisii

22 Urhobo/Irobo 11 Borana

23 Nupe 96 Other (Fill in)

96 Other (Fill in) 99 No Response

99 No Response

R7.5. What is your religious affiliation?

Muslim 1 Christian 2

Animism 3

Other 96 None 97

(No Response) 99

R8. How many years of education (primary, secondary, tertiary) have you attained? _______

R9. On average, in the last six months, how many members usually live in your household counting

yourself?

Hint: A household is defined as a person or a group of persons, related or unrelated, who live together in

the same dwelling unit, who make common provisions for food and regularly take their food from the same pot or share the same grain store, or who pool their income for the purpose of purchasing food.

R10. During December – February, what was your personal average income in a month? ____

(No Response) 99

R11. Since March, what was your personal average income in a month? ____

(No Response) 99

R12. Have you had financial hardship (not enough money for food or other basic needs) due to the

current COVID-19 pandemic and/or associated efforts to manage it (lockdown, curfew, and other social

distancing efforts)?

Yes 1

No 2

(No Response) 99

R13. [If R4=2] Are you currently pregnant, or have you been pregnant or given birth in the last six

months?

Yes 1

No 2

(No Response) 99

R14. How many children have you given birth to? ____

R15. [If R4=2 AND R13=2] How long would you like to wait from now before the birth of a/another child?

I want to have a/another child soon 1 I want to have a/another child later 2 Undecided whether I want a/another child 3 I don’t want more children 4 I am not able to have a/another child 96

No response 99

R16. [If R4=2 AND R13=2] Since March, has your desire for children changed?

Yes 1

No 2

(No Response) 99

R17. [If R16=1] How has your desire for children changed since March?

I no longer want a/another child 1 I am now undecided 2

I now want a/another child 3 I want to have a/another child but later than I did before

4

I want to have a/another child but sooner than I did before

5

No Response 99

R18. How many children under the age of 18 do you have? ________

(No Response) 99

R19. [If R18>0] [Ask if R4=2] Are you currently the caregiver for any children under the age of two (2)?

Yes 1

No 2

(No Response) 99

Section 2: Health Care Use

H1. During December-February, did you have a need to see a health provider?

Yes 1

No 2

No Response 99

H2. [If H1=1]: What health condition(s) required you to see a health provider during December -

February? [Check all that apply] [DO NOT READ OPTIONS; select from precodes]

Heart disease H2_Heartdisease

Stroke H2_Stroke Cancer H2_Cancer

Diabetes H2_Diabetes Kidney disease H2_Kidneydisease

Asthma H2_Asthma

Tuberculosis H2_Tuberculosis COVID-19 H2_COVID19

Pneumonia H2_Pneumonia Other Lung disease H2_OtherLungdisease

HIV H2_HIV Malaria H2_Malaria

Liver disease H2_Liverdisease

Depression, anxiety or other mental health H2_Mentalhealth Injury H2_Injury

Hearing or vision problems H2_HearingVision Bone, joint or other muscle problems H2_BoneJoint

Sexual and reproductive health H2_SexualHealth Alcohol or drug problems H2_Alcohol

High cholesterol H2_HighCholesterol

High blood pressure H2_Highbloodpressure Preventive or routine care H2_PreventiveCare

Minor health conditions H2_MinorHealthConditions Typhoid H2_Typhoid

Other H2_Other No Response H2_NoResponse

H3. [If H1=1]: Were you able to see a health provider during December - February?

Yes, I saw a provider each time I needed to

1

Partly – I saw a provider during this time, but not every time I needed

2

No – I did not see a provider 0

No Response 99

H4. [If H3 = 1 or 2] How many times did you see a health care provider during December-February?

___

H5. [If H3=0]: What was the reason you were not able to see a health provider during December-

February? [Select all that apply] [DO NOT READ OPTIONS; select from precodes]

Health facility closed H5_1 Turned away from health facility H5_2

Treatment or tests unavailable H5_3 No transportation H5_4

Lack of money H5_5 Partner or family does not approve H5_6

Did not need to see provider H5_7

Other H5_96 No Response H5_99

H6. Since March, did you have a need to see a health provider?

Yes 1

No 2 No Response 99

H7. [If H6=1]: What health condition(s) required you to see a health provider since March? [Select all

that apply] [DO NOT READ OPTIONS; select from precodes]

Heart disease H7_Heartdisease Stroke H7_Stroke

Cancer H7_Cancer


Asthma H7_Asthma Tuberculosis H7_Tuberculosis

COVID-19 H7_COVID19 Pneumonia H7_Pneumonia

Other Lung disease H7_OtherLungdisease


Liver disease H7_Liverdisease Depression, anxiety or other mental health H7_Mentalhealth

Injury H7_Injury Hearing or vision problems H7_HearingVision

Bone, joint or other muscle problems H7_BoneJoint


High cholesterol H7_HighCholesterol High blood pressure H7_Highbloodpressure

Preventative or routine care H7_PreventiveCare Minor health conditions H7_MinorHealthConditions

Typhoid H7_Typhoid

Other H7_Other No Response H7_NoResponse

H8. [If H6=1]: Were you able to see a health provider since March?

Yes, I saw a provider each time I needed to

1

Partly – I saw a provider during this time, but not every time I needed

2

No – I did not see a provider 0

No Response 99

H9. [If H3 = 1 or 2] How many times have you seen a health care provider since March?

___

H10. [If H8=0] What was the reason you were not able to see a health provider since March? [DO NOT

READ OPTIONS; select from precodes]

Health facility closed H10_1 Turned away from health facility H10_2

Treatment or tests unavailable H10_3

No transportation H10_4 Lack of money H10_5

Unable to access due to lockdown restrictions H10_6 Fear of being infected with COVID-19 H10_7

Partner or family does not approve H10_8 Other H10_96

No Response H10_99

H11. In the last 6 months, did you have a health condition that required you to take medication?

Yes 1

No 2 No Response 99

H12. [If H11=1]: What health condition(s) did you require medication for in the past six months? [Select

all that apply] [DO NOT READ OPTIONS; select from precodes]

Heart disease H12_Heartdisease Stroke H12_Stroke

Cancer H12_Cancer


Asthma H12_Asthma Tuberculosis H12_Tuberculosis

COVID-19 H12_COVID19 Pneumonia H12_Pneumonia

Other Lung disease H12_OtherLungdisease


Liver disease H12_Liverdisease Depression, anxiety or other mental health H12_Mentalhealth

Injury H12_Injury Hearing or vision problems H12_HearingVision

Bone, joint or other muscle problems H12_BoneJoint


High cholesterol H12_HighCholesterol High blood pressure H12_Highbloodpressure

Preventive or routine care H12_PreventiveCare Minor health conditions H12_MinorHealthConditions

Typhoid H12_Typhoid Other H12_Other

No Response H12_NoResponse

H13. [If H11=1]: During December-February, did you miss any doses of medication?

Yes 1 No 2

Don’t know 88

No Response 99

H14. [If H13=1]: On average during a week, how many doses did you miss during December - February?

Less than once a week 1 1 2

2 3

3 4 4 5

5 6 6 7

7 8 8 9

9 10

10 or more 11 No Response 99

H15. [If H13=1]: What was the reason you missed a dose of your medication during December -

February? [Select all that apply] [DO NOT READ OPTIONS; select from precodes]

Health facility or pharmacy was closed H15_1 Turned away from health facility or pharmacy H15_2

Medication unavailable at facility H15_3 No transportation H15_4

Lack of money H15_5

Partner or family does not approve H15_6 Forgot to take H15_7

Other H15_96 No Response H15_99

H16. [If H11=1]: Since March, did you miss any doses of medication?

Yes 1

No 2

Don’t know 88 No Response 99

H17. [If H16=1]: On average during a week, how many doses did you miss since March?

Less than once a week 1 1 2

2 3 3 4

4 5 5 6

6 7

7 8 8 9

9 10 10 or more 11

No Response 99

H18. [If H16=1]: What was the reason you missed a dose of your medication since March? [Select all

that apply] [DO NOT READ OPTIONS; select from precodes]

Health facility or pharmacy closed H18_1

Turned away from health facility or pharmacy H18_2 Medication unavailable at health facility or pharmacy H18_3

No transportation H18_4

Lack of money H18_5 Unable to access due to lockdown restrictions H18_8

Fear of being infected with COVID-19 H18_9 Partner or family does not approve H18_6

Forgot to take H18_7 Other (specify) H18_96

No Response H18_99

Section 3: Contraception Use [CAN ONLY COMPLETE IF FEMALE AND 18-49 YEARS OLD]

C1. In the last six months, have you or your partner used any contraceptive method to delay or avoid

getting pregnant?

Yes 1 No 2

No Response 99

C2. [IF C1=1] Indicate which type of contraception method you or your partner have used in the last six

months. [Select all that apply] [DO NOT READ OPTIONS; select from precodes]

Female sterilization C2_1

Male sterilization C2_2

Implant C2_3 IUD C2_4

Injectables C2_5 Pill C2_6

Male Condom C2_7 Female Condom C2_8

Diaphragm C2_9

Foam/Jelly C2_10 Std Days/Cycle beads C2_11

LAM C2_12 Rhythm method C2_13

Withdrawal C2_14 Other method C2_96

No Response C2_99

C3. During December-February, did you experience any difficulties in accessing your method of

contraception?

Yes 1 No 2

Did not need contraception 0 No Response 99

C4. [If C3=1]: What were the reason(s) you were not able to access your method of contraception during

December - February? [Select all that apply] [DO NOT READ OPTIONS; select from precodes]

Health facil ity closed C4_1 Turned away from health facil ity C4_2 Contraception not available C4_3 No transportation C4_4 Lack of money C4_5 Partner or family does not approve C4_6 Other (fill-in): _______ C4_96

No response C4_99

C5. Since March, did you experience any difficulties in accessing your method of contraception?

Yes 1 No 2

Did not need contraception 0 No Response 99

C6. [If C5=1]: What were the reason(s) you could not access your method of contraception since March?

[Select all that apply] [DO NOT READ OPTIONS; select from precodes]

Health facil ity closed C6_1 Turned away from health facil ity C6_2 Contraception not available C6_3 No transportation C6_4 Lack of money C6_5 Unable to access due to lockdown restrictions C6_6 Fear of being infected with COVID-19 C6_7 Partner or family does not approve C6_8 Other (fill-in): _______ C6_96

No response C6_99

Section 4. Gender Issues [CAN ONLY COMPLETE IF FEMALE AND 18-49 YEARS OLD]

G1. Are you alone right now? [SKIP ALL OTHER QUESTIONS IN THIS SECTION IF RESPONSE IS 2]

Note for interviewer: The following section can only be completed if the respondent is alone. There can

be others in the home, but the respondent must be alone in a room to complete the following section.

Yes 1 No 2

No Response 99

G2. How safe do you feel in your home, where you currently sleep?

Very safe 1

Pretty safe 2 A little unsafe 3

Very unsafe 4 No Response 99

G3. Since March, have you felt more or less safe in your home?

More safe 1 Less safe 2

About the same 3 No Response 99

G4. Is there a place that you could go if something happened that made you feel unsafe in your home?

Yes 1 No 2

No Response 99

G5. [If G4=1] During December – February, how often did you need to go to this place? Every day 1

Once a week 2

Once a month 3 Rarely 4

Never 5 No Response 99

G6. [If G4=1] Since March, how often did you need to go to this place?

Every day 1

Once a week 2 Once a month 3

Rarely 4

Never 5 No Response 99

G7. [If G4=1] Since March, did you intend to go to this safe place but were prevented from doing so?

Yes 1

No 2

No Response 99

G8. [If G7=1] What was the main reason that prevented you from going to this place? [DO NOT READ OPTIONS; select from precodes]

Unable to access place due to lockdown G8_1

Place was close or unavailable for reason other than lockdown

G8_2

Afraid of consequences G8_3 No transportation G8_4

Fear of being infected with COVID-19 G8_5 Other (fill in):_________ G8_96

No Response G8_99 G9. During the December - February, have you sought the services of a women’s help organization (e.g. crisis center, shelter, hotline)?

Yes 1 No 2

No Response 99

G10. Since March, have you sought the services of a women’s help organization (e.g. crisis center, shelter, hotline)?

Yes 1 No 2

No Response 99

G10b. Since March, have you wanted to seek the services of a women’s help organization but did not?

Yes 1 No 2

No Response 99

G11. [If G10=1] What was the main reason you were unable to seek the services of a women’s help organization? [DO NOT READ OPTIONS; select from precodes]

Did not know where to go G11_1

Too far from services G11_2 Could not afford transport or service fees G11_3

Services unavailable due to COVID-19 restrictions G11_4 Unable to travel due to COVID-19 restrictions G11_5

Fear of threats/consequences/getting into trouble

G11_6

Embarrassed for myself or my family G11_7

Other (fill in):_________ G11_96 No Response G11_99

FINALOUTCOME. What is the final outcome for this household? INCLUDE IN FINAL DATASET

Completed interview (contact made) 1.

Number not working (ineligible) 2. InterimOutcome=3

Refusal 3. S1=2

No contact made after 5 visits (non-contact) 4.

Unable to confirm eligibility as the contact doesn’t speak the languages

(non-contact)

5.

Further information refused by contact (household refusal) 6.

Broken connection/appointment – no re-contact (contact made) 7. If ‘Break up’

Section 1: Demographics (Part 1) R1. Nigeria Kenya South ...

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