Respondent name: Line #: HH #: Bari serial number:faculty.washington.edu/rmheath/femalehead.pdf · 2012-01-30 · Is there a history of inherited health problems? (circle all that

Respondent name: ___________ Line #: _____ HH #: _____ Bari serial number: ________

SECTION 1: MAR: COUPLE’S MARITAL LIFE WMAR1a. Interviewer, was the husband present at the

time of asking the wife the following questions? Yes...................................................1 No ....................................................2

WMAR1b. Interviewer, was anyone from husband’s family (e.g. the mother-in-law) present?

Yes...................................................1 No ....................................................2

WMAR2 In what year were you married? Years...........................Don’t know .................................9998

WMAR3 What was your age at first marriage? Age (in years)......................... WMAR4 What was your husband’s age when you married

him? Age (in years).........................

WMAR5 Did your husband ever have more than one wife at a time?

No ....................................................0 Yes, 2 wives.....................................2 Yes, 3 wives.....................................3 Yes, 4 wives.....................................4

WMAR6 How often has your husband bought you new clothes over the course of your marriage?

Almost never ....................................0 Once a year (e.g. during one Eid) ....1 Twice a year (e.g. both Eids)............2 3-4 times per year ............................3 5-10 times per year ..........................4 Once a month ..................................5 (cut 6 and 7)

WMAR7 How many meals did your children eat per day when young?

Twice a day............................................1 Thrice a day...........................................2 NA............................................................8

WMAR8 How often did your children eat meat/chicken when they were young?

Almost never..........................................00 Only on Eid ............................................01 3-5 times per year..................................02 Once a month ........................................03 Twice a month .......................................04 Once a week..........................................05 Twice a week .........................................06 3-4 times per week ................................07 Almost everyday ....................................08 NA..........................................................98

WMAR9 How often did your children eat fish when they were young?

Almost never..........................................00 Only on Eid ............................................01 3-5 times per year..................................02 Once a month ........................................03 Twice a month .......................................04 Once a week..........................................05 Twice a week .........................................06 3-4 times per week ................................07 Almost everyday ....................................08 NA..........................................................98

WMAR10 How is/was your relationship with your husband? Good ................................................1 Moderate..........................................2 Not so good......................................3

WMAR11 How is/was your relationship with your father-in-law?

Good ................................................1 Moderate..........................................2 Not so good......................................3 N/A (died before the marriage)……..7

WMAR12 How is/was your relationship with your mother-in-law?

Good ................................................1 Moderate..........................................2 Not so good......................................3 N/A (died before the marriage)……..7

WMAR13 Do you think a husband ever has the right to beat his wife any time?

Yes...................................................1 No ....................................................2 Don’t know .......................................7

WMAR14 If yes, under what circumstances? (Multiple responses allowed)

Dowry issues .......................................... A For not listening to what spouse says .... B Bad character ......................................... C Not a good parent ................................... D Not nice to spouse’s parents/siblings..... E Not good at household work ..................... F Does not like spouse/likes other man/woman..................................................G No fault of spouse .......................................H Other___________________________ Z

(Specify) NA ............................................................X

WMAR15 Have your husband ever beaten you?

No ....................................................0 Yes, only once .................................1 Yes, more than once........................2 Yes, regularly ...................................3

WMAR16 If yes, what was the reason for the beating? (Multiple responses allowed)

Dowry issues .......................................... A For not listening to what spouse says .... B Bad character ......................................... C Not a good parent ................................... D Not nice to spouse’s parents/siblings..... E Not good at household work ..................... F Does not like spouse/likes other man/woman..................................................G No fault of spouse .......................................H No response ............................................. I Other___________________________ Z

(Specify) NA ............................................................X

WMAR17 Have any of your relatives ever protested against his or his family’s bad behavior to you?

No ....................................................0 Yes, only once .................................1 Yes, more than once........................2 Yes, regularly ...................................3 Not applicable ..................................8

Section 2: MOBILITY AND DECISIONS MAKING WMD1 How often do you go out of the bari (to shop,

other purposes)? Almost never ....................................0 Once a year (e.g. during one Eid) ....1 Twice a year (e.g. both Eids)............2 3-4 times per year ............................3 5-10 times per year ..........................4 Once a month ..................................5 Every week ......................................6 Almost daily......................................7

WMD2 How often do you go out of the bari to visit friends/relatives?

Almost never ....................................0 Once a year (e.g. during one Eid) ....1 Twice a year (e.g. both Eids)............2 3-4 times per year ............................3 5-10 times per year ..........................4 Once a month ..................................5 Every week ......................................6 Almost daily......................................7

WMD3 Does your husband consult with you about household decisions?

Never ...............................................0 Sometimes.......................................1 Often ................................................2 Always .............................................3 Not currently married….……………..8

WMD4. Do you need permission from your husband if you want to spend less than 100 Taka?

Yes...................................................1 No ....................................................2 Not currently married….……………..8

WMD5. Do you need permission from your husband If you want to spend over 300 Taka?


WMD6. Do you need permission from your husband to buy something for yourself (e.g. bangles, coconut oil, soap)?


Who is involved in decision-making, and who has the final say about the following decisions: Decision A. Who is Involved (see

code) multiple responses allowed

B. Who has Final Say (see code)

WMD7. How to spend money that you earn A B C D E F G H I J 1 2 3 4 5 6 7 8 WMD8. How to spend money that husband earns A B C D E F G H I J 1 2 3 4 5 6 7 8 WMD9. When to take children to the doctor A B C D E F G H I 1 2 3 4 5 6 7 WMD10. Whether to send children to school A B C D E F G H I 1 2 3 4 5 6 7 WMD11. Buying Clothes for children A B C D E F G H I 1 2 3 4 5 6 7 WMD12. Buying clothes for yourself A B C D E F G H I 1 2 3 4 5 6 7 Who is Involved in Decision-Making (WMD 4-9 A) multiple responses

Who has Final Say (WMD 4-9 B)

A= Head B=Head’s Wife/herself C=Oldest Son D=Other Sons E=Oldest Daughter

F=Other Daughters G= Husband’s Parent(s) H= Husband’s other relatives I= Wife’s Relatives J= No income

1= Husband 2= Wife/ herself 3=Joint Final Say between husband and wife 4=the children

5=Joint Say between husband and children 6=Joint Say between wife and children 7=Joint say for whole family 8= No income

WMD13 How much time it takes to go your father’s house from your husband house?

Hours...................................... Minutes ...................................

WMD14 How often did you visit your family after your marriage?

Almost never.................................... 0 Once a year (e.g. during one Eid) .... 1 Twice a year (e.g. both Eids) ........... 2 3-4 times per year............................ 3 5-10 times per year.......................... 4 Once a month .................................. 5 Every week ...................................... 6 Almost daily ..................................... 7

Section 3: DOWRY WD1 Was anything given as dowry to your

husband’s family from your family at the time of marriage?

Yes .................................................. 1 No.................................................... 2 Don’t know....................................... 7

WD2 If yes, was the dowry payment easy or difficult for your family to afford?

Easy ................................................ 1 Difficult............................................. 2 Don’t know....................................... 7 Not applicable.................................. 8

WD3 If there was dowry, how much dowry? Taka................. Not applicable........................ 999998

WD4 How many days later was the dowry & money paid?

Month ..................................... Year........................................ Not applicable............................ 9998

WD5 Have your husband or his family asked for more dowry payments after marriage?

Yes .................................................. 1 No.................................................... 2 Don’t know....................................... 7

WD6 Did your family make any more payments after marriage?

Yes .................................................. 1 No.................................................... 2 Don’t know....................................... 7 Not applicable……………………….8

WD7 What was the value of any gifts (other than dowry) that your parents gave to you and your husband at the time of marriage?

Taka................. Not applicable........................ 999998

WD8 How much did your parents spend on your wedding?

Taka................. Not applicable........................ 999998

WD9 What is the wealth of your husband’s family, compared to your father’s family?

1 = much wealthier 2 = wealthier 3 = about the same

4 = less wealthy 5 = much less wealthy

WD10 What was your husband’s family’s landholding (all kinds of land) at the time of your marriage?

Decimals.....……………. Don’t know............................. 999998

Respondent name: ___________ Line #: _____ HH #: _____ Bari serial number: ________

Section 4: Kinship [respondent is always the female head / spouse, if there is one] WKIN1 Do you think marrying within the

family affects the general health of the children produced, or is there no effect on this?

1 = More adverse effect 2 = Less adverse effect........3 = No effect .......................4 = Don’t know...................8 = God knows....................

WKIN2 Do you think marrying within the family makes the marriage work better or worse, or is there no effect on this?

1 = Better...........................2 = Worse...........................3 = No effect......................4 = Don’t know .................8 = God knows ..................

WKIN3 Do you think marrying within the family affects the intelligence of the children produced, is there no effect on this?

1 = More intelligent ............2 = Less intelligent..............3 = No effect .......................4 = Don’t know...................8 = God knows....................

WKIN4 Do you think marrying within the family improves your relationship with your in-laws?

1 = Better...........................2 = Worse...........................3 = No effect......................4 = Don’t know .................8 = God knows ..................

WKIN5 What are the other positive effects of marrying within the family? (circle all that apply)

0 = don’t know/can’t think of any A = Lower dowry B = Don’t have to split inherited property C = Child gets more care from grandparents on both sides Z = other: specify…

WKIN6 What are the other negative effects of marrying within the family? (circle all that apply)

0 = don’t know/can’t think of any A = Children are ill most of the time Z = other: specify…

If not married currently married to a cousin (check HR10): WKIN7 Did your parents consider marrying

you to a relative? 1 = yes 2 = no 7 = don’t know....................

WKIN8 If no, why not? (check all that apply)

A = Did not have cousin of the right age B = Cousins of right age were already married C = My cousin’s family could not afford the dowry required D = My family was able to find a better match outside the family X = don’t know Z = other: specify

Is there a history of inherited health problems? (circle all that apply – unprompted) WKIN9 On the father’s side? 0 = don’t know of any

A = diabetes B = heart disease C = cancer D= Respiratory (breathing difficulties, wheezing, shallow or irregular breathing) or asthma E = skin disease F = Tuberculosis X= NA Z= Others (Specify)

WKIN10 On the mother’s side?

0 = don’t know of any A = diabetes B = heart disease C = cancer D= Respiratory (breathing difficulties, wheezing, shallow or irregular breathing) or asthma E = skin disease F = Tuberculosis X= NA Z= Others (Specify)

WKIN11 How many people on father’s side suffered from such conditions?

People ....................................

WKIN12 How many people on the mother’s side suffered from such conditions?

People ....................................

WKIN13 Would you ever allow your son to

marry his first cousin? 1 = Yes............................2 = No .............................7 = Don’t know 8 = Not applicable 9 = All sons already married

WKIN14 Would you ever allow your son to marry his second cousin?

1 = Yes...........................2 = No ............................7 = Don’t know 8 = Not applicable 9 = All sons already married...........................

WKIN15 Would you ever allow your daughter to marry her first cousin?

1 = Yes............................2 = No .............................7 = Don’t know 8 = Not applicable 9 = All daughters already married ...............

WKIN16 Would you ever allow your daughter to marry her second cousin?

1 = Yes...........................2 = No ............................7 = Don’t know 8 = Not applicable 9 = All daughters already married ..............

Respondent name: ___________ Line #: _____ HH #: _____ Bari serial number: ________ SECTION 5:. PREGNANCY HISTORY

WPH1a. Number of son still alive WPH1b. Number of son born alive now dead

WPH1c. Number of daughter still alive WPH1d. Number of daughter born alive now dead

WPH1e. Number of abortions/miscarriage WPH1f. Number of stillbirths

WPH1g. Enter 1 if currently pregnant

WPH1h. Total number of pregnancies

WPH2

WPH3 WPH4 WPH5 WPH6 WPH7 WPH8 WPH9 WPH10 WPH11 WPH12a WPH12b

WPH12c

Preg-nancy # (From last pregnancy)

Name of Child, if any

Did you stay or feel especially ill during preg-nancy? 1 = yes 2 = no

Did you smoke during pregnancy? 1 = yes 2 = no

Birth outcome 1=Live (>> WPH8) 2=Still birth (>> WPH8) 3=Miscarriage/Abortion 4 = current pregnancy (>> next line)

If miscarriage or abortion 1=early 2=middle 3=late >> next line

Date of birth MMYY (if stillbirth >> next line)

Gender 1=male 2=female

Type of health provider present during delivery (see code) multiple responses

Infant Health Problems (appearing at age 11 months and under) (see code) multiple responses

Is (NAME) alive? 1= Yes 2= No (>>WPH12c)

Current Age (years) (>> WPH13)

If dead: Date of death MMYY (>> next line)

01 1 2 3 4 0 1 2 3 1 2 1 2 02 1 2 3 4 0 1 2 3 1 2 1 2 03 1 2 3 4 0 1 2 3 1 2 1 2 04 1 2 3 4 0 1 2 3 1 2 1 2 05 1 2 3 4 0 1 2 3 1 2 1 2 06 1 2 3 4 0 1 2 3 1 2 1 2 07 1 2 3 4 0 1 2 3 1 2 1 2 08 1 2 3 4 0 1 2 3 1 2 1 2 Health Provider codes (WPH10) Infant Health Problems codes: (WPH11): multiple responses allowed 0 = None A = village elder/TBA B = trained midwife/ trained TBA D = trained nurse E = doctor

F = non-qualified doctor G = FWV paramedics Z = other (specify)

0=no problems A= unusually small baby B= Anemia (was the baby pale?) C= Floppy baby (poor muscle tone)

D= Baby cried all the time (hyper irritability) E= Baby was unsettled F= Baby was disabled at birth in some form

G= Diarrhoeal/intestinal (baby throws up?) H= Respiratory (breathing difficulties, wheezing, shallow or irregular breathing) I= Accident (e.g. drowning)

J= High Fever K= Diarrhoea L= Measles M= Tetanus N = tuberculosX= NA Z= Others (Spe

Pregnancy roster, continued: WPH2

WPH3 WPH4 WPH5 WPH6 WPH7 WPH8 WPH9 WPH10 WPH11 WPH12a WPH12b


Name of Child, if any

Did you stay or feel especially ill during preg-nancy? 1 = yes 2 = no

Did you smoke during pregnancy? 1 = yes 2 = no

Birth outcome 1=Live (>> WPH8) 2=Still birth (>> WPH8) 3=Miscarriage/Abortion 5 = current pregnancy (>> next line)

If miscarriage or abortion 1=early 2=middle 3=late >> next line

Date of birth MMYY

Gender 1=male 2=female 8= NA

Type of health provider present during delivery (see code) multiple responses

Infant Health Problems (appearing at age 11 months and under) (see code) multiple responses

Is (NAME) alive? 1= Yes (>> WPH13) 2= No

If dead: Date of death MMYY (if child died before the age of 8 >> next line)

01 1 2 3 4 5 0 1 2 3 1 2 8 1 2 02 1 2 3 4 5 0 1 2 3 1 2 8 1 2 03 1 2 3 4 5 0 1 2 3 1 2 8 1 2 04 1 2 3 4 5 0 1 2 3 1 2 8 1 2 05 1 2 3 4 5 0 1 2 3 1 2 8 1 2 06 1 2 3 4 5 0 1 2 3 1 2 8 1 2 07 1 2 3 4 5 0 1 2 3 1 2 8 1 2 08 1 2 3 4 5 0 1 2 3 1 2 8 1 2 Health Provider codes (WPH10) Infant Health Problems codes: (WPH11): multiple responses allowed 0 = None A = village elder/TBA B = trained midwife/ trained TBA D = trained nurse E = doctor

F = non-qualified doctor G = FWV paramedics Z = other (specify)

0=no problems A= unusually small baby B= Anemia (was the baby pale?) C= Floppy baby (poor muscle tone)

D= Baby cried all the time (hyper irritability) E= Baby was unsettled F= Baby was disabled at birth in some form

G= Diarrhoeal/intestinal (baby throws up?) H= Respiratory (breathing difficulties, wheezing, shallow or irregular breathing) I= Accident (e.g. drowning)

J= High Fever K= Diarrhoea L= Measles M= Tetanus N = tuberculosis X= NA Z= Others (Specify)

WPH2 WPH13 WPH14a WPH14b WPH15 WPH16 WPH17 WPH18a WPH18b WPH19 WPH20

From what age to what age?

What school did [name] attend when he or she first began secondary school?


Did [name] get any immunizations? 1= Yes 2= No 8 = NA

(check WPH12b, if age is 5 or above) Is [name] currently in school? 1= Yes (>> WPH15) 2= No

Did [name] ever attend school? 1= Yes 2= No (>> WPH24)

At what age did [name] start school? (years)

Did [name] receive new clothes and shoes to go to school? 1 = yes 2 = no

Was there ever a period of time when [name] left school but then reentered school? 1 = yes 2 = no (>> WPH 19)

Age left (years)

Age reentered (years)

Highest schooling completed 0 = in school, but not yet completed grade 1 1-9 = years completed 10 = SSC 12 = HSC 14 = B.A./B.Sc./B.Com 16 = Post B.A. 17 = Doctor/engineer /advocate (if never attended secondary school >> WPH 25)

Enter code

Or give name if not on list

01 1 2 1 2 1 2 1 2 1 2

02 1 2 1 2 1 2 1 2 1 2

03 1 2 1 2 1 2 1 2 1 2

04 1 2 1 2 1 2 1 2 1 2

05 1 2 1 2 1 2 1 2 1 2

06 1 2 1 2 1 2 1 2 1 2

07 1 2 1 2 1 2 1 2 1 2

08 1 2 1 2 1 2 1 2 1 2

09 1 2 1 2 1 2 1 2 1 2

10 1 2 1 2 1 2 1 2 1 2

11 1 2 1 2 1 2 1 2 1 2

12 1 2 1 2 1 2 1 2 1 2

13 1 2 1 2 1 2 1 2 1 2

14 1 2 1 2 1 2 1 2 1 2

15 1 2 1 2 1 2 1 2 1 2

16 1 2 1 2 1 2 1 2 1 2

WPH2 WPH21a WPH21b WPH22a WPH22b WPH23 WPH24 WPH25 WPH26 WPH27 Preg-nancy # (From last pregnancy)

If [name] took the SSC exam (under the old system) division received 1 = First 2 = Second 3 = Third 7 = failed 8 = do not know 9= not applicable

If [name] took the SSC exam under the new system, what was his or her score? 8= do not know 9= not applicable

If [name] took the HSC exam (under the old system) division received 1 = First 2 = Second 3 = Third 7 = failed 8 = do not know 9= not applicable

If [name] took the HSC exam under the new system, what was his or her score? 8 = do not know 9= not applicable

(for females only) Did [name] receive the girl’s secondary school stipend? 1 = yes 2 = no (if no >> WPH25)

(for females only) In what level of schooling did [name] first receive it? 1 = yes 2 = no

[check WPH12b] If child 8+ years old Did [name] work while young? 1 = yes 2 = no (>> WPH28) 8 = NA (>> WPH28)

If child 8+ years old, What type of work did [name] do while young? (multiple responses) A=work inside the house (cleaning, etc.) B=work on the family farm C=Taking care of younger siblings D=cooking E=work for pay on a farm F=other work for pay outside the house

Was this work regular, or only sometimes? 1 = regular 2 = sometimes

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

WPH2

WPH28 WPH29 WPH30a WPH31b WPH32 WPH33

When did the marriage take place? Preg-nancy # (From last pregnancy)

Where does [name] currently reside? 1 = this bari / household 2 = different bari but same village 3 = different village but same thana 4 = different thana but same district (other than Dhaka city) 5 = Dhaka city 6 = outside district but same country 7 = different country

(Check WPH12b: If age 10+) Marital status of (name) 1 = Never married (>> next line) 2 = Currently married 3 = Divorced 4 = Widowed 5 = Separated

MM YYYY

What was the value of any gifts that you and your husband gave to (NAME) upon marriage? (Taka)

Did (NAME) marry a blood relative? 1 = Father’s own brother’s son 2 = Father’s own sister’s son 3 = Mother’s own brother’s son 4 = Mother’s own sister’s son 5 = Second cousin 6 = Other relative (specify) 7 = no kinship 97 = don’t know

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

WPH2 WPH34 WPH35 WPH36 WPH37 WPH38 WPH39 WPH40 WPH41 WPH42 Preg-nancy # (From last pregnancy)

Schooling of spouse 0 = None 1-9 = years completed 10 = SSC 12 = HSC 14 = B.A./B.Sc./B.Com 16 = Post B.A. 17 = Doctor/engineer /advocate

Is [name’s] spouse older, younger or the same age as he/she is? 1 = older 2 = younger 3 = same age (>> WPH37)

By how many years? (years)

Do parents still contribute some money to (NAME)? 1= Nothing 2= Contribute regularly 3= Major financial help 4= Regular household expenses 6= Others (Specify)

Do parents employ (NAME) or his/her spouse in family business/ agriculture? 1= Yes 2= No

Did parents help (NAME) set up a business for this child or his/her spouse? 1= Yes 2= No

Does (NAME) contribute any money to you? 1= Nothing 2= Contribute regularly 3= Major financial help 4= Regular household expenses 6= Others

How many children does (NAME) have? (if zero >> next line)

How old was (NAME) when his/her first child was born?

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

Respondent name: ___________ Line #: _____ HH #: _____ Bari serial number: ________ Section 6: Wife’s Cousins

How many siblings did your father have? HFC1a. Brothers ________ HFC1b. Sisters ________

HFC2a HFC3a HFC4a HFC5a Name of uncle (Father’s brothers) No. of daughters this

uncle had (88 = don’t know >> next uncle)

No. of within 8 years of your age that this uncle had

No. of sons this uncle had

No. of sons within 8 years of your age that this uncle had (including your husband, if you married your cousin)

1. _____________________

2. ______________________

3. ______________________

4. ______________________

5. ______________________

6. ______________________

7. ______________________

HFC2b HFC3b HFC4b HFC5b Name of aunt (Father’s sisters) No. of daughters this

aunt had (88 = don’t know >> next aunt)

No. of daughters within 8 years of your age that this aunt had

No. of sons this aunt had

No. of sons within 8 years of your age that this aunt had (including your husband, if you married your cousin)

1. _____________________

2. ______________________

3. ______________________

4. ______________________

5. ______________________

6. ______________________

7. ______________________

HFC6a HFC7a HFC8a HFC9a HFC10a Names of father’s brothers’ sons within 8 years of your age identified in HFC5a (including your husband, if he is your father’s brother’s son)

Is (NAME) older or younger to you? Older=1 Younger=2 Same age= 3

How many years older/younger?

Was he married before or after you were married? Before=1 After=2 Not married=3 Same day=4

Did he marry a relative that is also related to you? YES=1 NO=2 Not applicable=3

A1. ____________________

A2._____________________

A3._____________________

A4._____________________

A5._____________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

A6. ____________________

A7. ____________________

A8. ____________________

A9._____________________

A10. ___________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

Instruction to Interviewer for Question HFC10a: all cousins apply (first cousin or more distant relation), but the cousin’s spouse must also be related to person interviewed.

HFC6b HFC7b HFC8b HFC9b HFC10b Names of father’s sisters’ sons within 8 years of your age identified in HFC5b (including your husband, if he is your father’s sister’s son)

Is (NAME) older or younger to you? Older=1 Younger=2 Same age=3


Was he married before or after you were married? Before=1 After=2 Not yet married = 3 Same day=4

Did he marry a cousin that is also related to you? YES=1 NO=2 Not applicable=3

A1. ____________________

A2._____________________

A3._____________________

A4._____________________

A5._____________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

A6. ____________________

A7. ____________________

A8. ____________________

A9._____________________

A10. ___________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

Instruction to Interviewer for Question HFC10b: all cousins apply (first cousin or more distant relation), but the cousin’s spouse must also be related to person interviewed.

How many siblings did your mother have? HFC12a. Brothers ________ HFC12b. Sisters ________

HFC13a HFC14a HFC15a HFC16a Name of uncle (Mother’s brothers) No. of daughters this

uncle had (88 = don’t know >> next uncle)

No. of within 8 years of your age that this uncle had

No. of sons this uncle had

No. of sons within 8 years of your age that this uncle had (including your husband, if you married your cousin)

1. _____________________

2. ______________________

3. ______________________

4. ______________________

5. ______________________

6. ______________________

7. ______________________

HFC13b HFC14b HFC15b HFC16b Name of aunt (Mother’s sisters) No. of daughters this

aunt had (88 = don’t know >> next aunt)

No. of daughters of within 8 years of your age that this aunt had

No. of sons this aunt had

No. of sons within 8 years of your age that this aunt had (including your husband, if you married your cousin)

1. _____________________

2. ______________________

3. ______________________

4. ______________________

5. ______________________

6. ______________________

7. ______________________

HFC17a HFC18a HFC19a HFC20a HFC21a HFC22a Names of mother’s brothers’ sons within 8 years of your age identified in HFC16a (including your husband, if he is your mother’s brother’s son)





Was he an eligible groom for you? In other words, was he considered an appropriate candidate for marriage? YES=1 NO=2 Not applicable=3

A1. ____________________

A2._____________________

A3._____________________

A4._____________________

A5._____________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

A6. ____________________

A7. ____________________

A8. ____________________

A9._____________________

A10. ___________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

Instruction to Interviewer for Question HFC21a: all cousins apply (first cousin or more distant relation), but the cousin’s spouse must also be related to person interviewed.

HFC17b HFC18b HFC19b HFC20b HFC21b Names of mother’s sisters’ sons within 8 years of your age identified in HFC16b (including your husband, if he is your mother’s sisters’ son)





A1. ____________________

A2._____________________

A3._____________________

A4._____________________

A5._____________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

A6. ____________________

A7. ____________________

A8. ____________________

A9._____________________

A10. ___________________

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

Instruction to Interviewer for Question HFC21b: all cousins apply (first cousin or more distant relation), but the cousin’s spouse must also be related to person interviewed.

Respondent name: ___________ Line #: _____ HH #: _____ Bari serial number: ________ 7. Sisters Information Is respondent age 50 or younger? ______ 1 = yes (>> fill out section 7); 2 = no (>> skip sisters and brothers, sections 7 and 8) S0. How many sisters in total have you ever had (including ones now deceased)? ______ (Enumerator: list the names of all still alive sisters in column two below, starting with the youngest)

S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13a If currently living If not currently

living From what age to

age? Sister Name

Currently residing?

(see codes below)

Age (if less

than 10 years

>> next line)

Year of birth

YYYY

Age at death (if less than 10 >>

next line)

How old was

[name] when she

started school?

88 = no

schooling

98 = don’t know

Did [name]

ever leave school for a period of time and

then return to school? 1 = yes

2 = no (>> S10)

98 = don’t

know

Age left school

Age reentered

school

What was [name’s] highest year of

schooling completed?(see codes

below)

If code 9 or below >>

S15

Did [name] receive

the girls' secondary

school subsidy?1 = yes

2 = no (if no >> S13a)

98 = don’t

know

In what level of

schooling did [name] first receive

it?

If [name] took the SSC exam (under the old

system), division received 1 = First

2 = Second 3 = Third 7 = failed

8 = do not know9 = not

applicable

1

2

3

4

5

6

7

8

9

10

Residence Codes (S3) (compared to current village of respondent) Education Codes (S10) 1 = different bari but same village 2 = different village but same thana

4 = Dhaka city 5 = outside district but same country

0=enrolled in school, but has not completed

12=HSC 14=B.A./B.Sc./B.Com

17= Doctor/engineer /advocate

3 = different thana but same district (other than Dhaka city)

6 = different country grade 1 yet 1-9=Grades completed 10=SSC

16=Post B.A. 98 = never attended school

S1 S13a S14a S14b S15 S16 S17 S18 S19 S20 S21 S22 S23 Sister If [name]

took the SSC exam under

the new system, what

was her score?

8 = do not know

9 = not applicable

If [name] took the HSC exam (under

the old system) division received 1 = First

2 = Second 3 = Third 7 = failed 8 = do not

know 9 = not

applicable

If [name] took the

HSC exam under the

new system, score

8= do not

know 9 = not

applicable

What is [name’s] marital status?

1 = Never married (>>S26) 2 = Currently married 3 = Divorced 4 = Widowed5 = Separated

What is [name’s] husband's education?

(see codes)

For how many

years has [name] been or

was married?

(years)

88 = don’t know

Is [name’s] spouse older,

younger or the same

age as he/she is? 1 = older

2 = younger 3 = same age (>>

S20)

By how many years?

(years)

98 = don’t know

What was [name’s] dowry? (enter

value in Tk., or 0 if

none)

Enter DK for don’t

know

Did your parents give

any other gifts to

[name] and her husband at the time of the wedding?(enter value in Tk., or 0 if

none)

Enter DK for don’t know

What was the total

spending on [name’s] wedding?

(enter value in Tk., or 0 if

none)

Enter DK for don’t know

What is the approximate landholding of [name’s] husband's family?

(decimals)

Enter DK for don’t

know

1

2

3

4

5

6

7

8

9

10 Education Codes (S16) 0=enrolled in school, but has not completed grade 1 yet 1-9=Grades completed 10=SSC

12=HSC 14=B.A./B.Sc./B.Com 16=Post B.A.

17= Doctor/engineer /advocate 98 = never attended school DK = don’t know

S1 S24 S25 S26 S27 S28 S29 S30 S31 S32 S33 S34

Sister What is the wealth of [name’s] husband's

family, compared to your father’s

family? (see codes

below)

Is [name’s] husband a

blood relative to her?

(see codes below)

Has [name] ever worked outside the

home? 1 = yes

2 = no (>> S33)

How old was [name] when she started working?

Is [name] currently working

outside the home?

1 = yes (>> S30)

2 = no

How old was [name] when she stopped

working outside the

home?

Let's talk about the

main job, the job she spent most of her

time working. Was the job

in the garment sector? 1 = yes (>>S32) 2 = no

What sector was the job

is/was the job in?

(use codes from DHS)

What is [name’s] current monthly

wage, or what was the wage

just before leaving (Tk.)?

DK = don't

know

How many children

does [name]

have? (If zero >> next line)

How old was [name] when her first child was born?

>> next

line

1

2

3

4

5

6

7

8

9

10

Wealth Comparison (S24) Type of kinship codes (S25) 1 = much wealthier 2 = wealthier 3 = about the same 4 = less wealthy 5 = much less wealthy 8 = don’t know

1 = Father’s own brother’s son 2 = Father’s own sister’s son 3 = Mother’s own brother’s son

4 = Mother’s own sister’s son 5 = Second cousin 6 = Other relative (specify) 7 = no kinship 8 = refuse 97 = don’t know

8. Brothers Information B0. How many brothers have you ever had? (including ones now deceased?) ________ List the names of all still alive brothers in B1, starting with the youngest.

B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 If currently

living If not currently

living Age at

marriage

(years)

98 = don’t know

Dowry that (name)

received from his wife’s

family

Value of other gifts that (name)

received from his wife’s

family at the time of

marriage

Brother Name

Age Year of birth YYYY

Age at death

Marital Status 1 = Never married (>>next line) 2 = Currently married 3 = Divorced 4 = Widowed 5 = Separated

Any kinship between husband and wife?

1 = Father’s own brother’s son 2 = Father’s own sister’s son 3 = Mother’s own brother’s son4 = Mother’s own sister’s son 5 = Second cousin 6 = Other relative (specify) 7 = no kinship 8 = refuse 97 = don’t know

(in taka, zero values

possible)

DK = don’t know

(in taka, zero values

possible)

DK = don’t know

1

2

3

4

5

6

7

8

9

10

Documents

Respondent name: Line #: HH #: Bari serial number:faculty.washington.edu/rmheath/femalehead.pdf · 2012-01-30 · Is there a history of inherited health problems? (circle all that