Unsure 3 110 Less than 6 months 1 How long have you worked in your 6-12 months 2 present job for your current workplace? Enter years: ______ 111 Day shift 1 Which of the following best describes Afternoon shift 2 your usual work schedule? Night shift 3 Rotating shifts 4 112 Is there a clinic in your work place? Yes 1 No 2 113 What services are provided in the clinic? Voluntary counselling and testing 1 (Multiple answers possible) Treatment of HIV 2 Contraceptives 3 Condoms distributed at the workplace 4 Treatment diseases 5 Others 6 114 Have you ever visited the clinic at your Yes 1 If = 1116 work place? No 2 115 If use of the clinic? I know much about it 1 “No”, why wouldn’t don’t I trust the confidentiality 2 (Multiple answers possible) don’t The services are insufficient 3 The services are unnecessary 4 The services are not accessible 5 Others 6 116 Have you visited the clinic at your work Yes 1 place in the past 1 month? No 2 117 What were the reasons for going to the clinic? __________________________________ 118 Does the clinic provide FP and other Yes 1 health-related products to workers? No 2 119 Are workers required to pay for FP and Yes 1 other health-related products? No 2 120 What types of activities do you want the Staff education 1 clinic to strengthen/ continue/ scale Providing materials (Leaflets and posters) 2 down? (Multiple answers possible) Promoting the clinic services 3 121 Are all employees, including temporary, Y N contract, and seasonal workers, allowed Permanent Workers 1 2 to use the clinic? Temporary workers 1 2 Contract workers 1 2 Seasonal workers 1 2 SECTION 2: CONTRACEPTION Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy. 201 Which types of family planning methods Withdrawal method 1 (means to avoid pregnancy) have you Emergency contraception 2 ever heard of? Standard Days Method 3 PROBE to hear as many responses as Lactational Amenorrhea method 4 possible. Condom 5 Pill 6 Injectables 7 Implants 8 IUD 9 Female sterilization 10 Male sterilization 11 Other, specify_______________ 98 202 Are you currently doing something or Yes 1 If = 2 206
Unsure 3 110 How long have you worked in your present job for your current workplace? Less than 6 months 6-12 months Enter years: ______ 1 2 111 Which of the following best describes your usual work schedule? Day shift Afternoon shift Night shift Rotating shifts 1 2 3 4 112 Is there a clinic in your work place? Yes No 1 2 113 What services are provided in the clinic? (Multiple answers possible) Voluntary counselling and testing Treatment of HIV Contraceptives Condoms distributed at the workplace Treatment diseases Others 1 2 3 4 5 6 114 Have you ever visited the clinic at your work place? Yes No 1 2 If = 1116 115 If “No”, why wouldn’t use of the clinic? (Multiple answers possible) I don’t know much about it I don’t trust the confidentiality The services are insufficient The services are unnecessary The services are not accessible Others 1 2 3 4 5 6 116 Have you visited the clinic at your work place in the past 1 month? Yes No 1 2 117 What were the reasons for going to the clinic? __________________________________ 118 Does the clinic provide FP and other health-related products to workers? Yes No 1 2 119 Are workers required to pay for FP and other health-related products? Yes No 1 2 120 What types of activities do you want the clinic to strengthen/ continue/ scale down? (Multiple answers possible) Staff education Providing materials (Leaflets and posters) Promoting the clinic services 1 2 3 121 Are all employees, including temporary, contract, and seasonal workers, allowed to use the clinic? Y N Permanent Workers 1 2 Temporary workers 1 2 Contract workers 1 2 Seasonal workers 1 2 SECTION 2: CONTRACEPTION Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy. 201 Which types of family planning methods (means to avoid pregnancy) have you ever heard of? PROBE to hear as many responses as possible. Withdrawal method Emergency contraception Standard Days Method Lactational Amenorrhea method Condom Pill Injectables Implants IUD Female sterilization Male sterilization Other, specify_______________ 1 2 3 4 5 6 7 8 9 10 11 98 202 Are you currently doing something or Yes 1 If = 2 206
FP-FINAL-Report_CORHA_2017.docx