36 Needle/ In the past 3 a. New needle/syringe If yes to syringe months, which b. Used needle/syringe drug use type types of (only by yourself) and needles/syringes c. Used needle/syringe injection; did you use to (previously used by inject drugs? someone else) Note: can 97. Refused choose, 98. Don’t know/can’t multiple remember responses Contraceptive use/fertility intentions 37 Are you currently 1. Yes use using 2. No Go to 40 contraception 3. No (Trying to conceive) Go to 40 97. Refused Go to 40 38 What a. None, If yes to method contraceptive b. Oral contraceptives (pill), methods are you c. Injectable, use; currently using? d. IUD, e. Condom, Note: can f. Implants choose g. Sterilization, multiple 96. Other (specify) methods ____________________ 97. Refused 39 Fertility Are you planning 1. Yes intentions to become 2. No pregnant in the 97. Refused near future? Violence INTERVIEWER: Now I am going to ask you some questions about your personal experience with violence. These questions can be sensitive and you can refuse to answer any question that makes you feel uncomfortable. 40 Physical In the last 3 1. Once violence months, how 2. 2-5 times many times would 3. 6-10 times you say someone 4. 11 or more times has beaten (hurt, 5. Never hit, slapped, 96. Other (specify): pushed, kicked, __________________ punched, choked, 97. Refused burned but not 98 Don't know used weapon) you?
36 Needle/ syringe type In the past 3 months, which types of needles/syringes did you use to inject drugs? a. New needle/syringe b. Used needle/syringe (only by yourself) c. Used needle/syringe (previously used by someone else) 97. Refused 98. Don’t know/can’t remember If yes to drug use and injection; Note: can choose, multiple responses Contraceptive use/fertility intentions 37 use Are you currently using contraception 1. Yes 2. No 3. No (Trying to conceive) 97. Refused Go to 40 Go to 40 Go to 40 38 method What contraceptive methods are you currently using? a. None, b. Oral contraceptives (pill), c. Injectable, d. IUD, e. Condom, f. Implants g. Sterilization, 96. Other (specify) ____________________ 97. Refused If yes to use; Note: can choose multiple methods 39 Fertility intentions Are you planning to become pregnant in the near future? 1. Yes 2. No 97. Refused Violence INTERVIEWER: Now I am going to ask you some questions about your personal experience with violence. These questions can be sensitive and you can refuse to answer any question that makes you feel uncomfortable. 40 Physical violence In the last 3 months, how many times would you say someone has beaten (hurt, hit, slapped, pushed, kicked, punched, choked, burned but not used weapon) you? 1. Once 2. 2-5 times 3. 6-10 times 4. 11 or more times 5. Never 96. Other (specify): __________________ 97. Refused 98 Don't know
Ashodaya_Follow-up_questionnaire_discontinuation.docx