368) RECORD HAEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET. G/DL____ REFUSED 995 OTHER 996 NOT TESTED 998

368) RECORD HAEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET. G/DL____ REFUSED 995 OTHER 996 NOT TESTED 998

368) RECORD HAEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET. G/DL____ REFUSED 995 OTHER 996 NOT TESTED 998

368) RECORD HAEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET. G/DL____ REFUSED 995 OTHER 996 NOT TESTED 998

356) ASK CONSENT FOR DBS COLLECTION FROM PARENT/ OTHER ADULT IDENTIFIED IN 307 AS RESPONSIBLE FOR NEVER MARRIED WOMEN AGE 15-17. As part of the survey we also are asking people all over the country to take an HIV test. HIV is the virus that causes AIDS. AIDS is a very serious illness. The HIV test is being done to see how big the AIDS problem is in India. For the HIV test, we need a few (more) drops of blood from a finger. The equipment used to take the blood is clean and completely safe. It has never been used before and will be thrown away after each test. No names will be attached so we will not be able to tell you the test results. No one else will be able to know (NAME OF ADOLESCENT)'s test results either. If (NAME OF ADOLESCENT) wants to know her HIV status, I can provide a list of nearby facilities offering counselling and testing for HIV. I will also give her a voucher for free services that can be used at any of these facilities. Do you have any questions? You can say yes to the test, or you can say no. It is up to you to decide. Will you allow (NAME OF ADOLESCENT) to take the HIV test?

702. Now I would like to ask you some questions about any injections you have had in the last 12 months. Have you had an injection for any reason in the last 12 months? IF YES: How many injections have you had? IF NUMBER OF INJECTIONS IS GREATER THAN 90, OR DAILY FOR MONTHS OR MORE, RECORD '90'. IF NON-NUMERIC ANSWER, PROBE TO GET AN ESTIMATE. NUMBER OF INJECTIONS __ __ NONE 00 (GO TO 704)

702. Now I would like to ask you some questions about any injections you have had in the last 12 months. Have you had an injection for any reason in the last 12 months? IF YES: How many injections have you had? IF NUMBER OF INJECTIONS IS GREATER THAN 90, OR DAILY FOR MONTHS OR MORE, RECORD '90'. IF NON-NUMERIC ANSWER, PROBE TO GET AN ESTIMATE. NUMBER OF INJECTIONS __ __ NONE 00 (GO TO 704)

703. The last time you had an injection, was a disposable syringe used? YES 1 NO 2 DON'T KNOW 8

704. Have you ever had a blood transfusion? YES 1 NO 2

713. In the last 12 months, have you visited a doctor or other health provider? YES 1 NO 2 (GO TO 715)

SECTION 7. OTHER HEALTH ISSUES 701. Now I would like to ask you some questions about medical care for you yourself. Many different factors can prevent women from getting medical advice or treatment for themselves. When you are sick and want to get medical advice or treatment, is each of the following a big problem, a small problem, or no problem? a. Getting permission to go? b. Getting money needed for treatment? c. The distance to the health facility? d. Having to take transport? e. Finding someone to go with you? f. Concern that there may not be a female healthcare provider? g. Concern that there may not be any healthcare provider? h. Concern that there may be no drugs available? PERMISSION BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 GETTING MONEY BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 DISTANCE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 TAKING TRANSPORT BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 FINDING SOMEONE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO FEMALE PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO DRUGS BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3

SECTION 7. OTHER HEALTH ISSUES 701. Now I would like to ask you some questions about medical care for you yourself. Many different factors can prevent women from getting medical advice or treatment for themselves. When you are sick and want to get medical advice or treatment, is each of the following a big problem, a small problem, or no problem? a. Getting permission to go? b. Getting money needed for treatment? c. The distance to the health facility? d. Having to take transport? e. Finding someone to go with you? f. Concern that there may not be a female healthcare provider? g. Concern that there may not be any healthcare provider? h. Concern that there may be no drugs available? PERMISSION BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 GETTING MONEY BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 DISTANCE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 TAKING TRANSPORT BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 FINDING SOMEONE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO FEMALE PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO DRUGS BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3

SECTION 7. OTHER HEALTH ISSUES 701. Now I would like to ask you some questions about medical care for you yourself. Many different factors can prevent women from getting medical advice or treatment for themselves. When you are sick and want to get medical advice or treatment, is each of the following a big problem, a small problem, or no problem? a. Getting permission to go? b. Getting money needed for treatment? c. The distance to the health facility? d. Having to take transport? e. Finding someone to go with you? f. Concern that there may not be a female healthcare provider? g. Concern that there may not be any healthcare provider? h. Concern that there may be no drugs available? PERMISSION BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 GETTING MONEY BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 DISTANCE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 TAKING TRANSPORT BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 FINDING SOMEONE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO FEMALE PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO DRUGS BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3

SECTION 7. OTHER HEALTH ISSUES 701. Now I would like to ask you some questions about medical care for you yourself. Many different factors can prevent women from getting medical advice or treatment for themselves. When you are sick and want to get medical advice or treatment, is each of the following a big problem, a small problem, or no problem? a. Getting permission to go? b. Getting money needed for treatment? c. The distance to the health facility? d. Having to take transport? e. Finding someone to go with you? f. Concern that there may not be a female healthcare provider? g. Concern that there may not be any healthcare provider? h. Concern that there may be no drugs available? PERMISSION BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 GETTING MONEY BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 DISTANCE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 TAKING TRANSPORT BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 FINDING SOMEONE BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO FEMALE PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO PROVIDER BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3 NO DRUGS BIG PROBLEM 1 SMALL PROBLEM 2 NO PROBLEM 3