REPRODUCTIVE HEALTH

 A structured interview schedule to assess the knowledge about reproductive health.

PART-I : Demographic Data

Instructions: Here are some personal questions which will be kept confidential. Please complete
the following by placing tick ( ). Mark in the appropriate column.

1. Age in years:

a) 11 - 12 years ( )
b) 13 - 14 years ( )
c) 15 - 16 years ( )
d) Above 16 years ( )

2. Educational status:

a) 8th standard ( )
b) 9th standard ( )

3. Religion:

a) Hindu ( )
b) Muslim ( )
c) Christian ( )
d) Others ( )

4. Residence :

a) Urban ( )
b) Semi urban ( )
c) Rural ( )

5. Father’s education :

a) Primary education ( )
b) Secondary education ( )
c) PUC ( )
d) Graduate and above ( )

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6. Mother’s education:

a) Primary education ( )
b) Secondary education ( )
c) PUC ( )
d) Graduate and above ( )

7. Father’s occupation:

a) Government employee ( )
b) Private employee ( )
c) Own business ( )
d) Others ( )

8. Mother’s occupation:

a) Government employee ( )
b) Private employee ( )
c) Own business ( )
d) House Wife ( )

9. Family Income:

a) <10000 ( )
b) 10000-20000 ( )
c) 20000-30000 ( )
d) >30000 ( )

10. Previous knowledge about reproductive health:

a) Yes ( )
b) No ( )

11. Source of information:

a) Electronic media ( )
b) Printed media ( )
c) Friend/ Family/ Teachers ( )
d) others ( )

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 PART – II : GENERAL KNOWLEDGE ON REPRODUCTIVE HEALTH

SECTION A: ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM

Instructions:

 Read the question carefully.

 Answer all the questions to the best of your ability.
 Please tick ( ) in the appropriate box provided.

1. Age of a girl considered as physically mature is:

a) Above 15 years ( )
b) After the age of 18 ( )
c) After the age of 21 ( )
d) After the age of 30 ( )

2. Most visible changes that occur in a girls physic during puberty are:

a) Development of breast ,pubic hair appearance ( )

b) Development of height, facial hair appearance ( )
c) Development of muscles ( )
d) Excessive growth of hair and nails ( )

3. Reason for changes in puberty:

a) Ovulation ( )
b) Increased hormonal levels ( )
c) Attraction towards opposite sex ( )
d) Increased age ( )

4. Female reproductive organ consist of:

a) Uterus, ovary and vagina ( )

b) Anus and urinary bladder ( )
c) Prostate gland ( )
d) Scrotum and testis ( )

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5. Female sex cell is named as:

a) Sperm ( )
b) Zygote ( )
c) Ovum ( )
d) Embryo ( )

6. The release of ovum from ovary is called as:

a) Fertilization ( )
b) Ovulation ( )
c) Menstruation ( )
d) Evolution ( )

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 SECTION B: KNOWLEDGE REGARDING MENSTRUATION AND MENSTRUAL HYGIENE

1. Menstruation is:

a) White discharge from vagina ( )

b) Blood from uterus ( )
c) It’s a destruction of endometrium through vagina every month ( )
d) Curse from god ( )

2. The first Menstruation is known as:

a) Menarche ( )
b) Puberty ( )
c) Menopause ( )
d) First Period ( )

3. Reason for menstruation:

a) Hormonal changes ( )
b) Bad blood is being purified ( )
c) Body waste is removed ( )
d) Women’s fate ( )

4. Common age for attaining menarche is:

a) Before 9 years ( )
b) 10-13 years ( )
c) 14-17 years ( )
d) 18-24 years ( )

5. Amount of blood loss during each menstrual period is:

a) 30 ml ( )
b) 60-120 ml ( )
c) 200 ml ( )
d) More than 200 ml ( )

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6. Duration of normal menstrual cycle is:

a) 1-3 days ( )
b) 3-5 days ( )
c) 5-7 days ( )
d) 7-10 days ( )

7. Source of menstrual blood:

a) Uterus ( )
b) Vagina ( )
c) Bladder ( )
d) Abdomen ( )

8. Sanitary pad should be changed by:

a) Once a day ( )
b) Twice a day ( )
c) Four times a day ( )
d) Whenever soaked ( )

9. The correct technique to clean the hands after placing the pad is:

a) Wash the hands with water ( )

b) Wash with soap and water ( )
c) Wash with Detergents ( )
d) Keep it as it is ( )

10. Menstrual hygiene is important because:

a) To avoid bad smell ( )

b) To prevent infection ( )
c) To give comfort ( )
d) To avoid staining of clothes ( )

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 SECTION C: KNOWLEDGE REGARDING PREGNANCY AND CARE

1) Recommended age for marriage for girls in India is:

a) 15-17 years ( )
b) 18-20 years ( )
c) 21-30 years ( )
d) Above 30 years ( )

2) Early age pregnancy is unadvisable because:

a) Bad effect on mothers and baby’s health ( )

b) Bad effect on fathers health ( )
c) Bad for family reputation ( )
d) Bad for mothers beauty ( )

3) Normally women become fertile during :

a) All days of menstruation ( )

b) 5-7 days following menstruation ( )
c) 10-14 days after the menstruation ( )
d) 28 days after menstruation ( )

4) Early sign of pregnancy is:

a) Missing periods ( )
b) Breast enlargement ( )
c) Frequency in urination ( )
d) Nausea/vomiting ( )

5) A pregnant women must avoid:

a) Alcohol, tobacco ( )
b) Fruits ( )
c) Walking ( )
d) Sex ( )

6) Expected month of delivery is:

a) 8-9 months of pregnancy ( )

b) 9-10 months of pregnancy ( )
c) 10-11 months of pregnancy ( )
d) 11-12 months of pregnancy ( )

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 SECTION D: KNOWLEDGE REGARDING FAMILY PLANNING AND STDS

1. Meaning of family planning:

a) Avoid unwanted pregnancy ( )

b) Abortion ( )
c) Safe delivery of baby ( )
d) Care of family members ( )

2. The idle gap between two pregnancies is:

a) 1-2 years ( )
b) 2-3 years ( )
c) 4-5 years ( )
d) 5-7 years ( )

3. The temporary method of female contraception is:

a) Female condoms, intrauterine devices ( )

b) Tubectomy ( )
c) Vasectomy ( )
d) Intra-rectal devices ( )

4. The permanent method of female contraception is:

a) Copper t ( )
b) Oral pills ( )
c) Tubectomy ( )
d) Vasectomy ( )

5. The full form of STD is:

a) Severe transient diseases ( )

b) Subscriber trunk dialing ( )
c) Sexually trained doctors ( )
d) Sexually transmitted diseases ( )

6. Some of the STD are:

a) HIV, syphilis, gonorrhea ( )

b) TB, HLV ( )
c) Hemorrhoids ( )
d) Hepatitis ( )

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7. HIV can be transmitted through which measure?

a) Hugging ( )
b) Shaking hands ( )
c) Mosquito bites ( )
d) Blood contaminated body fluids ( )

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