Objective: To implement and evaluate a national survey of sexual behav
iour using computer-assisted telephone interviewing (CATI). Design: A
two-stage stratified national sample survey in which households were s
elected by random digit-dialling (RDD), with a single eligible intervi
ewee per selected household, followed by subsample surveys of non-cont
acts and refusals to determine eligibility. Methods: A 15-minute quest
ionnaire based on the Global Programme on AIDS (GPA)/World Health Orga
nization (WHO) protocol was administered by telephone to a nationally
representative sample of 2361 respondents in the 18-54-year age group.
Results: The overall response rate was 63%, but lower in the cities,
in the 18-24 age group, and among men. Three-quarters of surveyed non-
contacts, and a quarter of resurveyed refusals, did not meet the eligi
bility criteria for the study. Less than 20% of refusals cited the sub
ject matter of the survey as the reason for refusal. Item non-response
(< 1%) increased with question sensitivity, and varied by respondent
age, ethnicity and partnership status. Men reported twice as many adul
t lifetime partners as women. Conclusions: The GPA/WHO protocol can be
successfully adapted to administration by telephone, with adequate re
sponse rates and exceptionally low levels of item non-response. CATI i
s a cost-effective method for collecting national information on sexua
l behaviour in countries where there is a high level of telephone owne
rship. Used in conjunction with RDD, it can overcome problems of sampl
e design in settings where there is no comprehensive population-sampli
ng frame. Checks on item sensitivity and partner estimates suggest tha
t acceptable levels of reliability can also be achieved.