DDI_IDN_1998_SUSENAS_v01_M_WB
World Bank Indonesia, Poverty Team
2014-02-12
NADA
Version 1 (December 22, 2012): Initial version of DDI documentation.
Version 2 (February 12, 2014): Revision of DDI documentation.
National Socio-Economic Survey 1998
SUSENAS 1998
Survei Sosial Ekonomi Nasional 1998
IDN_1998_SUSENAS_v01_M
Central Bureau of Statistics (BPS) of Indonesia
Copyright © 2012, Central Board of Statistics (BPS) of Indonesia. All rights reserved.
NADA
Socio-Economic/Monitoring Survey [hh/sems]
Since 1992, BPS through Susenas collecting core data and the module data every year. Susenas modules is divided into three major groups, that is module socio-cultural and educational, modules housing and health, module household consumption and household expenditure, implementation of each module is every three years.
v01: basic raw data. Obtained from BPS
Birth control
Children
Child health
Consumption (Economics)
Income
Education
Employment
Family
Fertility
Health
Heatlh services
Housing
Information technology
Indonesia
Literacy
Living standards
Mass media
Breast milk
Occupations
Internet
Married
Recreation
Energy
Poverty
Assets
Social conditions
Insurance
Transport
Victims of Crime
Water supply
Sector
Part
Chapter
Susenas is a survey designed to collect socio-demographic data in large area. The data collected were related to the fields of education, health / nutrition, housing / environmental, socio-cultural activities, consumption and household income, trips, and public opinion about the welfare of household. In 1992, Susenas data collection system has been updated, the information used to develop indicators of welfare (Welfare) contained in the module (information collected once every three years) drawn into the core (group information is collected each year).
The questions are included in the core is intended to obtain the information and to monitor the things that may change each year. It is also useful for short-term planning, as well as questions that can be associated with a question module, such as expenditures. Questions in the modules required to analyze problems that do not need to be monitored every year or analyze issues like government intervention, such as poverty and malnutrition.
Core module combined data can generate analysis to answer questions such as, whether the poor can get benefit from the appropriate educational program launched by the government (e.g., 9-year compulsory education program), who are able to take advantage of government subsidies in education, is there any kind -certain types of birth control that is more widely used by poor people than others, whether there is a link between working hours and fertility, then whether there is a link between sanitation and health status.
Since 1993 the core Susenas sample size is enlarged to generate simple statistics for the district / city level. This new development gives a new dimension to the Susenas data analyst and in that time, several counties have started to develop the indicators / statistics on the welfare of each.
Indonesia
National coverage, representative to the district level
Household Members (Individual) and Household
In 1998 Susenas conducted in all geographic regions of Indonesia with a sample size of 208,064 households spread across urban and rural areas. Household will be enumerated using the core questionnaire (VSEN98.K List).
Sample survey data [ssd]
1. Type data of households enumerated with Questionnaire Core (VSEN98.K)
Types of data collected in the core Susenas 1998 is relatively different from the Susenas, 1997, unless additional information about household participation in the program and Kukesra Takesra and other assistance programs related to poverty alleviation. Data collected in Susenas 1998 includes:
a. General information the household member includes name, relationship to head of household, sex, age, marital status, crime experienced, and travel.
b. Characteristics of health and education of household members.
c. Description of the economic and socio-cultural activities, in particular access to the mass media, household members aged 10 years and over.
d. Fertility information for women who have ever married and methods of pregnancy prevention for household members a married status
e. Information concerning the quality of residential buildings, household facilities, and the environment.
f. information about the average household consumption and the main source of household income.
g. Information about household participation in the IDT program, Takesra, Kukesra, and other business assistance programs, and
h. Description of raising livestock/poultry.
2. Type data of households enumerated with Questionnaire Module (VSEN98.MKG & VSEN98.MPP)
The data module that will be collected in Susenas 1998 includes detailed data on education, housing, health, and nutrition.
Details of the data collected for each module are:
a. Characteristics of Education, includes the status of education, participation in courses, learning, and education costs.
b. Housing information, include the physical condition of buildings, residential buildings, utility / home supplies, and environmental conditions.
c. Health and nutrition information including population health, nutritional status of children, the costs incurred for the purposes of health, regular brushing and breakfast, diarrhea prevention knowledge and burns, as well as the household diet.
Education and housing data collected using 98.MPP VSEN list, while the health and nutrition of data collected through the list VSEN98.MKG
The design of the sample used is a three-phased sample design. Sample selection for urban and rural areas is done separately.
1. In the first-phase, and sample frame of enumeration areas is selected a number of enumeration areas systematically.
2. In the second-phase, each selected enumeration areas selected from the group segment (segment group) in pps, the number of households in the size segment group. Especially for enumeration that has the first digit NKS codes 3, selected 2 segment group.
3. In the third-phase, from each selected segment group, selected a sample of 16 households in a systematic, the households selected from core enumeration area, is named core household, while households selected from enumeration areas core-module is named household core-module.
Face-to-face [f2f]
Sub Directorate Services and Promotion Statistics
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
Example:
Statistic Indonesia (BPS), National Socio-Economic Survey 1998, ref. IDN_1998_SUSENAS_v01_M. Data downloaded from www.microdatalib.worldbank.org in December 20, 2012
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
susenas98_ki
879936
109
susenas98_ki1
275747
128
susenas98_ki2
275747
66
susenas98_kr
207625
154
susenas98_kr0
65569
46
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
879936
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
54
East Timor
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
879936
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
71
72
73
74
75
76
77
78
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
879936
006
010
011
012
013
014
020
021
022
030
031
032
040
041
042
050
051
052
060
061
062
070
071
080
081
090
091
100
101
110
111
120
121
130
131
132
140
141
150
151
153
160
161
170
171
180
181
182
190
191
200
201
210
220
221
230
231
240
241
250
260
270
280
290
300
301
310
320
330
340
350
710
720
721
730
740
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
879936
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
076
077
078
079
080
081
082
083
084
085
086
087
089
090
091
093
095
096
097
098
099
100
102
104
105
108
110
111
112
113
114
115
116
121
122
126
131
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
879936
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list.
879936
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Write down the serial number of sample households in the space provided and then move to the box provided.
879936
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
879936
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
826
1
10
15
3
31
4
5
6
7
9
Sample code number (original)
Sample code number (original)
Sample code number (original)
Sample code number (original)
Sample code number (original)
826
110557
110613
111004
111532
111541
120005
121006
121024
121639
210007
210069
210175
211003
211745
221212
221531
411501
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided.
879936
1
9
2.657
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Household helpers, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female.
879936
1
2
1.503
1
Male
2
Female
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box. Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
879936
99
26.62
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status
Ask marital status of the respondent and enter the code into the box provided.
879936
1
4
1.585
1
Not married
2
Married
3
Divorce
4
Divorce due to death
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Write down the name and number of household member being interviewed. Enter the number of the household member into the box. Biological mother number,ask whether the biological mother of this household member lives with him.Fill with "00" if the biological mother is not living in this household.
879936
1
10
11
12
13
14
15
16
2
3
4
5
6
7
8
9
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Any health complaint in the past one month? (read from a to p) a. fever
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Fever is a condition which symptom is the increasing body temperature above 37.5 degrees Celcius, or if touched (especially with the back of the hand) it feels hot.
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Any health complaint in the past one month? (read from a to p) b. cough
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Coughing is a sound produced by the sudden opening of vocal cords followed by the fast release of air, in order to let out the object that stimulates the central or lower part of respiratory tract; short or long; dry, phlegm or bloody expectoration; lasting for days, weeks, months or years.
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Any health complaint in the past one month? (read from a to p) c. cold
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Colds is a condition with the following symptoms: mucus, nasal congestion, and might be followed by sneezing, or other symptoms.
Health complaints - asthma
Health complaints - asthma
Health complaints - asthma
Health complaints - asthma
Health complaints - asthma
Any health complaint in the past one month? (read from a to p) d. asthma
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Asthma is an illness during which attack the patient suffers difficulty in breathing due to constriction in the lower respiratoty track, causing the breathing to make a shound while letting air out; local community calls the illness bengek or mengi.
Health complaints - breathlessness
Health complaints - breathlessness
Health complaints - breathlessness
Health complaints - breathlessness
Health complaints - breathlessness
Any health complaint in the past one month? (read from a to p) e. breathlessness
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Breathlessness is a condition where panting of breath so must using extra energy (drawn into the chest wall when breathing)and fast (infants> 50 beats/min, 14 years> 40 beats / min, 5 + years> 30 times/min), possibly accompanied a bluish color to lips and nails, because of lack of oxygen.
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Any health complaint in the past one month? (read from a to p) f. diarrhea
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Diarrhea is an illness which symptomsare: runny or liquid faeces, sometimes mixed with blood or mucus; generally happens 3 times or more within 24 hours. Diarrhea might be accompanied with a throwing up, or decrement of consciousness. Local people call this illness as mencret or bocor.
Health complaints - measles
Health complaints - measles
Health complaints - measles
Health complaints - measles
Health complaints - measles
Any health complaint in the past one month? (read from a to p) g. measles
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Measles is a disease that is known by people with diffrent various local names, such as: tampek (Java), kerumut (Borneo), eder, gabagan (Java), etc., usually occurs in children, characterized by fever, red eyes, red spots on the skin, cough, cold, possibly accompanied by breathlessness and diarrhea.
Health complaints - ear diseases
Health complaints - ear diseases
Health complaints - ear diseases
Health complaints - ear diseases
Health complaints - ear diseases
Any health complaint in the past one month? (read from a to p) h. ear diseases
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Ear diseases/congek is a disease known to the public as congek, characterized by smelling discharge from the ear.
Health complaints - liver
Health complaints - liver
Health complaints - liver
Health complaints - liver
Health complaints - liver
Any health complaint in the past one month? (read from a to p) i. liver
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Liver is a disease characterized by skin and the whites of eyes looks yellow and colored urine like strong tea.
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Any health complaint in the past one month? (read from a to p) j. migraine
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Migraine/Recurring headache is the feeling of pain, throbbing pain, jabbing pain, like being tied up, drilled or stabbed in the head, or other uncomfortable feelings in part or of the whole head. It lasts from a few hours to a few days, recurring for several times within 1 year (at least 2 times), with similar symptoms. Headache during fewer is not considered a recurring headache.
Health complaints - epilepsy
Health complaints - epilepsy
Health complaints - epilepsy
Health complaints - epilepsy
Health complaints - epilepsy
Any health complaint in the past one month? (read from a to p) k. epilepsy
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Seizures are uncontrolled movements from the whole body or parts of the body, various causes such as epilepsy, febrile seizures (stip), encephalitis/meningitis. In epileptic seizures appear periodically (eg, every few months) with properties similar to seizures, seizures in epilepsy may be local (ie on the left cheek and eyelid), or whole body, people are not aware at the time of seizure, there is kind of epilepsy is not accompanied by seizures, unconsciousness stare just moments
Health complaints - paralysis
Health complaints - paralysis
Health complaints - paralysis
Health complaints - paralysis
Health complaints - paralysis
Any health complaint in the past one month? (read from a to p) l. paralysis
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Paralyzed is a weakness or inability to move a part of the body. It affects the left side, right side, lower part, right and left side or the whole body, the degree may be mild or medium (the strength is weakening), or severe (does not have any strength to move). The cause is various, example: stroke, polio, spine fracture, meningitis. Impotency is not considered as paralyzed.
Health complaints - senility
Health complaints - senility
Health complaints - senility
Health complaints - senility
Health complaints - senility
Any health complaint in the past one month? (read from a to p) m. senility
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Senility is a disease characterized by the loss or decline of intellectual ability so severe that impede social or occupational functioning; may occur in the elderly or older adults, either after exposure to the disease (eg, stroke), or for no apparent reason. Disruption occurs in memory, abstract thinking, the values, the ability to speak, recognize objects, doing a bit complex, the mimic, and accompanied by personality changes.
Health complaints - accident
Health complaints - accident
Health complaints - accident
Health complaints - accident
Health complaints - accident
Any health complaint in the past one month? (read from a to p) n. accident
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Accidents are not accidental events, omissions or failure of a system that cause injury (not including intentional / criminal), occurred in the home (eg slip, scalded, stabbed nails), on the road (eg falling from a horse, hit by a gig, grazed truck), at work (eg crushed building materials, an explosion), or other (eg falling from a tree, sprains while playing basketball).
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Any health complaint in the past one month? (read from a to p) o. toothache
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Toothache is the feeling of pain in the teeth or gums, sometimes accompanied by swelling, but does not include sprue.
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Any health complaint in the past one month? (read from a to p) p. other
If the answer is coded 0, skip to k5r7a or k5r14
Use code 1 if the respondent have health problems or code 0 if the answer is "No".
879936
No
1
Yes
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Other problems are health problems such as measles, perforated tympanic membrane /CSOM, hepatitis/liver disease, seizures, paralyzed, senility, including other health problems caused by accidents/tragic events, natural disaster, lost of appetite, difficulty in defecating, headache caused by fever, non-recurring headache, problems with joints, problems in hearing, cataract, gastritis, stomachache, catching colds, unable to urinate, ulcer, sore eyes, and physical problems caused due to menstruation or pregnancy.
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If the answer is coded 2, skip to k5r5a
Circle the appropriate code and fill in the provided box.
222762
1
Yes
2
No
Complaint of activities means that the respondent cannot do the normal activity (work, study, daily activities) as usual.
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption:(days)
Write down how long (days) the household members who have health problems are interrupted from their daily activities in the last one month.The duration of interruption shall not exceed 30 days because the time reference used is the last one month, although the actual health problems last for more than 30 days.
131400
748536
1
30
5.901
Period of disruption does not refer to the worst health problem, but also covers the total duration of all the health problems suffered by the household members in the last one month. If a person has more than one health problem, the length of interruption time caused by the illnesses should not be combined.
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Circle one of codes and record in the box available. Circles code 1 if householder "still has health disruption until the enumeration day" and circle code 2 if "No".
131400
1
Yes
2
No
Did you treat yourself in the last month?
Did you treat yourself in the last month?
Did you treat yourself in the last month?
Did you treat yourself in the last month?
Did you treat yourself in the last month?
Ever performed self-medication in the past 1 month?
If the answer is coded 2, skip to k5r6a
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
222762
1
Yes
2
No
Self medication is an effort to have a medication by deciding the kind of medicines by oneself (without any /prescription from a medical doctor/traditional medication/batra).
Duration of self-treatment: (days)
Duration of self-treatment: (days)
Duration of self-treatment: (days)
Duration of self-treatment: (days)
Duration of self-treatment: (days)
Duration of self-treatment: (days)
Write down the respondent's answer in the space provided and directly move it to the box provided
133014
746922
1
30
3.225
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Sysmiss
Type of medicine used:
Type of medicine used:
Type of medicine used:
Type of medicine used:
Type of medicine used:
Cost of self-medication incurred by the household:(Rp)
Circle the appropriate code. The circled code can be more than one and fill in the number of circled code into the box provided.
133014
1
Modern medicine
2
Traditional medicine
3
Modern medicine and Traditional medicine
4
Others
5
6
7
If used modern medicine, where was it purchased?
If used modern medicine, where was it purchased?
If used modern medicine, where was it purchased?
If used modern medicine, where was it purchased?
If used modern medicine, where was it purchased?
Ask for each answer choice, circle the code where to buy drugs, and enter amount of code that is circled in the box provided.
114918
765018
1
62
6.986
1
Pharmacy
2
Drug store
4
Village Medicine Post
8
Vendor
16
Ambulant vendor
32
Other
1. Pharmacy is a place selling drugs to a pharmacist as responsible and obtain permission from local Department of Health Regional Office.
2. Drug store is a place that sells limited free medicine, free medicine and traditional medicine may also (sometimes breaking the law by selling drugs that must be prescribed by a doctor), the assistant pharmacist as responsible and obtain permission from the local health service.
3. Village Medicine Post is the village-level units that provide basic drugs and organized by the community through health volunteers under the guidance of health center. In practice, cadres will ask the patient complaint and then provide the appropriate remedy.
4. Vendor is a place that sells a variety of goods and daily necessities of food, including unlimited free drugs, free drugs or certain traditional medicines (sometimes breaking the law by selling drugs that must be prescribed by a doctor).
5. Ambulant vendor is a traveling salesman who sold the drug dealers to move where.
6. Others, for example, giving neighbors, drug samples, etc..
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
If the answer is coded 2, skip to k5r7a or k5r14
Circle the appropriate code and fill in the provided box.
222762
1
Yes
2
No
The followings are not included in medical treatment:consultation,medical check-up,health check (such as for Driver Liscense,new employee acceptance,promotion),screening (medical check-up to find illness,such as:Pap Smear Test for cervix cancer,mantoux tes for toddler to find TBC),normal pregnancy check-up,and immunization,because all are prevention efforts.
Outpatient is an effort by household members who have health problems to check their health and get medication by going to modern or traditional health services without hospitalization,including housecall.
Frequency outpatient - Government’s hospital
Frequency outpatient - Government’s hospital
Frequency outpatient - Government’s hospital
Frequency outpatient - Government’s hospital
Frequency outpatient - Government’s hospital
How many times have you had an ongoing treatment in this last month: 01. Government’s hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.0894
1
2
3
4
5
6
7
8
Sysmiss
Government’s hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Frequency outpatient - Private hospital
Frequency outpatient - Private hospital
Frequency outpatient - Private hospital
Frequency outpatient - Private hospital
Frequency outpatient - Private hospital
How many times have you had an ongoing treatment in this last month: 02. Private hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.0401
1
2
3
4
5
6
7
8
Sysmiss
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Frequency outpatient - Doctor’s office
Frequency outpatient - Doctor’s office
Frequency outpatient - Doctor’s office
Frequency outpatient - Doctor’s office
Frequency outpatient - Doctor’s office
How many times have you had an ongoing treatment in this last month: 03. Doctor’s office
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.291
1
2
3
4
5
6
7
8
Sysmiss
Doctor’s office is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN.
Frequency outpatient - Public Health Center (Puskesmas)
Frequency outpatient - Public Health Center (Puskesmas)
Frequency outpatient - Public Health Center (Puskesmas)
Frequency outpatient - Public Health Center (Puskesmas)
Frequency outpatient - Public Health Center (Puskesmas)
How many times have you had an ongoing treatment in this last month: 04. Public Health Center (Puskesmas)
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.382
1
2
3
4
5
6
7
8
Sysmiss
Public Health Center (Puskesmas) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu)
Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu)
Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu)
Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu)
Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu)
How many times have you had an ongoing treatment in this last month: 05. Assisted Public Health Center (Puskesmas Pembantu)
95570
784366
8
0.155
1
2
3
4
5
6
7
8
Sysmiss
Assisted Public Health Center (Puskesmas Pembantu), the public health service units that assist the health center in most of the Puskesmas.
Frequency outpatient - Clinic
Frequency outpatient - Clinic
Frequency outpatient - Clinic
Frequency outpatient - Clinic
Frequency outpatient - Clinic
How many times have you had an ongoing treatment in this last month: 06. Clinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.0339
1
2
3
4
5
6
7
8
Sysmiss
Polyclinic is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN.
Frequency outpatient - Health officer’s office
Frequency outpatient - Health officer’s office
Frequency outpatient - Health officer’s office
Frequency outpatient - Health officer’s office
Frequency outpatient - Health officer’s office
How many times have you had an ongoing treatment in this last month: 07. Health officer’s office
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.295
1
2
3
4
5
6
7
8
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Frequency outpatient - Batra’s practices
Frequency outpatient - Batra’s practices
Frequency outpatient - Batra’s practices
Frequency outpatient - Batra’s practices
Frequency outpatient - Batra’s practices
How many times have you had an ongoing treatment in this last month: 08. Batra’s practices
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.07
1
2
3
4
5
6
7
8
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Frequency outpatient - Polindes
Frequency outpatient - Polindes
Frequency outpatient - Polindes
Frequency outpatient - Polindes
Frequency outpatient - Polindes
How many times have you had an ongoing treatment in this last month: 09. Polindes
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.0309
1
2
3
4
5
6
7
8
Sysmiss
Polindes (village midwife stations) is service place to assisted the childbirth process villagers/kelurahan, usually led by a midwife in the village.
Frequency outpatient - Integrated Service Post (Posyandu)
Frequency outpatient - Integrated Service Post (Posyandu)
Frequency outpatient - Integrated Service Post (Posyandu)
Frequency outpatient - Integrated Service Post (Posyandu)
Frequency outpatient - Integrated Service Post (Posyandu)
How many times have you had an ongoing treatment in this last month: 10. Integrated Service Post (Posyandu)
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
95570
784366
8
0.0138
1
2
3
4
5
6
7
8
Sysmiss
Integrated Service Post (Posyandu) is an integrated POS services that provide integrated service especially for immunization, maternal and child health, family planning, prevention of diarrhea and nutrient (growth monitoring and supplementary feeding for children under five); held by the public through health cadres under the guidance of health center.
Where did you go for outpatient services the first time?
Where did you go for outpatient services the first time?
Where did you go for outpatient services the first time?
Where did you go for outpatient services the first time?
Where did you go for outpatient services the first time?
Where did you go for outpatient services the first time?
Fill in code the service for outpatient visits first time into box provided.
78679
1
Government’s hospital
10
Integrated Service Post (Posyandu)
2
Private hospital
3
Doctor’s office
4
Public Health Center (Puskesmas)
5
Assisted Public Health Center (Puskesmas Pembantu)
6
Clinic
7
Health officer’s office
8
Batra’s practices
9
Polindes/BDD/Posyandu
Age in months: (months)
Age in months: (months)
Age in months: (months)
Age in months: (months)
Age in months: (months)
Age in months: (months)
If the toddler is 1 month old or more (k5r7a not equal to 00), continue to k5r8.
Fill in the toddler's age in months, if the age is >= 1 month in the space provided and directly move it to the box provided
Child age 0-59 months
87631
792305
59
28.853
Age in days: (days)
Age in days: (days)
Age in days: (days)
Age in days: (days)
Age in days: (days)
If k5r7a = 00
Age in days: (days)
Fill in the toddler's age in days, if the toddler is < 1 month old in the space provided and directly move it to the box provided.
Child age 0-59 months
1226
878710
1
30
15.658
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Fill in the box a for the helper for the first born .
Child age 0-59 months
87631
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Fill in box b for the helper for the last born .
Child age 0-59 months
87631
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Frequency of immunization - BCG
Frequency of immunization - BCG
Frequency of immunization - BCG
Frequency of immunization - BCG
Frequency of immunization - BCG
How many times the children have had immunization? a. BCG
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
87631
792305
9
1.028
1
2
3
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. BCG (Bacillus Calmette Guerin) is a vaccination to prevent Tuberculosis/TBC, given to a new born baby or a toddler by injection on the base of the upper arm. BCG injection is given one time.
Frequency of immunization - DPT
Frequency of immunization - DPT
Frequency of immunization - DPT
Frequency of immunization - DPT
Frequency of immunization - DPT
How many times the children have had immunization? b. DPT
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
87631
792305
9
1.868
1
2
3
4
5
6
7
8
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. DPT (Diphteria ,Pertussis, Tetanus) is given to a baby aged 3 months or older, by injecting it on the thigh and should be repeated after 1 month and then again after 2 months. Thus, a complete DPT Immunization on toddlers are done 3 times (sometimes time lapse between injections can be more than one month).
Frequency of immunization - Polio
Frequency of immunization - Polio
Frequency of immunization - Polio
Frequency of immunization - Polio
Frequency of immunization - Polio
How many times the children have had immunization? c. Polio
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
87631
792305
9
2.456
1
2
3
4
5
6
7
8
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Polio is a vaccine to prevent polio virus, given to a baby at the age 3 months or older by giving 3 drops of liquid vaccine in a pink or white color directly into the baby's mouth; usually given together with DPT vaccination. A complete Polio immunization is given 3 times. In National Immunization Week (PIN), polio immunization are given specifically for all toddlers in Indonesia at the same week (in certain regions are at the same month or day) in accordance to the given schedule.
Frequency of immunization - Measles/Morbili
Frequency of immunization - Measles/Morbili
Frequency of immunization - Measles/Morbili
Frequency of immunization - Measles/Morbili
Frequency of immunization - Measles/Morbili
How many times the children have had immunization? d. Measles/Morbili
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
87631
792305
9
0.784
1
2
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Measles/morbilli is a vaccine to prevent measles/morbilli; (please state the symptoms and epidemic area of measles if the mother seems not understand), that is usually given one time to a baby aged between 9 to 12 months, by injecting on the thigh.
Do you have KMS/Immunization Card?
Do you have KMS/Immunization Card?
Do you have KMS/Immunization Card?
Do you have KMS/Immunization Card?
Do you have KMS/Immunization Card?
Do you have KMS/Immunization Card?
If the answer is coded 2 or 3, skip to k5r12
Circle the appropriate code and enter the box provided. Select the code of 1 if the mother or any household member saving at home and can show KMS (Card Towards Healthy) or the child's immunization card. Select the code 2 if the card in other place, such as stored by leader of cadre, mother village head , or if the respondent said that having the card, but can not show for forgetting where to put it, including those in the doctor's immunization records. Select the code 3 if not have a card.
Child age 0-59 months
87630
1
Yes, have at home
2
Yes, have in another Place
3
Doesn’t have
KMS is the card that contains the child's growth curve based on anthropometric index weight according to age differentiated by sex.
KMS/Immunization - BCG
KMS/Immunization - BCG
KMS/Immunization - BCG
KMS/Immunization - BCG
KMS/Immunization - BCG
Copy the frequency of immunization based on KMS/Immunization data: a. BCG
Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided.
Child age 0-59 months
36250
843686
9
1.15
1
2
3
9
Sysmiss
KMS/Immunization - DPT
KMS/Immunization - DPT
KMS/Immunization - DPT
KMS/Immunization - DPT
KMS/Immunization - DPT
Copy the frequency of immunization based on KMS/Immunization data: b. DPT
Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided.
Child age 0-59 months
36250
843686
9
2.216
1
2
3
4
5
6
7
8
9
Sysmiss
KMS/Immunization - Polio
KMS/Immunization - Polio
KMS/Immunization - Polio
KMS/Immunization - Polio
KMS/Immunization - Polio
Copy the frequency of immunization based on KMS/Immunization data: c. Polio
Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided.
Child age 0-59 months
36250
843686
9
2.542
1
2
3
4
5
6
7
8
9
Sysmiss
KMS/Immunization - Measles/Morbili
KMS/Immunization - Measles/Morbili
KMS/Immunization - Measles/Morbili
KMS/Immunization - Measles/Morbili
KMS/Immunization - Measles/Morbili
Copy the frequency of immunization based on KMS/Immunization data: d. Measles/Morbili
Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided.
Child age 0-59 months
36250
843686
9
0.843
1
2
9
Sysmiss
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
If the entry is coded 2, finished.
Circle code 1 for “Yes” and code 2 for “No” and write down in the provided box.
Child age 0-59 months
87631
1
Yes
2
No
Breastfeeding is if a mother’s nipple sucked by a baby secreting milk that is drunk by the baby,although only a little. A breastfeeding mother is not only the biological mother of the baby but she could be another woman.
Breast milk(ASI) is the best natural food for baby,which composition meets the full requirement of a baby up to 6 months old.ASI contains elements that provides protection against various diseases and also enzyme that help baby’s digestive system. Breastfeeding with affection can also strengthen the bond between a mother and her baby.
Duration of breast feeding (days)
Duration of breast feeding (days)
Duration of breast feeding (days)
Duration of breast feeding (days)
Duration of breast feeding (days)
If k5r7a = 00
Duration of breast feeding (days)
If a child has been given ASI, enter duration of breastfeeding into the provided boxes.
Child age 0-59 months
82993
796943
59
16.977
Breast feeding only (days)
Breast feeding only (days)
Breast feeding only (days)
Breast feeding only (days)
Breast feeding only (days)
If k5r7a = 00
Breast feeding only (days)
If a child has been given AS I, enter duration of exclusive breastfeeding into the provided boxes.
Child age 0-59 months
82993
796943
49
3.775
Breast feeding + food/drink supplement (days)
Breast feeding + food/drink supplement (days)
Breast feeding + food/drink supplement (days)
Breast feeding + food/drink supplement (days)
Breast feeding + food/drink supplement (days)
If k5r7a = 00
Breast feeding + food/drink supplement (days)
If a child has been given ASI , enter duration of ASI plus complementary food into the provided boxes.
Child age 0-59 months
82993
796943
59
13.202
Within 24 the last hours, the child given: (days)
Within 24 the last hours, the child given: (days)
Within 24 the last hours, the child given: (days)
Within 24 the last hours, the child given: (days)
Within 24 the last hours, the child given: (days)
If k5r7a = 00
(Specific for children under 12 month) within 24 the last hours, the child given: (days)
Fill code 1 if the child in the last 24 hours were given only breast milk only, code 2 if given breast milk + food/drinks additional, code 3 if not given breast milk into the box provided.
Child age 0-59 months
16412
1
Breast feeding only
2
Breast feeding + food/drink supplement
3
No breast feeding (only food and drinks)
4
Duration of breast feeding (month)
Duration of breast feeding (month)
Duration of breast feeding (month)
Duration of breast feeding (month)
Duration of breast feeding (month)
If k5r7a not equal to 00
Duration of breast feeding (month)
If a child has been given ASI, enter duration of breastfeeding into the provided boxes
Child age 0-59 months
1226
878710
30
13.746
Breast feeding only (month)
Breast feeding only (month)
Breast feeding only (month)
Breast feeding only (month)
Breast feeding only (month)
If k5r7a not equal to 00
Breast feeding only (month)
If a child has been given AS I, enter duration of exclusive breastfeeding into the provided boxes.
Child age 0-59 months
1226
878710
30
11.967
Breast feeding + food/drink supplement (month)
Breast feeding + food/drink supplement (month)
Breast feeding + food/drink supplement (month)
Breast feeding + food/drink supplement (month)
Breast feeding + food/drink supplement (month)
If k5r7a not equal to 00
Breast feeding + food/drink supplement (month)
If a child has been given ASI , enter duration of ASI plus complementary food into the provided boxes.
Child age 0-59 months
1226
878710
29
1.778
Within 24 the last hours, the child given: (month)
Within 24 the last hours, the child given: (month)
Within 24 the last hours, the child given: (month)
Within 24 the last hours, the child given: (month)
Within 24 the last hours, the child given: (month)
If k5r7a not equal to 00
(Specific for children under 12 month)Within 24 the last hours, the child given: (month)
Fill code 1 if the child in the last 24 hours were given only breast milk only, code 2 if given breast milk + food/drinks additional, code 3 if not given breast milk into the box provided.
Child age 0-59 months
1226
1
Breast feeding only
2
Breast feeding + food/drink supplement
3
No breast feeding (only food and drinks)
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
1. If the answer is coded 1, skip to k5r18
Circle one of the codes from 1 to 3 and enter the number into the box provided.
Household member age five years up
792305
1
No/never in school
2
Still in school
3
No longer in school
A person is considered schooling if he is registered and active in attending a study process in formal education level,whether under supervision of Ministry of National Education/Depdiknas or other department/institution.
1. Not/not yet attending school - never or not yet been registered and never been active in attending school or at formal education level, including have completed/not completed kindergarten level but do not continue to elementary school.
2. Still attending school - are those who are registered and actively attending a formal education level, whether it is under supervision of Ministry of National Education, Ministry of Religion, other Government Institution, or Private Institution.
3. No longer in school - those who were once registered and actively attending a formal education, but at the time of census are not registered and active anymore, including those who are attending Package A program of SD (Elementary) equivalent, Package B program of SMP (Junior High) equivalent and Package C Program of SMA (Senior High) equivalent.
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
Circle one of code 1 to 14 and fill it in the provided box.
Household member age five years up
683376
1
Primary school
10
Diploma I/II
11
Diploma III/bachelor
12
Diploma IV/ graduate
13
Master
14
Ph.D.
2
“Ibtidaiyah” (Islamic)
3
“A” packet group
4
Junior high/ Vocational
5
“Tsanawiyah” (Islamic)
6
“B” packet group
7
Senior High school
8
“Aliyah” (islamic)
9
Vocational High school
1. SD/SDLB is an Elementary School of 5/6/7 years or equivalent(elementary special school,small elementary school,pamong elementary school).
2. Madrasah Ibtidaiyah(MI) is Islamic Elementary School of SD equivalent.
3. SMP/SMPLB is Secondary School or the equivalent MULO,3-year HBS,and Secondary Special School).
4. Madrasah Tsanawiyah(MTs) is Islamic Secondary School of SMP equivalent .
5. General High School(SMU)/Special High School(SMLB) is a High School(SMU),or the equivalent(Special High School,5-year HBS,AMS,and Employee Administration High Course(KPAA).
6. Madrasah Aliyah(MA) is an Islamic High School of SMU equivalent.
7. Vocational High School(SMK) is a vocational school of SMA equivalent.
8. Diploma 1/2 Program is D1/D2 program in a university that organizes diploma 1 and 2 program in formal education.
9. Diploma 3 Program/baccalaureate is a D3 program or baccalaureate degree in an academy or university that organizes diploma programs or issues baccalaureate degrees.
10. Diploma 4 Program/bachelor is an education program of Diploma 4 or Strata1 in a university.
11. S2/S3 is a postgraduate education program(master or doctorate),Strata 2 or Strata 3 in a university.
Education provider:
Education provider:
Education provider:
Education provider:
Education provider:
Ask who education providers. Fill one of the appropriate code in the box provided.
Household member age five years up
683380
1
State
2
Private
3
Overseas
Highest level ever or being attended
Highest level ever or being attended
Highest level ever or being attended
Highest level ever or being attended
Highest level ever or being attended
Level/grade ever or being attended:
Circle one of the following codes from 1 to 8 and enter the code into the box provided.
Household member age five years up
683376
196560
8
5.415
1
Grade-1
2
Grade-2
3
Grade-3
4
Grade-4
5
Grade-5
6
Grade-6
7
Grade-7
8
Graduated
Sysmiss
Graduated means has completed the study marked with passing the final exams in the last class/level of an education in a public or private school and received a certificate/diploma. A household head/member who has not attended the last level of education program but has passed the final exams is considered graduate.
The highest level completed:
The highest level completed:
The highest level completed:
The highest level completed:
The highest level completed:
The highest level completed:
Household member age five years up
683376
1
None
2
Elementary/MI and its equivalent
3
Junior high/MTs/vocational and its equivalent
4
Senior high/MS and its equivalent
5
Vocational school
6
Diploma I/II
7
Diploma III/junior bachelor
8
Diploma IV/University
9
Master degree/doctoral degree
None means that the household/member does not possessed certificate for a certain educational level, but has to attended to Elementary School of 5/6/7 year study or equivalent(among others are basic level of SLB,Madrasah Ibtidaiyah,Pamong Elementary School,Smal Elementary School,Package A1-A100,Package a Equivalent) but did not/has not yet graduate.This include household/member who graduated 3-year elementary school or equivalent.
Can you speak Indonesian?
Can you speak Indonesian?
Can you speak Indonesian?
Can you speak Indonesian?
Can you speak Indonesian?
Can you speak Indonesian?
Household member age five years up
792305
1
Yes
2
No
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Circle one of the code 1 to code 4 and enter the answer into the provided box.
Household member age five years up
792305
1
Latin alphabets
2
Other alphabets
3
Latin and other alphabets
4
Cannot
Can read and write means able to read and write words/simple sentences in certain letters, e.g. "I must be honest."
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Did you perform the following activity in the past one week? a. work
Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided.
Household member age 10 years up
693869
No
1
Yes
Working is an activity of doing work with the intention to earn or help earning a living or profit,minimum for one hour in the last one week. Working for one hour as mentioned above should be done continuously and uninterrupted. Income includes wages/salary,including all the benefits and bonus for worker/employee and business income in the form of rents or profits,whether in cash or goods for businessmen.
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Did you perform the following activity in the past one week? b. attending school
Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided.
Household member age 10 years up
693869
No
1
Yes
Going to school is an activity at a formal school,whether in primary,secondary,or higher education.Students on leave are not included.
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Did you perform the following activity in the past one week? c. handling household
Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided.
Household member age 10 years up
693869
No
1
Yes
Handling household is an activities of managing the household or helping to manage the household without getting paid.
Activities in past one week - looking for a job
Activities in past one week - looking for a job
Activities in past one week - looking for a job
Activities in past one week - looking for a job
Activities in past one week - looking for a job
Did you perform the following activity in the past one week? d. looking for a job
Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided.
Household member age 10 years up
693869
No
1
Yes
Other activities include: sports, course, picnic and social activities (organization, volunteering)
Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore.
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Did you perform the following activity in the past one week? e. other beside personal activity
Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided.
Household member age 10 years up
693869
No
1
Yes
Other activities include: sports, course, picnic and social activities (organization, volunteering)
Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore.
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
If k6r20a1- 4 with code 1 (“Yes”)
What activity used the most time in the past one week?
If k6r20b is coded 1, skip to k6r23
k6r24a with code 1 (“Yes”) – ask what activity is the most time consuming in the last one week, circle one of the codes and enter the number into the box provided.
Household member age 10 years up
693869
1
Work
2
School
3
Handling Household
4
Other
5
The most time consuming activity is an activity that uses up most time in comparison with other activities.
Did you work for living at least 1 hour during previous week?
Did you work for living at least 1 hour during previous week?
Did you work for living at least 1 hour during previous week?
Did you work for living at least 1 hour during previous week?
Did you work for living at least 1 hour during previous week?
If k6r20a1 is code 0 ("No")
If the answer is coded 1, skip to k6r23
If the details 20.a1 = 1, then details 21 code directly filled 1, if the details 20.a.1 = 2, then details 21 were asked again to ensure whether respondents actually work for living or not for 1 hour during previous week.
Household member age 10 years up
389796
1
Yes
2
No
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
If the answer is coded 2, skip to k6r28.
Circle code 1 for “Yes” or code 2 for “No”, then enter the answer into the provided box.
Household member age 10 years up
330459
1
Yes
2
No
Those who are categorized as have jobs but temporarily do not work are:
1.Professional workers who do not work because of sickness waiting for the next projects.Examples: Puppet master,masseur/se,shaman and singer.
2.Regular employees,government officials or employees of private companies who are ill,on leave,absent,on strike or temporarily laid off because the company stopped operating,for example a factory having machine malfunction,or lack of raw material,etc.
3.Farmer who works on farm land,stops working because of an illness or waiting for the next job such as harvest or rainy season to start planting paddy field.
Those who are categorized as having jobs but temporarily do not work are people who work/have businesses but for the last one week stop working for a reason,such as sick,on leave,waiting for harvesting,or on a strike.
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Write down the total working days for the last one week according to the number of days spent for work and enter it in the box provided.
Household member age 10 years up
373112
506824
7
5.789
1
2
3
4
5
6
7
Sysmiss
Working days means days spent by a person to carry out working activities at a minimum of one (1) hour continuously in the last one week.
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Write down the total working hours in the last one week and enter it in the box provided.
Household member age 10 years up
373112
506824
98
36.183
Total working hours is the time (in hour) spent to do all the working activities in the last one week. If respondent is temporary out of work, write down "00"
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Write down completely the type of position/main job in the empty space provided.
Household member age 10 years up
373112
1
10
11
12
13
14
15
16
17
18
19
2
20
21
3
30
31
32
33
34
35
36
37
38
39
4
40
41
42
43
44
45
5
50
51
52
53
54
55
56
57
58
59
6
60
61
62
63
64
7
70
71
72
73
74
75
76
77
78
79
8
80
81
82
83
84
85
86
87
88
89
9
90
91
92
93
94
95
96
97
98
99
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Write down completely the main business/job from workplace in the empty space provided.
Household member age 10 years up
373112
1
10
11
12
13
14
15
16
17
18
2
21
22
23
24
25
26
3
31
32
33
34
35
36
37
38
39
4
41
42
43
5
51
52
6
61
62
63
64
7
71
72
73
74
75
8
81
82
83
9
91
92
93
94
95
96
99
Business sector/type of work is the sector of activity of work/company/business where the household head/member works.
How to determine the main work:
1.If a household head/member in the last one week only has only one work,than it is considered the main work.
2.If a household head/member in the last one week has more than one work,the main work is the one that consumes the most time. If the time spent to do those works are the same,than the work that produces the largest income is considered the main work.
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
If the answer is coded 1,2,3 or 5 skip to k6r28.
Circle one of the code 1 to code 5 and enter the answer into the provided box.
Household member age 10 years up
373112
1
Self-owned business
2
Self-owned business with non-permanent/non-paid worker
3
Self-owned business with permanent/paid worker
4
Worker/employee/staff
5
Non-paid worker
Status/work position is the household head/member position at main job.
1. Self-owned business/freelance is a household head/member who works/owns business by taking economical risk, that may result in the lost of production cost that has been spent in doing the business, and does not employ any worker whether paid or unpaid. Included in this category are works that required special skill/talent.
2. Self-owned business with non-permanent/non-paid worker is a household head/member who works or owns a business on his own risk, and hires unpaid labor/employee/staff and or employs fee labor/employee/staff.
3. Self-owned business with permanent/paid worker is a household head/member who opens a business at his own risk and employs at lease one paid labor/employee/staff.
4. Worker/employee/staff is a household head/member whow works for other people or institutions/ office/company and regularly receives wages/salaries in the form of money or goods (in-kind)
5. Non-paid worker is a household member who works to help household head/member/other people without getting paid, whether in the form of money or goods.
Wage/salary (in cash): (Rp)
Wage/salary (in cash): (Rp)
Wage/salary (in cash): (Rp)
Wage/salary (in cash): (Rp)
Wage/salary (in cash): (Rp)
What was the wage/net salary received in a month from main work? wage/salary (in cash): (Rp)
Write down the wage / salary received by the worker / employee during the month, corresponding the respondents' answers. If wages / salaries received during the month are generally in the form of money, fill the available space and moved into the box.
Household member age 10 years up
116325
763611
99999999
276392.565
Wage/salary (in-goods): (Rp)
Wage/salary (in-goods): (Rp)
Wage/salary (in-goods): (Rp)
Wage/salary (in-goods): (Rp)
Wage/salary (in-goods): (Rp)
What was the wage/net salary received in a month from main work? wage/salary (in-goods): (Rp)
Write down the wage / salary received by the worker / employee during the month, corresponding the respondents' answers. If wages / salaries received during the month are generally in the form of goods, fill the available space and moved into the box.
Household member age 10 years up
116326
763610
2143289343
41324.267
Have you aver worked before?
Have you aver worked before?
Have you aver worked before?
Have you aver worked before?
Have you aver worked before?
Have you aver worked before?
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Household member age 10 years up
693801
1
Yes
2
No
Were you looking for a job?
Were you looking for a job?
Were you looking for a job?
Were you looking for a job?
Were you looking for a job?
Were you looking for a job?
If the answer is coded 2, skip to k7r32 or other household member.
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Household member age 10 years up
693801
1
Yes
2
No
Did you listen to the radio during previous week
Did you listen to the radio during previous week
Did you listen to the radio during previous week
Did you listen to the radio during previous week
Did you listen to the radio during previous week
Did you listen to the radio during previous week
If the answer is coded 2, skip to k7r32 or other household member.
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Household member age 10 years up
693801
1
Yes
2
No
Listening to the radio, if someone directs his hearing to the materials broadcasted on the radio or takes time to listen to the radio, so that he can follow, understand, or enjoy what he is doing.
Did you watch TV during the previous week?
Did you watch TV during the previous week?
Did you watch TV during the previous week?
Did you watch TV during the previous week?
Did you watch TV during the previous week?
Did you watch TV during the previous week?
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Household member age 10 years up
693801
1
Yes
2
No
It said watching television if someone directs attention to the shows in television, or takes time to watch TV shows, so that he can understand or enjoy the show broadcasted.
Did you read newspaper/magazine during previous week?
Did you read newspaper/magazine during previous week?
Did you read newspaper/magazine during previous week?
Did you read newspaper/magazine during previous week?
Did you read newspaper/magazine during previous week?
Did you read newspaper/magazine during previous week?
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Household member age 10 years up
693801
1
Yes
2
No
It can be said reading, if someone had read at least one topic over the past week,and he knows / understands the contents of the topic or at a minimum had read one page of a book. Parents who read a storybook to the children is categorized reading a storybook, while the children who just listen are not categorized as reading.
Newspaper covers daily and weekly newspapers.
- Daily newspaper is a newspaper which is published daily, such as Kompas, Media Indonesia, Merdeka, Suara Karya, Suara Pembaruan, Terbit, etc.
- Weekly newspaper is a newspaper published once a week (not including tabloid), for instance Suara Pembaharuan Minggu (SPM).
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
Fill in respondent’s age at first marriage in the provided space and write it down in the box. The formula to calculate the respondent's age at first marriage is the same as the formula to count respondent's age.
Women ever married aged 10 years and above
229500
650436
10
79
19.214
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Ask how long the respondent has been married. If there were more than one marriage, please add the number of years of the entire wedlocks made. Rounded it down. For those who got pregnant out of wedlock enter code "00".
Women ever married aged 10 years and above
229500
650436
84
19.197
Number of biological children - born alive
Number of biological children - born alive
Number of biological children - born alive
Number of biological children - born alive
Number of biological children - born alive
Number of biological children a. Born alive
Number of biological children - born alive
Fill in the number of biological children born alive for each sex in appropriate column (male or female), and enter number of children into the box provided.
Women ever married aged 10 years and above
229500
650436
44
3.35
The biological child who born at that time showed signs of life, although perhaps only a few moments only, such as heart beat, breathing, and crying.
Number of biological children - still alive
Number of biological children - still alive
Number of biological children - still alive
Number of biological children - still alive
Number of biological children - still alive
Number of biological children b. Still alive (In this household and Outside of this HH)
Number of biological children - still alive
Fill in number of biological children who are still alive (In this household and Outside of this HH) for each sex in the appropriate column (male or female) and write down the number of children in the box provided. To avoid possible errors, first check and write down the number of children living in the household and living outside the household. For children living outside the household and unknown conditions considered still alive.
Women ever married aged 10 years and above
229500
650436
44
2.941
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
21
22
25
30
32
44
Sysmiss
Children still alive refers to children who were born alive and are still living at the time of enumeration, regardless of whether they are currently living with their parents or not.
Number of biological children - died
Number of biological children - died
Number of biological children - died
Number of biological children - died
Number of biological children - died
Number of biological children c. Died
Number of biological children - died
Fill in the number of biological children who have died for each sex in the corresponding column (male or female), and enter the number of children in the box provided.
Women ever married aged 10 years and above
229500
650436
21
0.409
1
2
3
4
5
6
7
8
9
10
11
12
13
15
16
20
21
Sysmiss
Did you ever use contraception?
Did you ever use contraception?
Did you ever use contraception?
Did you ever use contraception?
Did you ever use contraception?
Did you ever use contraception?
If the answer is coded 2, finish.
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Women aged 10-49 years and married
156134
1
Yes
2
No
Do you currently use a contraceptive?
Do you currently use a contraceptive?
Do you currently use a contraceptive?
Do you currently use a contraceptive?
Do you currently use a contraceptive?
If the answer is coded 2, finish.
Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box.
Women aged 10-49 years and married
103599
1
Yes
2
No
Type of contraceptive currently using:
Type of contraceptive currently using:
Type of contraceptive currently using:
Type of contraceptive currently using:
Type of contraceptive currently using:
If currently using (k7r28 = 1)
The selected family planning device/method:
If respondent uses more than one type of contraception (to meet the concept of contraception usage), then write down the type with the smallest code number.
Women aged 10-49 years and married
81854
1
Women/tubectomy
2
Men/vasectomy
3
IUD/spiral
4
Injection
5
Implant/norplant
6
Birth control pill
7
Condom/rubber
8
Intravag/tissue/women condom
9
Traditional method
1. MOW/Medis Operasi Wanita (woman medical surgery)/tubectomy (woman sterilization) is a surgery performed on female household head/member by having her fallopian tubes closed to prevent pregnancy. Please emphasize that the goal is to prevent future pregnancies.
2. MOP/Medis Operasi Pria (man medical surgery)/vasectomy (man sterilization) is a minor surgery performed on male household head/member to prevent his spouse from being pregnant.
3. AKDR/Alat Kontrasepsi Dalam Rahim (IUD/Intra Uterus Device) is a device made of soft plastic/copper,small in size,in the forms of spiral,T,fan,etc. installed inside the womb/uterus to prevent pregnancy. This device functions as pregnancy prevention for a long period of time.
4. KB Injection is one of ways to prevent pregnancy by injecting contraceptive substance periodically,e.g. once in one,three,or six months.
5. Susuk KB/norplant/implanon/alwalit (Contraceptive Skin Implant)-are six small metals to be implanted/injected under the skin of the upper arm to prevent pregnancy. A household head/member is considered using susuk KB if she had the implant less than five(5) years ago prior to the date of census. This includes under the skin injection(implant).
6. KB Pills are pills that are taken to prevent pregnancy. These pills should be taken regularly.
7. Condom/KB rubber is a device made of rubber,in a balloon-like shape,used by male household head/member while having sexual intercourse in order to prevent the spouse from getting pregnant.
8. Intravag/tissue/woman’s condom is a KB tissue positioned inside the vagina before having sexual intercourse. Reference time for this device is up to the last intercourse within 30 days before the interview.
9. Traditional method:
a.Periodic abstinence/calendar method is based on the assumption that by not having sexual intercourse in a certain days of the month,which is during fertile period in monthly cycle,a woman could prevent pregnancy.
b.Coitus interruptus is a method to prevent semen from entering vagina by interrupting intercourse before ejaculation. The refference time for this method is the last intercourse within 30 days.
c.Other traditional methods such as breastfeeding for the purpose of birth control,abstinence,traditional herbs (jamu),and massage.
Individual weight 1998
Individual weight 1998
Individual weight 1998
Individual weight 1998
Individual weight 1998
879936
12
1524
230.255
Household weight 1998
Household weight 1998
Household weight 1998
Household weight 1998
Household weight 1998
879936
12
2080
225.441
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
275747
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
54
East Timor
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
275747
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
4
5
6
7
71
72
73
74
75
76
77
78
8
9
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
275747
10
100
101
11
110
111
12
120
121
130
131
132
14
140
141
150
151
153
160
161
170
171
180
181
182
190
191
20
200
201
21
210
22
220
230
231
240
241
250
260
270
280
30
300
31
310
32
320
330
40
41
42
50
51
52
60
61
70
71
710
720
730
740
80
81
90
91
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
275747
1
10
100
102
104
11
112
115
116
12
121
122
13
131
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
30
31
32
33
34
35
36
37
38
39
4
40
41
42
43
44
45
46
47
48
49
5
50
51
52
53
54
55
56
57
58
59
6
60
61
62
63
64
65
68
69
7
70
71
72
73
76
77
79
8
80
81
83
85
86
87
9
90
95
96
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
275747
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list.
275747
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Write down the serial number of sample households in the space provided and then move to the box provided.
275747
1
10
11
12
13
14
15
16
2
3
4
5
6
7
8
9
Village classification
Village classification
Village classification
Village classification
Village classification
275747
1
Least developed village
2
Developed village
Number of household members
Number of household members
Number of household members
Number of household members
Number of household members
Number of household members
Fill in the number of household members of the sample households. The contents should be same as unit numbers of household members last in Column 1 Block IV.
275747
1
23
5.057
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Write down the number of household members aged 0-59 months in accordance with the number of rows in Column 6 Block IV.
275747
6
0.512
1
2
3
4
5
6
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Write down the number of household members who outpatient in the past month according to the number of code 1 in column 8, Block IV.
275747
13
0.621
1
2
3
4
5
6
7
8
9
13
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Write down the number of household members inpatient in the past 12 months in accordance to the number of code 1 in column 9, Block IV.
275747
4
0.0596
1
2
3
4
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
275747
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
3
4
5
6
7
8
9
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1.
275747
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1.
275747
1
Male
2
Female
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box.
275747
99
26.812
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status
Ask marital status of the respondent and enter the code into the box provided.
275747
1
Not married
2
Married
3
Divorce
4
Divorce due to death
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Serial number of respondents
Serial number of respondents
Serial number of respondents
Serial number of respondents
Serial number of respondents
Serial number of respondents
275747
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
3
4
5
6
7
8
9
Outpatie nt in the past one month
Outpatie nt in the past one month
Outpatie nt in the past one month
Outpatie nt in the past one month
Outpatie nt in the past one month
Outpatie nt in the past one month
Enter code 1 if any household member who outpatient for the past month, and code 2 if it is not into the column (8).
275747
1
Yes
2
No
Ever have been inpatient in the past 12 month
Ever have been inpatient in the past 12 month
Ever have been inpatient in the past 12 month
Ever have been inpatient in the past 12 month
Ever have been inpatient in the past 12 month
Ever have been inpatient in the past 12 month
Enter code 1 if any household members ever inpatient during the past year, and code 2 if not into the column (9).
275747
1
Yes
2
No
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a)
If the answer is coded 2, skip to b5r3
Fill code 1 if Yes, Code 2 if not, in the box provided.
275747
1
Yes
2
No
Expenses for the treatment: (Rp)
Expenses for the treatment: (Rp)
Expenses for the treatment: (Rp)
Expenses for the treatment: (Rp)
Expenses for the treatment: (Rp)
Expenses for the treatment: (Rp)
275747
9999999
998.462
Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance)
Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance)
Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance)
Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance)
Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance)
Do you have health insurance for out-patient/in-patient such as: a. ‘Askes’ (Health Insurance)
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance)
Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance)
Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance)
Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance)
Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance)
Do you have health insurance for out-patient/in-patient such as: b. ‘Astek/Jamsostek’ (Man power insurance)
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Health insurance for out-patient/in-patient - Company/Office
Health insurance for out-patient/in-patient - Company/Office
Health insurance for out-patient/in-patient - Company/Office
Health insurance for out-patient/in-patient - Company/Office
Health insurance for out-patient/in-patient - Company/Office
Do you have health insurance for out-patient/in-patient such as: c. Company/Office
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Health insurance for out-patient/in-patient - Other insurance
Health insurance for out-patient/in-patient - Other insurance
Health insurance for out-patient/in-patient - Other insurance
Health insurance for out-patient/in-patient - Other insurance
Health insurance for out-patient/in-patient - Other insurance
Do you have health insurance for out-patient/in-patient such as: d. Other insurance
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Health insurance for out-patient/in-patient - “Dana sehat” (fund for health)
Health insurance for out-patient/in-patient - “Dana sehat” (fund for health)
Health insurance for out-patient/in-patient - “Dana sehat” (fund for health)
Health insurance for out-patient/in-patient - “Dana sehat” (fund for health)
Health insurance for out-patient/in-patient - “Dana sehat” (fund for health)
Do you have health insurance for out-patient/in-patient such as: e. “Dana sehat” (fund for health)
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Health insurance for out-patient/in-patient - Health Card
Health insurance for out-patient/in-patient - Health Card
Health insurance for out-patient/in-patient - Health Card
Health insurance for out-patient/in-patient - Health Card
Health insurance for out-patient/in-patient - Health Card
Do you have health insurance for out-patient/in-patient such as: f. Health Card
Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No".
275747
No
1
Yes
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
Were you an Out-patient in the last one month (Check on Core Block V R.6.a.)
If the answer is coded 2, skip to b5r7
Fill code 1 if Yes, Code 2 if not, in the box provided.
275747
1
Yes
2
No
Source of outpatient expenses - Household
Source of outpatient expenses - Household
Source of outpatient expenses - Household
Source of outpatient expenses - Household
Source of outpatient expenses - Household
Source of out-patient expenses in the last one month: a. Household
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - “Askes”
Source of outpatient expenses - “Askes”
Source of outpatient expenses - “Askes”
Source of outpatient expenses - “Askes”
Source of outpatient expenses - “Askes”
Source of out-patient expenses in the last one month: b. “Askes”
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - “Askes/Jamsostek”
Source of outpatient expenses - “Askes/Jamsostek”
Source of outpatient expenses - “Askes/Jamsostek”
Source of outpatient expenses - “Askes/Jamsostek”
Source of outpatient expenses - “Askes/Jamsostek”
Source of out-patient expenses in the last one month: c. “Askes/Jamsostek”
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - Other insurance
Source of outpatient expenses - Other insurance
Source of outpatient expenses - Other insurance
Source of outpatient expenses - Other insurance
Source of outpatient expenses - Other insurance
Source of out-patient expenses in the last one month: d. Other insurance
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - Company/Official
Source of outpatient expenses - Company/Official
Source of outpatient expenses - Company/Official
Source of outpatient expenses - Company/Official
Source of outpatient expenses - Company/Official
Source of out-patient expenses in the last one month: e. Company/Official
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - “Jasa raharja
Source of outpatient expenses - “Jasa raharja
Source of outpatient expenses - “Jasa raharja
Source of outpatient expenses - “Jasa raharja
Source of outpatient expenses - “Jasa raharja
Source of out-patient expenses in the last one month: f. “Jasa raharja
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - Fund Health
Source of outpatient expenses - Fund Health
Source of outpatient expenses - Fund Health
Source of outpatient expenses - Fund Health
Source of outpatient expenses - Fund Health
Source of out-patient expenses in the last one month: g. Fund Health
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - Health Card
Source of outpatient expenses - Health Card
Source of outpatient expenses - Health Card
Source of outpatient expenses - Health Card
Source of outpatient expenses - Health Card
Source of out-patient expenses in the last one month: h. Health Card
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - “Lurah” letter
Source of outpatient expenses - “Lurah” letter
Source of outpatient expenses - “Lurah” letter
Source of outpatient expenses - “Lurah” letter
Source of outpatient expenses - “Lurah” letter
Source of out-patient expenses in the last one month: i. “Lurah” letter
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
Source of outpatient expenses - Other party
Source of outpatient expenses - Other party
Source of outpatient expenses - Other party
Source of outpatient expenses - Other party
Source of outpatient expenses - Other party
Source of out-patient expenses in the last one month: j. Other party
Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided.
35829
No
1
Yes
How many times became outpatient - Government Hospital
How many times became outpatient - Government Hospital
How many times became outpatient - Government Hospital
How many times became outpatient - Government Hospital
How many times became outpatient - Government Hospital
How many times became outpatient in the past one month? a. Government Hospital
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.00692
1
Total expenses (in Rupiah) - Government Hospital
Total expenses (in Rupiah) - Government Hospital
Total expenses (in Rupiah) - Government Hospital
Total expenses (in Rupiah) - Government Hospital
Total expenses (in Rupiah) - Government Hospital
Description of out-patient in the last one month: total expenses (in Rupiah) a. Government Hospital
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
5327.15
Paid by household (in Rupiah) - Government Hospital
Paid by household (in Rupiah) - Government Hospital
Paid by household (in Rupiah) - Government Hospital
Paid by household (in Rupiah) - Government Hospital
Paid by household (in Rupiah) - Government Hospital
Description of out-patient in the last one month: paid by household (in Rupiah) a. Government Hospital
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
1510.18
Got injection - Government Hospital
Got injection - Government Hospital
Got injection - Government Hospital
Got injection - Government Hospital
Got injection - Government Hospital
Description of out-patient in the last one month: got injection a. Government Hospital
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
275747
2
0.0105
1
Yes
2
No
Injection on whose request - Government Hospital
Injection on whose request - Government Hospital
Injection on whose request - Government Hospital
Injection on whose request - Government Hospital
Injection on whose request - Government Hospital
Description of out-patient in the last one month: injection on whose request? a. Government Hospital
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
275747
2
0.00594
1
Household member
2
Healer
Got medicine - Government Hospital
Got medicine - Government Hospital
Got medicine - Government Hospital
Got medicine - Government Hospital
Got medicine - Government Hospital
Description of out-patient in the last one month: got medicine? a. Government Hospital
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
275747
2
0.00716
1
Yes
2
No
Service Satisfaction - Government Hospital
Service Satisfaction - Government Hospital
Service Satisfaction - Government Hospital
Service Satisfaction - Government Hospital
Service Satisfaction - Government Hospital
Description of out-patient in the last one month: service Satisfaction a. Government. Hospital
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
275747
4
0.0139
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Private Hospital
How many times became outpatient - Private Hospital
How many times became outpatient - Private Hospital
How many times became outpatient - Private Hospital
How many times became outpatient - Private Hospital
How many times became outpatient in the past one month? b. Private Hospital
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.00372
1
Total expenses (in Rupiah) - Private Hospital
Total expenses (in Rupiah) - Private Hospital
Total expenses (in Rupiah) - Private Hospital
Total expenses (in Rupiah) - Private Hospital
Total expenses (in Rupiah) - Private Hospital
Description of out-patient in the last one month: total expenses (in Rupiah) b. Private Hospital
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
2063.995
Paid by household (in Rupiah) - Private Hospital
Paid by household (in Rupiah) - Private Hospital
Paid by household (in Rupiah) - Private Hospital
Paid by household (in Rupiah) - Private Hospital
Paid by household (in Rupiah) - Private Hospital
Description of out-patient in the last one month: paid by household (in Rupiah) b. Private Hospital
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
606.832
Got injection - Private Hospital
Got injection - Private Hospital
Got injection - Private Hospital
Got injection - Private Hospital
Got injection - Private Hospital
Description of out-patient in the last one month: got injection b. Private Hospital
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
1026
1
Yes
2
No
Injection on whose request - Private Hospital
Injection on whose request - Private Hospital
Injection on whose request - Private Hospital
Injection on whose request - Private Hospital
Injection on whose request - Private Hospital
Description of out-patient in the last one month: injection on whose request? b. Private Hospital
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
547
1
Household member
2
Healer
Got medicine - Private Hospital
Got medicine - Private Hospital
Got medicine - Private Hospital
Got medicine - Private Hospital
Got medicine - Private Hospital
Description of out-patient in the last one month: got medicine? b. Private Hospital
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
1026
1
Yes
2
No
Service Satisfaction - Private Hospital
Service Satisfaction - Private Hospital
Service Satisfaction - Private Hospital
Service Satisfaction - Private Hospital
Service Satisfaction - Private Hospital
Description of out-patient in the last one month: service Satisfaction b. Private Hospital
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
1026
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Medial doctor
How many times became outpatient - Medial doctor
How many times became outpatient - Medial doctor
How many times became outpatient - Medial doctor
How many times became outpatient - Medial doctor
How many times became outpatient in the past one month? c. Medial doctor
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.0358
1
Total expenses (in Rupiah) - Medial doctor
Total expenses (in Rupiah) - Medial doctor
Total expenses (in Rupiah) - Medial doctor
Total expenses (in Rupiah) - Medial doctor
Total expenses (in Rupiah) - Medial doctor
Description of out-patient in the last one month: total expenses (in Rupiah) c. Medial doctor
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
3402.14
Paid by household (in Rupiah) - Medial doctor
Paid by household (in Rupiah) - Medial doctor
Paid by household (in Rupiah) - Medial doctor
Paid by household (in Rupiah) - Medial doctor
Paid by household (in Rupiah) - Medial doctor
Description of out-patient in the last one month: paid by household (in Rupiah) c. Medial doctor
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
1641.613
Got injection - Medial doctor
Got injection - Medial doctor
Got injection - Medial doctor
Got injection - Medial doctor
Got injection - Medial doctor
Description of out-patient in the last one month: got injection c. Medial doctor
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
9875
1
Yes
2
No
Injection on whose request - Medial doctor
Injection on whose request - Medial doctor
Injection on whose request - Medial doctor
Injection on whose request - Medial doctor
Injection on whose request - Medial doctor
Description of out-patient in the last one month: injection on whose request? c. Medial doctor
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
5590
1
Household member
2
Healer
Got medicine - Medial doctor
Got medicine - Medial doctor
Got medicine - Medial doctor
Got medicine - Medial doctor
Got medicine - Medial doctor
Description of out-patient in the last one month: got medicine? c. Medial doctor
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
9875
1
Yes
2
No
Service Satisfaction - Medial doctor
Service Satisfaction - Medial doctor
Service Satisfaction - Medial doctor
Service Satisfaction - Medial doctor
Service Satisfaction - Medial doctor
Description of out-patient in the last one month: service Satisfaction c. Medial doctor
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
9875
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Puskesmas
How many times became outpatient - Puskesmas
How many times became outpatient - Puskesmas
How many times became outpatient - Puskesmas
How many times became outpatient - Puskesmas
How many times became outpatient in the past one month? d. Puskesmas
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.0337
1
Total expenses (in Rupiah) - Puskesmas
Total expenses (in Rupiah) - Puskesmas
Total expenses (in Rupiah) - Puskesmas
Total expenses (in Rupiah) - Puskesmas
Total expenses (in Rupiah) - Puskesmas
Description of out-patient in the last one month: total expenses (in Rupiah) d. Puskesmas
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
8125.629
Paid by household (in Rupiah) - Puskesmas
Paid by household (in Rupiah) - Puskesmas
Paid by household (in Rupiah) - Puskesmas
Paid by household (in Rupiah) - Puskesmas
Paid by household (in Rupiah) - Puskesmas
Description of out-patient in the last one month: paid by household (in Rupiah) d. Puskesmas
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
1834.496
Got injection - Puskesmas
Got injection - Puskesmas
Got injection - Puskesmas
Got injection - Puskesmas
Got injection - Puskesmas
Description of out-patient in the last one month: got injection d. Puskesmas
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
9295
1
Yes
2
No
Injection on whose request - Puskesmas
Injection on whose request - Puskesmas
Injection on whose request - Puskesmas
Injection on whose request - Puskesmas
Injection on whose request - Puskesmas
Description of out-patient in the last one month: injection on whose request? d. Puskesmas
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
4431
1
Household member
2
Healer
Got medicine - Puskesmas
Got medicine - Puskesmas
Got medicine - Puskesmas
Got medicine - Puskesmas
Got medicine - Puskesmas
Description of out-patient in the last one month: got medicine? d. Puskesmas
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
9295
1
Yes
2
No
Service Satisfaction - Puskesmas
Service Satisfaction - Puskesmas
Service Satisfaction - Puskesmas
Service Satisfaction - Puskesmas
Service Satisfaction - Puskesmas
Description of out-patient in the last one month: service Satisfaction d. Puskesmas
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
9295
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Supporting Puskesmas
How many times became outpatient - Supporting Puskesmas
How many times became outpatient - Supporting Puskesmas
How many times became outpatient - Supporting Puskesmas
How many times became outpatient - Supporting Puskesmas
How many times became outpatient in the past one month? e. Supporting Puskesmas
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.0152
1
Total expenses (in Rupiah) - Supporting Puskesmas
Total expenses (in Rupiah) - Supporting Puskesmas
Total expenses (in Rupiah) - Supporting Puskesmas
Total expenses (in Rupiah) - Supporting Puskesmas
Total expenses (in Rupiah) - Supporting Puskesmas
Description of out-patient in the last one month: total expenses (in Rupiah) e. Supporting Puskesmas
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
1831.638
Paid by household (in Rupiah) - Supporting Puskesmas
Paid by household (in Rupiah) - Supporting Puskesmas
Paid by household (in Rupiah) - Supporting Puskesmas
Paid by household (in Rupiah) - Supporting Puskesmas
Paid by household (in Rupiah) - Supporting Puskesmas
Description of out-patient in the last one month: paid by household (in Rupiah) e. Supporting Puskesmas
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
596.613
Got injection - Supporting Puskesmas
Got injection - Supporting Puskesmas
Got injection - Supporting Puskesmas
Got injection - Supporting Puskesmas
Got injection - Supporting Puskesmas
Description of out-patient in the last one month: got injection e. Supporting Puskesmas
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
4201
1
Yes
2
No
Injection on whose request - Supporting Puskesmas
Injection on whose request - Supporting Puskesmas
Injection on whose request - Supporting Puskesmas
Injection on whose request - Supporting Puskesmas
Injection on whose request - Supporting Puskesmas
Description of out-patient in the last one month: injection on whose request? e. Supporting Puskesmas
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
2564
1
Household member
2
Healer
Got medicine - Supporting Puskesmas
Got medicine - Supporting Puskesmas
Got medicine - Supporting Puskesmas
Got medicine - Supporting Puskesmas
Got medicine - Supporting Puskesmas
Description of out-patient in the last one month: got medicine? e. Supporting Puskesmas
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
4201
1
Yes
2
No
Service Satisfaction - Supporting Puskesmas
Service Satisfaction - Supporting Puskesmas
Service Satisfaction - Supporting Puskesmas
Service Satisfaction - Supporting Puskesmas
Service Satisfaction - Supporting Puskesmas
Description of out-patient in the last one month: service Satisfaction e. Supporting Puskesmas
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
4201
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Polyclinic
How many times became outpatient - Polyclinic
How many times became outpatient - Polyclinic
How many times became outpatient - Polyclinic
How many times became outpatient - Polyclinic
How many times became outpatient in the past one month? f. Polyclinic
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.0035
1
Total expenses (in Rupiah) - Polyclinic
Total expenses (in Rupiah) - Polyclinic
Total expenses (in Rupiah) - Polyclinic
Total expenses (in Rupiah) - Polyclinic
Total expenses (in Rupiah) - Polyclinic
Description of out-patient in the last one month: total expenses (in Rupiah) f. Polyclinic
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
3900.593
Paid by household (in Rupiah) - Polyclinic
Paid by household (in Rupiah) - Polyclinic
Paid by household (in Rupiah) - Polyclinic
Paid by household (in Rupiah) - Polyclinic
Paid by household (in Rupiah) - Polyclinic
Description of out-patient in the last one month: paid by household (in Rupiah) f. Polyclinic
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
999999
44.746
Got injection - Polyclinic
Got injection - Polyclinic
Got injection - Polyclinic
Got injection - Polyclinic
Got injection - Polyclinic
Description of out-patient in the last one month: got injection f. Polyclinic
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
966
1
Yes
2
No
Injection on whose request - Polyclinic
Injection on whose request - Polyclinic
Injection on whose request - Polyclinic
Injection on whose request - Polyclinic
Injection on whose request - Polyclinic
Description of out-patient in the last one month: injection on whose request? f. Polyclinic
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
441
1
Household member
2
Healer
Got medicine - Polyclinic
Got medicine - Polyclinic
Got medicine - Polyclinic
Got medicine - Polyclinic
Got medicine - Polyclinic
Description of out-patient in the last one month: got medicine? f. Polyclinic
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
966
1
Yes
2
No
Service Satisfaction - Polyclinic
Service Satisfaction - Polyclinic
Service Satisfaction - Polyclinic
Service Satisfaction - Polyclinic
Service Satisfaction - Polyclinic
Description of out-patient in the last one month: service Satisfaction f. Polyclinic
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
966
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - Practice of Health Workers
How many times became outpatient - Practice of Health Workers
How many times became outpatient - Practice of Health Workers
How many times became outpatient - Practice of Health Workers
How many times became outpatient - Practice of Health Workers
How many times became outpatient in the past one month? g. Practice of Health Workers
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.0341
1
Total expenses (in Rupiah) - Practice of Health Workers
Total expenses (in Rupiah) - Practice of Health Workers
Total expenses (in Rupiah) - Practice of Health Workers
Total expenses (in Rupiah) - Practice of Health Workers
Total expenses (in Rupiah) - Practice of Health Workers
Description of out-patient in the last one month: total expenses (in Rupiah) g. Practice of Health Workers
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
677.703
Paid by household (in Rupiah) - Practice of Health Workers
Paid by household (in Rupiah) - Practice of Health Workers
Paid by household (in Rupiah) - Practice of Health Workers
Paid by household (in Rupiah) - Practice of Health Workers
Paid by household (in Rupiah) - Practice of Health Workers
Description of out-patient in the last one month: paid by household (in Rupiah) g. Practice of Health Workers
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
448.029
Got medicine - Practice of Health Workers
Got medicine - Practice of Health Workers
Got medicine - Practice of Health Workers
Got medicine - Practice of Health Workers
Got medicine - Practice of Health Workers
Description of out-patient in the last one month: paid by household (in Rupiah) g. Practice of Health Workers
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
9390
1
Yes
2
No
Service Satisfaction - Practice of Health Workers
Service Satisfaction - Practice of Health Workers
Service Satisfaction - Practice of Health Workers
Service Satisfaction - Practice of Health Workers
Service Satisfaction - Practice of Health Workers
Description of out-patient in the last one month: service Satisfaction g. Practice of Health Workers
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
9390
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient in the past one month - Practice of Traditional Healer
How many times became outpatient in the past one month - Practice of Traditional Healer
How many times became outpatient in the past one month - Practice of Traditional Healer
How many times became outpatient in the past one month - Practice of Traditional Healer
How many times became outpatient in the past one month - Practice of Traditional Healer
How many times became outpatient in the past one month? h. Practice of Traditional Healer
275747
1
0.00559
1
Total expenses (in Rupiah) - Practice of Traditional Healer
Total expenses (in Rupiah) - Practice of Traditional Healer
Total expenses (in Rupiah) - Practice of Traditional Healer
Total expenses (in Rupiah) - Practice of Traditional Healer
Total expenses (in Rupiah) - Practice of Traditional Healer
Description of out-patient in the last one month: total expenses (in Rupiah) h. Practice of Traditional Healer
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
169.939
Paid by household (in Rupiah) - Practice of Traditional Healer
Paid by household (in Rupiah) - Practice of Traditional Healer
Paid by household (in Rupiah) - Practice of Traditional Healer
Paid by household (in Rupiah) - Practice of Traditional Healer
Paid by household (in Rupiah) - Practice of Traditional Healer
Description of out-patient in the last one month: paid by household (in Rupiah) h. Practice of Traditional Healer
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
131.77
Got medicine - Practice of Traditional Healer
Got medicine - Practice of Traditional Healer
Got medicine - Practice of Traditional Healer
Got medicine - Practice of Traditional Healer
Got medicine - Practice of Traditional Healer
Description of out-patient in the last one month: got medicine? h. Practice of Traditional Healer
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
1541
1
Yes
2
No
Service Satisfaction - Practice of Traditional Healer
Service Satisfaction - Practice of Traditional Healer
Service Satisfaction - Practice of Traditional Healer
Service Satisfaction - Practice of Traditional Healer
Service Satisfaction - Practice of Traditional Healer
Description of out-patient in the last one month: service Satisfaction h. Practice of Traditional Healer
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
1541
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient in the past one month - “Polindes” (Village Maternity Post)
How many times became outpatient in the past one month - “Polindes” (Village Maternity Post)
How many times became outpatient in the past one month - “Polindes” (Village Maternity Post)
How many times became outpatient in the past one month - “Polindes” (Village Maternity Post)
How many times became outpatient in the past one month - “Polindes” (Village Maternity Post)
How many times became outpatient in the past one month? i. “Polindes” (Village Maternity Post)
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.00247
1
Total expenses (in Rupiah) - “Polindes” (Village Maternity Post)
Total expenses (in Rupiah) - “Polindes” (Village Maternity Post)
Total expenses (in Rupiah) - “Polindes” (Village Maternity Post)
Total expenses (in Rupiah) - “Polindes” (Village Maternity Post)
Total expenses (in Rupiah) - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: total expenses (in Rupiah) i. “Polindes” (Village Maternity Post)
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
229.101
Paid by household (in Rupiah) - “Polindes” (Village Maternity Post)
Paid by household (in Rupiah) - “Polindes” (Village Maternity Post)
Paid by household (in Rupiah) - “Polindes” (Village Maternity Post)
Paid by household (in Rupiah) - “Polindes” (Village Maternity Post)
Paid by household (in Rupiah) - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: paid by household (in Rupiah) i. “Polindes” (Village Maternity Post)
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
83.879
Got injection - “Polindes” (Village Maternity Post)
Got injection - “Polindes” (Village Maternity Post)
Got injection - “Polindes” (Village Maternity Post)
Got injection - “Polindes” (Village Maternity Post)
Got injection - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: got injection i. “Polindes” (Village Maternity Post)
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
682
1
Yes
2
No
Injection on whose request - “Polindes” (Village Maternity Post)
Injection on whose request - “Polindes” (Village Maternity Post)
Injection on whose request - “Polindes” (Village Maternity Post)
Injection on whose request - “Polindes” (Village Maternity Post)
Injection on whose request - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: injection on whose request? i. “Polindes” (Village Maternity Post)
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
394
1
Household member
2
Healer
Got medicine - “Polindes” (Village Maternity Post)
Got medicine - “Polindes” (Village Maternity Post)
Got medicine - “Polindes” (Village Maternity Post)
Got medicine - “Polindes” (Village Maternity Post)
Got medicine - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: got medicine? i. “Polindes” (Village Maternity Post)
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
682
1
Yes
2
No
Service Satisfaction - “Polindes” (Village Maternity Post)
Service Satisfaction - “Polindes” (Village Maternity Post)
Service Satisfaction - “Polindes” (Village Maternity Post)
Service Satisfaction - “Polindes” (Village Maternity Post)
Service Satisfaction - “Polindes” (Village Maternity Post)
Description of out-patient in the last one month: service Satisfaction i. “Polindes” (Village Maternity Post)
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
682
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times became outpatient - “Posyandu” (Integrated Post Service)
How many times became outpatient - “Posyandu” (Integrated Post Service)
How many times became outpatient - “Posyandu” (Integrated Post Service)
How many times became outpatient - “Posyandu” (Integrated Post Service)
How many times became outpatient - “Posyandu” (Integrated Post Service)
How many times became outpatient in the past one month? j. “Posyandu” (Integrated Post Service)
Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided.
275747
1
0.000602
1
Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service)
Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service)
Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service)
Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service)
Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: total expenses (in Rupiah) j. “Posyandu” (Integrated Post Service)
Ask the amount of the total cost for the purpose of outpatient during the past one month
275747
9999999
255.193
Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service)
Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service)
Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service)
Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service)
Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: paid by household (in Rupiah) j. “Posyandu” (Integrated Post Service)
Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month.
275747
9999999
110.067
Got injection - “Posyandu” (Integrated Post Service)
Got injection - “Posyandu” (Integrated Post Service)
Got injection - “Posyandu” (Integrated Post Service)
Got injection - “Posyandu” (Integrated Post Service)
Got injection - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: got injection j. “Posyandu” (Integrated Post Service)
Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month.
166
1
Yes
2
No
Injection on whose request - “Posyandu” (Integrated Post Service)
Injection on whose request - “Posyandu” (Integrated Post Service)
Injection on whose request - “Posyandu” (Integrated Post Service)
Injection on whose request - “Posyandu” (Integrated Post Service)
Injection on whose request - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: injection on whose request? j. “Posyandu” (Integrated Post Service)
Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided.
53
1
Household member
2
Healer
Got medicine - “Posyandu” (Integrated Post Service)
Got medicine - “Posyandu” (Integrated Post Service)
Got medicine - “Posyandu” (Integrated Post Service)
Got medicine - “Posyandu” (Integrated Post Service)
Got medicine - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: got medicine? j. “Posyandu” (Integrated Post Service)
For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided.
166
1
Yes
2
No
Service Satisfaction - “Posyandu” (Integrated Post Service)
Service Satisfaction - “Posyandu” (Integrated Post Service)
Service Satisfaction - “Posyandu” (Integrated Post Service)
Service Satisfaction - “Posyandu” (Integrated Post Service)
Service Satisfaction - “Posyandu” (Integrated Post Service)
Description of out-patient in the last one month: service Satisfaction j. “Posyandu” (Integrated Post Service)
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
166
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Frequency of visits - Government hospital
Frequency of visits - Government hospital
Frequency of visits - Government hospital
Frequency of visits - Government hospital
Frequency of visits - Government hospital
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month a. Government hospital
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
Frequency of visits - Private hospital
Frequency of visits - Private hospital
Frequency of visits - Private hospital
Frequency of visits - Private hospital
Frequency of visits - Private hospital
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month b. Private hospital
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
8
Frequency of visits - Medical doctor
Frequency of visits - Medical doctor
Frequency of visits - Medical doctor
Frequency of visits - Medical doctor
Frequency of visits - Medical doctor
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month c. Medical doctor
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
7
8
9
Frequency of visits - Puskesmas
Frequency of visits - Puskesmas
Frequency of visits - Puskesmas
Frequency of visits - Puskesmas
Frequency of visits - Puskesmas
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month d. Puskesmas
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
8
Frequency of visits - Supporting Puskesmas
Frequency of visits - Supporting Puskesmas
Frequency of visits - Supporting Puskesmas
Frequency of visits - Supporting Puskesmas
Frequency of visits - Supporting Puskesmas
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month e. Supporting Puskesmas
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
Frequency of visits - Polyclinic
Frequency of visits - Polyclinic
Frequency of visits - Polyclinic
Frequency of visits - Polyclinic
Frequency of visits - Polyclinic
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month f. Polyclinic
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
8
Frequency of visits - Health workers practice
Frequency of visits - Health workers practice
Frequency of visits - Health workers practice
Frequency of visits - Health workers practice
Frequency of visits - Health workers practice
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month g. Health workers practice
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
7
Frequency of visits - Traditional treatment
Frequency of visits - Traditional treatment
Frequency of visits - Traditional treatment
Frequency of visits - Traditional treatment
Frequency of visits - Traditional treatment
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month h. Traditional treatment
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
Frequency of visits - “Polindes”
Frequency of visits - “Polindes”
Frequency of visits - “Polindes”
Frequency of visits - “Polindes”
Frequency of visits - “Polindes”
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month i. “Polindes”
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
Frequency of visits - “Posyandu”
Frequency of visits - “Posyandu”
Frequency of visits - “Posyandu”
Frequency of visits - “Posyandu”
Frequency of visits - “Posyandu”
Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month j. “Posyandu”
Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box.
275746
1
2
3
4
5
6
The amount of expenses: Rp
The amount of expenses: Rp
The amount of expenses: Rp
The amount of expenses: Rp
The amount of expenses: Rp
The amount of expenses: Rp
275747
9999999
5319.392
Have you ever been In-patient in the last 12 months
Have you ever been In-patient in the last 12 months
Have you ever been In-patient in the last 12 months
Have you ever been In-patient in the last 12 months
Have you ever been In-patient in the last 12 months
Have you ever been In-patient in the last 12 months
If the answer is coded 2, skip to b5r12
Fill code 1 if Yes, Code 2 if not, in the box provided.
275746
1
Yes
2
No
Source of in-patient expenses - Household
Source of in-patient expenses - Household
Source of in-patient expenses - Household
Source of in-patient expenses - Household
Source of in-patient expenses - Household
Source of in-patient expenses in the last 12 months a. Household
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - “Askes”
Source of in-patient expenses - “Askes”
Source of in-patient expenses - “Askes”
Source of in-patient expenses - “Askes”
Source of in-patient expenses - “Askes”
Source of in-patient expenses in the last 12 months b. “Askes”
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - “Askes/Jamsostek”
Source of in-patient expenses - “Askes/Jamsostek”
Source of in-patient expenses - “Askes/Jamsostek”
Source of in-patient expenses - “Askes/Jamsostek”
Source of in-patient expenses - “Askes/Jamsostek”
Source of in-patient expenses in the last 12 months c. “Askes/Jamsostek”
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - Other insurance
Source of in-patient expenses - Other insurance
Source of in-patient expenses - Other insurance
Source of in-patient expenses - Other insurance
Source of in-patient expenses - Other insurance
Source of in-patient expenses in the last 12 months d. Other insurance
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - Company/Official
Source of in-patient expenses - Company/Official
Source of in-patient expenses - Company/Official
Source of in-patient expenses - Company/Official
Source of in-patient expenses - Company/Official
Source of in-patient expenses in the last 12 months e. Company/Official
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - “Jasa Raharja
Source of in-patient expenses - “Jasa Raharja
Source of in-patient expenses - “Jasa Raharja
Source of in-patient expenses - “Jasa Raharja
Source of in-patient expenses - “Jasa Raharja
Source of in-patient expenses in the last 12 months f. “Jasa Raharja
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - Fund Healt
Source of in-patient expenses - Fund Healt
Source of in-patient expenses - Fund Healt
Source of in-patient expenses - Fund Healt
Source of in-patient expenses - Fund Healt
Source of in-patient expenses in the last 12 months g. Fund Healt
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - Health Card
Source of in-patient expenses - Health Card
Source of in-patient expenses - Health Card
Source of in-patient expenses - Health Card
Source of in-patient expenses - Health Card
Source of in-patient expenses in the last 12 months h. Health Card
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - “Lurah” letter
Source of in-patient expenses - “Lurah” letter
Source of in-patient expenses - “Lurah” letter
Source of in-patient expenses - “Lurah” letter
Source of in-patient expenses - “Lurah” letter
Source of in-patient expenses in the last 12 months i. “Lurah” letter
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Source of in-patient expenses - Other party
Source of in-patient expenses - Other party
Source of in-patient expenses - Other party
Source of in-patient expenses - Other party
Source of in-patient expenses - Other party
Source of in-patient expenses in the last 12 months j. Other party
Fill code 1 if Yes, Code 2 if not, in the box provided.
3381
1
Yes
2
No
Description of In-patient - Government hospital
Description of In-patient - Government hospital
Description of In-patient - Government hospital
Description of In-patient - Government hospital
Description of In-patient - Government hospital
Description of In-patient in the last 12 month - service a. Government hospital
3381
1
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
275747
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
54
East Timor
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
275747
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
4
5
6
7
71
72
73
74
75
76
77
78
8
9
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
275747
10
100
101
11
110
111
12
120
121
130
131
132
14
140
141
150
151
153
160
161
170
171
180
181
182
190
191
20
200
201
21
210
22
220
230
231
240
241
250
260
270
280
30
300
31
310
32
320
330
40
41
42
50
51
52
60
61
70
71
710
720
730
740
80
81
90
91
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
275747
1
10
100
102
104
11
112
115
116
12
121
122
13
131
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
30
31
32
33
34
35
36
37
38
39
4
40
41
42
43
44
45
46
47
48
49
5
50
51
52
53
54
55
56
57
58
59
6
60
61
62
63
64
65
68
69
7
70
71
72
73
76
77
79
8
80
81
83
85
86
87
9
90
95
96
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
275747
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list.
275747
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Write down the serial number of sample households in the space provided and then move to the box provided.
275747
1
10
11
12
13
14
15
16
2
3
4
5
6
7
8
9
Village classification
Village classification
Village classification
Village classification
Village classification
275747
1
Least developed village
2
Developed village
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
275747
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
3
4
5
6
7
8
9
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1.
275747
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1.
275747
1
Male
2
Female
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box.
275747
99
26.812
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Duration of treatment - Government hospital
Duration of treatment - Government hospital
Duration of treatment - Government hospital
Duration of treatment - Government hospital
Duration of treatment - Government hospital
Description of In-patient in the last 12 month - duration of treatment: a. Government hospital
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
999
0.057
Household Total expenses - Government hospital
Household Total expenses - Government hospital
Household Total expenses - Government hospital
Household Total expenses - Government hospital
Household Total expenses - Government hospital
Description of In-patient in the last 12 month - household Total expenses: a. Government hospital
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
25950.627
Paid by household (in Rp) - Government hospital
Paid by household (in Rp) - Government hospital
Paid by household (in Rp) - Government hospital
Paid by household (in Rp) - Government hospital
Paid by household (in Rp) - Government hospital
Description of In-patient in the last 12 month - paid by household (in Rp): a. Government hospital
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
99999999
6292.743
Satisfaction on the service - Government hospital
Satisfaction on the service - Government hospital
Satisfaction on the service - Government hospital
Satisfaction on the service - Government hospital
Satisfaction on the service - Government hospital
Description of In-patient in the last 12 month - satisfaction on the service: a. Government hospital
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
1617
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type - Private hospital
Service type - Private hospital
Service type - Private hospital
Service type - Private hospital
Service type - Private hospital
Description of In-patient in the last 12 month - service b. Private hospital
3381
1
Duration of treatment - Private hospital
Duration of treatment - Private hospital
Duration of treatment - Private hospital
Duration of treatment - Private hospital
Duration of treatment - Private hospital
Description of In-patient in the last 12 month - duration of treatment: b. Private hospital
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
999
0.0365
Household Total expenses - Private hospital
Household Total expenses - Private hospital
Household Total expenses - Private hospital
Household Total expenses - Private hospital
Household Total expenses - Private hospital
Description of In-patient in the last 12 month - household Total expenses: b. Private hospital
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
19531.262
Paid by household (in Rp) - Private hospital
Paid by household (in Rp) - Private hospital
Paid by household (in Rp) - Private hospital
Paid by household (in Rp) - Private hospital
Paid by household (in Rp) - Private hospital
Description of In-patient in the last 12 month - paid by household (in Rp): b. Private hospital
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
99999999
5426.817
Satisfaction on the service - Private hospital
Satisfaction on the service - Private hospital
Satisfaction on the service - Private hospital
Satisfaction on the service - Private hospital
Satisfaction on the service - Private hospital
Description of In-patient in the last 12 month - satisfaction on the service: b. Private hospital
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
1040
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type c. Puskesmas
Service type c. Puskesmas
Service type c. Puskesmas
Service type c. Puskesmas
Service type c. Puskesmas
Description of In-patient in the last 12 month - service c. Puskesmas
3381
1
Duration of treatment - Puskesmas
Duration of treatment - Puskesmas
Duration of treatment - Puskesmas
Duration of treatment - Puskesmas
Duration of treatment - Puskesmas
Description of In-patient in the last 12 month - duration of treatment: c. Puskesmas
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
90
0.00529
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
20
21
22
28
30
40
60
90
Household Total expenses - Puskesmas
Household Total expenses - Puskesmas
Household Total expenses - Puskesmas
Household Total expenses - Puskesmas
Household Total expenses - Puskesmas
Description of In-patient in the last 12 month - household Total expenses: c. Puskesmas
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
4091.246
Paid by household (in Rp) - Puskesmas
Paid by household (in Rp) - Puskesmas
Paid by household (in Rp) - Puskesmas
Paid by household (in Rp) - Puskesmas
Paid by household (in Rp) - Puskesmas
Description of In-patient in the last 12 month - paid by household (in Rp): c. Puskesmas
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
650000
95.112
Satisfaction on the service - Puskesmas
Satisfaction on the service - Puskesmas
Satisfaction on the service - Puskesmas
Satisfaction on the service - Puskesmas
Satisfaction on the service - Puskesmas
Description of In-patient in the last 12 month - satisfaction on the service: c. Puskesmas
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
295
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type - Maternity house
Service type - Maternity house
Service type - Maternity house
Service type - Maternity house
Service type - Maternity house
Description of In-patient in the last 12 month - service d. Maternity house
3381
1
Duration of treatment - Maternity house
Duration of treatment - Maternity house
Duration of treatment - Maternity house
Duration of treatment - Maternity house
Duration of treatment - Maternity house
Description of In-patient in the last 12 month - duration of treatment: d. Maternity house
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
32
0.00369
1
2
3
4
5
6
7
8
9
10
24
32
Household Total expenses - Maternity house
Household Total expenses - Maternity house
Household Total expenses - Maternity house
Household Total expenses - Maternity house
Household Total expenses - Maternity house
Description of In-patient in the last 12 month - household Total expenses: d. Maternity house
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
3207.498
Paid by household (in Rp) - Maternity house
Paid by household (in Rp) - Maternity house
Paid by household (in Rp) - Maternity house
Paid by household (in Rp) - Maternity house
Paid by household (in Rp) - Maternity house
Description of In-patient in the last 12 month - paid by household (in Rp): d. Maternity house
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
99999999
993.771
Satisfaction on the service - Maternity house
Satisfaction on the service - Maternity house
Satisfaction on the service - Maternity house
Satisfaction on the service - Maternity house
Satisfaction on the service - Maternity house
Description of In-patient in the last 12 month - satisfaction on the service: d. Maternity house
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
314
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type - Village maternity Huts
Service type - Village maternity Huts
Service type - Village maternity Huts
Service type - Village maternity Huts
Service type - Village maternity Huts
Description of In-patient in the last 12 month - service e. Village maternity Huts
3381
1
Duration of treatment - Village maternity Huts
Duration of treatment - Village maternity Huts
Duration of treatment - Village maternity Huts
Duration of treatment - Village maternity Huts
Duration of treatment - Village maternity Huts
Description of In-patient in the last 12 month - duration of treatment: e. Village maternity Huts
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
4
0.000424
1
2
3
4
Household Total expenses - Village maternity Huts
Household Total expenses - Village maternity Huts
Household Total expenses - Village maternity Huts
Household Total expenses - Village maternity Huts
Household Total expenses - Village maternity Huts
Description of In-patient in the last 12 month - household Total expenses: e. Village maternity Huts
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
387.098
Paid by household (in Rp) - Village maternity Huts
Paid by household (in Rp) - Village maternity Huts
Paid by household (in Rp) - Village maternity Huts
Paid by household (in Rp) - Village maternity Huts
Paid by household (in Rp) - Village maternity Huts
Description of In-patient in the last 12 month - paid by household (in Rp): e. Village maternity Huts
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
500000
22.827
Satisfaction on the service - Village maternity Huts
Satisfaction on the service - Village maternity Huts
Satisfaction on the service - Village maternity Huts
Satisfaction on the service - Village maternity Huts
Satisfaction on the service - Village maternity Huts
Description of In-patient in the last 12 month - satisfaction on the service: e. Village maternity Huts
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
51
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type - Traditional healer
Service type - Traditional healer
Service type - Traditional healer
Service type - Traditional healer
Service type - Traditional healer
Description of In-patient in the last 12 month - service f. Traditional healer
3381
1
Duration of treatment - Traditional healer
Duration of treatment - Traditional healer
Duration of treatment - Traditional healer
Duration of treatment - Traditional healer
Duration of treatment - Traditional healer
Description of In-patient in the last 12 month - duration of treatment: f. Traditional healer
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
120
0.00251
Household Total expenses - Traditional healer
Household Total expenses - Traditional healer
Household Total expenses - Traditional healer
Household Total expenses - Traditional healer
Household Total expenses - Traditional healer
Description of In-patient in the last 12 month - household Total expenses: f. Traditional healer
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
9999999
104.56
Paid by household (in Rp) - Traditional healer
Paid by household (in Rp) - Traditional healer
Paid by household (in Rp) - Traditional healer
Paid by household (in Rp) - Traditional healer
Paid by household (in Rp) - Traditional healer
Description of In-patient in the last 12 month - paid by household (in Rp): f. Traditional healer
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
2700000
66.1
Satisfaction on the service - Traditional healer
Satisfaction on the service - Traditional healer
Satisfaction on the service - Traditional healer
Satisfaction on the service - Traditional healer
Satisfaction on the service - Traditional healer
Description of In-patient in the last 12 month - satisfaction on the service: f. Traditional healer
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
54
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
Service type - Others
Service type - Others
Service type - Others
Service type - Others
Service type - Others
Description of In-patient in the last 12 month - service g. Others
3381
1
Duration of treatment - Others
Duration of treatment - Others
Duration of treatment - Others
Duration of treatment - Others
Duration of treatment - Others
Description of In-patient in the last 12 month - duration of treatment: g. Others
Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits.
275747
40
0.00103
Household Total expenses - Others
Household Total expenses - Others
Household Total expenses - Others
Household Total expenses - Others
Household Total expenses - Others
Description of In-patient in the last 12 month - household Total expenses: g. Others
The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months.
275747
99999999
404.8
Paid by household (in Rp) - Others
Paid by household (in Rp) - Others
Paid by household (in Rp) - Others
Paid by household (in Rp) - Others
Paid by household (in Rp) - Others
Description of In-patient in the last 12 month - paid by household (in Rp): g. Others
Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once.
275747
99999999
403.292
Satisfaction on the service - Others
Satisfaction on the service - Others
Satisfaction on the service - Others
Satisfaction on the service - Others
Satisfaction on the service - Others
Description of In-patient in the last 12 month - satisfaction on the service: g. Others
Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided.
70
1
Very satisfied
2
Satisfied
3
Not that satisfied
4
Not satisfied
How many times the child’s weight was taken during 6 months
How many times the child’s weight was taken during 6 months
How many times the child’s weight was taken during 6 months
How many times the child’s weight was taken during 6 months
How many times the child’s weight was taken during 6 months
How many times the child’s weight was taken during 6 months
275747
9
0.261
1
2
3
4
5
6
7
8
9
Last weighted: (date) (month)
Last weighted: (date) (month)
Last weighted: (date) (month)
Last weighted: (date) (month)
Last weighted: (date) (month)
If b5r12 not equal to 0
Last weighted: (date) (month)
18353
1
10
11
12
2
3
4
5
6
7
8
9
99
The weight of “Balita” based on the last record
The weight of “Balita” based on the last record
The weight of “Balita” based on the last record
The weight of “Balita” based on the last record
The weight of “Balita” based on the last record
If b5r12 not equal to 0
The weight of “Balita” based on the last record
275747
62
0.699
Date of weighing by workers (date)
Date of weighing by workers (date)
Date of weighing by workers (date)
Date of weighing by workers (date)
Date of weighing by workers (date)
Date of weighing by workers (date)
27043
1
10
11
12
2
3
4
5
6
7
8
9
Date of weighing by workers (month)
Date of weighing by workers (month)
Date of weighing by workers (month)
Date of weighing by workers (month)
Date of weighing by workers (month)
Date of weighing by workers (month)
275747
51
0.831
Breakfast habits in the last 6 month:
Breakfast habits in the last 6 month:
Breakfast habits in the last 6 month:
Breakfast habits in the last 6 month:
Breakfast habits in the last 6 month:
Breakfast habits in the last 6 month:
270865
1
Every day
2
Never
3
Sometimes
Brushing your teeth - after eating
Brushing your teeth - after eating
Brushing your teeth - after eating
Brushing your teeth - after eating
Brushing your teeth - after eating
Do you usually brush your teeth everyday? a. After eating
Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided.
270865
No
1
Yes
Brushing your teeth - before sleeping at night
Brushing your teeth - before sleeping at night
Brushing your teeth - before sleeping at night
Brushing your teeth - before sleeping at night
Brushing your teeth - before sleeping at night
Do you usually brush your teeth everyday? b. Before sleeping at night
Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided.
270865
No
1
Yes
Brushing your teeth - after waking up in morning
Brushing your teeth - after waking up in morning
Brushing your teeth - after waking up in morning
Brushing your teeth - after waking up in morning
Brushing your teeth - after waking up in morning
Do you usually brush your teeth everyday? c. After waking up in morning
Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided.
270865
No
1
Yes
Brushing your teeth - others
Brushing your teeth - others
Brushing your teeth - others
Brushing your teeth - others
Brushing your teeth - others
Do you usually brush your teeth everyday? d. Others
Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided.
270865
No
1
Yes
Has a Dentist ever examined you, within the last 6 months?
Has a Dentist ever examined you, within the last 6 months?
Has a Dentist ever examined you, within the last 6 months?
Has a Dentist ever examined you, within the last 6 months?
Has a Dentist ever examined you, within the last 6 months?
Has a Dentist ever examined you, within the last 6 months?
If the answer is coded 2, skip to b5r19
270865
1
Yes
2
No
What was the objective of examination?
What was the objective of examination?
What was the objective of examination?
What was the objective of examination?
What was the objective of examination?
What was the objective of examination?
8779
1
Teeth treatment
10
11
12
13
14
15
16
Others
17
18
19
2
Check-up
20
21
22
23
24
25
28
29
3
4
Maintenance
5
6
7
8
Install false teeth
9
Did you have sleeping disorder in the past month?
Did you have sleeping disorder in the past month?
Did you have sleeping disorder in the past month?
Did you have sleeping disorder in the past month?
Did you have sleeping disorder in the past month?
Did you have sleeping disorder in the past month?
186686
1
Yes
2
No
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes)
186686
1
Incorrect answer
2
Don’t know
3
Correct answer
Did you have a general check-up in the last 5 years?
Did you have a general check-up in the last 5 years?
Did you have a general check-up in the last 5 years?
Did you have a general check-up in the last 5 years?
Did you have a general check-up in the last 5 years?
Did you have a general check-up in the last 5 years?
If the answer is coded 2, skip to b5r23
110157
1
Yes
2
No
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG?
6285
1
Yes
2
No
Do you know or ever heard of “SADARI “ (Breast self-examination)?
Do you know or ever heard of “SADARI “ (Breast self-examination)?
Do you know or ever heard of “SADARI “ (Breast self-examination)?
Do you know or ever heard of “SADARI “ (Breast self-examination)?
Do you know or ever heard of “SADARI “ (Breast self-examination)?
Do you know or ever heard of “SADARI “ (Breast self-examination)?
If the answer is coded 2, skip to b5r25
55621
1
Yes
2
No
How many times did you “SADARI” in the last year?
How many times did you “SADARI” in the last year?
How many times did you “SADARI” in the last year?
How many times did you “SADARI” in the last year?
How many times did you “SADARI” in the last year?
How many times did you “SADARI” in the last year?
4548
1
10-12 times
2
7-9 times
3
4-6 times
4
1-3 times
5
Never
Have you ever heard of a Pap Smear test?
Have you ever heard of a Pap Smear test?
Have you ever heard of a Pap Smear test?
Have you ever heard of a Pap Smear test?
Have you ever heard of a Pap Smear test?
Have you ever heard of a Pap Smear test?
If the answer is coded 2, finish.
55621
1
2
When was the last Pap Smear test?
When was the last Pap Smear test?
When was the last Pap Smear test?
When was the last Pap Smear test?
When was the last Pap Smear test?
When was the last Pap Smear test?
3322
1
0-11 months ago
2
12-23 months ago
3
24-35 months ago
4
>= 36 months ago
5
Never
Province
Province
Province
Province
Province
207625
11
12
13
14
15
16
17
18
31
32
33
34
35
51
52
53
54
61
62
63
64
71
72
73
74
81
82
District/City
District/City
District/City
District/City
District/City
207625
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
71
72
73
74
75
76
77
78
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
207625
006
010
011
012
013
014
020
021
022
030
031
032
040
041
042
050
051
052
060
061
062
070
071
080
081
090
091
100
101
110
111
120
121
130
131
132
140
141
150
151
153
160
161
170
171
180
181
182
190
191
200
201
210
220
221
230
231
240
241
250
260
270
280
290
300
301
310
320
330
340
350
710
720
721
730
740
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
207625
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
076
077
078
079
080
081
082
083
084
085
086
087
089
090
091
093
095
096
097
098
099
100
102
104
105
108
110
111
112
113
114
115
116
121
122
126
131
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
207625
1
2
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
207625
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
207625
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
Village/kelurahan (original)
204
1
10
15
3
31
4
5
6
7
9
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
204
110557
110613
111004
111532
111541
120005
121006
121024
121639
210007
210069
210175
211003
211745
221212
221531
411501
Village classification
Village classification
Village classification
Village classification
Village classification
207625
1
2
Number of household members
Number of household members
Number of household members
Number of household members
Number of household members
207625
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
23
24
Number of children aged 0 - 4 years old
Number of children aged 0 - 4 years old
Number of children aged 0 - 4 years old
Number of children aged 0 - 4 years old
Number of children aged 0 - 4 years old
207624
1
1
2
3
4
5
6
Sysmiss
Number of household member who are still in school
Number of household member who are still in school
Number of household member who are still in school
Number of household member who are still in school
Number of household member who are still in school
207625
1
2
3
4
5
6
7
8
9
10
11
12
Number of household members were passed away
Number of household members were passed away
Number of household members were passed away
Number of household members were passed away
Number of household members were passed away
207625
1
2
3
4
Is this household have a holly book?
Is this household have a holly book?
Is this household have a holly book?
Is this household have a holly book?
Is this household have a holly book?
207625
1
Yes
2
No
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
207625
1
2
3
4
5
6
7
8
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
207625
1
2
3
4
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
207625
1
2
3
4
5
6
7
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
207625
2
999
65.949
59.419
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
207625
1
2
3
4
5
6
7
8
9
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
142527
1
2
3
4
5
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
207625
1
2
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
207625
1
2
3
4
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
207625
1
2
3
4
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
207625
1
2
3
4
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
207625
1
2
3
4
5
6
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
207625
1
2
3
4
5
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa
207625
186200
11886.452
7545.433
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in
207625
120000
877.166
1763.552
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the
207625
245000
4746.094
5296.361
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal,
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal,
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal,
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal,
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal,
207625
151500
2704.537
4693.468
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e
207625
150000
2709.752
4316.952
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s
207625
96750
3137.746
2734.72
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu
207625
125000
1699.509
1839.816
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku,
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku,
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku,
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku,
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku,
207625
89000
2044.48
2921.512
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc
207625
119000
2593.43
2077.435
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol
207625
196000
2913.02
2327.697
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea
207625
42500
1376.904
1211.945
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.]
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.]
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.]
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.]
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.]
207625
150000
1041.718
1680.802
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona
207625
750000
4137.145
8096.568
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr
207625
200000
114.766
1374.484
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t
207625
190000
3964.525
4933.461
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
207597
28
2900
780000
45945.128
27317.274
Non-food expenditure - housing and household facility in the past month:(Rp)
Non-food expenditure - housing and household facility in the past month:(Rp)
Non-food expenditure - housing and household facility in the past month:(Rp)
Non-food expenditure - housing and household facility in the past month:(Rp)
Non-food expenditure - housing and household facility in the past month:(Rp)
207597
28
3
10000000
54041.39
124515.195
Non-food expenditure - housing and household facility in the 12 months :(Rp)
Non-food expenditure - housing and household facility in the 12 months :(Rp)
Non-food expenditure - housing and household facility in the 12 months :(Rp)
Non-food expenditure - housing and household facility in the 12 months :(Rp)
Non-food expenditure - housing and household facility in the 12 months :(Rp)
207597
28
100
120000000
648509.027
1480088.629
Non-food expenditure - miscellaneous goods and services in the past month:(Rp)
Non-food expenditure - miscellaneous goods and services in the past month:(Rp)
Non-food expenditure - miscellaneous goods and services in the past month:(Rp)
Non-food expenditure - miscellaneous goods and services in the past month:(Rp)
Non-food expenditure - miscellaneous goods and services in the past month:(Rp)
207597
28
18500000
13187.328
49843.099
Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp
Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp
Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp
Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp
Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp
207597
28
58160000
139089.269
332056.345
Non-food expenditure - education expenses in the past month:(Rp)
Non-food expenditure - education expenses in the past month:(Rp)
Non-food expenditure - education expenses in the past month:(Rp)
Non-food expenditure - education expenses in the past month:(Rp)
Non-food expenditure - education expenses in the past month:(Rp)
207597
28
6500000
12578.829
59606.279
Non-food expenditure - education expenses in the past 12 month:(Rp)
Non-food expenditure - education expenses in the past 12 month:(Rp)
Non-food expenditure - education expenses in the past 12 month:(Rp)
Non-food expenditure - education expenses in the past 12 month:(Rp)
Non-food expenditure - education expenses in the past 12 month:(Rp)
207597
28
112000000
139413.756
537780.593
Non-food expenditure - health expenses in the past month:(Rp)
Non-food expenditure - health expenses in the past month:(Rp)
Non-food expenditure - health expenses in the past month:(Rp)
Non-food expenditure - health expenses in the past month:(Rp)
Non-food expenditure - health expenses in the past month:(Rp)
207597
28
22150000
11933.009
108198.603
Non-food expenditure - health expenses in the past 12 month:(Rp)
Non-food expenditure - health expenses in the past 12 month:(Rp)
Non-food expenditure - health expenses in the past 12 month:(Rp)
Non-food expenditure - health expenses in the past 12 month:(Rp)
Non-food expenditure - health expenses in the past 12 month:(Rp)
207597
28
100000000
70430.156
376153.533
Non-food expenditure - clothing, footwear, head gear in the past month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past month:(Rp)
207597
28
4000000
27865.741
62206.398
Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp)
Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp)
207595
30
17500000
160437.051
178500.913
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
207197
428
35000000
13971.751
180191.534
Non-food expenditure - durable goods in the past 12 month:(Rp)
Non-food expenditure - durable goods in the past 12 month:(Rp)
Non-food expenditure - durable goods in the past 12 month:(Rp)
Non-food expenditure - durable goods in the past 12 month:(Rp)
Non-food expenditure - durable goods in the past 12 month:(Rp)
207197
428
74000000
125971.343
729233.252
Non-food expenditure - taxes and insurance in the past month:(Rp)
Non-food expenditure - taxes and insurance in the past month:(Rp)
Non-food expenditure - taxes and insurance in the past month:(Rp)
Non-food expenditure - taxes and insurance in the past month:(Rp)
Non-food expenditure - taxes and insurance in the past month:(Rp)
207197
428
3016667
3414.432
19959.053
Non-food expenditure - taxes and insurance in the past 12 month:(Rp)
Non-food expenditure - taxes and insurance in the past 12 month:(Rp)
Non-food expenditure - taxes and insurance in the past 12 month:(Rp)
Non-food expenditure - taxes and insurance in the past 12 month:(Rp)
Non-food expenditure - taxes and insurance in the past 12 month:(Rp)
207197
428
14460000
39095.747
139785.444
Non-food expenditure - festivities and ceremonies in the past month:(Rp)
Non-food expenditure - festivities and ceremonies in the past month:(Rp)
Non-food expenditure - festivities and ceremonies in the past month:(Rp)
Non-food expenditure - festivities and ceremonies in the past month:(Rp)
Non-food expenditure - festivities and ceremonies in the past month:(Rp)
207197
428
10000000
8009.987
56628.115
Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp)
Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp)
Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp)
Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp)
Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp)
207197
428
17000000
55761.461
207987.116
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
207197
428
1000
35259583
145036.657
308901.23
Total non-food (details 17 to 24) in the past 12 month:(Rp)
Total non-food (details 17 to 24) in the past 12 month:(Rp)
Total non-food (details 17 to 24) in the past 12 month:(Rp)
Total non-food (details 17 to 24) in the past 12 month:(Rp)
Total non-food (details 17 to 24) in the past 12 month:(Rp)
207197
428
17100
139434000
1379359.779
2274759.053
Average monthly food expenditure (Detail 16) x 30/7
Average monthly food expenditure (Detail 16) x 30/7
Average monthly food expenditure (Detail 16) x 30/7
Average monthly food expenditure (Detail 16) x 30/7
Average monthly food expenditure (Detail 16) x 30/7
207197
428
12429
3342857
196960.312
117093.165
Average monthly non food expenditure (b9r25 Column 3)/12
Average monthly non food expenditure (b9r25 Column 3)/12
Average monthly non food expenditure (b9r25 Column 3)/12
Average monthly non food expenditure (b9r25 Column 3)/12
Average monthly non food expenditure (b9r25 Column 3)/12
207197
428
1425
11619500
114946.668
189563.251
Average of monthly household expenditure (b8r26 + b9r27)
Average of monthly household expenditure (b8r26 + b9r27)
Average of monthly household expenditure (b8r26 + b9r27)
Average of monthly household expenditure (b8r26 + b9r27)
Average of monthly household expenditure (b8r26 + b9r27)
207197
428
18588
14375214
311906.963
266404.961
Main source of household income
Main source of household income
Main source of household income
Main source of household income
Main source of household income
207197
428
11
111
44.94
34.79
Has the head/member of household ever received credit/aid to increase the income
Has the head/member of household ever received credit/aid to increase the income
Has the head/member of household ever received credit/aid to increase the income
Has the head/member of household ever received credit/aid to increase the income
Has the head/member of household ever received credit/aid to increase the income
207625
1
2
Name of credit/aid program (Details 2.1 column 1)
Name of credit/aid program (Details 2.1 column 1)
Name of credit/aid program (Details 2.1 column 1)
Name of credit/aid program (Details 2.1 column 1)
Name of credit/aid program (Details 2.1 column 1)
20044
1
10
11
12
13
14
15
16
17
2
3
4
5
6
7
8
9
How many times received aid in the last 2 years? (Details 2.1 column 2)
How many times received aid in the last 2 years? (Details 2.1 column 2)
How many times received aid in the last 2 years? (Details 2.1 column 2)
How many times received aid in the last 2 years? (Details 2.1 column 2)
How many times received aid in the last 2 years? (Details 2.1 column 2)
20044
187581
1
2
3
4
5
6
7
8
Sysmiss
When did you get it (month) (Details 2.1 column 3a)
When did you get it (month) (Details 2.1 column 3a)
When did you get it (month) (Details 2.1 column 3a)
When did you get it (month) (Details 2.1 column 3a)
When did you get it (month) (Details 2.1 column 3a)
20044
1
10
11
12
2
3
4
5
6
7
8
9
When did you get it (year) (Details 2.1 column 3b)
When did you get it (year) (Details 2.1 column 3b)
When did you get it (year) (Details 2.1 column 3b)
When did you get it (year) (Details 2.1 column 3b)
When did you get it (year) (Details 2.1 column 3b)
20044
96
97
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
20044
187581
10
99999
1437.56
7302.429
Type of aid (Details 2.1 column 5)
Type of aid (Details 2.1 column 5)
Type of aid (Details 2.1 column 5)
Type of aid (Details 2.1 column 5)
Type of aid (Details 2.1 column 5)
20044
1
2
4
8
Type of activity conducted credit payment (Details 2.1 column 6)
Type of activity conducted credit payment (Details 2.1 column 6)
Type of activity conducted credit payment (Details 2.1 column 6)
Type of activity conducted credit payment (Details 2.1 column 6)
Type of activity conducted credit payment (Details 2.1 column 6)
20044
1
2
3
4
5
6
7
8
9
Credit payment (Details 2.1 column 7)
Credit payment (Details 2.1 column 7)
Credit payment (Details 2.1 column 7)
Credit payment (Details 2.1 column 7)
Credit payment (Details 2.1 column 7)
20044
187581
1
Paid
2
Doesn’t have a job
3
Can not pay/postpone payment
Sysmiss
Name of credit/aid program (Details 2.2 column 1)
Name of credit/aid program (Details 2.2 column 1)
Name of credit/aid program (Details 2.2 column 1)
Name of credit/aid program (Details 2.2 column 1)
Name of credit/aid program (Details 2.2 column 1)
20044
1
10
11
12
13
14
15
17
2
3
4
5
6
7
8
9
How many times received aid in the last 2 years? (Details 2.2 column 2)
How many times received aid in the last 2 years? (Details 2.2 column 2)
How many times received aid in the last 2 years? (Details 2.2 column 2)
How many times received aid in the last 2 years? (Details 2.2 column 2)
How many times received aid in the last 2 years? (Details 2.2 column 2)
1030
206595
1
2
3
4
5
6
7
8
Sysmiss
When did you get it (month) (Details 2.2 column 3a)
When did you get it (month) (Details 2.2 column 3a)
When did you get it (month) (Details 2.2 column 3a)
When did you get it (month) (Details 2.2 column 3a)
When did you get it (month) (Details 2.2 column 3a)
1030
1
10
11
12
2
3
4
5
6
7
8
9
When did you get it (year) (Details 2.2 column 3b)
When did you get it (year) (Details 2.2 column 3b)
When did you get it (year) (Details 2.2 column 3b)
When did you get it (year) (Details 2.2 column 3b)
When did you get it (year) (Details 2.2 column 3b)
1030
96
97
Amount of fund received (in thousand rupiah) (Details 2.2 column 4)
Amount of fund received (in thousand rupiah) (Details 2.2 column 4)
Amount of fund received (in thousand rupiah) (Details 2.2 column 4)
Amount of fund received (in thousand rupiah) (Details 2.2 column 4)
Amount of fund received (in thousand rupiah) (Details 2.2 column 4)
1030
206595
10
78000
1362.768
6821.921
Type of aid (Details 2.2 column 5)
Type of aid (Details 2.2 column 5)
Type of aid (Details 2.2 column 5)
Type of aid (Details 2.2 column 5)
Type of aid (Details 2.2 column 5)
1030
1
2
4
8
Type of activity conducted credit payment (Details 2.2 column 6)
Type of activity conducted credit payment (Details 2.2 column 6)
Type of activity conducted credit payment (Details 2.2 column 6)
Type of activity conducted credit payment (Details 2.2 column 6)
Type of activity conducted credit payment (Details 2.2 column 6)
1030
1
2
3
4
5
6
7
8
9
Credit payment (Details 2.2 column 7)
Credit payment (Details 2.2 column 7)
Credit payment (Details 2.2 column 7)
Credit payment (Details 2.2 column 7)
Credit payment (Details 2.2 column 7)
1030
206595
1
Paid
2
Doesn’t have a job
3
Can not pay/postpone payment
Sysmiss
Name of credit/aid program (Details 2.3 column 1)
Name of credit/aid program (Details 2.3 column 1)
Name of credit/aid program (Details 2.3 column 1)
Name of credit/aid program (Details 2.3 column 1)
Name of credit/aid program (Details 2.3 column 1)
1030
1
14
15
17
3
6
8
How many times received aid in the last 2 years? (Details 2.3 column 2)
How many times received aid in the last 2 years? (Details 2.3 column 2)
How many times received aid in the last 2 years? (Details 2.3 column 2)
How many times received aid in the last 2 years? (Details 2.3 column 2)
How many times received aid in the last 2 years? (Details 2.3 column 2)
56
207569
1
2
3
4
Sysmiss
When did you get it (month) (Details 2.3 column 3a)
When did you get it (month) (Details 2.3 column 3a)
When did you get it (month) (Details 2.3 column 3a)
When did you get it (month) (Details 2.3 column 3a)
When did you get it (month) (Details 2.3 column 3a)
56
1
10
11
12
2
3
4
6
7
8
9
When did you get it (year) (Details 2.3 column 3b)
When did you get it (year) (Details 2.3 column 3b)
When did you get it (year) (Details 2.3 column 3b)
When did you get it (year) (Details 2.3 column 3b)
When did you get it (year) (Details 2.3 column 3b)
56
96
97
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
Amount of fund received (in thousand rupiah) (Details 2.1 column 4)
56
207569
20
80000
3216
14924.861
Type of aid (Details 2.3 column 5)
Type of aid (Details 2.3 column 5)
Type of aid (Details 2.3 column 5)
Type of aid (Details 2.3 column 5)
Type of aid (Details 2.3 column 5)
56
1
2
4
8
Type of activity conducted credit payment (Details 2.3 column 6)
Type of activity conducted credit payment (Details 2.3 column 6)
Type of activity conducted credit payment (Details 2.3 column 6)
Type of activity conducted credit payment (Details 2.3 column 6)
Type of activity conducted credit payment (Details 2.3 column 6)
56
1
2
3
4
5
6
7
8
9
Credit payment (Details 2.3 column 7)
Credit payment (Details 2.3 column 7)
Credit payment (Details 2.3 column 7)
Credit payment (Details 2.3 column 7)
Credit payment (Details 2.3 column 7)
56
207569
1
Paid
2
Doesn’t have a job
3
Can not pay/postpone payment
Sysmiss
Name of credit/aid program (Details 2.4 column 1)
Name of credit/aid program (Details 2.4 column 1)
Name of credit/aid program (Details 2.4 column 1)
Name of credit/aid program (Details 2.4 column 1)
Name of credit/aid program (Details 2.4 column 1)
56
1
14
17
5
How many times received aid in the last 2 years? (Details 2.4 column 2)
How many times received aid in the last 2 years? (Details 2.4 column 2)
How many times received aid in the last 2 years? (Details 2.4 column 2)
How many times received aid in the last 2 years? (Details 2.4 column 2)
How many times received aid in the last 2 years? (Details 2.4 column 2)
7
207618
1
2
4
Sysmiss
When did you get it (month) (Details 2.4 column 3a)
When did you get it (month) (Details 2.4 column 3a)
When did you get it (month) (Details 2.4 column 3a)
When did you get it (month) (Details 2.4 column 3a)
When did you get it (month) (Details 2.4 column 3a)
7
12
2
5
6
9
When did you get it (year) (Details 2.4 column 3b)
When did you get it (year) (Details 2.4 column 3b)
When did you get it (year) (Details 2.4 column 3b)
When did you get it (year) (Details 2.4 column 3b)
When did you get it (year) (Details 2.4 column 3b)
7
96
97
Amount of fund received (in thousand rupiah) (Details 2.4 column 4)
Amount of fund received (in thousand rupiah) (Details 2.4 column 4)
Amount of fund received (in thousand rupiah) (Details 2.4 column 4)
Amount of fund received (in thousand rupiah) (Details 2.4 column 4)
Amount of fund received (in thousand rupiah) (Details 2.4 column 4)
7
207618
200
1500
1014.286
539.841
Type of aid (Details 2.4 column 5)
Type of aid (Details 2.4 column 5)
Type of aid (Details 2.4 column 5)
Type of aid (Details 2.4 column 5)
Type of aid (Details 2.4 column 5)
7
1
2
4
Type of activity conducted credit payment (Details 2.4 column 6)
Type of activity conducted credit payment (Details 2.4 column 6)
Type of activity conducted credit payment (Details 2.4 column 6)
Type of activity conducted credit payment (Details 2.4 column 6)
Type of activity conducted credit payment (Details 2.4 column 6)
7
1
3
4
5
7
Credit payment (Details 2.4 column 7)
Credit payment (Details 2.4 column 7)
Credit payment (Details 2.4 column 7)
Credit payment (Details 2.4 column 7)
Credit payment (Details 2.4 column 7)
7
207618
1
Paid
2
Doesn’t have a job
3
Can not pay/postpone payment
Sysmiss
Raising livestock 1997 - Milking a cow
Raising livestock 1997 - Milking a cow
Raising livestock 1997 - Milking a cow
Raising livestock 1997 - Milking a cow
Raising livestock 1997 - Milking a cow
207625
1
2
Raising livestock Jan 1, 1998 - milking a cow
Raising livestock Jan 1, 1998 - milking a cow
Raising livestock Jan 1, 1998 - milking a cow
Raising livestock Jan 1, 1998 - milking a cow
Raising livestock Jan 1, 1998 - milking a cow
207625
1
2
Jan 1, 1998 number of male - milking a cow
Jan 1, 1998 number of male - milking a cow
Jan 1, 1998 number of male - milking a cow
Jan 1, 1998 number of male - milking a cow
Jan 1, 1998 number of male - milking a cow
546
207079
1
2
3
4
11
13
20
22
222
Sysmiss
Jan 1, 1998 number of female - milking a cow
Jan 1, 1998 number of female - milking a cow
Jan 1, 1998 number of female - milking a cow
Jan 1, 1998 number of female - milking a cow
Jan 1, 1998 number of female - milking a cow
546
207079
1
2
3
4
5
6
7
8
9
10
11
12
16
30
222
Sysmiss
During Jan 1, to Dec, 31, 1997 born - milking a cow
During Jan 1, to Dec, 31, 1997 born - milking a cow
During Jan 1, to Dec, 31, 1997 born - milking a cow
During Jan 1, to Dec, 31, 1997 born - milking a cow
During Jan 1, to Dec, 31, 1997 born - milking a cow
534
207091
1
2
3
4
10
40
222
Sysmiss
During Jan 1, to Dec, 31, 1997 death - milking a cow
During Jan 1, to Dec, 31, 1997 death - milking a cow
During Jan 1, to Dec, 31, 1997 death - milking a cow
During Jan 1, to Dec, 31, 1997 death - milking a cow
During Jan 1, to Dec, 31, 1997 death - milking a cow
534
207091
1
2
5
20
222
Sysmiss
Raising livestock 1997 - Cattle
Raising livestock 1997 - Cattle
Raising livestock 1997 - Cattle
Raising livestock 1997 - Cattle
Raising livestock 1997 - Cattle
207625
1
2
Raising livestock Jan 1, 1998 - cattle
Raising livestock Jan 1, 1998 - cattle
Raising livestock Jan 1, 1998 - cattle
Raising livestock Jan 1, 1998 - cattle
Raising livestock Jan 1, 1998 - cattle
207625
1
2
Jan 1, 1998 number of male - cattle
Jan 1, 1998 number of male - cattle
Jan 1, 1998 number of male - cattle
Jan 1, 1998 number of male - cattle
Jan 1, 1998 number of male - cattle
23600
184025
601
0.942
5.388
Jan 1, 1998 number of female - cattle
Jan 1, 1998 number of female - cattle
Jan 1, 1998 number of female - cattle
Jan 1, 1998 number of female - cattle
Jan 1, 1998 number of female - cattle
23600
184025
999
1.722
7.514
During Jan 1, to Dec, 31, 1997 born - cattle
During Jan 1, to Dec, 31, 1997 born - cattle
During Jan 1, to Dec, 31, 1997 born - cattle
During Jan 1, to Dec, 31, 1997 born - cattle
During Jan 1, to Dec, 31, 1997 born - cattle
23452
184173
999
0.997
17.356
During Jan 1, to Dec, 31, 1997 death - cattle
During Jan 1, to Dec, 31, 1997 death - cattle
During Jan 1, to Dec, 31, 1997 death - cattle
During Jan 1, to Dec, 31, 1997 death - cattle
During Jan 1, to Dec, 31, 1997 death - cattle
23452
184173
999
1.07
19.615
Raising livestock 1997 - Buffalo
Raising livestock 1997 - Buffalo
Raising livestock 1997 - Buffalo
Raising livestock 1997 - Buffalo
Raising livestock 1997 - Buffalo
207625
1
2
Raising livestock Jan 1, 1998 - buffalo
Raising livestock Jan 1, 1998 - buffalo
Raising livestock Jan 1, 1998 - buffalo
Raising livestock Jan 1, 1998 - buffalo
Raising livestock Jan 1, 1998 - buffalo
207625
1
2
Jan 1, 1998 number of male - buffalo
Jan 1, 1998 number of male - buffalo
Jan 1, 1998 number of male - buffalo
Jan 1, 1998 number of male - buffalo
Jan 1, 1998 number of male - buffalo
3706
203919
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20
30
33
50
109
Sysmiss
Jan 1, 1998 number of female - buffalo
Jan 1, 1998 number of female - buffalo
Jan 1, 1998 number of female - buffalo
Jan 1, 1998 number of female - buffalo
Jan 1, 1998 number of female - buffalo
3706
203919
100
2.163
3.606
During Jan 1, to Dec, 31, 1997 born - buffalo
During Jan 1, to Dec, 31, 1997 born - buffalo
During Jan 1, to Dec, 31, 1997 born - buffalo
During Jan 1, to Dec, 31, 1997 born - buffalo
During Jan 1, to Dec, 31, 1997 born - buffalo
3631
203994
1
2
3
4
5
6
7
8
9
13
14
19
21
60
100
222
999
Sysmiss
During Jan 1, to Dec, 31, 1997 death - buffalo
During Jan 1, to Dec, 31, 1997 death - buffalo
During Jan 1, to Dec, 31, 1997 death - buffalo
During Jan 1, to Dec, 31, 1997 death - buffalo
During Jan 1, to Dec, 31, 1997 death - buffalo
3631
203994
999
1.766
31.554
Raising livestock 1997 - Horse
Raising livestock 1997 - Horse
Raising livestock 1997 - Horse
Raising livestock 1997 - Horse
Raising livestock 1997 - Horse
207625
1
2
Raising livestock Jan 1, 1998 - horse
Raising livestock Jan 1, 1998 - horse
Raising livestock Jan 1, 1998 - horse
Raising livestock Jan 1, 1998 - horse
Raising livestock Jan 1, 1998 - horse
207625
1
2
Jan 1, 1998 number of male - horse
Jan 1, 1998 number of male - horse
Jan 1, 1998 number of male - horse
Jan 1, 1998 number of male - horse
Jan 1, 1998 number of male - horse
2636
204989
1
2
3
4
5
6
7
8
10
11
15
21
44
Sysmiss
Jan 1, 1998 number of female - horse
Jan 1, 1998 number of female - horse
Jan 1, 1998 number of female - horse
Jan 1, 1998 number of female - horse
Jan 1, 1998 number of female - horse
2636
204989
999
1.722
27.547
During Jan 1, to Dec, 31, 1997 born - horse
During Jan 1, to Dec, 31, 1997 born - horse
During Jan 1, to Dec, 31, 1997 born - horse
During Jan 1, to Dec, 31, 1997 born - horse
During Jan 1, to Dec, 31, 1997 born - horse
2520
205105
1
2
3
4
5
6
7
8
11
14
26
999
Sysmiss
During Jan 1, to Dec, 31, 1997 death - horse
During Jan 1, to Dec, 31, 1997 death - horse
During Jan 1, to Dec, 31, 1997 death - horse
During Jan 1, to Dec, 31, 1997 death - horse
During Jan 1, to Dec, 31, 1997 death - horse
2520
205105
1
2
3
4
5
7
8
22
30
222
999
Sysmiss
Raising livestock 1997 5. Goat
Raising livestock 1997 5. Goat
Raising livestock 1997 5. Goat
Raising livestock 1997 5. Goat
Raising livestock 1997 5. Goat
207625
1
2
Raising livestock Jan 1, 1998 - goat
Raising livestock Jan 1, 1998 - goat
Raising livestock Jan 1, 1998 - goat
Raising livestock Jan 1, 1998 - goat
Raising livestock Jan 1, 1998 - goat
207625
1
2
3
4
Jan 1, 1998 number of male - goat
Jan 1, 1998 number of male - goat
Jan 1, 1998 number of male - goat
Jan 1, 1998 number of male - goat
Jan 1, 1998 number of male - goat
15641
191984
999
1.461
8.317
Jan 1, 1998 number of female - goat
Jan 1, 1998 number of female - goat
Jan 1, 1998 number of female - goat
Jan 1, 1998 number of female - goat
Jan 1, 1998 number of female - goat
15641
191984
300
2.773
4.286
During Jan 1, to Dec, 31, 1997 born - goat
During Jan 1, to Dec, 31, 1997 born - goat
During Jan 1, to Dec, 31, 1997 born - goat
During Jan 1, to Dec, 31, 1997 born - goat
During Jan 1, to Dec, 31, 1997 born - goat
15581
192044
999
1.463
17.03
During Jan 1, to Dec, 31, 1997 death - goat
During Jan 1, to Dec, 31, 1997 death - goat
During Jan 1, to Dec, 31, 1997 death - goat
During Jan 1, to Dec, 31, 1997 death - goat
During Jan 1, to Dec, 31, 1997 death - goat
15581
192044
999
0.99
18.737
Raising livestock 1997 - Sheep
Raising livestock 1997 - Sheep
Raising livestock 1997 - Sheep
Raising livestock 1997 - Sheep
Raising livestock 1997 - Sheep
207625
1
2
Raising livestock Jan 1, 1998 - sheep
Raising livestock Jan 1, 1998 - sheep
Raising livestock Jan 1, 1998 - sheep
Raising livestock Jan 1, 1998 - sheep
Raising livestock Jan 1, 1998 - sheep
207625
1
2
Jan 1, 1998 number of male - sheep
Jan 1, 1998 number of male - sheep
Jan 1, 1998 number of male - sheep
Jan 1, 1998 number of male - sheep
Jan 1, 1998 number of male - sheep
2801
204824
1
2
3
4
5
6
7
8
9
10
12
14
15
16
18
20
21
22
112
Sysmiss
Jan 1, 1998 number of female - sheep
Jan 1, 1998 number of female - sheep
Jan 1, 1998 number of female - sheep
Jan 1, 1998 number of female - sheep
Jan 1, 1998 number of female - sheep
2801
204824
86
2.856
3.116
During Jan 1, to Dec, 31, 1997 born - sheep
During Jan 1, to Dec, 31, 1997 born - sheep
During Jan 1, to Dec, 31, 1997 born - sheep
During Jan 1, to Dec, 31, 1997 born - sheep
During Jan 1, to Dec, 31, 1997 born - sheep
2774
204851
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
22
27
221
Sysmiss
During Jan 1, to Dec, 31, 1997 death - sheep
During Jan 1, to Dec, 31, 1997 death - sheep
During Jan 1, to Dec, 31, 1997 death - sheep
During Jan 1, to Dec, 31, 1997 death - sheep
During Jan 1, to Dec, 31, 1997 death - sheep
2774
204851
1
2
3
4
5
6
7
9
10
13
16
17
22
221
Sysmiss
Raising livestock 1997 - Pig
Raising livestock 1997 - Pig
Raising livestock 1997 - Pig
Raising livestock 1997 - Pig
Raising livestock 1997 - Pig
207602
1
2
Raising livestock Jan 1, 1998 - pig
Raising livestock Jan 1, 1998 - pig
Raising livestock Jan 1, 1998 - pig
Raising livestock Jan 1, 1998 - pig
Raising livestock Jan 1, 1998 - pig
207602
1
2
Jan 1, 1998 number of male - pig
Jan 1, 1998 number of male - pig
Jan 1, 1998 number of male - pig
Jan 1, 1998 number of male - pig
Jan 1, 1998 number of male - pig
14911
192714
303
1.733
4.927
Jan 1, 1998 number of female - pig
Jan 1, 1998 number of female - pig
Jan 1, 1998 number of female - pig
Jan 1, 1998 number of female - pig
Jan 1, 1998 number of female - pig
14911
192714
500
1.933
5.421
During Jan 1, to Dec, 31, 1997 born - pig
During Jan 1, to Dec, 31, 1997 born - pig
During Jan 1, to Dec, 31, 1997 born - pig
During Jan 1, to Dec, 31, 1997 born - pig
During Jan 1, to Dec, 31, 1997 born - pig
14704
192921
721
1.735
9.122
During Jan 1, to Dec, 31, 1997 death - pig
During Jan 1, to Dec, 31, 1997 death - pig
During Jan 1, to Dec, 31, 1997 death - pig
During Jan 1, to Dec, 31, 1997 death - pig
During Jan 1, to Dec, 31, 1997 death - pig
14704
192921
222
0.707
4.607
Raising poultry 1997 - free-range chicken
Raising poultry 1997 - free-range chicken
Raising poultry 1997 - free-range chicken
Raising poultry 1997 - free-range chicken
Raising poultry 1997 - free-range chicken
207602
1
2
Raising poultry January 1, 1998 - free-range chicken
Raising poultry January 1, 1998 - free-range chicken
Raising poultry January 1, 1998 - free-range chicken
Raising poultry January 1, 1998 - free-range chicken
Raising poultry January 1, 1998 - free-range chicken
207602
1
2
January 1, 1998 - Number of free-range chicken
January 1, 1998 - Number of free-range chicken
January 1, 1998 - Number of free-range chicken
January 1, 1998 - Number of free-range chicken
January 1, 1998 - Number of free-range chicken
81818
125807
52222
18.035
421.259
Raising poultry 1997 - layer chicken
Raising poultry 1997 - layer chicken
Raising poultry 1997 - layer chicken
Raising poultry 1997 - layer chicken
Raising poultry 1997 - layer chicken
207602
1
2
Raising poultry January 1, 1998 - layer Chicken
Raising poultry January 1, 1998 - layer Chicken
Raising poultry January 1, 1998 - layer Chicken
Raising poultry January 1, 1998 - layer Chicken
Raising poultry January 1, 1998 - layer Chicken
207602
1
2
3
5
January 1, 1998 - Number of layer chicken
January 1, 1998 - Number of layer chicken
January 1, 1998 - Number of layer chicken
January 1, 1998 - Number of layer chicken
January 1, 1998 - Number of layer chicken
1945
205680
25222
110.567
908.872
Raising poultry 1997 - broiler chicken
Raising poultry 1997 - broiler chicken
Raising poultry 1997 - broiler chicken
Raising poultry 1997 - broiler chicken
Raising poultry 1997 - broiler chicken
207602
1
2
Raising poultry January 1, 1998 - broiler Chicken
Raising poultry January 1, 1998 - broiler Chicken
Raising poultry January 1, 1998 - broiler Chicken
Raising poultry January 1, 1998 - broiler Chicken
Raising poultry January 1, 1998 - broiler Chicken
207602
1
2
January 1, 1998 - Number of broiler chicken
January 1, 1998 - Number of broiler chicken
January 1, 1998 - Number of broiler chicken
January 1, 1998 - Number of broiler chicken
January 1, 1998 - Number of broiler chicken
794
206831
15000
249.866
961.297
Raising poultry 1997 - ducks
Raising poultry 1997 - ducks
Raising poultry 1997 - ducks
Raising poultry 1997 - ducks
Raising poultry 1997 - ducks
207602
1
2
Raising poultry January 1, 1998 - ducks
Raising poultry January 1, 1998 - ducks
Raising poultry January 1, 1998 - ducks
Raising poultry January 1, 1998 - ducks
Raising poultry January 1, 1998 - ducks
207602
1
2
January 1, 1998 - Number of ducks
January 1, 1998 - Number of ducks
January 1, 1998 - Number of ducks
January 1, 1998 - Number of ducks
January 1, 1998 - Number of ducks
11270
196355
32000
15.421
318.01
District ( code)
District ( code)
District ( code)
District ( code)
District ( code)
207625
1101
8271
4076.085
2095.227
Household weight 1998
Household weight 1998
Household weight 1998
Household weight 1998
Household weight 1998
207625
12
2080
230.806
150.595
Province
Province
Province
Province
Province
65569
11
12
13
14
15
16
17
18
31
32
33
34
35
51
52
53
54
61
62
63
64
71
72
73
74
81
82
District/City
District/City
District/City
District/City
District/City
65569
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
4
5
6
7
71
72
73
74
75
76
77
78
8
9
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
65569
10
100
101
11
110
111
12
120
121
130
131
132
14
140
141
150
151
153
160
161
170
171
180
181
182
190
191
20
200
201
21
210
22
220
230
231
240
241
250
260
270
280
30
300
31
310
32
320
330
40
41
42
50
51
52
60
61
70
71
710
720
730
740
80
81
90
91
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
65569
1
10
100
102
104
11
112
115
116
12
121
122
13
131
14
15
16
17
18
19
2
20
21
22
23
24
25
26
27
28
29
3
30
31
32
33
34
35
36
37
38
39
4
40
41
42
43
44
45
46
47
48
49
5
50
51
52
53
54
55
56
57
58
59
6
60
61
62
63
64
65
68
69
7
70
71
72
73
76
77
79
8
80
81
83
85
86
87
9
90
95
96
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
65569
1
2
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
65569
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
Serial number of Sample household
65569
1
10
11
12
13
14
15
16
2
3
4
5
6
7
8
9
Village classification
Village classification
Village classification
Village classification
Village classification
65569
1
2
Number of household members
Number of household members
Number of household members
Number of household members
Number of household members
65569
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
23
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
Number of household members aged 0 – 59 months
65569
1
2
3
4
5
6
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
Number of household members was an outpatient in the last one month
65569
1
2
3
4
5
6
7
8
9
13
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
Number of household members was an inpatient in the last one month
65569
1
2
3
4
Frequency of food consumption - rice and its product
Frequency of food consumption - rice and its product
Frequency of food consumption - rice and its product
Frequency of food consumption - rice and its product
Frequency of food consumption - rice and its product
65569
1
2
3
4
5
Frequency of food consumption - flour and its product
Frequency of food consumption - flour and its product
Frequency of food consumption - flour and its product
Frequency of food consumption - flour and its product
Frequency of food consumption - flour and its product
65569
1
2
3
4
5
Frequency of food consumption - tuber and its product
Frequency of food consumption - tuber and its product
Frequency of food consumption - tuber and its product
Frequency of food consumption - tuber and its product
Frequency of food consumption - tuber and its product
65569
1
2
3
4
5
Frequency of food consumption - sago and its product
Frequency of food consumption - sago and its product
Frequency of food consumption - sago and its product
Frequency of food consumption - sago and its product
Frequency of food consumption - sago and its product
65569
1
2
3
4
5
Frequency of food consumption - corn
Frequency of food consumption - corn
Frequency of food consumption - corn
Frequency of food consumption - corn
Frequency of food consumption - corn
65569
1
2
3
4
5
Frequency of food consumption - noodle
Frequency of food consumption - noodle
Frequency of food consumption - noodle
Frequency of food consumption - noodle
Frequency of food consumption - noodle
65569
1
2
3
4
5
Frequency of food consumption - instant noodle
Frequency of food consumption - instant noodle
Frequency of food consumption - instant noodle
Frequency of food consumption - instant noodle
Frequency of food consumption - instant noodle
65569
1
2
3
4
5
Frequency of food consumption - fermented Soybean cake/Tempe
Frequency of food consumption - fermented Soybean cake/Tempe
Frequency of food consumption - fermented Soybean cake/Tempe
Frequency of food consumption - fermented Soybean cake/Tempe
Frequency of food consumption - fermented Soybean cake/Tempe
65569
1
2
3
4
5
Frequency of food consumption - tofu
Frequency of food consumption - tofu
Frequency of food consumption - tofu
Frequency of food consumption - tofu
Frequency of food consumption - tofu
65569
1
2
3
4
5
Frequency of food consumption - pulses and its product
Frequency of food consumption - pulses and its product
Frequency of food consumption - pulses and its product
Frequency of food consumption - pulses and its product
Frequency of food consumption - pulses and its product
65569
1
2
3
4
5
Frequency of food consumption - fresh sea water fish and its product
Frequency of food consumption - fresh sea water fish and its product
Frequency of food consumption - fresh sea water fish and its product
Frequency of food consumption - fresh sea water fish and its product
Frequency of food consumption - fresh sea water fish and its product
65569
1
2
3
4
5
Frequency of food consumption - fresh water fish and its product
Frequency of food consumption - fresh water fish and its product
Frequency of food consumption - fresh water fish and its product
Frequency of food consumption - fresh water fish and its product
Frequency of food consumption - fresh water fish and its product
65569
1
2
3
4
5
Frequency of food consumption - preserved fish
Frequency of food consumption - preserved fish
Frequency of food consumption - preserved fish
Frequency of food consumption - preserved fish
Frequency of food consumption - preserved fish
65569
1
2
3
4
5
Frequency of food consumption - canned fish
Frequency of food consumption - canned fish
Frequency of food consumption - canned fish
Frequency of food consumption - canned fish
Frequency of food consumption - canned fish
65569
1
2
3
4
5
Frequency of food consumption - fresh meat
Frequency of food consumption - fresh meat
Frequency of food consumption - fresh meat
Frequency of food consumption - fresh meat
Frequency of food consumption - fresh meat
65569
1
2
3
4
5
Frequency of food consumption - preserved meat
Frequency of food consumption - preserved meat
Frequency of food consumption - preserved meat
Frequency of food consumption - preserved meat
Frequency of food consumption - preserved meat
65569
1
2
3
4
5
Frequency of food consumption - can meat
Frequency of food consumption - can meat
Frequency of food consumption - can meat
Frequency of food consumption - can meat
Frequency of food consumption - can meat
65569
1
2
3
4
5
Frequency of food consumption - chicken/poultry
Frequency of food consumption - chicken/poultry
Frequency of food consumption - chicken/poultry
Frequency of food consumption - chicken/poultry
Frequency of food consumption - chicken/poultry
65569
1
2
3
4
5
Frequency of food consumption - innards (liver, brain, intestines, tripe, etc)
Frequency of food consumption - innards (liver, brain, intestines, tripe, etc)
Frequency of food consumption - innards (liver, brain, intestines, tripe, etc)
Frequency of food consumption - innards (liver, brain, intestines, tripe, etc)
Frequency of food consumption - innards (liver, brain, intestines, tripe, etc)
65569
1
2
3
4
5
Frequency of food consumption - egg
Frequency of food consumption - egg
Frequency of food consumption - egg
Frequency of food consumption - egg
Frequency of food consumption - egg
65569
1
2
3
4
5
Frequency of food consumption - fresh milk
Frequency of food consumption - fresh milk
Frequency of food consumption - fresh milk
Frequency of food consumption - fresh milk
Frequency of food consumption - fresh milk
65569
1
2
3
4
5
Frequency of food consumption - powdered milk
Frequency of food consumption - powdered milk
Frequency of food consumption - powdered milk
Frequency of food consumption - powdered milk
Frequency of food consumption - powdered milk
65569
1
2
3
4
5
Frequency of food consumption - condensed Milk
Frequency of food consumption - condensed Milk
Frequency of food consumption - condensed Milk
Frequency of food consumption - condensed Milk
Frequency of food consumption - condensed Milk
65569
1
2
3
4
5
Frequency of food consumption - green vegetables
Frequency of food consumption - green vegetables
Frequency of food consumption - green vegetables
Frequency of food consumption - green vegetables
Frequency of food consumption - green vegetables
65569
1
2
3
4
5
Frequency of food consumption - other vegetables
Frequency of food consumption - other vegetables
Frequency of food consumption - other vegetables
Frequency of food consumption - other vegetables
Frequency of food consumption - other vegetables
65569
1
2
3
4
5
Frequency of food consumption - fresh fruit
Frequency of food consumption - fresh fruit
Frequency of food consumption - fresh fruit
Frequency of food consumption - fresh fruit
Frequency of food consumption - fresh fruit
65569
1
2
3
4
5
Frequency of food consumption - cooking oil
Frequency of food consumption - cooking oil
Frequency of food consumption - cooking oil
Frequency of food consumption - cooking oil
Frequency of food consumption - cooking oil
65569
1
2
3
4
5
Frequency of food consumption - butter
Frequency of food consumption - butter
Frequency of food consumption - butter
Frequency of food consumption - butter
Frequency of food consumption - butter
65569
1
2
3
4
5
Frequency of food consumption - coconut/Coconut milk
Frequency of food consumption - coconut/Coconut milk
Frequency of food consumption - coconut/Coconut milk
Frequency of food consumption - coconut/Coconut milk
Frequency of food consumption - coconut/Coconut milk
65569
1
2
3
4
5
Frequency of food consumption - honey &Granulated sugar and its product
Frequency of food consumption - honey &Granulated sugar and its product
Frequency of food consumption - honey &Granulated sugar and its product
Frequency of food consumption - honey &Granulated sugar and its product
Frequency of food consumption - honey &Granulated sugar and its product
65569
1
2
3
4
5
Frequency of food consumption - dried/wet cake
Frequency of food consumption - dried/wet cake
Frequency of food consumption - dried/wet cake
Frequency of food consumption - dried/wet cake
Frequency of food consumption - dried/wet cake
65569
1
2
3
4
5
Frequency of food consumption - children’s snack
Frequency of food consumption - children’s snack
Frequency of food consumption - children’s snack
Frequency of food consumption - children’s snack
Frequency of food consumption - children’s snack
65569
1
2
3
4
5
Frequency of food consumption - fast food
Frequency of food consumption - fast food
Frequency of food consumption - fast food
Frequency of food consumption - fast food
Frequency of food consumption - fast food
65569
1
2
3
4
5
Frequency of food consumption - soft drink
Frequency of food consumption - soft drink
Frequency of food consumption - soft drink
Frequency of food consumption - soft drink
Frequency of food consumption - soft drink
65569
1
2
3
4
5