DDI_AFG_2010_MICS_v01_M_WB
Development Data Group
2013-11-25
NADA
Version 01 (November 2013)
Multiple Indicator Cluster Survey 2010-2011
MICS 2010-11
AFG_2010_MICS_v01_M
Central Statistics Organization
United Nations Children’s Fund
Ministry of Public Health
Ministry of Education
NADA
United Nations Children’s Fund
Mr Mohammad Sami Nabi
Mrs Siping Wang
Mr. Zabiullah Kamran
Multiple Indicator Cluster Survey - Round 4 [hh/mics-4]
The Multiple Indicator Cluster Survey, Round 4 (MICS4) is the forth round of MICS surveys, previously conducted around 1995 (MICS1), 2000 (MICS2), and 2005-2007 (MICS3). MICS was originally developed to support countries measure progress towards an internationally agreed set of goals that emerged from the 1990 World Summit for Children.
The fourth round of Multiple Indicator Cluster Surveys (MICS4) is scheduled for 2009-2011 and survey results are expected to be available from 2010 onwards. MICS4 data allow countries to better monitor progress toward national goals and global commitments, including the Millennium Development Goals (MDGs) as the target year 2015 approaches.
Information on more than 20 of the MDG indicators is being collected through MICS4, offering one of the largest single sources of data for MDG monitoring. MICS4 continues to address emerging issues and new areas of interest, with validated, standard methodologies in collecting relevant data. It also helps countries capture rapid changes in key indicators.
- v01: Edited, anonymous datasets for public distribution.
The 2010-2011 Afghanistan Multiple Indicator Cluster Survey (MICS) is a nationally representative sample survey that presents data on the social, health, and educational status of women and children in Afghanistan. It was conducted in 2010-2011 by the Central Statistics Organisation (CSO) of the Government of the Islamic Republic of Afghanistan, with the technical and financial support of NICEF. The survey is based on the need to monitor progress towards goals and targets emanating from recent international agreements such as the Millennium Declaration and the Plan of Action of A World Fit For Children. It further helps track progress towards the Afghan Government s policy commitments to reduce poverty and support the wellbeing of women and children, such as the commitments made through the Afghanistan National Development Strategy (ANDS).
The primary objectives of the Afghanistan MICS 2010-2011 include the following:
To provide up-to-date information for assessing the situation of children and women in Afghanistan;
To generate data on the situation of children and women, including the identification of vulnerable groups and of disparities.
To furnish data required for monitoring progress toward goals established in the Millennium Declaration and other internationally agreed upon goals;
To serve as the evidence basis for future action and programming design, and to inform relevant policies and interventions;
To contribute to the improvement of data and monitoring systems in Afghanistan and to strengthen technical expertise in the design, implementation, and analysis of such systems.
Afghanistan
National
- individuals
- households
The survey covered all de jure household members (usual residents), all women aged between 15-49 years, and all children under 5 living in the household.
Sample survey data [ssd]
The scope of the 2010 Afghanistan Multiple Indicator Cluster Survey includes:
- Household: household listing form, education, water and sanitation, household characteristics, child labour, child discipline, hand washing and salt iodization.
- Women: woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, attitudes towards domestic violence, marriage, anthropometry, HIV/AIDS, and blood test for anaemia.
- Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization, anthropometry and blood test for anaemia.
Central Statistics Organization
The primary objective of the sample design for the Afghanistan Multiple Indicator Cluster Survey (MICS4) was to produce statistically reliable estimates of most indicators, at the national level, for urban and rural areas, and for the following eight regions of the country: (1) Central, (2) Central Highlands, (3) East, (4) North, (5) North East, (6) South, (7) South East and (8) West. The Central region was further divided into the sub-regions of (1a) Kabul and (1b) Central Region without Kabul, so there was a total of nine regional domains. The urban and rural areas in each of the regions were defined as the sampling strata. A stratified two-stage sample design was used for the selection of the survey sample.
The final sample size for the Afghanistan MICS4 was calculated as including 15,480 households. For the calculation of the sample size, the key indicator used was the rate of fully immunized children aged 12 to 23 months.
The initial estimated required the sample size to have a relative margin of error (RME) of 12% for the estimate of the child immunization rate at the regional level, which was 2,918 households for each of the nine regional domains, or 26,263 households at the national level. Given the high costs and quality control challenges of conducting the survey with such a large sample size, it is reasonable to relax the precision requirements for the sub-national domains. Therefore, it was decided to limit the total sample size to 15,480 households and to concentrate additional resources on the operational and quality control of the data collection and other survey activities. The average number of households selected per cluster for the Afghanistan MICS4 was determined as 30 households, based on a number of considerations, including the design effect, the budget available, and the time that would be needed per team to complete one cluster. Dividing the total number of households by the number of sample households per cluster, the total number of sample enumerations areas (EAs) to be selected was 516.
The sampling frame for the Afghanistan MICS4 is based on the data and cartographic materials for the frame of EAs that the CSO developed in preparation for the next census. The EAs are segments with well-defined boundaries that will be used as operational areas for the census enumeration. The CSO had previously conducted a quick count of the households and population in each EA in preparation for the census. The EAs have an average of about 185 households, which is a reasonable size for conducting a new listing of households. The sampling frame has a total of 21,194 EAs covering the territory of Afghanistan. The EAs were defined as the primary sampling units (PSUs) to be selected at the first sampling stage for the MICS4.
Within each region, urban and rural stratum, the EAs in the frame were ordered by province, district, controller code and EA code, in order to provide implicit stratification by province and lower levels of geography. The specified number of sample EAs was selected from each sampling stratum systematically with probability proportional to size (PPS), where the measure of size was based on the estimated number of households in the frame.
A reserve sample of EAs was also selected within each stratum (using the same type of systematic PPS selection) to be used as possible replacements in extreme cases when the security situation for an original sample EA made it difficult to enumerate. A total of 102 sample EAs were selected as possible replacements. During the MICS4 fieldwork, 423 of the original 516 sample EAs were enumerated, and 26 replacement EAs were enumerated; and the remaining 67 sample EAs were not replaced. Therefore the final sample in the Afghanistan MICS4 data file includes 449 sample EAs, so there was an overall reduction in the effective sample size.
In order to update the second stage sampling frame, a new listing of households was conducted in each sample EA prior to the selection of households. The enumerators were provided with EA maps, and they were instructed to list all the households within the EA boundaries.
Following the listing in each sample EA, the households were sequentially numbered from 1 to n (the total number of households in each EA). A household selection table was used to select the random systematic sample of 30 households in the field soon after the listing was completed. Based on the total number of households listed, the household selection table specified the serial numbers of the 30 households to be selected.
The sampling procedures are more fully described in "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp.149-151.
Face-to-face [f2f]
The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered in each household, which collected various information on household members including sex, age and relationship. The household questionnaire includes household listing form, education, water and sanitation, household characteristics, child labour, child discipline, hand washing and salt iodization.
In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or primary caretaker of the child.
The women's questionnaire includes woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, attitudes towards domestic violence, marriage, anthropometry, HIV/AIDS, and blood test for anaemia.
The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization, anthropometry and blood test for anaemia.
The questionnaires are based on the MICS4 model questionnaire. From the MICS4 model English version, the questionnaires were translated into Dari and Pashto, and were pre-tested in Kabul province (Kabul city district and Farza district) and Parwan province (Charikar city district and Bagram district) during May 2010. Based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires.
In addition to the administration of questionnaires, fieldwork teams tested the salt used for cooking in the households for iodine content, observed the place and facilities used for hand washing, measured the weights and heights of children aged less than five years, and tested the blood of children aged under five and the blood of women aged between 15 and 49 years.
Training for the fieldwork was conducted for 21 days in August and September 2010. Training included lectures on interviewing techniques and the contents of the questionnaires, in addition to mock interviews between trainees to gain practice in asking questions. Towards the end of the training period, trainees spent three days holding practice interviews in Kabul. For the fieldwork, data were collected by 66 teams. Each team was comprised of six interviewers (three females, three males), two editors (one female editor/measurer) and a supervisor. Fieldwork began in October 2010 and concluded in May 2011.
There is one supervisor for each of the 66 data collection teams in the field.
The Afghanistan MICS4 sample is not self-weighting, given that the sampling rates vary by stratum. Therefore sample weights were calculated and these were used in the subsequent analyses of the survey data.
The major component of the weight is the reciprocal of the sampling fraction used in selecting the sample households in that particular sampling stratum (h) and PSU (i).
Another component in the calculation of sample weights takes into account the level of non-response for the household and individual interviews. The response rate for sample households in stratum h is defined as follows: RRh = Number of interviewed households in stratum h/ Number of occupied households listed in stratum h
The non-response adjustment factors for women's and under-5's questionnaires are applied to the adjusted household weights. Numbers of eligible women and under-5 children were obtained from the roster of household members in the Household Questionnaire for households where interviews were completed.
The design weights for the households were calculated by multiplying the above factors for each sample cluster. These weights were then standardized (or normalized), one purpose of which is to make the weighted sum of the interviewed sample units equal the total sample size at the national level. Normalization is performed by dividing the aforementioned design weights by the average design weight at the national level. The average design weight is calculated as the sum of the design weights divided by the unweighted total. A similar standardization procedure was followed in obtaining standardized weights for the women s and under-5 s questionnaires. Sample weights were appended to all data sets and analyses were performed by weighting the data for each household, woman, or under-5 record with the corresponding sample weights.
A subsample of the households was selected for the AMICS in order to collect data for a hemoglobin test. In order to reduce the costs of this additional data collection and to facilitate field operations, a subsample of a 50% households of the AMICS EAs was selected for the test. It was decided to select an odd number of clusters for the hemoglobin test. This results in a total sample size of 7,740 households in 258 sample EAs. The sample size varies by region from 720 to 960 households, which should provide a reasonable reliability for anaemia estimates at the regional level. All children under age 5 and women aged 15-49 in the households of selected clusters were administered a blood test.
Data were entered using the CSPro software. The data were entered onto 24 microcomputers and carried out by 24 data entry operators, two data entry supervisors and one data processing manager. In order to ensure quality control, all questionnaires were double entered and internal consistency checks performed. Procedures and standard programs developed under the global MICS4 programme and adapted to the Afghanistan questionnaire were used throughout the processing. Data processing was completed in August 2011. Data were analysed using the Statistical Package for Social Sciences (SPSS) software program, Version 18, and the model syntax and tabulation plans developed by UNICEF were used for this purpose.
Of the 13,468 households selected for the sample, 13,314 were visited. Of these, 13,116 were successfully interviewed for a high household response rate of 98.5%. In the interviewed households, 22,053 women (age 15-49 years) were identified. Of these, 21,290 were successfully interviewed, yielding a response rate of 96.5% within interviewed households. In addition, 15,327 children under age five were listed in the household questionnaire. Questionnaires were completed for 14,872 of these children, corresponding to a response rate of 97% within interviewed households. Overall, response rates of 95.6% are calculated for interviews with women and children under age five.
A series of sampling errors tables are available to review the errors of sampling and include the following:
- Sampling Errors - Total Sample
- Sampling Errors - Urban Areas
- Sampling Errors - Rural Areas
- Sampling Errors - Central Region
- Sampling Errors - Central Highlands Region
- Sampling Errors - East Region
- Sampling Errors - North Region
- Sampling Errors - North East Region
- Sampling Errors - South Region
- Sampling Errors - South East Region
- Sampling Errors - West Region
The results of each of the sampling errors tables are shown in appendix C in document "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp. 163-177.
A series of data quality tables are available to review the quality of the data and include the following:
- Age distribution of the household population
- Age distribution of eligible and interviewed women
- Age distribution of children under 5 in household and children under 5 questionnaires
- Women’s completion rates by socio-economic characteristics of households
- Completion rates for under-5 questionnaires by socio-economic characteristics of households
- Completeness of reporting
- Completeness of information for anthropometric indicators
- Heaping in anthropometric measurements
- Observation of places for hand washing
- Observation of under-5s birth certificates
- Observation of women's health cards
- Observation of vaccination cards
- Presence of mother in the household and the person interviewed for the under-5 questionnaire
- Selection of children age 2–14 years for the child discipline module
- School attendance by single age
- Sex ratio at birth among children ever born and living
The results of each of these data quality tables are shown in appendix D in document "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp.178-192.
Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets.
Childinfo
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,
Central Statistics Organization of the Government of the Islamic Republic of Afghanistan, and United Nations Children’s Fund. Afghanistan Multiple Indicator Cluster Survey (MICS) 2010-2011, Ref. AFG_2010_MICS_v01_M. Dataset downloaded from [url] on [date].
Survey datasets are distributed at no cost for legitimate research, with the condition that we receive a description of the objectives of any research project that will be using the data prior to authorizing their distribution.
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.
hh
Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Child discipline, Hand washing and Salt iodization.)
13468
108
hl
Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, and Child Labour.)
101671
49
ch
Data collected at the children's level (MICS Under Five Children's questionnaire modules: Under-five child information panel, Child's age, Birth registration, Early childhood development, Breastfeeding , Care of illness, Immunization, Under-five child selected for blood test.)
15320
208
wm
Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Desire for last birth, Maternal and newborn health, Illness symptoms, Contraception, Attitudes toward domestic violence, Marriage/union, HIV/AIDS, Anthropometry and Women aged 15-49 selected for blood test.)
22053
175
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
13468
1
449
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
13468
1
34
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer name and code number:
Enter your own name and identification number provided to you at the time of training.
13468
1
999
Supervisor number
Supervisor number
Supervisor number
Supervisor number
Supervisor number
Supervisor name and code number:
Leave this space blank. The supervisor will later enter his/her name and number in the space provided.
13468
951
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
Day/ Month/ Year of interview in BS:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
13468
1
31
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
Day/ Month/ Year of interview in BS:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
13468
1
12
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
Day/ Month/ Year of interview in BS:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
13468
2010
2011
2010
2011
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
13468
1
2
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
13468
1
8
1
Region C
2
Region CH
3
Region E
4
Region N
5
Region NE
6
Region S
7
Region SE
8
Region W
Selected for nutrition
Selected for nutrition
Selected for nutrition
Selected for nutrition
Selected for nutrition
Is this HH selected for Nutrition Survey sub-sample?
13468
1
9
1
Yes
2
No
9
Missing
Result of HH interview
Result of HH interview
Result of HH interview
Result of HH interview
Result of HH interview
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
'Completed': If the Household Questionnaire is completed, circle '01'.
'No household member or no competent respondent at home at time of visit': If the dwelling is occupied, but no one is at home or if there is only a child at home or an adult member who is ill, deaf, or mentally incompetent and you have not been able to contact a more qualified member of the household after repeated visits, circle '02'.
'Entire household absent for extended period of time': If no one is at home and the neighbours say that no one will return for several days or weeks, circle '03'.
'Refused': If the household refuses to be interviewed, circle '04.
'Dwelling vacant / Address not a dwelling': If a dwelling assigned to you is unoccupied, that is, it is empty with no furniture and is not being lived in, this is what we call “vacant,” and you should circle '05'. Other times, you may find that a dwelling is not a residential unit. It is a shop, church, school, workshop, or some other type of facility that is not used as a living area. After making sure there are no residential units in back of or above the premises, circle '05' as the result for the visit.
'Dwelling destroyed': If the dwelling was burned down or was demolished in some other manner, circle '06'.
'Dwelling not found': If you are unable to find the dwelling even after asking people in the area whether they are familiar with the address or the name of the household head on listing forms, circle '07'.
'Other': If you have not been able to complete the Household Questionnaire for another reason, you should circle '96' and specify the reason in the space provided. Some examples of 'Other' codes might be: the household respondent is incapacitated; the questionnaire is partly completed.
13468
1
96
1
Completed
2
No household member on no competent
3
Entire household absent for extended
4
Refused
5
Dwelling vacant/address not a dwelling
6
Dwelling destroyed
7
Dwelling not found
96
Other
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
13116
352
1
24
99
Missing
Number of HH members
Number of HH members
Number of HH members
Number of HH members
Number of HH members
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form.
13116
352
1
40
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the total number of women age 15-49; these are women eligible for interview with the Questionnaire for Individual Women.
13116
352
10
1
2
3
4
5
6
7
8
9
10
Sysmiss
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
13116
352
9
1
2
3
4
5
6
7
8
9
Sysmiss
Number of children under age 5
Number of children under age 5
Number of children under age 5
Number of children under age 5
Number of children under age 5
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
13116
352
9
1
2
3
4
5
6
7
8
9
Sysmiss
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
13116
352
8
1
2
3
4
5
6
7
8
Sysmiss
Field editor
Field editor
Field editor
Field editor
Field editor
Leave this space blank. The field editor of your team will later enter his/her name and number in the space provided when checking the completed household questionnaires.
13468
1
999
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data entry clerk will enter his/her name and number in the space provided.
13468
1
30
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4).
If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Use an additional questionnaire if all rows in the household listing form have been used.
13116
352
6
99
99
Missing
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4).
If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Use an additional questionnaire if all rows in the household listing form have been used.
13116
352
99
99
Missing
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this.
13116
352
7
99
99
Missing
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this.
13116
352
99
99
Missing
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
What is the main source of drinking water for members of your household?
Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. Note that you can only circle one response code. If the source varies by season, record the source for the season of the interview. If the response is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped to neighbour' circle '11', '12', or '13' respectively, and skip to WS6. If the response is 'Bottled water' circle '91' and continue to the next question. Note that the next question is only asked if the response to this question is 'Bottled water'. For all other responses, skip to WS3.
13116
352
11
99
11
Piped into dwelling
12
Piped into compound, yard or plot
13
Piped to neighbour
14
Public tap / standpipe
21
Tube well, Borehole
31
Protected well/kariaz
32
Unprotected well/kariaz
41
Protected spring
42
Unprotected spring
51
Rainwater collection
61
Tanker-truck
71
Cart with small tank / drum
81
Surface water (river, stream, dam, lake, pond, canal, irriga
91
Bottled water
96
Other
99
Missing
Sysmiss
Main source of water used for other purposes (if bottled wat
Main source of water used for other purposes (if bottled wat
Main source of water used for other purposes (if bottled wat
Main source of water used for other purposes (if bottled wat
Main source of water used for other purposes (if bottled wat
What is the main source of water used by your household for other purposes such as cooking and handwashing?
This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question.
Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water.
9
13459
11
99
11
Piped into dwelling
12
Piped into compound, yard or plot
13
Piped to neighbour
14
Public tap / standpipe
21
Tube well, Borehole
31
Protected well/Kariaz
32
Unprotected well/Kariaz
41
Protected spring
42
Unprotected spring
51
Rainwater collection
61
Tanker-truck
71
Cart with small tank / drum
81
Surface water (river, stream, dam, lake, pond, canal, irriga
96
Other
99
Missing
Sysmiss
Location of the water source
Location of the water source
Location of the water source
Location of the water source
Location of the water source
Where is that water source located?
This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question.
11275
2193
1
9
1
In own dwelling
2
In own yard / plot
3
Elsewhere
9
Missing
Sysmiss
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle.
Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question.
If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'.
If the respondent does not know how long it takes, circle '998' and continue to the next question.
7417
6051
1
999
998
DK
999
Missing
Person collecting water
Person collecting water
Person collecting water
Person collecting water
Person collecting water
Who usually goes to this source to collect the water for your household?
The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group.
Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member.
The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level.
7417
6051
1
9
1
Adult woman (age 15+ years)
2
Adult man (age 15+ years)
3
Female child (under 15)
4
Male child (under 15)
8
DK
9
Missing
Sysmiss
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Do you do anything to the water to make it safer to drink?
Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8.
13116
352
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
2040
?
Missing
A
Boil
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
705
?
Missing
B
Add bleach / chlorine
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
141
?
Missing
C
Strain it through a cloth
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
39
?
Missing
D
Use water filter
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
167
?
Missing
E
Solar disinfection
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
327
?
Missing
F
Let it stand and settle
Water treatment: Other
Water treatment: Other
Water treatment: Other
Water treatment: Other
Water treatment: Other
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
30
?
Missing
X
Other
Water treatment: DK
Water treatment: DK
Water treatment: DK
Water treatment: DK
Water treatment: DK
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
3
?
Missing
Z
DK
Type of toilet facility
Type of toilet facility
Type of toilet facility
Type of toilet facility
Type of toilet facility
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
What kind of toilet facility do members of your household usually use?
If necessary ask permission to observe the facility.
The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members.
It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module.
If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given.
Definitions of various types of toilet facilities are as follows:
A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used).
'11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater.
'12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet.
'13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal.
'14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location.
'15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to.
'21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark.
'22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit.
'23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected.
'31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost.
'41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal.
'51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly.
'95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea).
Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here.
The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility.
13116
352
11
99
11
Flush to piped sewer system
12
Flush to septic tank
13
Flush to pit (latrine)
14
Flush to somewhere else
15
Flush to unknown place / Not sure / DK where
21
Ventilated Improved Pit latrine (VIP)
22
Pit latrine with slab
23
Pit latrine without slab / Open pit
31
Composting toilet
41
Bucket
51
Double vault
61
Eco sanitation
71
Single vault
95
No facility, Bush, Field
96
Other
99
Missing
Sysmiss
Toilet facility shared
Toilet facility shared
Toilet facility shared
Toilet facility shared
Toilet facility shared
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
Do you share this faciilty with others who are not members of your household?
Circle the code corresponding to the response given. If 'No', go to the next module.
10808
2660
1
9
1
Yes
2
No
9
Missing
Sysmiss
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public?
The intention of this question is to understand whether the shared facility is only shared with other households (such as a neighbouring household) or whether the facility is open to the public. If it is a public facility, then circle '2' and skip to the next module. If '1' is circled, continue with WS11.
1326
12142
1
9
1
Other households only (not public)
2
Public facility
9
Missing
Sysmiss
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
How many households in total use this toilet facility, including your own household?
The total number of households using this facility should include the household being interviewed. If less than ten households use this toilet facility, enter the number of households on the line provided. Circle '10' if ten or more households use this toilet facility. Note that '01' is not a valid response (since it means that this is the only household that uses the facility; if that is the case, you should go back to WS9 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
1028
12440
1
99
1
2
3
4
5
6
7
8
9
10
Ten or more households
98
DK
99
Missing
Sysmiss
Mother tongue of household head
Mother tongue of household head
Mother tongue of household head
Mother tongue of household head
Mother tongue of household head
What is the mother tongue/native language of the head of this household?
Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head.
13116
352
1
9
1
Pashto
2
Dari
3
Uzbek
4
Turkmen
6
Other
9
Missing
Sysmiss
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
How many rooms in this household are used for sleeping?
This information provides a measure of how crowded the house is, and reflects the socio-economic condition of the household. A room in this case refers to a special area with a permanent partition that is used for sleeping. It is not necessarily the number of rooms in the household that are called 'bedrooms', but rather how many rooms get used for sleeping on a regular basis. Exclude rooms that are used only for sleeping by visitors to the household, but include those rooms that may not be regular 'bedrooms' but may be regularly used by one or more of the household members for sleeping.
Enter the number of rooms in this household that are used for sleeping.
13116
352
1
99
99
Missing
Main material of floor
Main material of floor
Main material of floor
Main material of floor
Main material of floor
Record observation.
Circle the correct code for the material of the floor, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space).
13116
352
11
99
11
Earth / sand
12
Dung
21
Wood planks
22
Palm / Bamboo
31
Parquet or polished wood
32
Vinyl or asphalt strips
33
Ceramic tiles
34
Cement
35
Carpet
96
Other
99
Missing
Sysmiss
Main material of roof
Main material of roof
Main material of roof
Main material of roof
Main material of roof
Record observation.
Circle the correct code for the material of the roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space).
13116
352
11
99
11
No roof
12
Thatch / Palm leaf
13
Sod
21
Rustic mat
22
Palm / Bamboo
23
Wood planks
24
Cardboard
31
Metal
32
Wood
33
Calamine / Cement fibre
34
Ceramic tiles
35
Cement
36
Roofing shingles
96
Other
99
Missing
Sysmiss
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Record observation.
Circle the correct code for the material of the exterior walls, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the walls at different parts of the household, record the main wall material (the material that covers the largest amount of wall space).
13116
352
11
99
11
No walls
12
Cane/Palm/Trunks
13
Dirt
21
Mud wall/Bamboo with mud
22
Stone with mud
23
Uncovered adobe
24
Plywood
25
Cardboard
26
Reused wood
31
Cement
32
Stone with lime / cement
33
Bricks
34
Cement blocks
35
Covered adobe
36
Wood planks / shingles
96
Other
99
Missing
Sysmiss
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
What type of fuel does your household mainly use for cooking?
Information on the type of fuel used for cooking is collected as another measure of the socio-economic status of the household. The use of some cooking fuels can also have adverse health consequences.
Circle the code corresponding to the answer given. Remember that this question asks about fuel for cooking, not fuel for heating or lighting. If the household uses more than one fuel for cooking, find out which type of fuel is used most often. If electricity, liquid propane gas (LPG), natural gas, biogas or kerosene is mainly used, circle '01', '02', '03', '04', or '05', respectively, and skip to HC8. There might be cases when no cooking is done in the household. In this case, circle '95' and skip to HC8. If any fuel other than the pre-coded ones is reported as being the main fuel used for cooking, circle '96' and specify the type of fuel on the line provided.
Definitions of some of the types of fuel are as follows: 'Biogas' includes gases produced by fermenting manure in an enclosed pit. 'Lignite' is a derivative of coal that produces more smoke when burned but produces less heat than coal.
13116
352
1
99
1
Electricity
2
Liquefied Petroleum Gas (LPG)
3
Natural gas
4
Biogas
5
Kerosene
6
Coal / Lignite
7
Charcoal
8
Wood
9
Straw / Shrubs / Grass
10
Animal dung
11
Agricultural crop residue
95
No food cooked in household
96
Other
99
Missing
Sysmiss
Cooking location
Cooking location
Cooking location
Cooking location
Cooking location
Is the cooking usually done in the same house, in a separate building, or outdoors?
If “In the house“, probe: Is it done in a separate room used as a kitchen?
Circle the code corresponding to the response given. Circle '1' if the cooking is done in a separate room designated as a kitchen. Circle '2' if the cooking is done in an area used for living, sitting, sleeping, and not in a separate kitchen or building. Circle '3' if the cooking is done in another building and '4' only if the cooking is usually done outdoors.
If a response is given other than the pre-coded ones, circle '6' and specify the cooking place on the line provided.
The answers to the following two questions on ownership of certain items will be used as an approximate measure of the socio-economic status of the household.
10273
3195
1
9
1
In a separate room used as kitchen
2
Elsewhere in the house
3
In a separate building
4
Outdoors
6
Other
9
Missing
Sysmiss
Electricity
Electricity
Electricity
Electricity
Electricity
Does your household have: Electricity?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Radio
Radio
Radio
Radio
Radio
Does your household have: A radio?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Television
Television
Television
Television
Television
Does your household have: A television?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Non-mobile phone
Non-mobile phone
Non-mobile phone
Non-mobile phone
Non-mobile phone
Does your household have: A non-mobile telephone?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Refrigerator
Refrigerator
Refrigerator
Refrigerator
Refrigerator
Does your household have: A refrigerator?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Watch
Watch
Watch
Watch
Watch
Does any member of your household own: A watch?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Mobile telephone
Mobile telephone
Mobile telephone
Mobile telephone
Mobile telephone
Does any member of your household own: A mobile telephone?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Bicycle
Bicycle
Bicycle
Bicycle
Bicycle
Does any member of your household own: A bicycle?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Does any member of your household own: A motorcycle or scooter?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Does any member of your household own: An animal-drawn cart?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Car or truck
Car or truck
Car or truck
Car or truck
Car or truck
Does any member of your household own: A car or truck?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Do you or someone living in this household own this dwelling, or is this dwelling rented?
Note that the question pertains to the situation at the time of interview. If the respondent or anyone else living in the household owns the dwelling, circle 1 and continue with the next question. If not owned, then ask: Do you rent this dwelling from someone not living in this household? If Rented from someone else, circle 2. For other responses, circle 6.
13116
352
1
9
1
Own
2
Rent
6
Other (not owned or rented)
9
Missing
Sysmiss
Any household member own land that can be used for agricultu
Any household member own land that can be used for agricultu
Any household member own land that can be used for agricultu
Any household member own land that can be used for agricultu
Any household member own land that can be used for agricultu
Does any member of this household own any land that can be used for agriculture?
Agricultural land refers to land that is used for growing crops (the crops may be food for people, food for animals, or other non-food crops), raising animals, and grazing animals. In answering this question, common land used to graze animals but not owned by the household should not be included. Circle the code corresponding to the response given. If 'No', skip to HC13.
Note that the land in question may be far away, even in another country. Accept such answers as “Yes”.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hectares of agricultural land members of household owns
Hectares of agricultural land members of household owns
Hectares of agricultural land members of household owns
Hectares of agricultural land members of household owns
Hectares of agricultural land members of household owns
How many jirib of agricultural land do members of this household own?
If less than 1, record 00 .
If 95 or more, record 95 .
If unknown, record 98 .
6968
6500
99
Less than one jirib
95
More than 95
98
DK
99
Missing
Household own any animals
Household own any animals
Household own any animals
Household own any animals
Household own any animals
Does this household own any livestock, herds, other farm animals or poultry?
Circle the code corresponding to the response given. If 'No', skip to HC15.
13116
352
1
9
1
Yes
2
No
9
Missing
Sysmiss
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
How many of the following animals does this household have? [A] Cattle, milk cows, or bulls?
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
8068
5400
99
95
95+
98
DK
99
Missing
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
How many of the following animals does this household have? [B] Horses, donkeys, or mules?
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
8068
5400
99
95
95+
98
DK
99
Missing
Goats
Goats
Goats
Goats
Goats
How many of the following animals does this household have? [C] Goats?
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
8068
5400
99
95
95+
98
DK
99
Missing
Sheep
Sheep
Sheep
Sheep
Sheep
How many of the following animals does this household have? [D] Sheep?
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
8068
5400
99
95
95+
98
DK
99
Missing
Chickens
Chickens
Chickens
Chickens
Chickens
How many of the following animals does this household have? [E] Poultry?
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
8068
5400
99
95
95+
98
DK
99
Missing
Does any member of this household have bank account
Does any member of this household have bank account
Does any member of this household have bank account
Does any member of this household have bank account
Does any member of this household have bank account
Does any member of this household have a bank account?
Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given.
13116
352
1
9
1
Yes
2
No
9
Missing
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total number of children age 2–14 years
Count the number of children and record the total number of children aged 2-14 years in the box provided.
If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child.
If there is more than one eligible child on the list, go on to fill in Table 2.
12129
1339
23
Not filled for 1, 15,16 years old age
99
Missing
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Record the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions.
11720
1748
1
9
1
2
3
4
5
6
7
8
9
Missing
Sysmiss
Child line number
Child line number
Child line number
Child line number
Child line number
Write the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8.
Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page.
11720
1748
1
99
97
Inconsistent
99
Missing
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
11720
1748
1
2
1
Correct child selected
2
Incorrect child selected
9
Missing
Sysmiss
Took away privileges
Took away privileges
Took away privileges
Took away privileges
Took away privileges
Took away privileges, forbade something (name) liked or did not allow him/her to leave house.
'Privileges' means a right or a benefit that is not available to everyone. As children get older, parents/caretakers often extend privileges not available to a very young child. If you must explain what this question means, first try by asking each prompting question separately. If you need to give examples, try to phrase these questions appropriately for the child's age. “Did you (or someone else in the household) forbid (name) from leaving the house or from going outside for a time? Did you (or someone else in the household) prohibit (name) from doing something he/she usually does, such as playing with friends or watching TV?” For a young child, you might include such things as 'forbidding him/her to have sweets', etc.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why (name)'s behavior was wrong.
When a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Shook child
Shook child
Shook child
Shook child
Shook child
Shook him/her.
Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled at or screamed at him/her.
Parents/caretakers may raise their voice when a child does something they consider wrong.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave him/her something else to do.
This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.”
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped him/her on the bottom with bare hand.
Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hit child on the bottom or elsewhere with belt, brush, stick
Hit child on the bottom or elsewhere with belt, brush, stick
Hit child on the bottom or elsewhere with belt, brush, stick
Hit child on the bottom or elsewhere with belt, brush, stick
Hit child on the bottom or elsewhere with belt, brush, stick
Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.
Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called him/her dumb, lazy or another name like that.
Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped him/her on the face, head or ears.
This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped him/her on the hand, arm or leg.
This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s).
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Beat child up with an implement
Beat child up with an implement
Beat child up with an implement
Beat child up with an implement
Beat child up with an implement
Beat him/her up with an implement.
Probe if necessary: Hit over and over as hard as one could.
Circle the code corresponding to the response given.
11720
1748
1
9
1
Yes
2
No
9
Missing
Sysmiss
Child needs to be physically punished to be brought up prope
Child needs to be physically punished to be brought up prope
Child needs to be physically punished to be brought up prope
Child needs to be physically punished to be brought up prope
Child needs to be physically punished to be brought up prope
Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?
This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. The question asks the respondent for her/his own opinion of whether it is necessary to use physical punishment when teaching a child to behave properly. Do not be surprised if a respondent who has indicated that she/he has used physical punishment says that she/he does not believe in such punishment.
If the respondent states that she/he has no opinion on this or that she/he does not know, circle '8'.
11720
1748
1
9
1
Yes
2
No
8
Don't know / No opinion
9
Missing
Sysmiss
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Please show me where members of your household most often wash their hands.
You will begin by asking whether you may see the place where household members most often wash their hands. If the respondent agrees and you observe the facility, circle '1'. If there is no specific place in dwelling, plot, or yard, circle '2' and skip to HW4. If there is a place but permission is not granted to see it, circle '3'and skip to HW4. If the place used for handwashing is not observed for any other reason, circle '6' and skip to HW4.
In many cultures and crowded slum areas there may not be a designated place for hand-washing. Rather a movable object is used, like a bucket, basin, container or kettle, for people to wash or rinse their hands. Recording where such movable object is usually used for hand washing is important.
13116
352
1
9
1
Observed
2
Not in dwelling/plot/yard
3
No permission to see
6
Other reason
9
Missing
Sysmiss
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
In HW2, you will observe whether there is water available at the place used for handwashing. If there is a tap or pump at the specific place for handwashing, open the tap or operate the pump to see if water is coming out. If there is a bucket, basin or other type of water container, examine to see whether water is present in the container. If you learn that the water is temporarily not available at the specific place for handwashing, code it as water not available ('2') but take a note of this at the end of the questionnaire.
7834
5634
1
9
1
Water is available
2
Water is not available
9
Missing
Sysmiss
Bar soap
Bar soap
Bar soap
Bar soap
Bar soap
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
5933
?
Missing
A
Bar soap
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
1442
?
Missing
B
Detergent (Powder / Liquid / Paste)
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
1653
?
Missing
C
Liquid soap
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
488
?
Missing
D
Ash / Mud / Sand
None
None
None
None
None
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
1461
?
Missing
Y
None
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Do you have any soap or detergent in your household for washing hands?
6737
6731
1
9
1
Yes
2
No
9
Missing
Sysmiss
Bar soap
Bar soap
Bar soap
Bar soap
Bar soap
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
3266
?
Missing
A
Bar soap
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
593
?
Missing
B
Detergent (Powder / Liquid / Paste)
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
516
?
Missing
C
Liquid soap
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
380
?
Missing
D
Ash / Mud / Sand
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
109
?
Missing
Y
Not able / Does not want to show
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
We would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?
Ask for a sample of the salt usually used for cooking in the household, and perform the test on this sample of salt. Once you have a sample of salt, perform the test as described below and circle the code that corresponds to the test outcome. Circle '1' if the test is negative (0 parts per million/no colour - not iodized). Circle '2' if the test shows more than 0 but less than 15 parts per million iodine (weak colour). Circle '3' if the test is positive (15 parts per million or more, strong colour). Circle '6' if there is 'No salt in home'. Circle '7' if the salt was present, but not tested for any reason.
Use the provided salt test kit to test the iodine content in the salt sample. The salt testing kits contain small 10 ml bottles with a stabilized starch-based solution. Each kit is sufficient for testing at least 100 samples of salt. One to two drops of the solution dripped on a small amount of salt containing iodine produces a blue/purple colour change. Coloration indicates that iodine is present. Below follows a brief description of the basic steps to test for iodate content in salt, the most common fortificant. The same basic principles also apply when testing for iodide content in salt, with the main difference being that no re-check solution will be needed with that type of salt.
1. Put a small amount of salt (about a teaspoon or less) on a white piece of paper. Make a small pile and flatten the top.
2. Add 1-2 drops of test solution and check the result immediately in good light, using the colour chart supplied with the test kit.
3. When no colour appears (suspected alkalinity in the salt sample); on a fresh sample of salt, add up to 5 drops of the re-check solution supplied with the kit and then add 2 drops of test solution on the same spot and compare to the colour chart.
4. When you have compared to the colour chart, circle on the questionnaire the code that corresponds to the test outcome.
13116
352
1
9
1
Not iodized 0 PPM
2
More than 0 PPM and less than 15 PPM
3
15 PPM or more
6
No salt in the household
7
Salt not tested
9
Missing
Sysmiss
Sex of household head
Sex of household head
Sex of household head
Sex of household head
Sex of household head
13116
352
1
2
1
Male
2
Female
9
Missing
Sysmiss
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
12690
778
1
9
1
Pashto
2
Dari
3
Uzbek/Turkmen
9
Missing/DK
Sysmiss
Education of household head
Education of household head
Education of household head
Education of household head
Education of household head
13116
352
1
9
1
None
2
Primary
3
Secondary +
9
Missing/DK
Sysmiss
Relative household weight
Relative household weight
Relative household weight
Relative household weight
Relative household weight
13468
5.259
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
13468
-1.795
3.47
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
13468
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Province
Province
Province
Province
Province
13468
01
KABUL
02
KAPISA
03
PARWAN
04
WARDAK
05
LOGAR
06
NANGARHAR
07
LAGHMAN
08
PANJSHER
09
BAGHLAN
10
BAMYAN
11
GHAZNI
12
PAKTIKA
13
PAKTYA
14
KHOST
15
KUNARHA
16
NOORISTAN
17
BADAKHSHAN
18
TAKHAR
19
KUNDUZ
20
SAMANGAN
21
BALKH
22
SAR-E-PUL
23
GHOR
24
DAYKUNDI
25
UROZGAN
26
ZABUL
27
KANDAHAR
28
JAWZJAN
29
FARYAB
30
HELMAND
31
BADGHIS
32
HERAT
33
FARAH
34
NIMROZ
Primary sampling unit
Primary sampling unit
Primary sampling unit
Primary sampling unit
Primary sampling unit
13468
1
449
Strata
Strata
Strata
Strata
Strata
13468
1
16
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
101671
1
449
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
101671
1
34
Line number
Line number
Line number
Line number
Line number
This is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household, but you do not need to fill in or do anything in this column since the numbers are already provided. This is a very important number since, once household members are assigned these line numbers after the Household Listing Form is completed, all members are identified with these line numbers throughout the questionnaires administered in this household.
Probe for additional household members.
Probe especially for any infants or small children not listed, and others who may not be members of the family (such as servants, friends) but who usually live in the household.
Insert names of additional members in the household list and complete form accordingly.
101671
1
40
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
31
32
33
34
35
36
37
38
39
40
99
Missing
Relationship to the head
Relationship to the head
Relationship to the head
Relationship to the head
Relationship to the head
What is the relationship of (name) to the head of household?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Enter the code corresponding to how the person listed is related to the head of the household. Use the codes at the bottom of the Household Listing Form. Be particularly careful in doing this if the respondent is not the head of the household. Make sure that you record the relationship of each person to the household head, not the relationship to the respondent. For example, if the respondent is the wife of the head of the household and she says that Sola is her brother, then Sola should be coded as '09' ('Brother-in-law / Sister-in-law'), not as '08' ('Brother / Sister'), because Sola is a brother-in-law of the head of the household. Be very careful in obtaining this information correctly, since respondents tend to provide the relationship of the person to themselves, rather than to the head of the household.
If the head of the household is married to a woman who has a child from a previous marriage, that child's relationship to the head of the household should be coded as '13' ('Adopted/foster/stepchild'). If a household member is not related to the head of household, such as a friend who lives with the household, enter '14' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household.
101671
1
99
1
Head
2
Wife / Husband
3
Son / Daughter
4
Son-In-Law / Daughter-In-Law
5
Grandchild
6
Parent
7
Parent-In-Law
8
Brother / Sister
9
Brother-In-Law / Sister-In-Law
10
Uncle / Aunt
11
Niece / Nephew
12
Other relative
13
Adopted / Foster / Stepchild
14
Not related
97
Inconsistent
98
Don't know
99
Missing
Sex
Sex
Sex
Sex
Sex
Is (name) male or female?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank.
Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc.
101671
1
2
1
Male
2
Female
9
Missing
Age
Age
Age
Age
Age
How old is (name)?
Probe: HOW OLD WAS (name) ON HIS/HER LAST BIRTHDAY?
Enter each person's age in completed years, that is, his/her age at his/her last birthday. Completed age is also defined as 'the number of completed years since birth'. With this definition, since a 6-month-old baby has not completed a full year, his/her age will be entered as '00'. Note that you will be obtaining more accurate estimates of children's ages later.
This column should never be left blank.
Even after you have probed and asked all the necessary information from the respondent and you still have difficulty obtaining the ages of elderly members of the household, you may enter the code '98', meaning 'Doesn't know/over age 50'. For household members younger than 50, completed ages must be entered. However, you should still indicate, with a note, what age range the person in question might be, so that your editor or supervisor can have an idea of the eligibility of the person to administer the individual questionnaires.
If the age of the member of the household is 95 or higher enter the code '95' for all such cases.
101671
99
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
95
95+
98
DK
99
Missing
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information.
Circle the line number in this column if the household member is a woman 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent.
101671
40
Not eligible
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
31
32
33
36
38
40
99
Missing
Line number of mother/caretaker for children age 5 - 14
Line number of mother/caretaker for children age 5 - 14
Line number of mother/caretaker for children age 5 - 14
Line number of mother/caretaker for children age 5 - 14
Line number of mother/caretaker for children age 5 - 14
For children age 5-14:
Who is the mother or primary caretaker of this child?
If the household member is a child between 5 and 14 years of age (this includes those age 5 and age 14), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary.
101671
33
Not eligible
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
31
32
33
99
Missing
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
For children under age 5:
Who is the mother or primary caretaker of this child?
If the household member is a child under the age of five (this includes those just born and those age 4, but not children who have completed 5 years of age), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. Later, you will be interviewing the person you are recording her/his line number here about the child you are collecting information.
101671
38
Not eligible
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
31
32
33
36
38
99
Missing
Member stayed in the house last night
Member stayed in the house last night
Member stayed in the house last night
Member stayed in the house last night
Member stayed in the house last night
Did (name) stay here last night?
Record whether or not the household member stayed in the household last night.
101671
1
9
1
Yes
2
No
9
Missing
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is (name)’s natural mother alive?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
By 'natural' we mean the biological mother. In many cultures, people consider other people's children whom they are raising as their own, especially children of their husband or sisters, etc. You should be certain that the respondent understands that you are asking about the woman who gave birth to the child.
Record whether or not the child's natural mother is still alive by circling the code corresponding to the response given. If the child's natural mother is not alive or if the respondent does not know, skip to HL13. Otherwise, continue to the question in the next column.
54214
47457
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Does (name’s) natural mother live in this household?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
If the natural mother is still alive, we want to know whether she lives in the household. If the mother does live in the household, ask who she is (she should be listed in the Household Listing Form if she lives in the household) and record her line number in the space provided. If the mother is not a member of the household (not listed in the Household Listing Form), record '00'.
52962
48709
38
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
31
32
33
36
38
97
Inconsistent
99
Missing
Sysmiss
Is natural father alive
Is natural father alive
Is natural father alive
Is natural father alive
Is natural father alive
Is (name)’s natural father alive?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list.
54214
47457
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Does (name)’s natural father live in this household?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list.
52053
49618
32
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
25
26
27
30
32
97
Inconsistent
99
Missing
Sysmiss
Line number
Line number
Line number
Line number
Line number
For household members age 5 and above, ask ED1-ED8:
This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided.
101671
1
40
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
31
32
33
34
35
36
37
38
39
40
99
Missing
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Has (name) ever attended school or pre-school?
For household members age 5 and above, ask ED1-ED8:
Circle '1' if the answer is 'Yes' and continue with question ED4A. If the answer is 'No', circle '2' and go to the household member on the next line.
The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work.
Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school.
'Preschool' is listed for children who do not attend grade 1, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered part of the school system. The definition of organized early learning programme does not refer to programmes offering only babysitting or child-minding.
86267
15404
1
9
1
Yes
2
No
9
Missing
Sysmiss
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
What is the highest level of school (name) has attended?
For household members age 5 and above, ask ED1-ED8:
If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5.
33685
67986
9
Preschool
1
Primary
2
Secondary
3
Higher
8
DK
9
Missing
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade (name) completed at this level?
For household members age 5 and above, ask ED1-ED8:
Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B.
Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5.
Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank.
For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period).
33337
68334
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
97
Inconsistent
98
DK
99
Missing
Sysmiss
Attended school during current school year (2009-2010)
Attended school during current school year (2009-2010)
Attended school during current school year (2009-2010)
Attended school during current school year (2009-2010)
Attended school during current school year (2009-2010)
During the school year, did (name) attend school or preschool at any time?
For household members age 5 and above, ask ED1-ED8:
Circle the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No', skip to ED7.
If the interview is carried out during the school year, then the question should be worded to refer to the current school year. If the interview is carried out between school years, then the question should refer to the last school year that has ended.
Take the example of a country where the school year ends in June and the new school year begins in September: If the interview is carried out in July 2012 (between school years), then the question should refer to the 2011-2012 school year; if the interview is carried out in October 2012 (during the new school year), then the question should refer to the 2012-2013 school year.
25771
75900
1
9
1
Yes
2
No
9
Missing
Sysmiss
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
During this/that school year, which level and grade is/was (name) attending? Level:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7.
If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year.
20938
80733
9
Preschool
1
Primary
2
Secondary
3
Higher
8
DK
9
Missing
Sysmiss
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
During this/that school year, which level and grade is/was (name) attending? Grade:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7.
If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year.
20874
80797
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
19
97
Inconsistent
98
DK
99
Missing
Sysmiss
Attended school previous school year (2008-2009)
Attended school previous school year (2008-2009)
Attended school previous school year (2008-2009)
Attended school previous school year (2008-2009)
Attended school previous school year (2008-2009)
During the previous school year, did (name) attend school or preschool at any time?
For household members age 5 and above, ask ED1-ED8:
If the child attended school at any time during the last school year, circle '1'. If the answer is 'No' or 'DK', circle the appropriate code and go to the household member on the next line.
25771
75900
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
During that previous school year, which level and grade did (name) attend? Level:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person.
20323
81348
9
Preschool
1
Primary
2
Secondary
3
Higher
8
DK
9
Missing
Sysmiss
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
During that previous school year, which level and grade did (name) attend? Grade:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person.
20098
81573
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
97
Inconsistent
98
DK
99
Missing
Sysmiss
Line number
Line number
Line number
Line number
Line number
This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided.
101671
1
40
99
Missing
Worked in past week for someone who is not a HH member
Worked in past week for someone who is not a HH member
Worked in past week for someone who is not a HH member
Worked in past week for someone who is not a HH member
Worked in past week for someone who is not a HH member
During the past week, did (name) do any kind of work for someone who is not a member of this household?
'Pay' refers to any compensation for work, including cash or goods or services provided to the child or his family. 'The past week' refers to the 7 days preceding the interview day (not counting the interview day). Note that the person indicated - someone who is not a member of this household - may be a relative or a family member who lives in a different household.
If the answer is 'Yes', ask if the work was done for pay in cash or kind. Circle '1' if work was done for pay in cash or kind. Circle '2' if work was not done for any form of pay. If '1' or '2' is circled, continue to the next question. If no work was done by that child in the past week, circle '3' and skip to CL5.
31611
70060
1
9
1
Yes, for pay
2
Yes, unpaid
3
No
9
Missing
Sysmiss
Hours worked in past week for someone who is not a HH member
Hours worked in past week for someone who is not a HH member
Hours worked in past week for someone who is not a HH member
Hours worked in past week for someone who is not a HH member
Hours worked in past week for someone who is not a HH member
Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household?
Record the estimated number of hours the child spent doing work in the past 7 days and continue with CL5. If less than 1 hour, record 00. Make sure the respondent understands what you mean by “since last (day of the week)” - specify the name of today's weekday, as you did in the Education Module. If the child works more than one such job, include the total hours spent doing such work in all jobs.
1455
100216
80
Less than one hour
98
DK
99
Missing
Worked in past week to fetch water or collect firewood for h
Worked in past week to fetch water or collect firewood for h
Worked in past week to fetch water or collect firewood for h
Worked in past week to fetch water or collect firewood for h
Worked in past week to fetch water or collect firewood for h
During the past week, did (name) fetch water or collect firewood for household use?
As in CL3, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). CL5 is intended to capture typical work children usually get involved with. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL7.
31611
70060
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hours to fetch water or collect firewood
Hours to fetch water or collect firewood
Hours to fetch water or collect firewood
Hours to fetch water or collect firewood
Hours to fetch water or collect firewood
Since last (day of the week), about how many hours did he/she fetch water or collect firewood for household use?
Insert the estimated number of hours worked.
9356
92315
99
Less than one hour
98
DK
99
Missing
Other paid or unpaid family work in past week
Other paid or unpaid family work in past week
Other paid or unpaid family work in past week
Other paid or unpaid family work in past week
Other paid or unpaid family work in past week
During the past week, did (name) do any paid or unpaid work on a family farm or in a family business or selling goods in the street?
This question is intended to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL9.
31611
70060
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hours worked on other family work
Hours worked on other family work
Hours worked on other family work
Hours worked on other family work
Hours worked on other family work
Since last (day of the week), about how many hours did he/she do this work for his/her family or himself/herself?
As in CL4 and CL6, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked.
1394
100277
1
77
Less than one hour
98
DK
99
Missing
Helped with household chores in past week
Helped with household chores in past week
Helped with household chores in past week
Helped with household chores in past week
Helped with household chores in past week
During the past week, did (name) help with household chores such as shopping, cleaning, washing clothes, cooking; or caring for children, old or sick people?
This question intends to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to next child. If there are no more children left in this module, skip to next module.
31611
70060
1
9
1
Yes
2
No
9
Missing
Sysmiss
Hours spent on chores in past week
Hours spent on chores in past week
Hours spent on chores in past week
Hours spent on chores in past week
Hours spent on chores in past week
Since last (day of the week), about how many hours did he/she spend doing these chores?
As in CL3, CL6 and CL8, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked.
13658
88013
72
Less than one hour
98
DK
99
Missing
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
101671
1
31
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
101671
1
12
1
2
3
4
5
6
7
10
11
12
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
101671
2010
2011
2010
2011
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
101671
1
2
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
101671
1
8
1
Region C
2
Region CH
3
Region E
4
Region N
5
Region NE
6
Region S
7
Region SE
8
Region W
Mother's line number
Mother's line number
Mother's line number
Mother's line number
Mother's line number
54214
47457
38
Not in household
Father's line number
Father's line number
Father's line number
Father's line number
Father's line number
54214
47457
32
Not in household
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
101671
98
95
Child born after begining of school year
98
DK/Missing
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
98481
3190
1
9
1
Pashto
2
Dari
3
Uzbek/Turkmen
9
Missing/DK
Sysmiss
Mother's education
Mother's education
Mother's education
Mother's education
Mother's education
54214
47457
1
9
1
None
2
Primary
3
Secondary +
5
Mother not in household
9
Missing/DK
Sysmiss
Father's education
Father's education
Father's education
Father's education
Father's education
54214
47457
1
9
1
None
2
Primary
3
Secondary +
5
Father not in household
9
Missing/DK
Sysmiss
Education of household head
Education of household head
Education of household head
Education of household head
Education of household head
101671
1
9
1
None
2
Primary
3
Secondary +
9
Missing/DK
Relative household weight
Relative household weight
Relative household weight
Relative household weight
Relative household weight
101671
0.111
5.259
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
101671
-1.795
3.47
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
101671
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Province code
Province code
Province code
Province code
Province code
101671
01
KABUL
02
KAPISA
03
PARWAN
04
WARDAK
05
LOGAR
06
NANGARHAR
07
LAGHMAN
08
PANJSHER
09
BAGHLAN
10
BAMYAN
11
GHAZNI
12
PAKTIKA
13
PAKTYA
14
KHOST
15
KUNARHA
16
NOORISTAN
17
BADAKHSHAN
18
TAKHAR
19
KUNDUZ
20
SAMANGAN
21
BALKH
22
SAR-E-PUL
23
GHOR
24
DAYKUNDI
25
UROZGAN
26
ZABUL
27
KANDAHAR
28
JAWZJAN
29
FARYAB
30
HELMAND
31
BADGHIS
32
HERAT
33
FARAH
34
NIMROZ
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
15320
1
449
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
15320
1
34
Line number
Line number
Line number
Line number
Line number
15320
2
39
99
Missing
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
UF1-UF8 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.
15320
1
449
Household number
Household number
Household number
Household number
Household number
UF1-UF8 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.
15320
1
34
Child's line number
Child's line number
Child's line number
Child's line number
Child's line number
UF1-UF8 should be filled in before you start the interview.
Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing.
15320
2
39
99
Missing
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
UF1-UF8 should be filled in before you start the interview.
Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing.
15320
1
38
99
Missing
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
UF1-UF8 should be filled in before you start the interview.
Enter your own name and identifying number. You will be provided with these identification numbers during training.
15320
1
999
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
15320
1
31
99
Missing
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
15320
1
12
1
2
3
4
5
6
7
10
11
12
99
Missing
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
15320
2010
2011
2010
2011
9999
Missing
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
15320
1
2
1
Yes
2
No
9
Missing
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Complete this question once you have concluded the interview. Remember that the code refers to the mother or primary caretaker of the under-five child. Circle the code corresponding to the results of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '02' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '05'. If you have not been able to complete this questionnaire for another reason, you should circle '96' for 'Other' and specify the reason in the space provided.
15320
1
6
1
Completed
2
Not at home
3
Refused
4
Partly completed
5
Incapacitated
6
Other
9
Missing
Field editor
Field editor
Field editor
Field editor
Field editor
Field edited by:
Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires.
15320
999
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data clerk will enter his/her name and number in the space provided.
15320
1
99
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
14872
448
6
99
99
Missing
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
14872
448
99
99
Missing
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this.
14872
448
7
99
99
Missing
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this.
14872
448
99
99
Missing
Day of birth of child
Day of birth of child
Day of birth of child
Day of birth of child
Day of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
14872
448
1
99
97
Inconsistent
98
DK
99
Missing
Month of birth of child
Month of birth of child
Month of birth of child
Month of birth of child
Month of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
14872
448
1
99
97
Inconsistent
98
DK
99
Missing
Year of birth of child
Year of birth of child
Year of birth of child
Year of birth of child
Year of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
14872
448
2005
2011
2005
2006
2007
2008
2009
2010
2011
9997
Inconsistent
9999
Missing
Sysmiss
Age of child
Age of child
Age of child
Age of child
Age of child
How old is (name)?
After having obtained the child's date of birth, ask the child's age in completed years, and record in the space provided. Remember, ages must refer to the last birthday. Probe if necessary by asking “How old was (name) at his/her last birthday?”
If the mother/primary caretaker does not know the current age of the child, try asking “How many years ago was (name) born?” You may help the respondent by relating the child's age to that of other children or to some important event or to the season of birth, by asking, for example, “How many wet seasons ago was (name) born?”
Record age in completed years. Record '0' if the child is less than 1 year old.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
14872
448
4
1
2
3
4
9
Missing
Sysmiss
Birth certificate
Birth certificate
Birth certificate
Birth certificate
Birth certificate
Does (name) have a birth certificate?
This question aims to provide an estimate of the extent of birth registration in your country. Respondents must be assured that the information about individual families will never be given to authorities, and that they cannot be identified in any way.
If the answer is yes, ask “May I see it?” and circle the appropriate corresponding code, noting whether or not the certificate was seen. If the child has a birth certificate and it was seen, circle '1' and go to next module. If the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate, circle '2' and go to next module. If the child does not have a birth certificate '3' or the respondent does not know '8' continue to the next question.
14872
448
1
9
1
Yes, seen
2
Yes, not seen
3
No
8
DK
9
Missing
Sysmiss
Birth registered
Birth registered
Birth registered
Birth registered
Birth registered
Has (name)'s birth been registered with the civil authorities?
Circle the code corresponding to the response. If the answer is 'Yes', go to next module. If the child's birth has not been registered with civil authorities or the respondent does not know, continue to the next question.
9353
5967
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Know how to register birth
Know how to register birth
Know how to register birth
Know how to register birth
Know how to register birth
Do you know how to register your child’s birth?
The purpose of this question is to assess how important lack of knowledge (of the process of registering or, if applicable, the place to go to register) may be among the reasons for non-registration. This information can inform advocacy efforts and help in the formulation of education campaigns.
Circle the code corresponding to the response.
8916
6404
1
9
1
Yes
2
No
9
Missing
Sysmiss
Reason birth not registered
Reason birth not registered
Reason birth not registered
Reason birth not registered
Reason birth not registered
Why is (name)'s birth not registered?
453
14867
1
8
1
Must travel too far
2
Did not know it should be registered
3
Did not want to get in trouble with authorities
4
Does not know where to register
5
Hospital didn't register baby
6
Other
8
DK
9
Missing
Sysmiss
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
How many children’s books or picture books do you have for (name)?
This question asks specifically about children's books or picture books for the child. This excludes schoolbooks (appropriate for or belonging to older children), as well as other books for adults that are present in the household.
Record the number of books in the space provided. There is no need to make an actual count of books yourself. Rely on the respondent's answer, and avoid asking to see and count the books yourself, since this is likely to require extra time. If the respondent is unsure about the number of children's books or picture books and is not able to provide an answer the first time you ask the question, ask her/him if there are more than 10 such books. If yes, circle '10'. If she/he says that there are less than 10 such books, probe further to get an exact number. If there are no such books in the household, record '00'.
14872
448
99
1
2
3
4
5
6
7
8
9
10
Ten or more books
99
Missing
Sysmiss
Homemade toys
Homemade toys
Homemade toys
Homemade toys
Homemade toys
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: homemade toys (such as dolls, cars or other toys made at home)?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Toys from shops
Toys from shops
Toys from shops
Toys from shops
Toys from shops
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: toys from a shop or manufactured toys?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: household objects (such as bowls or pots) or objects found outside (such as sticks, rocks, animal shells or leaves)?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children.
On how many days in the past week was (name):
Left alone for more than an hour?
This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children.
The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house.
Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old.
14872
448
99
None
1
2
3
4
5
6
7
98
DK
99
Missing
Sysmiss
In past week, days left with other child for more than 1 hou
In past week, days left with other child for more than 1 hou
In past week, days left with other child for more than 1 hou
In past week, days left with other child for more than 1 hou
In past week, days left with other child for more than 1 hou
Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children.
On how many days in the past week was (name):
Left in the care of another child, that is, someone less than 10 years old, for more than an hour?
This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children.
The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house.
Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old.
14872
448
99
None
1
2
3
4
5
6
7
98
DK
99
Missing
Sysmiss
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care?
This question aims to find out if the child is participating in early learning activities. Baby-sitting or child-minding, even if done in a special place such as a day-care centre, does not qualify as such a programme unless it includes organized learning activities. You must ensure that the mother or primary caretaker understands the meaning of 'Early Childhood Education Programme', explaining it as instructed.
Circle the appropriate code. Skip to EC7 if the answer to this question is 'No' or 'DK'.
6792
8528
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Type of early childhood education programm
Type of early childhood education programm
Type of early childhood education programm
Type of early childhood education programm
Type of early childhood education programm
What type of early childhood education programme does (name) attend?
158
15162
1
9
1
Community
2
Government
3
Private
8
DK
9
Missing
Sysmiss
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within the last seven days, about how many hours did (name) attend?
This question is asked if the child is attending an early childhood education programme. Record the estimated number of hours the child attended any organized learning or early childhood education programme in the last 7 days (excluding the day of interview). Use a leading zero if necessary.
94
15226
99
1
2
3
4
5
6
7
8
9
10
11
12
14
18
21
28
32
36
49
99
Missing
Sysmiss
Books-Mother
Books-Mother
Books-Mother
Books-Mother
Books-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
654
?
Missing
A
Mother
Books-Father
Books-Father
Books-Father
Books-Father
Books-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
983
?
Missing
B
Father
Books-Other
Books-Other
Books-Other
Books-Other
Books-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1246
?
Missing
X
Other
Books-No one
Books-No one
Books-No one
Books-No one
Books-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
4142
?
Missing
Y
No one
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
3236
?
Missing
A
Mother
Tell stories-Father
Tell stories-Father
Tell stories-Father
Tell stories-Father
Tell stories-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1047
?
Missing
B
Father
Tell stories-Other
Tell stories-Other
Tell stories-Other
Tell stories-Other
Tell stories-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1683
?
Missing
X
Other
Tell stories-No one
Tell stories-No one
Tell stories-No one
Tell stories-No one
Tell stories-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1329
?
Missing
Y
No one
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
3141
?
Missing
A
Mother
Sang songs-Father
Sang songs-Father
Sang songs-Father
Sang songs-Father
Sang songs-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
508
?
Missing
B
Father
Sang songs-Other
Sang songs-Other
Sang songs-Other
Sang songs-Other
Sang songs-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1721
?
Missing
X
Other
Sang songs-No one
Sang songs-No one
Sang songs-No one
Sang songs-No one
Sang songs-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1829
?
Missing
Y
No one
Took outside-Mother
Took outside-Mother
Took outside-Mother
Took outside-Mother
Took outside-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
959
?
Missing
A
Mother
Took outside-Father
Took outside-Father
Took outside-Father
Took outside-Father
Took outside-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
2789
?
Missing
B
Father
Took outside-Other
Took outside-Other
Took outside-Other
Took outside-Other
Took outside-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
3062
?
Missing
X
Other
Took outside-No one
Took outside-No one
Took outside-No one
Took outside-No one
Took outside-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
617
?
Missing
Y
No one
Played with-Mother
Played with-Mother
Played with-Mother
Played with-Mother
Played with-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
642
?
Missing
A
Mother
Played with-Father
Played with-Father
Played with-Father
Played with-Father
Played with-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
785
?
Missing
B
Father
Played with-Other
Played with-Other
Played with-Other
Played with-Other
Played with-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
5208
?
Missing
X
Other
Played with-No one
Played with-No one
Played with-No one
Played with-No one
Played with-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
642
?
Missing
Y
No one
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1106
?
Missing
A
Mother
Named/counted-Father
Named/counted-Father
Named/counted-Father
Named/counted-Father
Named/counted-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1573
?
Missing
B
Father
Named/counted-Other
Named/counted-Other
Named/counted-Other
Named/counted-Other
Named/counted-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
1678
?
Missing
X
Other
Named/counted-No one
Named/counted-No one
Named/counted-No one
Named/counted-No one
Named/counted-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
2892
?
Missing
Y
No one
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Has (name) ever been breastfed?
This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother/primary caretaker.
Circle the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, circle 'No' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child still being breastfed
Child still being breastfed
Child still being breastfed
Child still being breastfed
Child still being breastfed
Is he/she still being breastfed?
'Being breastfed' is defined as putting the child to the breast at least once a day.
Circle the code corresponding to the response.
The questions BF3-BF18 asks about what the child was fed in the preceding 24 hours. The purpose of these questions is to determine what liquids or foods the child was given. Make sure that the respondent understands the question, particularly what is meant by 'yesterday, during the day or night'.
Circle the code corresponding to the response. If the mother/primary caretaker does not know the answer, repeat the question using other local words for the fluid or food. If the answer is still not known, circle '8' for 'DK'.
Note that for infant formula, milk, yogurt, and solid/semi-solid mushy food, the number of times the child had the food is also asked.
14394
926
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
I would like to ask you about liquids that (name) may have had yesterday during the day or the night. I am interested in whether (name) had the item even if it was combined with other foods.
Did (name) drink plain water yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Did (name) drink infant formula yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK,' skip to BF6.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
How many times did (name) drink infant formula?
Record the number of times the child had infant formula.
2267
13053
1
99
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Did (name) drink milk, such as tinned, powdered or fresh animal milk yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF8.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child drank milk
Times child drank milk
Times child drank milk
Times child drank milk
Times child drank milk
How many times did (name) drink tinned, powdered or fresh animal milk?
Record the number of times the child had tinned, powdered or fresh animal milk.
5077
10243
1
99
1
2
3
4
5
6
7
8
9
10
11
12
15
99
Missing
Sysmiss
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Did (name) drink juice or juice drinks yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Did (name) drink soup yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Did (name) drink ORS (oral rehydratation solution) yesterday, during the day or night?
Oral Rehydration Solution is a simple and inexpensive solution that can be prepared at home, consisting of sugar, salt, and water and can decrease fluid loss in children with diarrhoea.
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Did (name) drink any other liquids yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Did (name) drink or eat yogurt yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
How many times did (name) drink or eat yogurt yesterday, during the day or night?
Record the number of times the child had yogurt.
5247
10073
1
99
1
2
3
4
5
6
7
8
9
10
12
99
Missing
Sysmiss
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Did (name) eat thin porridge yesterday, during the day or night?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
How many times did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night?
Record the number of times the child had solid or semi-solid food.
8616
6704
1
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
99
Missing
Sysmiss
Child drank anything else from the bottle with a nipple yest
Child drank anything else from the bottle with a nipple yest
Child drank anything else from the bottle with a nipple yest
Child drank anything else from the bottle with a nipple yest
Child drank anything else from the bottle with a nipple yest
Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple?
Circle the code corresponding to the response.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child was pasifier
Child was pasifier
Child was pasifier
Child was pasifier
Child was pasifier
Yesterday, during the day or night, was (name) given a pacifier?
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
In the last two weeks, has (name) had diarrhoea?
Diarrhoea is determined by the perception of the mother or caretaker, or by three or more loose or watery stools per day, or by blood in stool.
Record the mother's/primary caretaker's answer by circling the corresponding code. If a respondent is not sure what is meant by diarrhoea, tell her/him it means “three or more loose or watery stools per day, or blood in the stool.” Make sure the respondent understands what is meant by 'in the last 2 weeks'. If the child has not had diarrhoea in the last 2 weeks or the caretaker doesn't know, skip to CA7.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
I would like to know how much (name) was given to drink during the diarrhoea (including breastmilk).
During the time (name) had diarrhoea, was he/she given less than usual to drink, about the same amount, or more than usual?
If dehydrated, a child may take more fluids than usual. We want to know if the pattern of fluid consumption changed during diarrhoea. The focus in this question is on how much fluid was actually consumed by the child.
Ask the question just as it is worded here. Read out the entire question and circle the appropriate code for the caretaker's response. Get the respondent's best judgement of the relative amount of total fluids actually consumed by the child. All fluids are included, not just special ones given during diarrhoea. For example, water, tea, fruit juice, breastmilk and formula are included as well as special fluids such as ORS.
If the child was given less drink than usual during the diarrhoea, probe: “Was he/she given much less than usual to drink, or somewhat less?”
Try to find out what actually happened, not what the respondent thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more fluids” is not satisfactory. You would need to ask, “But how much did your child actually drink during this diarrhoea?”
It may be difficult to estimate the relative amount of breastmilk taken by the child. The respondent may make an estimate based on whether the child nursed longer or more frequently.
3440
11880
1
9
1
Much less
2
Somewhat less
3
About the same
4
More
5
Nothing to drink
8
DK
9
Missing
Sysmiss
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
During the time (name) had diarrhoea, was he/she given less than usual to eat, about the same amount, more than usual, or nothing to eat?
During an episode of diarrhoea or other illness, a child may change the amount usually eaten. The focus in this question is on how much food was actually consumed by the child.
Ask the question just as it is worded here. Read out the entire question and circle the code corresponding to the caretaker's response. Get the caretaker's best judgement of the relative amount of total food actually consumed by the child.
Try to find out what actually happened, not what the caretaker thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more food” is not satisfactory. You would need to ask, “But how much did your child actually eat during this diarrhoea?”
If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), circle '5' for 'Stopped food'. If the child was given less than usual to eat during the diarrhoea, probe: “Was he/she given much less than usual to eat, or somewhat less?”. Then circle the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; circle '1'.
Make sure that the respondent understands that this includes breastmilk, if the child is still being breastfed. If the child is very young and the caretaker replies that he/she takes only fluids or breastmilk (that is, has not started 'eating' yet), there is no need to probe, since 'drinking' and 'eating' count as the same for this child. Circle the answer for this question (eating) that comes closest to the answer you circle for CA4 (drinking).
3440
11880
1
9
1
Much less
2
Somewhat less
3
About the same
4
More
5
Stopped food
6
Never gave food
8
DK
9
Missing
Sysmiss
Drank fluid made from special packet (ORS)
Drank fluid made from special packet (ORS)
Drank fluid made from special packet (ORS)
Drank fluid made from special packet (ORS)
Drank fluid made from special packet (ORS)
During the episode of diarrhoea, was (name) given to drink any of the following:
A fluid made from a special packet called Oral Rehydration Solution (ORS)?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
3440
11880
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Pre-packaged ORS fluid for diarrhoea
Pre-packaged ORS fluid for diarrhoea
Pre-packaged ORS fluid for diarrhoea
Pre-packaged ORS fluid for diarrhoea
Pre-packaged ORS fluid for diarrhoea
During the episode of diarrhoea, was (name) given to drink any of the following:
A pre-packaged ORS fluid for diarrhoea?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
3440
11880
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Govt. recommended homemade fluid X
Govt. recommended homemade fluid X
Govt. recommended homemade fluid X
Govt. recommended homemade fluid X
Govt. recommended homemade fluid X
During the episode of diarrhoea, was (name) given to drink any of the following:
Government-recommended homemade fluid (Wheat Salt Solution WSS)?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
3440
11880
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Govt. recommended homemade fluid Y
Govt. recommended homemade fluid Y
Govt. recommended homemade fluid Y
Govt. recommended homemade fluid Y
Govt. recommended homemade fluid Y
During the episode of diarrhoea, was (name) given to drink any of the following:
Government-recommended homemade fluid (Salt & Sugar Solution SSS)?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
3440
11880
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Was anything (else) given to treat diarrhoea?
This question asks the mother or caretaker whether the child received any (other) treatment for diarrhoea other than those mentioned in CA4 for this episode of diarrhoea. If in CA4 you learned that the child was given fluid from an ORS packet, sugar and salt solution, or pre-packaged ORS fluid, then phrase CA5 by saying, “Was anything else given to treat the diarrhoea?” If none of the liquids was given, ask CA5 by saying, “Was anything given to treat the diarrhoea?”
Circle the code corresponding to the answer given. If the response is 'Yes', continue to CA6 to learn the type of treatment given. If the child was not given anything (else) for the diarrhoea or the respondent doesn't know, skip to CA7.
3440
11880
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
625
?
Missing
A
Antibiotic pill or syrup
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
811
?
Missing
B
Antimotility pill or syrup
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
165
?
Missing
C
Zinc pill or syrup
Other treatment (pill or syrup): Other (not antibiotic, anti
Other treatment (pill or syrup): Other (not antibiotic, anti
Other treatment (pill or syrup): Other (not antibiotic, anti
Other treatment (pill or syrup): Other (not antibiotic, anti
Other treatment (pill or syrup): Other (not antibiotic, anti
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
60
?
Missing
G
Other pill or syrup
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
611
?
Missing
H
Unknown pill or syrup
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
171
?
Missing
L
Antibiotic injection
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
36
?
Missing
M
Non antibiotic injection
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
115
?
Missing
N
Unknown injection
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
63
?
Missing
O
Intravenous
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
464
?
Missing
Q
Home remedy/Herbal medicine
Other treatment: Other
Other treatment: Other
Other treatment: Other
Other treatment: Other
Other treatment: Other
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
152
?
Missing
X
Other
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
At any time in the last two weeks, has (name) had an illness with a cough?
Illness with a cough means a cold or other acute respiratory illness with a cough.
Circle the code corresponding to the response given. If the respondent says “He coughs all the time,” or “She's been coughing for months,” do not count this as an 'illness with a cough' since it is a chronic problem. If the answer is 'No' or 'DK', circle the appropriate code and go to CA14. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
When (name) had an illness with a cough, did he/she breathe faster than usual, with short, rapid breaths or have difficulty breathing?
The question aims to find out if the child has or had an illness requiring assessment by a health professional.
If the respondent asks “What do you mean by 'fast breathing'?” you may say “noticeably faster than normal when the child is rested.” If the respondent asks “What do you mean by 'difficulty breathing'?” you may say “The child sounded/looked as if he/she was having trouble breathing.” You may give other explanations that were developed and tested during the adaptation and pre-testing of the questionnaire. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA14.
5237
10083
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose?
This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold.
Circle the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked or runny nose only', skip to CA14. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, circle '6' and skip to CA14. Otherwise, continue to the next question.
4193
11127
1
9
1
Problem in chest
2
Blocked or runny nose
3
Both
6
Other
8
DK
9
Missing
Sysmiss
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Did you seek any advice or treatment for the illness from any source?
'Seeking care outside the home' means going outside the family or household for advice or treatment. Seeking care could include anything from asking a neighbour for advice, to holding a religious ceremony on the child's behalf, to going to a hospital. If a physician or other provider visits the household to give care, this counts as seeking care outside the home. The child may or may not have accompanied the respondent when he/she sought care. For example, going to buy medicine without the child counts as seeking care.
Circle the code corresponding to the response given. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA12.
2974
12346
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
587
?
Missing
A
Government hospital
Place sought care: (public sector) Government health center
Place sought care: (public sector) Government health center
Place sought care: (public sector) Government health center
Place sought care: (public sector) Government health center
Place sought care: (public sector) Government health center
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
246
?
Missing
B
Government health center
Place sought care: (public sector) Government health post
Place sought care: (public sector) Government health post
Place sought care: (public sector) Government health post
Place sought care: (public sector) Government health post
Place sought care: (public sector) Government health post
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
104
?
Missing
C
Government health post
Place sought care: (public sector) Village health worker
Place sought care: (public sector) Village health worker
Place sought care: (public sector) Village health worker
Place sought care: (public sector) Village health worker
Place sought care: (public sector) Village health worker
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
168
?
Missing
D
Village health worker
Place sought care: (public sector) Mobile / Outreach clinic
Place sought care: (public sector) Mobile / Outreach clinic
Place sought care: (public sector) Mobile / Outreach clinic
Place sought care: (public sector) Mobile / Outreach clinic
Place sought care: (public sector) Mobile / Outreach clinic
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
82
?
Missing
E
Mobile / Outreach clinic
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
16
?
Missing
H
Other public
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
101
?
Missing
I
Private hospital / clinic
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
700
?
Missing
J
Private physician
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
239
?
Missing
K
Private pharmacy
Place sought care: Mobile clinic
Place sought care: Mobile clinic
Place sought care: Mobile clinic
Place sought care: Mobile clinic
Place sought care: Mobile clinic
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
18
?
Missing
L
Mobile clinic
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
3
?
Missing
O
Other private medical
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
96
?
Missing
P
Relative / Friend
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
47
?
Missing
Q
Shop
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
94
?
Missing
R
Traditional practitioner
Place sought care: Other
Place sought care: Other
Place sought care: Other
Place sought care: Other
Place sought care: Other
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
10
?
Missing
X
Other
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Was (name) given any medicine to treat this illness?
Circle the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA14.
2974
12346
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Medicine: Antibiotic pill / syrup
Medicine: Antibiotic pill / syrup
Medicine: Antibiotic pill / syrup
Medicine: Antibiotic pill / syrup
Medicine: Antibiotic pill / syrup
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
1707
?
Missing
A
Antibiotic pill / syrup
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
613
?
Missing
B
Antibiotic injection
Medicine: Anti-malarials
Medicine: Anti-malarials
Medicine: Anti-malarials
Medicine: Anti-malarials
Medicine: Anti-malarials
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
34
?
Missing
M
Anti-malarials
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
607
?
Missing
P
Paracetamol / Panadol / Acetaminophen
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
261
?
Missing
Q
Aspirin
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
115
?
Missing
R
Ibuprofen
Medicine: Other
Medicine: Other
Medicine: Other
Medicine: Other
Medicine: Other
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
126
?
Missing
X
Other
Medicine: DK
Medicine: DK
Medicine: DK
Medicine: DK
Medicine: DK
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
41
?
Missing
Z
DK
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
The last time (name) passed stools, what was done to dispose of the stools?
The purpose of this question is to know what was done with the most recent stools passed by the child in the household. The safe disposal of children's stools is of particular importance because children's stools are the most likely cause of faecal contamination to the immediate household environment. Correct disposal of stools is linked with lower risks of diarrhoea.
Respondents are asked where they usually dispose of their children's stools if the child did not use the toilet facility. Circle the most appropriate code.
If the respondent states that diapers are used, then probe to establish how the diapers are disposed of.
8080
7240
1
99
1
Child used toilet / latrine
2
Put / Rinsed into toilet or latrine
3
Put / Rinsed into drain or ditch
4
Thrown into garbage (solid waste)
5
Buried
6
Left in the open
96
Other
98
DK
99
Missing
Sysmiss
Vaccination card for child
Vaccination card for child
Vaccination card for child
Vaccination card for child
Vaccination card for child
Do you have a card where (name)’s vaccinations are written down?
(If yes) May I see it please?
If the respondent reports that there is a vaccination card for the child, ask to see it. You should have obtained vaccination cards at the beginning of the interview. If you did not already obtain the card for the child, now is the time to ask for it again.
In some cases, the respondent may not be willing to take time to look for the vaccination card, thinking that you are in a hurry. Encourage the respondent to look for the vaccination card for the child. It is critical to obtain written documentation of the child's immunization history. Therefore, be patient if the respondent needs to search for the card.
If the respondent does not have a vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), ask to see it. If the card or other document is seen, circle '1' and skip to IM3. If the child has a vaccination card or other document but the respondent is unable to show you, circle '2' and skip to IM6 - you will be asking the respondent to recall the child's vaccinations. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, circle '3' and continue to next question.
14872
448
1
9
1
Yes, seen
2
Yes, not seen
3
No
9
Missing
Sysmiss
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Did you ever have a vaccination card for (name)?
Circle the code corresponding to the answer given and skip to IM6.
5619
9701
1
9
1
Yes
2
No
9
Missing
Sysmiss
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3151
12169
1
99
99
Missing
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3151
12169
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of Polio at birth immunization
Day of Polio at birth immunization
Day of Polio at birth immunization
Day of Polio at birth immunization
Day of Polio at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of Polio at birth immunization
Month of Polio at birth immunization
Month of Polio at birth immunization
Month of Polio at birth immunization
Month of Polio at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3033
12287
1
99
99
Missing
Year of Polio at birth immunization
Year of Polio at birth immunization
Year of Polio at birth immunization
Year of Polio at birth immunization
Year of Polio at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3033
12287
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
1
99
99
Missing
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
1
99
99
Missing
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
1
99
99
Missing
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
1
99
99
Missing
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
1
99
99
Missing
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
1
99
99
Missing
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
1
99
99
Missing
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3094
12226
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
1
99
99
Missing
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3052
12268
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
1
99
99
Missing
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3001
12319
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
2910
12410
1
99
99
Missing
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
2910
12410
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Day of receiving vitamin A
Day of receiving vitamin A
Day of receiving vitamin A
Day of receiving vitamin A
Day of receiving vitamin A
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
3242
12078
99
Not given
44
Marked on card - no date given
66
Reported by mother
99
Missing
Month of receiving vitamin A
Month of receiving vitamin A
Month of receiving vitamin A
Month of receiving vitamin A
Month of receiving vitamin A
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
2778
12542
1
99
99
Missing
Year of receiving vitamin A
Year of receiving vitamin A
Year of receiving vitamin A
Year of receiving vitamin A
Year of receiving vitamin A
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
2778
12542
2006
9999
2006
2007
2008
2009
2010
2011
9999
Missing
Sysmiss
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
In addition to what is recorded on this card, did (name) receive any other vaccinations – including vaccinations received in campaigns or immunization days?
It is possible that some of the vaccinations received by the child were not recorded. For example, the respondent may have forgotten to bring the card to the health facility or the respondent may have taken the child to a National Immunization Day.
If the answer is 'Yes', circle '1' only if the respondent mentions vaccines included in the questionnaire. You can refer to the information already obtained from the vaccination card to make sure that the mother/primary caretaker is referring only to these vaccines. Write '66' in the corresponding 'Day' column for IM3, and leave the month and year columns blank. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, there should be '66' in the 'Day' column.
Do not ask the respondent to supply dates from memory. Enter a date only if the card or other document is available and lists a date for the immunization dose.
Once you have probed for any other vaccination, skip to IM18.
186
15134
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day?
Only ask IM6-IM17 to obtain the child's vaccination status if a vaccination card or other document is not available (that is, if the answer to IM1 was '2' for 'Yes, not seen' or '3' for 'No card'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, anti-malarials, etc. - but only in vaccines.
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question, to start asking about each of the vaccines. If the answer is 'No' or 'DK', skip to IM18.
11641
3679
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Has (name) ever received a BCG vaccination against tuberculosis – that is, an injection in the arm or shoulder that usually causes a scar?
Circle the code corresponding to the response.
8307
7013
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Has (name) ever received any “vaccination drops in the mouth” to protect him/her from getting diseases – that is, polio?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If the answer is 'No' or 'DK', skip to IM11.
8307
7013
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Polio first given just after birth or later
Polio first given just after birth or later
Polio first given just after birth or later
Polio first given just after birth or later
Polio first given just after birth or later
Was the first polio vaccine received in the first two weeks after birth or later?
7840
7480
1
9
1
First two weeks
2
Later
9
Missing
Sysmiss
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
How many times was the polio vaccine received?
Fill in the number in the space provided.
7840
7480
1
9
1
2
3
4
5
6
7
9
Missing
Sysmiss
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Has (name) ever received a DPT vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting tetanus, whooping cough, or diphtheria?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM13.
8307
7013
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
How many times was a DPT vaccine received?
Fill in the number in the space provided.
4844
10476
1
9
1
2
3
4
5
6
7
9
Missing
Sysmiss
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Has (name) ever been given a Hepatitis B vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting Hepatitis B?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM16.
8307
7013
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Was the first Hepatitis B vaccine received within 24 hours after birth, or later?
Ask if the first hepatitis B vaccine was received within 24 hours after birth or later. Circle the code corresponding to the response.
3174
12146
1
9
1
Within 24 hours
2
Later
9
Missing
Sysmiss
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
How many times was a Hepatitis B vaccine received?
Fill in the number in the space provided.
3174
12146
1
9
1
2
3
4
5
6
7
9
Missing
Sysmiss
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Has (name) ever received a Measles injection – that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles?
Circle the code corresponding to the response. If the caretaker specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid and circle '1' for 'Yes'.
8307
7013
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Has (name) received a Vitamin A dose like (this/any of these) within the last 6 months?
This question asks if the child has received a vitamin A supplement.
Show the capsule or dispenser you were given to help the caretaker remember. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign A
Child participated in campaign A
Child participated in campaign A
Child participated in campaign A
Child participated in campaign A
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Polio NIDs 2008
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign B
Child participated in campaign B
Child participated in campaign B
Child participated in campaign B
Child participated in campaign B
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Polio NIDs 2009
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign C
Child participated in campaign C
Child participated in campaign C
Child participated in campaign C
Child participated in campaign C
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Tetanus NIDs 2008
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign D
Child participated in campaign D
Child participated in campaign D
Child participated in campaign D
Child participated in campaign D
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Tetanus NIDs 2009
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign E
Child participated in campaign E
Child participated in campaign E
Child participated in campaign E
Child participated in campaign E
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Vit A 2008
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child participated in campaign F
Child participated in campaign F
Child participated in campaign F
Child participated in campaign F
Child participated in campaign F
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days:
Vit a 2009
This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card.
Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again.
14872
448
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Measurer's ID
Measurer's ID
Measurer's ID
Measurer's ID
Measurer's ID
Interviewer name and number:
6981
8339
2
999
Checked blood
Checked blood
Checked blood
Checked blood
Checked blood
May I take blood from the child?
6981
8339
1
9
1
No/Refused
2
Yes
9
Missing
Sysmiss
Filled in two lines
Filled in two lines
Filled in two lines
Filled in two lines
Filled in two lines
Have you taken sufficient blood?
5770
9550
1
9
1
No
2
Yes
9
Missing
Sysmiss
Glomobine result
Glomobine result
Glomobine result
Glomobine result
Glomobine result
Results of the haemoglobin level
5770
9550
0.1
99.9
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
15320
1
2
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
15320
1
8
1
Region C
2
Region CH
3
Region E
4
Region N
5
Region NE
6
Region S
7
Region SE
8
Region W
Sex
Sex
Sex
Sex
Sex
Is (name) male or female?
Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank.
15320
1
2
1
Male
2
Female
9
Missing
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
What is the highest level of school (name) attended?
For household members age 5 and above, ask ED1-ED8:
If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5.
1746
13574
1
9
Preschool
1
Primary
2
Secondary
3
Higher
8
DK
9
Missing
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade (name) completed at this level?
For household members age 5 and above, ask ED1-ED8:
Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B.
Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5.
Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank.
For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period).
1746
13574
1
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
97
Inconsistent
98
DK
99
Missing
Sysmiss
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
15320
1330
1339
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
14872
448
1271
1337
Age (months)
Age (months)
Age (months)
Age (months)
Age (months)
14872
448
59
Age
Age
Age
Age
Age
14872
448
1
6
1
0-5
2
6-11
3
12-23
4
24-35
5
36-47
6
48-59
Sysmiss
Age
Age
Age
Age
Age
14872
448
1
5
1
0-11
2
12-23
3
24-35
4
36-47
5
48-59
Sysmiss
Age in days
Age in days
Age in days
Age in days
Age in days
14872
448
1890
Mother's education
Mother's education
Mother's education
Mother's education
Mother's education
15320
1
9
1
None
2
Primary
3
Secondary
9
Missing/DK
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
14801
519
1
9
1
Pashto
2
Dari
3
Uzbek/Turkmen
9
Missing/DK
Sysmiss
Relative children weight
Relative children weight
Relative children weight
Relative children weight
Relative children weight
15320
5.272
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
15320
-1.795
3.47
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
15320
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Province
Province
Province
Province
Province
15320
01
KABUL
02
KAPISA
03
PARWAN
04
WARDAK
05
LOGAR
06
NANGARHAR
07
LAGHMAN
08
PANJSHER
09
BAGHLAN
10
BAMYAN
11
GHAZNI
12
PAKTIKA
13
PAKTYA
14
KHOST
15
KUNARHA
16
NOORISTAN
17
BADAKHSHAN
18
TAKHAR
19
KUNDUZ
20
SAMANGAN
21
BALKH
22
SAR-E-PUL
23
GHOR
24
DAYKUNDI
25
UROZGAN
26
ZABUL
27
KANDAHAR
28
JAWZJAN
29
FARYAB
30
HELMAND
31
BADGHIS
32
HERAT
33
FARAH
34
NIMROZ
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
22053
1
449
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
22053
1
34
Line number
Line number
Line number
Line number
Line number
22053
1
40
99
Missing
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
WM1-WM6 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.
22053
1
449
Household number
Household number
Household number
Household number
Household number
WM1-WM6 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.
22053
1
34
Woman's line number
Woman's line number
Woman's line number
Woman's line number
Woman's line number
WM1-WM6 should be filled in before you start the interview.
Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing.
22053
1
40
99
Missing
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer’s name and number:
WM1-WM6 should be filled in before you start the interview.
Enter your own name and identifying number. You will be provided with these identification numbers at the time of training.
22053
999
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
22053
1
31
99
Missing
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
22053
1
12
1
2
3
4
5
6
7
10
11
12
99
Missing
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
22053
2010
2011
2010
2011
9999
Missing
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
Selected for nutrition survey
22053
1
2
1
Yes
2
No
9
Missing
Result of woman's interview
Result of woman's interview
Result of woman's interview
Result of woman's interview
Result of woman's interview
Complete this question once you have concluded the interview with the woman. Circle the code corresponding to the result of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '02' for 'Not at home'. If the woman refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the woman is incapacitated (mentally or physically incapacitated), circle '05'. If you have not been able to complete this interview for another reason, you should circle '96' for 'Other' and specify the reason in the space provided.
22053
1
8
1
Completed
2
Not at home
3
Refused
4
Partly completed
5
Incapacitated
6
Other
8
Missing
9
hhh
Field editor
Field editor
Field editor
Field editor
Field editor
Field edited by:
Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires.
22053
1
999
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data clerk will enter his/her name and number in the space provided.
22053
98
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
21290
763
6
99
99
Missing
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
21290
763
99
99
Missing
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this.
21290
763
7
99
99
Missing
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this.
21290
763
99
99
Missing
Month of birth of woman
Month of birth of woman
Month of birth of woman
Month of birth of woman
Month of birth of woman
In what month and year were you born?
If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'.
21290
763
1
99
97
Inconsistent
98
DK
99
Missing
Year of birth of woman
Year of birth of woman
Year of birth of woman
Year of birth of woman
Year of birth of woman
In what month and year were you born?
If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'.
21290
763
1961
9999
9997
Inconsistent
9998
DK
9999
Missing
Age of woman
Age of woman
Age of woman
Age of woman
Age of woman
How old are you?
Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided.
Probe: “How old were you at your last birthday?”
Compare and correct WB1 and/or WB2 if inconsistent.
If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent.
Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire.
21290
763
15
49
99
Missing
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Have you ever attended school or preschool?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
Circle the code corresponding to the response given. If 'No', skip to WB7. Otherwise, continue on to the next question.
The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work.
Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school.
21290
763
1
9
1
Yes
2
No
9
Missing
Sysmiss
Highest level of school you attended
Highest level of school you attended
Highest level of school you attended
Highest level of school you attended
Highest level of school you attended
What is the highest level of school you attended?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
Circle the code corresponding to the highest level ever attended, regardless of whether or not the year was completed. For example, if she attended Form/Year 1 of secondary school for only 2 weeks, record 'Secondary'.
4669
17384
1
9
Preschool
1
Primary
2
Secondary
3
Higher
9
Missing
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade you completed at that level?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
For this question, record the number of years that the respondent successfully completed at that level recorded in WB4. For example, if a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. Although grade 3 was the highest year she attended, she completed 2 years of secondary school. If less than 1 year, record '00' for completed years. For example, if she attended only 2 weeks of grade 1 of secondary school, record '00' for completed years.
4669
17384
99
97
Inconsistent
98
DK
99
Missing
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Now I would like you to read this sentence to me.
Can you read part of the sentence to me?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women.
Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?”
Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'.
It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card.
18391
3662
1
9
1
Cannot read at all
2
Able to read only parts of sentence
3
Able to read whole sentence
4
No sentence in required language
5
Blind / mute, visually / speech impaired
9
Missing
Sysmiss
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Now I would like to ask you about all the births you have had during your life. Have you ever given birth?
The first question of the module is used to determine if the rest of the module and several subsequent modules should be administered to this woman. If the answer is 'Yes', circle '1', and continue with the next question. If the woman says she has never given birth, circle '2' and skip to CM8.
21290
763
1
9
1
Yes
2
No
9
Missing
Sysmiss
Day of first birth
Day of first birth
Day of first birth
Day of first birth
Day of first birth
What was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner.
You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.
13468
8585
1
99
97
Inconsistent
98
DK
99
Missing
Month of first birth
Month of first birth
Month of first birth
Month of first birth
Month of first birth
What was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner.
You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.
13468
8585
1
99
97
Inconsistent
98
DK
99
Missing
Year of first birth
Year of first birth
Year of first birth
Year of first birth
Year of first birth
What was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner.
You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.
13468
8585
1974
9999
9997
Inconsistent
9998
DK
9999
Missing
Years since first birth
Years since first birth
Years since first birth
Years since first birth
Years since first birth
How many years ago did you have your first birth?
This question is asked only to women who are not able to give the year of their first birth in CM2.
It may be easier to obtain this information, especially if the first child is still alive. In this case, the answer is the first child's current age in completed years. Record the response in the space provided.
1234
20819
34
97
Inconsistent
99
Missing
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Do you have any sons or daughters to whom you have given birth who are now living with you?
Read the question slowly. The sons and daughters being considered are those who live with her in her household (these children should have been listed in the Household Listing). Circle the code corresponding to the response. If she answers 'No', skip to CM6.
13468
8585
1
2
1
Yes
2
No
9
Missing
Sysmiss
Sons living with you
Sons living with you
Sons living with you
Sons living with you
Sons living with you
How many sons live with you?
If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00.
Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker.
13323
8730
10
1
2
3
4
5
6
7
8
9
10
99
Missing
Sysmiss
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
How many daughters live with you?
If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00.
Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker.
13323
8730
9
1
2
3
4
5
6
7
8
9
99
Missing
Sysmiss
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?
This refers to sons and daughters who are alive but not living with the woman. For example, one or more of her children may be living with a relative, staying in a boarding school, been given up for adoption, or may be grown-up children who have left home.
Make sure the respondent is not reporting dead children in this question. Circle the code corresponding to the response. If she answers 'No', skip to CM8.
13468
8585
1
9
1
Yes
2
No
9
Missing
Sysmiss
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
How many sons are alive but do not live with you?
If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters.
Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank.
1644
20409
6
1
2
3
4
5
6
99
Missing
Sysmiss
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
How many daughters are alive but do not live with you?
If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters.
Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank.
1644
20409
8
1
2
3
4
5
6
7
8
99
Missing
Sysmiss
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
Have you ever given birth to a boy or girl who was born alive but later died?
This question is extremely important.
Circle the code corresponding to the response. Some respondents may fail to mention children who died very young, so if she answers 'No', it is important to probe by asking “I mean, to a child who ever breathed, cried or showed signs of life - even if he or she lived only a few minutes or hours?” If the answer is still 'No', skip to CM10.
Some respondents may be reluctant to talk about this subject and may become sad or upset that you are asking such questions. Be sympathetic and tactful in such situations. Say that you know the subject is painful, but the information is important.
21290
763
1
9
1
Yes
2
No
9
Missing
Sysmiss
Boys dead
Boys dead
Boys dead
Boys dead
Boys dead
How many boys have died?
If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00.
3832
18221
9
1
2
3
4
5
6
7
8
9
99
Missing
Sysmiss
Girls dead
Girls dead
Girls dead
Girls dead
Girls dead
How many girls have died?
If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00.
3832
18221
8
1
2
3
4
5
6
8
99
Missing
Sysmiss
Children ever born
Children ever born
Children ever born
Children ever born
Children ever born
Add the numbers of births reported in CM5, CM7 and CM9 and write the sum here, then continue with CM11.
21290
763
19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
99
Missing
Sysmiss
Day of last birth
Day of last birth
Day of last birth
Day of last birth
Day of last birth
Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
This question is used to ascertain the woman's eligibility for the subsequent two modules.
Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules.
If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year.
13468
8585
1
99
97
Inconsistent
98
DK
99
Missing
Month of last birth
Month of last birth
Month of last birth
Month of last birth
Month of last birth
Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
This question is used to ascertain the woman's eligibility for the subsequent two modules.
Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules.
If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year.
13468
8585
1
99
97
Inconsistent
99
Missing
Year of last birth
Year of last birth
Year of last birth
Year of last birth
Year of last birth
Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
This question is used to ascertain the woman's eligibility for the subsequent two modules.
Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules.
If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year.
13468
8585
1975
9999
9997
Inconsistent
9999
Missing
Last birth in last two years
Last birth in last two years
Last birth in last two years
Last birth in last two years
Last birth in last two years
If the respondent's last birth occurred in the last 2 years, check the relevant box and enter the name of the child on the line provided. Then continue with DESIRE FOR LAST BIRTH, MATERNAL AND NEWBORN HEALTH, and then POST-NATAL HEALTH CHECKS Modules. If the respondent's last birth did not occur in the last 2 years, check the relevant box and go to the ILLNESS SYMPTOMS Module.
13468
9
Missing
N
No
Y
Yes
Wanted last child then
Wanted last child then
Wanted last child then
Wanted last child then
Wanted last child then
When you got pregnant with (name), did you want to get pregnant at that time?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module.
4962
17091
1
9
1
Yes
2
No
9
Missing
Sysmiss
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Did you want to have a baby later on, or did you not want any (more) children?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module.
924
21129
1
9
1
Later
2
No more
9
Missing
Sysmiss
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
How much longer did you want to wait?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.
494
21559
1
9
1
Months
2
Years
9
Special
Sysmiss
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
How much longer did you want to wait?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.
494
21559
1
99
1
2
3
4
5
6
7
8
9
10
11
98
DK
99
Missing
Sysmiss
Received antenatal care
Received antenatal care
Received antenatal care
Received antenatal care
Received antenatal care
Did you see anyone for antenatal care during your pregnancy with (name)?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
4962
17091
1
9
1
Yes
2
No
9
Missing
Sysmiss
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
1571
?
Missing
A
Doctor
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
1272
?
Missing
B
Nurse / Midwife
Antenatal care: Auxiliary midwife
Antenatal care: Auxiliary midwife
Antenatal care: Auxiliary midwife
Antenatal care: Auxiliary midwife
Antenatal care: Auxiliary midwife
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
209
?
Missing
C
Auxiliary midwife
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
535
?
Missing
F
Traditional birth attendant
Antenatal care: Community health worker
Antenatal care: Community health worker
Antenatal care: Community health worker
Antenatal care: Community health worker
Antenatal care: Community health worker
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
119
?
Missing
G
Community health worker
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
39
?
Missing
X
Other
Times received antenatal care
Times received antenatal care
Times received antenatal care
Times received antenatal care
Times received antenatal care
How many times did you receive antenatal care during this pregnancy?
Ask the respondent how many times she saw someone for antenatal care during her last pregnancy (i.e., she was pregnant with her last child). This refers to care related to her pregnancy and would not include seeing a doctor or nurse for other reasons.
2811
19242
99
98
DK
99
Missing
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Blood pressure
As part of your antenatal care during this pregnancy, were any of the following done at least once: Was your blood pressure measured?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
Blood pressure is measured with a medical instrument. A rubber cuff is wrapped around a person's upper arm and is inflated. While slowly releasing air from the cuff, the person measuring the blood pressure listens to the pulsing of the blood vessels with a stethoscope to determine the pressure.
2811
19242
1
9
1
Yes
2
No
9
Missing
Sysmiss
Urine sample
Urine sample
Urine sample
Urine sample
Urine sample
As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a urine sample?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
2811
19242
1
9
1
Yes
2
No
9
Missing
Sysmiss
Blood sample
Blood sample
Blood sample
Blood sample
Blood sample
As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a blood sample?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
A blood sample may be taken from the woman's fingertip or from a vein (usually from a vein near the elbow or on the wrist). The blood sample is used to test for various diseases, such as anaemia, parasite infestations or infectious diseases.
2811
19242
1
9
1
Yes
2
No
9
Missing
Sysmiss
Has own immunization card
Has own immunization card
Has own immunization card
Has own immunization card
Has own immunization card
Do you have a card or other document with your own immunizations listed?
May I see it please?
First, ask whether she has a vaccination card or other documentary evidence of vaccination. Ask to see this evidence and record that you have seen it by circling '1'. If a card is presented, use it to assist with answers to the following 2 questions. If the woman says she has a card but does not/cannot show it to you, circle '2'.
If the card is not available ('2' or '3' circled in MN5), you must try to find out how long ago the last Tetanus toxoid (TT) dose was received in MN6, and the total number of TT doses the mother has received in her lifetime in MN7. Use the probing questions, and record her answers in the spaces provided.
Women who do not have immunization cards may have difficulty identifying whether injections they received were tetanus toxoid injections.
4962
17091
1
9
1
Yes (card seen)
2
Yes (card not seen)
3
No
8
DK
9
Missing
Sysmiss
Any tetanus toxoid injection during last pregnancy
Any tetanus toxoid injection during last pregnancy
Any tetanus toxoid injection during last pregnancy
Any tetanus toxoid injection during last pregnancy
Any tetanus toxoid injection during last pregnancy
When you were pregnant with (name), did you receive any injection in the arm or shoulder to prevent the baby from getting tetanus, that is convulsions after birth?
Tetanus is an infection of the wound and women may be infected with tetanus after delivery. It can be prevented through a vaccination during pregnancy. The vaccine is known as tetanus toxoid.
Ask if she received any tetanus toxoid injection during her last pregnancy. Circle '1' for a 'Yes' response. If the answer is 'No' or 'DK', circle the code corresponding to the response and skip to MN9.
4962
17091
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Doses of tetanus toxoid during last pregnancy
Doses of tetanus toxoid during last pregnancy
Doses of tetanus toxoid during last pregnancy
Doses of tetanus toxoid during last pregnancy
Doses of tetanus toxoid during last pregnancy
How many times did you receive this tetanus injection during your pregnancy with (name)?
Enter the number of doses she reports in the space provided and continue to MN8. If the number of doses is 7 or more times, record '7'. If she does not know, circle '8' and skip to MN9.
2186
19867
9
1
2
3
4
5
6
7
8
DK
9
Missing
Sysmiss
Any tetanus toxoid injection before last pregnancy
Any tetanus toxoid injection before last pregnancy
Any tetanus toxoid injection before last pregnancy
Any tetanus toxoid injection before last pregnancy
Any tetanus toxoid injection before last pregnancy
Did you receive any tetanus injection at any time before your pregnancy with (name), either to protect yourself or another baby?
Circle the code corresponding to her response. If she reports never having received any tetanus injection prior to her last pregnancy, or does not know, circle the code corresponding to the answer given and skip to MN12. If 'Yes', continue with MN10.
3376
18677
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Doses of tetanus toxoid before last pregnancy
Doses of tetanus toxoid before last pregnancy
Doses of tetanus toxoid before last pregnancy
Doses of tetanus toxoid before last pregnancy
Doses of tetanus toxoid before last pregnancy
How many times did you receive a tetanus injection before your pregnancy with (name)?
Ask about doses of tetanus injections received during or before the next-to-last pregnancy or between pregnancies (at any time before the last pregnancy). Enter her response in the space provided, as in MN7. If the number of doses is 7 or more times, record '7'.
823
21230
9
1
2
3
4
5
6
7
7+
8
DK
9
Missing
Sysmiss
Years ago last tetanus toxoid received
Years ago last tetanus toxoid received
Years ago last tetanus toxoid received
Years ago last tetanus toxoid received
Years ago last tetanus toxoid received
How many years ago did you receive the last tetanus injection before your pregnancy with (name)?
Ask her to estimate how long ago she received the last dose of tetanus injections (the dose before her last pregnancy), and enter her response in years. If less than 1 year, record 00.
758
21295
99
99
Missing
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
1251
?
Missing
A
Doctor
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
1338
?
Missing
B
Nurse / Midwife
Assistance at delivery: Auxiliary midwife
Assistance at delivery: Auxiliary midwife
Assistance at delivery: Auxiliary midwife
Assistance at delivery: Auxiliary midwife
Assistance at delivery: Auxiliary midwife
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
321
?
Missing
C
Auxiliary midwife
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
1633
?
Missing
F
Traditional birth attendant
Assistance at delivery: Community health worker
Assistance at delivery: Community health worker
Assistance at delivery: Community health worker
Assistance at delivery: Community health worker
Assistance at delivery: Community health worker
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
190
?
Missing
G
Community health worker
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
2573
?
Missing
H
Relative / Friend
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
299
?
Missing
X
Other
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
152
?
Missing
Y
No one
Place of delivery
Place of delivery
Place of delivery
Place of delivery
Place of delivery
Where did you give birth to (name)?
The intent of this question is to identify births delivered in a health facility. If the woman gave birth in a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the place is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle '26'. Similarly, if the place is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle '36'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that she delivered in another place not listed, write the description of the place in the space provided for 'Other' and circle '96'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
4962
17091
11
99
11
Respondent's home
12
Other home
21
Government hospital
22
Government clinic / health centre
23
Government health post
26
Other public
31
Private hospital
32
Private clinic
33
Private maternity home
36
Other private medical
96
Other
99
Missing
Sysmiss
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Was (name) delivered by caesarean section? (That is, did they cut your belly open to take the baby out?)
A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal.
1892
20161
1
9
1
Yes
2
No
9
Missing
Sysmiss
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Has your menstrual period returned since the birth of (name)?
After a woman has given birth, there is a length of time when she will not have her monthly menstrual periods. This question asks about whether her period has resumed following the last birth. Circle the code corresponding to the response given.
4962
17091
1
9
1
Yes
2
No
9
Missing
Sysmiss
Ever breastfeed
Ever breastfeed
Ever breastfeed
Ever breastfeed
Ever breastfeed
Did you ever breastfeed (name)?
Breastfeeding is important for a child's health and it prevents pregnancy during the period when the mother is breastfeeding. For this question, it does not matter how long the respondent breastfed the child, only whether or not she ever gave the child the breast, even if the baby died very young.
Circle the code corresponding to the response given. If the response is 'No' (she never breastfed the child), go to next module.
4962
17091
1
9
1
Yes
2
No
9
Missing
Sysmiss
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
How long after birth did you first put (name) to the breast?
If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.
4761
17292
9
Immediately
1
Hours
2
Days
9
Special
Sysmiss
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
How long after birth did you first put (name) to the breast?
If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.
4761
17292
99
98
DK
99
Missing
Within first 3 days after delivery, child given anything to
Within first 3 days after delivery, child given anything to
Within first 3 days after delivery, child given anything to
Within first 3 days after delivery, child given anything to
Within first 3 days after delivery, child given anything to
In the first three days after delivery, was (name) given anything to drink other than breast milk?
If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module.
4761
17292
1
9
1
Yes
2
No
9
Missing
Sysmiss
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
235
?
Missing
A
Milk (other than breast milk)
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
176
?
Missing
B
Plain water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
618
?
Missing
C
Sugar or glucose water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
253
?
Missing
D
Gripe water
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
42
?
Missing
E
Sugar-salt-water solution
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
22
?
Missing
F
Fruit juice
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
102
?
Missing
G
Infant formula
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
357
?
Missing
H
Tea / Infusions
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
87
?
Missing
I
Honey
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
376
?
Missing
X
Other
Receiving vitamine A
Receiving vitamine A
Receiving vitamine A
Receiving vitamine A
Receiving vitamine A
In the first two months after the birth of (name), did you receive a vitamin A dose like this?
Show 200,000 IU capsule (red) or dispenser.
4761
17292
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
3190
?
Missing
A
Child not able to drink or breastfeed
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
3565
?
Missing
B
Child becomes sicker
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
7149
?
Missing
C
Child develops a fever
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
3076
?
Missing
D
Child has fast breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
4093
?
Missing
E
Child has difficult breathing
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
2471
?
Missing
F
Child has blood in stools
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
2394
?
Missing
G
Child is drinking poorly
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
3279
?
Missing
X
Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
1399
?
Missing
Y
Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
330
?
Missing
Z
Other
Currently pregnant
Currently pregnant
Currently pregnant
Currently pregnant
Currently pregnant
I would like to talk with you about another subject— family planning.
Are you pregnant now?
This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception!
Circle the code corresponding to the response given. If she is pregnant, circle '1' and go to the next module. If the woman is unsure or does not know for certain if she is pregnant, circle '8' for 'Unsure or DK'.
21290
763
1
9
1
Yes, currently pregnant
2
No
8
Unsure or DK
9
Missing
Sysmiss
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Couples use various ways or methods to delay or avoid a pregnancy.
Are you currently doing something or using any method to delay or avoid getting pregnant?
Circle the code corresponding to the response given. If the answer is 'No', go to the next module.
18115
3938
1
9
1
Yes
2
No
9
Missing
Sysmiss
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
What are you doing to delay or avoid pregnancy?
Female Sterilization:Women can have an operation to avoid having any more children.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
89
?
Missing
A
Female sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
What are you doing to delay or avoid pregnancy?
Male Sterilization: Men can have an operation to avoid having any more children.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
38
?
Missing
B
Male sterilization
Current method: IUD
Current method: IUD
Current method: IUD
Current method: IUD
Current method: IUD
What are you doing to delay or avoid pregnancy?
IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
204
?
Missing
C
IUD
Current method: Injectables
Current method: Injectables
Current method: Injectables
Current method: Injectables
Current method: Injectables
What are you doing to delay or avoid pregnancy?
Injectables:Women can have an injection by a health provider, that stops her from becoming pregnant for one or more months.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
1505
?
Missing
D
Injectables
Current method: Implants
Current method: Implants
Current method: Implants
Current method: Implants
Current method: Implants
What are you doing to delay or avoid pregnancy?
Implants: Women can have one or more small implants placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
138
?
Missing
E
Implants
Current method: Pill
Current method: Pill
Current method: Pill
Current method: Pill
Current method: Pill
What are you doing to delay or avoid pregnancy?
Pill: Women have to take a pill every day to avoid becoming pregnant.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
1481
?
Missing
F
Pill
Current method: Male condom
Current method: Male condom
Current method: Male condom
Current method: Male condom
Current method: Male condom
What are you doing to delay or avoid pregnancy?
Male Condom: Men can put a rubber condom on their penis before or during the sexual intercourse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
420
?
Missing
G
Male condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
What are you doing to delay or avoid pregnancy?
Female Condom: Women can place a sheath in their vagina before sexual intercourse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
76
?
Missing
H
Female condom
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
What are you doing to delay or avoid pregnancy?
Diaphragm: Women can place a soft rubber cup in their vagina to block sperm from entering uterus or tubes.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
20
?
Missing
I
Diaphragm
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
What are you doing to delay or avoid pregnancy?
Foam, Jelly: Women may be using spermicides such as foam, jelly, cream that are used to kill supreme or make sperm unable to move to the egg.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
13
?
Missing
J
Foam / Jelly
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
What are you doing to delay or avoid pregnancy?
Lactational Amenorrhoea Method (LAM)
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
202
?
Missing
K
Lactational amenorrhoea method (LAM)
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
What are you doing to delay or avoid pregnancy?
Periodic abstinence / Rhythm: Woman can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
118
?
Missing
L
Periodic abstinence / Rhythm
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
What are you doing to delay or avoid pregnancy?
Withdrawal: Men can be careful and pull out before climax.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
108
?
Missing
M
Withdrawal
Current method: Other
Current method: Other
Current method: Other
Current method: Other
Current method: Other
What are you doing to delay or avoid pregnancy?
Other
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
22
?
Missing
X
Other
If she goes out with out telling husband: wife beating justi
If she goes out with out telling husband: wife beating justi
If she goes out with out telling husband: wife beating justi
If she goes out with out telling husband: wife beating justi
If she goes out with out telling husband: wife beating justi
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she goes out without telling him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she neglects the chidlren?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she argues with him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she refuses to have sex with him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she burns the food?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
if she isn't wearing
if she isn't wearing
if she isn't wearing
if she isn't wearing
if she isn't wearing
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she isn't wearing clothing he considers appropriate?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
21290
763
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Are you currently married or living together with a man as if married?
The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5.
21290
763
1
9
1
Yes, currently married
2
Yes, living with a man
3
No, not in union
9
Missing
Sysmiss
Age of husband/partner
Age of husband/partner
Age of husband/partner
Age of husband/partner
Age of husband/partner
How old was your husband/partner?
Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'.
14530
7523
17
99
98
DK
99
Missing
Husband/partner has other wives
Husband/partner has other wives
Husband/partner has other wives
Husband/partner has other wives
Husband/partner has other wives
Besides yourself, does your husband/partner have any other wives or partners or does he live with other women as if married?
In this question, we are interested in the wives and/or live-in partners that the respondent's husband/partner has. Circle the code corresponding to the answer given. If 'No', skip to MA7.
14530
7523
1
9
1
Yes
2
No
9
Missing
Sysmiss
Number of other wives
Number of other wives
Number of other wives
Number of other wives
Number of other wives
How many other wives or partners does he have?
Similar to the previous question, we are interested here in the number of wives and/or live-in partners the respondent's husband has. Enter the number of other wives in the space provided. Use leading zeros if necessary. For all answers, skip to MA7.
1050
21003
1
99
1
2
3
4
6
7
8
9
10
19
21
23
51
60
98
DK
99
Missing
Sysmiss
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Have you ever been married or lived together with a man as if married?
For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions.
Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'.
If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6.
6760
15293
1
9
1
Yes, formerly married
2
Yes, formerly lived with a man
3
No
9
Missing
Sysmiss
Marital status
Marital status
Marital status
Marital status
Marital status
What is your marital status now: are you widowed, divorced or separated?
Circle the code corresponding to the response given. For a woman who is not currently married and not currently living with someone but who was formerly in a union, record her current marital status at the time of the interview. Since she was in a union at one time, but is not on the day you are interviewing her, she will be either widowed, divorced or separated.
You should use 'widowed' (a) for women who were married and their husband died, and (b) for women who were in an informal union and their partner died. 'Divorced' should be used for women who were formally married and whose marriage formally ended. 'Separated' should be used (a) for women who were married, but are no longer continuing the marriage with their husband, and (b) for women who were in an informal union and are no longer continuing the union with their partner.
349
21704
1
9
1
Widowed
2
Divorced
3
Separated
9
Missing
Sysmiss
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Have you been married or lived with a man only once or more than once?
As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.'
Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person.
14879
7174
1
9
1
Only once
2
More than once
9
Missing
Sysmiss
Month of first union
Month of first union
Month of first union
Month of first union
Month of first union
In what month and year did you first marry or start living with a man as if married?
If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.
14879
7174
1
99
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of first union
Year of first union
Year of first union
Year of first union
Year of first union
In what month and year did you first marry or start living with a man as if married?
If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.
14879
7174
1968
9999
9997
Inconsistent
9998
DK
9999
Missing
Age at first union
Age at first union
Age at first union
Age at first union
Age at first union
How old were you when you started living with your first husband/partner?
As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank.
2744
19309
5
99
97
Inconsistent
99
Missing
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Now I would like to talk with you about something else.
Have you ever heard of an illness called AIDS?
This question serves as an introduction and allows us to verify whether a respondent has heard of AIDS. If there is a local term for AIDS, use the local term in addition to 'AIDS'.
If a respondent has never heard of the AIDS, skip to next module.
21290
763
1
9
1
Yes
2
No
9
Missing
Sysmiss
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can people reduce their chance of getting the HIV/AIDS virus by having just one uninfected sex partner who has no other sex partners?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can people get the AIDS virus because of witchcraft or other supernatural means?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can people get the AIDS virus from mosquito bites?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus by sharing food with a person who has AID
Can get AIDS virus by sharing food with a person who has AID
Can get AIDS virus by sharing food with a person who has AID
Can get AIDS virus by sharing food with a person who has AID
Can get AIDS virus by sharing food with a person who has AID
Can people get the AIDS virus by sharing food with a person who has AIDS virus?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Is it possible for a healthy-looking person to have the AIDS virus?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
Can the virus that causes AIDS be transmitted from a mother to her baby: During pregnancy?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
Can the virus that causes AIDS be transmitted from a mother to her baby: During delivery?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
Can the virus that causes AIDS be transmitted from a mother to her baby: By breasfeeding?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5840
16213
1
9
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Should female teacher with AIDS virus be allowed to teach in
Should female teacher with AIDS virus be allowed to teach in
Should female teacher with AIDS virus be allowed to teach in
Should female teacher with AIDS virus be allowed to teach in
Should female teacher with AIDS virus be allowed to teach in
In your opinion, if a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school?
If a school learns that a female teacher has the AIDS virus, but she is not sick, how should the school handle this information? Should the female teacher be allowed to continue teaching at the school, or should she be removed from her teaching position? We are not asking about whether or not a female teacher has actually been asked to leave a teaching position, but rather, what is the respondent's opinion about how such a case should be handled; should the female teacher be allowed to continue teaching?
5840
16213
1
9
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus?
5840
16213
1
9
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
If HH member became infected with AIDS virus, would want it
If HH member became infected with AIDS virus, would want it
If HH member became infected with AIDS virus, would want it
If HH member became infected with AIDS virus, would want it
If HH member became infected with AIDS virus, would want it
If a member of your family got infected with the AIDS virus, would you want it to remain a secret?
5840
16213
1
9
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
If a member of your family became sick with AIDS, would you be willing to care for him or her in your household?
5840
16213
1
9
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Measure'rs ID
Measure'rs ID
Measure'rs ID
Measure'rs ID
Measure'rs ID
Measurer s name and number:
10589
11464
1
999
result of height and measurement
result of height and measurement
result of height and measurement
result of height and measurement
result of height and measurement
Result of height and weight measurement
9097
12956
1
9
1
Either or both measured
3
Woman refused
6
Other
7
Inconsistent
9
Missing
Sysmiss
Woman's weight
Woman's weight
Woman's weight
Woman's weight
Woman's weight
8816
13237
30
99.9
95
0 "95+"
99
9 "Missing"
Woman's height
Woman's height
Woman's height
Woman's height
Woman's height
8816
13237
71.2
999.9
999
9 "Missing"
Muac
Muac
Muac
Muac
Muac
Observe and record
9097
12956
100
999
777
Not checked
999
Missing
Measurer's ID
Measurer's ID
Measurer's ID
Measurer's ID
Measurer's ID
Interviewer name and number:
10589
11464
1
999
Checked blood
Checked blood
Checked blood
Checked blood
Checked blood
May I take blood from the child?
10589
11464
1
9
1
No/Refused
2
Yes
9
Missing
Sysmiss
filled in two lines
filled in two lines
filled in two lines
filled in two lines
filled in two lines
Have you taken sufficient blood?
9199
12854
1
9
1
No
2
Yes
9
Missing
Sysmiss
Glomobine result
Glomobine result
Glomobine result
Glomobine result
Glomobine result
Results of the haemoglobin level
9199
12854
1.8
99.9
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
22053
1
2
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
22053
1
8
1
Region C
2
Region CH
3
Region E
4
Region N
5
Region NE
6
Region S
7
Region SE
8
Region W
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
22053
1330
1339
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
21290
763
733
1158
Age
Age
Age
Age
Age
21290
763
1
7
1
15-19
2
20-24
3
25-29
4
30-34
5
35-39
6
40-44
7
45-49
Sysmiss
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
14871
7182
824
1342
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
14871
7182
-1
99
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
13468
8585
891
1336
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
11904
10149
956
1337
Marital/Union status
Marital/Union status
Marital/Union status
Marital/Union status
Marital/Union status
21290
763
1
9
1
Currently married/in union
2
Formerly married/in union
3
Never married/in union
9
Missing/DK
Sysmiss
Children ever born
Children ever born
Children ever born
Children ever born
Children ever born
21290
763
19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Sysmiss
Children surviving
Children surviving
Children surviving
Children surviving
Children surviving
21290
763
18
1
2
3
4
5
6
7
8
9
10
11
12
13
14
17
18
Sysmiss
Children dead
Children dead
Children dead
Children dead
Children dead
21290
763
12
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Education
Education
Education
Education
Education
21290
763
1
9
1
None
2
Primary
3
Secondary +
9
Missing/DK
Sysmiss
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
21317
736
1
9
1
Pashto
2
Dari
3
Uzbek/Turkmen
9
Missing/DK
Sysmiss
Relative women weight
Relative women weight
Relative women weight
Relative women weight
Relative women weight
22053
5.18
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
22053
-1.795
3.47
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
22053
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Province
Province
Province
Province
Province
22053
01
KABUL
02
KAPISA
03
PARWAN
04
WARDAK
05
LOGAR
06
NANGARHAR
07
LAGHMAN
08
PANJSHER
09
BAGHLAN
10
BAMYAN
11
GHAZNI
12
PAKTIKA
13
PAKTYA
14
KHOST
15
KUNARHA
16
NOORISTAN
17
BADAKHSHAN
18
TAKHAR
19
KUNDUZ
20
SAMANGAN
21
BALKH
22
SAR-E-PUL
23
GHOR
24
DAYKUNDI
25
UROZGAN
26
ZABUL
27
KANDAHAR
28
JAWZJAN
29
FARYAB
30
HELMAND
31
BADGHIS
32
HERAT
33
FARAH
34
NIMROZ