DDI_VNM_2006_MICS_v01_M Social and Environmental Statistics Department, General Statistics Office of Viet Nam Rhiannon James 2011-10-25 NADA Version 01 (October 2011) - Slightly edited version of UNICEF's DDI ref. DDI-VN-UNICEF-MICS2006/2.0 Multiple Indicator Cluster Survey 2006 MICS 2006 VNM_2006_MICS_v01_M Social and Environmental Statistics Department General Statistics Office United Nations Children's Fund NADA United Nations Children's Fund Social and Environmental Statistics Department, GSO General Inquiries MICS Programme Manager Multiple Indicator Cluster Survey - Round 3 [hh/mics-3] The Multiple Indicator Cluster Survey, Round 3 (MICS3) is the third round of MICS surveys, previously conducted around 1995 (MICS1) and 2000 (MICS2). Many questions and indicators are consistent and compatible with the prior round of MICS (MICS2) but less so with MICS1, although there have been a number of changes in definition of indicators between rounds. Details can be found by reviewing the indicator definitions. Version 1.0: Edited data used for final report (2006) MICS3 Child mortality Nutrition Status Breastfeeding Salt iodization VitaminA Low birth weight Immunization Tetanus toxoid Care of illness Solid fuel use Malaria Water and Sanitation Contraception Maternal and newborn health Child development Education Literacy Birth registration Child labour Child discipline Early marriage Domestic violence Disability HIV/AIDS The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The Viet Nam Multiple Indicator Cluster Survey provides valuable information on the situation of children and women in Viet Nam, and was based, in large part, on the needs to monitor progress towards goals and targets emanating from recent international agreements: the Millennium Declaration, adopted by all 191 United Nations Member States in September 2000, and the Plan of Action of A World Fit For Children, adopted by 189 Member States at the United Nations Special Session on Children in May 2002. Both of these commitments build upon promises made by the international community at the 1990 World Summit for Children. Survey Objectives: The 2006 Viet Nam Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Viet Nam; - To furnish data needed for monitoring progress toward goals established by the Millennium Development Goals, the goals of A World Fit For Children (WFFC), and other internationally agreed upon goals, as a basis for future action; - To provide valuable information for the 3rd and 4th National Report of Vietnam's implementation of the Convention on the child rights in the period 2002-2007 as well as for monitoring the National Plan of Action for Children 2001-2010. - To contribute to the improvement of data and monitoring systems in Viet Nam and to strengthen technical expertise in the design, implementation, and analysis of such systems. Survey Content Following the MICS global questionnaire templates, the questionnaires were designed in a modular fashion customized to the needs of Viet Nam. The questionnaires consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Survey Implementation The Viet Nam Multiple Indicator Cluster Survey (MICS) was carried by General Statistics Office of Viet Nam (GSO) in collaboration with Viet Nam Committee for Population, Family and Children (VCPFC). Financial and technical support was provided by the United Nations Children's Fund (UNICEF). Technical assistance and training for the survey was provided through a series of regional workshops organised by UNICEF covering questionnaire content, sampling and survey implementation; data processing; data quality and data analysis; report writing and dissemination. Vietnam The survey is nationally representative and covers the whole of Viet Nam. Households (defined as a group of persons who usually live and eat together) Household members (defined as members of the household who usually live in the household, which may include people who did not sleep in the household the previous night, but does not include visitors who slept in the household the previous night but do not usually live in the household) Women aged 15-49 Children aged 0-4 The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household. Sample survey data [ssd] The Viet Nam Multiple Indicator Cluster Survey included the following modules in the questionnaires: The Household Questionnaire included the following modules: Household listing, Education, Water and Sanitation, Household characteristics, Child Labour, Insecticide-Treated Mosquito Net (ITN), Child Discipline, Child Disability and Maternal Mortality The Questionnaire for Individual Womenincluded the following modules: Child Mortality, Tetanus Toxoid, Maternal and Newborn Health, Marriage/Union, Contraception, HIV/AIDS and Attitudes toward Domestic Violence The Questionnaire for Children Under Five included the following modules: Birth Registration and Early Learning, Vitamin A, Breastfeeding, Care of Illness, Immunization, Malaria and Child Development Fieldwork began on the 28th of August, 2006 and concluded in mid October, 2006 The sample for the Viet Nam Multiple Indicator Cluster Survey (MICS) was designed to provide reliable estimates on a large number of indicators on the situation of children and women at the national level, for urban and rural areas, and for 8 regions: Red River Delta, North West, North East, North Central Coast, South Central Coast, Central Highlands, South East, and Mekong River Delta. Regions were identified as the main sampling domains and the sample was selected in two stages. At the first stage 250 census enumeration areas (EA) were selected, of which all 240 EAs of MICS2 with systematic method were reselected and 10 new EAs were added. The addition of 10 more EAs (together with the increase in the sample size) was to increase the reliability level for regional estimates. Consequently, within each region, 30-33 EAs were selected for MICS3. After a household listing was carried out within the selected enumeration areas, a systematic sample of 1/3 of households in each EA was drawn. The survey managed to visit all of 250 selected EAs during the fieldwork period. The sample was stratified by region and is not self-weighting. For reporting national level results, sample weights are used. A more detailed description of the sample design can be found in the technical documents and in Appendix A of the final report. No major deviations from the original sample design were made. All sample enumeration areas were accessed and successfully interviewed with good response rates. Face-to-face The questionnaires are based on the MICS3 model questionnaire. From the MICS3 model English version, the questionnaires were translated in to Vietnamese and were pretested in one province (Bac Giang) during July 2006. Based on the results of this pre-test, modifications were made to the wording and translation of the questionnaires. The data were collected by 25 teams; each team was comprised of three interviewers and one team head. Sample weights were calculated for each of the datafiles. Sample weights for the household data were computed as the inverse of the probability of selection of the household, computed at the sampling domain level (urban/rural within each region). The household weights were adjusted for non-response at the domain level, and were then normalized by a constant factor so that the total weighted number of households equals the total unweighted number of households. The household weight variable is called HHWEIGHT and is used with the HH data and the HL data. Sample weights for the women's data used the un-normalized household weights, adjusted for non-response for the women's questionnaire, and were then normalized by a constant factor so that the total weighted number of women's cases equals the total unweighted number of women's cases. Sample weights for the children's data followed the same approach as the women's and used the un-normalized household weights, adjusted for non-response for the children's questionnaire, and were then normalized by a constant factor so that the total weighted number of children's cases equals the total unweighted number of children's cases. Data processing began simultaneously with data collection in September, 2006 and was completed in April, 2007. Data were processed in clusters, with each cluster being processed as a complete unit through each stage of data processing. Each cluster goes through the following steps: 1) Questionnaire reception 2) Office editing and coding 3) Data entry 4) Structure and completeness checking 5) Verification entry 6) Comparison of verification data 7) Back up of raw data 8) Secondary editing 9) Edited data back up After all clusters are processed, all data is concatenated together and then the following steps are completed for all data files: 10) Export to SPSS in 4 files (hh - household, hl - household members, wm - women, ch - children under 5) 11) Recoding of variables needed for analysis 12) Adding of sample weights 13) Calculation of wealth quintiles and merging into data 14) Structural checking of SPSS files 15) Data quality tabulations 16) Production of analysis tabulations Details of each of these steps can be found in the data processing documentation, data editing guidelines, data processing programs in CSPro and SPSS, and tabulation guidelines in the MICS manual http://www.childinfo.org/mics/mics3/manual.php Data editing took place at a number of stages throughout the processing (see Other processing), including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files Detailed documentation of the editing of data can be found in the data processing guidelines in the MICS manual http://www.childinfo.org/mics/mics3/manual.php. 8356 households were selected for the sample. Of these all were found to be occupied households and 8355 were successfully interviewed for a response rate of 100%. Within these households, 10063 eligible women aged 15-49 were identified for interview, of which 9473 were successfully interviewed (response rate 94.1%), and 2707 children aged 0-4 were identified for whom the mother or caretaker was successfully interviewed for 2680 children (response rate 99%). Estimates from a sample survey are affected by two types of errors: 1) non-sampling errors and 2) sampling errors. Non-sampling errors are the results of mistakes made in the implementation of data collection and data processing. Numerous efforts were made during implementation of the MICS - 3 to minimize this type of error, however, non-sampling errors are impossible to avoid and difficult to evaluate statistically. Sampling errors can be evaluated statistically. The sample of respondents to the MICS - 3 is only one of many possible samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that different somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability in the results of the survey between all possible samples, and, although, the degree of variability is not known exactly, it can be estimated from the survey results. The sampling errors are measured in terms of the standard error for a particular statistic (mean or percentage), which is the square root of the variance. Confidence intervals are calculated for each statistic within which the true value for the population can be assumed to fall. Plus or minus two standard errors of the statistic is used for key statistics presented in MICS, equivalent to a 95 percent confidence interval. If the sample of respondents had been a simple random sample, it would have been possible to use straightforward formulae for calculating sampling errors. However, the MICS - 3 sample is the result of a two-stage stratified design, and consequently needs to use more complex formulae. The SPSS complex samples module has been used to calculate sampling errors for the MICS - 3. This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. This method is documented in the SPSS file CSDescriptives.pdf found under the Help, Algorithms options in SPSS. Sampling errors have been calculated for a select set of statistics (all of which are proportions due to the limitations of the Taylor linearization method) for the national sample, urban and rural areas, and for each of the five regions. For each statistic, the estimate, its standard error, the coefficient of variation (or relative error -- the ratio between the standard error and the estimate), the design effect, and the square root design effect (DEFT -- the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used), as well as the 95 percent confidence intervals (+/-2 standard errors). A series of data quality tables and graphs are available to review the quality of the data and include the following: Age distribution of the household population Age distribution of eligible women and interviewed women Age distribution of eligible children and children for whom the mother or caretaker was interviewed Age distribution of children under age 5 by 3 month groups Age and period ratios at boundaries of eligibility Percent of observations with missing information on selected variables Presence of mother in the household and person interviewed for the under 5 questionnaire School attendance by single year age Sex ratio at birth among children ever born, surviving and dead by age of respondent Distribution of women by time since last birth Population pyramid The results of each of these data quality tables are shown in the appendix of the final report. The general rule for presentation of missing data in the final report tabulations is that a column is presented for missing data if the percentage of cases with missing data is 1% or more. Cases with missing data on the background characteristics (e.g. education) are included in the tables, but the missing data rows are suppressed and noted at the bottom of the tables in the report (not in the SPSS output, however). 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. General Statistics Office The following statement must be used as citation: "Source of data: General Statistics Office of Viet Nam, Multiple Indicator Cluster Survey: Child Development 2005-2006, Version 1.0 of the dataset, provided by UNICEF" Survey datasets are distributed at no cost for legitimate research, with the condition that we receive an abstract or a detailed description of any research project that will be using the data prior to authorizing their distribution. Copies of all reports and publications based on the requested data must be sent to the General Statistics Office and UNICEF. General Statistics Office Social and Environmental Statistics Department Tel: (+844) 8439871; (+844) 8464348 Email: xahoimoitruong@gso.gov.vn; nphong@gso.gov.vn; ndchung@gso.gov.vn United Nations Children's Fund Viet Nam Country Office 81A Tran Quoc Toan, Hanoi, Vietnam Tel: (+844) 9425706 - 11 Fax: (+844) 9425705 Email: hanoi.registry@unicef.org Requests for access to the datasets may be made through the website www.childinfo.org. The General Statistical Office of Viet Nam and UNICEF provide these data to external users without any warranty or responsibility implied. The General Statistical Office of Viet Nam and UNICEFaccept no responsibility for the results and/or implications of any actions resulting from the use of these data. hh Data collected at the household level (MICS Household questionnaire: modules Household information panel, Water and sanitation, Household characteristics, Household use of insecticde treated nets, Child discipline, Salt iodization, Security of Tenure) 0 103 hl Data collected at the household member's level (MICS Household questionnaire: modules Household listing, Child labour, Support to Orphaned and Vulnerable Children, Child Disability, Maternal Mortality) 0 156 wm Data collected at the women's level (MICS Women's questionnaire: modules Women's Information Panel, Child mortality, Tetanus toxoid, Maternal and newborn health, Marriage/union, Contraception (and unmet need), HIV/AIDS, Attitudes towards domestic violence) 0 253 ch Data collected at the children's level (MICS Under Five Children's questionnaire: modules Under Five Child Information Panel, Birth registration and early learning, Vitamin A, Breastfeeding, Care of Illness, Immunization, Malaria, Child development) 0 298 Provice/City Provice/City Provice/City Provice/City Provice/City We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Province/City name and code District District District District District We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record District name and code Commune/Ward Commune/Ward Commune/Ward Commune/Ward Commune/Ward We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Commune/Ward name and code Cluster Cluster Cluster Cluster Cluster We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record cluster name and code from the Household listing of MICS3. Household number Household number Household number Household number Household number Record the household number from column A in the Household Listing of MICS3. Households Houshold number within the cluster Area Area Area Area Area Area? Record '1' for 'Urban' and '2' for 'Rural' Households 1 Urban 2 Rural Household's name Household's name Household's name Household's name Household's name Household's name? Record the household's name and code Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name? Record your own name and identification number provided to you at the time of training. Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview? Record the day of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final day of interview. Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview? Record the month of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final month of interview. Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview? Record the year of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final year of interview. Households Leader's name Leader's name Leader's name Leader's name Leader's name Leader's name? Record leader's name and identification number. Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent of household questionnaire? Record full name (by capital letter) and line number of the respondent to the Household Questionnaire. Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members? Count the number of household members recorded in part 1 section B of the Household Listing and enter the total here. Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women Total number of women 15-49? Record the total number of women 15-49 for interview. Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed Total number of women 15-49 completed interview(s)? Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total number of children under 5? Record the total number of children under five eligible for the survey from the Household Listing. Investigator will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed Total number of questionnaires for children under 5 completed? Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. Households Result interview Result interview Result interview Result interview Result interview If the Household Questionnaire is completed, record'1' for 'Completed'. If the household refuses to be interviewed, record '2' for 'Refused'.If you have not been able to contact the household after repeated visits, record '3' for 'Not at home'. If you have not been able to complete the Household Questionnaire for another reason, you should record '6' for 'Other' and specify the reason in the space provided. Households 1 Completed 2 Refused 3 Away 6 Other 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 of your household? Record the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 91 Bottled water 96 Other 99 Missing 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 for other living purpose? This question should only be asked to households that use 'Bottled water' for drinking. Record 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' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS7. Otherwise continue to the next question. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How many minutes does it take to go to this water source, wait, get water and return home? This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. Fill in the estimated time (in minutes) 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'). Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually go to this water source to get the water? 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 IS THIS PERSON?" Record the code that corresponds with the response or '8' if the respondent does not know. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing 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 have any treatment of the water before drinking (including boiling water)? Record '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know), record '2' or '8', respectively, and skip to WS7. Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households F Let it stand and settle Other Other Other Other Other Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households X Other Don't know Don't know Don't know Don't know Don't know Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households Z Don't know Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of latrine do member of your household use? 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?" Record the code corresponding to the response given. Households 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 Hanging toilet/hanging latrine 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do your household share this latrine with other household(s)? Record the code corresponding to the response given. If 'No' record '2' and go to the next module. Households 1 Yes 2 No 9 Missing 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 How many households share this latrine? The total number of households using this facility should include the household being interviewed. If less than 10 households use this toilet facility, enter the number of households on the line provided. Record '10' if ten or more households use this toilet facility. Record '98' for 'DK'. Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Record the code corresponding to the answer given. Households 1 Buddish 2 Catholic 3 Protestant 4 Cao dai 5 Hoa Hao buddish 6 Other religion 8 No religion 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in your house/apartment can be used for sleeping? Record the number of rooms in this household that are used for sleeping. Households 99 Missing Number of square meters in total of this house/apartment Number of square meters in total of this house/apartment Number of square meters in total of this house/apartment Number of square meters in total of this house/apartment Number of square meters in total of this house/apartment How many square meters in total is this house/apartment? The unit of measurement is m2. Record the total area of the house (record 3 digits) 999 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor What is the main material of the floor? Record the correct code for the material of the dwelling 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, record the main flooring material (the material that covers the largest amount of floor space). Households 11 Earth/sand 21 Wood planks 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof What is the main material of the roof ? Record the correct code for the material of the dwelling 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). Households 11 Thatch/palm leaf 21 Rustic mat 23 Wood Planks 31 Metal 32 Wood 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall What is the main material of the wall? Record the correct code for the material of the dwelling 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, record the main wall material (the material that covers the largest amount of wall space). Households 11 No walls 12 Cane/palm/trunks 13 Dirt 21 Bambo with mud 22 Stone with mud 23 Uncovered adobe 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 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 is the main cooking fuel of your household? Record 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, or biogas is mainly used, record '01', '02', '03', or '04', respectively, 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. Households 1 Electricity 2 Liquid propane 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 96 Other 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire What kind is the stove/cooker usually used by your household for cooking? Record the code corresponding to the answer given Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Does this stove have chimney? Record the code corresponding to the answer given. Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking often conducted in house, in a separate area or in the open air? Record the code corresponding to the response given. Households 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Black and white TV Black and white TV Black and white TV Black and white TV Black and white TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Color TV Color TV Color TV Color TV Color TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Music player system Music player system Music player system Music player system Music player system Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Radio casette Radio casette Radio casette Radio casette Radio casette Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Mobilephone Mobilephone Mobilephone Mobilephone Mobilephone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Computer Computer Computer Computer Computer Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Refridgerator Refridgerator Refridgerator Refridgerator Refridgerator Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Air conditioner Air conditioner Air conditioner Air conditioner Air conditioner Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Washing machine Washing machine Washing machine Washing machine Washing machine Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Water heater Water heater Water heater Water heater Water heater Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Bicycle Bicycle Bicycle Bicycle Bicycle Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Motobike Motobike Motobike Motobike Motobike Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Ship/boat Ship/boat Ship/boat Ship/boat Ship/boat Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Automobile Automobile Automobile Automobile Automobile Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu At present, does your household have land area, water surface area used for agricultural, forestry, aqua-cultural purposes ? Record the code corresponding to the response given. 1 Yes 2 No 9 Missing How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many meters of land area, water surface area used for agricultural, forestry, aqua-cultural purposes are under the management and use of your household? Record the code corresponding to the response given. Households 9997 More than 9996 9998 Don't know 9999 Missing Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals At present does your household raise any cattle and/or poultry ? Record the code corresponding to the response given. Households 1 Yes 2 No 9 Missing Number of cattle Number of cattle Number of cattle Number of cattle Number of cattle How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Goats Number of Goats Number of Goats Number of Goats Number of Goats How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of chickens Number of chickens Number of chickens Number of chickens Number of chickens How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Does your household have any mosquito net? Record the code corresponding to the response given. If 'No', skip to the next module. 1 Yes 2 No 9 Missing Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Record the number of mosquito nets that the household has. 7 7 or more 98 Missing Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine How many mosquito nets of your household has been treated with insecticide? If response is 'DK' or 'NO' record '00' 7 7 or more 98 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago was the (most recent) net treated with insecticide? This question is only asked about pre-treated. If the household owns more than one of these types of nets, we are interested in the net that was acquired most recently. If the net was obtained within the last month, record '00' in the space provided.From 1-23 months record the number of months 24 months and more record '95', Do not remember record '98' 95 More than 24 months ago 98 Not sure 99 Missing TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night Last night, how many members of your household sleep under the mosquito nets? If 'No', record '00' 99 Missing TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in Among those household members sleeping under mosquito nets, how many members sleep under insecticide treated nets? If 'NO' or 'DK' record '00' 99 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Identify the selected child aged 2-14 in the household using the tables in previous pages in accordance with the accompanying guideline. Interview the mother or primary caretaker of this child (record the line number of this mother/caretaker in column CD6). Record the code and name from line CD9 table 2 if there is more than one child aged 2-14 in the household. If there is only one child aged 2-14 in the household, record code and name fromf table 1. Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month During the last 4 weeks, has [NAME] made any error or had any wrong behaviour? If 'Yes' record '1' and continue to the next question. If 'No', record '2' and skip to CD13 1 Yes 2 No 9 Missing Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Did not allow the child to do or enjoy the thing he/she like or did not allow him/her to leave home? 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' 1 Yes 2 No 9 Missing Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explained the reason why the behaviour is 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. 1 Yes 2 No 9 Missing Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Grabbed the child angrily ? 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. 1 Yes 2 No 9 Missing Storm at child Storm at child Storm at child Storm at child Storm at child Shouted at, scolded the child? Parents/caretakers may raise their voice when a child does something they consider wrong. 1 Yes 2 No 9 Missing Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Asked the child to do something that he/she did not like? This item 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." 1 Yes 2 No 9 Missing Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Spanked on the bottom of the child with bare hand? Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 1 Yes 2 No 9 Missing Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Spanked, hit on the bottom of the child with belt, rod 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. 1 Yes 2 No 9 Missing Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Called the child with such words as silly, lazy? Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 1 Yes 2 No 9 Missing Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Hit or slapped on the face, head or ear of the child with bare hand? 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.) 1 Yes 2 No 9 Missing Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Hit or spanked on the hand, arm or leg of the child with bare hand? This question is different from the previous question (CD12I) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand or hands, arm(s) or leg(s). 1 Yes 2 No 9 Missing Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Hit the child continuously with rod? This is the most severe form of physical punishment we ask about in this module. This question refers to punishment using a soft or hard object such as a stick, belt, cane or other object to beat the child repeatedly. 1 Yes 2 No 9 Missing Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Do you think that, in order to raise the child properly, physical punishment is necessary? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. Do not be surprised if a mother or a caretaker 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, record '8'. 1 Yes 2 No 8 DK 9 Missing mother tongue mother tongue mother tongue mother tongue mother tongue Record the mother tongue. Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head? Record the ethnic of household head. 1 Kinh 2 Tay 3 Thai 4 Hoa 5 Kho Me 6 Muong 7 Nung 8 H Mong 9 Dao 10 Gia-Rai 11 Ede 12 BaNa 13 Xo Dang 14 San Chay 15 Cham 16 San Diu 17 Hre 18 MNong 19 Bru 20 Ma 21 Khang ethnicity ethnicity ethnicity ethnicity ethnicity Record the code corresponding to the answer given. Refer to teh table of ethnic group. Households Other 1 Kinh/chinese Cluster number Cluster number Cluster number Cluster number Cluster number Record the cluster number from the Houshehold Listing of MICS3 Households Unique identifier for the cluster in which the household exists Region Region Region Region Region Record the code for region. Households 1 Red river Delta 2 North East 3 North West 4 North Central Coast 5 South Central Coast 6 Central Highlands 7 South East 8 Mekong river Delta Replacement household Replacement household Replacement household Replacement household Replacement household Compleled interview 1 Replacement household Education of household head Education of household head Education of household head Education of household head Education of household head Record the household number 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head If is 'Male', record '1' If is 'Female', record '2' Households 1 Male 2 Female 9 Missing/DK Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight De jure household members (usual residents) Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Children aged 0-4 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Province/City Province/City Province/City Province/City Province/City We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Province/City name and code District District District District District We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record District name and code Commune/Ward Commune/Ward Commune/Ward Commune/Ward Commune/Ward We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Commune/Ward name and code Cluster Cluster Cluster Cluster Cluster We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record cluster name and code from the Household listing of MICS3. Household number Household number Household number Household number Household number Record the household number from column A in the Household Listing of MICS3. Households Houshold number within the cluster HL1. Line number HL1. Line number HL1. Line number HL1. Line number HL1. Line number Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing. HL3. Relative HL3. Relative HL3. Relative HL3. Relative HL3. Relative What is the relationship of (name) to the head of the household? Record the code corresponding to how the person listed is related to the head of the household. Use the codes of the Household Listing. 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 Nam is her brother, then Sola should be coded as '09' ('Brother or sister-in-law'), not as '08' ('Brother or 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 '14' ('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 '15' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household. De jure household members (usual residents) 1 Head 2 Wife or Husband 3 Son or Daugher 4 Foster child/stepchild 5 Daughter-in-law/son-in-law 6 Paternal grandchild, maternal grandchild 7 Parent 8 Parent- in- law 9 Brother or sister 10 Brother/sister in law 11 Uncle/Aunt 12 Niece/nephew by blood 13 Niece/nephew by marriage 14 Other relative 15 Not related 99 Missing Gender Gender Gender Gender Gender Sex? Record '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. Children aged 0-4 1 Male 2 Female HL5A. The day of birth HL5A. The day of birth HL5A. The day of birth HL5A. The day of birth HL5A. The day of birth Date of birth? Record solar day. If do not know day, record '98' 98 DK HL5A2 The month of birth HL5A2 The month of birth HL5A2 The month of birth HL5A2 The month of birth HL5A2 The month of birth Day of birth? Record solar month. If do not know month, record '9998' 98 DK HL5A3 The year of birth HL5A3 The year of birth HL5A3 The year of birth HL5A3 The year of birth HL5A3 The year of birth Month of birth? Record solar year. If do not know year, record '9998' Note that, record year in 4 digits 9998 KB Age Age Age Age Age How old is [NAME]? Record each person's age in completed years De jure household members (usual residents) HL6. Woman's line number HL6. Woman's line number HL6. Woman's line number HL6. Woman's line number HL6. Woman's line number 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. De jure household members (usual residents) Not eligible HL7. Mother of Children from 5 to 14 HL7. Mother of Children from 5 to 14 HL7. Mother of Children from 5 to 14 HL7. Mother of Children from 5 to 14 HL7. Mother of Children from 5 to 14 Who is 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. Record line number of mother or primary care-taker. De jure household members (usual residents) Not eligible HL8 Mother of children under 5 HL8 Mother of children under 5 HL8 Mother of children under 5 HL8 Mother of children under 5 HL8 Mother of children under 5 Who is 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. De jure household members (usual residents) Not eligible Mother alive Mother alive Mother alive Mother alive Mother alive Is the natural mother of [NAME] alive? 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 the code corresponding to the response given. De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK HL10. Mother's line number HL10. Mother's line number HL10. Mother's line number HL10. Mother's line number HL10. Mother's line number Who is natural mother of [NAME]? Record line number of corresponding natural mother If natural mother does not live in this household, record '00' De jure household members (usual residents) aged 0-17 (under 18) Father alive Father alive Father alive Father alive Father alive Is the natural father of [NAME] alive? If the response is 'Yes', record '1' If is 'No', recor '2' amd skip to next person in household listing De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK HL12. Father's line number HL12. Father's line number HL12. Father's line number HL12. Father's line number HL12. Father's line number Who is natural father of [NAME]? Record line number of corresponding father If natural father does not live in this household, record '00' De jure household members (usual residents) aged 0-17 (under 18) Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Has [Name] ever attended school (including preschool)? Record '1' if the answer is 'Yes'. If the answer is 'No', record '2' and go to the household member on the next line. De jure household members (usual residents) 1 Yes 2 No 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the level of school that [NAME] has of is attending? If the person has been to school, record the highest level of schooling attended by recording the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. Children aged 0-4 Preschool/kindergarten 1 Primary 2 Lower secondary 3 Secondary 4 Non-standard curriculum 5 Short Apprentice 6 Long apprentice 7 Higher 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level What is the highest grade that [NAME] completed? Record the highest grade completed, or '98' for 'DK'. If less than one grade, record '00' For example, if a person has attended primary school bur did not complete the first grade, then the level for this person will be record '1', and the grade will be record '00'. Children aged 0-4 98 DK 99 Missing Currently attending school during the school year (2006-2007 Currently attending school during the school year (2006-2007 Currently attending school during the school year (2006-2007 Currently attending school during the school year (2006-2007 Currently attending school during the school year (2006-2007 During school-year 2006-2007, Did [Name] attend school (including preschool)? 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. Record the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No' skip to ED7. De jure household members (usual residents) aged 5-24 1 Yes 2 No 9 Missing Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week During the last 7 days, how many days did [Name] attend school? When asking this question, insert the same of the day of thi interview. For example, if the interview is taking place on a Tuesday, ask "Since last Tuesday, how many days did [Name] attend shoold?" Note that the maximum number to be recorded here should be '7' and not '8' De jure household members (usual residents) aged 5-24 8 Interview during school holidays 9 Missing Level of education attended Level of education attended Level of education attended Level of education attended Level of education attended During school year 2006-2007, which level of school was or is [Name] attending? Record the code for the level of school. De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Lower secondary 3 Secondary 4 Non-standard curriculum 5 Short apprentice 6 Long apprentice 7 Higher 8 DK 9 Missing Grade of education attended Grade of education attended Grade of education attended Grade of education attended Grade of education attended During school year 2006-2007, which grade was or is [Name] attending? Record the corde for the Grade of ducation attended. De jure household members (usual residents) aged 5-24 98 DK 99 Missing Attended school last year (2005-2006) Attended school last year (2005-2006) Attended school last year (2005-2006) Attended school last year (2005-2006) Attended school last year (2005-2006) During school year 2005-2006, did [NAME] attend school (including preschool)? If the child attended school at any time during the last school year, record '1'. If the answer is 'No' or 'DK', record the appropriate code and go to the household member on the next line. De jure household members (usual residents) aged 5-24 1 Yes 2 No 8 DK 9 Missing Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year During school year 2005-2006, which level of school was [NAME] attending? Record the code for the level of school attended. Record '8' if the respondent doesn't know the level. De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Lower secondary 3 Secondary 4 Non-standard curriculum 5 Short apprentice 6 Long apprentice 7 Higher 8 DK 9 Missing Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year During school year 2005-2006, which grade was [NAME] attending? Record the code for grade. Record '98' if the respondent doesn't know the grade. De jure household members (usual residents) aged 5-24 98 DK 99 Missing Worked in past week Worked in past week Worked in past week Worked in past week Worked in past week During the past 7 days, did [NAME] do any kind of work for someone who is not a member of your household? If yes: For pay in cash or kind? '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. 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. Record '1' if work was done for pay in cash or kind. Record '2' if work was not done for any form of pay. If '1' or '2' is recorded, continue to the next question. If no work was done by that child in the past week, record '3' and skip to CL5. Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week During the past 7 days, how many hours did [NAME] do this work for someone who is not a member of your household? Record the estimated number of hours the child spent doing work in the past 7 days and skip to CL6. Make sure the mother or primary caretaker 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. Children aged 5-14 99 Missing 98 DK Worked in past year Worked in past year Worked in past year Worked in past year Worked in past year During the past 12 months, did [NAME] do any kind of work for someone who is not a member of your household? If yes: Was paid in cash or in kind? This question is essentially the same question as CL3; this time the reference period is 1 year rather than the last 1 week. Continue with the next question after you have circled the response to this question. Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing CL5A Months worked in past year CL5A Months worked in past year CL5A Months worked in past year CL5A Months worked in past year CL5A Months worked in past year During the past 12 months, how many months did [NAME] do this work? Record the number of months. CL5B Day worked in average of a month CL5B Day worked in average of a month CL5B Day worked in average of a month CL5B Day worked in average of a month CL5B Day worked in average of a month On average, how many days per month did [NAME] do this work? Record the number of days per month CL5C Hour worked in average of a day CL5C Hour worked in average of a day CL5C Hour worked in average of a day CL5C Hour worked in average of a day CL5C Hour worked in average of a day On average, how many hours per day did [NAME] do this work? Record the number of hours per day 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 7 days, did [nAME] help with household chores such as: cooking, washing clothes, fetching water, going to the market or looking after children, etc.? As was explained in CL3, 'the past week' refers to the 7 days preceding the interview day. Record '1' if 'Yes', and continue to the next question. If 'No', record '2' and skip to CL8. Children aged 5-14 1 Yes 2 No 9 Missing 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 During the past 7 days, how many hours did [NAME] spend doing these chores? Insert the estimated number of hours the child spent doing household chores in the past 7 days. Children aged 5-14 98 DK 99 Missing Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week During the last 7 days, did [NAME] do any other family work (on the rice field or in a business or peddling in the street? 'Other family work' means any work done other than household chores/housekeeping to help with family income generation or subsistence production. This may include raising livestock belonging to the household or working in a family business. Record '1' if 'Yes', and continue to the next question. If 'No', record '2' and go to the next line, corresponding to the next eligible child aged 5-14 years. Children aged 5-14 1 Yes 2 No 9 Missing 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 During the past 7 days, how many hours did [NAME] do this work? Record the estimated number of hours worked. Children aged 5-14 98 DK 99 Missing CL9A. Number of months CL9A. Number of months CL9A. Number of months CL9A. Number of months CL9A. Number of months During the last 7 days, did [NAME] do any other family work (on the rice field or in a business or peddling in the street? Record the estimated number of month worked. CL9B. Number of days CL9B. Number of days CL9B. Number of days CL9B. Number of days CL9B. Number of days On average, how many days per month did [NAME] do this work? Record the estimated number of days worked. CLC Number of hours CLC Number of hours CLC Number of hours CLC Number of hours CLC Number of hours On average, how many hours per day did [NAME] do this work? Record the estimated number of hours worked. Is this proxy report Is this proxy report Is this proxy report Is this proxy report Is this proxy report Is [NAME] directly answering or other member giving proxy answer? If the adult listed is available for interview, record '1' for 'Yes' and skip to MM5. If there is another adult who can respond, record '2'. If there are no adults inthe household who feel can answer questions, record '98'. De jure household members (usual residents) 1 Yes 2 Other 9 Missing Line number of proxy Line number of proxy Line number of proxy Line number of proxy Line number of proxy Line number of person giving proxy answer? Record the line munber of the adult who will provide information for the absent person (from Household Listing) De jure household members (usual residents) How many sisters (born to the same mother) How many sisters (born to the same mother) How many sisters (born to the same mother) How many sisters (born to the same mother) How many sisters (born to the same mother) How many sisters born to the same mother has [NAME] have? (including those have died) It is important that the respondent understands that you are asking about her tru biological sisters,that is, all of the females born to the respondent's mother. De jure household members (usual residents) 98 Don't know How many of these sisters ever reached age 15? How many of these sisters ever reached age 15? How many of these sisters ever reached age 15? How many of these sisters ever reached age 15? How many of these sisters ever reached age 15? How many of these sisters have survive at the age of 15 and above (including those died after their 15th birthday)? Record the number of sisters who reached age 15 in the spaces provided, this may include sisters who are alive now and who have died at some point after reaching their 5th birthday. De jure household members (usual residents) 98 Don't know How many of these sisters are alive How many of these sisters are alive How many of these sisters are alive How many of these sisters are alive How many of these sisters are alive How many of these sisters (who are 15 years old or above) are alive now? Record the number of sisters age 15 or older who are alive now in the spaces provided. De jure household members (usual residents) 98 Don't know How many of these sisters have died How many of these sisters have died How many of these sisters have died How many of these sisters have died How many of these sisters have died How many of these sisters (who reached the age of 15 years old or above) have died? Record the number of sisters who died when they were 15 or older. De jure household members (usual residents) 98 Don't know How many of these died while pregnant or during childbirth How many of these died while pregnant or during childbirth How many of these died while pregnant or during childbirth How many of these died while pregnant or during childbirth How many of these died while pregnant or during childbirth How many of these sisters have died during pregnancy, birth delivery or within 6 weeks after delivery? This question asks about sisters reported in MM8 who died during any of the following three time periods: while pregnant, during childbirth or during the 6 weeks after the end of pregnancy. There are two important issues here. First, respondents should include any sister's death that occurred during these time periods, regardless of the cause of death. It is also important to remember that not all pregnancies produce a live birth. Therefore, the 6-week period after the end of a pregnancy could refer to a 6-week period following a miscarriage, an induced abortion or a stillbirth. De jure household members (usual residents) 98 Don't know How many of these died due to accident or other reason How many of these died due to accident or other reason How many of these died due to accident or other reason How many of these died due to accident or other reason How many of these died due to accident or other reason Of wich how many persons died because of acident or could not say reason why? This question is so tender that the interviewer don't allow to ask directly. 98 Don't know Cluster number Cluster number Cluster number Cluster number Cluster number Record the cluster number from the Houshehold Listing of MICS3 Households Unique identifier for the cluster in which the household exists Region Region Region Region Region Record the code for region. Households 1 Red river Delta 2 North East 3 North West 4 North Central Coast 5 South Central Coast 6 Central Highlands 7 South East 8 Mekong river Delta Replacement household Replacement household Replacement household Replacement household Replacement household Compleled interview 1 Replacement household Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number Caretaker's line number Record the caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing. Children aged 0-4 Child's line number Child's line number Child's line number Child's line number Child's line number Record the child's line number from the Household Questionnaire, column HL1 of the Household Listing. Children aged 0-4 Household member ID Household member ID Household member ID Household member ID Household member ID Investigator do not need to fill in this column, they are indentified with the line numbers throughout the questionaires. Area Area Area Area Area Area? Record '1' for 'Urban' and '2' for 'Rural' Households 1 Urban 2 Rural Household's name Household's name Household's name Household's name Household's name Household's name? Record the household's name and code Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name? Record your own name and identification number provided to you at the time of training. Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview? Record the day of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final day of interview. Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview? Record the month of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final month of interview. Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview? Record the year of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final year of interview. Households Leader's name Leader's name Leader's name Leader's name Leader's name Leader's name? Record leader's name and identification number. Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent of household questionnaire? Record full name (by capital letter) and line number of the respondent to the Household Questionnaire. Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members? Count the number of household members recorded in part 1 section B of the Household Listing and enter the total here. Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women Total number of women 15-49? Record the total number of women 15-49 for interview. Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed Total number of women 15-49 completed interview(s)? Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total number of children under 5? Record the total number of children under five eligible for the survey from the Household Listing. Investigator will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed Total number of questionnaires for children under 5 completed? Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. Households Result interview Result interview Result interview Result interview Result interview If the Household Questionnaire is completed, record'1' for 'Completed'. If the household refuses to be interviewed, record '2' for 'Refused'.If you have not been able to contact the household after repeated visits, record '3' for 'Not at home'. If you have not been able to complete the Household Questionnaire for another reason, you should record '6' for 'Other' and specify the reason in the space provided. Households 1 Completed 2 Refused 3 Away 6 Other 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 of your household? Record the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 91 Bottled water 96 Other 99 Missing 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 for other living purpose? This question should only be asked to households that use 'Bottled water' for drinking. Record 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' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS7. Otherwise continue to the next question. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How many minutes does it take to go to this water source, wait, get water and return home? This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. Fill in the estimated time (in minutes) 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'). Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually go to this water source to get the water? 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 IS THIS PERSON?" Record the code that corresponds with the response or '8' if the respondent does not know. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing 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 have any treatment of the water before drinking (including boiling water)? Record '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know), record '2' or '8', respectively, and skip to WS7. Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households F Let it stand and settle Other Other Other Other Other Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households X Other Don't know Don't know Don't know Don't know Don't know Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households Z Don't know Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of latrine do member of your household use? 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?" Record the code corresponding to the response given. Households 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 Hanging toilet/hanging latrine 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do your household share this latrine with other household(s)? Record the code corresponding to the response given. If 'No' record '2' and go to the next module. Households 1 Yes 2 No 9 Missing 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 How many households share this latrine? The total number of households using this facility should include the household being interviewed. If less than 10 households use this toilet facility, enter the number of households on the line provided. Record '10' if ten or more households use this toilet facility. Record '98' for 'DK'. Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Record the code corresponding to the answer given. Households 1 Buddish 2 Catholic 3 Protestant 4 Cao dai 5 Hoa Hao buddish 6 Other religion 8 No religion 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in your house/apartment can be used for sleeping? Record the number of rooms in this household that are used for sleeping. Households 99 Missing How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many square meters in total is this house/apartment? The unit of measurement is m2. Record the total area of the house (record 3 digits) 999 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor What is the main material of the floor? Record the correct code for the material of the dwelling 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, record the main flooring material (the material that covers the largest amount of floor space). Households 11 Earth/sand 21 Wood planks 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof What is the main material of the roof ? Record the correct code for the material of the dwelling 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). Households 11 Thatch/palm leaf 21 Rustic mat 23 Wood Planks 31 Metal 32 Wood 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall What is the main material of the wall? Record the correct code for the material of the dwelling 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, record the main wall material (the material that covers the largest amount of wall space). Households 11 No walls 12 Cane/palm/trunks 13 Dirt 21 Bambo with mud 22 Stone with mud 23 Uncovered adobe 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 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 is the main cooking fuel of your household? Record 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, or biogas is mainly used, record '01', '02', '03', or '04', respectively, 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. Households 1 Electricity 2 Liquid propane 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 96 Other 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire What kind is the stove/cooker usually used by your household for cooking? Record the code corresponding to the answer given Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Does this stove have chimney? Record the code corresponding to the answer given. Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking often conducted in house, in a separate area or in the open air? Record the code corresponding to the response given. Households 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Black and white TV Black and white TV Black and white TV Black and white TV Black and white TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No 9 Missing Color TV Color TV Color TV Color TV Color TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Music player system Music player system Music player system Music player system Music player system Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Radio casette Radio casette Radio casette Radio casette Radio casette Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Mobilephone Mobilephone Mobilephone Mobilephone Mobilephone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Computer Computer Computer Computer Computer Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Refridgerator Refridgerator Refridgerator Refridgerator Refridgerator Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Air conditioner Air conditioner Air conditioner Air conditioner Air conditioner Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Washing machine Washing machine Washing machine Washing machine Washing machine Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Water heater Water heater Water heater Water heater Water heater Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Bicycle Bicycle Bicycle Bicycle Bicycle Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Motobike Motobike Motobike Motobike Motobike Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Ship/boat Ship/boat Ship/boat Ship/boat Ship/boat Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Automobile Automobile Automobile Automobile Automobile Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu At present, does your household have land area, water surface area used for agricultural, forestry, aqua-cultural purposes ? Record the code corresponding to the response given. 1 Yes 2 No 9 Missing How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many meters of land area, water surface area used for agricultural, forestry, aqua-cultural purposes are under the management and use of your household? Record the code corresponding to the response given. Households 9997 More than 9996 9998 Don't know 9999 Missing Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals At present does your household raise any cattle and/or poultry ? Record the code corresponding to the response given. Households 1 Yes 2 No 9 Missing Number of cattle Number of cattle Number of cattle Number of cattle Number of cattle How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Goats Number of Goats Number of Goats Number of Goats Number of Goats How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of chickens Number of chickens Number of chickens Number of chickens Number of chickens How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Does your household have any mosquito net? Record the code corresponding to the response given. If 'No', skip to the next module. 1 Yes 2 No 9 Missing Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Record the number of mosquito nets that the household has. 7 7 or more 98 Missing Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine How many mosquito nets of your household has been treated with insecticide? If response is 'DK' or 'NO' record '00' 7 7 or more 98 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago was the (most recent) net treated with insecticide? This question is only asked about pre-treated. If the household owns more than one of these types of nets, we are interested in the net that was acquired most recently. If the net was obtained within the last month, record '00' in the space provided.From 1-23 months record the number of months 24 months and more record '95', Do not remember record '98' 95 More than 24 months ago 98 Not sure 99 Missing TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night Last night, how many members of your household sleep under the mosquito nets? If 'No', record '00' 99 Missing TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in Among those household members sleeping under mosquito nets, how many members sleep under insecticide treated nets? If 'NO' or 'DK' record '00' 99 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Identify the selected child aged 2-14 in the household using the tables in previous pages in accordance with the accompanying guideline. Interview the mother or primary caretaker of this child (record the line number of this mother/caretaker in column CD6). Record the code and name from line CD9 table 2 if there is more than one child aged 2-14 in the household. If there is only one child aged 2-14 in the household, record code and name fromf table 1. Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month During the last 4 weeks, has [NAME] made any error or had any wrong behaviour? If 'Yes' record '1' and continue to the next question. If 'No', record '2' and skip to CD13 1 Yes 2 No 9 Missing Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Did not allow the child to do or enjoy the thing he/she like or did not allow him/her to leave home? 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' 1 Yes 2 No 9 Missing Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explained the reason why the behaviour is 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. 1 Yes 2 No 9 Missing Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Grabbed the child angrily ? 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. 1 Yes 2 No 9 Missing Storm at child Storm at child Storm at child Storm at child Storm at child Shouted at, scolded the child? Parents/caretakers may raise their voice when a child does something they consider wrong. 1 Yes 2 No 9 Missing Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Asked the child to do something that he/she did not like? This item 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." 1 Yes 2 No 9 Missing Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Spanked on the bottom of the child with bare hand? Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 1 Yes 2 No 9 Missing Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Spanked, hit on the bottom of the child with belt, rod 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. 1 Yes 2 No 9 Missing Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Called the child with such words as silly, lazy? Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 1 Yes 2 No 9 Missing Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Hit or slapped on the face, head or ear of the child with bare hand? 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.) 1 Yes 2 No 9 Missing Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Hit or spanked on the hand, arm or leg of the child with bare hand? This question is different from the previous question (CD12I) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand or hands, arm(s) or leg(s). 1 Yes 2 No 9 Missing Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Hit the child continuously with rod? This is the most severe form of physical punishment we ask about in this module. This question refers to punishment using a soft or hard object such as a stick, belt, cane or other object to beat the child repeatedly. 1 Yes 2 No 9 Missing Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Do you think that, in order to raise the child properly, physical punishment is necessary? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. Do not be surprised if a mother or a caretaker 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, record '8'. 1 Yes 2 No 8 DK 9 Missing mother tongue mother tongue mother tongue mother tongue mother tongue Record the mother tongue. Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head? Record the ethnic of household head. 1 Kinh 2 Tay 3 Thai 4 Hoa 5 Kho Me 6 Muong 7 Nung 8 H Mong 9 Dao 10 Gia-Rai 11 Ede 12 BaNa 13 Xo Dang 14 San Chay 15 Cham 16 San Diu 17 Hre 18 MNong 19 Bru 20 Ma 21 Khang ethnicity ethnicity ethnicity ethnicity ethnicity Record the code corresponding to the answer given. Refer to teh table of ethnic group. Households Other 1 Kinh/chinese Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number? Record the mother's line number from Household Listing. De jure household members (usual residents) Mother's education Mother's education Mother's education Mother's education Mother's education Record the mother's education. Children aged 0-4 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary 6 Mother not in household Father's line number Father's line number Father's line number Father's line number Father's line number Record the father's line number from Household Listing De jure household members (usual residents) Father's education Father's education Father's education Father's education Father's education De jure household members (usual residents) 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary 6 Father not in household Education of household head Education of household head Education of household head Education of household head Education of household head Record the household number 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight De jure household members (usual residents) Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Children aged 0-4 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest education age education age education age education age education age Line number Line number Line number Line number Line number Children aged 0-4 Provice/City Provice/City Provice/City Provice/City Provice/City We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Province/City name and code District District District District District We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record District name and code Commune/Ward Commune/Ward Commune/Ward Commune/Ward Commune/Ward We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Commune/Ward name and code Cluster Cluster Cluster Cluster Cluster We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record cluster name and code from the Household listing of MICS3. Household number Household number Household number Household number Household number Record the household number from column A in the Household Listing of MICS3. Households Houshold number within the cluster Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number Children aged 0-4 Day of birth of woman Day of birth of woman Day of birth of woman Day of birth of woman Day of birth of woman In what day, month and year were [NAME] born? Record day and month of birth by two-figure number For this, January is '01', February is '02', March is '03', etc. If she does not know her day or month of birth, record '98' for 'DK' and ask her for the year of her birth. If she knows the year of birth, record '9998'. 98 DK 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 day, month and year were [NAME] born? Record day and month of birth by two-figure number For this, January is '01', February is '02', March is '03', etc. If she does not know her day or month of birth, record '98' for 'DK' and ask her for the year of her birth. If she knows the year of birth, record '9998'. 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 day, month and year were [NAME] born? Record day and month of birth by two-figure number For this, January is '01', February is '02', March is '03', etc. If she does not know her day or month of birth, record '98' for 'DK' and ask her for the year of her birth. If she knows the year of birth, record '9998'. 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old were [NAME] at the last birthday? 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. 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, and correct the age and eligibility information for this woman on the cover page and in Columns HL5A, HL5B and HL6 of the Household Questionnaire. Women aged 15-49 Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have [NAME] ever attended school? Record the code corresponding to the response given. If 'No', skip to WM14. 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. Women aged 15-49 1 Yes 2 No 9 Missing What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school {NAME] attended? Record 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'. Women aged 15-49 Preschool/kindergarten 1 Primary 2 Lower secondary 3 Secondary 4 Non-standard curriculum 5 Short apprentice 6 Long apprentice 7 Higher 8 DK 9 Missing What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade that [NAME] completed? For this question, record the number of years that the respondent successfully completed at that level recorded in WM11. If a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. If less than 1 year, record '0' for completed years. Women aged 15-49 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 the following sentence to me. Can you read part of the sentence to me? 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 the code corresponding. If there is no card with sentences in the language required, record '4', and specify the language. If the respondent is blind/mute or visually/speech impaired, record '5'. Women aged 15-49 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 Required language 5 Blind/visually impaired 9 Missing Language's name Language's name Language's name Language's name Language's name What is the language's name? Enter the language's name Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now i would like to ask about all the births you have had during your life. Have you ever given birth? If "No" probe by asking: I mean, to a child who ever breathed or cried or showed other signs of life - even if he or she lived only a few minutes or hours? If the woman says she never given birth, read out the probe to make sure the woman understands the meaning of "birth", as described during your training. Explain: "I mean, to a lived only a few minutes or hours?" if her answer is still "no", record "2" and skip to next module. Women aged 15-49 1 Yes 2 No 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. Investigator needs 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. If she does not know the exact day or month of first birth, record '98'. If she does not know year of first birth, recor '9998'. If she cannot give the year of the birth go to CM2B.If the she can give a year of birth continue to CM3. 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. Investigator needs 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. If she does not know the exact day or month of first birth, record '98'. If she does not know year of first birth, recor '9998'. If she cannot give the year of the birth go to CM2B.If the she can give a year of birth continue to CM3. 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. Investigator needs 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. If she does not know the exact day or month of first birth, record '98'. If she does not know year of first birth, recor '9998'. If she cannot give the year of the birth go to CM2B.If the she can give a year of birth continue to CM3. 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? Record completed years in the space provided. Women aged 15-49 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 children 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 CM5. Women aged 15-49 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you Out of these, how many sons live with you? If the answer is 'None' for sons (or if she does not have any sons), record '0' 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 '0' in the space for daughters. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, or children of another relative. Women aged 15-49 Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you Out of these, how many daughters live with you? If the answer is 'None' for sons (or if she does not have any sons), record '0' 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 '0' in the space for daughters. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, or children of another relative. Women aged 15-49 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 children 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. Women aged 15-49 1 Yes 2 No Sons living not with you Sons living not with you Sons living not with you Sons living not with you Sons living not with you . Out of these, how many sons who are alive but do not live with you? If the answer is 'None' for sons (or if she does not have any sons who are alive), record '0' 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 '0' in the space provided for daughters. Women aged 15-49 Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Out of these, how many daughters who are alive but do not live with you? If the answer is 'None' for sons (or if she does not have any sons who are alive), record '0' 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 '0' in the space provided for daughters. Women aged 15-49 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 child who was born alive but later died? This question is extremely important. 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. Circle the code corresponding to the response. Women aged 15-49 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? Record the number of sons (or daughters) who were born alive but later died in the spaces provided Women aged 15-49 Girls dead Girls dead Girls dead Girls dead Girls dead How many daughters have died? Record the number of sons (or daughters) who were born alive but later died in the spaces provided Women aged 15-49 Children ever born Children ever born Children ever born Children ever born Children ever born Sum answers from CM4A, CM4B, CM6A, CM6B, CM8A vµ CM8B Add the numbers of births reported in CM4, CM6, CM8 and write the sum here. Women aged 15-49 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. 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. 98 DK 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. 9998 DK 9999 Missing Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Interviewer check CM11: Did this woman's last birth occur within the last 2 years, that is, since (day and month of interview in 2004)? Women aged 15-49 1 Yes 2 No Wanted last child Wanted last child Wanted last child Wanted last child Wanted last child At the time you became pregnant with [name], did you want to become pregnant then, did you want to wait until later, or did you want no (more) children at all? Ask this question to women who have had a live birth during the last 2 years. The question is asked to find out whether the pregnancy for this child was wanted at the time, whether the woman actually wanted to have the child later than she did, or whether she did not want the pregnancy and the subsequent birth at all. Record the appropriate code and continue with the next module. Women aged 15-49 1 Then 2 later 3 No more 9 Missing Has immunization card Has immunization card Has immunization card Has immunization card Has immunization card Do you have a card or other document with your own immunizations listed? First, ask whether she has a vaccination card or other documentary evidence of vaccination. If a card is presented, use it to assist with answers to the following questions. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing 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 your last child, did you receive any injection to prevent tetanus (an injection at the top of the arm or shoulder)? Record '1' for a 'Yes' response. If the answer is 'No' or 'DK', record the code corresponding to the response and skip to TT5. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid during last pregnancy Times given tetanus toxoid during last pregnancy Times given tetanus toxoid during last pregnancy Times given tetanus toxoid during last pregnancy Times given tetanus toxoid during last pregnancy How many times did you receive this anti-tetanus injection during your last pregnancy? Record the number of doses she reports in the space provided. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing 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 anti-tetanus injection at any time before your last pregnancy? Record the code corresponding to her response. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid before last pregnancy Times given tetanus toxoid before last pregnancy Times given tetanus toxoid before last pregnancy Times given tetanus toxoid before last pregnancy Times given tetanus toxoid before last pregnancy During this period, how many times did you receive anti-tetanus injection? Enter her response in the space provided Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Ask the mother the month and year in which she received the last dose of TT before her last pregnancy. If she cannot supply the month, record '98' for 'DK Month'. If she can provide the year, fill in the year in the space provided and skip to the next module. If she does not know the year, record '9998' and continue to TT8. 98 DK 99 Missing Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Ask the mother the month and year in which she received the last dose of TT before her last pregnancy. If she cannot supply the month, record '98' for 'DK Month'. If she can provide the year, fill in the year in the space provided and skip to the next module. If she does not know the year, record '9998' and continue to TT8. 9998 DK 9999 Missing 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 anti-tetanus injection before that last pregnancy? The investigator records. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 99 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Child's line number Record the child's line number from Household Listing Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth In the first two months after your last birth [the birth of name], did you receive a Vitamin A dose like this? Show the 200,000 IU vitamin A capsule or dispenser you were given to help the respondent remember. Record the code corresponding to the response. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Did you see anyone for antenatal care for this pregnancy? If “Yes”: Whom did you see? Anyone else? Probe and circle answer(s) given This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? Probe and circle answer(s) given This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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 Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? This question refers to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. Circle the answer(s) given Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Weighed Weighed Weighed Weighed Weighed During the antenatal visits for the pregnancy,did you have [...] done at least once? Investiagator need to fill each phrase: weight, blood pressure, urine sample, blood sample ultra-sound scan into [...]. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 Don't know 9 Missing Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? Investiagator need to fill each phrase: weight, blood pressure, urine sample, blood sample ultra-sound scan into [...]. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 Don't know 9 Missing Urine sample Urine sample Urine sample Urine sample Urine sample Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? Investiagator need to fill each phrase: weight, blood pressure, urine sample, blood sample ultra-sound scan into [...]. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 Don't know 9 Missing Blood sample Blood sample Blood sample Blood sample Blood sample Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? Investiagator need to fill each phrase: weight, blood pressure, urine sample, blood sample ultra-sound scan into [...]. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 Don't know 9 Missing Ultra -sound Ultra -sound Ultra -sound Ultra -sound Ultra -sound Did you see anyone for antenatal care for this pregnancy? If "Yes": Whom did you see? Anyone else? Investiagator need to fill each phrase: weight, blood pressure, urine sample, blood sample ultra-sound scan into [...]. 1 Yes 2 No 8 Don't know 9 Missing Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus During any of the antenatal visits for the pregnancy, were you given any information or counseled about HIV/AIDS? This question aims to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS I don't want to know the results, but were you tested for HIV/AIDS as part of your antenatal care? Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Record the code corresponding to the response. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test I don't want to know the results, but did you get the results of the test? Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Record the code corresponding to the response. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria During this pregnancy, did you take any medicine in order to prevent you from getting malaria? If the respondent took medicines during pregnancy when she did not already have malaria, continue to the next question. If the respondent did not take any medicine to prevent her from getting malaria, record '2'. If she does not know whether she received treatment to prevent malaria during her last pregnancy, circle '8' for 'DK'. In both cases, skip to MN7. If the respondent says that she had malaria or a fever during the pregnancy and was given medicines to treat the malaria or fever, this would not be considered preventive treatment. In such a case, record '2' for 'No' and skip to MN7. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Fansidar Fansidar Fansidar Fansidar Fansidar Which medicines did you take to prevent malaria? Circle all medicines taken. If type of medicine is not determined, show typical anti-malarial to respondent Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical antimalarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey A Fansidar Chloroquine Chloroquine Chloroquine Chloroquine Chloroquine Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical antimalarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey B Chloroquine Other Other Other Other Other Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical antimalarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey X Other Don't know Don't know Don't know Don't know Don't know Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical antimalarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Z Don't know Times took SP/fansidar Times took SP/fansidar Times took SP/fansidar Times took SP/fansidar Times took SP/fansidar During this pregnancy, how many times did you take SP/fansidar to prevent malaria? Count only the 'dose' (three tables taken at the same time = '1 dose') when the women was pregnant and did not have a fever Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 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 your last born child [NAME]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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 your last born child [NAME]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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 your last born child [name]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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 your last born child [name]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. 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 your last born child [name]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. 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 your last born child [name]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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 your last born child [name]? When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Circle the codes corresponding to all persons assisting at the delivery. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to [NAME] ? If the respondent is 'Other' record '96'. Then write the name of the place in the space provided on the questionnaire 'Name of place'. Leader will learn from other people in the community whether the place is public or private and then record the code corresponding to the response. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 11 Your home 12 Other home 21 Government hospital 22 Government clinic/health center 23 Gov. maternity home 24 Comm./Office Health clinic 25 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 34 Other private medical 96 Other 99 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When your last child [NAME] was born, was he/she very large, larger than average, average, smaller than average, or very small? Read the entire question exactly as written before accepting an answer. This is the woman's own opinion about the size of her baby. Even if she knows the child's birthweight, tell her that you want to know her own idea of whether the baby was very large, larger than average, average, smaller than average or very small. If the respondent is unable to tell you, do not try to guess the answer based on the birthweight information or the appearance of the baby; record '8' for 'DK'. In cases when the woman knows the birthweight of the baby and tells you the exact weight, do not use your judgement to influence her response . In other words, even if the woman tells you that her baby was smaller than average while the birthweight she is stating is quite large in your opinion, do not probe further to 'correct' the woman's perception of the size of the baby. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was [NAME] weighed at birth? If the baby was not weighed at birth or the mother doesn't know, skip to MN12. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) How many grams did [NAME] weigh at birth? Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), record '1' If there is no card, and the mother cannot remember the exact weight, record her best estimate. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Record from health card or recall? Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), record '1' If there is no card, and the mother cannot remember the exact weight, record her best estimate. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Card 2 Recall 9 Missing Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed [NAME]? Breastfeeding is important for a child's health and because it prevents pregnancy during the period when the mother is breastfeeding. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing 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? (minute, hour, day) Record the code corresponding to the response. Immediately 997 Don't suck 998 DK 999 Missing 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) 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'. If less than 1 hour, record the number of minutes If less than 24 hours, record the number of hours And if more than 24 hours, record the number of days. 1 Minute 2 Hours 3 Days 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 in union? The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Record the code corresponding to the respondent's status at the time of the interview. Women aged 15-49 1 Yes, currently married 2 No, not in union 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 on his last birthday? (age in completed years) 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, record '98'. Skip to MA5, irrespective of the response. Women aged 15-49 98 DK 99 Missing 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 in union? For women who are not currently married or living with a man. If the answer is 'Yes', record '1'. If the answer is 'No' recorde '2' continue to Part 2G Record the code corresponding to the response given. Women aged 15-49 1 Yes, formerly married 2 No Marital status Marital status Marital status Marital status Marital status What is your marital status now? Record 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. Women aged 15-49 1 Widowed 2 Divorced 3 Separated 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 in union only once or more than once? Record the code corresponding to the response. Women aged 15-49 1 Only once 2 More than once 9 Missing Month of current union Month of current union Month of current union Month of current union Month of current union In what month and year were you married/in union? Record the month in the space provided. Once again, 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, record '98' for 'DK month'. 98 DK 99 Missing Year of current union Year of current union Year of current union Year of current union Year of current union In what month and year were you married/in union? Record the year in the space provided. Once again, 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, record '9998' for 'DK year'. 9998 DK 9999 Missing 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 were you first married or union? Record the month in the space provided. Once again, 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, record '98' for 'DK month'. 98 DK 99 Missing 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 were you first married or union? Record the year in the space provided. Once again, 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, record '9998' for 'DK year'. 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? Record age in completed years Women aged 15-49 98 DK 99 Missing 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 1 Yes, currently married 2 No, not in union Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant Are you pregnant now? Record the code corresponding to the response given. If she is pregnant, record '1' and go to the next module. Women aged 15-49 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing 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 Are you and your husband currntly using any method to delay of avoid getting prebnat? If response is 'Yes', record '1' and go to CP3 If response is 'No', record '2' and go to Part 2G. Women aged 15-49 1 Yes 2 No 9 Missing Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Which method are you and your husband using? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 B Male sterilization Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 C Pill Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 D IUD Current method: Injections Current method: Injections Current method: Injections Current method: Injections Current method: Injections Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 E Injection Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 F Implants Current method: Condom Current method: Condom Current method: Condom Current method: Condom Current method: Condom Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 G Condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 H Female condom Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 I Diaphragm Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 J Foam/jelly Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 K Lactational amenorrhoea method Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 L Periodic abstinence Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other Are you pregnant now? Since method are effective for the different lenghts of time, you may hanve difficulty determining if a particular respondent is currently using a method. If nessesary, consider the last 1 month as 'current use' Cricle the code corresponding to the response given. Women aged 15-49 X Other (specify) Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Now I would like to talk with you about disease, particularly HIV virus and AIDS disease. Have you ever heard of the virus HIV or an illness called AIDS? If a respondent has never heard of the HIV virus or AIDS, go to the Part 2H. Women aged 15-49 1 Yes 2 No 9 Missing Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Now I would like to ask some questions about how to protect yourself from having HIV/AIDS that including sensitive questions related to sexual matters. Can people protect themselves from getting HIV/AIDS by having one sexual partner who is not infected and also does not have sex with other partners? Ask the question slowly. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can people get infected with the AIDS virus because of witchcraft or other supernatural means? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can people reduce their chance of getting HIV/AIDS by using a condom every time they have sex? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can people get HIV/AIDS from mosquito bites? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can people reduce their chance of getting HIV/AIDS by not having sex at all? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can people get HIV/AIDS by sharing food with a person who has HIV/AIDS? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can people get HIV/AIDS by getting injections with a needle that was already used by someone else? Do not prompt. Record the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, record '8' for 'DK'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Is it possible for a healthy-looking person to have HIV/AIDS? Record the code for the response given. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy Can the HIV virus be transmitted from a mother to a 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. Record '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, record '8'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery Can the HIV virus be transmitted from a mother to a 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. Record '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, record '8'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk Can the HIV virus be transmitted from a mother to a baby by breast feeding? 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. Record '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, record '8'. Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school In your opinion, if a female teacher has HIV/AIDS still looking healthy, should she be allowed to continue teaching in school? The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with AIDS. Record the code for the response given. Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person is living with HIV/AIDS? The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with AIDS. Record the code for the response given. Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member of a family became infected with HIV/AIDS, would this family remain such information a secret? The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with AIDS. Record the code for the response given. Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing 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 you were living in a family whose member has become sick with the AIDS virus, would you be willing to care for him or her in your household? The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with AIDS. Record the code for the response given. Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Interviewer check MN5 to see whether this woman has been tested for HIV during antenatal care. 1 Yes 2 No Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test I do not want to know the results, but have you ever been tested to see if you have HIV virus? Ask the respondent if she was tested for the HIV. Be clear to the respondent that you are not asking to know the results of the test. R­ecord the code for the response given. If her answer is 'No', skip to HA18. Women aged 15-49 1 Yes 2 No 9 Missing Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test I do not want you to tell me the results of the test, but have you been told the results? Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or imply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the results of any test she may have undergone. Record the code corresponding to her response. Women aged 15-49 1 Yes 2 No 9 Missing Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Did you, yourself, ask for the test, was it offered to you and you accepted, or was it required? If the respondent has been tested for HIV, we want to know whose idea it was to get the test. There are three options, so read the entire question before expecting an answer. Perhaps the respondent asked to be tested for HIV. Perhaps a health worker offered to test the respondent and the respondent accepted being tested. Perhaps the test was required for some reason. Record the code corresponding to the response. Women aged 15-49 1 Asked for the test 2 Offered and accepted 3 Required 9 Missing Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test At this time, do you know of a place where you can go to get such a test to see if you have the HIV virus? Record the code corresponding to the response. Women aged 15-49 1 Yes 2 No 9 Missing HA18a Know a other place to get HIV test HA18a Know a other place to get HIV test HA18a Know a other place to get HIV test HA18a Know a other place to get HIV test HA18a Know a other place to get HIV test Other than at the antenatal clinic, do you know of a place where you can go to get a test to see if you have HIV virus? Women who have not been tested for HIV during antenatal care ('No' marked in HA14) or any other time ('2' circled in HA15) are asked HA18. For women who have been tested for HIV during antenatal care, you should ask HA18A. Record the code corresponding to the response. 1 Yes 2 No 9 Missing DV1A If wife to go out but don't tell DV1A If wife to go out but don't tell DV1A If wife to go out but don't tell DV1A If wife to go out but don't tell DV1A If wife to go out but don't tell In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations [...]? Record the code corresponding to the response. 1A. If she goes out with out telling him? 1B. If she neglects the children? 1C. If she argues with him? 1D. If she refuses sex with him? 1E. If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing DV1B If wife neglect her children DV1B If wife neglect her children DV1B If wife neglect her children DV1B If wife neglect her children DV1B If wife neglect her children In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations [...]? Record the code corresponding to the response. 1A. If she goes out with out telling him? 1B. If she neglects the children? 1C. If she argues with him? 1D. If she refuses sex with him? 1E. If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing DV1C If wife agure with her husband DV1C If wife agure with her husband DV1C If wife agure with her husband DV1C If wife agure with her husband DV1C If wife agure with her husband In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations [...]? Record the code corresponding to the response. 1A. If she goes out with out telling him? 1B. If she neglects the children? 1C. If she argues with him? 1D. If she refuses sex with him? 1E. If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing DV1D If wife refuse sex with her husband DV1D If wife refuse sex with her husband DV1D If wife refuse sex with her husband DV1D If wife refuse sex with her husband DV1D If wife refuse sex with her husband In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations [...]? Record the code corresponding to the response. 1A. If she goes out with out telling him? 1B. If she neglects the children? 1C. If she argues with him? 1D. If she refuses sex with him? 1E. If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing DV1E If wife cook burn food DV1E If wife cook burn food DV1E If wife cook burn food DV1E If wife cook burn food DV1E If wife cook burn food In your opinion, do you find acceptable for the husband to hit or beat his wife in the following situations [...]? Record the code corresponding to the response. 1A. If she goes out with out telling him? 1B. If she neglects the children? 1C. If she argues with him? 1D. If she refuses sex with him? 1E. If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Cluster number Cluster number Cluster number Cluster number Cluster number Record the cluster number from the Houshehold Listing of MICS3 Households Unique identifier for the cluster in which the household exists Region Region Region Region Region Record the code for region. Households 1 Red river Delta 2 North East 3 North West 4 North Central Coast 5 South Central Coast 6 Central Highlands 7 South East 8 Mekong river Delta Replacement household Replacement household Replacement household Replacement household Replacement household Compleled interview 1 Replacement household Line number Line number Line number Line number Line number Investigator do not need to fill in this column, they are indentified with the line numbers throughout the questionaires. Child's line number Child's line number Child's line number Child's line number Child's line number Record the child's line number from the Household Questionnaire, column HL1 of the Household Listing. Children aged 0-4 Women's line number Women's line number Women's line number Women's line number Women's line number Enter the woman's line number from the Household Questionnaire of the Household Listing. Women aged 15-49 Result of women interview Result of women interview Result of women interview Result of women interview Result of women interview Women aged 15-49 Area Area Area Area Area Area? Record '1' for 'Urban' and '2' for 'Rural' Households 1 Urban 2 Rural Household's name Household's name Household's name Household's name Household's name Household's name? Record the household's name and code Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name? Record your own name and identification number provided to you at the time of training. Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview? Record the day of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final day of interview. Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview? Record the month of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final month of interview. Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview? Record the year of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final year of interview. Households Leader's name Leader's name Leader's name Leader's name Leader's name Leader's name? Record leader's name and identification number. Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent of household questionnaire? Record full name (by capital letter) and line number of the respondent to the Household Questionnaire. Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members? Count the number of household members recorded in part 1 section B of the Household Listing and enter the total here. Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women Total number of women 15-49? Record the total number of women 15-49 for interview. Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed Total number of women 15-49 completed interview(s)? Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total number of children under 5? Record the total number of children under five eligible for the survey from the Household Listing. Investigator will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed Total number of questionnaires for children under 5 completed? Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. Households Result interview Result interview Result interview Result interview Result interview If the Household Questionnaire is completed, record'1' for 'Completed'. If the household refuses to be interviewed, record '2' for 'Refused'.If you have not been able to contact the household after repeated visits, record '3' for 'Not at home'. If you have not been able to complete the Household Questionnaire for another reason, you should record '6' for 'Other' and specify the reason in the space provided. Households 1 Completed 2 Refused 3 Away 6 Other 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 of your household? Record the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 91 Bottled water 96 Other 99 Missing 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 for other living purpose? This question should only be asked to households that use 'Bottled water' for drinking. Record 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' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS7. Otherwise continue to the next question. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How many minutes does it take to go to this water source, wait, get water and return home? This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. Fill in the estimated time (in minutes) 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'). Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually go to this water source to get the water? 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 IS THIS PERSON?" Record the code that corresponds with the response or '8' if the respondent does not know. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing 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 have any treatment of the water before drinking (including boiling water)? Record '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know), record '2' or '8', respectively, and skip to WS7. Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households F Let it stand and settle Other Other Other Other Other Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households X Other Don't know Don't know Don't know Don't know Don't know Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households Z Don't know Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of latrine do member of your household use? 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?" Record the code corresponding to the response given. Households 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 Hanging toilet/hanging latrine 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do your household share this latrine with other household(s)? Record the code corresponding to the response given. If 'No' record '2' and go to the next module. Households 1 Yes 2 No 9 Missing 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 How many households share this latrine? The total number of households using this facility should include the household being interviewed. If less than 10 households use this toilet facility, enter the number of households on the line provided. Record '10' if ten or more households use this toilet facility. Record '98' for 'DK'. Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Record the code corresponding to the answer given. Households 1 Buddish 2 Catholic 3 Protestant 4 Cao dai 5 Hoa Hao buddish 6 Other religion 8 No religion 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in your house/apartment can be used for sleeping? Record the number of rooms in this household that are used for sleeping. Households 99 Missing How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many square meters in total is this house/apartment? The unit of measurement is m2. Record the total area of the house (record 3 digits) 999 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor What is the main material of the floor? Record the correct code for the material of the dwelling 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, record the main flooring material (the material that covers the largest amount of floor space). Households 11 Earth/sand 21 Wood planks 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof What is the main material of the roof ? Record the correct code for the material of the dwelling 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). Households 11 Thatch/palm leaf 21 Rustic mat 23 Wood Planks 31 Metal 32 Wood 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall What is the main material of the wall? Record the correct code for the material of the dwelling 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, record the main wall material (the material that covers the largest amount of wall space). Households 11 No walls 12 Cane/palm/trunks 13 Dirt 21 Bambo with mud 22 Stone with mud 23 Uncovered adobe 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 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 is the main cooking fuel of your household? Record 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, or biogas is mainly used, record '01', '02', '03', or '04', respectively, 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. Households 1 Electricity 2 Liquid propane 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 96 Other 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire What kind is the stove/cooker usually used by your household for cooking? Record the code corresponding to the answer given Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Does this stove have chimney? Record the code corresponding to the answer given. Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking often conducted in house, in a separate area or in the open air? Record the code corresponding to the response given. Households 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Black and white TV Black and white TV Black and white TV Black and white TV Black and white TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Color TV Color TV Color TV Color TV Color TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Music player system Music player system Music player system Music player system Music player system Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Radio casette Radio casette Radio casette Radio casette Radio casette Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Mobilephone Mobilephone Mobilephone Mobilephone Mobilephone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Computer Computer Computer Computer Computer Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Refridgerator Refridgerator Refridgerator Refridgerator Refridgerator Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Air conditioner Air conditioner Air conditioner Air conditioner Air conditioner Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Washing machine Washing machine Washing machine Washing machine Washing machine Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Water heater Water heater Water heater Water heater Water heater Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Bicycle Bicycle Bicycle Bicycle Bicycle Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Motobike Motobike Motobike Motobike Motobike Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Ship/boat Ship/boat Ship/boat Ship/boat Ship/boat Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Automobile Automobile Automobile Automobile Automobile Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu At present, does your household have land area, water surface area used for agricultural, forestry, aqua-cultural purposes ? Record the code corresponding to the response given. 1 Yes 2 No 9 Missing How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many meters of land area, water surface area used for agricultural, forestry, aqua-cultural purposes are under the management and use of your household? Record the code corresponding to the response given. Households 9997 More than 9996 9998 Don't know 9999 Missing Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals At present does your household raise any cattle and/or poultry ? Record the code corresponding to the response given. Households 1 Yes 2 No 9 Missing Number of cattle Number of cattle Number of cattle Number of cattle Number of cattle How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Goats Number of Goats Number of Goats Number of Goats Number of Goats How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of chickens Number of chickens Number of chickens Number of chickens Number of chickens How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Does your household have any mosquito net? Record the code corresponding to the response given. If 'No', skip to the next module. 1 Yes 2 No 9 Missing Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Record the number of mosquito nets that the household has. 7 7 or more 98 Missing Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine How many mosquito nets of your household has been treated with insecticide? If response is 'DK' or 'NO' record '00' 7 7 or more 98 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago was the (most recent) net treated with insecticide? This question is only asked about pre-treated. If the household owns more than one of these types of nets, we are interested in the net that was acquired most recently. If the net was obtained within the last month, record '00' in the space provided.From 1-23 months record the number of months 24 months and more record '95', Do not remember record '98' 95 More than 24 months ago 98 Not sure 99 Missing TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night Last night, how many members of your household sleep under the mosquito nets? If 'No', record '00' 99 Missing TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in Among those household members sleeping under mosquito nets, how many members sleep under insecticide treated nets? If 'NO' or 'DK' record '00' 99 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Identify the selected child aged 2-14 in the household using the tables in previous pages in accordance with the accompanying guideline. Interview the mother or primary caretaker of this child (record the line number of this mother/caretaker in column CD6). Record the code and name from line CD9 table 2 if there is more than one child aged 2-14 in the household. If there is only one child aged 2-14 in the household, record code and name fromf table 1. Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month During the last 4 weeks, has [NAME] made any error or had any wrong behaviour? If 'Yes' record '1' and continue to the next question. If 'No', record '2' and skip to CD13 1 Yes 2 No 9 Missing Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Did not allow the child to do or enjoy the thing he/she like or did not allow him/her to leave home? 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' 1 Yes 2 No 9 Missing Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explained the reason why the behaviour is 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. 1 Yes 2 No 9 Missing Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Grabbed the child angrily ? 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. 1 Yes 2 No 9 Missing Storm at child Storm at child Storm at child Storm at child Storm at child Shouted at, scolded the child? Parents/caretakers may raise their voice when a child does something they consider wrong. 1 Yes 2 No 9 Missing Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Asked the child to do something that he/she did not like? This item 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." 1 Yes 2 No 9 Missing Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Spanked on the bottom of the child with bare hand? Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 1 Yes 2 No 9 Missing Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Spanked, hit on the bottom of the child with belt, rod 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. 1 Yes 2 No 9 Missing Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Called the child with such words as silly, lazy? Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 1 Yes 2 No 9 Missing Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Hit or slapped on the face, head or ear of the child with bare hand? 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.) 1 Yes 2 No 9 Missing Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Hit or spanked on the hand, arm or leg of the child with bare hand? This question is different from the previous question (CD12I) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand or hands, arm(s) or leg(s). 1 Yes 2 No 9 Missing Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Hit the child continuously with rod? This is the most severe form of physical punishment we ask about in this module. This question refers to punishment using a soft or hard object such as a stick, belt, cane or other object to beat the child repeatedly. 1 Yes 2 No 9 Missing Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Do you think that, in order to raise the child properly, physical punishment is necessary? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. Do not be surprised if a mother or a caretaker 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, record '8'. 1 Yes 2 No 8 DK 9 Missing mother tongue mother tongue mother tongue mother tongue mother tongue Record the mother tongue. Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head? Record the ethnic of household head. 1 Kinh 2 Tay 3 Thai 4 Hoa 5 Kho Me 6 Muong 7 Nung 8 H Mong 9 Dao 10 Gia-Rai 11 Ede 12 BaNa 13 Xo Dang 14 San Chay 15 Cham 16 San Diu 17 Hre 18 MNong 19 Bru 20 Ma 21 Khang ethnicity ethnicity ethnicity ethnicity ethnicity Record the code corresponding to the answer given. Refer to teh table of ethnic group. Households Other 1 Kinh/chinese 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) Women aged 15-49 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Women aged 15-49 Age group Age group Age group Age group Age group Women aged 15-49 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Age group Age group Age group Age group Age group 1 15-19 2 20-24 3 25-29 4 30-34 5 35-49 Date of marriage Date of marriage Date of marriage Date of marriage Date of marriage Date of marriage? Record the date of marriage 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 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 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 Women aged 15-49 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status Women aged 15-49 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Education Education Education Education Education Record the mother's education. Children aged 0-4 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary Household number Household number Household number Household number Household number Record the household number Children ever born Children ever born Children ever born Children ever born Children ever born Women aged 15-49 Dead children Dead children Dead children Dead children Dead children Women aged 15-49 Number of children surviving Number of children surviving Number of children surviving Number of children surviving Number of children surviving Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women aged 15-49 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Children aged 0-4 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Provice/City Provice/City Provice/City Provice/City Provice/City We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Province/City name and code District District District District District We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record District name and code Commune/Ward Commune/Ward Commune/Ward Commune/Ward Commune/Ward We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record Commune/Ward name and code Cluster Cluster Cluster Cluster Cluster We are from General Statistics Office. We are working on a project concerned with family health and education. I would like to talk to you about this. May I start now? Record cluster name and code from the Household listing of MICS3. Household number Household number Household number Household number Household number Record the household number from column A in the Household Listing of MICS3. Households Houshold number within the cluster Child's line number Child's line number Child's line number Child's line number Child's line number Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing. Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Record the caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing. Children aged 0-4 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 What is the birthday of [NAME]? Ask the mother or primary caretaker for the child's date of birth or record from column HL5A in Houshehold listing. Children aged 0-4 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 16 16 17 17 18 18 19 19 20 20 21 21 22 22 23 23 24 24 25 25 26 26 27 27 28 28 29 29 30 30 31 31 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 What is the birthday of [NAME]? Ask the mother or primary caretaker for the child's date of birth or record from column HL5A in Houshehold listing. Children aged 0-4 1 Jan 2 Feb 3 Mar 4 Apr 5 May 6 Jun 7 Jul 8 Aug 9 Sep 10 Oct 11 Nov 12 Dec 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 What is the birthday of [NAME]? Ask the mother or primary caretaker for the child's date of birth or record from column HL5A in Houshehold listing. Children aged 0-4 Age of child Age of child Age of child Age of child Age of child How old was [NAME] at his/her last birthday? Record age in completed years. Children aged 0-4 Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Does [NAME] have a birth certificate? May I see it? This question aims to redefine the real birth of child. If the child has a birth certificate and it was seen, record '1' and skip to BR5. If the child does not have a birth certificate, record '3', or if the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate record '2'. Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Child registered Child registered Child registered Child registered Child registered Has [NAME'S] birth been registered with the concerned authorities? If the answer is 'Yes', skip to BR5. If the child's birth has not been registered with concerned authorities record '2' and continue to BR3. If the answer is 'DK', record '8' and skip to BR4. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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? This question aims to elicit the reason for non-registration. Record the code corresponding to the response. Note that although there might be more than one reason for not registering a child, we need to get only one response - the most important one according to the mother/primary caretaker. If the response is definitely not one of the pre-coded responses, record '7' for 'Other' and specify the response in the space provided. Children aged 0-4 1 Costs too much 2 Must travel too far 3 Did not know it should be registered 4 Late, and did not want to pay fine 5 Does not know where to register 6 Busy, no time 7 Other 8 DK 9 Missing 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, 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. Record the code corresponding to the response. Children aged 0-4 1 Yes 2 No 8 No answer 9 Missing Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Does [Name] attend any private or public kindergarten or community chil care? This question aims to find out all of early childhood programme if the child is participating. If the response is "YES" recode '1' and continue to BR7 If the response is'No', 'Summer Vacation' or 'DK', record '8' ans skip to BR8. Children aged 0-4 1 Yes 2 No 6 In holidays 8 DK 9 Missing Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Within the last seven days, about how many hours did [NAME] attend? Record the estimated number of hours the child attended any organized learning or early childhood education programme in the last 7 days. Record the complete numeral. Children aged 0-4 Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother Who engaged in reading books or looking at picture books with [NAME]? Children aged 0-4 Books-Father Books-Father Books-Father Books-Father Books-Father Who engaged in reading books or looking at picture books with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. 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. Children aged 0-4 Books-Other Books-Other Books-Other Books-Other Books-Other Who engaged in reading books or looking at picture books with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. 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. Children aged 0-4 Books-No one Books-No one Books-No one Books-No one Books-No one Who engaged in reading books or looking at picture books with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. 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. Children aged 0-4 Stories-Mother Stories-Mother Stories-Mother Stories-Mother Stories-Mother Who engaged in telling stories to [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Stories-Father Stories-Father Stories-Father Stories-Father Stories-Father Who engaged in telling stories to [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Stories-Other Stories-Other Stories-Other Stories-Other Stories-Other Who engaged in telling stories to [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Stories-No one Stories-No one Stories-No one Stories-No one Stories-No one Who engaged in telling stories to [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Songs-Mother Songs-Mother Songs-Mother Songs-Mother Songs-Mother Who engaged in singing songs with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Songs-Father Songs-Father Songs-Father Songs-Father Songs-Father Who engaged in singing songs with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Songs-Other Songs-Other Songs-Other Songs-Other Songs-Other Who engaged in singing songs with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Songs-No one Songs-No one Songs-No one Songs-No one Songs-No one Who engaged in singing songs with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Outside-Mother Outside-Mother Outside-Mother Outside-Mother Outside-Mother Who engaged in taking [NAME] outside the home, compound, yard or enclosure? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Outside-Father Outside-Father Outside-Father Outside-Father Outside-Father Who engaged in taking [NAME] outside the home, compound, yard or enclosure? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Outside-Other Outside-Other Outside-Other Outside-Other Outside-Other Who engaged in taking [NAME] outside the home, compound, yard or enclosure? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Outside-No one Outside-No one Outside-No one Outside-No one Outside-No one Who engaged in taking [NAME] outside the home, compound, yard or enclosure? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Play-Mother Play-Mother Play-Mother Play-Mother Play-Mother Who engaged in playing with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Play-Father Play-Father Play-Father Play-Father Play-Father Who engaged in playing with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Play-Other Play-Other Play-Other Play-Other Play-Other Who engaged in playing with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Play-No one Play-No one Play-No one Play-No one Play-No one Who engaged in playing with [NAME]? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Naming-Mother Naming-Mother Naming-Mother Naming-Mother Naming-Mother Who engaged in spending time with [NAME] naming, counting, and/or drawing things? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Naming-Father Naming-Father Naming-Father Naming-Father Naming-Father Who engaged in spending time with [NAME] naming, counting, and/or drawing things? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Naming-Other Naming-Other Naming-Other Naming-Other Naming-Other Who engaged in spending time with [NAME] naming, counting, and/or drawing things? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 Naming-No one Naming-No one Naming-No one Naming-No one Naming-No one Who engaged in spending time with [NAME] naming, counting, and/or drawing things? Circle the code for the person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father over 15 years old engaged in the activity with the child, , circle 'X'. Children aged 0-4 How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household? Please include schoolbooks, but not other books meant for children, such as picture books? This question asks for the number of books in the household, including schoolbooks and books for older children, but not picture books or books especially meant for young children. Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child, ask this question when you interview her/him for the first child. Copy the response of this question to the same question in the questionnaire for the second child. If you are interviewing more than one mother/primary caretaker in the same household, ask the question once of each of the mothers/primary caretakers. Note that their responses to the number of books in the same household may be different. 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. If the respondent is unsure about the number of 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 books. If yes, record '10'. If she/he says that there are less than 10 books, probe further to get an exact number. If there are no such books in the household, record '00'. Children aged 0-4 10 Ten or more books 99 Missing How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him 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). Those books for older children and adults are already included in the previous question, CE1. Record the number of books in the space provided. There is no need to make an actual count of books yourself. 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'. Children aged 0-4 10 Ten or more books 99 Missing Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots I am interested in learning about the things that (NAME) plays with when he/she is at home? (If the respondent says "Yes" to any of the promoted categories, then probe to learn specifically what the child plays with to ascertain the response) 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. After asking "WHAT DOES (name) PLAY WITH?" do not pause; start asking whether the child plays with playthings from each of the categories listed. For example, ask: "DOES HE/SHE PLAY WITH HOUSEHOLD OBJECTS, SUCH AS BOWLS, PLATES, CUPS OR POTS?" 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 the appropriate code. Circle 'Y' if the child does not play with any of the items mentioned. Note that if 'Y' is circled, none of the other codes should be circled. Children aged 0-4 Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves I am interested in learning about the things that (NAME) plays with when he/she is at home? (If the respondent says "Yes" to any of the promoted categories, then probe to learn specifically what the child plays with to ascertain the response) This question is used to learn about 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. After asking "WHAT DOES (name) PLAY WITH?" do not pause; start asking whether the child plays with playthings from each of the categories listed. For example, ask: "DOES HE/SHE PLAY WITH HOUSEHOLD OBJECTS, SUCH AS BOWLS, PLATES, CUPS OR POTS?" 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 the appropriate code. Circle 'Y' if the child does not play with any of the items mentioned. Note that if 'Y' is circled, none of the other codes should be circled. Children aged 0-4 Homemae toys Homemae toys Homemae toys Homemae toys Homemae toys I am interested in learning about the things that (NAME) plays with when he/she is at home? (If the respondent says "Yes" to any of the promoted categories, then probe to learn specifically what the child plays with to ascertain the response) 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. After asking "WHAT DOES (name) PLAY WITH?" do not pause; start asking whether the child plays with playthings from each of the categories listed. For example, ask: "DOES HE/SHE PLAY WITH HOUSEHOLD OBJECTS, SUCH AS BOWLS, PLATES, CUPS OR POTS?" 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 the appropriate code. Circle 'Y' if the child does not play with any of the items mentioned. Note that if 'Y' is circled, none of the other codes should be circled. Children aged 0-4 Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store I am interested in learning about the things that (NAME) plays with when he/she is at home? (If the respondent says "Yes" to any of the promoted categories, then probe to learn specifically what the child plays with to ascertain the response) 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. After asking "WHAT DOES (name) PLAY WITH?" do not pause; start asking whether the child plays with playthings from each of the categories listed. For example, ask: "DOES HE/SHE PLAY WITH HOUSEHOLD OBJECTS, SUCH AS BOWLS, PLATES, CUPS OR POTS?" 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 the appropriate code. Circle 'Y' if the child does not play with any of the items mentioned. Note that if 'Y' is circled, none of the other codes should be circled. Children aged 0-4 No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned I am interested in learning about the things that (NAME) plays with when he/she is at home? (If the respondent says "Yes" to any of the promoted categories, then probe to learn specifically what the child plays with to ascertain the response) 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. After asking "WHAT DOES (name) PLAY WITH?" do not pause; start asking whether the child plays with playthings from each of the categories listed. For example, ask: "DOES HE/SHE PLAY WITH HOUSEHOLD OBJECTS, SUCH AS BOWLS, PLATES, CUPS OR POTS?" 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 the appropriate code. Circle 'Y' if the child does not play with any of the items mentioned. Note that if 'Y' is circled, none of the other codes should be circled. Children aged 0-4 How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child Whithin the last 7 days, how many times was [NAME] left in the care of another child who is less than 10 years old? The question CE4 and CE5 are 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, although there are many exceptions. 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. Record the response in the spaces provided. If the child was not left in the care of another child during this period, enter '00' for 'None'. Note that 'another child' is defined as a child less than 10 years old. Children aged 0-4 99 Missing How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone Whithin the last 7 days, how many times was [NAME] left alone? This question asks, given the same situation as in CE4, whether and how many times the child was left completely unattended, even by another child under 10 years old. As in CE4, make it clear to the respondent that you are asking only about the week previous to the day of interview. Enter the response in the spaces provided. If the answer is 'None', record '00'. Children aged 0-4 99 Missing Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Has [NAME] ever received a vitamin A capsule (supplement) like this one? Show the capsule or dispenser you were given to help the caretaker remember. Record 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, record "8" and skip to the next module. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose How many months ago did [NAME] take the last dose? If the answer to VA1 was 'Yes', record the number of months ago the last dose was given to the child. If the child received the supplement during the 1-month period preceding the interview, record "00". Record "98" if the mother/primary caretaker does not know when the child took the last dose. Record the completed months Children aged 0-4 98 DK 99 Missing Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Where did [NAME] get this last Vitamine A dose? Record the code corresponding to the answer given. If the dose was obtained during a routine visit to a health facility, record '1'. If the child was taken to a health facility because she/he was sick, and the supplement was obtained during this visit, record '2'. If vitamin A supplement was given during a National Immunization Campaign, record '3'. If the supplement was obtained from a source not listed, record '6'. If "other" or "DK", record '8'. Children aged 0-4 1 On routine visit to health centre 2 Sick child visit to health centre 3 National immunization day campain 6 Other 8 DK 9 Missing 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. Record the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, record '2' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is [NAME] still being breastfed? "Being breastfed" is defined as putting the child to the breast at least once a day. Record the code corresponding to the response. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Vitamin, mineral supplements or medicine? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received plain water Child received plain water Child received plain water Child received plain water Child received plain water Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Plain water? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Sweetened, flavoured water or fruit juice or tea or infusion? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Oral rehydration solution (ORS)? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received infant formula Child received infant formula Child received infant formula Child received infant formula Child received infant formula Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Infant formula milk? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received milk Child received milk Child received milk Child received milk Child received milk Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Tinned, powdered or fresh milk? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received other liquids Child received other liquids Child received other liquids Child received other liquids Child received other liquids Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Any other (specify)? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Since this time yesterday, did he/she receive any of the following: (Read about each item from 3A to 3H and record respone before proceeding to the next item.) Solid or semi-solid such as soft rice, congee, noodle, etc.? This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Since this time yesterday, how many times did [NAME] eat solid, semisolid foods? In this question, we want to find out how many times the child was given non-liquid foods in the 24 hours prior to the interview. Record the number of times in the space provided. If the number is seven or more, record '7'. If the respondent does not know, circle '8'. Children aged 0-4 7 7 or more 8 DK 9 Missing 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 Has [NAME] had diarrhoea in the last two weeks? 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. When asking this question, insert the name of the day of the interview. For example, if the interview is taking place on a Tuesday, ask: "HAS (name) HAD DIARRHOEA IN THE LAST TWO WEEKS, THAT IS, SINCE TUESDAY OF THE WEEK BEFORE LAST?" Record the mother's/primary caretaker's answer. 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." If the child has not had diarrhoea in the last 2 weeks or the caretaker doesn't know, record the code corresponding and skip to CA5. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Breast milk Breast milk Breast milk Breast milk Breast milk During this last episode of diarrhoea, did [NAME] drink any of the following: Breast milk? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Rice/soup water Rice/soup water Rice/soup water Rice/soup water Rice/soup water During this last episode of diarrhoea, did [NAME] drink any of the following: Water form rice, porridge, soup? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 this last episode of diarrhoea, did [NAME] drink any of the following: Oral rehydration solution (ORS)? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Recomended home made fluid Recomended home made fluid Recomended home made fluid Recomended home made fluid Recomended home made fluid During this last episode of diarrhoea, did [NAME] drink any of the following: Recommended homemade rehydration fluid such as salf-sugar solution? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing CA2E Other milks CA2E Other milks CA2E Other milks CA2E Other milks CA2E Other milks During this last episode of diarrhoea, did [NAME] drink any of the following: Others milk? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing CA2F Dink water while eat: Soup, liquor CA2F Dink water while eat: Soup, liquor CA2F Dink water while eat: Soup, liquor CA2F Dink water while eat: Soup, liquor CA2F Dink water while eat: Soup, liquor During this last episode of diarrhoea, did [NAME] drink any of the following: Soup water in meals such as water from boiled vegetable ? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing CA2G Drink boiled and filtered water CA2G Drink boiled and filtered water CA2G Drink boiled and filtered water CA2G Drink boiled and filtered water CA2G Drink boiled and filtered water During this last episode of diarrhoea, did [NAME] drink any of the following: Only plain water? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing CA2H Fluid to no effect to redeem water and mineral CA2H Fluid to no effect to redeem water and mineral CA2H Fluid to no effect to redeem water and mineral CA2H Fluid to no effect to redeem water and mineral CA2H Fluid to no effect to redeem water and mineral During this last episode of diarrhoea, did [NAME] drink any of the following: Fluids that do not have rehydration effect such as:Coke,... ? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing CA2I Don't drink CA2I Don't drink CA2I Don't drink CA2I Don't drink CA2I Don't drink During this last episode of diarrhoea, did [NAME] drink any of the following: Nothing? Read each item aloud and record response before proceeding to the next item. Record the code corresponding to the response before proceeding to the next item. 1 Yes 2 No 8 DK 9 Missing 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 During [NAME'S] illness, did [NAME] drink much less, about the same, or more food than usual? 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. Children aged 0-4 1 Much less or none 2 About the same (or somewhat less) 3 More 8 DK 9 Missing 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 [NAME'S] illness, did [NAME] eat much less, about the same, or more food than usual? 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. If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), record '1' for 'None'. If the caretaker's answer is 'less than usual', probe by asking "MUCH LESS OR A LITTLE LESS?" to find out if she/he thinks the amount was 'much less' or 'somewhat less'. Then record the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; record '2'. Children aged 0-4 1 None 2 Much less 3 Somewhat less 4 About the same 5 More 8 DK 9 Missing 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 In the last two weeks, has [NAME] had an illness with a cough at any time? Illness with a cough means a cold or other acute respiratory illness with a cough. Record 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', record the appropriate code and go to CA12. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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, quick breaths or have difficulty breathing? The question aims to find out if the child has or had an illness needing assessment by a health professional (as defined by the CDC/IMCI. 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." Record the code corresponding to the response. If the answer is 'Yes', continue to CA7. Otherwise, skip to CA12. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 Were the symptoms due to a problem in the chest or a blocked nose? This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold. Record the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked nose', skip to CA12. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, record '6' and skip to CA12. Otherwise, continue to the next question. Children aged 0-4 1 Problem in chest 2 Blocked nose 3 Both 6 Other 8 DK 9 Missing Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Did you seek advice or treatment for the illness outside the home? '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. Record the code corresponding to the response given. If the answer is 'Yes', continue to the next question. If the answer is 'No', record '2' and skip to CA10. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 A Govt Hospital Place sought care: Govt Health facility Place sought care: Govt Health facility Place sought care: Govt Health facility Place sought care: Govt Health facility Place sought care: Govt Health facility From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 B Govt Health facility Place sought care: Govt Health post Place sought care: Govt Health post Place sought care: Govt Health post Place sought care: Govt Health post Place sought care: Govt Health post From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 C Govt Health post Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 D Village health worker Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 E Mobile/outreach clinic Place sought care: Other public source Place sought care: Other public source Place sought care: Other public source Place sought care: Other public source Place sought care: Other public source From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 H Other public source 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 for the illness? Private hospital/clinic Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 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 for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 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 for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 L Private pharmacy 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 for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 O Other private medical Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend From where did you seek advice or treatment for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 P Relative or friend 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 for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 Q 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 for the illness? Circle the code for every provider mentioned (circle all items given). After the first reply, ask: "ANYWHERE ELSE?" until all providers are mentioned. However, do not suggest or prompt any answers. If the respondent is 'Other', circle 'X' and then write the name of the place in the space provided on the questionnaire (Name of place) and tell your supervisor. Circle the code corresponding to the response. Children aged 0-4 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 medicine to treat this illness? Record the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA12. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Antibiotic Antibiotic Antibiotic Antibiotic Antibiotic 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. 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 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'. Children aged 0-4 A Antibiotic Paracetamol/Panadol/Acetaminophen Paracetamol/Panadol/Acetaminophen Paracetamol/Panadol/Acetaminophen Paracetamol/Panadol/Acetaminophen 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. 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 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'. Children aged 0-4 P Paracetamol/Panadol/Acetaminophen Aspirin Aspirin Aspirin Aspirin 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. 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 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'. Children aged 0-4 Q Aspirin Other Other Other Other 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. 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 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'. Children aged 0-4 X Other Don't know Don't know Don't know Don't know Don't know 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. 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 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'. Children aged 0-4 Z Don't know 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. Respondents are asked where they usually dispose of their children's stools if the child did not use the toilet facility. Record the most appropriate code. Children aged 0-4 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 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 C Child develops a fever Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 D Child has faster 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 E Child has difficult breathing Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 F Child has blood in stool 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 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? Note that this question will only be asked once per mother/primary caretaker. If you are interviewing the same mother/primary caretaker for more than one child under 5 years old, ask this question when you interview her/him for the first child. Copy the response to this question to the same question in the questionnaire for the second child. Circle the codes for the symptoms mentioned. Children aged 0-4 X Other Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks In the last two weeks, has [NAME] been ill with a fever Fever is a symptom of malaria, and in areas where malaria is prevalent, mothers are advised to take action to treat for malaria as soon as fever begins. Record the code corresponding to the answer given. Record the code corresponding to 'Yes' only if the child has been ill with a fever at any time in the 2 weeks prior to the date of the interview. If the child has not been ill with a fever or the respondent doesn't know, skip to ML10. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child seen at health facility during illness Child seen at health facility during illness Child seen at health facility during illness Child seen at health facility during illness Child seen at health facility during illness Was [NAME] taken to the health facility during this illness? Record the code corresponding to the answer given. If the child was not seen at a health facility during this illness or the mother/primary caretaker doesn't know, skip to ML6. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child took medicine prescribed at health facility Child took medicine prescribed at health facility Child took medicine prescribed at health facility Child took medicine prescribed at health facility Child took medicine prescribed at health facility Did [NAME] take a medicine for fever or malaria that was provided or prescribed at the health facility? Record the code corresponding to the answer given. If the child did not take any medicine for the fever or malaria that was provided or prescribed at the health facility, or if the mother/primary caretaker does not know, skip to ML5. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Medicine provided/prescribed: SP/Fansidar Medicine provided/prescribed: SP/Fansidar Medicine provided/prescribed: SP/Fansidar Medicine provided/prescribed: SP/Fansidar Medicine provided/prescribed: SP/Fansidar What medicine did [NAME] take that was provided or prescribed at the health facility? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Chloroquine Medicine provided/prescribed: Chloroquine Medicine provided/prescribed: Chloroquine Medicine provided/prescribed: Chloroquine Medicine provided/prescribed: Chloroquine What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Amodiaquine Medicine provided/prescribed: Amodiaquine Medicine provided/prescribed: Amodiaquine Medicine provided/prescribed: Amodiaquine Medicine provided/prescribed: Amodiaquine What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Quinine Medicine provided/prescribed: Quinine Medicine provided/prescribed: Quinine Medicine provided/prescribed: Quinine Medicine provided/prescribed: Quinine What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Artemisinin-based combinations Medicine provided/prescribed: Artemisinin-based combinations Medicine provided/prescribed: Artemisinin-based combinations Medicine provided/prescribed: Artemisinin-based combinations Medicine provided/prescribed: Artemisinin-based combinations What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Other anti-malaria Medicine provided/prescribed: Other anti-malaria Medicine provided/prescribed: Other anti-malaria Medicine provided/prescribed: Other anti-malaria Medicine provided/prescribed: Other anti-malaria What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Paracetamol/Panadol/Acetaminop Medicine provided/prescribed: Paracetamol/Panadol/Acetaminop Medicine provided/prescribed: Paracetamol/Panadol/Acetaminop Medicine provided/prescribed: Paracetamol/Panadol/Acetaminop Medicine provided/prescribed: Paracetamol/Panadol/Acetaminop What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Aspirin Medicine provided/prescribed: Aspirin Medicine provided/prescribed: Aspirin Medicine provided/prescribed: Aspirin Medicine provided/prescribed: Aspirin What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Ibuprofen Medicine provided/prescribed: Ibuprofen Medicine provided/prescribed: Ibuprofen Medicine provided/prescribed: Ibuprofen Medicine provided/prescribed: Ibuprofen What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Other Medicine provided/prescribed: Other Medicine provided/prescribed: Other Medicine provided/prescribed: Other Medicine provided/prescribed: Other What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine provided/prescribed: Don't know Medicine provided/prescribed: Don't know Medicine provided/prescribed: Don't know Medicine provided/prescribed: Don't know Medicine provided/prescribed: Don't know What medicine did [NAME] take that was provided or prescribed at the health facility? were provided or prescribed at the health facility. If the respondent can not remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial and other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Was [NAME] given medicine for the fever or malaria before being taken to the health facility? Record the code corresponding to the answer given. If the response is 'Yes', skip to ML7 to learn the type of medicine given. If the child did not take any medicine for the fever or malaria before being taken to the health facility, or the respondent doesn't know, skip to ML8. Note that all response categories to this question skip ML6, to go to either ML7 or ML8. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Was [NAME] given medicine for treatment of fever or malaria during this illness? This question is only asked if the child was not taken to a health facility during the illness causing fever (ML2 = 2 or 8). Record the code corresponding to the answer given. If the child was not given any medicine for the fever or malaria during this illness or the respondent does not know, record the appropriate code and skip to ML8. Otherwise, continue to the next question. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Medicine given: SP/Fansidar Medicine given: SP/Fansidar Medicine given: SP/Fansidar Medicine given: SP/Fansidar Medicine given: SP/Fansidar What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Artemisinin-based combinations Medicine given: Artemisinin-based combinations Medicine given: Artemisinin-based combinations Medicine given: Artemisinin-based combinations Medicine given: Artemisinin-based combinations What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Other anti-malaria Medicine given: Other anti-malaria Medicine given: Other anti-malaria Medicine given: Other anti-malaria Medicine given: Other anti-malaria What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Paracetamol/Panadol/Acetaminophen Medicine given: Paracetamol/Panadol/Acetaminophen Medicine given: Paracetamol/Panadol/Acetaminophen Medicine given: Paracetamol/Panadol/Acetaminophen Medicine given: Paracetamol/Panadol/Acetaminophen What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Medicine given: Don't know Medicine given: Don't know Medicine given: Don't know Medicine given: Don't know Medicine given: Don't know What medicine was [NAME] given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both antimalarials and other types of medicines such as acetaminophen given during this illness. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the antimalarial or other types of medicines taken: (1) Ask to see the package of leftover medicines; some households keep popular antimalarial and other medicines at home. (2) Use common brand names when asking the respondent about antimalarial medicines. If the medicine is an antimalarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. Children aged 0-4 Days after fever started took anti-malarial Days after fever started took anti-malarial Days after fever started took anti-malarial Days after fever started took anti-malarial Days after fever started took anti-malarial How long after the fever started did [NAME] first take (name of anti-malarial from ML4 or ML7)? This question asks about the time interval between the beginning of the child's fever and when he/she took the first dose of an antimalarial medicine to treat the fever. If multiple antimalarial medicines are mentioned in ML4 or ML7, name all antimalarials mentioned. Record the code for the day on which an antimalarial was given for the first time. If he/she started taking (the antimalarial) the same day the fever started, circle '0' for 'Same day'. If the antimalarial was first given the next day (the day after the fever began), circle '1' for 'Next day' and so on. If the respondent does not know how long after the fever started the child first took the antimalarial, circle '8'. Children aged 0-4 Same day 1 Next day 2 2 days after the fever 3 3 days after the fever 4 4 or more days after the fever 8 DK 9 Missing Child slept under bednet last night Child slept under bednet last night Child slept under bednet last night Child slept under bednet last night Child slept under bednet last night Last night, did [NAME] sleep under a mosquito net? Record the code corresponding to the answer given. If the respondent answers that the child did not sleep under a mosquito net last night or that he/she does not know, record the appropriate code and skip to the next module. Otherwise, continue to the next question. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Is there a vaccination card recording vaccination injected and medicine recieved for [NAME]? If the respondent reports that there is a vaccination card for the child, ask to see it. 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, record '1' and continue to the next question. If the card or other document is not seen, record '2' and skip to IM10. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, record '3' and skip to IM10. Children aged 0-4 1 Yes, seen 2 Yes, not seen 8 No 9 Missing Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of HepB1 or DPThepB1 immunization Day of HepB1 or DPThepB1 immunization Day of HepB1 or DPThepB1 immunization Day of HepB1 or DPThepB1 immunization Day of HepB1 or DPThepB1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 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 Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of Vitamin A (1) Day of Vitamin A (1) Day of Vitamin A (1) Day of Vitamin A (1) Day of Vitamin A (1) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Vitamin A (1) Month of Vitamin A (1) Month of Vitamin A (1) Month of Vitamin A (1) Month of Vitamin A (1) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 99 Missing Year of Vitamin A (1) Year of Vitamin A (1) Year of Vitamin A (1) Year of Vitamin A (1) Year of Vitamin A (1) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing Day of Vitamin A (2) Day of Vitamin A (2) Day of Vitamin A (2) Day of Vitamin A (2) Day of Vitamin A (2) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. 99 Missing Year of Vitamin A (2) Year of Vitamin A (2) Year of Vitamin A (2) Year of Vitamin A (2) Year of Vitamin A (2) Complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A dose recorded on the card or document. If the card shows that a vaccination or vitamin A dose was administered but the date is not specified, record '44' in the day column, and leave the month and year columns blank. 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 2005, you would record '98' for 'Day', '07' for 'Month', and '2005' for 'Year'. Children aged 0-4 9999 Missing 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 the vaccinations and vitamin A capsules shown on this card, did [NAME] receive any other vaccinations? If the answer is 'Yes', 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. Record '66' in the corresponding 'Day' column for IM2-IM8B, 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, the answer to IM4C should be '66' in the 'Day' column. Do not ask the respondent to supply dates from memory. 1 Yes 2 No 8 DK 9 Missing 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, including vaccinations received in a campaign or immunization day? Only ask IM10118 to obtain the child's vaccination status if a vaccination card of other document is not vailable. Record 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' record '3' and skip to IM19. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar? Record the code corresponding to the response. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 been given any "vaccination drops in the mouth" to protect him/her from gettinG polio disease? Record the code corresponding to the response. If the response is 'Yes', continue to the next question. If the response is 'No' or 'DK', skip to IM15. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 has [NAME] been given these vaccination? (number of times) Fill in the number in the space provided. Children aged 0-4 99 Missing 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 been given DPT vaccination? (sometimes given at the same time of anti-polio vaccination) Record the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM17. Children aged 0-4 1 Yes 2 No 8 DK 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 [NAME] given vacciation?(number of times) Fill in the number in the space provided. Children aged 0-4 99 Missing 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 been given measles vaccination injections? Record the code corresponding to the response Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Please tell me if [NAME] has participated in any of the following immunization campagn, immunization day of vitamin A day? Monthly immunization day This question is asked to provide information about immunization programmes. It also provides a check on IM9 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Record the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM9. If the answer given there (to IM9) was 'No', ask again. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Please tell me if [NAME] has participated in any of the following immunization campagn, immunization day of vitamin A day? Periodic immunization day This question is asked to provide information about immunization programmes. It also provides a check on IM9 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Record the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM9. If the answer given there (to IM9) was 'No', ask again. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Please tell me if [NAME] has participated in any of the following immunization campagn, immunization day of vitamin A day? Immunization Campaign day This question is asked to provide information about immunization programmes. It also provides a check on IM9 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Record the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM9. If the answer given there (to IM9) was 'No', ask again. 1 Yes 2 No 8 DK 9 Missing Cluster number Cluster number Cluster number Cluster number Cluster number Record the cluster number from the Houshehold Listing of MICS3 Households Unique identifier for the cluster in which the household exists Region Region Region Region Region Record the code for region. Households 1 Red river Delta 2 North East 3 North West 4 North Central Coast 5 South Central Coast 6 Central Highlands 7 South East 8 Mekong river Delta Replacement household Replacement household Replacement household Replacement household Replacement household Compleled interview 1 Replacement household Line number Line number Line number Line number Line number Investigator do not need to fill in this column, they are indentified with the line numbers throughout the questionaires. Line number Line number Line number Line number Line number Children aged 0-4 Child's line number Child's line number Child's line number Child's line number Child's line number Record the child's line number from the Household Questionnaire, column HL1 of the Household Listing. Children aged 0-4 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 Record the code corresponding to the results of the interview. If the questionnaire is completed, circle '1' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '2' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '3' for 'Refused'. If you were able to only partly complete the questionnaire, circle '4' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '5'. If you have not been able to complete this questionnaire for another reason, you should circle '6' for 'Other' and specify the reason in the space provided. Children aged 0-4 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the level of school that [NAME] has of is attending? If the person has been to school, record the highest level of schooling attended by recording the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. Children aged 0-4 Preschool/kindergarten 1 Primary 2 Lower secondary 3 Secondary 4 Non-standard curriculum 5 Short Apprentice 6 Long apprentice 7 Higher 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level What is the highest grade that [NAME] completed? Record the highest grade completed, or '98' for 'DK'. If less than one grade, record '00' For example, if a person has attended primary school bur did not complete the first grade, then the level for this person will be record '1', and the grade will be record '00'. Children aged 0-4 98 DK 99 Missing Gender Gender Gender Gender Gender Sex? Record '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. Children aged 0-4 1 Male 2 Female Area Area Area Area Area Area? Record '1' for 'Urban' and '2' for 'Rural' Households 1 Urban 2 Rural Household's name Household's name Household's name Household's name Household's name Household's name? Record the household's name and code Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name Investigator's name? Record your own name and identification number provided to you at the time of training. Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview? Record the day of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final day of interview. Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview? Record the month of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final month of interview. Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview? Record the year of the interview. If the interview is not completed on your first visit and you visit the household again, revise and record final year of interview. Households Leader's name Leader's name Leader's name Leader's name Leader's name Leader's name? Record leader's name and identification number. Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent of household questionnaire? Record full name (by capital letter) and line number of the respondent to the Household Questionnaire. Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members? Count the number of household members recorded in part 1 section B of the Household Listing and enter the total here. Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women Total number of women 15-49? Record the total number of women 15-49 for interview. Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed Total number of women 15-49 completed interview(s)? Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total number of children under 5? Record the total number of children under five eligible for the survey from the Household Listing. Investigator will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed Total number of questionnaires for children under 5 completed? Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. Households Result interview Result interview Result interview Result interview Result interview If the Household Questionnaire is completed, record'1' for 'Completed'. If the household refuses to be interviewed, record '2' for 'Refused'.If you have not been able to contact the household after repeated visits, record '3' for 'Not at home'. If you have not been able to complete the Household Questionnaire for another reason, you should record '6' for 'Other' and specify the reason in the space provided. Households 1 Completed 2 Refused 3 Away 6 Other 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 of your household? Record the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 91 Bottled water 96 Other 99 Missing 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 for other living purpose? This question should only be asked to households that use 'Bottled water' for drinking. Record 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' or 'Piped into yard/plot', record '11' or '12', respectively, and skip to WS7. Otherwise continue to the next question. Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How many minutes does it take to go to this water source, wait, get water and return home? This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. Fill in the estimated time (in minutes) 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'). Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually go to this water source to get the water? 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 IS THIS PERSON?" Record the code that corresponds with the response or '8' if the respondent does not know. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing 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 have any treatment of the water before drinking (including boiling water)? Record '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know), record '2' or '8', respectively, and skip to WS7. Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households B Use chemicals: chlorine, alum Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households C Use filtering cloth Use water filter Use water filter Use water filter Use water filter Use water filter Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households D Use water filter system (sand, ceramic, coal…) Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households E Put under sunshine Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households F Let the water stand and settle Other Other Other Other Other Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households X Other (specify) Don't know Don't know Don't know Don't know Don't know Which treatment method have you used? Any other method? Circle the code corresponding to the response. 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'. 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. Households Z Don’t know Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of latrine do member of your household use? 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?" Record the code corresponding to the response given. Households 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 Hanging toilet/hanging latrine 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do your household share this latrine with other household(s)? Record the code corresponding to the response given. If 'No' record '2' and go to the next module. Households 1 Yes 2 No 9 Missing 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 How many households share this latrine? The total number of households using this facility should include the household being interviewed. If less than 10 households use this toilet facility, enter the number of households on the line provided. Record '10' if ten or more households use this toilet facility. Record '98' for 'DK'. Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Record the code corresponding to the answer given. Households 1 Buddish 2 Catholic 3 Protestant 4 Cao dai 5 Hoa Hao buddish 6 Other religion 8 No religion 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in your house/apartment can be used for sleeping? Record the number of rooms in this household that are used for sleeping. Households 99 Missing How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many ares of rooms for sleeping How many square meters in total is this house/apartment? The unit of measurement is m2. Record the total area of the house (record 3 digits) 999 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor What is the main material of the floor? Record the correct code for the material of the dwelling 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, record the main flooring material (the material that covers the largest amount of floor space). Households 11 Earth/sand 21 Wood planks 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof What is the main material of the roof ? Record the correct code for the material of the dwelling 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). Households 11 Thatch/palm leaf 21 Rustic mat 23 Wood Planks 31 Metal 32 Wood 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall What is the main material of the wall? Record the correct code for the material of the dwelling 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, record the main wall material (the material that covers the largest amount of wall space). Households 11 No walls 12 Cane/palm/trunks 13 Dirt 21 Bambo with mud 22 Stone with mud 23 Uncovered adobe 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 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 is the main cooking fuel of your household? Record 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, or biogas is mainly used, record '01', '02', '03', or '04', respectively, 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. Households 1 Electricity 2 Liquid propane 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 96 Other 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire What kind is the stove/cooker usually used by your household for cooking? Record the code corresponding to the answer given Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Type of cook have chimney Does this stove have chimney? Record the code corresponding to the answer given. Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking often conducted in house, in a separate area or in the open air? Record the code corresponding to the response given. Households 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Black and white TV Black and white TV Black and white TV Black and white TV Black and white TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Color TV Color TV Color TV Color TV Color TV Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player VCR, VCD/DVD player Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Digital signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Satellite signal receiver Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Music player system Music player system Music player system Music player system Music player system Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Radio casette Radio casette Radio casette Radio casette Radio casette Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Mobilephone Mobilephone Mobilephone Mobilephone Mobilephone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Computer Computer Computer Computer Computer Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Refridgerator Refridgerator Refridgerator Refridgerator Refridgerator Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Air conditioner Air conditioner Air conditioner Air conditioner Air conditioner Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Washing machine Washing machine Washing machine Washing machine Washing machine Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Water heater Water heater Water heater Water heater Water heater Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Bicycle Bicycle Bicycle Bicycle Bicycle Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Ship/boat Ship/boat Ship/boat Ship/boat Ship/boat Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Automobile Automobile Automobile Automobile Automobile Does your household have [...]? Read out each item and record 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, record '1' for 'Yes'. Otherwise, record '2' for 'No'. Be sure to record either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: ELECTRICITY, RADIO, TELEVISION, MOBILE TELEPHONE, NON-MOBILE TELEPHONE, REFRIGERATOR? 1 Yes 2 No Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu Does any member of your household own any land for agricultu At present, does your household have land area, water surface area used for agricultural, forestry, aqua-cultural purposes ? Record the code corresponding to the response given. 1 Yes 2 No 9 Missing How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many m2 of agriculture How many meters of land area, water surface area used for agricultural, forestry, aqua-cultural purposes are under the management and use of your household? Record the code corresponding to the response given. Households 9997 More than 9996 9998 Don't know 9999 Missing Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals Does this household own any livestock, cattle, or animals At present does your household raise any cattle and/or poultry ? Record the code corresponding to the response given. Households 1 Yes 2 No 9 Missing Number of cattle Number of cattle Number of cattle Number of cattle Number of cattle How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls Number of Milk cows or bulls How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules Number of horses donkeys, or mules How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of Goats Number of Goats Number of Goats Number of Goats Number of Goats How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Number of chickens Number of chickens Number of chickens Number of chickens Number of chickens How many of [animals] are there in your household? Read out each item and record the number corresponding to the answer given. Ask the question for the following animals: CATTLE; MILK COWS OR BULLS; HORSES, DONKEYS OR MULES; GOATS; SHEEP; CHICKENS. 97 More than 97 98 Don't know 99 Missing Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Does your household have any mosquito net? Record the code corresponding to the response given. If 'No', skip to the next module. 1 Yes 2 No 9 Missing Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Record the number of mosquito nets that the household has. 7 7 or more 98 Don't know 99 Missing Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine Number of mosquito nets soak in medicine How many mosquito nets of your household has been treated with insecticide? If response is 'DK' or 'NO' record '00' 7 7 or more 98 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago was the (most recent) net treated with insecticide? This question is only asked about pre-treated. If the household owns more than one of these types of nets, we are interested in the net that was acquired most recently. If the net was obtained within the last month, record '00' in the space provided.From 1-23 months record the number of months 24 months and more record '95', Do not remember record '98' 95 More than 24 months ago 98 Don't know 99 Missing TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night TN6A Number of person sleep with mosquito nets in last night Last night, how many members of your household sleep under the mosquito nets? If 'No', record '00' 99 Missing TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in TN6B Number of perdon sleep with mosquito nets which soak in Among those household members sleeping under mosquito nets, how many members sleep under insecticide treated nets? If 'NO' or 'DK' record '00' 99 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Identify the selected child aged 2-14 in the household using the tables in previous pages in accordance with the accompanying guideline. Interview the mother or primary caretaker of this child (record the line number of this mother/caretaker in column CD6). Record the code and name from line CD9 table 2 if there is more than one child aged 2-14 in the household. If there is only one child aged 2-14 in the household, record code and name fromf table 1. Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month Mistake or bad behaviour in past month During the last 4 weeks, has [NAME] made any error or had any wrong behaviour? If 'Yes' record '1' and continue to the next question. If 'No', record '2' and skip to CD13 1 Yes 2 No 9 Missing Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Did not allow the child to do or enjoy the thing he/she like or did not allow him/her to leave home? 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' 1 Yes 2 No 9 Missing Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explan this behaviour Explained the reason why the behaviour is 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. 1 Yes 2 No 9 Missing Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Snatch at child in a angry Grabbed the child angrily ? 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. 1 Yes 2 No 9 Missing Storm at child Storm at child Storm at child Storm at child Storm at child Shouted at, scolded the child? Parents/caretakers may raise their voice when a child does something they consider wrong. 1 Yes 2 No 9 Missing Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Entrust children with something which children don't like Asked the child to do something that he/she did not like? This item 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." 1 Yes 2 No 9 Missing Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Use hand to hit child's rump Spanked on the bottom of the child with bare hand? Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 1 Yes 2 No 9 Missing Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Use waist, rod to hit child's rump Spanked, hit on the bottom of the child with belt, rod 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. 1 Yes 2 No 9 Missing Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Make ironical remarks child about stupid, lazy Called the child with such words as silly, lazy? Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 1 Yes 2 No 9 Missing Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Use hand to hit child's face, head, ear Hit or slapped on the face, head or ear of the child with bare hand? 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.) 1 Yes 2 No 9 Missing Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Use hand to hit child's hand, arm or shank Hit or spanked on the hand, arm or leg of the child with bare hand? This question is different from the previous question (CD12I) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand or hands, arm(s) or leg(s). 1 Yes 2 No 9 Missing Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Use rod to hit children in concecutive Hit the child continuously with rod? This is the most severe form of physical punishment we ask about in this module. This question refers to punishment using a soft or hard object such as a stick, belt, cane or other object to beat the child repeatedly. 1 Yes 2 No 9 Missing Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Use rod then children to becom a good person Do you think that, in order to raise the child properly, physical punishment is necessary? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. Do not be surprised if a mother or a caretaker 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, record '8'. 1 Yes 2 No 8 DK 9 Missing mother tongue mother tongue mother tongue mother tongue mother tongue Record the mother tongue. Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head? Record the ethnic of household head. 1 Kinh 2 Tay 3 Thai 4 Hoa 5 Kho Me 6 Muong 7 Nung 8 H Mong 9 Dao 10 Gia-Rai 11 Ede 12 BaNa 13 Xo Dang 14 San Chay 15 Cham 16 San Diu 17 Hre 18 MNong 19 Bru 20 Ma 21 Khang ethnicity ethnicity ethnicity ethnicity ethnicity Record the code corresponding to the answer given. Refer to teh table of ethnic group. Households Other 1 Kinh/chinese 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) Children aged 0-4 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Children aged 0-4 Age (months) Age (months) Age (months) Age (months) Age (months) Children aged 0-4 Age group Age group Age group Age group Age group Children aged 0-4 1 < 6 months 2 6-11 months 3 12-23 months 4 24-35 months 5 36-47 months 6 48-59 months Age group Age group Age group Age group Age group Children aged 0-4 1 0-11 months 2 12-23 months 3 24-35 months 4 36-47 months 5 48-59 months Age group Age group Age group Age group Age group 1 0-11 months 2 12-59 months Age group Age group Age group Age group Age group 1 0-23 months 2 24-59 months Mother's education Mother's education Mother's education Mother's education Mother's education Record the mother's education. Children aged 0-4 1 None 2 Incomplete primary 3 Complete primary 4 Complete lower secondary 5 Complete upper secondary Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children aged 0-4 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Children aged 0-4 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest