DDI_GHA_2003_WHS_v01_M
2012-01-26
NADA
Version 01 (January 2012)
World Health Survey 2003
Wave 0
WHS 2003
GHA_2003_WHS_v01_M
World Health Organization (WHO)
NADA
World Health Organization
Multi-Country Studies, Measurement and Health Information Systems
World Health Survey [hh/whs]
WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes.
The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities.
The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report.
World Health Survey (WHS)
Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.
The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.
The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.
The objectives of the survey programme are to:
1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems.
2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes.
3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.
Ghana
The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.
There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.
Households and individuals
The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.
If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.
The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.
Sample survey data [ssd]
SAMPLING GUIDELINES FOR WHS
Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.
The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.
The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.
All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO
STRATIFICATION
Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.
Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).
Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.
MULTI-STAGE CLUSTER SELECTION
A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.
In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.
In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.
It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters.
PROBABILITY SAMPLING
Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO.
The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult.
Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular.
SELECTION OF HOUSEHOLDS
The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units.
Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made:
- How much has the population changed since these lists were made?
- Completeness of coverage. Are there unregistered populations (e.g. slums)
- Population shifts
- Changes in Registry
QUALITY
Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame.
SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER
All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO.
KISH TABLES
The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household.
Face-to-face [f2f]
Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding.
Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form.
In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed.
FIELD SUPERVISION
The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision.
Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen.
Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates.
The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection.
The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey.
The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual.
There are two possible scenarios of non-response:
1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate.
2) The interviewer is refused access to the household and is unable to fill in the household roster.
In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected.
The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country.
World Health Organization (WHO)
Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset.
The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line).
The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions:
(1) He/she undertakes to keep confidential any information concerning individual persons or households.
(2) He/she undertakes not to distribute the data to any other user.
(3) He/she undertakes to use the data for scientific research only.
The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)."
See also the citation requirement.
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Ghana-ID
4165
8
WHS-Ghana_F2
4159
101
WHS-Ghana_F3
21494
16
WHS-Ghana_F4
117
27
WHS-Ghana_F5
3938
681
WHS-Ghana_F6
3833
26
WHS-Ghana_F7
24850
29
Identification
Identification
Identification
Identification
Identification
4165
24100002
24108841
24103099.585
1791.063
country code
country code
country code
country code
country code
4165
GHA
4165
11
92
52.39
25.091
4165
30140820
1005014422
516334552.592
257115605.711
Household probability weight
Household probability weight
Household probability weight
Household probability weight
Household probability weight
4165
303.817
1881.31
659.478
150.81
Probability weight
Probability weight
Probability weight
Probability weight
Probability weight
4158
7
303.817
17778.602
1746.097
1154.018
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
3953
212
538.011
40098.508
8220.599
5946.504
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
4165
940.896
5209.027
1917.134
472.496
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
4159
24100002
24108841
24103100.411
1791.252
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days between initial and
retest
The retest must be done within 1-7 days after the initial interviews have been conducted.
1
4158
Sysmiss
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Record here the form that was used for the individual questionnaire: A, B, C or D.
4157
A
B
C
D
interviewer ID
interviewer ID
interviewer ID
interviewer ID
interviewer ID
4135
24
595
30.279
22.639
name of interviewer
name of interviewer
name of interviewer
name of interviewer
name of interviewer
4153
1
A;FRED FOS
A;LEX BISS
ABGAIL AME
ABIGAIL
ABIGAIL A
ABIGAIL AM
ABIGAIL ME
ABIGAILE A
ABIGIAL AM
ABIUGAIL A
AEXANDER N
AIKINS
AIKINS TE
AIKINS TET
AIKINSTETT
AILEA TETT
ALE X BISS
ALED BISSU
ALEX BISS
ALEX BISSU
ALEX NTIM
ALEXANDE N
ALEXANDEER
ALEXANDER
ALEXANER N
ALEXNADER
ALEXNDER N
ALFED FOSU
ALFERD FOS
ALFRD FOSU
ALFRDE FOS
ALFRE FOSU
ALFRED FO
ALFRED FOS
ALFRED TOS
ALFREDFOSU
ALFRRED FO
ALXANDER N
AMEYAW ABI
ANGELA ZI
ANGELA ZID
ANSAH MOS
ANSAH MOSE
ANTH.01ONY
ANTHINY AM
ANTHONU AM
ANTHONY AM
ANTONY AMU
ARCHIBALA
ARCHIBALD
ARCIBALD Q
ASUABOTEY
ASUBOMTENG
ASUBONTENG
ASUBONTEY
ASUBONTNEG
ASUOBOUTEY
ATSU DODOR
AWNTHONY A
BABARA MAL
BARABARA M
BARBAR MAL
BARBARA M
BARBARA MA
BARBARE MA
BERKO ASA
BERKO ASAN
BERO ASANT
BREKO ASAN
D. AMISSAH
DORA OKPOD
DR AMISAH
DR GYEKYE
DR. AMISS
DR. GYEKY
DR. AMISSA
DR. GKYEKY
DR. GYEKE
DR. GYEKYE
DR. SYEKYE
E. I. AC
E. I. ACQ
E. I. ACQU
E.I ACQUAH
E.I ACQUQH
E.I. ACAUA
E.I. ACQIA
E.I. ACQUA
E.I. ACUQA
E.I. ACUUA
E.I.ACQUAH
EIC ANTWI
ELIZ ODAI
ELIZ. ODAI
ELIZABET O
ELIZABETH
ELLEN BOAD
ELZABETH O
EMMANUE BA
EMMANUEL B
EMMANUEL D
ERIC A NT
ERIC ANTW
ERIC AN TW
ERIC ANTW
ERIC ANTWI
ESTEHR TET
ESTER TET
ESTER TETT
ESTHER T
ESTHER TE
ESTHER TET
ETSHER TET
GEORGE OW
GEORGE OWU
GEORGEOWUS
GEORGINA O
GEROGE OWU
GOERGE OWU
ICHALE MUO
ISAAC NAM
ISAAC NAMA
ISAAC NAMB
ISAACNAMBA
ISSAC NAMB
IVY ASOKU
J.B.K SAM
J.B.K. SAM
JADE OKRAK
JB.K SAM
JBK SAM
JOH SAKA
JOHN ACKO
JOHN AHIA
JOHN DADZ
JOHN ACKON
JOHN AHAIB
JOHN AHIAB
JOHN AIABL
JOHN DADZI
JOHN H.K A
JOHN H.K.
JOHN H.K.A
JOHN K ACK
JOHN K. AC
JOHN K. AH
JOHN SAKA
JOHN SAKS
JON ACKON
JON AHIABL
JON AIABLE
JON H. AHI
JON K. AHA
JON K. AHI
JON SAKA
JONH SAKA
JUDE KOMSO
JUDE KOOMS
JUDEKOOMSO
KELLY ERI
KELLY EHOR
KELLY ERIC
KWABENA OS
KWADJO SAR
KWADWO SAA
KWADWO SAR
LOUISE A A
LOUISE A E
LOUISE A M
LUCY BONUD
LUCY BONUE
LUCY BOUED
LUDIA O. A
LYDIA O AN
LYDIA O. A
LYDIA OWUS
M.E DUNCAN
M.E. DUNCA
MARK ARYE
MARK A RYE
MARK ARYEE
MARK ARYET
MARKU ARYE
MARL ARYEE
MARY ARYEE
MAVI FUSEI
MAVI'S FUS
MAVIS FUSE
MAVISFUEIN
MAVSI FUSE
MICAHEL MU
MICHAEL MU
MICHALE MU
MOSES ANS
MOSES ANSA
MVIS FUSEI
NASAH MOSE
NEE - RAP
NEE - RAPH
NEE RAHAEL
NEE RAPAEL
NEE RAPHAE
NEE RAPHEA
NEE-RAPHAE
NETWON AMA
NEW AMAGLO
NEWTON AMA
NEWTON AME
NTIM ALEX
NTIM ALEXA
OBENG SAMP
ODAI
OMAR SEID
OMAR SEIDU
OMARSEIDU
OSMAR SEID
PAUL DOGBE
PAULINA S
PAULINA SA
PAULINA SI
PAULINE SI
PAVLINA SI
PEAR LARYE
PEARL LARY
REBEN BEDR
REUBEN BED
REUBEN BOD
ROSEPAERL
ROSEPARL A
ROSEPEARL
ROSEPERAL
ROSPEARL A
RPSEPEARL
RUEBEN BED
SAMPSON O
SAMPSON OB
SAMSON OBE
SARPONG KW
SARPONG YA
STEPHEN AM
STEVE AMOA
STEVEN AM
STEVEN AMO
THEODORA O
THEODORA P
VERONICA A
VERONICA H
WIILIAM OP
WILIAM OPA
WILLIA M O
WILLIAM OP
YAW SARPO
YAW SARPON
YVONNE AP
YVONNE APP
Total calls
Total calls
Total calls
Total calls
Total calls
This is the number of contact calls that were attempted to contact the respondent. A maximum of 10 attempts should ideally be made. However, 3 or 4 calls may be more realistic in some countries. Each country will decide on the optimum number of calls and communicate this to WHO. Phone calls, which are not answered or messages left on answering machines, will not be counted as contact calls.
3947
212
1
9
1.368
0.824
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
4159
.
01/03/2003
01/04/2003
01/05/2003
01/06/2003
01/07/2003
02/03/2003
02/04/2003
02/05/2003
02/06/2003
02/07/2003
03/03/2003
03/04/2003
03/05/2003
03/06/2003
03/07/2003
04/02/2003
04/03/2003
04/04/2003
04/05/2003
04/06/2003
04/07/2003
05/02/2003
05/03/2003
05/04/2003
05/05/2003
06/03/2003
06/04/2003
06/05/2003
06/07/2003
07/01/2003
07/03/2003
07/04/2003
07/05/2003
07/06/2003
07/07/2003
07/09/2003
08/03/2003
08/04/2003
08/05/2003
08/06/2003
09/03/2003
09/04/2003
09/05/2003
09/06/2003
09/08/2003
10/03/2003
10/04/2003
10/05/2003
10/06/2003
11/02/2003
11/03/2003
11/04/2003
11/05/2003
11/06/2003
12/03/2003
12/04/2003
12/05/2003
12/06/2003
13/03/2003
13/04/2003
13/05/2003
13/06/2003
14/03/2003
14/04/2003
14/05/2003
14/06/2003
15/03/2003
15/04/2003
15/05/2003
15/06/2003
16/03/2003
16/04/2003
16/05/2003
16/06/2003
17/03/2003
17/04/2003
17/05/2003
17/06/2003
18/03/2003
18/05/2003
18/06/2003
19/03/2003
19/04/2003
19/05/2003
19/06/2003
20/03/2003
20/04/2003
20/05/2003
20/06/2003
20/07/2003
21/03/2003
21/04/2003
21/05/2003
22/03/2003
22/04/2003
22/05/2003
22/06/2003
23/03/2003
23/04/2003
23/05/2003
23/06/2003
24/03/2003
24/04/2003
24/05/2003
24/06/2003
25/03/2003
25/04/2003
25/05/2003
25/06/2003
26/03/2003
26/04/2003
26/05/2003
26/06/2003
27/03/2003
27/04/2003
27/05/2003
27/06/2003
28/03/2003
28/04/2003
28/05/2003
28/06/2003
29/03/2003
29/04/2003
29/05/2003
29/06/2003
29/07/2003
30/03/2003
30/04/2003
30/05/2003
30/06/2003
30/07/2003
31/03/2003
31/05/2003
Final result code
Final result code
Final result code
Final result code
Final result code
The result code corresponds to the result of the contact calls, whether or not the respondent accepted to do the interview and the reasons for non-interviews. No substitutions will be done if the respondent cannot do the interview. Another respondent will be drawn from the sample. Interviewers should fill in the Call Records Forms provided in the questionnaire specifying the reasons for non-interviews, as well as other contact information.
Date when the final result code was given after having made all the contact calls.
One of the following codes should be used to document the final result:
RESULT CODES FOR CONTACT CALLS
a. Initial Contact
01. Answering machine or answering service
02. Unable to contact (busy signal, dead tone, number has changed)
03. Respondent contacted – initial refusal
04. Respondent contacted – uncertain about interview
05. Resistance/refusal by household member
b. Final contact
• Completed interview
06. Completed Interview (interview is accepted and conducted)
07. Partial Interview (interview is partially completed and person will not be contacted anymore) because of illness or other reasons.
• Non-interview
08. Final Refusal by respondent
09. Final Refusal by household member
10. Unable to locate respondent
11. No interview because respondent is not eligible: less than 18, mentally unfit or too ill.
12. Language barrier
13. House is vacant or household occupants are elsewhere (e.g. seasonal vacancy, other residence)
14. Unsafe or dangerous area or no access to respondent
15. Deceased respondent
16. Respondent in institution: jail, hospital and not accessible
4126
33
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
Sysmiss
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
4013
01/04/2003
01/05/2003
01/07/2003
02/04/2003
02/05/2003
02/07/03
02/07/2003
023/05/2003
029/05/2003
03/03/2003
03/04
03/04/03
03/04/2003
03/05/2003
03/06/2003
04/03/2003
04/04/03
04/04/2003
04/05/2003
04/07/2003
05/03/2003
05/04/2003
05/05/2003
05/06/2003
06/03/2003
06/04/03
06/04/2003
06/05/2003
07/04/03
07/04/2003
07/05/2003
07/07/2003
08/03/2003
08/04/03
08/04/2003
08/05/2003
08/07/2003
08/09/2003
09/03/2003
09/04/03
09/04/2003
09/05/2003
09/07/2003
1/04/03
10/01/2003
10/03/2003
10/04/03
10/05/2003
10/06/2003
10/07/03
10/07/2003
10/08/2003
11/03/2003
11/04/03
11/04/2003
11/05/2003
11/06/2003
11/07/2003
12/03/03
12/03/2003
12/04/03
12/04/2003
12/05/2003
12/06/2003
12/07/2003
13/02/2003
13/03/2003
13/04/03
13/04/2003
13/05/2003
13/06/2003
13/07/03
13/07/2003
14/03/2003
14/04/03
14/04/2003
14/05/2003
14/06/2003
14/07/2003
15/03/04
15/04/03
15/04/06
15/04/2003
15/05/2003
15/06/2003
16/03/2003
16/04/2003
16/05/2003
16/06/2003
17/03/2003
17/04/03
17/04/2003
17/05/2003
17/06/2003
17/07/2003
18/03/2003
18/04/03
18/04/2003
18/05/2003
18/06/2003
18/07/2003
19/03/2003
19/04/03
19/04/2003
19/06/2003
2/07/2003
20/03/2003
20/04/03
20/04/2003
20/06/2003
20/4/03
21/03/03
21/03/2003
21/04/2003
21/05/03
21/05/2003
21/06/2003
22/03/2003
22/04/03
22/04/2003
22/05/2003
23/03/2003
23/04/03
23/04/2003
23/05/2003
23/06/2003
24/03/03
24/03/2003
24/04/03
24/04/2003
24/05/2003
24/06/2003
25/03/03
25/03/2003
25/04/03
25/04/2003
25/05/2003
25/06/2003
25/07/2003
26/03/03
26/03/2003
26/04/2003
26/05/2003
26/06/2003
27/03/03
27/03/2003
27/04/03
27/04/2003
28/03/03
28/03/2003
28/04/03
28/04/2003
29/03/03
29/03/2003
29/04/03
29/04/2003
29/05/2003
30/01/2003
30/03/03
30/03/2003
30/04/2003
30/05/2003
30/06/2003
31/03/03
31/03/2003
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
4118
01/04/2003
01/05/2003
01/07/2003
01/08/2003
01/6/2003
01/7/2003
02/04/2003
02/05/2003
02/06/03
02/06/05
02/06/2003
02/07/2003
02/08/2003
03/04/03
03/04/2003
03/05/03
03/05/2003
03/06/2003
03/07/2003
03/08/2003
04/03/2003
04/04/03
04/04/2003
04/06/03
04/06/2003
04/07/2003
04/08/2003
04/08/2007
05/04/03
05/04/2003
05/05/03
05/06/2003
05/07/03
05/07/2003
05/08/03
05/08/2003
05/08/2007
06/05/003
06/05/03
06/05/2003
06/06/03
06/06/2003
06/07/2003
06/08/2003
06/09/2003
07/04/03
07/04/2003
07/05/03
07/05/2003
07/06/03
07/06/2003
07/07/2003
07/08/03
07/08/2003
08/04/03
08/04/2003
08/05/03
08/05/2003
08/06/2003
08/07/03
08/07/2003
08/08/2002
08/08/2003
08/09/03
08/09/2003
09/04/03
09/04/2003
09/05/03
09/05/2003
09/06/03
09/06/2003
09/06/2006
09/07/2003
09/07/2203
09/08/03
09/08/2003
09/09/2003
10/05/2003
10/06/03
10/06/2003
10/07/03
10/07/2003
10/08/2003
11/04/03
11/06/03
11/06/2003
11/07/03
11/07/2003
11/08/2003
12/03/2003
12/05/03
12/05/2003
12/06/2003
12/07/2003
12/08/2003
13/008/2003
13/05/03
13/05/2003
13/06/03
13/06/2003
13/07/2003
13/08/2003
14/04/03
14/04/2003
14/05/03
14/05/2003
14/06/2003
14/07/03
14/07/2003
14/08/2003
14/7/2003
15/03/03
15/04/03
15/04/2003
15/05/03
15/05/2003
15/07/03
15/07/2003
15/08/2003
16/04/03
16/04/2003
16/05/2003
16/06/2003
16/07/03
16/07/2003
16/08/03
16/08/2003
17/03/2003
17/04/03
17/04/2003
17/05/2003
17/06/03
17/06/2003
17/07/2003
18/03/2003
18/04/2003
18/06/2003
18/07/2003
18/08/2003
19/03/2003
19/04/03
19/04/2003
19/05/03
19/05/2003
19/06/2003
19/07/2003
19/08/2003
20/03/2003
20/04/2003
20/05/2003
20/06/2003
21/006/2003
21/03/2003
21/04/2003
21/05/03
21/06/2003
21/07/2003
22/03/2003
22/04/2003
22/05/03
22/05/2003
22/06/2003
22/07/03
22/07/2003
23/04/2003
23/05/03
23/05/2003
23/06/2003
23/07/2003
24/03/2003
24/04/03
24/04/2003
24/05/03
24/05/2003
24/06/2003
24/07/03
24/07/2003
25/03/03
25/03/2003
25/04/2003
25/05/03
25/05/2003
25/06/2003
25/07/2003
25/08/03
26/03/2003
26/04/03
26/04/2003
26/05/03
26/05/2003
26/06/2003
26/07/2003
27/03/2003
27/05/03
27/05/2003
27/07/2003
28/03/2003
28/04/2003
28/05/2003
28/06/2003
28/07/2003
29/03/2003
29/04/2003
29/05/2003
29/06/2003
29/07/2003
30/03/03
30/05/03
30/05/2003
30/06/2003
30/07/2003
31/03/03
31/03/2003
31/05/03
31/05/2003
31/07/2003
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
534
01/04/03
01/05/2003
01/07/2003
02/04/03
02/07/2003
02/08/2003
03/04/03
03/05/03
03/05/2003
04/05/03
04/05/2003
05/05/2003
06/05/2003
06/08/2003
06/09/2003
07/05/2003
07/08/2003
08/04/03
08/04/2003
08/08/2003
09/04/2003
09/09/2003
10/04/2003
10/05/2003
11/04/2003
12/04/2003
12/07/2003
13/05/2003
14/04/2003
14/07/2003
15/02/2003
15/04/2003
15/05/2003
15/07/2003
16/04/2003
17/04/2003
18/04/2003
19/04/2003
19/05/03
19/06/2003
20/05/03
21/04/2003
22/04/03
22/04/2003
23/04/03
23/04/2003
24/03/2003
24/04/03
24/04/2003
25/04/2003
26/04/03
26/04/2003
28/04/03
28/04/2003
29/04/03
29/04/2003
30/04/03
30/04/2003
30/07/2003
4/04/2003
psu
psu
psu
psu
psu
Sampling Information
Primary Sampling Unit (PSU) Name/Code
List PSUs and codes. For example if the PSU is ‘county’ and the respondent’s household is in ‘Riordan’ county, you write ‘Riordan’ for question 0101.
4159
1
10
5.111
2.558
ssu
ssu
ssu
ssu
ssu
Sampling Information
Secondary Sampling Unit (SSU) Name/Code
Name of the secondary sampling unit level that the respondent belongs to.
4159
6
9537
3109.749
2387.722
tsu
tsu
tsu
tsu
tsu
Sampling Information
Tertiary Sampling Unit (TSU) Name/Code
Name of the tertiary sampling unit level that the respondent belongs to.
4159
30140820
1005014422
516423264.934
257127060.22
qsu
qsu
qsu
qsu
qsu
Sampling Information
Quarternary Sampling Unit (QSU) Name/Code
Name of the quaternary sampling unit level that the respondent belongs to.
1
4158
3
3
3
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
4159
1
Urban
2
Peri-urban/Semi-urban
3
rural
4
Other
Specify
Specify
Specify
Specify
Specify
latitude N/S
latitude N/S
latitude N/S
latitude N/S
latitude N/S
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
Specify North or South of the equator.
Specify position in degrees complete to five decimal points.
4124
N
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4124
35
4
5
6
7
8
9
10
11
Sysmiss
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4124
35
75
99998
52911.824
27182.425
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
Longitude
Specify East or West of the Greenwich meridian (Greenwich, England).
Specify position in degrees complete to five decimal points.
4124
E
W
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
Longitude
4124
35
1
2
3
Sysmiss
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
Longitude
4124
35
2
99993
48799.047
29610.254
waypoint
waypoint
waypoint
waypoint
waypoint
Waypoint
4140
19
1
center of gravity of the cluster
2
In front of the household
3
Nearby location
Sysmiss
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health?
IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second)
3972
01:05
01:10
01:15
01:18
01:25
01:34
01:50
02:00
02:10
02:20
02:50
03:04
03:15
03:16
03:35
04:15
04:30
04:35
04:40
05:01
05:05
05:10
05:30
05:45
05:56
06:00
06:01
06:02
06:04
06:05
06:06
06:07
06:08
06:09
06:11
06:12
06:13
06:14
06:15
06:16
06:17
06:18
06:20
06:21
06:25
06:26
06:30
06:31
06:32
06:33
06:35
06:40
06:41
06:43
06:45
06:46
06:47
06:50
06:51
06:53
06:54
06:55
06:57
07:00
07:01
07:02
07:03
07:04
07:05
07:06
07:07
07:10
07:11
07:12
07:13
07:14
07:15
07:16
07:18
07:19
07:20
07:21
07:22
07:23
07:24
07:25
07:26
07:28
07:29
07:30
07:31
07:32
07:33
07:34
07:35
07:36
07:37
07:38
07:39
07:40
07:41
07:42
07:44
07:45
07:46
07:47
07:48
07:49
07:50
07:51
07:52
07:54
07:55
07:56
07:57
07:58
07:59
08:00
08:01
08:02
08:03
08:04
08:05
08:06
08:07
08:08
08:09
08:10
08:11
08:12
08:13
08:14
08:15
08:16
08:17
08:18
08:19
08:20
08:21
08:22
08:23
08:24
08:25
08:26
08:27
08:28
08:29
08:30
08:31
08:32
08:33
08:34
08:35
08:36
08:37
08:38
08:39
08:40
08:41
08:42
08:43
08:45
08:46
08:47
08:48
08:49
08:50
08:51
08:52
08:54
08:55
08:56
08:57
08:58
08:59
09:00
09:01
09:02
09:03
09:04
09:05
09:06
09:07
09:08
09:09
09:10
09:11
09:12
09:13
09:14
09:15
09:16
09:17
09:18
09:19
09:20
09:21
09:22
09:23
09:25
09:26
09:27
09:28
09:29
09:30
09:31
09:32
09:33
09:34
09:35
09:36
09:37
09:38
09:39
09:40
09:41
09:42
09:43
09:44
09:45
09:46
09:47
09:48
09:49
09:50
09:51
09:52
09:53
09:54
09:55
09:56
09:57
09:58
09:59
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
10:13
10:14
10:15
10:16
10:17
10:18
10:19
10:20
10:21
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:29
10:30
10:31
10:32
10:33
10:34
10:35
10:36
10:37
10:38
10:39
10:40
10:41
10:42
10:43
10:44
10:45
10:46
10:47
10:48
10:50
10:51
10:52
10:53
10:54
10:55
10:56
10:57
10:58
10:59
11:00
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:09
11:10
11:11
11:12
11:13
11:14
11:15
11:16
11:17
11:18
11:19
11:20
11:21
11:22
11:23
11:24
11:25
11:26
11:27
11:28
11:29
11:30
11:31
11:32
11:33
11:34
11:35
11:36
11:37
11:38
11:39
11:40
11:41
11:42
11:43
11:45
11:46
11:47
11:48
11:49
11:50
11:51
11:52
11:53
11:54
11:55
11:56
11:57
11:58
12:00
12:01
12:02
12:03
12:04
12:05
12:06
12:07
12:08
12:09
12:10
12:11
12:12
12:13
12:14
12:15
12:16
12:17
12:18
12:20
12:21
12:22
12:23
12:24
12:25
12:27
12:28
12:29
12:30
12:31
12:32
12:33
12:34
12:35
12:36
12:37
12:38
12:39
12:40
12:41
12:42
12:43
12:44
12:45
12:46
12:47
12:48
12:49
12:50
12:51
12:52
12:53
12:54
12:55
12:56
12:57
12:58
12:59
13:00
13:01
13:02
13:03
13:04
13:05
13:06
13:07
13:08
13:09
13:10
13:11
13:12
13:13
13:14
13:15
13:16
13:17
13:18
13:19
13:20
13:21
13:22
13:23
13:24
13:25
13:26
13:27
13:28
13:29
13:30
13:31
13:32
13:33
13:34
13:35
13:36
13:37
13:38
13:39
13:40
13:41
13:42
13:43
13:44
13:45
13:46
13:47
13:48
13:49
13:50
13:51
13:52
13:53
13:55
13:56
13:57
13:58
14:00
14:01
14:02
14:03
14:04
14:05
14:06
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14:08
14:09
14:10
14:11
14:12
14:13
14:14
14:15
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14:17
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14:20
14:21
14:22
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14:24
14:25
14:26
14:27
14:29
14:30
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14:33
14:35
14:36
14:37
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14:41
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14:45
14:46
14:47
14:48
14:49
14:50
14:51
14:52
14:53
14:54
14:55
14:56
14:57
14:58
14:59
15:00
15:01
15:02
15:03
15:04
15:05
15:06
15:07
15:08
15:09
15:10
15:11
15:12
15:13
15:14
15:15
15:16
15:17
15:18
15:19
15:20
15:21
15:22
15:23
15:25
15:26
15:27
15:28
15:29
15:30
15:31
15:32
15:33
15:34
15:35
15:36
15:37
15:38
15:39
15:40
15:41
15:42
15:43
15:45
15:46
15:47
15:48
15:50
15:51
15:53
15:55
15:56
15:58
15:59
16:00
16:01
16:02
16:03
16:04
16:05
16:06
16:07
16:08
16:09
16:10
16:11
16:12
16:13
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16:15
16:16
16:17
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16:19
16:20
16:21
16:22
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16:24
16:25
16:26
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16:28
16:29
16:30
16:31
16:32
16:33
16:34
16:35
16:36
16:37
16:38
16:39
16:40
16:41
16:42
16:43
16:44
16:45
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Kish table code
Kish table code
Kish table code
Kish table code
Kish table code
INSTRUCTIONS FOR SELECTING RESPONDENT FOR INDIVIDUAL QUESTIONNAIRE
a) Enter a check mark (\/) in column G for each person eligible for selection. Eligible persons are presently age 18 or older. If the age in column C below 18+ years, DO NOT enter a check mark in column G.
b) In column H assign a sequential number of each eligible person checked in column G. First number eligible MALES from eldest to youngest and continue the numbering with eligible FEMALES, from eldest to youngest.
c) Use the appropriate selection table (see example below) to select a respondent. In the first column circle the total number of eligible persons (highest number assigned in col. H). The corresponding number in the second column of the selection table denotes the person selected to be interviewed. Enter "R" in column I for this person.
Note that the appropriate selection table indicated in the Respondent Allocation Table must be used from
the appendices.
d) IF NO ONE AGE 18 OR OLDER IN HOUSEHOLD ROSTER, THEN NO ELIGIBLE RESPONDENT
USE APPROPRIATE KISH TABLE AS PER THE ROTATION CODE ASSIGNED TO THIS RESPONDENT
Enter Kish Table Code
(A,B1,B2,C,D,E1,E2 or F)
4138
A
B1
B2
C
D
E1
E2
F
head of household
head of household
head of household
head of household
head of household
To be asked to all households
Who is the person who provides the main economic support for the
household?
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Record Line Number from Household Roster
4137
22
400
410
401.997
3.173
Household informant
Household informant
Household informant
Household informant
Household informant
To be asked to all households
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Determine who is the ‘Household Informant’. Record their Line Number from the Household Roster.
The interviewer will have to determine the person in the household most knowledgeable about the household’s health status, employment, financial condition, expenditures and health insurance. Several persons in the household may have to be spoken to an order to determine this. The person identified here may be different from the person coded on Q0500.
If multiple people provide information on the household questionnaire, the person providing most of the information will be coded here.
4150
9
400
401
402
403
404
405
406
407
408
409
410
411
412
413
Sysmiss
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Do you have a mosquito bed-net in the house?
The purpose of this question is to assess how many persons are being correctly covered by prevention interventions. An answer of “yes” is appropriate only if the person slept under the bed net the night before the interview, and not if s/he says s/he usually sleeps under one but for some reason did not the previous night.
If No or DK: Go to Q0570
4147
12
1
Yes
5
No
8
Do not know
Sysmiss
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
In order for the use of bed nets to be effective in preventing mosquito bites and the transmission of malaria, they should be treated with insecticide, a product that kills mosquitoes.
If No or DK: Go to Q0563
602
3557
1
Yes
5
No
8
Do not know
Sysmiss
when were bed nets treated
when were bed nets treated
when were bed nets treated
when were bed nets treated
when were bed nets treated
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
If Yes: When was the last time the bed-net was (re-)treated with this product?
Since insecticide is effective only for a certain period of time, it is important to know when the bed net was treated with this product last time. The interviewer should record in the appropriate box the time interval in days, weeks, months or years as reported by the respondent.
132
4027
1
within last 6 months
2
7-12 months
3
more than 1 year ago
8
Do not know
Sysmiss
No of Children under 5
No of Children under 5
No of Children under 5
No of Children under 5
No of Children under 5
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many children aged under 5 years live in this household?
Enter the number of children. If NO child under age 5 in household, enter “0”. Correct number of children in household and update roster if necessary.
If No children under age 5 in household: Go to Q0565
604
3555
6
0.868
0.967
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of these children slept under a mosquito (bed) net last night?
The purpose of this question is to assess how many young children, a group highly vulnerable to malaria, are being correctly covered by prevention interventions. Record only the number of children aged under five years who slept under a bed net the night before the interview. Do not count children whom the respondent says usually sleep under one, but for some reason did not the previous night.
306
3853
4
1.082
0.828
Number of pregnant
Number of pregnant
Number of pregnant
Number of pregnant
Number of pregnant
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many women who live in this household are currently pregnant?
Enter the number of women.
If NO women are currently pregnant, enter “0” and Go to Q0567.
578
3581
2
0.0934
0.303
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of the pregnant women in this household slept under a mosquito bed-net last night?
The purpose of this question is to assess how many pregnant women, a group of persons highly vulnerable to malaria, are being correctly covered by prevention interventions. An answer of “yes” is appropriate only if the women slept under the bed net the night before the interview, and not if she says she usually sleeps under one but for some reason did not the previous night.
96
4063
1
0.375
0.487
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many other persons who live in this household slept under a mosquito bed-net last night? (That is, all the other household members except for young children or pregnant women).
Enter the number of other person. Don’t include the children aged under 5 years and pregnant women.
563
3596
20
1.913
2.101
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
If that person is picked randomly as the respondent they will be
interviewed in the institution (if the condition is chronic and return to home in the near future is unlikely) or upon return to home (if the condition is acute and return to home is likely in the next 2 weeks). Additional pages are attached. Please feel free to add other additional pages as necessary.
4122
37
1
Yes
5
No
Sysmiss
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
28
4131
400
401
402
403
404
407
408
410
Sysmiss
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4159
Sysmiss
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4159
Sysmiss
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4159
Sysmiss
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4159
Sysmiss
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
Is there anyone in your home, a child or adult) who needs care because of a long-term physical or mental illness or disability, or is getting old and weak?
If that person is picked randomly as the respondent they will be interviewed in the institution (if condition is chronic and return home in the near future is unlikely) or upon return to home (if the condition is acute and return to home is likely in the next 2 weeks).
If No: Go to Next Section.
4014
145
1
Yes
5
No
Sysmiss
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need?
1. Needs help / watching all the time (day and night)
2. Cannot be without help/ watching or be left alone at home for more than an hour.
3. Can be left on his/her own at home for several hours but requires accompaniment when leaving home.
4. Needs some help at home and sometimes needs to be accompanied when leaving home.
If there is more than 1 person needing care in the household, the respondent should be told to focus on the person needing the most care when answering this question.
104
4055
1
Needs help/ watching all the time (day and night)
2
Cannot be without help/ watching or be left alone at home for more than an hour
3
Can be left on his/her own at home for several hours but requires accompaniment when leaving home
4
Needs some help at home and sometimes needs to be accompanied when leaving home
Sysmiss
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
4104
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22:00
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
You indicated that someone in your household has health insurance with a
[CHIP]. What is the name of the [CHIP]?
IF HOUSEHOLD RESPONDS TO Q0602 THAT ANYONE IN THE HOUSEHOLD IS COVERED BY A COMMUNITY HEALTH INSURANCE PLAN (e.g. “Mutuelle”) ………THEN START WITH Q0650
IF NONE RESPONDS TO Q0602………GO TO Q0680
90
AMANSE C
BEREKUM
COMMUNIT
COMUNITY
EJISU-JU
EJISU/JU
GEMINI L
GHANA HE
HEALTH I
HEATH IN
JAMA DIS
JAMAN DI
JAMAN NO
KARIKARI
KOFORIDU
KWAHU HE
KWAHUMAN
METHODIS
NKORANZA
OKWAHUMA
OKWAWUMA
THE WLFA
WEST GON
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
Community Health Insurance Programs [CHIP]
Joining the plan
When did these household members first join [that CHIP]?
72
01/01/03
01/01/193
01/01/1990
01/01/1991
01/01/1992
01/01/1993
01/01/1994
01/01/1995
01/01/1998
01/01/1999
01/01/2000
01/01/2002
01/01/2003
01/03/2003
01/06/1998
01/06/1999
01/06/2000
01/06/2001
01/06/2002
01/08/2002
01/12/2002
02/02/2003
03/02/2002
04/10/2002
04/11/2000
04/11/2002
05/06/2001
07/02/2000
07/08/2000
14/10/2000
16/11/2001
17/12/2002
18/10/2001
20/11/1998
21/11/2002
22/05/2000
23/01/2003
24/12/1991
26/02/2002
27/02/2003
27/07/2001
27/9/1997
29/11/2002
30/01/2002
30/01/2003
30/11/2002
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
What was the main reason for joining [that CHIP]?
88
1
AC
BE
CH
FO
FR
FU
GO
HE
HO
I
IN
IT
JO
MA
NO
RE
SE
TH
TO
WA
expect renewal
expect renewal
expect renewal
expect renewal
expect renewal
Community Health Insurance Programs [CHIP]
Joining the plan
Do you expect membership in [that CHIP] will be renewed?
92
4067
1
Yes
5
No
Sysmiss
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
Did your household members join the [CHIP]…
95
4064
1
4
1
Individually
2
As a family
3
As members of a cooperative or credit program
4
Other (specify)
How high is contribution
How high is contribution
How high is contribution
How high is contribution
How high is contribution
Community Health Insurance Programs [CHIP]
Payments and Benefits
How high is the [contribution] compared to benefits you get from the [CHIP]?
95
4064
1
Too high
2
High
3
About right
4
Low
5
Very low
Sysmiss
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
How difficult is for your household to pay the [CHIP] [contribution]?
94
4065
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Community Health Insurance Programs [CHIP]
Communication and Information
If someone in your household had questions about the [CHIP], would they know whom to ask or where to go?
If No, Go to Q0680
98
4061
1
Yes
5
No
Sysmiss
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
Community Health Insurance Programs [CHIP]
Communication and Information
How difficult is it to reach that person or place when information is needed?
89
4070
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think healthy people in [the country] should contribute
to pay for the health care used by sick people?
4105
54
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think people in [the country] should contribute to pay
for the health care used by poor people when they become sick?
4108
51
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Can you please tell me how many rooms there are in your home?
4143
16
20
2.792
2.178
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many chairs are there in your home?
If none enter "0"
4128
31
50
6.325
5.054
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many tables are there in your home?
If none enter "0"
4107
52
20
2.44
2.123
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many cars are there in your household?
If none enter "0"
3956
203
5
0.141
0.608
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does your home have electricity?
4115
44
1
Yes
5
No
Sysmiss
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bicycle?
4138
21
1
Yes
5
No
Sysmiss
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a clock?
4127
32
1
Yes
5
No
Sysmiss
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bucket?
4137
22
1
Yes
5
No
Sysmiss
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a washing machine for clothes?
4111
48
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator? ?
4119
40
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator?
4131
28
1
Yes
5
No
Sysmiss
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a fixed line telephone?
4119
40
1
Yes
5
No
Sysmiss
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a mobile/cellular telephone?
4125
34
1
Yes
5
No
Sysmiss
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a television?
4131
28
1
Yes
5
No
Sysmiss
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a computer?
4120
39
1
Yes
5
No
Sysmiss
Radio
Radio
Radio
Radio
Radio
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have radio?
4132
27
1
Yes
5
No
Sysmiss
Sewing machine
Sewing machine
Sewing machine
Sewing machine
Sewing machine
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have sewing machine?
3932
227
1
Yes
5
No
Sysmiss
Permanent Income question 17
Permanent Income question 17
Permanent Income question 17
Permanent Income question 17
Permanent Income question 17
395
3764
1
Yes
5
No
Sysmiss
Permanent Income question 18
Permanent Income question 18
Permanent Income question 18
Permanent Income question 18
Permanent Income question 18
271
3888
1
Yes
5
No
Sysmiss
Permanent Income question 19
Permanent Income question 19
Permanent Income question 19
Permanent Income question 19
Permanent Income question 19
253
3906
1
Yes
5
No
Sysmiss
Total household expenditure
Total household expenditure
Total household expenditure
Total household expenditure
Total household expenditure
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend in total?
Total spending should include the value of all goods and services consumed or used by the household. This would include things produced by the household for its own consumption (e.g. eggs from backyard chickens). It would exclude things purchased for use in a home business.
4070
89
-726819968
349200000
756827.878
12916133.973
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals.
Food expenditures include all food prepared and consumed by the household, along with food purchased and consumed outside the household (e.g. snacks, bag lunches).
However, should exclude meals at sit-down restaurants, and expenditures on alcohol and tobacco. These excluded items should be included in Q0806 ("All other goods and services").
4123
36
18000000
481824.702
607189.326
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on housing, gas, electricity, water, telephone, and heating fuel?
3966
193
14400000
80138.113
288169.684
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on education fees and supplies?
Education expenditures include school fees, uniforms, writing materials, books, etc.
For expenditures that may have been incurred on an annual, bi-annual or bi-monthly basis, etc., such as school fees, electricity and water bills, insurance premiums, but have not actually occurred in the past month, average monthly costs should be apportioned to the appropriate category.
3789
370
122000000
146896.351
2339971.621
Health care costs
Health care costs
Health care costs
Health care costs
Health care costs
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements?
3747
412
3050000
67594.749
185605.764
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans?
3150
1009
3400000
2855.233
62715.587
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on all other goods and services?
3680
479
20280000
84952.13
410052.296
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care that required staying overnight in a hospital or health facility?
3299
860
4200000
24353.149
137087.449
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by doctors, nurses, or trained midwives that did not require an overnight stay?
3362
797
3500000
22309.495
120108.924
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by traditional or alternative healers?
3229
930
3000000
6505.721
70131.056
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on dentists?
3174
985
400000
1544.113
17065.301
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on medication or drugs?
3614
545
5000000
39169.658
153108.499
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on health care products such prescription glasses, hearing aids, prosthetic devices, etc.?
3247
912
1000000
2354.486
29588.026
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on diagnostic and laboratory tests such as X-rays or Blood tests?
3257
902
600000
2510.959
18976.814
other
other
other
other
other
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on any other health care products or services that were not included above?
3211
948
730000
3665.239
25438.819
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how many times did members of your household go to a hospital and stay overnight?
The answer should represent the total number of events for which any member of the household went to a hospital and stayed overnight. If household members had stayed overnight in hospitals for a natural birth, treatment of trauma from a traffic accident, and an appendectomy, the answer would be “3” regardless of whether these three events happened to the same person or different persons in the household.
ENTER NUMBER OF TIMES FOR ALL HOUSEHOLD MEMBERS IN TOTAL. IF NONE, ENTER "0"
If None: Go to Q0817
3783
376
1200000
781.526
25315.721
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance.
This question should include the total expenses associated with all of the hospital stays referred to in Q0804. Therefore it excludes hospital expenses from the most recent 4 week period which was asked in Q0807.
854
3305
10000000
408488.748
747462.872
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Current income of any household members.
3999
160
1
Yes
5
No
Sysmiss
Savings
Savings
Savings
Savings
Savings
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Savings (e.g. bank account).
3908
251
1
Yes
5
No
Sysmiss
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Payment or reimbursement from a health insurance plan.
Payment or reimbursement by health insurance. The amount reported here
should only include costs that were (1) billed to the individual or family and (2) subsequently paid or reimbursed by a health insurance organization. The value of services that the insurance organization provides in-kind or pays directly to providers without billing the individual or family should not be included.
If the respondent only answers with a total amount, record under “other”.
3901
258
1
Yes
5
No
Sysmiss
Sold items
Sold items
Sold items
Sold items
Sold items
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Sold items (e.g. furniture, animals, jewellery, furniture).
3910
249
1
Yes
5
No
Sysmiss
family members
family members
family members
family members
family members
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Family members or friends from outside the household.
3929
230
1
Yes
5
No
Sysmiss
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Borrowed from someone other than a friend or family.
3929
230
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Other
3876
283
1
Yes
5
No
Sysmiss
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
4082
00:25
01:03
01:20
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01:35
01:54
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17:48
17:49
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17:51
17:52
17:53
17:55
17:56
17:58
17:59
18:00
18:01
18:03
18:04
18:05
18:07
18:08
18:09
18:10
18:11
18:12
18:13
18:14
18:15
18:16
18:17
18:18
18:19
18:20
18:21
18:22
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18:24
18:25
18:26
18:27
18:28
18:30
18:31
18:33
18:35
18:36
18:37
18:39
18:40
18:41
18:43
18:45
18:46
18:47
18:49
18:50
18:51
18:53
18:55
18:59
19:00
19:03
19:04
19:05
19:07
19:08
19:10
19:12
19:13
19:14
19:15
19:16
19:17
19:18
19:19
19:20
19:21
19:24
19:25
19:28
19:32
19:34
19:36
19:38
19:40
19:45
19:46
19:50
19:55
19:57
19:58
20:00
20:05
20:06
20:09
20:10
20:15
20:18
20:19
20:21
20:22
20:25
20:26
20:30
20:32
20:38
20:45
20:48
20:53
20:54
20:58
21:16
21:30
21:40
21:45
21:57
22:07
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
21494
24100002
24108841
24103265.309
1817.889
gender
gender
gender
gender
gender
21494
1
Female
2
Male
21494
1
2
3
4
5
6
7
8
9
10
11
12
13
relationship
relationship
relationship
relationship
relationship
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Household member's relationship to informant
21179
315
1
himself / herself
2
wife or husband
3
son or daughter
4
son or daughter in law
5
grand child
6
parent
7
parent in law
8
brother or sister
9
co-wife
10
grand parent
11
other relative
12
not related
13
don't know
Sysmiss
age
age
age
age
age
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Age
21401
93
118
24.14
19.416
education
education
education
education
education
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Education
20595
899
1
No formal schooling
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school (or equivalent) completed
6
college / pre-university / university completed
7
post graduate deegree completed
Sysmiss
marital status
marital status
marital status
marital status
marital status
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Marital status
19509
1985
1
Never married
2
Currently married
3
Separated
4
Divorced
5
Widowed
6
Chohabiting
Sysmiss
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Ever worked or trained in a health-related field
This column identifies any adult members of the household who have ever worked or been trained in a health-related field. Each household member who has ever worked/trained in a health-related field should be marked as “yes” in this column. The interviewer should prompt by giving examples of health workers: “This could be someone who has received a medical degree, or who worked in a hospital or health clinic (either caring for patients or doing anything else), or who dispenses medicines to people suffering from a health problem”. The short questionnaire on Health Occupations (section 0900) should then be asked directly to each individual so identified, using additional copies of the questionnaire if more than one person has been identified here.
19263
2231
1
Yes
5
No
Sysmiss
Eligible person
Eligible person
Eligible person
Eligible person
Eligible person
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Eligible person
9574
11920
not eligible
1
eligible
Sysmiss
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
4073
R
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any kind of health insurance plan?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
5 = NO
If No: Go to next person
20249
1245
1
Yes
5
No
Sysmiss
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any mandatory health insurance plans?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
ENTER code (See below)
CODES FOR B
NONE=0
SIGNIFICANT MANDATORY INSURANCE PLANS
OTHER MANDATORY INSURANCE
1819
19675
1
2
5
Sysmiss
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any voluntary health insurance plans?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
ENTER code (See below)
CODES FOR C
NONE=0
SIGNIFICANT VOLUNTARY INSURANCE PLANS
OTHER VOLUNTARY INSURANCE
If None:Go to E
1582
19912
1
2
3
5
Sysmiss
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
How much does your household pay for this person’s voluntary health insurance each year?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
377
21117
2000000
27180.634
119682.328
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by insurance only because of his/her relationship to someone else who has health insurance?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
1 = YES
5 = NO
If No: Go to Next person
1289
20205
1
5
Sysmiss
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Who is enrolled in the insurance plan that gives this person health insurance?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
INDICATE Line Number from Household Roster of Person if he/she is in the Household
If Person not in Household ENTER “999"
77
21417
400
999
502.169
225.401
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
117
24100015
24105873
24102357.427
1494.167
24100015
24100020
24100170
24100216
24100224
24100254
24100298
24100314
24100315
24100344
24100345
24100357
24100367
24100501
24100561
24100601
24100771
24100778
24100911
24101106
24101118
24101207
24101218
24101257
24101262
24101266
24101267
24101268
24101269
24101273
24101274
24101275
24101276
24101277
24101279
24101280
24101287
24101305
24101377
24101397
24101467
24101482
24101666
24101728
24101753
24101947
24101973
24101980
24101991
24102061
24102099
24102182
24102192
24102247
24102250
24102305
24102344
24102347
24102361
24102365
24102367
24102368
24102376
24102386
24102418
24102488
24102512
24102515
24102544
24102549
24102559
24102605
24102647
24102704
24102762
24102801
24102803
24102804
24102881
24102882
24102883
24102923
24102924
24102939
24102943
24103094
24103110
24103310
24103322
24103323
24103328
24103546
24103551
24103575
24103600
24103681
24104140
24104149
24104159
24104233
24104437
24104488
24104711
24104787
24104974
24104975
24105027
24105340
24105344
24105345
24105365
24105537
24105866
24105867
24105873
100
17
10
3.22
3.555
117
1
2
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
To be completed by each adult member of the household who has ever worked or been trained in a Health-Related field.
Each adult member of the household who has ever worked or been trained in a Health-Related field.
110
7
1
Yes
2
No, respondent not found
3
No, respondent refused
Sysmiss
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
How would you best describe your main occupation or occupational training?
We are interested in the option that best reflects the respondent’s main occupation and training. This refers to the principal position that the respondent held during the last regular work year. Record the occupation that best corresponds to the respondent’s actual work, rather than the title of the position. For example, if the respondent has a job title of “Director of staff”, but works in clinical nursing, then write “nurse”. If the respondent held more than one type of position, consider the position during which the respondent spent the greater amount of time. For example, if the respondent worked as a dental assistant most of the time, but was also employed as an office clerk for a few hours a week, mark “dental assistant” as the main occupation. There is no minimum salary or number of hours that a respondent must work in order to qualify for having an occupation.
If the respondent has a health background but is not working in a health-related field, then record his/her area of the occupational training.
If the respondent has no health background but is working in the health-related field, then record “other occupation”.
90
27
1
Medical doctor (including psychiatrist, gynecologist, ophthalmologist, etc.)
2
Dentist, dental surgeon or oral/dentistry or periodontist
3
Pharmacist or pharmaceutical chemist
4
Nurse professional
5
Midwife professional or matron
6
Optometrist or optician
7
Physiotherapist, chiropractor or podiatrist
8
Medical assistant
9
Nutritionist or dietician
10
Dental associate (assistant, hygienist or technician)
11
Pharmaceutical assistant or technician
12
Nursing associate or auxiliary
13
Nursing aide, community health workers, hospital aide or dental aide
14
Midwife associate or auxiliary or traditional birth attendant
15
Sanitarian or health inspector
16
Traditional medicine practitioner
17
Faith healer
18
Other health occupation than above : Specify __
19
Other occupation (such as administrator, driver, sweeper, etc.)
Sysmiss
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Have you worked during the last 12 months?
If the respondent reports not having worked in the last 12 months (such as having been
unemployed or in school for an extended period), then record “not worked” and Go to Q0916.
95
22
1
Yes
5
No
Sysmiss
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
How would you best describe the place where you usually worked over the last 12 months?
This refers to the principal location where the respondent worked during the last regular work year. If the respondent worked at more than one location, consider the location where the respondent spent the greater amount of time. If the respondent worked at a health facility, determine whether the place is in the public sector (run by the government) or in the private sector (including those operated by non-governmental organizations or religious associations). Under “other health services” record district health administration, Ministry of Health officers, WHO officers, etc.. If the respondent did not work at a health services areas/facilities, record “non-health services area”.
74
43
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliativile clinic,health post etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services) nursing, Medical etc.
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration, etc.)
11
Non-health services area
Sysmiss
Hours per week
Hours per week
Hours per week
Hours per week
Hours per week
How many hours a week do you usually work at this location, excluding unpaid mealtimes and on-call hours?
This question asks about the length of the regular working week at the respondent’s main work location. If the respondent is unsure what is meant by “on-call hours”, provide an explanation such as: “These are hours such as during nights and weekends, when you must be available for duty but do not have to be physically present on the hospital ward or in a clinic or laboratory, except when patient needs require it.”
71
46
100
39.535
26.312
First main type of work
First main type of work
First main type of work
First main type of work
First main type of work
Select and rank the two main type of work that you usually perform at this location.
1. Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2. Administration / supervision / care coordination
3. Teaching / health education / research
4. Laboratory / diagnostic procedures
5. Dispensing (medications / health products)
6. Other health-related activities (such as attending in ward, assisting medical practitioners, etc.
7. Consultation with agencies / professionals
8. Other non-health activities (such as driving car, maintaining equipment, etc.)
65
52
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work
Second type of work
Second type of work
Second type of work
Second type of work
Second type of work
Select and rank the two main type of work that you usually perform at this location.
1. Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2. Administration / supervision / care coordination
3. Teaching / health education / research
4. Laboratory / diagnostic procedures
5. Dispensing (medications / health products)
6. Other health-related activities (such as attending in ward, assisting medical practitioners, etc.
7. Consultation with agencies / professionals
8. Other non-health activities (such as driving car, maintaining equipment, etc.)
33
84
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
How would you describe the method by which you are usually paid at this location?
The purpose of this question is to learn about the different ways in which health workers earn their income. The interviewer should best record the way the respondent says he/she is usually paid. The idea is to capture the way the respondent’s pay was determined most of the time (during the last 12 months). It is likely that most persons not working in direct patient care will usually be paid by means of a salary. If the respondent is unsure, prompt by reading the response options. The categories “fee-for service” and “capitation” refer to ways health care providers may receive payment for patient consultations or services. If the respondent receives a consultation fee per patient (capitation), probe whether the payment is fixed per patient or involves a combination of payment for patient consultations as well as for the services offered.
75
42
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
In addition to your main job location, have you regularly worked at another location over the last 12 months?
This question asks about work at places other than the principal location during the last year. If the respondent only worked at one location, record “No” and Go to Q0917.
74
43
1
Yes
5
No
Sysmiss
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
If also worked at an other location
How would you best describe this other place where you worked?
This question is asked only to respondents who worked at more than one location in thepast year. If the respondent worked at more than two locations, consider the location where the respondent spent the second most amount of time. If this second location was a health facility, determine whether the place is in the public or private sector.
11
106
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliative care centre, mobile clinic, health post, etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services (nursing, medical, etc.)
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college, etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration etc.)
11
Non- health services area
Sysmiss
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
If also worked at an other location
How many hours a week do you usually work at this other location
excluding unpaid mealtimes and on-call hours?
This question is asked only to respondents who worked at more than one location in the past year. Record the number of hours worked during a regular week at the second location alone.
10
107
6
80
25.8
25.253
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
11
106
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work (second job location)
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
This question is asked only to respondents who worked at more than one location in the past year. Record all activities mentioned. If “not worked for pay”, Go to 0415.
1. Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2. Administration / supervision / care coordination
3. Teaching / health education / research
4. Laboratory / diagnostic procedures
5. Dispensing (medications / health products)
6. Other health-related activities (such as attending in ward, assisting medical practitioners, etc.
7. Consultation with agencies / professionals
8. Other non-health activities (such as driving car, maintaining equipment, etc.)
6
111
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work (second job location)
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
If also worked at an other location
How would you describe the method by which you are usually paid at this other location?
This question is asked only to respondents who worked at more than one location in the past year. Record the way the respondent says he/she normally receives monetary payment at the second location alone.
Go to Q0917
10
107
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus Go to Q0917
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
What is the main reason you have not been working over the last 12 months
23
94
1
Looked but can't find a job
2
Doing unpaid work / voluntary activities
3
Studies / training
4
Caring for family / Homemaker
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Over the last 2-3 years, did you worked for at least 6 months in a country other than this one?
94
23
1
Yes
5
No
Sysmiss
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
What was the highest level of schooling you completed?
This question refers to the highest level of education the respondent has successfully
attained in a health-related programme (such as medicine, nursing, biology or other). It
includes technical or vocational training beyond primary school. Excluded are short
courses (such as phlebotomy) or religious education. The level of education could have
been completed at school or elsewhere (such as through private tutoring or some other form of schooling that requires taking exams in order to complete the programme). If the respondent has not completed a formal programme, record “No formal schooling” and Go to Q0921.
95
22
1
No formal schooling
2
Less than primary school
3
Primary school completed
4
Secondary school completed
5
High school (or equivalent) completed
6
College/ pre-university/ University completed
7
University post-graduate degree completed
Sysmiss
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level?
This question is asked only to respondents who have completed a formal health-related educational degree. If the respondent cannot recall the year of graduation from the programme, probe “how long ago did you reach this level?” and try to estimate the year.
77
40
1945
2002
1977.429
13.793
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
In what country did you reach this level?
This question is asked only to respondents who have completed a formal healthrelated educational degree. If the respondent was schooled in a foreign country, specify which country under “Other country”.
81
36
1
Country of residence
2
Other country
Sysmiss
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
In the past 12 months, have you been on any professional training or continuing education programmes?
IF YES: For how many days (in the past 12 months)?
If NONE, record “0”.
This refers to any kind of training, research or continuing education activities that the respondent has been on during the last year. If “yes”, ask for how many days such activities were attended. The answer does not need to ascertain the exact amount of time (for example, if the respondent says he/she took a course that lasted “about three weeks”, record "21" days and go to the next question). If the respondent says “no” (i.e. person has not been on any training programmes in the last years), then record “0” days.
88
29
30
1.92
5.732
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
By average earnings, we mean the amount of money (only monetary income, not payments in kind), whether in the form of salary or other, that the respondent has earned in the last regular work year. Record the amount per week, per month or per year as said by the respondent. The options “refuse” and “don’t know” have been coded separately to distinguish them from any amount given.
23
94
300000
32264.957
77699.997
7
Refusal
8
Do not know
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
By average earnings, we mean the amount of money (only monetary income, not payments in kind), whether in the form of salary or other, that the respondent has earned in the last regular work year. Record the amount per week, per month or per year as said by the respondent. The options “refuse” and “don’t know” have been coded separately to distinguish them from any amount given.
74
43
2100000
409263.243
447460.418
7
Refusal
8
Do not know
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
By average earnings, we mean the amount of money (only monetary income, not payments in kind), whether in the form of salary or other, that the respondent has earned in the last regular work year. Record the amount per week, per month or per year as said by the respondent. The options “refuse” and “don’t know” have been coded separately to distinguish them from any amount given.
18
99
9200000
7
Refusal
8
Do not know
16
19
BIOSTATISTICAL ASSISTANT
CATERER
CBS4
COMPUND LABOURER
HEALTH TUTOR
LAB TECHNICIAN
LABORATORY TECHNICIAN
RADIOGRAPHIES
RECORDS AND STATISTICS
RECORDS CLERK
RECORDS STAFF
REVENUE OFFICER
SECUIRTY
WARD MAID
WEEDING
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
3938
24100002
24108841
24103119.808
1790.917
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
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15:12
15:13
15:14
15:15
15:16
15:17
15:18
15:19
15:20
15:21
15:22
15:23
15:24
15:25
15:26
15:27
15:28
15:29
15:30
15:31
15:32
15:33
15:34
15:35
15:36
15:37
15:38
15:40
15:41
15:42
15:43
15:44
15:45
15:46
15:47
15:48
15:49
15:50
15:51
15:52
15:53
15:54
15:55
15:56
15:57
15:58
16:00
16:01
16:02
16:03
16:04
16:05
16:06
16:07
16:08
16:09
16:10
16:11
16:12
16:13
16:15
16:16
16:17
16:18
16:19
16:20
16:21
16:22
16:23
16:24
16:25
16:26
16:27
16:28
16:29
16:30
16:31
16:32
16:33
16:34
16:35
16:36
16:37
16:38
16:39
16:40
16:41
16:42
16:43
16:44
16:45
16:46
16:47
16:48
16:49
16:50
16:51
16:52
16:53
16:54
16:55
16:56
16:57
16:58
16:59
17:00
17:01
17:02
17:03
17:04
17:05
17:06
17:07
17:08
17:09
17:10
17:11
17:12
17:13
17:14
17:15
17:16
17:17
17:18
17:19
17:20
17:21
17:22
17:23
17:24
17:25
17:26
17:28
17:29
17:30
17:31
17:32
17:33
17:34
17:35
17:36
17:37
17:38
17:39
17:40
17:41
17:42
17:43
17:44
17:45
17:46
17:47
17:48
17:49
17:50
17:51
17:52
17:54
17:55
17:56
17:57
17:58
18:00
18:01
18:02
18:03
18:05
18:06
18:07
18:08
18:09
18:10
18:11
18:12
18:13
18:14
18:15
18:16
18:17
18:18
18:19
18:20
18:21
18:22
18:23
18:24
18:25
18:26
18:27
18:28
18:29
18:30
18:31
18:32
18:33
18:34
18:35
18:37
18:40
18:42
18:43
18:47
18:49
18:50
18:51
18:52
18:53
18:55
19:00
19:01
19:03
19:05
19:06
19:07
19:09
19:10
19:12
19:13
19:14
19:15
19:16
19:17
19:18
19:20
19:22
19:24
19:25
19:26
19:27
19:29
19:30
19:32
19:34
19:35
19:36
19:38
19:40
19:45
19:47
19:48
19:49
19:50
19:51
19:56
19:58
20:00
20:07
20:10
20:11
20:12
20:15
20:16
20:20
20:22
20:26
20:30
20:34
20:40
20:45
20:48
20:54
21:00
21:01
21:02
21:09
21:20
21:30
21:45
21:50
21:58
22:09
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your mother tongue?
Record respondent’s mother tongue. The mother tongue is the language one has learned first, provided it is a language that one can express oneself fully in, and/or voluntarily identifies with. If the respondent knows more than one such language record all named languages.
3669
(1) AKAN
(3) EWE
(6) BANS
(9) DAGA
(TWI) 1
01
06
1
1 (AKA)
1 (AKAN)
1 AKAN
11:00
2
3
4
5
53
6
66
7
8
8 (DAGAR
9
9 DAGATI
ABURI
ACHODE
ADA
ADA (DAN
ADA (GA/
ADANGBE
ADDA
AGONA
AHANTA
AKAN
AKAN (1)
AKAN (AS
AKAN (TW
AKAN 2
AKAN GUA
AKAN, GA
AKIM
AKIM TWI
AKNA
AKUAPEM
AKUAPIM
AKWAPEM
AKWAPIM
AKYEM
AKYEM 1
ALATA
ANAFAANA
ANDIA
ANUM-AKW
ANYIN
AOWIN
APOSOR
ASANTE
ASANTE (
ASANTE T
ASANTI
ASHAN TI
ASHANTI
ASSIN
ASTODE
ATSODE
ATWUTI
BAASARE
BADU
BAGBANI
BALANKA
BANDA
BANDA -
BASAARE
BASALY
BASARE
BASARI
BASARI (
BASSARE
BASSARI
BIMOBA
BIRIFO
BISA
BONG
BONJA
BONO
BONU
BORON
BORON, T
BORONG
BREKU
BRING
BRIONG
BRNG
BRON
BRONG
BRONO
BROSA
BRUISA
BRULSA
BUEM
BUEM (SE
BUILI
BULI
BULSA
BUSANG
BUSANGA
BUSANGA,
CHAMBA
CHILLI
CHODE
CHOKOSI
CLON
DAARTE
DAGAARE
DAGAATI
DAGARE
DAGARER
DAGARI
DAGARI,
DAGARTE
DAGARTI
DAGARTI,
DAGATI
DAGBAN
DAGBANI
DAGBANI/
DAGBGONI
DAGBON
DAGOMBA
DANGBE
DANGBENI
DARARTI
DARGARE
DARGARTE
DARGARTI
DARGATE
DARTI
DAWU AKW
DENKURA
DENKYIRA
DENKYIRE
DEWU
DFAGARTI
EBRONE
EFFUTU
EFUTU
EFUTU GO
ENYI
EVE
EWE
EWE (AND
EWE (TOG
EWE / FA
EWE, AKA
EWE, ENG
EWE, GA
EWE, TWI
EWEW
FAANTE
FAN TE
FANI
FANTE
FANTE (A
FANTE, G
FANTE, K
FANTE, T
FANTI
FANTI (A
FANTI, E
FANTI, G
FANTRA
FANTU
FARAFARA
FNATE
FRAFA
FRAFRA
FRAFRA,
FRARA
FRENCH
FRENCH (
FULANI
GA
GA - AD
GA ADAN
GA - ADA
GA ADAMG
GA ADANG
GA, HAU
GA, AKAN
GA, ENGL
GA, EWE
GA, HAUS
GA, TWI
GA,TWI
GA-ADANG
GAO
GAOGAO
GEGBE (T
GEKYODE
GGA
GGA - AD
GONJA
GONJA, H
GONJA, T
GONJA, V
GRUMA
GRUNA
GRUNE
GRUNI
GRUNI, H
GRUNIE
GRUSHI
GRUSHIE
GRUSI
GUAN
GUAN, GA
GURMA
GURUMA
HAUSA
HAUSA, F
HAUSA, G
HAUSA, K
HAUSA,FA
HAUSAH
KABLE
KABRE
KABRI
KAKANI
KALA
KANBA
KANSAGA
KASEM
KASEM, H
KASENA
KASIM
KASSENA,
KOKOMBA
KOMKONBA
KONKOMA
KONKOMBA
KONKONBA
KONTOKOK
KOSASE
KOTOKOLE
KOTOKOLI
KOTOKORI
KOTONKOL
KRACHI
KRACHIE
KRACI
KROBO
KROBO (0
KROBO (2
KROBO (9
KROBO (G
KROBO, G
KROBO,FA
KRONO
KRONSA
KUASI
KURANGO,
KUSA
KUSAASI,
KUSAI
KUSAL
KUSARI
KUSASE
KUSASI
KUSSAI
KUSSASI
KUSSI
KWAHU
KWASI
KWAU
LARTE
LARTEH
LARTEI
LATTEH
LEKPAKPA
LOBI
LOBI, DA
MABRUSI
MAMPRULI
MAMPRUSI
MAPRULI
MMAPRUSI
MOAR
MOBA
MOLE
MOLE - D
MOLE-DAG
MOSAI
MOSHI
MOSHIE
MOSI
MOSI, DA
MOSSI
MUSAGA
MUSHI
NABRA
NAFANA
NAFANA ,
NAFANA,
NAKAM
NAKANI
NANKANA
NANKANE
NANKANI
NANUMBA
NANUMBER
NANUNLE
NAWURI
NFANA -
NINGO
NKONA
NKONYA
NKORAN
NKORAN,
NKRAN
NKRAWE
NKRUAN
NKRUANG
NKURAN
NRONG
NTANKANE
NTRIMU
NTRUBO
NZEMA
RAFRA, G
RELANSIS
RELASI
RUSI
SEFWI
SELE
SELE (GU
SELE(GUA
SENYA
SHAI
SISALA
SISISALL
SISSALA
TALANZE
TALEN
TALENA
TALENS
TALENSI
TALENSIS
TALESI
TALESIS
TALIN
TAMPRIMA
TAMPROMA
TAMPRUSI
TANBURIS
TELANS'S
TELANSI
TSAMBA
TWI
TWI (1)
TWI (ASA
TWI ENGL
TWI EWE
TWI GA K
TWI NKOR
TWI, AOW
TWI, BRO
TWI, ENG
TWI, EWE
TWI, FAN
TWI, GA
TWI, GA,
TWI, GA-
TWI, GUA
TWI, HAU
TWI, KRO
TWI, NKO
TWI, NZE
TWI, ZUG
TWI- ASA
TWIFO
TWU
WA
WAALA
WADA
WALA
WANGARA
WASA
WASSA
WASSA TW
WENGAMSI
YANGA
YWI
ZABRAMA
ZABZUGU
ZAMINAMA
ZAMIRAMA
ZAMRAMA
ZUGU (9)
dangbe
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
Record sex as observed.
Record sex as observed. Circle option Female or Male.
3938
1
Female
2
Male
Age in years
Age in years
Age in years
Age in years
Age in years
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How old are you? (Years)
Record respondent’s age in years and Go to Q1004.
If respondent doesn’t know or doesn’t want to tell his/her age, Go to the question Q1003.
3926
12
18
107
41.176
16.797
Age range
Age range
Age range
Age range
Age range
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
If you don’t know/don’t want to tell me your age could you tell me the age range if I read the different options to you (choose what is most appropriate)?
Read the options to the respondent.
47
3891
1
18-19
2
20-29
3
30-39
4
40-49
5
50-59
6
60-69
7
70+
Sysmiss
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Kilos?
For Q1004 – Q1007 use either the metric or the alternative system.
3835
103
3
188
60.459
14.11
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Pounds?
For Q1004 – Q1007 use either the metric or the alternative system.
14
3924
3
200
91.929
59.044
height in cms
height in cms
height in cms
height in cms
height in cms
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Centimeters?
For Q1004 – Q1007 use either the metric or the alternative system.
3320
618
50
194
162.119
12.656
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
For Q1004 – Q1007 use either the metric or the alternative system.
433
3505
1
6
4.947
0.419
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
448
3490
11
5.27
2.673
Marital Status
Marital Status
Marital Status
Marital Status
Marital Status
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your current marital status?
Ask this question without reading the options to the respondent. If the response does not match any of the options e.g. “single”, read the options to the respondent and ask him/her to choose the option that best reflects his/her current marital status. For example, if the respondent is currently married (but was divorced in the past), the option “currently married” should be recorded.
3935
3
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
Sysmiss
education
education
education
education
education
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is the highest level of education that you have completed?
This refers to the highest level of education successfully completed. If a person attended 3 months of the first year of secondary school but did not complete the year, the option “primary school” will be recorded. If a person only attended a few years of primary school or never went to school, the option “less than primary school” will be recorded.
The level of education can either be completed at school or at home. This may be the case of someone who, due to illness or other circumstances, does not attend school but has private tutoring or some other form of schooling that requires taking exams in order to complete primary or secondary education.
If countries use educational categories other than those specified here, they must provide WHO with a mapping of those to the categories as stated in the questionnaire. The same categories must be used for Column D of the household roster and Q 0918.
3890
48
1
No formal schoolong
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school completed
6
college completed
7
post graduate degree completed
Sysmiss
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How many years of school, including higher education, have you completed?
The term “school” refers to any kind of formal school and excludes short courses (typing. sewing) or religious education such as Bible school or Koranic school. It includes technical or vocational training beyond primary school. If a person dropped out of school or university, partial years should not be counted. If someone has been in school both full and part-time, record the number of years at full-time education. Repeated grades should be counted as two years.
3553
385
47
5.967
5.279
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
47
Sysmiss
Background
Background
Background
Background
Background
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your [ethnic group/ racial group/ cultural subgroup/ others] background?
Each country to substitute appropriate phrases or terms and list the
relevant response options.
3862
(1) AKAN
(9) DAGA
01
02
03
04
06
07
08
09
1
1 (AKAN)
1 AKAN
1 FANTE
1/AFRICA
10
19
2
2 GA ADA
3
3 EWE
4
5
6
7
8
9
9 (DAGAT
9 (HAUSA
9 (KOTOK
9 (ZUGU)
9 WANGAR
91) AKAN
98
AKAN
AKAN (1)
AKAN - 0
AKAN - 1
AKAN -01
AKAN 01
AKAN 1
AKAN I
AKAN, EN
AKAN-01
AKYEM 01
ASANTE
ASANTE (
ASANTE 1
ASHANTI
BADU
BIMOABA
BORON
BUSANGA
DAGAE
DAGARE
DAGARTI
DAGBANI
DAGOMBA
DANGBE (
EWE
EWE (3)
EWE - 03
EWE 03
FANTE
FANTI
FANTRA
GA
GA - ADA
GA ADANG
GA-ADANG
GONJA
HAUSA
KABRE
KANKANBA
KOKOMBA
KOTOKOLI
KRACHIE
KROBO (9
KROBO 02
KROBO-02
KUSSASI
KWAHU
MAMPRUSI
NAFAANA
NKORAN
NTRUBO
SAMARAMA
SHAI
WALA
WANGARA
WASSA
ZUGU (9)
current job
current job
current job
current job
current job
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is your current job?
“Current Job” means any activity of more than one hour that the person engaged in for pay during the last two weeks. If the person is engaged in more than one kind of "job" during the last two weeks (e.g. sold home-made food on the street part of the time and worked in a factory sewing shirts at other times), then the individual should be asked to indicate the activity from which they derived the most income.
All people who receive pay from the government should be listed as government employees. All others who receive pay from an employer should be listed as nongovernment employees. List as “Self-Employed” anyone who earns an income from activities that do not involve hiring people from outside the household. “Employer” refers to anyone who earns their income in activities that include hiring and paying anyone from outside the household. More specifically:
• Govt Employee:
An individual who is hired by a government office or agency and paid a salary or wage. This includes employees of federal, state, or municipal governments and their agencies, parastatal enterprises, and semi-autonomous institutions such as social security institutions that are owned by the government or institutions like religious schools if the staff are paid by the government.
• Non-Govt Employee:
An individual who is hired to work and is paid a salary or wages. This includes any employees not working for the government.
• Self-Employed:
An individual who produces goods for sale or earns an income through provision of services to different people or firms. The individual works alone or with intermittent assistance from others, but does not employ anyone for a paid wage or salary on a regular basis.
• Employer:
An individual who earns an income through business activities, whether production of goods or provision of services, and employs anyone on a regular basis who is paid a salary or wages.
If Not working for pay: Go toQ1014
3891
47
1
Government employee
2
Non-government employee
3
Self-employed
4
Employer
5
Not working for pay
Sysmiss
main occupation
main occupation
main occupation
main occupation
main occupation
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
During the last 12 months, what has been your main occupation?
The Interviewer should ask this question open-endedly: “What is your main occupation?”. The interviewer then selects the category that they think best applies, and confirms it with the respondent.
By “main occupation”, we mean the occupation that the person spent the most time doing over the last 12 months. The following definitions should be used.
• Legislator, Senior Official, or Manager: Examples of occupations in this category include legislators; senior government officials; chiefs or heads of villages; senior officials of political parties or workers unions; and directors, chief executives or department managers who manage
enterprises, organizations or departments that are large enough to require three or more managers.
• Professional, Technician, or Associate Professional: Examples of occupations in this category include occupations in the physical mathematical and engineering sciences, architects, engineers, health professionals, teachers, lawyers, social scientists, writers or performing artists, ship and aircraft controllers and technicians, financial agents, trade brokers,
accountants and bookkeepers.
• Clerical: Examples of occupations in this category include secretaries, keyboard operators, stock clerks scribes, office assistants, cashiers, and receptionists.
• Personal Services, Marketing, or Sales: Examples of occupations in this category include travel attendants, restaurant workers, personal care workers, barbers, undertakers, astrologers, fire-fighters, police officers, models, salespersons.
• Agricultural or Fisheries Worker: Examples of occupations in this category include gardeners and crop growers, livestock, dairy, and poultry producers, forestry workers and loggers, hunters, and fishery workers.
• Craft, Construction, or Trades: Examples of occupations in this category include miners, shot firers, stone cutters, and carvers; construction workers, metal moulders, welders, sheet-metal workers, blacksmiths, tool-makers, electrical and electronic equipment mechanics and fitters, potters, glass-makers, handicraft workers in wood, textile, leather and related materials, printing, food processing, textile and garment workers.
• Plant and Machine Operators or Assemblers: Examples of occupations in this category include processing-plant operators, power production operators, assembly-line operators, machine operators, assemblers, and motor-vehicle drivers.
• Armed Forces: Examples of occupations in this category include anyone who is employed as a member of military service of the country.
If respondent has answered this question, Go to next section 2000.
3162
776
1
Legislator, Senior Official, or Manager
2
Professional
3
Technician or Associate Professional
4
Clerk
5
Service or sales worker
6
Agricultural or fishery worker
7
Craft or trades worker
8
Plant/machine operator or assembler
9
Elementary worker
10
Armed forces
Sysmiss
reason not working
reason not working
reason not working
reason not working
reason not working
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is the main reason why you are not working for pay?
This question should only be asked for people who are not working for pay.
The interviewer should ask the question open-endedly, then select the category that they think best applies, and confirm it with the respondent. If the respondent provides more than one answer, ask them to specify which is the most important reason. The following definitions are provided to guide the selection of answers:
• Homemaker/Caring for Family: This applies to individuals whose primary activities are household tasks -- such as cleaning, preparing food, and caring for children or other relatives -- and who do not receive pay for these activities.
• Looked but can't find a job: This applies to individuals who want to work for pay, are actively looking for work, and are not currently employed.
• Unpaid Work/voluntary activities: This applies to individuals whose primary activity is working for a volunteer organization, a family business, a family farm or other similar activity without pay.
• Studies / training: This applies to individuals whose primary activity is to pursue educational programs, whether in a secondary school, college, university, or other institutions that teaches continuing adult education classes, or vocational training courses.
• Retired / too old to work: An individual who is no longer working due to age.
• Student: An individual whose primary activity is engaging in studies at elementary, secondary, university or technical schools.
• Unemployed: An individual who could work but does not currently have a job or business.
• Ill health:
• Other:
723
3215
1
Homemaker / caring for family
2
Looked but cant find a job
3
Doing unpaid work / voluntary activities
4
Studies / training
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
3869
00:47
01:28
01:32
01:36
01:40
01:58
02:23
02:25
02:37
02:56
03:04
03:26
03:27
03:37
03:39
03:57
04:07
04:42
04:46
05:12
05:22
05:24
05:45
06:00
06:01
06:05
06:12
06:13
06:14
06:17
06:18
06:19
06:20
06:21
06:22
06:23
06:24
06:25
06:26
06:27
06:28
06:31
06:32
06:33
06:34
06:35
06:36
06:37
06:38
06:39
06:40
06:41
06:42
06:44
06:45
06:46
06:47
06:48
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Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
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rate your health
rate your health
rate your health
rate your health
rate your health
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
In general, how would you rate your health today?
The respondent should answer according to how he/she considers his/her health to be and give his/her best estimate. Both physical and mental health must be taken into consideration.
3922
16
1
Very good
2
Good
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Moderate
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Bad
5
Very Bad
Sysmiss
work or household activities
work or household activities
work or household activities
work or household activities
work or household activities
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
Overall in the last 30 days, how much difficulty did you have with work or household activities?
These are questions about difficulty in day to day activities because of the person’s physical and emotional health. These activities include household, work and school activities. By “difficulty” we mean the way activities are usually performed.
3878
60
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
Overall in the last 30 days how much difficulty did you have with moving around?
This question refers to moving around using assistive devices or personal help that is usually in place. It includes moving around both inside the house, from room to room and within rooms, and outside the house. If the respondent lives in a house with multiple floors, this question also includes getting from one floor to another as needed. The intent of this question is to give an idea of a person’s mobility. Someone who has problems moving inside the house is likely to have problems outside the house.
Read and show scale to respondent.
3927
11
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
vigorous activities
vigorous activities
vigorous activities
vigorous activities
vigorous activities
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
In the last 30 days, how much difficulty did you have in vigorous activities, such as running 3km (or equivalent) or cycling?
Vigorous activities may include heavy lifting, carrying, fast cycling, aerobics or working in the fields. Physical activity may be recreational or occupational. Culturally appropriate examples may be substituted by sites.
Read and show scale to respondent.
3918
20
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
Overall in the last 30 days, how much difficulty did you have with self-care, such as washing or dressing yourself?
If a person uses assistive devices when washing for example, these should be taken into account when answering the question.
This question refers to washing one’s entire body as it is customary for the culture. If a respondent reports that he/she has not washed his/her body in the past 30 days, interviewers should ask whether this is due to a health condition. If it is, this question should be coded “5” for extreme/cannot do. If it is not due to a health condition but to an environmental condition, such as lack of water, the option NA (not applicable) should be recorded in the questionnaire and entered in the data entry program.
This question includes all aspects of dressing the upper and lower body. Activities such as getting clothing from storage areas (i.e. closet, dressers) and securing buttons, tying knots, etc., should also be considered when making the rating.
Read and show scale to respondent.
3930
8
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
In the last 30 days, how much difficulty did you have in taking care of and maintaining your general appearance (e.g. grooming, looking neat and tidy etc.)
This question may capture people who may have no difficulty with the basics of washing and dressing, but who may have difficulty taking care of some other aspects of their appearance, such as combing hair or putting on makeup.
Read and show scale to respondent.
3928
10
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
Overall in the last 30 days, how much of bodily aches or pains did you have?
This refers to any form of pain or discomfort in the body that interferes with a person’s usual activities, either for a short or long period of time. By pain we mean “physical” pain.
Read and show scale to respondent.
3931
7
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
In the last 30 days, how much bodily discomfort did you have?
Read and show scale to respondent.
3923
15
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
Overall in the last 30 days, how much difficulty did you have with concentrating or remembering things?
This question refers to concentrating while doing work tasks, reading, writing, drawing, listening to others, playing a musical instrument, assembling a piece of equipment or engaging in any other activity. The respondent should think of concentrating in usual circumstances not when preoccupied by a problem situation or in an unusually distracting environment.
Remembering things refers to what a person would usually remember on a daily basis, such as running errands, doing the shopping, paying the bills or having appointments.
Read and show scale to respondent.
3932
6
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
learning a new task
learning a new task
learning a new task
learning a new task
learning a new task
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
In the last 30 days, how much difficulty did you have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)?
The intention of this question is to understand the difficulties in new learning. Though one is not consciously aware perhaps, one learns new things almost everyday such as new names, routes, skills, etc. Culturally appropriate examples may be substituted by sites.
Read and show scale to respondent.
3922
16
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
Overall in the last 30 days, how much difficulty did you have with personal relationship or participation in the community?
Personal relationships include partners, relatives or friends. Participation in the community includes any form of social involvement such as going to town meetings, taking part in leisure or sporting activities in the town, neighbourhood or community. The relevant issue being asked in this question is whether the individual is facilitated to participate in these activities or whether there are barriers to doing so.
Read and show scale to respondent.
3922
16
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
In the last 30 days, how much difficulty did you have in dealing with conflicts and tensions with others?
This question gives an idea of how well a person relates to others and is able to deal with conflict situations, such as strong disagreements or arguments.
3899
39
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
Do you wear glasses or contact lenses?
The purpose of this question is to know the use of an assistive device such as spectacles or contact lenses since for the following 2 questions the respondent would be asked to take this into account when reporting on the level of difficulty with vision.
3904
34
1
Yes
5
No
Sysmiss
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)?
The person should answer this question taking into account any assistive device (glasses or contact lenses) he/she may be using. “Seeing and recognizing a person” under normal circumstances.One would not be expected to recognize a person on a foggy or stormy day for example.
3913
25
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in seeing and recognizing an object at arm’s length or in reading?
The person should answer this question taking into account any assistive device (glasses or contact lenses) he/she may be using. The respondent should think of his/her vision under normal circumstances e.g. in normal light.
3915
23
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
Overall in the last 30 days, how much of a problem did you have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Problem with sleeping includes inability to fall asleep, interrupted sleep or waking up earlier than a person would usually wake up.
3927
11
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day?
By problem, we mean a reduced level of energy and vitality and how it affected daily life, e.g. inability to complete tasks or days missed off work for example as the person lacked the energy he/she usually has to carry on activities.
3921
17
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
For this question, each site will have to find a culturally equivalent term for sadness or depression that makes sense and is understood by the respondent. By problem, we mean how these states have interfered with a person’s life, such as not been able to do certain activities because of feeling distressed.
Distress, sadness or worry must be understood as occurring more often than normal.
Everybody worries but it becomes a problem when a person worries more than usual with things that she would normally not worry about. Sadness is often characterised by feeling tearful, tired and hopeless and loss of interest.
3931
7
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with worry or anxiety?
The intent of this question is to capture other negative emotional states such as feeling distressed, on edge, keyed up and tense. The person is unable to relax and tends to think disproportionately about relatively small matters.
3927
11
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
3935
A
B
C
D
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1003
2935
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1001
2937
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1004
2934
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1004
2934
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1004
2934
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1003
2935
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1002
2936
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1003
2935
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1004
2934
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1000
2938
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1002
2936
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1000
2938
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1003
2935
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1001
2937
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other
occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life
again.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1001
2937
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS.
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other
occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life
again.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1000
2938
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and
that she would be better dead.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1002
2936
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and
that she would be better dead.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1002
2936
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in
what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1003
2935
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in
what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [name of person]
have with distress, sadness or worry?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
997
2941
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although
medication helps, he feels uncomfortable when moving around, holding and lifting things.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
938
3000
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although
medication helps, he feels uncomfortable when moving around, holding and lifting things.
In the last 30 days, how much bodily discomfort did [name of person]
have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come
and visit her at home. Her friends find her a source of great comfort.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationships or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come
and visit her at home. Her friends find her a source of great comfort.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and
shouts at her family members which causes them to avoid her.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and
shouts at her family members which causes them to avoid her.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
938
3000
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard
physical labor or exercise.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard
physical labor or exercise.
In the last 30 days, how much bodily discomfort did [name of person]
have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
940
2998
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys
meeting new people.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
929
3009
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys
meeting new people.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
931
3007
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake
most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him
think of ending his life.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
936
3002
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake
most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him
think of ending his life.
In the last 30 days, how much bodily discomfort did [name of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
938
3000
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
In the last 30 days, how much bodily discomfort did [name of person]have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
936
3002
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that
he is a burden to them. Their criticism upsets him and he cries.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that
he is a burden to them. Their criticism upsets him and he cries.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working
on her computer.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
937
3001
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working
on her computer.
In the last 30 days, how much bodily discomfort did [name of person]have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
933
3005
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she
sees them blurred.
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
991
2947
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she
sees them blurred.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
991
2947
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
991
2947
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
989
2949
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time
and picks out most details in pictures from across 20 metres.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
989
2949
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time
and picks out most details in pictures from across 20 metres.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm's length or in reading?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
990
2948
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
989
2949
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
986
2952
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep
again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
985
2953
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep
again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
984
2954
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
988
2950
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20
metres but misses out the fine details.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20
metres but misses out the fine details.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On
these days she is exhausted at work and cannot concentrate on her job.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
988
2950
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On
these days she is exhausted at work and cannot concentrate on her job.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
986
2952
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested
and feels full of energy all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested
and feels full of energy all day.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having
energy)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
980
2958
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.)
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
986
2952
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with
small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
987
2951
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with
small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
986
2952
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of
people, addresses, phone numbers and such details that go back several years.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
986
2952
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of
people, addresses, phone numbers and such details that go back several years.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
985
2953
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never
manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store
by himself.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
983
2955
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never
manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store
by himself.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
985
2953
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom
herself, though less frequently than before. She does not require help with feeding.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
984
2954
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom
herself, though less frequently than before. She does not require help with feeding.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
984
2954
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of
events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
982
2956
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of
events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
983
2955
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that
she has slept in, as changing clothes is too painful. A neighbour helps her wash herself.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
981
2957
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that
she has slept in, as changing clothes is too painful. A neighbour helps her wash herself.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
979
2959
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing
and dressing. He always keeps himself tidy.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
983
2955
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing
and dressing. He always keeps himself tidy.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
979
2959
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
3845
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Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
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HSV Set code
HSV Set code
HSV Set code
HSV Set code
HSV Set code
3931
A
B
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
1962
1976
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
1960
1978
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much of bodily aches and pains would a person in this state
have?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
1962
1976
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
1961
1977
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much of a problem would a person in this state have with
sleeping, such as falling asleep, waking up frequently during the night or
waking up too early in the morning?
1958
1980
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with vigorous
activities, such as running 3 km (or equivalent) or cycling?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with seeing and
recognizing a person he or she knows across the road (i.e. from a distance
of about 20 meters)?
1950
1988
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much of bodily aches and pains would a person in this state
have?
1958
1980
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall how much difficulty would a person in this state have with
moving around?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
feeling sad, low or depressed?
1959
1979
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
moving around?
1959
1979
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
ALC Alcohol dependence
VIS Limited long-distance vision
BAK Chronic lower back pain
BLI Total blindness in both eyes
1960
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 2
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
ALC Alcohol dependence
VIS Limited long-distance vision
BAK Chronic lower back pain
BLI Total blindness in both eyes
1958
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 3
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
ALC Alcohol dependence
VIS Limited long-distance vision
BAK Chronic lower back pain
BLI Total blindness in both eyes
1958
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 4
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
ALC Alcohol dependence
VIS Limited long-distance vision
BAK Chronic lower back pain
BLI Total blindness in both eyes
1957
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
ALC Alcohol dependence
VIS Limited long-distance vision
BAK Chronic lower back pain
BLI Total blindness in both eyes
1955
ALC
AMP
BAK
BLI
VIS
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing yourself?
1960
1978
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall how much of bodily aches and pains would a person in this state
have?
1953
1985
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
1960
1978
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
1952
1986
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself/herself?
1959
1979
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall how much of bodily aches and pains would a person in this state
have?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
1950
1988
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
1957
1981
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
1959
1979
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
1958
1980
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much bodily discomfort would a person in this state have?
1952
1986
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
1956
1982
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
INS Insomnia
ART Arthritis
DEP Major depression
QUA Quadriplegia
1955
AMP
ART
DEP
INS
QUA
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 2
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
INS Insomnia
ART Arthritis
DEP Major depression
QUA Quadriplegia
1955
AMP
ART
DEP
INS
QUA
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 3
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
INS Insomnia
ART Arthritis
DEP Major depression
QUA Quadriplegia
1953
AMP
ART
DEP
INS
QUA
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 4
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
INS Insomnia
ART Arthritis
DEP Major depression
QUA Quadriplegia
1955
AMP
ART
DEP
INS
QUA
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE BEST (TOP CARD), TO RANK FIVE AS THE WORST (BOTTOM CARD).
HEALTH STATE CODES
AMP Below the knee amputation
INS Insomnia
ART Arthritis
DEP Major depression
QUA Quadriplegia
1954
AMP
ART
DEP
INS
QUA
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
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Time begin section 4000
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Currently smoke
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes?
Show tobacco list to respondent:
Think of any tobacco products the respondent is smoking and / or using currently. Each country will update Appendix D/1 adding the tobacco products specific for the country. If the answer is “Yes but not daily”(2) or “No, not at all” (5), Go to next section, question Q4010.
3909
29
1
Daily
2
Yes, but not daily
5
No, not at all
Sysmiss
How many years
How many years
How many years
How many years
How many years
For how many years are you been smoking daily?
This question is for daily smokers / users of tobacco products only. We ask respondents the number of years they have been smoking or using any tobacco products daily up to now.
186
3752
65
15.892
13.986
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
On average, how many manufactured cigarettes do you smoke each day?
Use Appendix A4.1 and specify the number of each tobacco product respondent is smoking and / or using each day.
158
3780
25
3.494
3.202
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
On average, how many hand-rolled cigarettes do you smoke each day?
Use Appendix A4.1 and specify the number of each tobacco product respondent is smoking and / or using each day.
101
3837
30
2.01
4.058
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
On average, how many pipefuls of tobacco do you smoke each day?
Use Appendix A4.1 and specify the number of each tobacco product respondent is smoking and / or using each day.
87
3851
1
0.0345
0.184
other tobacco
other tobacco
other tobacco
other tobacco
other tobacco
On average, how many other tobacco products do you smoke each day? (excluding manufactured cigarettes, hand-rolled cigarettes, pipefuls of tobacco)
Use Appendix A4.1 and specify the number of each tobacco product respondent is smoking and / or using each day.
102
3836
20
1.078
2.643
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
Have you ever consumed a drink that contains alcohol (such as beer, wine, etc.)?
Think of any drinks that contains alcohol at any time in life. Use Appendix A4.2. If the answer is “Never”(5), Go to next section, Q4020.
3909
29
1
Yes
5
Never
Sysmiss
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many standard drinks of any alcoholic beverage did you have on Monday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1459
2479
50
0.806
2.589
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many standard drinks of any alcoholic beverage did you have on Tuesday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1436
2502
50
0.689
2.265
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many standard drinks of any alcoholic beverage did you have on Wednesday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1428
2510
50
0.674
2.281
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many standard drinks of any alcoholic beverage did you have on Thursday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1427
2511
50
0.676
2.384
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many standard drinks of any alcoholic beverage did you have on Friday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1428
2510
50
0.67
2.194
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many standard drinks of any alcoholic beverage did you have on Saturday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1443
2495
50
0.704
2.089
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many standard drinks of any alcoholic beverage did you have on Sunday?
Think of the past week, only. A “standard drink” is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol.
1443
2495
50
0.765
2.24
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of fruit do you eat on a typical day?
Think of any fruit using the “Nutrition card”. By “typical day” we mean on a typical day when a person is eating fruit and not the average over the period of enquiry.
3874
64
50
3.991
4.147
1
2
3
4
5
6
7
8
9
10
12
14
15
16
18
20
25
30
40
50
Sysmiss
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of vegetables do you eat on a typical day?
Think of any vegetables using the “Nutrition card”. By “typical day” we mean on a typical day when a person is eating vegetables and not the average over the period of enquiry.
3860
78
50
2.554
2.009
1
2
3
4
5
6
7
8
9
10
11
12
14
15
20
42
50
Sysmiss
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.
Now, think about all the vigorous activities which take hard physical effort that you did in the last 7 days. Vigorous activities make you breathe much harder than normal and may include heavy lifting, digging, aerobics, or fast bicycling.
Think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do vigorous physical activities?
The respondent should think of activities undertaken in the past 7 days – that is the 7 days preceding the interview. Culturally relevant examples of vigorous activity undertaken in the different domains (e.g., heavy yard work, sports, work) should be substituted to illustrate the range of activities that can be considered. Examples should represent different kinds of physical activities considered most typical for a country and that represents an intensity of at least greater than 6 METs [see Appendix A4.4 and Compendium of physical activities: an update of activity codes and MET intensities. Ainsworth AE. et al., Medicine & Science in Sports & Exercise 2000; 32(9 Suppl):S498-S504. Each country will update Appendix D/4 adding the examples of vigorous physical activities specific for the country.
Respondents may be unclear as to what is meant by “vigorous”. Repeat the following definition if required “vigorous activities take hard physical effort, make you breathe much harder than normal, examples include [use culturally relevant examples and show card].
Response range is 0-7 days per week. If the answer is “Zero”, record “0” and Go to Q4033.
3686
252
1
2
3
4
5
6
7
Sysmiss
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
How much time did you usually spend doing vigorous physical activities on one of those days? (in hours per day)
The respondent should think of one of those days in which they did vigorous activity during the past 7 days and give an estimate of the total time they spent doing vigorous activities on that day. The respondent should think of only activities undertaken for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the respondent says each day was very different, ask them to estimate the usual or average time spent doing vigorous activities on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
1529
2409
20
3.858
2.709
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time did you usually spend doing vigorous physical activities on one of those days? (in minutes per day)
The respondent should think of one of those days in which they did vigorous activity during the past 7 days and give an estimate of the total time they spent doing vigorous activities on that day. The respondent should think of only activities undertaken for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the respondent says each day was very different, ask them to estimate the usual or average time spent doing vigorous activities on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
738
3200
59
18.743
15.397
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
Now think about activities which take moderate physical effort that you did in the last 7 days. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, bicycling at a regular pace, or doubles tennis. Do not include walking. Again, think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do moderate physical activities?
The respondent should think of activities undertaken in the past 7 days – that is the 7 days preceding the interview. Culturally relevant examples of moderate-intensity activities undertaken in the different domains (e.g., heavy yard work, sports, work) should be substituted. Examples should represent different kinds of physical activities considered most typical for a country and that represents an intensity of between 3 – 6 METs [see Appendix D/4 and Compendium of physical activities: an update of activity codes and MET intensities. Ainsworth AE. et al., Medicine & Science in Sports & Exercise 2000; 32(9 Suppl):S498-S504. Each country will update Appendix A4.4 adding the examples of vigorous physical activities specific for the country.
Response range is 0-7 days per week. If the answer is “Zero”, enter “0” and go to Q4036.
3810
128
1
2
3
4
5
6
7
Sysmiss
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
How much time did you usually spend doing moderate physical activities on one of those days? (hours per day)
The respondent should think of one of those days in which they did moderate activity during the past 7 days and give an estimate of the total time they spent doing moderate activities on that day. The respondent should think of only activities undertaken for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the
respondent says each day was very different, ask them to estimate the usual or average time spent doing vigorous activities on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
2368
1570
20
3.372
2.617
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time did you usually spend doing moderate physical activities on one of those days? (minutes per day)
The respondent should think of one of those days in which they did moderate activity during the past 7 days and give an estimate of the total time they spent doing moderate activities on that day. The respondent should think of only activities undertaken for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the
respondent says each day was very different, ask them to estimate the usual or average time spent doing vigorous activities on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
1243
2695
59
20.381
15.441
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
Now think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you might do solely for recreation, sport, exercise, or leisure.
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
The respondent should think of how much walking he/she did in the past 7 days – that is the 7 days preceding the interview. Walking undertaken at work and at home, walking to travel from place to place, and any other walking done for recreation should be included.
Response range is 0-7 days per week. If the answer is “Zero”, enter “0” and go to Q4040.
3873
65
7
5.562
2.183
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
How much time did you usually spend walking on one of those days? (in hours per day)
The respondent should think of one of those days in which they walked during the past 7 days and give an estimate of the total time they spent walking on that day. Walking must have lasted for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the respondent says each day was very different, ask them to estimate the usual or average time spent walking on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
2303
1635
20
2.603
2.934
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
How much time did you usually spend walking on one of those days? (in minutes per day)
The respondent should think of one of those days in which they walked during the past 7 days and give an estimate of the total time they spent walking on that day. Walking must have lasted for at least 10 minutes duration. The maximum hours in a day is 24 and the maximum minutes in a day is 1440. The interviewer should check for any implausible responses. If the respondent says each day was very different, ask them to estimate the usual or average time spent walking on a day.
The actual response provided by the respondent should be recorded. For example, “120 minutes” is recorded in the minutes response space. “Two hours” should be recorded as “2” in the hours column. A response of “one and a half hours” should be recorded as either “1” in hour column and “30” in minutes column.
2197
1741
59
23.627
14.477
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor does your dwelling / house have?
Think about the different kinds of hard floor such as tile, cement, bricks or wood and about the earth floors.
3888
50
1
Hard floor
2
Earth floor
Sysmiss
Type of wall
Type of wall
Type of wall
Type of wall
Type of wall
What type of wall does your dwelling / house have?
Think about the different kinds of walls and try to specify the material.
3810
128
1
Cement, brick, stone or wood
2
Mud brick
3
Thatch and other
4
Plastic sheet
5
Metal sheet
6
Other
Sysmiss
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
What is the main source of drinking water for members of this household?
Show card to respondent --- see Appendix A4.5 of the Administration Guide.
If the answer is 1, then go to Q4045
3909
29
1
Piped water through house connection or yard
2
Public standpipe
3
Protected tube well or bore hole
4
Protected dug well or protected spring
5
Unprotected dug well or spring
6
Rainwater (into tank or cistern )
7
Water taken directly from pond-water or stream
8
Tanker-truck, vendor
Sysmiss
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get there, get water and come back?
3442
496
1
5
1
Less than 5 minutes
2
Between 5 to 30 minutes
3
Between 30 to 60 minutes
4
Between 60 to 90 minutes
5
More than 90 minutes
20 liter water available
20 liter water available
20 liter water available
20 liter water available
20 liter water available
Are there at least 20 litres of water per person (about one bucket) available per day (for drinking, cooking, personal hygiene etc.) in the household?
3385
553
1
Yes
5
No
Sysmiss
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities does your household use?
Show card to respondent --- see Appendix A4.6 of the Administration Guide
3914
24
1
Flush to piped sewage system
2
Flush to septic tank
3
Pour flush latrine
4
Covered dry latrine (with privacy)
5
Uncovered dry latrine (without privacy)
6
Bucket latrine (where fresh excreta are manually removed)
7
No facilities (open defecation)
8
Other
Sysmiss
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwelling/house?
3829
109
1
Within property / yard, used by single household
2
Within property / yard, used by multiple household
3
Outside property / yard, private
4
Outside property / yard, shared
Sysmiss
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel does your household mainly use for cooking?
Think about the different kinds of fuel and specify. If a fuel not listed is used for cooking, record option “other”. If the answer is gas or electricity then goto Q4050.
3917
21
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Sysmiss
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
What type of cooking stove is used in your house?
Think about different cooking stoves and specify. Examples of stove types on the plastic card can help the interviewee decide. However, please note that stove designs may vary locally. If an entirely different type of cooking stove is used, record option “Other”.
3637
301
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where is cooking usually done?
3632
306
1
In a room used for living or sleeping
2
In a separate room used as kitchen
3
In a separate building used as kitchen
4
Outdoors
Sysmiss
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when it is cold?
If No: Go to Q5000
3872
66
1
Yes
5
No
Sysmiss
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel does your household mainly use for heating?
Think about the different kinds of fuel and specify. If a fuel not listed is used for heating, record option “Other”. If the respondent’s household has the central heating,, record under “Gas” or “Electricity” in the case the respondent knows the type of fuel and under “Other” in the case s/he doesn’t know the type of fuel.
If the answer is gas or electricity then go to 5000.
269
3669
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Sysmiss
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
What type of heating stove is used in your house?
Think about different heating stoves and specify. Examples of stove types on the plastic card can help the interviewee decide. However, please note that stove designs may vary locally. If an entirely different type of heating stove is used, record option “Other”.
Show card to respondent - see Appendix A4.7
212
3726
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
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Ever given birth
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Now I would like to aks you about all the births you have had during your life. Have you ever given birth?
If no, go to Q5100
Interviewer: Include all siblings (e. g. step siblings, born to the same mother). Check sum of Q5102 and Q5103 and ensure equality with (Q5101 minus 1).
INTERVIEWER: IN THE FOLLOWING QUESTION MARK RESPONDENT BY PUTTING IN Q5107 THE VALUE OF ZERO
Now I would like you to list for me details of all your siblings form oldest to youngest (including yourself)
Complete columns for all siblings.
These questions are to be asked of all women respondents of reproductive (18-49) years age.
1184
2754
1
Yes
5
No
Sysmiss
Household roster line number
Household roster line number
Household roster line number
Household roster line number
Household roster line number
Please write line number from Household roster, using numbers
between 0400 and 0413. Line number.
Interviewer: Include all siblings (e. g. step siblings, born to the same mother). Check sum of Q5102 and Q5103 and ensure equality with (Q5101 minus 1).
INTERVIEWER: IN THE FOLLOWING QUESTION MARK RESPONDENT BY PUTTING IN Q5107 THE VALUE OF ZERO
Now I would like you to list for me details of all your siblings form oldest to youngest (including yourself)
Complete columns for all siblings.
3865
73
400
401
402
403
404
405
406
407
408
409
410
411
Sysmiss
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
How many children did your mother give birth to, including you ? No. of
births to natural mother:
Interviewer: Include all siblings (e. g. step siblings, born to the same mother). Check sum of Q5102 and Q5103 and ensure equality with (Q5101 minus 1).
INTERVIEWER: IN THE FOLLOWING QUESTION MARK RESPONDENT BY PUTTING IN Q5107 THE VALUE OF ZERO
Now I would like you to list for me details of all your siblings form oldest to youngest (including yourself)
Complete columns for all siblings.
3909
29
1
17
6.543
2.61
number of preceding births
number of preceding births
number of preceding births
number of preceding births
number of preceding births
How many births did your mother have before you were born? No. of
preceding births:
Interviewer: Include all siblings (e. g. step siblings, born to the same mother). Check sum of Q5102 and Q5103 and ensure equality with (Q5101 minus 1).
INTERVIEWER: IN THE FOLLOWING QUESTION MARK RESPONDENT BY PUTTING IN Q5107 THE VALUE OF ZERO
Now I would like you to list for me details of all your siblings form oldest to youngest (including yourself)
Complete columns for all siblings.
3869
69
13
2.47
2.325
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
How many births did your mother have after you were born? No. of
succeeding births:
Interviewer: Include all siblings (e. g. step siblings, born to the same mother). Check sum of Q5102 and Q5103 and ensure equality with (Q5101 minus 1).
INTERVIEWER: IN THE FOLLOWING QUESTION MARK RESPONDENT BY PUTTING IN Q5107 THE VALUE OF ZERO
Now I would like you to list for me details of all your siblings form oldest to youngest (including yourself)
Complete columns for all siblings.
3886
52
14
3.13
2.446
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
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Arthritis
Arthritis
Arthritis
Arthritis
Arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been diagnosed with arthritis (a disease of the joints)?
The point of this question is to identify individuals with a diagnosed case of arthritis.
Arthritis is a chronic inflammatory disease which affects joints and impairs their functioning. Swelling, redness, heat and pain are the signs of inflammation. There are different forms of arthritis and when diagnosis is made by a doctor or other medical professional the type of arthritis may be specified. However, it is unnecessary here to ask the respondent to remember the exact type of arthritis that was diagnosed. Because of the chronic nature of the condition (that is, because it lasts a long time), the respondent is given an open time frame for recalling the diagnosis. Probe if the respondent is unsure whether they have ever been afflicted with the condition. If the respondent seems not to understand the term "arthritis" explain that this is a disease of joints (such as in the arms, hands, legs or feet).
3907
31
1
Yes
5
No
8
Do not know
Sysmiss
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been treated for it (referring to the disease asked about question Q6001)?
The purpose of this question is to find out if the respondent has been treated for disease referred to in the preceding question (arthritis). The information will help to identify which groups of persons are being underserved by the health care system. This question should be asked to all respondents, even if the response to the preceding question is negative. There could be situations when someone is treated without a definitive diagnosis. As in the case of the question about the diagnosis (6000), the respondent is given an open time frame for recall. The respondent may have had a diagnosis in the past and may have been treated for it. If so, the respondent may not have symptoms of the disease anymore. This is important to know in order to better understand the responses to the symptomatic questions in this section related to each particular condition.
3883
55
1
Yes
5
No
8
Do not know
Sysmiss
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6001) during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for arthritis. The question should be asked to all respondents, regardless of the answer to the preceding two questions about the diagnosis and past treatment. The question aims to separate those individuals who are under current treatment for a condition from those who are not being treated Note that the time frame for this question is specified as treatment in the last 2 weeks. This time frame is considered best for getting information about the ongoing or regular character of treatment. An answer of “yes” is appropriate only if the respondent was taking medications for arthritis at any time during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
3868
70
1
Yes
5
No
8
Do not know
Sysmiss
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced pain, aching, stiffness or swelling in or around the joint, which were not related to an injury and lasted more than a month?
Pain, aching (continuos dull pain), stiffness (rigidity, firmness, and inflexibility) and swelling in the joint are most common and frequent symptoms of arthritis. It is possible that the same symptoms, but of a transitory character, may be caused by an injury. Therefore it is important to specify for the respondent that the question asks about the symptoms of a regular character (lasting for at least a month) and not related to an injury.
3900
38
1
Yes
5
No
Sysmiss
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced stiffness in the joint in the morning after getting up from bed or after a long rest of the joint without movement?
The point of this question is to determine if the respondent feels rigidity, firmness, and inflexibility in the joint after a long period of resting, which is very characteristic of osteoarthritis. If the respondent does not have stiffness skip the following two questions about the length of the stiffness and whether it is relieved with exercise and go to question 6007.
3900
38
1
Yes
5
No
Sysmiss
length of stiffness
length of stiffness
length of stiffness
length of stiffness
length of stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
How long does this stiffness last?
This question is only asked to respondents who answered yes to question 6004. The purpose is to differentiate stiffness caused by osteoarthritis from stiffness associated with other conditions. Stiffness associated with osteoarthritis usually disappears in about 30 minutes or less.
687
3251
1
About 30 minutes or less
2
More than 30 minutes
Sysmiss
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
Does the stiffness go away after exercise or movement in the joint?
This question is only asked to respondents who answered yes to question 6004. The purpose is to differentiate stiffness from osteoarthritis from other types of stiffness. The interviewer should make sure that the respondent does not interpret the word "exercise" strictly as an intense work-out or training. The meaning of exercise here is broader and includes any movement, such as usual tasks and daily activities that involve movement. If the respondents seems unsure, or replies that he/she does not exercise, the interviewer should clarify that this refers to any kind of everyday physical activity.
682
3256
1
Yes
5
No
Sysmiss
Back Pain
Back Pain
Back Pain
Back Pain
Back Pain
Have you experienced back pain (including disc problems) during the last 30 days?
The intention of this question is to identify people who have back pain that could be related either to osteoarthirits or other problems such as trauma and disc displacement in the spine. This question should be asked to everyone.
If no, go to Q6009.
3893
45
1
Yes
5
No
Sysmiss
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have this back pain during the last 30 days?
This question is only asked to respondents who reported experiencing back pain during the last 30 days. The intention is to distinguish a back pain caused by a mild temporary problem, such as muscle strain, from a more serious problem related to the disease of spine and the spine joints. Record the number of days (to a maximum of 30 days) as mentioned. The answer does not need to ascertain the exact amount of time (for example, if the respondent says they had back pain for about two weeks, record "14" days).
846
3092
1
30
11.857
10.58
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
This question serves to identify individuals with a diagnosed case of angina (also called angina pectoris or ischaemic hearth disease). Angina is a temporary pain in the chest that can radiate to other parts of the upper body, mainly to the left arm. Some persons with angina may experience increasingly severe episodes that can lead to a heart attack. Angina can be controlled by lifestyle changes, prescription drugs, or surgery. If the respondent does not understand the term “angina”, the interviewer may describe the condition as “heartrelated chest pain”.
As with any chronic condition - one that lasts a long time - the respondent is given an open time frame for recalling the diagnosis.
3906
32
1
Yes
5
No
8
Do not know
Sysmiss
Angina treated
Angina treated
Angina treated
Angina treated
Angina treated
Have you ever been treated for it (referring to the disease asked about in question Q6009)?
The purpose of this question is to find out if the respondent has been treated for disease referred to in the preceding question (angina). This question should to all respondents. In the case of the question about the diagnosis of the disease, the respondent is given an open time frame for recall. The respondent may have had a diagnosis in the past and may have been treated for it. If so, the respondent may not have symptoms of the disease
anymore. This is important to know in order to better understand the responses to the symptomatic questions in this section about angina.
3871
67
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6009) during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for angina. The question should be asked to all respondents, regardless of the answer to the preceding two questions about diagnosis and past treatment. The question aims to separate those individuals who are under current treatment for a condition from those
who are not being treated. Note the time frame for this question (the last 2 weeks). An answer of “yes” is appropriate only if the respondent was taking medications for angina at any time during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
3866
72
1
Yes
5
No
8
Do not know
Sysmiss
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk uphill or hurry?
Chest pain is the most frequent symptom of angina. It usually occurs during an increased physical activity (such as walking uphill, stairs, carrying heavy things, etc) when body needs more active blood circulation. This pain is referred to as “exertional” pain. Many patients do not have pain if they are resting or performing very mild physical activity. Such pain may be described in a number of different ways, such as a squeezing pain, squeezing pressure, tightness, ache or heaviness in the chest. The interviewer should probe with local terms to make sure to capture all unpleasant sensations that the respondent may have. If the respondent responds he/she never hurries or walks uphill (because of poor mobility or any other reason), then record “Never walks uphill or hurries”.
3819
119
1
Yes
5
No
9
Never walks uphill or hurries
Sysmiss
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk at an ordinary pace on level ground?
If the respondent has neither exertional pain nor pain at rest or mild physical activity (questions Q6012 and Q6013), then questions Q6014, Q6015, and Q6016 should not be asked.
Some individuals who are suffering from angina pectoris may get chest pain not only during an increased physical activity but also at rest or a mild physical activity (such as walking at an ordinary pace on level ground, etc).
If Q6012 and Q6013 No: Go to Q6017.
3847
91
1
Yes
5
No
Sysmiss
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
What do you do if you get the pain or discomfort when you are walking?
This question is only asked to respondents who answered yes to either question 6012 or 6013, that is reported experiencing chest pain in the last 12 months. The purpose is to distinguish the different types of chest pain. One of the characteristics of angina-related pain is that it decreases or disappears with lower levels of physical activity. Persons with angina tend to slow down or stop what they are doing to get rid of the pain. Another
option is to take a small white tablet that dissolves in the mouth and does not need to be swallowed (called nitro-glycerine). It is also possible that persons with chest pain will simply carry on with what they were doing, taking no specific action. The interviewer should read the three response options to the respondent and record the action taken most often.
490
3448
1
Stop or slow down
2
Carry on after taking a pain relieving medicine
3
Carry on
Sysmiss
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
If you stand still, what happens to the pain or discomfort?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The point is to find out what happens to the pain when the respondent reduces or stops physical activity. There are two response options for this question: "relieved" or "not relieved". The
interviewer should read out the two response options to the respondent. If the respondent says that the pain usually increases, the interviewer should record "not relieved".
468
3470
1
Relieved
2
Not relieved
Sysmiss
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
391
3547
1
Yes
5
No
Sysmiss
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
263
3675
1
Yes
5
No
Sysmiss
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
232
3706
1
Yes
5
No
Sysmiss
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
220
3718
1
Yes
5
No
Sysmiss
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Have you ever been diagnosed with asthma (an allergic respiratory disease)?
This question serves to identify individuals with a diagnosed case of asthma (sometimes called an allergic respiratory disease). Asthma is a condition that affects the airways (bronchi/bronchioles) – the small tubes that carry air in and out of the lungs. In asthma, the airways of the lungs become either narrowed or completely blocked, impeding normal breathing. This obstruction of the lungs is reversible, either spontaneously or with medication. Asthma can be very different from one person to another and from one episode (attack) to another. For some, asthma causes only mild symptoms once in a
while. For others, every day can be a struggle to breathe. Some asthma attacks last only a few minutes while others go on for days. Severity also varies, with some asthma attacks being only mild while others can quickly become life threatening.
Because of the chronic (or long-term) nature of the condition, the respondent is given an open time frame for having received the diagnosis. Probe if the respondent is unsure whether they have ever been afflicted with the condition. Record as response "yes" if they recall ever having been told by a health care provider of having asthma, or of ever having had respiratory problems which they were later told by a qualified health care provider as being asthmatic attacks.
3911
27
1
Yes
5
No
8
Do not know
Sysmiss
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Have you ever been treated for it (referring to the disease asked about in Q6017)?
The purpose of this question is to find out if the respondent has ever been treated for asthma.
See the explanation for question Q6001.
3899
39
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Have you been taking any medications or other treatment for it (referring to the disease asked about in Q6017), during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for asthma. An answer of “yes” is appropriate only if the respondent was taking any prescription medications for asthma (including using an inhaler to promote opening of airways) during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
See the explanation for question Q6002.
3871
67
1
Yes
5
No
8
Do not know
Sysmiss
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced attacks of wheezing or whistling breathing?
Wheezing is the most common symptom of asthma. Wheezing can be described as winded breathing, especially with a whistling or rattling or hissing sound as the person breathes out. The episode can last a few minutes or several hours.
3903
35
1
Yes
5
No
Sysmiss
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced an attack of wheezing that came on after you stopped exercising or some other physical activity?
The purpose of this question is to distinguish wheezing attacks due to asthma from other breathing problems. Very often wheezing occurs after physical activity among persons with asthma. The wheezing may go away when the person rests.
3905
33
1
Yes
5
No
Sysmiss
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced feeling of tightness in your chest?
Tightness in the chest can be described as a sensation as if a person’s lungs and other organs located in the chest were compressed, as if they could not fit in the chest. Feeling of tightness in the chest could precede an asthmatic attack.
3907
31
1
Yes
5
No
Sysmiss
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you woken up with a feeling of tightness in your chest in the morning or at any other time?
The purpose of this question is to distinguish feeling of tightness in the chest caused by asthma from other types of health problems. The episode can last a few minutes or several hours. This question asks for specific reference to the time and the situation when the symptom occurs. It is characteristic for asthma to cause the feeling of tightness in the chest upon waking up.
3905
33
1
Yes
5
No
Sysmiss
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or doing some physical activity?
The purpose of this question is to distinguish problems with shortness of breath caused by asthma from other health conditions. It is important that the interviewer focuses on whether the onset of shortness of breath occurred while the person was at rest, without any obvious trigger.
3907
31
1
Yes
5
No
Sysmiss
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
During the last 12 months, have you ever been diagnosed with depression?
This question serves to identify individuals with a diagnosed case of depression (mood disorder or anxiety). Although depression is common, it often goes undetected because it may be attributed to a person’s physical, social or economic difficulties. If left untreated, it can lead to a poor quality of life and even suicide. Treatments for depression can
include medication and counselling.
(See explanation for question Q6000.)
3902
36
1
Yes
5
No
8
Do not know
Sysmiss
Depression treated
Depression treated
Depression treated
Depression treated
Depression treated
During the last 12 months, have you ever been diagnosed with depression?
Have you ever been treated for it? (referring to condition asked in Q6025)
The purpose of this question is to find out if the respondent has ever been treated for depression.
See the explanation for question Q6001.
3893
45
1
Yes
5
No
8
Do not know
Sysmiss
medication for depression
medication for depression
medication for depression
medication for depression
medication for depression
During the last 12 months, have you ever been diagnosed with depression?
Have you been taking any medications or other treatment for it in the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for depression. An answer of “yes” is appropriate only if the respondent was taking any medications for depression during the last two weeks, or received some other kind of treatment such as attending a psychological therapy or counselling session (often referred to as "therapy" or "psychotherapy") with a trained health professional during the last two
weeks.
See the explanation for question Q6002.
3874
64
1
Yes
5
No
8
Do not know
Sysmiss
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you felt sad, empty or depressed?
The emphasis is on a period that lasted several days (not just one or two days). The interviewer might need to prompt for a number of words that may be equivalent to the symptoms “sad, empty or depressed” – such as “blue”, “tearful”, “with no feelings inside”, “down in the dumps”, “low”, “rock bottom” or “gloomy”.
3908
30
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as hobbies, personal relationships or work?
The emphasis is on a period that lasted several days (not just one or two days), where the person lost interest and had no pleasurable feelings in things usually enjoyed.
3908
30
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time?
The emphasis is on a period that lasted several days (not just one or two days), where the person felt having had less energy than usual and experienced marked tiredness even after minimum effort.
If the answer to Q6028, Q6029, Q6030 is “no”, the interviewer may skip the following four questions and go to question 6035, with the understanding that Q6031-Q6034 will be not applicable or answer is the negative.
3908
30
1
Yes
5
No
8
Do not know
Sysmiss
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] more than 2 weeks?
The emphasis is on the period of having had the symptoms for 2 weeks or longer. The intent is to find out whether the period of low mood/energy was related to depression (still present after 2 weeks).
1163
2775
1
Yes
5
No
Sysmiss
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
The emphasis is on the symptoms of low mood/energy being present for most of the day (not just one or two hours), and occurring nearly every day (not just one or two days) over an extended period.
1169
2769
1
Yes
5
No
Sysmiss
loss of appetite
loss of appetite
loss of appetite
loss of appetite
loss of appetite
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you lose your appetite?
This question is only asked to those respondents who responded “yes” to having either of the symptoms described in Q6029 or Q6030 (loss of interest/low energy). This question seeks to determine whether the respondent had the symptom of much smaller appetite than usual, accompanied by low mood/energy. In many cases loss of appetite is usually accompanied by weight loss.
1162
2776
1
Yes
5
No
Sysmiss
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you notice any slowing down in your thinking?
This question is only asked to those respondents who responded “yes” to having either of the symptoms described in Q6029 or Q6030 (loss of interest/low energy). By slowing down we mean thoughts that are coming much more slowly than usual. The person needs more time to think, make decisions, making up his/her mind and react to events.
1161
2777
1
Yes
5
No
Sysmiss
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
The purpose of this question is to identify individuals with psychosis such as schizophrenia which is widely recognised as a serious mental problem. Appropriate words should be used in the local language to describe this mental condition that is associated with symptoms that change a person's behaviour, thinking or perceptions.
Behavioural changes are usually noticed by other people, while changes in thinking and perceptions can be identified only by interviewing the individual with the condition. Schizophrenia is often a chronic disease. It may have long periods of
remission between active episodes.
See the explanation for question Q6000 with regard to general aspects of self report for all chronic conditions.
3908
30
1
Yes
5
No
8
Do not know
Sysmiss
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
Have you ever been treated for it ? (referring to the condition asked about in Q6035)
See the explanation for question Q6001
3903
35
1
Yes
5
No
8
Do not know
Sysmiss
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Have you been taking any medications or other treatment for it during the last 2 weeks?
See the explanation for question Q6002
3877
61
1
Yes
5
No
8
Do not know
Sysmiss
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that something strange and unexplainable was going on that other people would find hard to believe?
Individuals with schizophrenia and related psychoses have experiences where the familiar environment appears changed, as if having a special significance for them, often in a threatening or puzzling way. The patient feels that these changes are difficult to describe or explain and may seek an explanation based on a misinterpretation of ordinary observations. The focus in this question should be placed on words "strange" and "unexplainable".
3903
35
1
Yes
5
No
8
Do not know
Sysmiss
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that people were too interested in you or there was a plot to harm you?
Patients with schizophrenia and related psychoses incorrectly attribute special significance to people, objects or events and are convinced that this special significance refers to them. They may believe that they are being observed, followed or being harmed in some way.
3899
39
1
Yes
5
No
6
Do not know
Sysmiss
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that your thoughts are being directly interfered or controlled by another person, or your mind was being taken over by strange forces.
Patients with schizophrenia sometimes are convinced that they have some thoughts in their mind which are note their own: that some special mechanisms are installed in their house (walls, floor, ceiling, TV, Radio, etc.), personal objects (glasses, hat, etc), or the body, that control their mind, read their thoughts. They may also feel that their thoughts
are being extracted from their minds or somehow being made public. The purpose of the question is to find out if the respondent has any such unusual experiences.
3905
33
1
Yes
5
No
8
Do not know
Sysmiss
Hallucinations
Hallucinations
Hallucinations
Hallucinations
Hallucinations
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
An experience of seeing visions or hearing voices that others could not see or hear when you were not half asleep, dreaming or under the influence of alcohol or drugs?
These kind of symptoms are called hallucinations. The patient sees non-existent objects, people, scenes and hears sounds, voices or music that are not there, as vividly and lucidly as normal people perceive the reality around them. No ordinary explanation seems possible for these experiences.
3904
34
1
Yes
5
No
8
Do not know
Sysmiss
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
This question serves to identify individuals with a diagnosed case of diabetes or diabetes mellitus (sometimes called “high blood sugar”). Diabetes is a chronic (or long-term) condition whereby a person’s pancreas has problems producing insulin. Insulin is necessary to turn the sugars and starches that people eat into glucose (a simple sugar), to help regulate the body’s blood sugar levels. People with diabetes eventually develop a high blood sugar
level, which can lead to blood vessel abnormalities that can cause damage to the kidneys, nerves and heart. While diabetes cannot be cured, it can be successfully treated. Weight control, regular exercise and reducing sugar intake are important factors in lowering blood sugar levels.
See question note Q6000.
3902
36
1
Yes
5
No
8
Do not know
Sysmiss
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
Have you been treated for it? (referring to the condition asked about in Q6042)
The purpose of this question is to find out if the respondent has ever been treated for diabetes.
See the question note Q6001.
3896
42
1
Yes
5
No
8
Do not know
Sysmiss
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Have you been taking insulin, or any other blood sugar lowering medications in the last 2 weeks?
The purpose of this question is to find out if the respondent is currently under treatment for diabetes other than taking medications. Persons with diabetes can take doses of insulin to help control their blood sugar levels. An answer of “yes” is appropriate only if the respondent was taking insulin or any other medications for diabetes during the last two weeks, and not if the person says he or she usually takes medications but for some reason
did not during the given period.
(See question note Q6002.)
3892
46
1
Yes
5
No
8
Do not know
Sysmiss
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Are you following a special diet, exercise regime or weight control program for diabetes?
The purpose of this question is to find out if the respondent is currently under treatment for diabetes other than taking medications. Appropriate treatment of diabetes is not limited to drug therapy. Other important measures include weight control, regular exercise, and following a special low-fat diet to reduce sugar intake. The interviewer should prompt whether the respondent has been following any of these measures as a form of treatment for diabetes, such as having been told to do so by a health care provider.
3872
66
1
Yes
5
No
8
Do not know
Sysmiss
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you experienced cough that lasted for 3 weeks or longer?
Cough is a very common symptom which could be associated with many illnesses. However if the cough is persistent and lasts for more than 3 weeks without the signs of common cold, there is a chance that it might be cause by tuberculosis.
3907
31
1
Yes
5
No
Sysmiss
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you had blood in your phlegm, or have you coughed blood?
Coughing blood, or having blood in the sputum or phlegm, is a symptom that is very specific to tuberculosis. If the respondent is unsure of the meaning of phlegm, explain that this is the substance spit out from a deep cough (or use another term in local colloquial language).
3911
27
1
Yes
5
No
Sysmiss
had a TB test
had a TB test
had a TB test
had a TB test
had a TB test
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
In the last 12 months, have you had a tuberculosis (TB) test, I mean has a doctor examined your sputum or made an X-ray of your chest?
Detection of TB is very important. Many cases are undetected which leads to the death of a person with TB. There are several methods of detecting TB. The most common are examination of the sputum (that is, when a health care provider takes a sample of the substance spit out from a deep cough and sends it to a laboratory for analysis) and X ray of the chest.
3905
33
1
Yes
5
No
Sysmiss
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
We are interested in knowing about the availability and use of certain medicines and drugs. Remember that whatever information you give me is confidential and will only be used for research purposes.
Do you keep any medicines or drugs in the house?
This question serves as a way to introduce the section and to screen out respondents that do not usually keep medicines at home.
If No: Go to Q6300
3904
34
1
Yes
5
No
Sysmiss
may I see medications
may I see medications
may I see medications
may I see medications
may I see medications
May I see what drugs or medicines you personally have been using in the last two weeks?
This question is only asked to respondents who reported keeping any medicines at home. This question refers to any drugs or medicines, whether prescribed by a health professional or not, that the respondent is currently using for a health condition. The question also serves to screen out those who are not currently taking any drugs or medicines. The interviewer should be patient while the respondent looks for their medicines. It is especially important for the interviewer to maintain a good rapport with the respondent, as some respondents may be reluctant to show the contents of their household medicine cabinet.
If No or Refuse: Go to Q6300
901
3037
1
Yes
5
No
Sysmiss
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
41
3897
11
12
11.707
0.461
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
52
3886
1
Yes
5
No
Sysmiss
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
14
3924
11
12
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
16
3922
1
Yes
5
No
Sysmiss
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
5
3933
11
12
11.8
0.447
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
5
3933
1
Yes
5
No
Sysmiss
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
9
3929
21
23
22.222
0.972
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
13
3925
1
Yes
5
No
Sysmiss
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
4
3934
21
22
23
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
4
3934
1
Yes
5
No
Sysmiss
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
21
21
21
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
1
Yes
5
No
Sysmiss
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
8
3930
31
32
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
13
3925
1
Yes
5
No
Sysmiss
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
2
3936
31
32
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
5
3933
1
Yes
5
No
Sysmiss
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
1
Yes
5
No
Sysmiss
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
2
3936
1
Yes
5
No
Sysmiss
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
1
Yes
5
No
Sysmiss
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
61
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
2
3936
1
Yes
5
No
Sysmiss
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
72
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
5
3933
81
82
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
8
3930
1
Yes
5
No
Sysmiss
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
1
3937
1
Yes
5
No
Sysmiss
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
3938
1
Yes
5
No
Sysmiss
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
338
3600
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
400
3538
1
Yes
5
No
Sysmiss
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
136
3802
99
99
99
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
141
3797
1
Yes
5
No
Sysmiss
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
52
3886
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
This question is only asked to respondents who reported keeping any medicines at home to the interviewer. Here the interviewer has to identify the name of the medicine and look it up in the list of medicines. In the list, the medicines are classified into 8 categories which correspond to certain diseases and health conditions. Use the responses to the questions Q6002, Q6011, Q6019, Q6027, Q6037, Q6044 questions to decide where to
focus on the Inventory of medicines and drugs section. This section is intended to record the medication/s in response to the question “Are you taking any medication for (condition reported in the earlier section)?”.
If the respondent reports taking medications for “Asthma” and “Angina”, for instance, then use only Asthma and Angina Medicine and drug list to code the shown drugs. If it happens that the medicine the respondent shows is not on these two lists (Asthma and Angina), don’t code this medicine under “Other”.
For each category, there are several classes of medicines that could be used in the treatment process. The interviewer has to enter the two digit code of the medicine (as indicated in the list) in column "a". If the medicine shown does not correspond to one of the eight specified categories, record the code under “other”.
For each medicine recorded, the interviewer has to ask the respondent if the medicine was prescribed by a medical professional or not. The answer should be appropriately recorded in column "b". The similar information has to be obtained for maximum of 3 medicines for each disease category. Information for the second and third medicines should be entered in columns "c", "d", "e", and "f" as appropriate. If the respondent presents four or more medicines for a given health condition, the interviewer should record the information for only the three most often used medicines for the given condition.
Use Appendix A.6 to prepare the country specific Medicine and drug list.
55
3883
1
Yes
5
No
Sysmiss
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When was the last time you had a pelvic examination? (By pelvic examination, I mean when a doctor or nurse examined your vagina?)
This question is only to be asked to women aged 18 to 69 years. The question has two purposes. First, it introduces the topic of cervical cancer screening with a more general aspect of reproductive health: when the respondent last had a pelvic examination. A woman can only have a PAP smear test within the context of a pelvic examination. Second, it filters out those respondents who either never had a pelvic examination, or only had it over 3 years ago. Only exams that took place within the past 3 years are of interest. The interviewer should ask how long ago the respondent last had a pelvic examination. If the respondent had a pelvic examination but does not remember when exactly the examination took place, the interviewer should probe for the approximate elapsed time since the last examination. Determine if the last exam was WITHIN THE LAST 3 YEARS.
If the respondent had an exam in the last 3 years, proceed to question Q6301. If the respondent did not have an exam in the last 3 years, go to question Q6302. If the respondent is unsure what is meant by a pelvic exam, it is important to read a
description to help her understand. Read the following (or similar) description: “A pelvic examination is when a doctor, nurse, or midwife examines the outside and inside of the vagina. It usually involves passing a speculum into the vagina. The speculum looks a little like a duck's bill and allows the doctor, nurse, or midwife to see inside. Usually the doctor, nurse, or midwife will feel inside the vagina.”
Questions to be asked to FEMALE respondents aged 18-69 only
1891
2047
1
Within the last 3 years
2
4-5 years ago
3
More than 5 years ago
5
NEVER HAD EXAM
8
Do not know
Sysmiss
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
The last time you had the pelvic examination, did you have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside your vagina, take a sample and send it to a laboratory?)
This question is only asked to women aged 18-69 who reported having had a pelvic examination in the last 3 years. The purpose is to identify those respondents who had a PAP smear test. If the respondent is unsure what is meant by PAP smear test, read the following description: “A PAP smear test is when a medical professional uses a swab or stick to wipe cells off from the cervix, the opening lining of the womb (uterus). These cells are then sent to a lab and evaluated to determine if the cells are abnormal. The test is used to screen for cervical cancer at an early stage, but can detect other gynaecologic problems as well.”
Questions to be asked to FEMALE respondents aged 18-69 only
198
3740
1
Yes
5
No
8
Do not know
Sysmiss
Last time mammography
Last time mammography
Last time mammography
Last time mammography
Last time mammography
When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage).
This question is only to be asked to women aged 40 to 69 years. The purpose is to identify when was the last time the respondent had a mammography. Read the following description(s) if the respondent does not understand what is meant by
mammography: “A mammography is a special x-ray of the breasts. It involves standing in front of a machine where each breast is placed between two plastic plates. The plates come together, pressing on the breast to make it as flat as possible. This procedure allows for lumps to be detected by the x-ray, to help detect breast cancer at an early stage.”
Questions to be asked to FEMALE respondents aged 18-69 only
1009
2929
1
Within the last 3 years
2
4-5 years ago
3
more than 5 years ago
5
Never had exam
8
Do not know
Sysmiss
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
When you were pregnant with (NAME), did you see a health care professional to have your pregnancy checked?
This question is only asked to women who had a live birth in the last five years. In order to detect problems association with pregnancy and childbearing, all pregnant women should have routine antenatal check-ups. This question refers to any visits to a health care provider for antenatal care during a woman's pregnancy (specifically to have her pregnancy checked, not for other reasons).
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
857
3081
1
Yes
5
No
8
Do not know
Sysmiss
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
How many times during your pregnancy with (NAME) did you see a health care professional?
This question is only asked to women who received antenatal care for their last pregnancy in the last five years. The respondent may not remember exactly how many antenatal care visits she had. Precision here is not crucial, however the interviewer has try to get the best possible approximation. If the respondent reports a range of numbers, for example 8-10 visits, the interviewer has to probe and ask her to choose one number. Sometimes the respondent may give a frequency of visits rather than the total number, for example "every month", "once in every three weeks", etc. In this situation, the interviewer has to estimate the number visits from the reported frequency.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
743
3195
1
30
5.801
3.043
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
Who did you see most of the time?
This question is only asked to women who received antenatal care for their last pregnancy in the last five years. It is very important that a woman see a qualified health care professional during her pregnancy. The purpose of this question is to determine if the person who the woman saw most of the time during her pregnancy was medically qualified. If the respondent reports having seen more than one type of health care provider, probe for the type of provider most often seen. If the respondent is unsure, prompt by reading out the categories. (NOTE: Coding categories may need to be developed locally and revised based on the pretest, however the main categories must be maintained.)
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
765
3173
1
Doctor
2
Nurse or midwife
3
Auxiliary nurse or midwife
4
Traditional birth attendant
5
Other
8
Do not know
Sysmiss
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Was your blood pressure measured?
The purpose of these questions is to determine the minimal content of the antenatal care visits. For the safety of pregnancy and its outcome not only the number of visits matter, but the type of medical procedures that were performed during those visits. The procedures recommended in these questions are a bare minimum that has to be delivered to a pregnant woman. If the respondent is confused about the meaning of the "blood sample", the interviewer has to explain that this a procedure when a nurse or a doctor takes a small amount of blood from her to check if everything is alright. A response of “yes” is appropriate if the procedures were performed at any time during any antenatal care visit during the course of the woman’s last pregnancy.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
763
3175
1
Yes
5
No
8
Do not know
Sysmiss
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Did you give blood sample?
The purpose of these questions is to determine the minimal content of the antenatal care visits. For the safety of pregnancy and its outcome not only the number of visits matter, but the type of medical procedures that were performed during those visits. The procedures recommended in these questions are a bare minimum that has to be delivered to a pregnant woman. If the respondent is confused about the meaning of the "blood sample", the interviewer has to explain that this a procedure when a nurse or a doctor takes a small amount of blood from her to check if everything is alright. A response of “yes” is appropriate if the procedures were performed at any time during any antenatal care visit during the course of the woman’s last pregnancy.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
759
3179
1
Yes
5
No
8
Do not know
Sysmiss
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Were you told about the signs of pregnancy complications and what you should do if they occur?
The purpose of these questions is to determine the minimal content of the antenatal care visits. For the safety of pregnancy and its outcome not only the number of visits matter, but the type of medical procedures that were performed during those visits. The procedures recommended in these questions are a bare minimum that has to be delivered to a pregnant woman. If the respondent is confused about the meaning of the "blood sample", the interviewer has to explain that this a procedure when a nurse or a doctor takes a small amount of blood from her to check if everything is alright. A response of “yes” is appropriate if the procedures were performed at any time during any antenatal care visit during the course of the woman’s last pregnancy.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
750
3188
1
Yes
5
No
8
Do not know
Sysmiss
HIV counseling
HIV counseling
HIV counseling
HIV counseling
HIV counseling
During your antenatal care visits for your pregnancy with (NAME), were you given any information or counselled about HIV, the virus that causes AIDS?
This question is only asked to women who received antenatal care for their last pregnancy in the last two years. AIDS is an illness caused by the HIV virus, which weakens the immune system and leads to death through secondary infections, such as pneumonia. It is transmitted sexually or through contact with contaminated blood. It can also be transmitted from a mother to a child during pregnancy, during delivery or by breast feeding. Information on voluntary HIV counselling and testing helps to assess efforts to curb mother-to-child transmission of HIV and improve the health of mothers and babies. This question asks about counselling offered during antenatal care visits and tries to get an idea of how mother-to-child transmission is being addressed.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
548
3390
1
Yes
5
No
Sysmiss
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
Was HIV testing offered to you at any time during your visit(s)?
This question is only asked to women who received antenatal care for their last pregnancy in the last two years. This question asks specifically whether HIV testing was offered. In many societies there is a level of stigma around mothers who are HIVpositive, so it is important to read the question as written and stress the confidentiality of responses. Preface the question by saying, "I do not want to know the results of the test".
If No: Go to Q6410
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
550
3388
1
Yes
5
No
Sysmiss
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Did you agree to be tested for HIV during any of your visits?
This question is only asked to women who were offered HIV testing during antenatal care in the last two years. This question asks whether the woman agreed to take an HIV test.
If No: Go to Q6410
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
35
3903
1
Yes
5
No
Sysmiss
Received results of test
Received results of test
Received results of test
Received results of test
Received results of test
Did you receive the results of the test?
This question is only asked to women who received HIV testing during antenatal care in the last two years. This question asks whether the woman received the results of the test. Do not ask what was the result of the test itself.
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
24
3914
1
Yes
5
No
Sysmiss
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A doctor?
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
450
3488
1
Yes
5
No
Sysmiss
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A nurse or midwife?
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
463
3475
1
Yes
5
No
Sysmiss
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? An auxiliary nurse or midwife (including student nurses, nurses' aides, etc.)
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
341
3597
1
Yes
5
No
Sysmiss
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A traditional birth attendant
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
464
3474
1
Yes
5
No
Sysmiss
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A relative/friend with no medical training
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
392
3546
1
Yes
5
No
Sysmiss
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
341
3597
1
Yes
5
No
Sysmiss
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? No one
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
354
3584
1
5
Sysmiss
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
This question identifies the person(s) who assisted the woman during delivery. Probe if she is not sure of the status of the person who attended the delivery (for example, she is not sure if the person was a midwife or a traditional birth attendant). If the woman first mentions that a relative or friend attended, probe for whether this person is a trained health worker. Record all persons she says attended her.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
334
3604
1
5
Sysmiss
where given birth
where given birth
where given birth
where given birth
where given birth
Where did you give birth to (NAME)?
A large number of maternal deaths and new born deaths occur because of untreated or inadequately treated complications arising during delivery. This question specifies whether the delivery took place in a health facility, and will help identify groups that are under served by the health care system.
If the delivery was in a hospital or other health facility, ask if it was government operated or private.
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
798
3140
1
Hospital or maternity house
2
Other type of health facility
3
At home
4
Outside
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private?
If the woman gave birth in a health facility, determine whether the place is in the public sector (run by the government) or in the private sector (run either for-profit or not-for-profit, including those run by religious or charitable organizations).
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
593
3345
1
Government operated
2
Private (including for profit and not for profit)
8
Do not know
Sysmiss
Name
Name
Name
Name
Name
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
The purpose of these questions is to make sure that the interviewer gets the information about the youngest child in the household, whether related to the respondent or not, and determines the date of birth (month and year)and sex of the child. The interviewer should refer to this name for all questions in this section (Q6504-Q6565, and in malaria endemic areas Q6566-Q6570).
Questions to be asked to households with children under 5 years.
1804
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
The purpose of these questions is to make sure that the interviewer gets the information about the youngest child in the household, whether related to the respondent or not, and determines the date of birth (month and year)and sex of the child. The interviewer should refer to this name for all questions in this section (Q6504-Q6565, and in malaria endemic areas Q6566-Q6570).
Questions to be asked to households with children under 5 years.
1696
2242
1
Male
2
Female
Sysmiss
date
date
date
date
date
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
The purpose of these questions is to make sure that the interviewer gets the information about the youngest child in the household, whether related to the respondent or not, and determines the date of birth (month and year)and sex of the child. The interviewer should refer to this name for all questions in this section (Q6504-Q6565, and in malaria endemic areas Q6566-Q6570).
If child aged over 5 years (born December 1997 or earlier): Go to Q6600
Questions to be asked to households with children under 5 years.
3938
.
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1998
04/1999
04/2000
04/2001
04/2002
04/2003
05/1998
05/1999
05/2000
05/2001
05/2002
05/2003
06/1996
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
07/2003
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1998
09/1999
09/2000
09/2001
09/2002
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1997
11/1998
11/1999
11/2000
11/2001
11/2002
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
relationship
relationship
relationship
relationship
relationship
What is your relationship with this child?
It is important to ask this question in order to better understand the respondent's responses. The interviewer has to record appropriately the respondent's relationship with
the child.
Questions to be asked to households with children under 5 years.
1754
2184
1
Parent
2
Grand Parent
3
Brother or sister
4
Other relative
5
Not related
Sysmiss
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
Do you have a card where (NAME)’s vaccinations are written down? If YES: May I see it?
Information on the immunisations of children born in the last five years is collected to ascertain the level of coverage, and hence the level of protection against specific diseases. The data are also used to help determine groups that are underserved by the health care system or are not benefiting from immunisation programmes.
The World Health Organization recommends that all children receive three doses of DTP vaccine for the prevention of diphtheria, tetanus, and pertussis (whooping cough), as well as a vaccination against measles, before their first birthday. The vaccinations should recorded on a health card given to the parents, which is the main source of information about childhood vaccination.
If the respondent reports having a card for the child, probe “May I see it?” and encourage the respondent to look for the health cards of all eligible children. If the respondent shows the card for a particular child, record “YES, CARD SEEN” and proceed to the next question. If the respondent says they once had a card for the child but don’t any more, or the card is not kept at that residence, or it is otherwise inaccessible during the interview, write “CARD NOT SEEN” and proceed to question Q6505. If the respondent says they do not have a card for the child, record “NO CARD” and Go to question Q6513(please check this to be sure).
Questions to be asked to households with children under 5 years.
1717
2221
1
Yes, CARD SEEN
2
Yes, BUT CARD NOT SEEN
5
No CARD
8
Do not know
Sysmiss
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
This question is asked only when the child’s vaccination card was seen by the interviewer. It is critical to obtain written documentation of the child’s immunisation history. The interviewer should be patient while the respondent looks for it. Some respondents may not be willing to take the time to search, in which case the interviewer should strongly encourage the respondent to look for the health cards of all eligible children.
If the respondent shows the health card, the interviewer should take the information directly from the card. The dates of each dose of DTP and of measles vaccination should be recorded with the day first, then the month, and then the year. The interviewer should carefully check to see which way the dates are written on the card, and in what order the different vaccinations are listed, as these may differ than the order in the questionnaire.
Interviewer: FOR QUESTIONS 6505-6508, COPY VACCINATION DATES FOR EACH OF THE FOLLOWING VACCINES FROM THE CARD. IF THE CARD INDICATES A VACCINATION WAS GIVEN BUT THE DATE IS NOT RECORDED, CHECK THE BOX WITH “O4/04/0004 “.
Questions to be asked to households with children under 5 years.
3938
.
01/01/2000
01/01/2002
01/02/2000
01/02/2002
01/03/1999
01/03/2000
01/03/2001
01/03/2002
01/04/1999
01/04/2003
01/06/1999
01/07/2001
01/08/2002
01/09/1998
01/09/1999
01/09/2000
01/10/2002
01/11/1999
01/11/2001
01/12/2000
02/01/2002
02/02/2000
02/02/2001
02/03/2001
02/04/1998
02/04/2002
02/04/2003
02/05/2002
02/06/2000
02/07/1999
02/07/2002
02/08/1999
02/08/2002
02/09/1999
02/09/2001
02/09/2002
02/10/2000
02/10/2001
02/11/2000
02/11/2001
02/12/1999
03/01/2000
03/01/2001
03/01/2002
03/01/2003
03/02/1998
03/02/2000
03/02/2003
03/03/1999
03/03/2000
03/03/2003
03/04/2001
03/04/2002
03/04/2003
03/05/2002
03/06/2002
03/06/2003
03/07/2001
03/07/2002
03/08/2001
03/12/2001
03/12/2002
04/01/1999
04/02/2002
04/02/2003
04/03/1999
04/03/2002
04/03/2003
04/04/04
04/04/2002
04/05/2001
04/05/2003
04/06/2001
04/07/2000
04/07/2001
04/08/1998
04/09/2000
04/09/2002
04/10/1999
04/10/2000
04/10/2001
04/12/2000
04/12/2001
05/01/2000
05/02/1998
05/02/1999
05/02/2001
05/02/2002
05/02/2003
05/03/1999
05/03/2002
05/03/2003
05/04/2000
05/05/1998
05/06/2001
05/07/2001
05/07/2002
05/08/1997
05/08/1999
05/08/2002
05/09/2000
05/09/2001
05/09/2002
05/10/1999
05/11/2001
05/12/2000
05/12/2001
05/12/2002
06/01/1999
06/02/2001
06/02/2003
06/03/2001
06/04/2000
06/05/1999
06/05/2002
06/06/2000
06/06/2001
06/07/2000
06/07/2001
06/08/1998
06/08/1999
06/08/2001
06/09/2001
06/10/2002
06/11/1998
06/11/2000
06/11/2001
06/11/2002
06/12/2000
06/12/2001
06/12/2002
07/01/2000
07/01/2003
07/02/2000
07/02/2002
07/02/2003
07/03/2000
07/03/2002
07/03/2003
07/05/1999
07/05/2001
07/05/2002
07/05/2003
07/06/2001
07/06/2002
07/07/1998
07/07/1999
07/07/2000
07/08/1998
07/08/2000
07/08/2001
07/08/2002
07/09/2000
07/09/2001
07/10/1999
07/10/2002
07/11/2001
07/11/2002
07/12/1999
07/12/2001
08/01/1998
08/01/2001
08/01/2002
08/01/2003
08/02/1999
08/02/2000
08/02/2001
08/02/2002
08/03/1999
08/04/1998
08/04/1999
08/04/2002
08/05/2001
08/05/2002
08/05/2003
08/06/2001
08/07/1998
08/07/1999
08/07/2002
08/08/1999
08/08/2000
08/08/2001
08/08/2002
08/10/2001
08/11/2000
08/11/2001
08/11/2002
09/01/1999
09/01/2000
09/01/2001
09/01/2002
09/01/2003
09/02/2000
09/02/2001
09/03/2000
09/04/1999
09/04/2001
09/04/2002
09/04/2003
09/05/2000
09/05/2001
09/05/2002
09/05/2003
09/06/1999
09/07/1999
09/07/2001
09/07/2002
09/08/2000
09/08/2001
09/08/2002
09/09/2001
09/09/2002
09/10/1998
09/10/2000
09/10/2001
09/10/2002
09/11/1999
09/12/1998
09/12/2001
10/01/2001
10/01/2002
10/01/2003
10/02/1999
10/02/2003
10/03/1998
10/04/1999
10/04/2000
10/04/2001
10/04/2002
10/04/2003
10/05/1999
10/05/2000
10/05/2001
10/05/2002
10/06/1999
10/06/2002
10/07/1998
10/07/2002
10/08/2000
10/08/2001
10/09/2001
10/09/2002
10/10/2000
10/10/2002
10/11/1999
10/11/2000
10/12/2001
10/12/2002
11/01/2000
11/01/2002
11/02/2002
11/03/2002
11/03/2003
11/04/2000
11/04/2002
11/04/2003
11/05/2000
11/05/2001
11/06/1998
11/06/2002
11/07/1997
11/07/2001
11/07/2002
11/08/1998
11/08/1999
11/09/1998
11/09/2002
11/10/2001
11/10/2002
11/11/1998
11/11/1999
11/12/1999
11/12/2000
12/01/2000
12/02/1999
12/02/2002
12/02/2003
12/03/2001
12/03/2002
12/03/2003
12/04/2000
12/04/2002
12/05/2000
12/05/2001
12/06/2001
12/06/2002
12/06/2003
12/07/1999
12/07/2000
12/07/2001
12/07/2002
12/08/1998
12/08/1999
12/09/2000
12/09/2001
12/09/2002
12/10/1998
12/10/2000
12/10/2001
12/11/1998
12/11/2002
12/12/2001
13/01/2000
13/01/2003
13/02/2001
13/02/2002
13/02/2003
13/03/2001
13/04/2000
13/05/1999
13/05/2003
13/06/2000
13/06/2001
13/06/2002
13/07/1998
13/07/1999
13/07/2001
13/08/1999
13/08/2002
13/09/2001
13/09/2002
13/10/1998
13/10/1999
13/10/2000
13/11/2002
13/12/1999
13/12/2001
14/01/2001
14/01/2002
14/01/2003
14/02/2001
14/02/2002
14/03/2000
14/03/2001
14/03/2002
14/03/2003
14/04/2000
14/04/2001
14/05/2000
14/05/2001
14/05/2002
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14/06/2000
14/06/2001
14/06/2002
14/07/1999
14/07/2000
14/07/2002
14/08/2000
14/08/2001
14/08/2002
14/09/1999
14/09/2001
14/10/1997
14/10/1998
14/10/1999
14/11/2001
14/11/2002
14/12/2000
14/12/2001
15/01/1999
15/01/2001
15/01/2002
15/01/2003
15/02/1999
15/02/2000
15/02/2001
15/02/2002
15/03/2000
15/03/2001
15/03/2002
15/03/2003
15/05/2000
15/05/2001
15/06/2001
15/07/2001
15/08/2000
15/08/2002
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15/09/1999
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16/07/1998
16/07/2001
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16/11/1999
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17/04/1999
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17/08/1999
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18/12/1998
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19/07/2001
19/07/2002
19/08/1998
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20/07/1999
20/07/2001
20/07/2002
20/08/2000
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20/09/2002
20/10/1999
20/11/1998
20/11/2000
20/11/2001
20/11/2002
20/12/2000
20/12/2001
20/12/2002
21/01/1999
21/01/2000
21/01/2002
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21/02/2003
21/03/2000
21/03/2001
21/03/2002
21/04/2000
21/05/1998
21/05/2003
21/06/2000
21/06/2001
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21/07/1998
21/07/1999
21/08/2001
21/08/2002
21/09/1998
21/09/1999
21/09/2000
21/09/2001
21/10/1999
21/11/2000
21/11/2001
21/11/2002
21/12/1999
21/12/2000
21/12/2001
22/01/2002
22/01/2003
22/02/2000
22/03/1999
22/03/2000
22/03/2001
22/03/2002
22/04/2000
22/04/2002
22/05/1998
22/05/2002
22/06/1999
22/06/2001
22/08/2000
22/08/2002
22/09/1999
22/09/2000
22/10/1999
22/10/2002
22/11/2002
22/12/1998
23/01/2001
23/01/2002
23/01/2003
23/03/2000
23/04/2002
23/05/2001
23/05/2002
23/06/1998
23/07/1999
23/07/2002
23/09/1998
23/10/2001
23/10/2002
23/11/2002
24/01/2001
24/01/2002
24/02/1999
24/02/2003
24/03/1999
24/04/2001
24/04/2002
24/05/2001
24/05/2002
24/06/2003
24/07/2000
24/07/2001
24/08/1999
24/09/1999
24/09/2002
24/09/2003
24/10/2000
24/10/2002
24/11/2001
24/12/1999
25/01/1999
25/01/2001
25/01/2002
25/02/2003
25/04/2001
25/04/2002
25/05/1999
25/05/2001
25/05/2002
25/06/1998
25/06/2001
25/07/2000
25/07/2002
25/08/2000
25/08/2001
25/08/2002
25/09/2000
25/10/1999
25/10/2002
26/01/2000
26/01/2001
26/02/1998
26/02/1999
26/02/2002
26/03/2001
26/03/2002
26/04/2000
26/04/2002
26/05/1999
26/06/2001
26/06/2002
26/07/2000
26/08/2002
26/09/2000
26/09/2001
26/10/2000
26/10/2001
26/11/2001
27/02/2002
27/02/2003
27/03/2002
27/04/2000
27/04/2001
27/04/2002
27/05/2000
27/07/1998
27/07/1999
27/08/1998
27/08/2002
27/09/2000
27/09/2002
27/10/1999
27/10/2000
27/11/2000
27/11/2002
28/01/2000
28/01/2003
28/02/2001
28/02/2002
28/02/2003
28/03/2001
28/03/2002
28/04/1999
28/05/2002
28/06/2002
28/07/2000
28/08/2000
28/08/2001
28/08/2002
28/09/2000
28/09/2001
28/09/2002
28/10/1998
28/10/2001
28/11/2002
29/01/2002
29/04/2002
29/05/2001
29/05/2002
29/06/2000
29/06/2002
29/08/2000
29/08/2001
29/09/1999
29/10/2002
29/11/1999
29/11/2002
30/01/2001
30/03/2001
30/04/2001
30/04/2003
30/05/2000
30/05/2001
30/05/2002
30/05/2003
30/06/1998
30/06/1999
30/07/1998
30/07/2001
30/07/2002
30/08/1999
30/10/1998
30/10/2001
30/10/2002
30/11/1999
30/11/2000
30/11/2001
30/12/1999
31/01/2003
31/05/1999
31/07/2000
31/08/1999
31/10/2002
31/12/2002
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
This question is asked only when the child’s vaccination card was seen by the interviewer. It is critical to obtain written documentation of the child’s immunisation history. The interviewer should be patient while the respondent looks for it. Some respondents may not be willing to take the time to search, in which case the interviewer should strongly encourage the respondent to look for the health cards of all eligible children.
If the respondent shows the health card, the interviewer should take the information directly from the card. The dates of each dose of DTP and of measles vaccination should be recorded with the day first, then the month, and then the year. The interviewer should carefully check to see which way the dates are written on the card, and in what order the different vaccinations are listed, as these may differ than the order in the questionnaire.
Questions to be asked to households with children under 5 years.
3938
.
01/03/2000
01/03/2002
01/05/2002
01/06/2001
01/08/2001
01/09/1998
01/10/1999
01/10/2002
01/11/1999
02/02/1998
02/02/1999
02/02/2001
02/03/2000
02/04/2002
02/05/2002
02/06/1998
02/06/1999
02/07/2000
02/07/2002
02/08/2001
02/08/2002
02/09/1999
02/10/1998
02/10/1999
02/10/2000
02/10/2002
02/11/1998
02/11/1999
02/11/2001
02/11/2002
03/01/2002
03/02/2000
03/03/1998
03/03/2002
03/03/2003
03/04/2001
03/04/2002
03/05/2001
03/05/2002
03/06/1999
03/07/2000
03/07/2001
03/08/1999
03/09/1997
03/09/1998
03/09/2000
03/09/2001
03/09/2002
03/10/2000
03/11/1999
03/11/2000
03/12/2002
04/01/2001
04/02/2000
04/02/2003
04/03/1999
04/03/2002
04/03/2003
04/04/04
04/04/2000
04/04/2002
04/04/2003
04/05/2000
04/05/2003
04/06/2002
04/06/2003
04/07/2000
04/07/2001
04/08/1998
04/08/1999
04/08/2000
04/08/2002
04/09/2000
04/10/2002
04/12/2000
04/12/2001
04/12/2002
05/01/2002
05/02/2002
05/02/2003
05/03/1999
05/03/2003
05/04/2001
05/04/2002
05/05/1998
05/05/2002
05/06/1998
05/06/2002
05/07/2001
05/07/2002
05/08/1999
05/08/2002
05/09/2000
05/09/2001
05/09/2002
05/10/1998
05/10/2000
05/10/2001
05/11/2002
05/12/2001
05/12/2002
06/02/2001
06/02/2002
06/02/2003
06/03/2002
06/04/2001
06/05/1999
06/05/2002
06/05/2003
06/06/2000
06/06/2002
06/07/1999
06/07/2001
06/08/1998
06/08/1999
06/08/2001
06/08/2002
06/09/1999
06/09/2001
06/09/2002
06/10/1998
06/10/1999
06/11/2002
06/12/2001
06/12/2002
07/01/2002
07/02/2000
07/02/2003
07/03/2000
07/03/2001
07/03/2002
07/03/2003
07/04/1999
07/04/2000
07/04/2003
07/05/1998
07/05/1999
07/05/2002
07/06/2002
07/07/2000
07/08/2001
07/08/2002
07/09/2000
07/09/2001
07/10/2002
07/11/2001
08/01/2001
08/01/2002
08/01/2003
08/02/2000
08/02/2002
08/03/1999
08/03/2000
08/03/2001
08/03/2002
08/05/2002
08/05/2003
08/06/2001
08/07/1999
08/07/2002
08/07/2003
08/08/1997
08/08/2000
08/08/2001
08/08/2002
08/09/1998
08/09/1999
08/09/2000
08/11/2001
08/11/2002
08/12/1999
08/12/2000
09/01/2001
09/01/2002
09/01/2003
09/03/2001
09/04/2001
09/04/2002
09/04/2003
09/05/2000
09/05/2002
09/07/1998
09/07/1999
09/07/2001
09/07/2002
09/08/1999
09/08/2001
09/08/2002
09/09/1999
09/10/1998
09/10/2001
09/10/2002
09/11/1998
09/11/2000
09/11/2001
09/12/1998
09/12/1999
10/01/2001
10/01/2002
10/01/2003
10/02/1999
10/02/2000
10/02/2001
10/02/2003
10/03/1998
10/03/2003
10/05/2000
10/05/2001
10/05/2002
10/05/2003
10/06/1999
10/07/2001
10/07/2002
10/08/1999
10/08/2000
10/08/2001
10/09/1999
10/09/2002
10/10/2000
10/10/2001
10/10/2002
10/11/1998
10/11/1999
10/11/2001
10/12/1999
10/12/2001
11/01/2000
11/02/2000
11/02/2003
11/03/2002
11/04/2000
11/04/2001
11/04/2002
11/05/1999
11/05/2000
11/05/2001
11/06/2002
11/07/2001
11/07/2002
11/08/1999
11/08/2000
11/09/1998
11/09/2002
11/10/1999
11/10/2001
11/10/2002
11/11/1997
11/11/1998
11/11/1999
12/01/2000
12/01/2001
12/02/2002
12/02/2003
12/03/1999
12/03/2001
12/03/2002
12/03/2003
12/04/1999
12/04/2000
12/04/2001
12/04/2002
12/05/1999
12/05/2000
12/05/2003
12/06/2000
12/06/2002
12/06/2003
12/07/2000
12/07/2001
12/09/2000
12/09/2002
12/10/2000
12/10/2001
12/11/1999
12/11/2001
12/11/2002
12/12/2001
13/01/2003
13/02/2001
13/02/2002
13/03/1999
13/03/2000
13/03/2001
13/03/2002
13/03/2003
13/04/2000
13/05/1999
13/05/2002
13/05/2003
13/06/2001
13/06/2002
13/07/2000
13/07/2002
13/08/1999
13/08/2001
13/08/2002
13/09/1999
13/09/2000
13/09/2001
13/10/2000
13/11/1998
13/11/2000
13/11/2001
13/11/2002
13/12/2000
13/12/2001
13/12/2002
14/01/2000
14/01/2002
14/01/2003
14/02/2001
14/02/2002
14/02/2003
14/03/2000
14/03/2002
14/03/2003
14/04/1998
14/04/2002
14/04/2003
14/05/2001
14/05/2002
14/05/2003
14/06/2000
14/06/2001
14/06/2002
14/07/1999
14/08/2001
14/08/2002
14/09/1999
14/09/2000
14/09/2001
14/10/1999
14/10/2002
14/11/2000
14/11/2002
14/12/1999
14/12/2000
15/01/2003
15/02/2001
15/02/2002
15/03/2000
15/03/2001
15/03/2002
15/04/1999
15/04/2003
15/05/2000
15/05/2001
15/05/2002
15/06/2000
15/06/2001
15/06/2002
15/06/2003
15/07/1999
15/08/2000
15/08/2001
15/08/2002
15/09/1998
15/09/2000
15/10/2002
15/11/1999
15/11/2000
15/11/2002
15/12/1998
15/12/2000
16/01/2001
16/01/2002
16/01/2003
16/02/2000
16/03/2000
16/03/2001
16/04/2001
16/04/2002
16/05/2000
16/05/2001
16/05/2002
16/06/2000
16/06/2001
16/07/1998
16/07/1999
16/07/2001
16/07/2002
16/08/2001
16/09/1999
16/10/2001
16/10/2002
16/11/1999
16/11/2001
16/12/1998
16/12/2002
17/01/2000
17/01/2002
17/01/2003
17/02/1999
17/03/1998
17/04/2001
17/04/2002
17/04/2003
17/05/2001
17/05/2002
17/06/1999
17/06/2002
17/07/2002
17/08/2001
17/08/2002
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17/10/2000
17/10/2001
17/10/2002
17/12/1999
17/12/2002
18/01/2000
18/01/2001
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18/02/1999
18/02/2002
18/03/2002
18/03/2003
18/04/2001
18/04/2002
18/05/2000
18/05/2003
18/06/2002
18/07/2000
18/07/2001
18/07/2002
18/08/1998
18/08/1999
18/09/2001
18/10/2000
18/10/2002
18/11/1999
18/12/1998
18/12/2001
18/12/2002
19/01/2000
19/02/1999
19/02/2001
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19/04/1999
19/05/1999
19/05/2000
19/05/2003
19/06/1998
19/06/2000
19/06/2001
19/06/2002
19/07/2000
19/07/2002
19/09/2000
19/09/2001
19/09/2002
19/10/1999
19/10/2001
19/11/1999
19/11/2002
19/12/2001
19/12/2002
20/01/2003
20/02/2002
20/02/2003
20/03/2001
20/03/2002
20/03/2003
20/04/2000
20/06/2002
20/06/2003
20/07/2001
20/07/2002
20/08/1998
20/08/2001
20/08/2002
20/09/1999
20/09/2000
20/09/2001
20/09/2002
20/10/1998
20/10/1999
20/10/2001
20/11/1999
20/11/2000
20/11/2002
20/12/2000
20/12/2001
20/12/2002
21/01/1999
21/01/2002
21/02/2001
21/02/2002
21/02/2003
21/03/2000
21/03/2002
21/05/2002
21/06/2001
21/06/2002
21/07/1999
21/08/2000
21/08/2001
21/09/1999
21/09/2000
21/10/1999
21/10/2002
21/11/2002
21/12/2001
22/01/1999
22/01/2002
22/01/2003
22/02/1999
22/02/2001
22/03/2002
22/04/2000
22/04/2002
22/04/2003
22/05/2002
22/06/2001
22/06/2002
22/08/2000
22/08/2001
22/10/1998
22/10/1999
22/10/2002
22/11/1999
23/01/2003
23/02/2000
23/03/2000
23/03/2001
23/04/2002
23/05/2001
23/06/1999
23/07/1998
23/07/2002
23/08/2001
23/08/2002
23/09/2002
23/10/2000
23/11/2000
23/11/2001
23/12/1999
24/01/2001
24/02/2003
24/03/2000
24/04/2003
24/05/2000
24/07/2001
24/07/2002
24/08/1999
24/08/2001
24/10/2000
24/10/2002
24/11/1999
24/12/2001
24/12/2002
25/01/2001
25/02/2000
25/02/2002
25/02/2003
25/03/2003
25/04/2000
25/04/2001
25/04/2002
25/05/2000
25/05/2001
25/06/2002
25/08/1999
25/08/2000
25/09/1999
25/09/2000
25/09/2001
25/09/2002
25/10/2000
25/10/2001
25/10/2002
25/11/1998
25/11/2002
26/01/1999
26/01/2001
26/02/2002
26/03/1998
26/03/1999
26/03/2001
26/03/2002
26/04/2002
26/05/1999
26/05/2001
26/06/2000
26/06/2001
26/06/2002
26/07/1999
26/07/2002
26/08/1999
26/09/2000
26/09/2002
26/10/2001
26/11/1999
26/11/2002
26/12/2001
27/01/2000
27/02/2001
27/02/2002
27/02/2003
27/03/2002
27/03/2003
27/04/2003
27/05/2002
27/06/2002
27/07/2000
27/08/1998
27/08/2001
27/08/2002
27/09/1999
27/09/2001
27/10/1999
27/10/2000
27/11/1998
27/11/2001
28/01/2000
28/02/2002
28/02/2003
28/03/2000
28/03/2001
28/03/2002
28/03/2003
28/05/2002
28/05/2003
28/06/2002
28/07/1998
28/08/1999
28/08/2002
28/09/1999
28/10/1999
28/11/2000
28/11/2002
29/03/2001
29/05/2001
29/05/2002
29/06/1999
29/06/2001
29/07/2002
29/09/2000
29/10/1998
29/10/2002
29/11/2000
30/04/2003
30/05/2002
30/07/2001
30/09/2000
30/10/2003
30/11/2001
30/11/2002
31/07/2001
31/07/2002
31/10/2000
31/10/2002
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
This question is asked only when the child’s vaccination card was seen by the interviewer. It is critical to obtain written documentation of the child’s immunisation history. The interviewer should be patient while the respondent looks for it. Some respondents may not be willing to take the time to search, in which case the interviewer should strongly encourage the respondent to look for the health cards of all eligible children.
If the respondent shows the health card, the interviewer should take the information directly from the card. The dates of each dose of DTP and of measles vaccination should be recorded with the day first, then the month, and then the year. The interviewer should carefully check to see which way the dates are written on the card, and in what order the different vaccinations are listed, as these may differ than the order in the questionnaire.
Questions to be asked to households with children under 5 years.
3938
.
01/02/2001
01/03/2001
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Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
This question is asked only when the child’s vaccination card was seen by the interviewer. It is critical to obtain written documentation of the child’s immunisation history. The interviewer should be patient while the respondent looks for it. Some respondents may not be willing to take the time to search, in which case the interviewer should strongly encourage the respondent to look for the health cards of all eligible children.
If the respondent shows the health card, the interviewer should take the information directly from the card. The dates of each dose of DTP and of measles vaccination should be recorded with the day first, then the month, and then the year. The interviewer should carefully check to see which way the dates are written on the card, and in what order the different vaccinations are listed, as these may differ than the order in the questionnaire.
Questions to be asked to households with children under 5 years.
3938
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28/01/2002
28/01/2003
28/02/2003
28/03/2001
28/03/2002
28/03/2003
28/04/1999
28/04/2003
28/06/2000
28/08/2000
28/08/2002
28/08/2003
28/10/2000
28/12/2000
29/01/2003
29/03/2002
29/05/2001
29/05/2002
29/05/2003
29/06/2001
29/08/2000
29/09/1998
29/09/1999
29/10/2001
29/10/2002
29/11/2000
30/01/2002
30/03/1999
30/04/2001
30/04/2003
30/05/2001
30/06/1999
30/07/2002
30/08/2002
30/10/2002
31/01/2002
31/03/1999
31/10/2002
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
Has (NAME) received any vaccinations to prevent him/her form getting disease that are not recorded on this card.
This question is asked only when the child’s vaccination card was seen by the interviewer. Sometimes a child will receive a vaccination but no record of it is made on the health card. After copying the card, the interviewer should ask whether the child received any vaccinations not recorded. If the child did so, the interviewer should write “YES” and probe for additional doses of DTP and measles.
Questions to be asked to households with children under 5 years.
1098
2840
1
Yes
5
No
8
Do not know
Sysmiss
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
This question is asked only when the child’s vaccination card was seen by the interviewer. Sometimes a child will receive a vaccination but no record of it is made on the health card. If the respondent reports that the child did receive additional vaccinations (6509), the interviewer should probe for additional doses of DTP. If the respondent is not sure what is this vaccine, specify that this is an injection given in the thigh or buttocks.
Questions to be asked to households with children under 5 years.
362
3576
1
Yes
5
No
8
Do not know
Sysmiss
If yes how many times
If yes how many times
If yes how many times
If yes how many times
If yes how many times
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
This question is asked only when the child’s vaccination card was seen by the interviewer. Sometimes a child will receive a vaccination but no record of it is made on the health card. If the respondent reports that the child did receive additional vaccinations (6509), the interviewer should probe for additional doses of DTP. If the respondent is not sure what is this vaccine, specify that this is an injection given in the thigh or buttocks.
Go to Q6517
Questions to be asked to households with children under 5 years.
167
3771
1
3
2.102
0.773
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Has (NAME) received any vaccinations that are not recorded on this card to prevent him/her from measles?
This question is asked only when the child’s vaccination card was seen by the interviewer. Sometimes a child will receive a vaccination but no record of it is made on the health card. After copying the card, the interviewer should ask whether the child received a vaccination for measles that is not recorded. If the child did so, the interviewer should write “YES”. After this question the interviewer has to go to question 6517.
Questions to be asked to households with children under 5 years.
371
3567
1
Yes
5
No
8
Do not know
Sysmiss
vaccinations
vaccinations
vaccinations
vaccinations
vaccinations
Did (NAME) ever receive any vaccinations to prevent him/her from getting diseases?
This question is asked only when the child’s vaccination card was not seen by the interviewer. The respondent is asked if the child has ever received any vaccinations. If the answer is no or DK, skip to question 6517.
If No or DK: Go to Q6517
Questions to be asked to households with children under 5 years.
541
3397
1
Yes
5
No
8
Do not know
Sysmiss
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
Please tell me if (NAME) has received any of the following vaccinations: A) DTP vaccination?
Questions to be asked to households with children under 5 years.
361
3577
1
Yes
5
No
8
Do not know
Sysmiss
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
If YES: How many times?
This question is asked only when the child’s vaccination card was not seen by the interviewer. This question specifies which vaccines we are interested in knowing if the child has had. With regard to the DTP vaccine, if the respondent says “YES” (that is, that the child has received this vaccine), probe to find out the total number of doses.
Questions to be asked to households with children under 5 years.
288
3650
1
3
2.503
0.774
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
An injection to prevent measles?
This question is asked only when the child’s vaccination card was not seen by the interviewer. If such injection was received, record "yes".
Questions to be asked to households with children under 5 years.
363
3575
1
Yes
5
No
8
Do not know
Sysmiss
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
In the last 12 months did (NAME) receive a vitamin A capsule or supplement (like this)?
These question (Q6517-Q6518) is to be asked only in countries where supplementation programmes exist. Vitamin A deficiency is the leading cause of preventable childhood blindness, as well as a major contributing factor to the severity of several other causes of childhood morbidity and mortality. Deficiency in this crucial micronutrient can be avoided by giving children supplements of vitamin A capsule, usually every six months. This two questions ask respondents whether the child has ever received vitamin A supplementation in the last 12 months, and if so how many dose. If there is confusion, the interviewer should show the respondent a sample of vitamin A capsule.
Questions to be asked to households with children under 5 years.
1689
2249
1
Yes
5
No
8
Do not know
Sysmiss
How many times
How many times
How many times
How many times
How many times
If YES: How many times did [NAME] received it?
These question (Q6517-Q6518) is to be asked only in countries where supplementation programmes exist. Vitamin A deficiency is the leading cause of preventable childhood blindness, as well as a major contributing factor to the severity of several other causes of childhood morbidity and mortality. Deficiency in this crucial micronutrient can be avoided by giving children supplements of vitamin A capsule, usually every six months. This two questions ask respondents whether the child has ever received vitamin A supplementation in the last 12 months, and if so how many dose. If there is confusion, the interviewer should show the respondent a sample of vitamin A capsule.
Questions to be asked to households with children under 5 years.
1370
2568
3
2.153
0.786
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
When was the last time [NAME] was sick with fever, diarrhoea, or any other illness?
The point of this question is to identify the child's last period of illness. Three principal causes of death in children under five are diarrhoea, pneumonia and malaria. The questions about these and other childhood illnesses aim to determine how children with these problems are treated, and the extent of their contact with the health care system. The time from the child’s last incidence of illness should be recorded in the appropriate box. If the interviewer is not clear about time he/she should probe according to options given in the questionnaire.
Questions to be asked to households with children under 5 years.
1701
2237
1
Within the last 2 weeks
2
2 weeks-less than 1 month ago
3
1 month-3 months ago
4
More than 3 months ago
5
Never was sick
Sysmiss
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
During [NAME]'s last episode of illness, did [NAME] have a fever (hot body)?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1362
2576
1
Yes
5
No
8
Do not know
Sysmiss
cough
cough
cough
cough
cough
During [NAME]'s last episode of illness, did [NAME] have a cough?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1348
2590
1
Yes
5
No
8
Do not know
Sysmiss
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
During [NAME]'s last episode of illness, did [NAME] have difficulty or fast breathing?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1343
2595
1
Yes
5
No
8
Do not know
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
During [NAME]'s last episode of illness, did [NAME] have diarrhea?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1355
2583
1
Yes
5
No
8
Do not know
Sysmiss
blood in the stools
blood in the stools
blood in the stools
blood in the stools
blood in the stools
During [NAME]'s last episode of illness, did [NAME] have blood in their stools?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1335
2603
1
Yes
5
No
8
Do not know
Sysmiss
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
During [NAME]'s last episode of illness, did [NAME] have persistant vomiting?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1350
2588
1
Yes
5
No
8
Do not know
Sysmiss
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
During [NAME]'s last episode of illness, was [NAME] unable to eat/drink?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1342
2596
1
Yes
5
No
8
Do not know
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
During [NAME]'s last episode of illness, did [NAME] have convulsions?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1313
2625
1
Yes
5
No
8
Do not know
Sysmiss
other
other
other
other
other
During [NAME]'s last episode of illness, did [NAME] have other symptoms?
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
1124
2814
1
Yes
5
No
Sysmiss
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
During [NAME]'s last episode of illness, did [NAME] have other symptoms? Please specify.
Q6551-6559. This set of questions is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to identify whether any of the following symptoms were experienced: fever, cough, difficult or fast breathing, diarrhoea, blood in the stools, vomiting everything, inability to eat or drink, or convulsions. These are symptoms of the majority of diseases that affect young children. Some of these are danger signs indicating that the child is severely ill and should receive qualified medical care immediately.
It is important that the interview probe for each of the symptoms and record all symptoms mentioned in the corresponding boxes. For the symptom of “fever”, prompt with other local terms such as “hot body”. Difficult or fast breathing may also be referred to as “shortness of breath”. If the respondent is unsure what is meant by diarrhoea, explain “more than three runny stools per day”. For “vomiting everything”, the interviewer should probe for persistent vomiting. If the respondent mentions any other symptoms that the child had, write down exactly what was said.
Questions to be asked to households with children under 5 years.
78
1
2
3
4
5
ABD. PAINS
ANAEMIA
ASTHMA
BOIL
BOILS
BREATHING WAS NOSIY
CHICKEN POX
COLD
COLD (FLU)
COLOUR OF AIR CHANGED
CRIES A LOT
DISCHARGING EYES
FRUCTURE
HEADACHE
HERNIA
HIGH FEVER
INJURY
INJURY TO CHEST WALLS
MARASMUS
MEASLES
MOUTH SORE
NODULE IN GROIN
PANIC
PERSISTENT CRY
PROLA
RASH
RASHES
RASHES AND BOILS
RASHES ON THE HEAD
RASHES ON THE MOUTH
RING WORM
SHE SHIVERS ANYTINE SHE IS ASLEEP
SKIN DISEASE
SKIN RASHES
SNAKE BITE
SORE IN THE MOUTH
SORE MOUTH, MEASLES RASH
STOMACH
STOMACH ACE
STOMACH ACHE
STOMACH PAIN
THE BACK OF THE HEAD GOT SWOLLEN
TUMMYACH
WAS PALE
WOUND AROUND HER BREAST
drink more or less
drink more or less
drink more or less
drink more or less
drink more or less
During [NAME]'s last illness, was [NAME] given more than usual to drink, about the same amount, or less than usual to drink, including breastmilk?
This question is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to assess home care practises of caregivers for sick children. Young children who are sick should be given increased fluids to prevent dehydration as well as to facilitate filtration of toxic substances from the blood. While increased fluid intake is considered especially important against diarrhoeal diseases, it is good practice in the case of any of the symptoms recorded in the previous question. The interviewer should be sure to read the entire question before accepting a response.
Questions to be asked to households with children under 5 years.
1350
2588
1
More than usual to drink
2
About the same to drink
3
Less than usual to drink
4
Nothing to drink
8
DK
Sysmiss
eating pattern
eating pattern
eating pattern
eating pattern
eating pattern
During [NAME]'s last illness, was [NAME] given more than usual to eat, about the same amount, less than usual, or nothing to eat?
This question is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The purpose is to assess home care practises of caregivers for sick children. Young children should not be given less food when presenting the symptoms recorded in questions Q6551 to Q6558. The interviewer should be sure to read the entire question before accepting a response. If the respondent says that the child is being exclusively breast fed (has not yet been weaned and does not eat any solid food), the interviewer should mark the response as "never gave food".
Questions to be asked to households with children under 5 years.
1349
2589
1
More than usual to eat
2
About the same to eat
3
Less than usual to eat
4
Stopped food
5
Never gave food (exclusively breastfed)
8
Do not know
Sysmiss
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
This set of questions (Q6562-6564) is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The interviewer should record the sources where the child first received care during the last period of illness, regardless of whether the source was from a health facility or not. If the source was a facility, probe whether it belonged to the public sector (run by the government including military) or private sector (including those run by nongovernmental organizations or religious institutionsIf the respondent is unsure of where the child received care, probe without implying that the child should have been taken elsewhere.
Questions to be asked to households with children under 5 years.
1355
2583
1
Yes
5
No
8
Do not know
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
This set of questions (Q6562-6564) is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The interviewer should record the sources where the child first received care during the last period of illness, regardless of whether the source was from a health facility or not. If the source was a facility, probe whether it belonged to the public sector (run by the government including military) or private sector (including those run by nongovernmental organizations or religious institutionsIf the respondent is unsure of where the child received care, probe without implying that the child should have been taken elsewhere.
Questions to be asked to households with children under 5 years.
1238
2700
1
Hospital
2
Outpatient facility
3
Pharmacy
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
This set of questions (Q6562-6564) is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The interviewer should record the sources where the child first received care during the last period of illness, regardless of whether the source was from a health facility or not. If the source was a facility, probe whether it belonged to the public sector (run by the government including military) or private sector (including those run by nongovernmental organizations or religious institutionsIf the respondent is unsure of where the child received care, probe without implying that the child should have been taken elsewhere.
Questions to be asked to households with children under 5 years.
80
1
2
A FRIEND NURSE
A LOCAL NURSE
AT HOME
BOUGHT MEDICINE FROM
BOUGHT MEDICINE FROM D
CHEMICAL SELLER
CHEMICAL SHOP
COMMUNITY BASED VOLUNT
COMMUNITY TRAINED HEAL
DISPENSER
DRUG STORE
DRUGS FROM A CHEMICAL
DRUGS FROM CHEMICAL SE
ELDERLY WOMAN
FRIENDS
GIVEN DRUG
HOME
HOME REDEMY
HOME REMEDY
HOME TREATMENT BY NEIG
HOME VISIT
HOME/HERBS
MATERNITY HOME
OUTREACH
PHARMACY
RED CROSS OFFICIAL
SELF MEDICATION
SHE WAS GIVEN PARACETA
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
This set of questions (Q6562-6564) is only asked if the youngest child in the household under age 5 was reported to have ever been ill, and refers to the last period of illness. The interviewer should record the sources where the child first received care during the last period of illness, regardless of whether the source was from a health facility or not. If the source was a facility, probe whether it belonged to the public sector (run by the government including military) or private sector (including those run by nongovernmental organizations or religious institutionsIf the respondent is unsure of where the child received care, probe without implying that the child should have been taken elsewhere.
Questions to be asked to households with children under 5 years.
1135
2803
1
Government operated
2
Private
8
Do not know
Sysmiss
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon after the illness was noticed did [NAME] first receive care?
This question is asked only for children who received care during the last period of illness. The point is to determine whether the child got immediate care or not. This is especially important among children presenting certain danger signs (some of the symptoms listed in question Q6551-Q6558), for whom care should be received within 24 hours.
Questions to be asked to households with children under 5 years.
1226
2712
1
The same day (within 24 hours)
2
More than 24 hours later
8
Do not know
Sysmiss
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
This set of questions (Q6566-Q6567) is asked in malaria endemic areas, and only if the child is reported to have suffered from the most common symptom of malaria, fever (question Q6551). A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
If No or DK : Go to Q6568
Questions only to be asked in malaria endemic areas.
1153
2785
1
Yes
5
No
8
Do not know
Sysmiss
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
This set of questions (Q6566-Q6567) is asked in malaria endemic areas, and only if the child is reported to have suffered from the most common symptom of malaria, fever (question Q6551). A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
974
2964
1
Yes
5
No
Sysmiss
Home remedy
Home remedy
Home remedy
Home remedy
Home remedy
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
This set of questions (Q6566-Q6567) is asked in malaria endemic areas, and only if the child is reported to have suffered from the most common symptom of malaria, fever (question Q6551). A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
460
3478
1
Yes
5
No
Sysmiss
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
This set of questions (Q6566-Q6567) is asked in malaria endemic areas, and only if the child is reported to have suffered from the most common symptom of malaria, fever (question Q6551). A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
427
3511
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
This set of questions (Q6566-Q6567) is asked in malaria endemic areas, and only if the child is reported to have suffered from the most common symptom of malaria, fever (question Q6551). A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
445
3493
1
Yes
5
No
Sysmiss
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
In the last 12 months did [NAME] have an episode of malaria?
fever during the last reported episode of illness. The purpose is to identify young children a case of malaria in the past 12 months.
If No or DK : Go to Q6600
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
1019
2919
1
Yes
5
No
8
Do not know
Sysmiss
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
If No or DK : Go to Q6600
Questions only to be asked in malaria endemic areas.
629
3309
1
Yes
5
No
8
Do not know
Sysmiss
what was taken
what was taken
what was taken
what was taken
what was taken
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
537
3401
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
230
3708
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
203
3735
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
A response of "Antimalarial medication" as treatment received is only appropriate if the child was prescribed such by a physician or other qualified health worker. If the respondent first simply answers that the child was given treatment but without specifying the type (such as simply “pill or syrup”), the interviewer should probe whether it was an antibiotic, antimalarial or other type.
RECORD ALL TREATMENTS MENTIONED
Questions only to be asked in malaria endemic areas.
208
3730
1
Yes
5
No
Sysmiss
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Check if other person(s) present during section on sexual health
This is important for the interpretation and better understanding of responses to the questions. Presence of another person may make the respondent uncomfortable to answer the interviewer's questions.
Questions to be asked to respondents aged 18 to 49 only.
2718
1220
1
Yes
5
No
Sysmiss
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Are you currently married or living with a man (woman)?
The purpose of this question is to determine whether the respondent is in a union(marital or informal) or not. The question also sets a mood for asking subsequent more intimate questions. If the question is yes skip to question Q6603.
2738
1200
1
Yes
5
No
Sysmiss
Do you currently have
Do you currently have
Do you currently have
Do you currently have
Do you currently have
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner?
The question is asked only to those respondents who answer "no" to question Q6601, that is who do not have spouse or who are not living with a man (woman). The purpose is to understand whether the respondent has a ergular secual partner or not. If the answer is no to this question, skip to question Q6605
989
2949
1
Regular sexual partner
2
An occasional sexual partner
5
No sexual partner
Sysmiss
Does your spouse
Does your spouse
Does your spouse
Does your spouse
Does your spouse
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Does your spouse (sexual partner) currently live with you in the same house?
This question is asked only to respondents who are currently in union or who have a sexual partner. The purpose is to determine whether they are in a cohabiting relationship. If the answer is yes than skip to question Q6606.
2133
1805
1
Yes
5
No
Sysmiss
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
How long have you and your spouse (sexual partner) been living separately?
This question is asked if the respondent says that he/she currently does not live with the spouse (sexual partner). This information is of importance in understanding the health risks associated with non-regular sexual activity.
After answering this question, skip to question Q6606.
631
3307
1
Within the last month
2
1-2 months
3
3-5 months
4
6-12 months
5
More than 1 year
6
Never lived together
Sysmiss
Ever had sex
Ever had sex
Ever had sex
Ever had sex
Ever had sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you ever had sex?
This question is asked if the respondent is not married and does not have a sexual partner (the answers to questions Q6601 and Q6602 are "No"). The question asks for important information about respondents' sexual behaviour. Note that by sexual intercourse we mean penetrative sexual intercourse in the vagina, anus or mouth. The interviewer must be tactful and provide more details if necessary, but ask the question exactly as it is worded.
613
3325
1
Yes
5
No
Sysmiss
Last sex
Last sex
Last sex
Last sex
Last sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
When was the last time you had sexual intercourse?
This question is asked if the respondent reports having a sexual partner or ever having had sexual intercourse. Record the time as appropriate. Determine if the last time the respondent had sexual intercourse was WITHIN THE LAST 12 MONTHS. If the last sexual encounter was within the last 12 months, proceed to question Q6607. If the last encounter was more than 12 months ago, Go to question Q6611.
2451
1487
1
Within the last month
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
5
More than 1 year ago
Sysmiss
Relationship with person
Relationship with person
Relationship with person
Relationship with person
Relationship with person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
What was the relationship with the person with whom you last had sex?
This question is only asked to respondents of reproductive age who had sex in the last 12 months. This question asks about the respondent's relationship with the last sexual partner. The interviewer should first ask what is the relationship with the partner and allow the respondent to define in his/her own words. If the respondent is unsure, prompt by reading out the categories.
2162
1776
1
Spouse/Cohabiting partner
2
Boyfriend/Girlfriend/Fiancé(e)
3
Other friend
4
Casual acquaintance
5
Relative
6
Commercial sex worker
7
Other
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse, was a condom used?
This question is only asked to respondents of reproductive age who had sex with the last 12 months. If used correctly, condoms can reduce the risk of transmission of HIV/AIDS and other sexually transmitted infections. This question asks about condom use the last time the respondent had sex. Using a condom can mean either the male or female condom. If the respondent is unsure, condoms can be described as a rubber sheath placed by men on their penis (or by women in their vagina) before sexual intercourse. Enter "yes" if a condom was used by either the respondent or by the partner.
2166
1772
1
Yes
5
No
8
Do not remeber
Sysmiss
had sex with another person
had sex with another person
had sex with another person
had sex with another person
had sex with another person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you had sex with another person in the last 12 months?
This question is only asked to respondents of reproductive age who had sex in the last 12 months. This question aims to ascertain whether the respondent had sex with more than one partner in the last year. It is especially important for the interviewer to maintain a good rapport with the respondent, as some respondents may be reluctant to discuss their sexual activities.
2151
1787
1
Yes
5
No
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse with this other person, was a condom used?
This question is only asked to respondents of reproductive age who had sex with a nonregular partner in the last 12 months. This question asks about condom use the last time the respondent had sex with this partner. Using a condom can mean either the male or female condom. Enter "yes" if a condom was used by either the respondent or by the partner.
130
3808
1
Yes
5
No
8
Do not remeber
Sysmiss
HIV test
HIV test
HIV test
HIV test
HIV test
In the last 12 months, have you been tested to see if you have HIV, the virus that causes AIDS?
This question is asked to all men of reproductive age, and to women of reproductive age who have not given birth in the last two years. AIDS is an illness caused by the HIV virus, which weakens the immune system and leads to death through secondary infections, such as pneumonia. It is transmitted sexually or through contact with contaminated blood. In conjunction with the questions in section Q6400 on HIV counselling and testing during antenatal care, this question asks about voluntary counselling and testing to get an idea of how well people are being reached by HIV/AIDS intervention programmes and how many people know their HIV status. The question asks whether the respondent went to have an HIV test in the last 12 months.
In many societies there is a level of stigma around people who are HIV-positive, so it is important to read this (and the next) question as written and stress the confidentiality of responses. Preface the questions by saying, "I do not want to know the results of the test".
Note that in many situations, people may assume that their blood has been tested for HIV at some time, for example when giving a blood donation, when applying for insurance, or when attending antenatal services. However this question refers to the “voluntary” element of testing, so an answer of “yes” is appropriate only if the person specifically requested a test.
If the answer is no to this question. Skip to question Q6700.
This question is asked to all men of reproductive age, and to women of reproductive age who have not given birth in the last two years.
1649
2289
1
Yes
5
No
Sysmiss
HIV test results received
HIV test results received
HIV test results received
HIV test results received
HIV test results received
Have you been told the results of your test?
This question is only asked to respondents who have been tested for HIV in the last 12 months. This question asks whether the respondent received the results of the test. Do not ask what was the result of the test itself.
59
3879
1
Yes
5
No
Sysmiss
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
When was the last time you had your eyes examined by a physician or other medical professional?
This question serves two purposes. First, it introduces the topic of cataracts with the more general aspect of eye care, by allowing the respondent to remember the last time they had their eyes examined. Second, it filters out those respondents who either never had professional eye care, or last had it over 5 years ago.
Ask how long ago the respondent had an eye exam by a medical professional and record the time in the appropriate box as mentioned.
Determine if the exam was WITHIN THE LAST 5 YEARS. If the respondent never had an exam, or did not have one in the last 5 years, Go to question Q6703. If the respondent reports having had an exam within the last 5 years, Go to question Q6701.
Questions to be asked only to respondents aged 60 or over.
601
3337
1
Within the last 12 months
2
1-2 years ago
3
3-4 years ago
4
5 years ago
5
More than 5 years ago
6
Never
8
Do not know
Sysmiss
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
In the last 5 years, were you diagnosed with a cataract in one or both of your eyes?
This question is only asked to respondents who had a professional eye exam in the last 5 years. The purpose is to identify those respondents who were diagnosed in the last 5 years as having cataracts. Record “yes” if the respondent was diagnosed for cataracts in either one eye or both eyes within the last 5 years. If the respondent was not diagnosed for cataracts, Go to question 6703.
Questions to be asked only to respondents aged 60 or over.
115
3823
1
Yes
5
No
8
Do not remeber
Sysmiss
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
In the last 5 years, have you had eye surgery to remove your cataract (s)?
This question is only asked to respondents who had a diagnosis of cataracts in one or both eyes. It is important that the time period for the medical intervention (the last 5 years) be clearly understood by the respondent, otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
Questions to be asked only to respondents aged 60 or over.
36
3902
1
Yes
5
No
Sysmiss
blurry vision
blurry vision
blurry vision
blurry vision
blurry vision
In the last 12 months, have you experienced any of the following… Cloudy or blurry vision?
This set of questions serves as screening to help identify respondents who may have a current vision problem related to cataracts, and is asked to everyone aged 60 or over. An answer of “yes” should be recorded only for respondents who have experienced these vision difficulties in the last 12 months.
If the respondent does not understand what is meant by cloudy or blurry vision, read the following:
“Cloudy or blurry vision refers to when you cannot see clearly, as if there is a fog in front of your eyes, or as if you are trying to see through a waterfall, or the image has been smeared so you cannot see optimally.”
Questions to be asked only to respondents aged 60 or over.
595
3343
1
Yes
5
No
8
Do not know
Sysmiss
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
In the last 12 months, have you experienced any of the following… Vision problems with light, such as glare from bright lights, or halos around lights?
If the respondent does not understand the meaning of this question, read the following:
“Problems with light could be when you find bright lights uncomfortably harsh to look at, or you see unusual circles around lights.”
Questions to be asked only to respondents aged 60 or over.
593
3345
1
Yes
5
No
8
Do not know
Sysmiss
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you have any problems with your mouth and/or teeth?
This question aims to identify those respondents who had any problems with their teeth and/or mouth in the last 12 months. Oral health problems can have negatively affects on people's nutrition and general health. If the respondent indicates not having had any problems in the last 12 months, record “no” and Go to question Q6757.
3853
85
1
Yes
5
No
Sysmiss
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you receive medical care or treatment from a dentist or other oral health specialist for this problem with your mouth and/or teeth?
This question is only asked to respondents who reporting having had an oral health problem in the last 12 months.
The purpose is to determine if respondents who had such problems received medical care or treatment for their problem. Only treatment or care from a dentist or other health professional is of interest. If the respondent did not receive any treatment, or only had self-treatment or care from a traditional or faith healer, record “no” and Go to question Q6757.
752
3186
1
Yes
5
No
Sysmiss
medication
medication
medication
medication
medication
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any medication.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
208
3730
1
Yes
5
No
Sysmiss
Dental work
Dental work
Dental work
Dental work
Dental work
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dental work or oral surgery.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
202
3736
1
Yes
5
No
Sysmiss
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dentures or bridges.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
196
3742
1
Yes
5
No
Sysmiss
Counseling
Counseling
Counseling
Counseling
Counseling
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any information or conseling on dental care/oral hygiene.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
199
3739
1
Yes
5
No
Sysmiss
other
other
other
other
other
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any others not already mentioned.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
183
3755
1
Yes
5
No
Sysmiss
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
What type of care or treatment did you receive for this problem with your mouth and/or teeth?
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
17
1
5
EXTRACTION
HERBAL MEDICATION
HERBS
ORAL MOUTH WASH
POLISHING AND CLEANING
PULLED OUT
SELF MEDICATION
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
Have you lost all of your natural teeth?
The question serves to identify people who are suffering from edentulism (who are missing all of their teeth), a particularly debilitating oral disease. If left untreated, edentulism can lead to the shrinking and loss of jawbone. Record a response of “yes” only if the respondent has lost all of their natural teeth, and not just some or most of them.
3801
137
1
Yes
5
No
Sysmiss
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
In the past 12 months, have you been involved in a road traffic accident where you suffered from bodily injury?
This question aims to identify respondents who were involved in a road traffic accident resulting in bodily injury. It is important to emphasize that the respondent could have been involved in the accident in any capacity. If the respondent first answers “no”, probe by saying: “This could have been an accident in which you were involved either as the occupant of a motor vehicle, or when you were riding a motorcycle or bicycle, or walking.”
The bodily injury produced as a result of the accident could be any type of injury (even if it was not necessarily visible to the person at the time of the accident). Only accidents that occurred in the last 12 months should be recorded. If the respondent indicates not having been involved in any road traffic accident in the past 12 months, record “NO” and Go to Q6806.
3903
35
1
Yes
5
No
Sysmiss
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When (in the last 12 months) did the accident happen?
This question is only asked to respondents who were injured in a road traffic accident in the last 12 months. Record the time since the last accident in the appropriate. The answer does not need to ascertain the exact amount of time (for example, if the respondent says they were last in an accident three and a half months ago, record "3-5months ago").
113
3825
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care
received any medical care
received any medical care
received any medical care
received any medical care
Did you receive medical care or treatment for your injuries?
This question is only asked to respondents who were injured in a road traffic accident in the last 12 months. The point is to determine if the respondent received appropriate medical care or treatment for the injuries. If the respondent did not receive any care or treatment, record “NO” and Go to Q6806.
115
3823
1
Yes
5
No
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
Where did you first receive care?
84
3854
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
This question is only asked to respondents who were injured in a road traffic accident in the last 12 months and received medical care or treatment for their injuries. The purpose is to identify the nature of the care received. The interviewer should emphasize where the respondent FIRST received care for their injuries. If the place of care was on-site (ambulance), hospital or other health facility, probe for whether the facility was in the public sector (run by the government) or private sector. If the respondent is not sure, prompt by reading the response options. If the first place where care was received falls under a different category not listed here, record “other”.
78
3860
1
Government operated
2
Private( including for- profit and not- for- profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after the traffic accident occurred did you first receive care?
This question is only asked to respondents who were injured in a road traffic accident in the last 12 months and received medical care or treatment for their injuries. The purpose is to identify the timing of the care received. The interviewer should emphasize when the respondent FIRST received care for their injuries. If the respondent is unsure or does not remember, probe if someone else told them when they first received care. Prompt by reading the response options and record the appropriate answer.
82
3856
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
In the past 12 months, have you suffered bodily injury that limited your everyday activities in any way? This could have been due to a fall, burn, poisoning, submersion in water, or by a firearm or sharp weapon, or an act of violence from another person?
This question aims to identify individuals who had serious bodily injuries in the last 12 months of any cause except road traffic accidents. The idea is to determine whether the person experienced difficulty because of a physical injury in doing their day to day activities, such as household, work and school activities. Respondents should use their own definition of "limited in everyday activities" to answer this question. If the injury limited the respondent's everyday activities in any way, it would be considered as a
serious injury requiring medical attention. The interviewer should probe for the type and cause of the injury and record "yes" if it occurred in any incident of intentional or unintentional cause, such as from a fall, fire, poisoning, drowning, or from an act of violence or war. If the answer is no, Go to next section.
3878
60
1
Yes
5
No
Sysmiss
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When (in the last 12 months) did the incident happen?
This question is only asked to respondents who suffered serious bodily injuries in the last 12 months of any cause except road traffic accidents. Record the time since the injury in the appropriate box. The answer does not need to ascertain the exact length of time (for example, if the respondent says they were last injured three and a half months ago, record "3-5months ago").
253
3685
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
Did you receive any medical care or treatment for your injuries?
This question is only asked to respondents who suffered serious bodily injuries in the last 12 months of any cause except road traffic accidents. The point is to determine if the respondent received some kind of medical care or treatment for the injuries. If the respondent did not receive any care or treatment, record “no” and Go to the next section of the survey.
254
3684
1
Yes
5
No
Sysmiss
source of care
source of care
source of care
source of care
source of care
Where did you first receive care?
READ CHOICES
If care received from ambulance, hospital or outpatient facility, ask if it was government operated or private.
157
3781
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
This question is only asked to respondents who suffered serious bodily injuries in the last 12 months of any cause except road traffic accidents, and received medical care for their injuries. The purpose is to identify the nature of the care received. The interviewer should emphasize where the respondent FIRST received care for their injuries. If the place of care was on-site (ambulance), hospital or other health facility, probe for whether the facility was in the public sector (run by the government) or private sector. If the respondent is not sure, prompt by reading the response options. If the first place where care was received falls under a different category not listed here, record “other”.
134
3804
1
Government operated
2
Private( including for profit and not for profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after this injury did you first receive care?
This question is only asked to respondents who suffered serious bodily injuries in the last 12 months of any cause except road traffic accidents, and received medical care or treatment for their injuries. The purpose is to identify the timing of the care received. The interviewer should emphasize when the respondent FIRST received care for their injuries. If the respondent is unsure or does not remember, probe if someone else told them when they first received care. Prompt by reading the response options and record the appropriate answer.
148
3790
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
3855
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Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
3839
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last time needed health care
last time needed health care
last time needed health care
last time needed health care
last time needed health care
When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care?
- in the last 30 days
- between 1 month and less than 1 year ago
- between 1 year and less than 2 years ago
- between 2 years and less than 3 years ago
- between 3 years and less than 5 years ago
- more than 5 years ago
- Never needed – Skip to 7020
For this question, it is important to get the last eligible person who needed health care. An eligible person is the respondent itself or one of his/her children aged 12 years or less.
Stop reading further as soon as the respondent has selected one. If an adult went for health care at the same time as for his/her children, focus on the adult's experience. If the adult accompanied more than one child, focus on the YOUNGEST child.]
If never needed: Go to Q7020
3879
59
1
In the last 30 days
2
Between 1 month and less than 1 year ago
3
Between 1 year and less than 2 years ago
4
Between 2 years and less than 3 years ago
5
Between 3 years and less than 5 years ago
6
More than 5 years ago
7
Never needed
Sysmiss
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Was the last need for health care for you or for your child?
- Yourself
- Your child
3232
706
1
Yourself
2
Your child
Sysmiss
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Thinking of the last time you [your child] needed to see a health care provider who could treat your condition, how many were there around who you could chose from?
Record number.
The purpose of this question is to find out, from the respondent’s point of view, the number of health care providers who could have treated the respondent’s last condition ignoring any financial, legal/administrative or other barriers. The respondent subjectively defines who s/he would include as being ‘around’.
2915
1023
411
6.712
41.275
1
2
3
4
5
6
7
8
9
10
11
12
15
18
20
30
40
88
190
200
300
400
401
402
403
407
408
409
410
411
Sysmiss
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Which reason best describes why you [your child] last needed health care?
- High fever, severe diarrhoea, or cough
- Immunization
- Antenatal consultation
- Family planning
- Childbirth
- Dental care
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
The respondent must choose only one category.
3247
691
1
High fever, severe diarrhea, or cough
2
Immunization
3
Antenatal consultation
4
Family planning
5
Childbirth
6
Dental care
7
Arthritis
8
Asthma
9
Heart disease
10
Bodily injury
11
Minor surgery
12
Other
Sysmiss
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you [your child] needed health care, did you get health care?
- Yes - SKIP TO Q7016
- No
3238
700
1
Yes
5
No
Sysmiss
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of the visit.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
148
3790
1
Yes
5
No
Sysmiss
No transport
No transport
No transport
No transport
No transport
Which reasons best explain why you [your child] did not get
health care? No transport.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
145
3793
1
Yes
5
No
Sysmiss
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of transport.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
151
3787
1
Yes
5
No
Sysmiss
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Which reasons best explain why you [your child] did not get
health care? The health care provider's drugs or equipment are inadequate.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
150
3788
1
Yes
5
No
Sysmiss
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Which reasons best explain why you [your child] did not get
health care? The health care provider's skills are inadequate.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
149
3789
1
Yes
5
No
Sysmiss
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Which reasons best explain why you [your child] did not get
health care?You were previously badly treated.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
150
3788
1
Yes
5
No
Sysmiss
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Which reasons best explain why you [your child] did not get
health care? Could not take time off work or had other commitments.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
150
3788
1
Yes
5
No
Sysmiss
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Which reasons best explain why you [your child] did not get
health care? You did not know where to go.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
150
3788
1
Yes
5
No
Sysmiss
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Which reasons best explain why you [your child] did not get
health care? You thought you were not sick enough.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
152
3786
1
Yes
5
No
Sysmiss
You were denied health care
You were denied health care
You were denied health care
You were denied health care
You were denied health care
Which reasons best explain why you [your child] did not get
health care? You tried but were denied health care.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
151
3787
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Which reasons best explain why you [your child] did not get
health care? Other.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
148
3790
1
Yes
5
No
Sysmiss
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
When you last needed health care, where did you get care?
- At a health care provider, excluding an overnight stay in hospital
- At a hospital where you stayed overnight
- At home
By health care provider, we mean any of the following types of professionals at a facility operated by the government, private sector, or religious or non-governmental groups:
- Medical doctor (including gynaecologist, psychiatrist and other specialists)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
3093
845
1
At a health care provider,
2
At a hospital where you stayed overnight
3
At home
Sysmiss
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
The last time you [your child] sought care for [refer to the CONDITIONS listed in Q7003] did the health care provider prescribe any medicine for you [your child]?
1. Yes
5. No
8. DK - If No or DK: Go to Q7020
If No or DK: Go to Q7020.
3085
853
1
Yes
5
No
Sysmiss
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Of the medicines that were prescribed for you [your child], how many of them were you able to get?
1. All of them – Skip to Q7020
2. Most
3. Some
4. Very few
5. None of them
2867
1071
1
All of them
2
Most
3
Some
4
Very few
5
None of them
Sysmiss
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Which reason best explains why you [your child] did not get all the medicines you were prescribed?
1. Could not afford
2. Could not find all medicines
3. Did not believe all the medications were needed
4. Started to feel better
5. Already had some of the medicines at home
6. Other
212
3726
1
Could not afford
2
Could not find all medicines
3
Did not believe all the medications were needed
4
Started to feel better
5
Already had some of the medicines at home
6
Other
Sysmiss
Health care in you country
Health care in you country
Health care in you country
Health care in you country
Health care in you country
How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them?
This question is aimed at finding out how easy it is for a citizen to get involved in making decisions that would affect the structure of the health system.
3890
48
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country.
We are asking the respondent to give a report of their overall level of satisfaction with the state of health care in their country.
3883
55
1
Very satisfied
2
Fairly satisfied
3
Neither satisfied or dissatisfied
4
Fairly dissatisfied
5
Very dissatisfied
Sysmiss
Providing help
Providing help
Providing help
Providing help
Providing help
During the past year, did you provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability or is getting old and weak?
- Yes, for a person living in the same household
- Yes, for a person living in a separate household
- No
The purpose of this question is to find out whether the respondent is involved in caring
for family members, relatives or friends in an informal capacity (without pay) over some
extended period of time. The person in question might be in the respondent’s household or they might be in another household. The nature of the help that is provided to the
person encompasses a broad range of activities (described more fully below). These activities may include bathing, feeding, household chores, assistance with transport, etc., to mention but a few activities (SEE BELOW).
3887
51
1
Yes, for a person living in the same household
2
Yes, for a person living in a separate household
5
No
Sysmiss
Personal care
Personal care
Personal care
Personal care
Personal care
Please tell me the kind of care you provided to this person(s)?
You helped with personal care, such as going to the toilet, washing, getting dressed, or eating.
These questions (Q7023-Q7027) describe different areas of assistance that may be provided to persons with long-term conditions.
If the respondent is looking after more than 1 person, the respondent should be told to focus on the person needing the most care when answering this question.
399
3539
1
Yes
5
No
Sysmiss
Medical care
Medical care
Medical care
Medical care
Medical care
Please tell me the kind of care you provided to this person(s)?
You helped with medical care, like changing bandages and giving medicines.
These questions (Q7023-Q7027) describe different areas of assistance that may be provided to persons with long-term conditions.
If the respondent is looking after more than 1 person, the respondent should be told to focus on the person needing the most care when answering this question.
395
3543
1
Yes
5
No
Sysmiss
Household activities
Household activities
Household activities
Household activities
Household activities
Please tell me the kind of care you provided to this person(s)?
You helped with household activities such as meal preparation, shopping, cleaning, laundry.
These questions (Q7023-Q7027) describe different areas of assistance that may be provided to persons with long-term conditions.
If the respondent is looking after more than 1 person, the respondent should be told to focus on the person needing the most care when answering this question.
396
3542
1
Yes
5
No
Sysmiss
Watched over them
Watched over them
Watched over them
Watched over them
Watched over them
Please tell me the kind of care you provided to this person(s)?
You watched over them since their behaviour can be upsetting or dangerous to themselves or others.
These questions (Q7023-Q7027) describe different areas of assistance that may be provided to persons with long-term conditions.
If the respondent is looking after more than 1 person, the respondent should be told to focus on the person needing the most care when answering this question.
394
3544
1
Yes
5
No
Sysmiss
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Please tell me the kind of care you provided to this person(s)?
You helped them to get around outside the home.
These questions (Q7023-Q7027) describe different areas of assistance that may be provided to persons with long-term conditions.
If the respondent is looking after more than 1 person, the respondent should be told to focus on the person needing the most care when answering this question.
399
3539
1
Yes
5
No
Sysmiss
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
902
3036
1
Yes
5
No
9
Not applicable
Sysmiss
Health insurance
Health insurance
Health insurance
Health insurance
Health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Completing or filling out applications for health insurance?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
551
3387
1
Yes
5
No
9
Not applicable
Sysmiss
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Finding out what benefits you are entitled to from your health insurance?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
551
3387
1
Yes
5
No
9
Not applicable
Sysmiss
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Getting reimbursements from health insurance organizations?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
548
3390
1
Yes
5
No
9
Not applicable
Sysmiss
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
How important is "respectful treatment" to you? This means, being shown respect when greeted by and when talking to health care providers having physical examinations conducted in a way that respects your cultural norms. Would you say it is:
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3884
54
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
How important is "confidentiality of personal information" to you? This means, having information about your health and other personal information kept confidential having conversations with health care providers without other people overhearing.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3898
40
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
How important is "choice of health care providers" to you?
This means, being able to choose your health care provider (place or person) being able to consult for a second opinion or with a specialist if so desired.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3903
35
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
How important is "convenient travel and short waiting times" to you? This means, having short travel times and convenient access to health care facilities having short waiting times for consultations and hospital admissions.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3899
39
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
How important is "involvement in decision making" to you?
This means, being involved as much as you want in deciding about your health care freedom to discuss other treatment options or care regimes if you want.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3901
37
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
How important are "good quality surroundings" to you?
This means , having enough space, seating and fresh air in the waiting rooms, examination rooms and hospital wards having a clean facility (including clean toilets).
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3898
40
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
contact with outside world
contact with outside world
contact with outside world
contact with outside world
contact with outside world
How important is "contact with outside world " to you?
This means, having family and friends visit you as much as you want when you are a patient in hospital being able to keep in contact with family, friends and to have information about what is happening outside the hospital.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3903
35
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
How important is "clarity of communication" to you?
This means, having the health care providers explain things in a way you can understand having enough time to ask questions if you don't understand something.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
3900
38
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Over the last 5 years, was there ever a time you stayed overnight in a hospital or other type of long term care facility for your own health care?
This question asks people about staying overnight for their own medical needs. If they stayed overnight when visiting someone in hospital or because a child of theirs was in hospital they should answer NO to this question.
If Yes, Go to Q7400
3885
53
1
Yes - a hospital
2
Yes - long term care facility
5
No
Sysmiss
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Over the last 5 years, was there ever a time that one of your children aged 12 years or less stayed overnight in a hospital (for his/her own health care)?
If the person has more than one child, ask for sex and age of the child that had the last visit. If several children were seen at the same time, focus on the YOUNGEST child.]
If the respondent has not him/herself had a direct experience related to his/her health care, he/she can be asked questions about any children he/she accompanied to hospitals.
The maximum age of these children at the time of accompanying him/her should be 12 years old or younger.
If No, Go to Q7204
3176
762
1
Yes
5
No
Sysmiss
Sex of the child
Sex of the child
Sex of the child
Sex of the child
Sex of the child
What is the sex of the child?
193
3745
1
Female
2
Male
Sysmiss
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
What is the date of birth of the child?
The month and the year of birth are sufficient for this question.
Go to Q7400
171
01/1991
01/1993
01/1994
01/1995
01/1997
01/1998
01/2000
01/2001
01/2003
02/1992
02/1993
02/1997
02/1998
02/1999
02/2002
03/1995
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1993
04/1996
04/1999
04/2001
04/2002
05/1990
05/1992
05/1994
05/1996
05/1997
05/1999
05/2000
05/2001
05/2002
06/1990
06/1991
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1990
07/1992
07/1993
07/1994
07/1995
07/1996
07/1997
07/2000
07/2001
07/2002
08/1992
08/1994
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1992
09/1997
09/1998
09/1999
09/2001
10/1992
10/1995
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1992
11/1995
11/1996
11/1997
11/1999
11/2000
11/2001
11/2002
12/1993
12/1999
12/2001
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Over the last 12 months, did you receive any health care other than an overnight stay in a hospital?
This question refers to any other type of medical or health care the respondent might have had in the last 12 months. The types of people they might have seen include Medical doctor (including gynaecologist, psychiatrist and other specialists), Nurse, Midwife, Dentist, Physiotherapist or chiropractor, Traditional medicine practitioner, to mention the most common types of health care providers.
If Yes, Go to Q7300
2981
957
1
Yes
5
No
Sysmiss
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Over the last 12 months was there ever a time you accompanied one of your children aged 12 years or less for health care (other than an overnight stay in a hospital)?
If the person has more than one child, ask for sex and age of the child that had the last visit. If several children were seen at the same time, focus on the
YOUNGEST child.]
If the respondent has not him/herself had a direct experience related to his/her health care at an outpatient facility or at his/her home (e.g. a doctor visiting them at his/her home), he/she can be asked questions about any children he/she accompanied to health care providers. The maximum age of this child at the time of accompanying him/her should be not more than 12 years old.
If No, Go to Q8000
1684
2254
1
Yes
5
No
Sysmiss
Sex of Child
Sex of Child
Sex of Child
Sex of Child
Sex of Child
What is the sex of the child?
246
3692
1
Female
2
Male
Sysmiss
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
What is the date of birth of the child?
236
01/1992
01/1994
01/1995
01/1996
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1996
02/1997
02/1999
02/2000
02/2001
02/2002
03/1991
03/1992
03/1993
03/1995
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1991
04/1994
04/1995
04/1996
04/1998
04/1999
04/2000
04/2001
04/2002
05/1990
05/1996
05/1998
05/1999
05/2000
05/2001
05/2002
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
07/1995
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
08/1990
08/1995
08/1998
08/1999
08/2000
08/2001
08/2002
09/1994
09/1996
09/1997
09/1998
09/2000
09/2001
09/2002
10/1990
10/1998
10/2000
10/2001
10/2002
11/1998
11/2000
11/2001
11/2002
12/1990
12/1995
12/1998
12/1999
12/2000
12/2001
12/2002
12/2003
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
What was the name of the last health care provider you used in the last 12 months?
For this question, the interviewer has to try to get the name of the clinic, or the office. If this is not possible, the interviewer should get the name of the health care provider. If the respondent was visited at home, then they should write "home visit".
1559
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Was the last place you visited in the last 12 months:
- operated by the government
- privately operated
- NGO
- other
Places operated by the government include all establishments operated by all levels of government (federal/ national, provincial/state, and local/district). The word “operated” refers to the fact that the place is run by an organization that the respondent identifies as government, private, church etc. Note that only one category may be selected. If the respondent is undecided, ask them to select the group the provider fits in best. Similarly, if the health care provider visited the respondent at home, the respondent should think about who operates the home visit service.
1584
2354
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Which was the last health care provider you visited?
Medical doctor (including gynaecologist, psychiatrist, ophthalmologist, etc.)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
After Q7302, substitute the type of health care provider selected by the patient wherever you see [health care provider] in parentheses.
Note that the interviewers should read all the categories of types of providers to the respondent. The category “traditional medicine practitioner” refers to the types of health professionals that are traditionally recognised in that particular society as providing health care or providing information about health care . For example, in South Africa, Sangoma’s are a branch of “traditional” healers that are used by some of the population.
In the cases where a home visit is involved, identify the health care provider who visited the person at home.
1603
2335
1
Medical doctor
2
Nurse
3
Midwife
4
Dentist
5
Physiotherapist or chiropractor
6
Traditional medicine practitioner
7
Other
Sysmiss
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
What was the sex of [the health care provider]?
1596
2342
1
Female
2
Male
Sysmiss
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
In your opinion, was [the health care provider's] skill adequate for your treatment?
By skill, we mean the competence of the health care provider (as a doctor, nurse, etc.), and his/her ability to treat the respondent problem.
1592
2346
1
Yes
5
No
Sysmiss
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
In your opinion, was [the health care provider's] equipment adequate for your treatment?
1592
2346
1
Yes
5
No
Sysmiss
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
In your opinion, were [the health care provider's] drug supplies adequate for your treatment?
1590
2348
1
Yes
5
No
Sysmiss
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
Thinking about your last visit, how long did it take you to get there?
1551
2387
1580
41.736
70.629
1
2
3
4
5
6
7
8
10
12
14
15
20
21
25
30
35
38
40
45
48
50
60
65
70
75
80
90
95
96
105
120
125
128
130
135
140
144
145
150
160
180
220
240
300
302
360
480
660
888
1580
Sysmiss
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
Thinking about your last visit, how did you get there?
[Interviewer; mark the one used for most of the travel distance.]
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
1557
2381
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Thinking about your last visit, how much did you or your household pay for: [Health care provider's] fees
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1414
2524
5000000
19905.445
141931.622
1
2
5
8
9
45
62
65
90
200
500
1000
1200
1500
1600
2000
2200
2500
2700
3000
4000
4500
5000
6000
7000
8000
8500
9000
10000
11000
12000
13000
14400
14500
15000
15500
16000
17000
18000
19000
20000
21000
22000
24000
25000
26000
27000
30000
32000
33000
35000
37000
40000
42000
44000
45000
47000
48000
50000
52000
53000
55000
58000
59000
60000
62000
63000
65000
70000
74000
75000
78000
80000
81000
85000
90000
98000
100000
105000
110000
120000
130000
140000
150000
160000
165000
180000
190000
195000
200000
250000
350000
355000
400000
448000
450000
500000
620000
1000000
5000000
Sysmiss
Medicines
Medicines
Medicines
Medicines
Medicines
Thinking about your last visit, how much did you or your household pay for: Medicines
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1510
2428
2500001
36883.246
98929.231
1
2
8
Do not know
9
Not applicable, not have
10
20
25
40
44
122
1000
1100
1500
2000
2500
3000
3500
4000
5000
5500
6000
7000
8000
8500
9000
10000
10500
10600
11000
12000
12500
13000
14000
14900
15000
16000
17000
17200
18000
19000
19500
20000
21000
22000
23000
24000
24500
25000
25500
26000
27000
28000
29000
30000
32000
33000
34000
35000
35500
36000
38000
40000
41000
42000
43000
44000
45000
46000
47000
48000
50000
52000
54000
55000
56000
57000
58000
59000
60000
61000
63000
64000
65000
69000
70000
71000
72000
73000
75000
78000
78750
79000
80000
85000
87000
89000
90000
91000
95000
96000
99000
100000
104000
110000
112000
116000
120000
121000
125000
126000
128000
130000
135000
140000
145000
150000
157000
160000
170000
180000
189000
200000
220000
230000
240000
250000
280000
350000
370000
400000
420000
500000
550000
600000
680000
1000000
1000009
1250000
2500001
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your last visit, how much did you or your household pay for: Tests
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1523
2415
1000000
2949.194
27820.792
1
8
Do not know
9
Not applicable, not have
300
500
1000
2000
2400
3000
4000
5000
7000
8000
9000
10000
11000
12000
14000
15000
16000
18000
20000
21000
23000
25000
27000
30000
32000
33000
35000
40000
42000
45000
48000
50000
54000
60000
65000
75000
82000
100000
120000
130000
150000
205000
1000000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your last visit, how much did you or your household pay for: Transport
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1552
2386
5000000
10916.59
150222.008
1
5
8
Do not know
9
Not applicable, not have
300
400
500
600
700
1000
1100
1200
1400
1500
1600
1800
2000
2400
2700
2900
3000
3200
3400
3500
4000
4200
4400
4600
4800
5000
5200
5500
5600
6000
6500
6800
7000
7500
8000
8600
9000
10000
11000
12000
13000
14000
15000
16000
16800
20000
22000
24000
25000
26000
28000
30000
32000
35000
40000
45000
46000
50000
60000
64000
70000
72000
75000
80000
100000
120000
140000
150000
450000
2000000
2400000
5000000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your last visit, how much did you or your household pay for: Other
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1416
2522
460000
4212.701
22703.566
1
2
5
6
8
Do not know
9
Not applicable, not have
25
800
1000
1500
2000
3000
4000
5000
6000
6500
8000
9000
10000
12000
13500
14000
15000
17500
20000
25000
26000
28000
30000
31000
32000
35000
36000
40000
44000
47000
48000
50000
54000
55000
57000
60000
70000
80000
90000
100000
110000
125000
165000
180000
250000
355000
460000
Sysmiss
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
In some countries, poor people or old people get a special discount on the normal prices paid by everyone else.
1166
2772
1
Yes
5
No
9
Not applicable, free
Sysmiss
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
For your [child’s] last visit, how would you rate the travelling time to the health care provider?
The respondent should take into account every aspect of the timing of the trip.
1565
2373
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
For your [child’s] last visit, how would you rate the amount of time you waited before being attended to?
The respondent should only be thinking of the time they waited once they had arrived at the health care facility.
1606
2332
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
For your [child’s] last visit, how would you rate your experience of being greeted and talked to respectfully?
1599
2339
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
For your [child’s] last visit, how would you rate the way your privacy was respected during physical examinations and treatments?
The purpose of this question is to see whether the respondent, during any physical examinations or when undressing, felt that they were receiving respectful treatment.
1554
2384
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, no exam/treatment
Sysmiss
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
For you [child’s] last visit, how would you rate the experience of how clearly health care providers explained things to you?
The explanation of “things” refers to the diagnosis, the treatment, possible means of prevention and any other exchanges between the health care provider and the respondent.
1605
2333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
For your [child’s] last visit, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
The respondent might have wanted to ask the health care provider questions. This question asks whether they were given sufficient time to ask questions.
1606
2332
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
For your [child’s] last visit, how would you rate your experience of getting information about other types of treatments or tests?
This question aims to find out if the respondent was able to obtain information so she/he might then consider different treatment options.
1596
2342
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment?
This question refers to the extent to which the respondent had an opportunity for discussing his or her health care condition with the health care provider.
1604
2334
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers?
The point of this question is to find out whether the respondent was able to speak to the health care provider privately, out of the hearing of people who the respondent did not want to involve in the discussion.
1603
2335
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
For your [child’s] last visit, how would you rate the way your personal information was kept confidential?
Their are several ways in which the respondent’s medical history or reason for the visit might not have been kept confidential. One example is if the health care provider reported something to the respondent’s employer.
1456
2482
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Do not know
Sysmiss
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider?
This question is asking the respondent to describe the extent to which they were able to choose to choose their health care provider.
1595
2343
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets?
1531
2407
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
For your [child’s] last visit, how would you rate the amount of space in the waiting and examination rooms?
1559
2379
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Sex
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1607
2331
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Age
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1606
2332
1
Yes
5
No
Sysmiss
Lack of funds
Lack of funds
Lack of funds
Lack of funds
Lack of funds
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Lack of money
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1606
2332
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Social class
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1606
2332
1
Yes
5
No
Sysmiss
Skin colour
Skin colour
Skin colour
Skin colour
Skin colour
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Ethnic group or colour
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1606
2332
1
Yes
5
No
Sysmiss
Illness
Illness
Illness
Illness
Illness
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Type of illness
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1604
2334
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Nationality
Note that the recall for this question is 12 months. The whole list of reasons must be read to the respondent. The interviewer should mark either yes or no next to each reason listed.
1599
2339
1
Yes
5
No
Sysmiss
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ?
874
2
37 MILITARY
37 MILITARY HOSPITAL
37 MILITARY HOSPITAL
37 MILITARY HOSPITAL ACCRA
5
6MRS (KAMINA)
888
A.B.A HOSPITAL, TARKWA
A.B.A PRIVATE CLINIC
A.G.C
ABA HOSPITAL TARKWA
ABBOR WEME HOSPITAL
ABOABO CLINIC
ABOABO NO. 3 CLINIC
ABOABO NO. CLINIC
ABOABO NO. S CLINIC
ABOABO RURAL CLINIC
ABOABONE NO. 3 CLINIC
ABOASO HEALTH CENTRE
ABURA DUNKWA HOSPITAL
ACHICHERE CLINIC
ACHIMOTA HOSPITAL
ADAKLU SOFE CLINIC
ADESADEL CLINIC
ADISADEL HOSPITAL
ADOBIA HEALTH CENTRE
ADOM CLINIC
ADOM CLINIC - BAWJIASE
ADOM HOSPITAL
AFLAO CENTRAL HOSPITAL
AGC HOSPITAL
AGOGO
AGOGO ASANTE AKIM HOSPITAL
AGOGO HOSPITAL
AGOGO PRESBY HOSPITAL
AGOMENYA HOSPITAL
AGOMENYA ROMAN HOSPITAL
AGONA GOVT. HOSPITAL
AGORMANYA ROMAN HOSPITAL
AGORMENYA HOSPITAL
AGROYESUM GOV'T HOSPITAL
AGROYESUM HOSPITAL
AHMADIYA HOSPITAL EFIDUASE
AJARA HOSP.
AKOBAM HOSPITAL
AKOMADA HOSPITAL
AKOMADAN HEALTH CENTRE
AKOMADAN HOSPITAL
AKOSOMBO HOSPITAL
AKOTO CLINIC- KPANDO
AKRODIE GOVT. HEALT CENTRE
AKROPONG GOV'T HOSPITAL
AKROPONG HEALTH CENTRE
AKUMADAN HEALTH CENTRE
AKURASI CLINIC
ALLEN CLINIC
AMA DANSOA CLINIC
AMANSAMAN GOVT. HOSPITAL
AMANSAN CLINIC
AMASU CLINIC
AMEN HOSPITAL WENCHI
AMENSOAMENFI HEALTH CENTRE
ANFOEGA CATHOLIC HOSPITA
ANFOEGA CATHOLIC HOSPITAL
ANFOEGA MISSION HOSPITAL
ANIMWAA HOSPITAL
ANKAFUL GENERAL HOSPITAL
ANKAFUL GOVT. HOSPITAL
ANOMA-KWADWO PRIVATE CLINIC
ANWIAM CLINIC
AOABO CLINIC
APAM CATHOLIC HOSPITAL
APAM CATHOLOCI HOSPITAL
APAM CATOLIC HOSPITAL
ARIWAA MEDICAL CENTRE
ASAFO CATHOLIC HOSPITAL
ASAFO HOSPITAL
ASAFO SAINT JOHN'S CATHOLIC HOSPITAL
ASAMANKESE HOSPITAL
ASANKRAGUA CATHOLIC HOSPITAL
ASANKRAGUA HOSPITAL
ASEMPA CLINIC
ASEMPA CLINIC
ASHANTI MAMPONG GOVERNMENT HOSPITAL
ASHIAMAN GENERAL HOSPITAL
ASIKUMA CATHOLIC HOSPITAL
ASIKUMA CLINIC
ASIKUMA GOVT. HOSPITAL
ASIKUMA HOSPITAL
ASOKORE HOSPITAL
ASSIN FOSU ROMAN HOSPITAL
ASSIN FOSO CLINIC
ASSIN FOSO ROMAN H
ASSIN FOSU
ASSIN FOSU CATHOLIC HOSPITAL
ASSIN FOSU CATHOLIC HOSPITAL
ASSIN NSUTA
ASUMURA CLINIC
ASUROYESUM ST MATIN HOSPITAL
ATEBUBU HHOSPITAL, ATEBUBU
ATEBUBU HOSPITAL, ATEBUBU
ATIBEA HOSPITAL
ATIBIE
ATIBIE GOV'T HOSPITAL
ATIBIE GOVT. HOSP.
ATUA HOSPITAL
AXIM HOSPITAL
AYI KUMA CATHOLIC HOSPITAL
BADU HEALTH CENTRE
BARNETT CLINIC NEW TOWN - ACCRA
BATOR CATHOLIC HOSP.
BATTOR CATHOLIC HOSPITAL
BATTOR HOSPITAL
BATTOR ROMAN HOSPITAL
BAWJIASE HOSPITAL
BAWKU
BAWKU HOSPITAL
BAWKU HOSPITAL
BAWKU PRESBY HOSPITAL
BAWKU PRESBYTERIAN HOSPITAL
BECHEM GOVT. HOSPITAL
BECHEM HOSPITAL
BEKWAI GOV'T HOSPITAL
BEKWAI HOSPITAL
BENDI HOSPITAL
BENETT MEMORIAL HOSPITAL
BENGHADY
BENITO HOSPITAL
BEREKUM FAMILY CARE
BEREKUM HOLY FAMILY HOSPITAL
BEREKUM HOSPITAL
BEREKUM OLY FAMILY HOSPITAL
BEREKUM ST. JOSEPJ CATOLICA HOSPITAL
BIBIANA HOSPITAL
BIBIANI GOV'T HOSPITAL
BIBIANI GOVERNMENT HOSPITAL
BIBIANI HOSPITAL
BIMBILA GOVT HOSPITAL
BIMBILLA CLINIC
BIMBILLA HOSP.
BINDE CLINIC
BINDE HOSPITAL
BINDI HOSPITAL
BOAKYE DANKWA HOSPITAL
BOAMADUMASE CLINIC
BOAWESEAWO HOSPITAL
BOLE HOSP.
BOLE HOSPITAL
BOLGA HOSPITLA
BOLGA REGIONAL HOSPITAL
BOLGA. DISTRICT HOSPITAL
BOLGA. GENERAL HOSPITAL
BOLGA. GOVT. HOSP.
BOLGANTA DISTRICT HOSPITAL
BOLGATANGA CENTRAL HOSPITAL
BOLGATANGA DISTICT HOSPITAL
BOLGATANGA GOVT. HOSPITAL
BOLGATANGA HOSPITAL
BOMSO CLINIC
BOMSO CLINIC, KUMASI
BONGO HOSPITAL, BOLGATANGA
BREKUM CATHOLIC HOSPITAL
BREKUM GOV'T HOSPITAL
BREKUM HOLY FAMILY HOSPITAL
BREMAN ESIKUMA CATHOLIC HOSPITAL
BREMAN HEALT POST
BURA HOSPITAL, BURA
CAPE COASE DISRICT
CAPE COAST CENTAL
CAPE COAST D. HOSPITAL
CATHOLIC HOSPITAL
CATHOLIC HOSPITAL ASIKUMA
CATHOLIC HOSPITAL ASOFO
CATHOLIC HOSPITAL OFFINSO
CATHOLIC HOSPITAL, BINDI
CATHOLIC HOSPITAL, NALERIGO
CATHOLIC HOSPITAL, PAPASE
CENTRAL
CENTRAL GOVT. HOSPITAL, CAPE COASE
CENTRAL HOSP.
CENTRAL HOSP. TAMALE
CENTRAL HOSPIAL
CENTRAL HOSPITAL
CENTRAL HOSPITAL CAPE COAST
CENTRAL HOSPITAL KOFORIDUA
CENTRAL HOSPITAL, CAPE COAST
CENTRAL HOSPITAL, CAPE COAST
CENTRAL HOSPITAL, KOFORIDUA
CENTRAL HOSPITAL, TAMALE
CENTRAL REGIONAL HOSPITAL
CENTRE HOSPITA
CHIANEH CLINIC
CHILDREN'S HOSPITAL
CLINIC
CLINIC AT BINDI
COMBONI CLINIC
COMBONI POLYCLINIC
COMMUNITY CLINIC AMANTIN
DABEN
DAMANGO HOSP.
DAMANGO HOSPITAL
DAMANYO HOSPITAL
DAMBA HOSPITAL
DAMENYO HOSP.
DANSOMAN POLYCLINIC
DELMA HOSPITAL
DIARE HOSPITAL
DISTRICT HOSPITAL
DISTRICT HOSPITAL CAPE COAST
DISTRICT HOSPITAL, AFLAO
DONKORKROM PRESBYTERIAN HOSP.
DORMAA AHENKRO GOVT. HOSPITAL
DORMAA AHENKRO HOSPITAL
DORMAA HOSPITAL
DORMAA PRESBY MISSION HOSPITAL
DR LARBI'S HOSPITAL
DR OSEI BONSU CLINIC
DR OSEI HOSPITAL
DR. GHARTEY'S CLINIC
DR. GLOVER'S CLINIC
DR. OSEI MEMORIAL HOSPITAL
DR. QUARTEY PRIVATE HOSPITAL
DR. SARFO ADU HOSPITAL
DUAYAW NKWANTA HOSPITAL
DUNKWA CENTRAL HOSPITAL
DUNKWA CLINIC
DUNKWA GOV'T HOSPITAL
EBENEZER CLINIC, PRAMPRAM
EDUBIA H/CENTRE
EFFIA NKWANTA HOSPITAL
EFFIA NKWANTA HOSPITAL SEKONDI
EFFIA NKWANTA REGIONAL HOSPITAL
EFFIANKWANTA REGIONAL HOSPITAL
EFIA NKWANTA HOSPITAL
EFIANKWANTA
EJISU H/C JUABEN HOSP
EJURA DIST. HOSPITAL
EJURA DISTRICT HOSPITAL
EJURA GOV'T HOSPITAL
EJURA HOSPITAL
EKWE CATH. HOSPITAL
EKWE CATHOLIC HOSPITAL
EKWE HOSPITAL
EKWIE CATHOLIC HOSPITAL
ELIZABETH HOSPITAL
ELZIZABETH CATHERINE HOSPITAL
ENCHI GOV'T HOSPITAL
ENCHI GOVERNMENT HOSPITAL
ENCHI HOSPITAL
ENYIRISI HOSPITAL
ESIAMA CLINIC
EUROPEAN HOSPITAL - TAKORADI
EVER GREEN CLINIC SAWLA
FATER YIRI
FIAN HEALTH CARE
FIAN HEALTH CENTRE
FLAT CLINIC
FOSU HOSPITAL
FOSU ROMAN HOSPITAL
GICIDI HOSPITAL-AKWATIA
GOASO GOVT. HOSPITAL
GOMOA OGUAA HEALTH CENTRE
GOPDC
GORDIA CLINIC
GOV'T HOSPITAL BECHEM
GOV'T HOSPITAL NEW EDUBIASO
GOVERNMENT HOSPITAL, MANHYIA
GOVERNMENT HOSPITAL, OBUASI
GOVT HOSPITAL
GOVT HOSPITAL HOHOE
GOVT HOSPITAL, HOHOE
GOVT HOSPITAL, NKWANTA
GOVT HOSPITAL, WALEWALE
GOVT HOSPITAL, WALEWALE.
GOVT. HOSPITAL
GOVT. HOSPITAL - ABURA DUNKWA
GOVT. HOSPITAL - CAPE COASE
GOVT. HOSPITAL - CAPE COAST
GRACE MATERNITY CLINIC, ASOKORE MAMPONG
GREENSHIELD CLINIC DWENASE
GUSHEGU HEALTH CENTRE
GYEDU HEALTH CENTRE
H/CENTRE KADJEBI
HAJ ADAM CLINIC
HAS NEVER STAY OVERNIGHT IN ANY HEATH INST. IN THE LAST 5
HAVE HEALTH CENTRE
HO DISTRICT HOSPITAL
HOHOE GOVT HOSPITAL
HOHOE GOVTHOSPITAL
HOHOE HOSPITAL
HOLY FAMILY
HOLY FAMILY CATHOLIC HOSPITAL, TECHIMAN
HOLY FAMILY HOSP.
HOLY FAMILY HOSPITAL
HOLY FAMILY HOSPITAL NKAWKAW
HOLY FAMILY HOSPITAL TECHIMAN
HOLY FAMILY HOSPITAL, BEREKUM
HOLY FAMILY HOSPITAL,NKAWKAW
HOLY FAMILY HOSPITAL-NKAWKAW
HOLY FAMILY MISSION HOSPITAL BEREKUM
HOLY FAMILY NKAWKAW
HOLY FAMILY TECHIMAN HOSPITAL
HUNI VALLEY HEALTH CENTRE
HUNIVALLEY HOSPITAL
HWEDIEM GOVT. HOSPITAL
HWIDIEM HOSPITAL
IDDRISU CLINIC, BAWKU
INTER -VERTIN HOSPITAL CAPE COAST
INTERBERTIN CLINIC ABURA
IRANI CLINIC
ISAKA AKURO
ISIRIGU HEALTH CENTRE
JEPA HOSPITAL
JIRAPA HOSPITAL
JUABEN
JUABEN GOV'T HOSPITAL
JUABEN GOVERNMENT HOSPITAL
JUABEN HOSPITAL
JUASO GOV'T HOSPITAL
JUASO GOV. HOSPITAL
JUASO HOSPITAL
K'BU TEACHING HOSPITAL
K.A.T.H.
KADJEBI HEALTH CENTRE
KAIKO
KAKARI HOSPITAL
KAMINA BARRACKS HOSP.
KAMP CLINIC
KANAYIREBO HOSPITAL
KANESIE CLINIC
KASAPIN PENTECOST
KATH
KETA DISTRICT HOSPITAL
KETA HOSPITAL
KETA HOSPITAL (GOVT)
KETU DISTRICT HOSPITAL
KETU DISTRICT HOSPITAL, AFLAO
KIBI GOVERNMENT HOSPITAL
KIBI HOSPITAL
KISSI HEALTH POST
KITARE HEALTH CENTRE
KNUST HOSPITAL
KNUST HOSPITAL
KOFI PARE CLINIC
KOFORIDUA CENTRAL HOWPITAL
KOKOA RURAL CLINIC
KOLE-BU HOSPITAL
KOMFO ANOKYE HOSPITAL
KOMFO ANOKYE HOSPITAL, K'SI
KOMFO ANOKYE TEACHING HOSPITAL
KOMFO ANOKYE TEACHING HOSPITAL - KUMASI
KOMFO ANOKYE TEACHING OSPITAL, KUMASI
KOMFO ANOKYE TECH. HOSPITAL
KONFO ANOKYE TEACHING HOSPITAL
KONONGO CLINIC
KONONGO HOSPITAL
KORLE BU
KORLE BU TEACHING HOSPITAL
KORLE BU HOSPITAL
KORLE BU HOSPITAL ACCRA
KORLE BU POLYCLINIC
KORLE BU TEACHING HOSPITAL
KORLE BU TEACHING HOSPITAL
KORLE-BU TEACHING HOSPITAL
KORLEBU TEACHING HOSPITAL
KPANDAI HEALTH CENTRE, KPANDAI
KPANDO CLINIC
KPEDZE HEALTH CENTRE
KRACHI GOVT HOSPITAL
KRACHI GOVT. HOSPITAL
KWADASO HOSPITAL
KWADASO S D A HOSPITAL
KWADASO SDA HOSPITAL
KWAKYE MARFO HOSPITAL KUMASI
KWAMESIA CLINIC
KWAMESUA
KWANTA HOSPITAL
KWANWOMA
KWESIMINTSIM HOSPITAL
KWESIMINTSIM POLYCLINIC
KWSIMINTSIM POLYCLINIC
KYEKYEWERE HEALTH CENTRE
LA POLYCLINIC
LABADI POLYCLINIC
LEGON HOSPITAL
LEGON HOSPITAL AND KORLE-BU TEACHING HOSPITAL
LINK WOOD HOSPITAL
LOFOFI HOSPITAL
M C H KUMASI
MA TERNITY BLOCK, KORLE BU
MAAMOBI POLYCLINIC
MAASI DISTRICT HOSPITAL, OFFINSO
MAASI HOSPITAL, OFFINSO-ASH.
MADAM ADABO CLINIC
MALERIGU DISTRICT HOSPITAL
MAMPONG
MAMPONG HOSP.
MAMPONG HOSPITAL
MAMPROBI POLYCLINIC
MAMPRULI HEALTH CENTRE
MANHYIA
MANHYIA HOSPITAL
MANKARGO HEALTH CARE
MANKRAMSO GOV'T HOSPITAL
MANNA MISSION
MARGARET MARQUART CATHOLIC HOSPITAL
MARGARET MARQUART CATHOLIC HOSPITAL, KPANDO
MARY-THERESA PAPASE CLINIC
MERCY CLINIC
METHODIST HOSPITAL WENCHI
METHODIST HOSPITAL, WENCHI
MFESETEA
MILITARY HOSPITAL, HO
MR. ANKOMAH
MRS BANNERMAN'S MATERNITY
NADOLI
NALERIGU
NALERIGU DISTRICT HOSPITAL
NALERIGU HOSPITAL
NALERUGU BAPTIST MEDICAL CENTRE
NALERUGU DISTRICT HOSP.
NANDOM
NANDOM HOSPITAL
NARH BITA
NARKWA CLINIC
NAVRONGO HOSPITAL
NAVRONGO WAR MEMORIAL HOSPITAL
NAVRONGO WAR MEMORIAL OSPITAL
NEW EDUBEASE GOV'T HOSPITAL
NEW TOWN GOVERNMENT HOSPITAL
NKAWIE GOV'T HOSPITAL
NKAWKAW HOLY FAMILY HOSPITAL
NKAWKAW HOSPITAL ROMAN
NKENKESU HEALTH CENTRE
NKORANZA HEALTH CENTRE
NKORANZA ST. THERESA HOSPITAL
NKORANZAMAN HOSPITAL
NKWABENG HEALT CENTRE
NKWANTA GOVT HOSPITAL
NONE
NSABA GOVT. HOSPITAL
NSASEI
NSAWAM GOVERNMENT HOSPITAL
NSAWAM GOVT HOSP.
NSAWAM GOVT HOSPITAL
NSAWAM GOVT. HOSP.
NSAWAM GOVT. HOSPITAL
NSAWAM HOSP.
NSAWAM HOSPITAL
NSUATRE CLINIC
NSUTA HOSPITAL
NYHINEYIM HOSP.
NYINEHYIM GOVT HOSP.
NZORGAZA
OBUASI GOV'T HOSPITAL
OBUASI HOSPITAL
ODA GOVERNMENT HOSPITAL
OFFINSO MANSO HOSPITAL
OKOMFO ANOKYE HOSPITAL
OKOMFO ANOKYE TEACHING HOSPITAL, KUMASI
OLY FAMILY TAKYIMAN
OSENASE CLINIC
OWUSU MEMORIAL HOSPITAL
PAT'S MATENITY HOME
PELUGU HEALTH CENTRE
PENTECOST CLINIC
POLICE HOSPITAL
POLYCLINIC K'MITSIE
POLYCLINIC, NSUTA
PORESBY HOSP. DONKORKROM
PRAMSCO HOSPITAL
PRAMSO
PRAMSO HOSPITAL
PRAMSO HOSPITAL, JACHIE
PRANSO
PRESBY HOSP. DONKORKROM
PRESBYTERIAN CLINIC, LANGBISI
PRESBYTERIAN CLINIC, LANGIBISI
PRESTEA CLINIC
PRESTEA GIVERNMENT HOSPITAL
PRESTEA GOVERNMENT HOSPITAL
PRESTEA HOSPITAL
PRIVATE CLINIC SUNYANI
PRIVATE HOSPITAL
PRIVATE MATERNITY HOUSE
PROMOSO GOV'T HOSPITAL
PROVITA
PROVITAL AT TEMA
PUSIGA CLINIC
PUSIGA COMMUNITY HEALT CENTRE
PUSIGA NATINGA HOSPITAL
RAPH CLINIC (TDC AREA)
REGINAL HOSPITAL, WA
REGIONAL HOSPITA -HO
REGIONAL HOSPITAL
REGIONAL HOSPITAL BOLG.
REGIONAL HOSPITAL BOLGA
REGIONAL HOSPITAL, BOLGA
REGIONAL HOSPITAL, WA
RIDGE HOSPITAL
RIDGE HOSPITAL ACCRA
ROMAN HOLY FAMILY HOSPITAL NKAWKAW
ROMAN HOSPITAL-NKAWKAW
S D A HOSPITAL
S D A HOSPITAL
S.D.A. HOSPITAL
SAFO ADU HOSPITAL
SAINT ANTHONY CLINIC - KUMASI
SAINT JOHN OF GOD - SEFWI ASAFO HOSPITAL
SAINT MARTINS HOSPITAL AGRODESUM
SAINT MINA CLINIC
SAINT PETER'S HOSPITAL JACOBU
SALAGA GOVT HOSPITAL
SALTPON GOVT. HOSPITAL
SALTPOND GOVT. HOSPITAL
SALTPOND HOSPITAL
SALVATION ARMY HOSPITAL ADJUMAKO BAAH
SALVULGO HOSPITAL
SAMATEX HOSPITAL
SAMBA GOVT. HOSPITAL
SAMEREBOI HOSPITAL
SANDEMA CLINIC
SANREBOI HOSPITAL
SAPILGA CLINIC
SAVELUGU GOVERNMENT HOSPITAL
SAWLA CLINIC
SAWLA HOSPITAL
SDA HOSPITAL - KUMASI
SDA HOSPITAL KWADASO KUMASI
SEFWI ANHIAWSO HEALTH CENTRE
SEFWI WIAWSO GOV'T HOSPITAL
SEFWI WIAWSO HOSPITAL
SEKYERE CLINIC
SIBOTIM
SOA HOSPITAL- KWADASO
SOGAKOPE DISTRICT HOSPITAL
SOLACE HOSPITAL
SOMETEX HOSPITAL - SAMREBOI
SPIRITUAL CHURCH AWOYO
SSNIT HOSPITAL
ST ANTHONY MATERNITY CLINIC ADUGYAMA
ST LOUISE HOSPITAL SEMEGUA
ST PETER'S HOSPITAL
ST STEPHEN CLINIC
ST. ANTHONY HOSPITA; DZODZE
ST. ANTHONY HOSPITAL
ST. ANTHONY HOSPITAL DZODZE
ST. DOMINIC AKWATIA
ST. DOMINIC HOSPITAL
ST. DOMINIC HOSPITAL AKWATIA
ST. DOMINICS
ST. DOMINICS HOSPITAL
ST. ELIZABETH HOSPITAL - HWIDIEM
ST. JOSEPH
ST. JOSEPH CATHOLIC HOSPITAL JIRRAPA
ST. JOSEPH CLINIC
ST. JOSEPH HOSPITAL
ST. JOSEPH HOSPITAL, SWEDRU
ST. JOSEPH KOFORIDUA
ST. MARTIN'S HOSPITAL
ST. MARTIN'S HOSPITAL - EIKWE
ST. MARTIN'S HOSPITAL EIKWE
ST. MARY'S CATHOLIC HOSPITAL
ST. MICHAEL HOSPITAL
ST. PATRICK HOSPITAL
ST. PATRICK HOSPITAL (MAASE OFFINSO)
ST. PATRICKS HOSPITAL (OFFINSU MANSO
ST. RAPHAEL CLINIC, TEGBI AGBEDRAFOR
ST. THERESA CATHOLIC HOSPITAL
ST. THERESA 'S HOSPITAL, NKORANSA
ST. THERESA CATHOLIC HOSPITAL
ST. THERESA HOSPITAL
ST. THERESA HOSPITAL - NKORANZA
ST. THERESA HOSPITAL NKORANZA
ST. THERESA HOSPITAL, NKORANZA
ST. THERESA' S HOSPITAL - NKORANZA
ST. THERESA'S HOSPITAL NKORANZA
ST. THERESA'S HOSPITAL NKORAZA
SUHUM GOVERNMENT HOSPITAL
SULEMANA
SUMA AHENKRO CLINIC, B/A
SUNFLOWER CLINIC NORTH KANESHIE
SUNYAN GOVT HOSPIAL
SUNYANI EYE SPECIALIST
SUNYANI GOVT HOSPITAL
SUNYANI GOVT. HOSPITAL
SUNYANI GOVT.HOSPITAL
SUNYANI REGIONAL HOSPITAL
SUZZIE'S MATERNITY CLINIC
SWEDRU GOVT. HOSPITAL
TAFO GOV'T HOSPITAL
TAFO GOVERNMENT HOSPITAL
TAKORADI HOSPITAL
TAMALE CENTRAL HOSPITAL
TAMALE GOV'T HOSPITAL
TAMALE GOVT HOSP.
TAMALE GOVT HOSPITAL
TAMALE HOSPITAL
TAMALE REGIONAL HOSPITAL
TAMALE TEACHING HOSPITAL
TAMALE WEST HOSPITAL
TANOSO CLINIC
TARKWA GOVERNMENT HOSPITAL
TARKWA GOVT. HOSPITAL
TARKWA HOSPITAL
TATALE HOSP.
TEMA GENERAL HOSPITAL
TEMA GENERAL
TEMA GENERAL HOSPITAL
TEMA LIGHT HOUSE CLINIC
TETTEH ABORA CLINIC
TETTEH QUARSHIE HOSPITAL MAMPONG-AKWAPIM
TETTEH QUARSHIE MEM. HOSPITAL MAMPONG
TETTEH QUASHIE MEMORIAL HOSPITAL
TIKOBI NO.1 COLINIC
TINKON CLINI
TONGO HEALTH CENTRE
TUMU HOSPITAL
UNIVERSITY HOSPITAL - LEGON
UNIVERSITY HOSPITAL LEGON
UNIVERSITY HOSPITAL, KUMASI
UNIVERSITY OF CAPE COAST HOSPITAL
USSHER TOWN POLYCLINIC
VRA HOSPITAL
VRA HOSPITAL AKOSOMBO
WA REGIONAL HOSPITAL
WA GOVT. HOSPITAL
WA HOSPITAL
WA MEMORIAL HOSPITAL
WA REGIONAL HOSPITAL
WALEWALE
WALEWALE DISTRICT HOSP.
WALEWALE DISTRICT HOSPITAL
WALEWALE GOVT HOSP.
WALEWALE HOSPITAL
WAR MEMORIAL
WAR MEMORIAL HOSPITAL NAVORONGO
WENCHI METHODST HOSPITAL
WEST GONJA HOSP.
WEST GONJA HOSPITAL
WIAGA CATHOLIC CLINIC
WIAGA CATOLIC HOSPITAL
WIAGA CLINIC
WIAGA ROMAN CATHOLIC CLINIC
WINNEBA HOSPITAL
WULENSI HEALTH CENTRE
YEDI GOVT. HOSPITAL
YEIJI HOSPITAL
YEJI GOVT. HOSPITAL
YEJI HOSPITAL
YEND DISTRICT HOSPITAL
YENDI
YENDI CENTRAL HOSPITAL
YENDI DISTRICT HOSPITAL
YENDI GOV'T HOSPITAL
YENDI HOSP.
YENDI HOSPITAL
YENSI HOSPITAL
ZEBILLA HOSPITAL
ZION ANNEX CLINIC NTONSO
kibi hospital
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Was the hospital or long term care facility:
- operated by the government
- privately operated
- NGO
- other
866
3072
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
when was your last stay
when was your last stay
when was your last stay
when was your last stay
when was your last stay
When was your [child's] last overnight stay?
- In the last 4 weeks
- In the last year
- In the last 2 years
- In the last 3 years
- In the last 5 years
849
3089
1
In the last 4 weeks
2
In the last year
3
In the last 2 years
4
In the last 3 years
5
In the last 5 years
Sysmiss
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Which of the following best describes the reason for your [child's] last overnight stay?
- High fever, severe diarrhoea, or cough
- Childbirth
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
854
3084
1
High fever, sever diarrhea, or cough
2
Childbirth
3
Arthritis
4
Asthma
5
Heart disease
6
Bodily injury
7
Minor surgery
8
Other
Sysmiss
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your [child's] stay on this occasion?
- 1-2 days
- 3-5 days
- 6-14 days
- 15 days and more
869
3069
1
4
1
1-2 days
2
3-5 days
3
6-14 days
4
15 days and more
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
In your opinion, was the skill of the health care providers adequate for your [child’s] treatment?
859
3079
1
Yes
5
No
Sysmiss
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
In your opinion, was the hospital's equipment adequate for your [child’s] treatment?
858
3080
1
Yes
5
No
Sysmiss
Drug supplies
Drug supplies
Drug supplies
Drug supplies
Drug supplies
In your opinion, were the hospital's drug supplies adequate for your [child’s] treatment?
851
3087
1
Yes
5
No
Sysmiss
How long to get there
How long to get there
How long to get there
How long to get there
How long to get there
Thinking about your last hospital stay, how long did it take you [child’s] to get there?
835
3103
1
3600
55.546
175.012
1
2
3
4
5
6
7
8
10
15
16
20
24
25
30
35
40
45
48
50
60
65
70
75
80
85
88
90
100
105
120
140
150
180
240
270
300
360
420
480
540
620
888
3000
3600
Sysmiss
How you got there
How you got there
How you got there
How you got there
How you got there
Thinking about your [child’s] last hospital stay, how did you get there?
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
854
3084
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
For your [child’s] last hospital stay, how long from the time you needed hospital care did you wait to be admitted to hospital?
- same day
- less than 1 week
- less than 1 month
- less than 3 months
- 3 months and more
Stop reading further as soon as the respondent has selected one.
For this question, we want to know how long the respondent had to wait to be admitted to the hospital, once knowing that hospitalisation was needed.
841
3097
1
5
1
Same day
2
Less than a week
3
Less than 1 month
4
Less than 3 months
5
3 months and more
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Doctor's fees
778
3160
6200000
120781.206
391854.839
1
8
Do not know
9
Not applicable, not have
50
60
1000
1500
1650
2000
2500
3000
4000
4500
5000
6000
7000
8000
9000
10000
11000
12000
13000
14000
15000
17000
18000
19000
20000
21500
22000
25000
26000
28000
30000
34000
35000
36000
40000
42000
45000
47000
48000
50000
54000
55000
56000
58000
60000
62000
65000
67000
70000
74000
75000
76000
79000
80000
85000
86000
87000
87500
90000
95000
96000
100000
102000
110000
117000
120000
125000
126000
130000
140000
145000
150000
151000
155000
160000
165000
170000
175000
200000
210000
220000
226000
240000
250000
260000
270000
280000
300000
320000
340000
350000
384000
395000
400000
430000
450000
455000
470000
500000
509000
510000
535000
550000
580000
600000
630000
720000
750000
800000
840000
850000
861000
900000
1000000
1100000
1305000
1500000
2000000
2060000
2200000
2330000
2500000
2800000
3500000
6200000
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
801
3137
7300000
149858.618
493939.591
1
8
Do not know
9
Not applicable, not have
20
50
170
875
1500
1800
3000
5000
6000
7000
8000
10000
12000
14000
15000
17000
18000
19000
20000
22000
24000
25000
27000
28000
30000
31000
32000
34000
35000
36000
40000
42000
43000
45000
48000
50000
51000
52000
53000
55000
55500
56000
60000
63000
65000
66000
67500
68000
70000
75000
76000
79000
80000
81000
82000
85000
87000
90000
95000
96000
97000
100000
110000
115000
116000
120000
123000
125000
135000
140000
144000
150000
152000
157000
160000
170000
175000
180000
185000
190000
195000
198000
200000
210000
220000
230000
240000
243000
250000
260000
270000
280000
285000
298000
300000
320000
350000
365000
370000
400000
450000
480000
489000
495000
500000
520000
550000
570000
600000
670000
700000
725000
750000
800000
900000
950000
1000000
1100000
1150000
1200000
1300000
1350000
1400000
1500000
1600000
1800000
2000000
2050000
2700000
2800000
3000000
4000000
6000000
7300000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
747
3191
2000000
18505.39
108683.78
1
8
Do not know
9
Not applicable, not have
12
50
1000
2000
4000
5000
6000
7000
8000
10000
12000
15000
16000
20000
21000
22000
25000
26000
27000
30000
35000
38000
40000
42000
44000
45000
50000
51000
58000
60000
64000
65000
70000
75000
80000
100000
101000
120000
125000
150000
200000
250000
300000
350000
420000
450000
500000
600000
780000
1500000
2000000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
796
3142
1500000
17318.319
66511.683
1
5
8
Do not know
9
Not applicable, not have
10
12
100
400
500
700
1000
1400
1500
1600
2000
2400
2500
2800
3000
3100
4000
4500
4800
5000
6000
7000
8000
9800
10000
11000
12000
14000
15000
16000
17000
18000
20000
22000
24000
25000
28000
30000
39000
40000
50000
52000
57000
60000
67000
70000
72000
75000
80000
100000
110000
120000
140000
150000
160000
180000
200000
220000
250000
300000
500000
1500000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
738
3200
2000000
48742.799
176071.283
1
2
3
5
8
Do not know
9
Not applicable, not have
30
100
1000
1300
2000
3000
4000
4500
5000
6000
7000
8000
10000
11100
13000
15000
16000
17000
20000
25000
27000
30000
33000
35000
39000
40000
45000
46000
47000
50000
55000
60000
70000
75000
76000
80000
83000
85000
87000
95000
100000
120000
125000
130200
140000
150000
160000
170000
175000
180000
200000
230000
250000
268000
270000
285000
300000
380000
400000
470000
500000
560000
600000
635000
650000
700000
750000
800000
850000
873000
1000000
1100000
1200000
1500000
1600000
2000000
Sysmiss
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
719
3219
1
Yes
5
No
9
Not applicable, free
Sysmiss
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
Thinking about your [child’s] last hospital stay, how many people slept in the same room as you?
Only other patients, not relatives or friends staying with them for support.
736
3202
50
8.292
8.339
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
For your [child’s] last hospital stay, how would you rate the travelling time to the hospital?
852
3086
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
For your [child’s] last hospital stay, how would you rate the amount of time you waited before being attended to?
858
3080
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
For your [child’s] last hospital stay, how would you rate your experience of being greeted and talked to respectfully?
859
3079
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
For your [child’s] last hospital stay, how would you rate the way your privacy was respected during physical examinations and treatments?
858
3080
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
For you [child’s] last hospital stay, how would you rate the experience of how clearly health care providers explained things to you?
858
3080
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
For your [child’s] last hospital stay, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
857
3081
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
For your [child’s] last hospital stay, how would you rate your experience of getting information about other types of treatments or tests?
861
3077
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
For your [child’s] last hospital stay, how would you rate your experience of being involved in making decisions about your health care or treatment?
859
3079
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
For your [child’s] last hospital stay, how would you rate the way the health services ensured you could talk privately to health care providers?
855
3083
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
For your [child’s] last hospital stay, how would you rate the way your personal information was kept confidential?
783
3155
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
For your [child’s] last hospital stay, how would you rate the freedom you had to choose the health care providers that attend to you [your child]?
851
3087
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
For your [child’s] last hospital stay, how would you rate the cleanliness of the rooms inside the facility, including toilets?
858
3080
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of space
Amount of space
Amount of space
Amount of space
Amount of space
For your [child’s] last hospital stay, how would you rate the amount of space you had?
857
3081
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
For your [child’s] last hospital stay, how would you rate the ease of having family and friends visit you?
The question asks the respondent to answer based on his knowledge of whether the hospital made it uncomfortable or difficult in any other way for him/her (or his/her child)
to have visitors.
857
3081
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
For your [child’s] last hospital stay, how would you rate your experience of staying in contact with the outside world when you were in hospital?
This questions asks the respondent to think more generally about his/her (or his /her child’s) ability to keep in contact with social activities outside of the hospital, e.g. work, news of the outside world (e.g. through newspapers), religious groups (if that is important to the respondent).
857
3081
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Sex
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
866
3072
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Age
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
866
3072
1
Yes
5
No
Sysmiss
Lack of money
Lack of money
Lack of money
Lack of money
Lack of money
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Lack of money
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
865
3073
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Social class
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
865
3073
1
Yes
5
No
Sysmiss
Race
Race
Race
Race
Race
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Ethnic group or colour
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
865
3073
1
Yes
5
No
Sysmiss
Type of illness
Type of illness
Type of illness
Type of illness
Type of illness
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Type of illness
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
864
3074
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Nationality
This question is the same as the Outpatient Discrimination question (Q7328–Q7334), except that the period of recall is 5 years instead of 12 months.
864
3074
1
Yes
5
No
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
2967
A
B
C
D
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate his travelling time?
619
3319
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate the amount of time he waited before being attended
to?
617
3321
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate her experience of being greeted and talked to
respectfully?
618
3320
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate the way her privacy was respected during physical
examinations and treatments?
615
3323
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the
next day.
How would you rate his travelling time?
619
3319
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the
next day.
How would you rate the amount of time he waited before being attended
to?
617
3321
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate his experience of being greeted and talked to
respectfully?
612
3326
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate the way his privacy was respected during physical
examinations and treatments?
610
3328
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate his travelling time?
616
3322
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate the amount of time he waited before being attended
to?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate her experience of being greeted and talked to
respectfully?
616
3322
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate the way her privacy was respected during physical
examinations and treatments?
615
3323
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate her travelling time?
618
3320
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate the amount of time she waited before being attended
to?
618
3320
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate her experience of being greeted and talked to
respectfully?
616
3322
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate the way her privacy was respected during physical
examinations and treatments?
615
3323
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate her travelling time?
618
3320
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate the amount of time she waited before being attended
to?
616
3322
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate his experience of being greeted and talked to
respectfully?
618
3320
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate the way his privacy was respected during physical
examinations and treatments?
605
3333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
627
3311
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
627
3311
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the amount of space [Wing] had?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of how clearly health care providers
explained things to her?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
625
3313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
624
3314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the amount of space [Shedra] had?
623
3315
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of how clearly health care providers
explained things to her?
624
3314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
624
3314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the amount of space [Kamal] had?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of how clearly health care providers
explained things to her?
625
3313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
624
3314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the amount of space [Hans] had?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy
and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The
doctor says goodbye to Mario, and Mario leaves the office.
How would you rate his experience of how clearly health care providers
explained things to him?
627
3311
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy
and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The
doctor says goodbye to Mario, and Mario leaves the office.
How would you rate his experience of getting enough time to ask
questions about his health problem or treatment?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
626
3312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the amount of space [José] had?
619
3319
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way the health services ensured [Simon] could
talk privately to health care providers?
644
3294
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way [Simon’s] personal information was kept
confidential?
642
3296
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When the clinic is not busy, [Mamadou] can choose which doctor he sees. But most often it is busy and then he gets sent to whoever is free.
How would you rate [Mamadou’s] freedom to choose her health care
provider?
645
3293
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The government wanted to expand the town’s clinic service. They held one meeting to discuss the expansion plans. [Chad] attended the meeting and freely
expressed his views. [Chad] then heard nothing more about what decision the government had made.
How would you rate the way health care involves [Chad] in deciding what
services it provides and where it provides them?
645
3293
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way the health services ensured [Rebecca] could
talk privately to health care providers?
645
3293
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way [Rebecca’s] personal information was kept
confidential?
641
3297
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
In [William] ’s town there is a large day clinic where there are several doctors and nurses. When [William] has a sensitive health problem he can see a male
rather than a female doctor or nurse.
How would you rate [William’s] freedom to choose his health care
provider?
632
3306
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sarah] lives in [Kamf] where the local government has regular public meetings to discuss the community’s health care needs. [Sarah] participates in
identifying the community’s most important health needs. Recently, they planned to build a clinic and asked people to help decide on the services and the best
location.
How would you rate the way health care involves [Sarah] in deciding
what services it provides and where it provides them?
642
3296
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way the health services ensured [Elma] could talk
privately to health care providers?
643
3295
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way [Elma’s] personal information was kept
confidential?
640
3298
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Penelope] had fertility problems, she had to travel from her small village to the closest town where they only had one male doctor. [Penelope] wanted
to see a female doctor but she had no choice.
How would you rate [Penelope’s] freedom to choose her health care
provider?
643
3295
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Zana] attended her town’s annual meeting on community health needs. They agreed to focus on improving health services at schools for the next year. After
the meeting, [Zana] received a letter saying which schools would benefit, but the letter did not fully explain how the schools were selected.
How would you rate the way health care involves [Zana] in deciding what
services it provides and where it provides them?
640
3298
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way the health services ensured [Alouine] could
talk privately to health care providers?
641
3297
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way [Alouine’s] personal information was kept
confidential?
641
3297
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The national health service assigns all the people in [Ibrahim’s] community to the local clinic. At the clinic they have a choice of 3 doctors. If they want to
change clinics, they need to get permission.
How would you rate [Ibrahim’s] freedom to choose his health care
provider?
641
3297
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tarek] lives near a town where the government recently built a new hospital. Before building, they didn’t consult anyone in the town or surrounding villages
about their health needs nor where to locate the hospital.
How would you rate the way health care involves [Tarek] in deciding
what services it provides and where it provides them?
638
3300
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way the health services ensured [Ken] could talk
privately to health care providers?
636
3302
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way [Ken’s] personal information was kept
confidential?
634
3304
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Nathan] lives in a town where there are lots of doctors and clinics. He tried one doctor but he didn’t like him so he changed doctors. This was easy to do
because he could go where he wanted.
How would you rate [Nathan’s] freedom to choose his health care
provider?
635
3303
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For[Sally’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For [Sally’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of getting information about
other types of treatments or tests?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of being involved in making
decisions about her health care or treatment?
612
3326
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate the ease of having
family and friends visit him?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate his experience of
staying in contact with the outside world when he was in hospital?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of getting information about
other types of treatments or tests?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of being involved in making
decisions about his health care or treatment?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For[Tamara’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For [Tamara’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
614
3324
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of getting information about other
types of treatments or tests?
612
3326
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of being involved in making
decisions about his health care or treatment?
611
3327
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of getting information about
other types of treatments or tests?
611
3327
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of being involved in making
decisions about her health care or treatment?
609
3329
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
612
3326
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
612
3326
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of getting information about
other types of treatments or tests?
613
3325
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of being involved in making
decisions about her health care or treatment?
604
3334
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
3647
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Time begin section 8000
Time begin section 8000
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control the important things
control the important things
control the important things
control the important things
control the important things
In the last month: How often have you felt that you were unable to control the important things in your life?
Important things in life may be related to job, family, health.
3869
69
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
In the last month: How often have you found that you could not cope with all the things that you had to do?
Think of things you had to do in the work, school or house setting. Examples of not coping may be work piling up, leaving tasks unfinished, not being able to meet deadlines, being late for appointments or having to cancel them because of too many things to do.
3864
74
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
How satisfied are you with your health?
By satisfied we mean if you wish you had a better physical and/or mental health. Respondents may think of how their present health state affects their life. A person may have diabetes but have no problems with his/her condition and be, therefore, satisfied with his/her health.
3855
83
1
Very dissatisfied
2
Dissatisfied
3
Neither satisfied nor dissatisfied
4
Satisfied
5
Very satisfied
Sysmiss
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
3880
FFC
HIN
HTH
REI
RES
Rank 2
Rank 2
Rank 2
Rank 2
Rank 2
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
3880
FFC
HIN
HTH
REI
RES
Rank 3
Rank 3
Rank 3
Rank 3
Rank 3
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
3878
FFC
HIN
HTH
REI
RES
Rank 4
Rank 4
Rank 4
Rank 4
Rank 4
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
3876
FFC
HIN
HTH
REI
RES
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
3874
FFC
HIN
HTH
REI
RES
Did you vote
Did you vote
Did you vote
Did you vote
Did you vote
Lots of people find it difficult to get out and vote. Did you vote in the last state/national/presidential election?
This question captures how democratic a society is, and if people are allowed to choose who will rule their country.
3899
39
1
Yes
5
No
7
Refusal
8
Do not know
Sysmiss
trust national government
trust national government
trust national government
trust national government
trust national government
How much of the time do you think you can trust the NATIONAL government to do what is right ?
Every person will have a definition of what is right. For some it may be passing an abortion law, while for others it will be passing an anti-abortion one. Respondents may think about how the government deals with violence, corruption, drugs, crime, as well how permissive it is and how much it defends the interest of the citizens.
3865
73
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
trust the local government
trust the local government
trust the local government
trust the local government
trust the local government
How about your LOCAL government? How much of the time do you think you can trust the LOCAL government to do what is right?
Every person will have a definition of what is right. For some it may be passing an abortion law, while for others it will be passing an anti-abortion one. Respondents may think about how the government deals with violence, corruption, drugs, crime, as well how permissive it is and how much it defends the interest of the citizens.
3874
64
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
In general, how safe from crime and violence do you feel when you are alone at home?
Crime and violence include someone breaking into one’s house, being followed and watched, or receiving harassing phone calls.
3888
50
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
How safe do you feel when walking down your street alone after dark?
Walking down the street is a street which may be full of people or empty.
3897
41
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
In the past year, have you or anyone in your household been the victim of a violent crime, such as assault or mugging?
Violent crime includes physical attack, beating, pushing around, sexual assault, or mugging.
3789
149
1
Yes
5
No
Sysmiss
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
How much say do you have in getting the government to address issues that interest you?
Respondents should think about how much of a difference what they have to say will make.
3872
66
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government reprisal?
Government reprisal can include fines, torture, imprisonment, death or other ways of reprisal.
3886
52
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
3922
A
B
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Jane] lacks clean drinking water because the government is pursuing an
industrial development plan. In the campaign for an upcoming election, an
opposition party has promised to address the issue, but she feels it would
be futile to vote for the opposition since the government is certain to win.
1942
1996
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Alison] lacks clean drinking water. She and her neighbours are
supporting an opposition candidate in the forthcoming elections that has
promised to address the issue. It appears that so many people in her area
feel the same way that the opposition candidate will defeat the incumbent
representative.
1940
1998
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Moses] lacks clean drinking water. He would like to change this, but he
can’t vote, and feels that no one in the government cares about this issue.
So he suffers in silence, hoping something will be done in the future.
1938
2000
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Imelda] lacks clean drinking water. She and her neighbours are drawing
attention to the issue by collecting signatures on a petition. They plan to
present the petition to each of the political parties before the upcoming
election.
1936
2002
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Toshiro] lacks clean drinking water. There is a group of local leaders
who could do something about the problem, but they have said that
industrial development is the most important policy right now instead of
clean water.
1940
1998
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Bob] has political views at odds with the government. He has heard of
people occasionally being arrested for speaking out against the
government, and government leaders sometimes make political speeches
condemning those who criticize. He sometimes writes letters to
newspapers about politics, but he is careful not to use his real name.
1944
1994
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Kay] does not like many of the government’s policies. She frequently
publishes her opinion in newspapers, criticizing decisions by officials and
calling for change. She sees little reason these actions could lead to
government reprisal.
1942
1996
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Connie] does not like the government’s stance on many issues. She has a
friend who was arrested for being too openly critical of governmental
leaders, and so she avoids voicing her opinions in public places.
1940
1998
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Sonny] lives in fear of being harassed for his political views. Everyone
he knows who has spoken out against the government has been arrested or
taken away. He never says a word about anything the government does,
not even when he is at home alone with his family.
1939
1999
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Michael] disagrees with many of the government’s policies. Though he
knows criticism is frowned upon, he doesn’t believe the government
would punish someone for expressing critical views. He makes his
opinion known on most issues without regard to who is listening.
1937
2001
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Vito] disagrees with many of the government’s policies, and is very
careful about whom he says this to, reserving his real opinions for family
and close friends only. He knows several men who have been taken away
by government officials for saying negative things in public.
1938
2000
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
2685
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Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
111
08:20
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19:00
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21:48
22:49
hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
3899
39
1
Yes
5
No
Sysmiss
vision problem
vision problem
vision problem
vision problem
vision problem
Did the respondent have a vision problem?
To be filled in by the interviewer at the end of the interview
3902
36
1
Yes
5
No
Sysmiss
wheelchair
wheelchair
wheelchair
wheelchair
wheelchair
Did the respondent use a wheelchair?
To be filled in by the interviewer at the end of the interview
3903
35
1
Yes
5
No
Sysmiss
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
Did the respondent use cane / crutches / walker?
To be filled in by the interviewer at the end of the interview
3902
36
1
Yes
5
No
Sysmiss
difficulties walking
difficulties walking
difficulties walking
difficulties walking
difficulties walking
Did the respondent have any difficulties walking?
To be filled in by the interviewer at the end of the interview
3902
36
1
Yes
5
No
Sysmiss
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
Did the respondent have paralysis in the arms, hands or legs?
To be filled in by the interviewer at the end of the interview
3903
35
1
Yes
5
No
Sysmiss
cough continually
cough continually
cough continually
cough continually
cough continually
Did the respondent cough continually?
To be filled in by the interviewer at the end of the interview
3901
37
1
Yes
5
No
Sysmiss
shortness of breath
shortness of breath
shortness of breath
shortness of breath
shortness of breath
Did the respondent have shortness of breath?
To be filled in by the interviewer at the end of the interview
3901
37
1
Yes
5
No
Sysmiss
mental problem
mental problem
mental problem
mental problem
mental problem
Did the respondent have a mental problem?
To be filled in by the interviewer at the end of the interview
3903
35
1
Yes
5
No
Sysmiss
other health problem
other health problem
other health problem
other health problem
other health problem
Did the respondent other health problem?
To be filled in by the interviewer at the end of the interview
3900
38
1
Yes
5
No
Sysmiss
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
Did the respondent have an amputation of a limb or part of a limb?
To be filled in by the interviewer at the end of the interview
3891
47
1
Yes
5
No
Sysmiss
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was:
To be filled in by the interviewer at the end of the interview
3880
58
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
Sysmiss
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent’s answers:
To be filled in by the interviewer at the end of the interview
3864
74
1
Very high
2
High
3
Average
4
Low
5
Very Low
Sysmiss
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
Any unusual circumstances or happenings during the interview:
To be filled in by the interviewer at the end of the interview
2919
1
2
3
A NEIGHBOUR CAME TO FIND OUT WHAT WAS HAPPENING
A LOT OF DISTRACTIONS
A LOT OF INTERRUPTION FROM CUSTOMERS
A MAN CAME AND SAID THAT WE ARE DISTURBING
A SHORT BREAK TO ALLOW RESPONENT OT EASE HIMSELF
A SNAKE WAS KILLED ABOUT 2 METERS AWAY FROM POINT OF INTERVIEW
ASKED ME TO COME NEXT DAY, SHE WAS TIRED
AT THE BEGINNING SHE WAS AFRAID AND ASKED HOW I HAD HER NAME
ATTENDED TO HE GRAND CHILDRED
BEREAVEMENT IN THE VILLAGE - MOURNING IN THE VILLAGE DISRUPTING PROCEEDINGS
CALIB (BABY) WAS DISTURBING
CARING FOR CHILDREN DURING INTERVIEW
CLIENT REFUSED INTERVIEW
CO - OPERATION WAS POOR
COBRA SNAKE KILLED 5 METERES AWAY
COMPLAINED ABOUT HAVING TO ANSWER QUESTIONS AGAIN
COOKING INTERUPTION
COOKING PALMNUT OIL SO GETS UP OCCASSIONALY TO CHECK ON IT
COOKING WHIE ANSWERINR QUESTIONS
COULD NOT ANSWER SOME QUESTIONS
COULD NOT STAND TO BE WEIGED
DOES NOT KNOW MUCH ABOUT HIS SIBLINGS
ELECTRICITY WAS NOT AVAILABLE HENCE USED A LANTHERN AND TOUCH LIGHT
EXCLUSIVELY BREAST FEEDING
EXPRESSED SO MUCH DISSACTISFACTION ABOUT HIS HEALTH STATUS
FEW INTERRUPTIONS HERE AND THERE
FEW INTERRUPTION
GETS UP OFTEN TO ATTEND OTHER BUSINESS
GOOD
GOT UP A FEW TIMES
GREAT STORM WHILE INTERVIEING
HAD LOTS OF INTERFERANCES FROM FRIENDS AND CHILDREN
HAD SOME TROUBLES TRYING TO GET RESPONDENT
HAD TO BATH HER GRAND DAUGHTER, COOK AND GET READY TO TRAVEL
HAD TO FOLLOW HIM TO HIS PEN
HAD TO FOLLOW RESPONDENT TO ANOTHER LOCATION FOR INTERVIEW
HAD TO GO AND ATTEND TO THE HEAD OF STATE ON HIS ARRIVAL TO THE OFFICE
HAD TO STOP SOMETIMES TO ISSUE INSTRUCTIONS
HAS HEARING PROBLEM
HE BOAST ABOUT HIS BLACK POWER
HE COMPLAINED ABOUT THE DURATION AND THE SIZE OF THE BOOKLET
HE GOT UP OCCASSIONALLY TO ATTEND TO PEOPLE
HE READ SOME OF THE QUESTIONS HIMSELF AND MADE SURE HE GOT THE EXACT ANSWER
HE STOOD FROM HIS SEAT MOST OFTEN
HE WAS BEING DISTURBED BY HIS SISTER TO COME AND DO SOMETHING FOR HER
HE WAS CALLED IN THREE OCCASSIONS TO TALK TO OTHERS
HE WAS DOZZING DURING THE LATER PART OF THE INTERVIEW
HE WAS FEELING RESTLESS BECAUSE HIS FRIEND WERE WAITING FOR HIM TO ATTEND SOME G
HE WAS FEELING SLEEPY AFTER TAKING HIS BREAKFAST
HEAVY RAIN WHICH INTERRUPTED INTERVIEW
HER STEP DAUGHTER CAME IN TO INTERRUPTE
HER CHILDREN KEPT MOVING AROUND
HER DAUGHTER CAME TO DISTURB HER BRIEFLY
HIS UNDERSTANDING IS VERY LOW
HIS YOUNGER CHILD INTERRUPTED FOR A WHILE
HUSBAND AND OTHER MEMBERS OF THE HOUSE WANTED TO BE AROUND.
HUSBAND PRESENT AT THAT TIME
HUSBAND PRESENT DURING INTERVIEW BUT DID NOT CONTRIBUTE
HUSBAND PRESENT DURING PART OF INTERVIEW
HUSBAND SAT IN THE END
HUSBAND WAS NOT HAPPY WITH THE INTERVIEW
I COULD NOT TAKE HER WEIGHT BECAUSE SHE COULD NOT STAND
I HAD TO STOP AND WAIT FOR 30 MINS BEFORE HE ALLOWED ME TO CONTINUE
I WAS ASSUALTED BY THE WIFE VERBALLY AND PHYSICALLY.
ILL-SHORTING OF BREATH
INFORMANT WAS TIPSY
INORMANT ALMOST REFUSED INTERVIE
INTERMITENT INTERRUPTONS BY FAMILY MEMBERS
INTERPRETER INFLUENCED THE RESPONSES
INTERPTIONS BY CUSTOMERS
INTERRUPTION BY FRIENDS AND HER OWN WASHING
INTERRUPTION FROM THE CHILDREN
INTERRUPTION HERE AND THERE
INTERRUPTION OF INTERVIEW BY VISITORS
INTERRUPTIONS HERE AND THERE DURING INTERVIEW
INTERRUPTIONS BY CHILDREN
INTERRUPTIONS BY FAMILY MEMBERS
INTERRUPTIONS BY FRIENDS OF RESPONDENT
INTERRUPTIONS BY RELATIVES
INTERRUPTIONS FROM FRIENDS
INTERRUPTIONS FROM TE YOUNGEST CHILD
INTERRUPTIONS FROM THE YOUNGER CHILD
INTERUPTION BY RESPONDENTS
INTERUPTION FROM CHILDREN
INTERUPTION FROM HOUSEHOLD MEMBERS
INTERUPTIONS BY GRAND CHILDREN
INTERVIEW HAD TO BE DONE ONLY IN THE EVENINGS
INTERVIEW HAS TO BE STOPED FOR RESPONDENT TO ATTEND TO HER CUSTOMES
INTERVIEW INTERRUPTED BY FRIENDS WHO WANTED TO KNOW PURPOSE OF INTERVIEW
INTERVIEW TO BE STOPPED TO ALLOW RESPONDENT ATTEND FUNERAL
INTERVIEW TOOK TWO DAYS
INTERVIEW WAS CONDUCTED SMOOTHLY
INTERVIEW WAS DONE UNDER A DIM FLASH SINCE NO PROPER LIGHT IN THIS VILLAGE
INTERVIEWD IN PRESENCE OF PARENT EXCEPT Q6600 TO 6608
INTERVIEWED THROUGH AN INTERPRETOR
INVITED ME FOR THEIR SUPER BUT I REFUSE
ISSIFU MAHAMA DEAD, WIFE NOW HEAD OF HOUSEHOLD
IT WAS RAINING
IT WAS RAINING HEAVILY
IT WAS RAINING WHEN THE INERVIEW WAS BEING CONDUCTED
KEEPS COMPLAINING ABOUT HER HEALTH
KEPT GETTING UP
KEPT SMILING ALL TIME
LANGUAGE BARRIER - RESPONDENT DOES NOT UNDERSTAND TWI MUCH
LANGUAGE BARRIER - TRANSLATOR WAS CALLED TO HELP
LOOKS OLD AND SICK, CAN'T GET MONEY TO GOT TO HOSPITAL
LOTS OF INTERFERENCE AT THE WORK PLACE
LOVE
MAKING SALES DURING INTERVIEW
MENDING NETS WILE ANSWERING QUESTIONS
MIDLY INTOXICATED
MINOR INTERRUPTIONS
MINOR INTERRUPTIONS BECAUSE OF 2WKS OF BABY
N
NEXT DOOR NEIGHBOURS RAISED VOLUME OF RADIO
NI
NIL
NILL
NL
NO
NO UNUSUAL
NO UNUSUAL HAPPENINGS
NO INCIDENT
NO INTERRUPTION
NO UNSUAL CIRCUMSTANCES
NO UNSUAL HAPPENING
NO UNSUAL HAPPENINGS
NO UNSUAUAL HAPPENINGS
NO UNUSAL HAPPENINFS
NO UNUSAL HAPPENING
NO UNUSAL HAPPENINGS
NO UNUSAUAL CIRCUMSTANCES
NO UNUSUAL
NO UNUSUAL APPENING
NO UNUSUAL APPENINGS
NO UNUSUAL CIRCUMSTANCES
NO UNUSUAL HAPENINGS
NO UNUSUAL HAPPEINGS
NO UNUSUAL HAPPENED
NO UNUSUAL HAPPENIN
NO UNUSUAL HAPPENING
NO UNUSUAL HAPPENINGS
NO UNUSUAL HAPPIENINGS
NO UNUSUUAL HAPPENING
NO USUAL HAPPENINGS
NON
NONE
NONE QUITE RESPONSE
NONE VERY CO-OPERATIVE
NONE'
NONR
NOONE
NOTHING HAPPEN
OCCASIONAL INTERRUPTIONS
OCCASSIONAL INTERRUPTION BY HOUSE MEMBERS
OFTEN STANDS UP TO SPIT
ONE OF THE RESPONDENT'S SIBLINGS HAD CONCLUSION
OTHER HSEHOLD MEMBERS KEPT INTRUDING
OTHER MEMBERS OF THE HOUSE ALWAYS WANTED TO KNOW WHAT SHE SAYS
OTHER MEMBERS OF THE HOUSE INTERFERRED IN THE INTERVIEW
OTHER RELATIVES WERE AROUND AND THEY INFLURENCED THE RESPONDENT
PEOPLE COME TO BUY FROM HER
RAINED VERY HEAVILY
RECEIVING VISITORS. THIS INTERRUPTED A LITTLE
REFUSAL BY A HOUSEHOLD MEMBER (SON)
REFUSED Q8014 - 8015
REFUSED TO ANSWER Q8014-8015
REFUSED TO ANSWER SOME QUESTIONS
RELATIONS AND FRIEND WERE INTERUPTING THE INTERVIEW
RELATIVES VISITED SEVERAL TIMES
RESPONDEENT HAD TO BREAK INTERVIEW FOR WORK
RESPONDENT
RESPONDENT DID NOT HAVE TIME BECAUSE HE IS THE LIMAN
RESPONDENT FINDS IT DIFFICULT TO TALK
RESPONDENT HAD TO ATTEND HER KIDS DURING INTERVIEW ON 3 OCCASSIONS
RESPONDENT HAD TO ATTEND TO A NUMBER OF CALLS
RESPONDENT HAD TO ATTEND TO HER CRYING BABY
RESPONDENT HAD TO GO AND LISTERN TO A MESSAGE FOR 3 MINUTES
RESPONDENT HAD TO SEE A FRIEND IN NEXT SURBUB
RESPONDENT HAD TO SERVE CUSTOMERS BUYING DRINK MANY TIMES
RESPONDENT INTERUPTEDD ON SOME OCCASSIONS
RESPONDENT IS A BARBER SO HAD TO OCCASSIONALLY ATTEND TO CUSTOMERS
RESPONDENT IS S MOSLEM SO GOES TO PRAY OCCASSIONALY
RESPONDENT IS VERY WEAK
RESPONDENT LOOKS TIRED
RESPONDENT MIXING HER DOUGH DURING INTERVIEW
RESPONDENT NOT ATTENTATIVE; DISCONTINUED SEVERAL TIMES
RESPONDENT SEEM NOT TO UNDERSTAND WHAT WAS WANTED
RESPONDENT TRIED TO HURRY THE INTERVIEW
RESPONDENT VERY ILL; HAD TO STOP / PAUSE INTERVIEW MANY TIMES
RESPONDENT VERY PATHETIC ABOUT HIS STATE
RESPONDENT WAS A BIT TIPSY
RESPONDENT WAS COOKING AT THE SAME TIME
RESPONDENT WAS FAIRLY CO - OPERATIVE
RESPONDENT WAS HAVING HIS HAIR CUT SO TOOK TIME TO GET SETTLED
RESPONDENT WAS INITIALLY PESUADED BY A COMMUNITY TO COPERATIVE, BUT HE ABANDONED
RESPONDENT WAS TIPSY DURING THE INTERVIEW
RESPONDENT WAS UNCOOPERATIVE AT A POINT DURING THE INTERVIEW
RESPONDENT WAS VERY SICK AND PALE
RESPONDENT WEPT BRIEFLY WHEN ASKED QUESTION SADNESS.
SCARED ME OF A VERY BIG SNAKE SHE SAW
SELLING AT HER STORE - POOR CONCENTRATION
SELLS SUGAR SO GETS UP OCCASSIONALY TO SERVE CUSTOMERS
SERVED CUSTOMERS WITH FUFU AT THE CHOP BAR IN BETWEEN INTERVIEW
SHE DID NOT GIVE ME A SEAT I WENT FOR ONE MYSELF
SHE DOES NOT KNOW ANYTHING ABOUT THE AGE DIFFERENCE
SHE FAILED TO PROVIDE ME LIGHT TO SEE
SHE FREQUENTLY ATTENDS TO CUSTOMERS
SHE GAVE ME BANKU TO EAT BUT I REFUSE
SHE GOT UP SEVERAL TIME TO ATTEND TO CUSTOMERS
SHE INVITED ME FOR LUNCH BUT I REFUSE
SHE TALKS TOO MUCH WITH LOTS OF COMPLAINS
SHE WAS AFRAID AND WAS COMPLANING OF THE TIME SHE SPENT WITH ME
SHE WAS AFRAID. SHE SAID I WAS SENT TO INVESTIGATE THOSE HAVING AIDS
SHE WAS LAUGHING AT MOST OF THE QUESTIONS
SHE WAS RELAXED IN ANSWERWING THE QUESIONS
SHE WAS RELUNCTANT IN ANSWERING THE QUESTIONS
SHE WAS SCARED AND REMAINED QUIET THROUGHOUT THE INTERVIEW
SHE WAS SELLING AND HAVE TO GET UP MOST OF THE TIME
SO MUCH DISTRCTIONS AND INTERRUPTIONS
SOME IN TERERENCES FROM HOUSEHOLD MEMBERS
SOME INHABITANTS CAME IN TO INQUIRE WHY THEY WERE NOT SELECTED FOR THE INTERVIEW
SOME INTERFERENCE
SOME INTERFERENCE SINCE INTERVIEW WAS CONDUCTED AT THE WORK PLACE
SOMETIMES CHATTERED WITH OTHERS
SOMETIMES DOSED OFF
STOPPED INTERVIEW MIDWAY AND WENT TO INTERVIEW EKUA DURUWA WO AS ON HER WAY TO C
TENSED INTERVIEW, RESPODENT IN HURRY TO ATTEND TO WORK
THE DAUGHTER WAS CRYING THAT I WAS COMING TO ARREST THE MOTHER AS I WAS INTERVIE
THE FAMILY MEMBERS CAME OVER TO ASK SO MANY QUESTIONS
THE FLIES DISTURBED US SO MUCH FROM HER FARM
THE GRANDCHILD ANSWERED MOST OF THE QUESTION
THE INTERVIEW HAD TO BE SUSPENDED TO ALLOW THE RESPONDENT ATTEND TO SOME HSEHOLD
THE OLDMAN VINANGO, COULD NOT GRANT ME THE INTERVIEW BECAUSE OF UNSTABLE MENT
THE RESPONDENT HAD A VISITOR WHO TOOK ABOUT 30 MINUTES OF THE INTERVIEW TIME
THE RESPONDENT IS SSS HOUSE MASTER AND STUDENTS WERE IN AND OUT WITH THEIR PROB
THE RESPONDENT STOPS, GO AND CHAT FOR SOMETIME BEFORE CONTINUES
THERE WAS A BREAK FOR 6 HOURS
THERE WAS INTEROLERANCE FROM THEM, THE HUSBAND
THERE WERE A LOT OF INTERUPTIONS DURING THE INTERVIEW
THERE WEWE INTRUDER AT LATTER STAGE
THI SMY RESPONDENT HAS MENTAL PROBLEM AND TALKS TOO MUCH DURING THE INTERVIEW
THIS RESPONDENT WAS VERY DIFFICULT
TORRENTIAL RAINFALL FOR NAMELY ONE HOUR AND DISTURBANCE BY AN ALCOHOL
TORRENTIAL RAINFALL THROUGHTOUT INTERVIEW
TRESPONDENT COMPLAINING OF BEING TIRED DURING INTERVIEW.
TROUBLING BY CHILD
URINATING VERY FREQUENT
VERY CO - COPERATIVE
VERY CO - OPERATIVE
VERY CO -OPERATIVE
VERY SAD WITH THE PROBLEM AND AS IF HE HAS GIVEN UP WITH NATURE. ''I NEED MY SIG
WALKED MORE THAN 10KM TO RESPONDENT
WAS BEHAVING LIKE A CHILD SO, I EMPLOYED A RELATIVE TO ASSIST ME
WAS CONTACTED AFTER 15:00 GMT
WAS INTERRUPTED FOR MOST OF THE TIME BY WEEPING CHILD
WAS RAINING VERY HEAVILY
WAS VERY CO - OPERATIVE
WAS WAS COUGHING THROUGH THE INTERVIEW AND HAD VISITORS WHO DISTURBED HIM
WAS WASHING HENCE FREQUENT BREAKS
WASTED A LOT OF TIME IN COMING TO GRANT ME THE INTERVIEW, HE SAID HE HAD NO TIM
WE WERE DISTURBED BY MOSQUITOES SINCE WE WERE OUTSIDE
WENT TO FARM ANDCAME NACK AFTER 15:00 GMT
WEPT IN THE COURSE OF THE INTERVIEW
WEPT WHEN MENTIONING HER SIBLINGS
WILL NOT TALK TO ME IF HER HUSBAND WAS NOT AROUND
WORKING INTEMITENTLY ON HER DRYING COCOA
YES
YES, TWO WOMEN WERE FIGHTING
Other comments
Other comments
Other comments
Other comments
Other comments
Any other comments:
To be filled in by the interviewer at the end of the interview
2660
1
4 MILES TO NEARBY GOV'T CLINIC
A MEMBER FROM THE HOUSEHOLD DID THE INTERVIEW
A RECEPTIVE RESPONDENT
A 3 MILE WALKING DISTANCE TO ABOABOSO VILLAGE AND BACK WAS ACTUALLY EMBARASSING
A MAD WOMAN WITH CUTLASS CAME TO DISRUPT THE SESSION
A RECEPTIVE RESPONDENT
A RELATIVELY LONGER TIME WAS SPENT
A SENIOR SISTER ASSISTED HER WITH THE NAMES OF THE SIBLINGS
A SERIOUS ALCOHOLIC
A VERY BUSY MAN
A VERY OLD LADY WHO CANNOT WALK NOR STAND
A WELL DEVELOPED HOSPITAL IS ABOUT 42 MILES FROM JEMA TOWN
ADAM TUYA AND AZARA ADAM HAVE TRAVELLED TO TAMALE AND THEY WILL RETURN IN THREE
AGARTA GYAMFI SAME AS YAA ABRAFI
AGNES NKRUMAH WHO IS OVER 50 YRS HAS TRAVELLED
ALSO WE DON''T BRING ANYTHING GOOD TO THEM AFTER THE INTERVIEW
AMINA IDDRISU WASN'T AT HOME. SHE HAD REAVELLED FOR A WEDDING CEREMONY AT SALAGA
AMSHATA DAMANI (OVER 50) COULD NOT BE INTERVIEWED BECAUSE OF HER ADVANCED AGE
AN INTERPRETER ENGAGED
AN INTERPRETER WAS USED
AN INTERPRETOR USED
AN INTERPRETOR WAS USED
AN INTERVIEW WAS USED
AS SUCH HER GRANDCHILDREN CAME TO HELP BUT TO NO AVAIL
ASTHMATIC PATIENT
ASUNOMA IS SICK AND CANNOT EVEN TALK
AT A POINT IN TIME SHE LEFT ME AND I WENT TO CALL HER MYSELF
AT CERTAIN TIMES INTERPERTOR HAS TO BE ENGAGED
AT TIMES WILL BE DOZING
ATMOSPHERE WAS GOOD
ATTENTION SPAN WASN'T ENCOURAGING
AYAABILA AND NDAWUNI WERE NOT FOR OVER 50YRS QUESTIONNAIRE SINCE THEY HAVE TRAVE
BACK FROM FARM VERY LATE AFTER 18:00 GMT
BAD ROAD TO THE AREA
BEATEN BY A HEAVY DOWN POUR ON MY WAY BACK WALKING THROUGH A 4-MILE COCOA FARM I
BENNARD ARTHUR HAS NOT BEEN GIVEN DPT INJECTION
BUKARI BAYOR AND MARY BUKARI HAVE TRAVELLED TO WA AND WILL RETURN IN 2 WEEKS TIM
BUT THE RESPONDENT WAS ATTENTATIVE
CLIENT WAS GENERALLY CO - OPERATIVE AND NICE
CO - OPERA TIVE
CO - OPERATION WAS VERY GOOD
CO - OPERATON WAS VERY GOOD
COMFORT ARHIN DAUGHTER OF THE RESPONDENT IS NO LONGER WITH THEM
COMPLAINS AT TIME OF INTERVIEW
COMPLAINS OF HERNIA AND CHEST PAINS
COMPLAINS OF WAIST PAINS
COMPLAINS OF WAIST PROBLEMS
COMPLETE QUESTIONNAIRES INITIALLY
COOPERATED
COOPERATED VERY WELL
COOPERATED WELL
COOPERATION WAS GOOD
COOPERATION WAS VERY GOOD
COOPERATIVE
COOPERATON WAS VERY GOOD
CORPORATED VERY WELL
CORPORATED WELL
COULD NOT ADMINISTER TE OVER 50S YEARS TO THE INFORMANT HUSBAND,BECOS HE HAS BEC
COULD NOT GIVE AGES OF ELDER SIBLINGS
COULDN'T UNDERSTAND THINGS WELL,AGING HAS DECREASED HIS UNDERSTANDING FACULTIES
DAUGHTER HAS GUINEAWORM
DELAY IN TIMING FROM Q0408-0572 WAS DUE TO EXPLANATION TO OTHER RESPONDENTS IN T
DESPITE RESPONDENT'S PHYSICALCONDITION, HE SAT THROUGH THE INTERVIEW WITHOUT GET
DID NOT ANSWER Q 8009,8010,8014
DIFFICULT AREA NO TRANSPORT WALK ON FOOT
DIFFICULT AREA TO TRANSPORT WITH BAD ROAD
DIFFICULT TO GET VEHICLE TO THE E.A.
DIFFICULT TO REACH AREA
DIFFICULT TO REACH THE 'EA' NO CAR. SAT AT BACK OF A TRUCK
DIFFICULTY IN EXPLAINING QUESTIONS TO HER DUE TO OLD AGE
DINABE IS NOT AVAILABLE FOR OVER 50 YEARS QUESTIONNAIRE
DISTRUBANCES BY THE PRINTING PRESS MACHINES WITHIN THE HOUSE
DISTURBANCES BY KIDS IN OTHER HOUSEHOLD
EA VERY DIFFICULT TO REACH
EFFECTIVE COMMUNICATION WAS QUITE DIFFICULT
ENUMERATION AREA WAS HARD TO REACH DUE TO THE NATURE OF ROAD AND THE NUMBER AND
EXCELLENT INTERVIEW
EXCELLENT RESPONDENT
FATHER HAS TRAVELLED AND WILL COME IN 4MTHS LATER
FATIMA SEIDU WHO IS 55YRS THEREFORE QUALIFY FOR OVER 50 QUESTIONNAIRE WAS OUT OF
FINDS IT DIFFICULT TO MOVE AROUND. MONEY TO FEED HIMSELF TOO VIA PROBLEM
FLORENCE IS A YOUNG GIRL AND FORMS A SINGLE HOUSEHOLD
FOLLOWED HER TO THE GRINDING MILL
FOLLOWED HER TO THE MARKET, SHE LEAVES TO SELL HER KENKEY, STOPPED INTERMITTEDLY
FOLLWED RESPONDENT TO SITE
FRIENDLY
GETTING TO THE END HE WAS NOT CONCENTRATING, SAYING IT WAS DIFFICULT
GOOD CO-OPERATION
GOOD CONTRIBUTION
GOOD INTERVIEW
GOOD RECEPTION
GOOD RESPONDENT
GOOD RESPONDENT, TOLERABLE
GOOD RESPONSE
GOT UP TO ATTEND TO A FEW CUSTOMERS
GREAT FUNERAL WAS IN TOWN AND PEOPLE WERE VERY BUSY AND BECAME DIFFICULT TO LOCA
H/H MEMBERS MORE THAN ROSTER
HAD OPERATION IN ONE EYE SINCE 31 YRS (1972) AGO
HAD SHORT BREAKS TO HER CHILD
HAD TO ATTEND TO A CHILD (TODDLER) WHO WAS CRYING ALL THE TIME
HAD TO GET UP ON SEVERAL OCCASIONS TO ATTEND TO THE CHILD
HAD TO GET UP TO ATTEND CUSTOMERS SOMETIMES
HAD TO WAIT FOR HUSBAND FROM FARM TE WHOLE DAY
HAD TO WALK FOR 3KMS TO MEET HOUSEHOLD
HAD TO WALK SEVERAL KILOMETERS CLIMBING HILLS UP AND DOWN TO LOCATE THIS RESPOND
HARD TO REACH AREA - WALKED OVER 13KMS
HARD TO REACH TERRAIN - THERE IS TRANSPORT TWICE A WEEK
HAS A MAD BROTHER IN THE HOUSE
HAS A SWOLLEN ON THE LEFT ARM
HAS CHRONIC PAINS IN THE RIBS
HAS DIZZINESS ONCE A WHILE
HAS KNEE PAINS
HAS SWOLLEN GUM
HAS TUBERCLOSIS, SLEEPS WITH PIGS AND GOATS DURING THE DAY TIME
HAVE DIFFICULTY IN HEARING
HAVE PROBLEM WITH ANALYSING SITUATION
HAYFORD THE HEAD OF HOUSHOLD IS TRAVELLED
HE ASKED A LOT OF QUESTIONS
HE ASKED A LOT OF QUESTIONS CONCERNING TE SURVEY
HE ASKED NUMEROUS QUESTIONS
HE COMMENTED THAT HE WAS NOT NOTIFIED HENCE DID NOT PLAN FOR ANY INTERVIEW
HE COMPLAINS OF HARDSHIPS
HE HAS WAIST PROBLEM
HE IS A STROKE PATIENT
HE IS SHARP INSPITE OF HIS OLD AGE
HE IS VERY OLD AND BLIND
HE SAYS HE IS AN HERBALIST SO HE DOESN'T FALL SICK EASILY
HE WAS A STAMMERER
HE WAS AGITATED BY THE NUMBER OF QUESTIONS
HE WAS DOZZING THROUGH OUT THE INTERVIEW
HE WAS IN A HURRY TO GO TO FARM
HEAD DEAD, WIFE NOW HEAD OF HOUSEHOLD
HEAD OF HOUSEHOLD DEAD AND MET OTHER MEMBERS OF THE HOUSEHOLD
HEADACHE
HER CHILD IF NOT WELL AND RESPONDENT WAS ABOUT TO DECIDE WHAT TO WHEN I ARRIVED
HER CO-OPERATION WAS EXCELLENT. AN INTERPRETER WAS USED
HIGHLY COMMENDED
HIS WIFE BASILIA IS ALSO SICK AND KEPT INDOORS THEREFORE I COULD NOT INTERVIEW H
HOUSEHOLD MEMBER HAVE MOVED FROM THEIR OLD RESIDENCE INTO A NEW RESIDENCE
HUSBAND WAS OVER 50YSR BUT WAS NOT AT HOME
I FELT HE WAS NOT TAKING THE INTERVIEW SERIOUSLY. A RASTAFARIAN. I GOT RESPONDEN
I HAD TO GO A LITTLE BIT AWAY FROM HER TO ENABLE ,ME SEE UNDER A LIGHT IN THE SA
I HAD TO REPORT THE QUESTIONS OVER AND OVER AGAIN
I HAVE TO WAIT FOR OVER 1 HOUR BEFORE I GOT HIM TO BE INTERVIEWED
INFORMANT ANSWERED PART1, RESPONDENT ANSWERED PART 2
INFORMANT WAS VERY HOSTILE AND INITIALLY REFUSED
INFORMANT/RESPONDENT WERE EXCEPTIONALLY RECEPTIVE
INITIALLY E WAS VERY HOSTILE
INITIALLY RELUCTANT
INTELLIGENT
INTERPRETETOR USED
INTERPRETOR ENGAGED
INTERPRETOR USED
INTERRUPTED BY VISITORS
INTERVIWE WAS SUCCESSFUL
ISSIFU MOHAMMED LEFT NASIA ABOUT ONE YEAR AGO TO TECHIMAN, LEAVING THE TWO WIVES
IT RAINED
IT TOOK 31/2 HRS WALKING TO GET CONTACT
IT WAS DIFFICULT REACHING CLIENT SINCE HE LIVES VERY FAR FROM THE MAIN TOWN
JANET FOFIE WHO IS A RELTIVE TO ADJOA COMFORT AS LEFT FOR SEFWI WIAWSO 2YRS AGO
KEPT TALKING TO TH CHILDREN IN BETWEEN
KUMI FAUSTINA IS RELATIVE OF TIWAA AGNES WHO HAS MARRIED IN ABOABO NO. 3
KWADWO MOSHIE WAS RATHER FOUND, TO BE KWADWO AYAM FROM KUSASI
KWAKYIE'S HOUSEHOLD WAS PART OF TAMEAH'S HOUSEHOLD
LACTATION MOTHER WITH A 2MONTH'S BABY WITH GUINEAWORM AND THE RESPONDENT
LANGUAGE PROBLEM
LEVEL OF UNDERSTANDING IS LOW
LINE NO 0407 HAS TRAVELLED FOR A FUNERAL SO OVER 50 QUESTIONNAIRE COULD NOT BE I
LIVES IN A DELAPEDATED ROOM
LOOK VERY PALE AND WEAK
LOOKING TROPICAL RAINSTORM
LOOKS UPSET
LOVELY RESPONDENT
MADAM JUSTINA NOGAMAA OVER 50 YRS HAD TRAVELLED TOWAR FOR A FUNERAL
MADE INTERVIEW QUIET DIFFICULT
MANY INTERRUPTIONS
MARTHA ALHASSAN (A 50 YRS) HAD TRAVELLED TO BAWKU
MICHAEL OPPONG USED TO BE THE MEMBER OF OWUSU ANSAH'S HOUSEHOLD IS THE ONLY PERO
MOHAMMED AWAL DEAD, ALHASSAN ABDALLAH NOW HEAD OF HOUSEHOLD
MUTAWAKILU IDDRISU AGED 53 HAS TRAVELLED TO ACCRA AND SHALL COME BACK IN TWO WEE
NANA KOBA HAD TEN GONE TO TAKE CARE OF HER SICK MOTHER, HER COMING BACK WILL DEP
NEED THOUGHT MEDICAL CARE
NEEDED ASSISTANCE AT TIMES, ESPECIALLY WITH DATES/CURRENCY
NEEDED MORE ASSISTANCE BECAUSE OF LANGUAGE DIFFICULTY
NEIGHBOURS WERE RELUCTANT TO DIRECT ME TO THE RESPONDENTS RESIDENCE FOR THE INT
NEWLY MARRIED COUPLES BUT ARE OLD PEOPLE
NICE RESPONDENT
NIIL
NIL
NILL
NL
NO
NO COMMENT
NO COMMENTS
NO ISLATED HAMLETS ONE NEEDS TO WALK ABOUT 3 MILES BEFORE LOCATING RESPONDENT
NO MORE PERSUATIONS COULD GET HIM TO COOPERATE. ANOTHER VISIT THE NEXT DAY COULD
NOE
NON
NONE
NOT VERY CO - OPERATIVE
OCCASSIONAL DIVIDED ATTENTION - CARE FOR CHILDREN
OCCASSIONALLY SUFFERS FROM SEVERE PAINS FROM NECK TO THE BACK
OLDMAN HE TAKES CARE
ONE MEMBER OT THE HOUSEHOLD OF MR OBENG IS PRESENTLY IN THE HOUSE. THE PARENTS O
ONLY CHILD PASSED AWAY NOT QUITE LONG SO SHE WAS NOT VERY HAPPY. HOWEVER SHE CON
OPPONG KWADWO WAS A BROTHER TO KWABENA YEBOAH AND AD SINCE LEFT TO SETTLE IN AMA
OVER 50 LEFT HOUSEHOLD TO KUMASI A DAY BEFORE INTERVIEW. VERY DIFFICULT EA
OVER 50 YEARS WAS NOT DONE BECASUE, THERE WAS MOURNING FOR A CLOSE RELATIVE WHO
OVER 50 YERAS WAS NOT DONE. BECAUSE THE MAN WAS NOT AROUND TO BE INTERVIEWED
PAGES OF MORTALITY AND COVERAGE WERE NOT ARRANGED ORDERLY, THEY WERE MIXED UP
PART OF THE INTERVIEW WAS CONDUCTED OUTSIDE THE HOUSE OF THE RESPONDENT
PARTIALLY BLIND IN BOTH EYES DUE TO CATARACT
PEOPLE INTERUPTING WITH GREETINGS AN D OTHER CONVERSATION AND ASLO GAS A CHILD W
PEOPLE OF THE E.A. WERE HOSTILE TOWARDS THE PROGRAMME
POOR ARANGEMENT OF QUESTIONNAIRE MAKING INTERVIEW VERY DIFICULTY
QUITE BUSY WOMAN, DID IT RELUCTANTLY
QUITE CO - OPERAT IVE
QUITE CO-OPERATIVE
QUITE RECEPTIVE
RAINING CATS AND DOGS
REASON FOR THE SURVEY
RECEPTION WAS GOOD
RECEPTIVE
RECEPTIVE RESPONDENT
REFUSED TO ANSWER A FEW QUESTIONS
RELATIVES CAME AROUND MOST OFTEN
RESPOENDENT STAYS 4KM OFF MAIN ROAD - WALKING DISTANCES
RESPONDENT COMPLAINED OF WASTING HIS TIME WITHOUT ANY COMPENSATION
RESPONDENT CONTACTED AFTER WALKING FOR ABOUT 8KM
RESPONDENT COOPERATED WELL
RESPONDENT COOPOERATED VERY WELL, THOUGH NOT MENTALLY SOUND
RESPONDENT COULD NOT SIT, HAD TO LIE DOWN THROUGHOUT. BESIDES PELVIC INJURY RESP
RESPONDENT HAD TO ATTEND TO CUSTOMERS DURING THE INTERVIEW
RESPONDENT HAD TO BE PERSUADED BEFORE GRANTING INTERVIEW
RESPONDENT HAS A GOITRE
RESPONDENT HAS BENT TO THE GROUND DUE TO WAIST PROBLEM
RESPONDENT HAS GUINEAWORM INFECTION
RESPONDENT HAS HEART DIFFICULTY
RESPONDENT HAS HEART PROBLEMS
RESPONDENT HAS HEART PROBLEMS, AND IS A RELATIVE OF KWAME ASANTE WHO HAS TRAVELL
RESPONDENT INITIALLY TOLD ME HOUSEHOLD HAD GONE TO SELL AT THE MARKET AND WILL B
RESPONDENT IS A DRUNKARD (ALCOHOLIC)
RESPONDENT IS A HYPERTENSIVE
RESPONDENT IS A VEGETARIAN
RESPONDENT IS AN EPILEPTIC
RESPONDENT IS BEDRIDDEN
RESPONDENT IS FROM BENIN HT WAS RELUCTANT TO CO-OPERATE AT THE INITIAL STAGE
RESPONDENT IS HIGHLY INTELLIGENT
RESPONDENT IS HYPERTENSIVE
RESPONDENT IS THE BROTHER OF ABUGUI
RESPONDENT LEFT ANOBRA'S HOUSE; TO A HOUSE NEAR THE MARKET
RESPONDENT LEFT FOR A MEETING TO TECHNIMAN, INTERVIEW HAD TO BE POSTPONE TO LAT
RESPONDENT LEFT MAMI ASOR'S HOUSE 2YRS AGO. RESPONDENT NAME WAS WRONGLY SPELT (J
RESPONDENT NEEDED TO HEAR QUESTIONS REPEATED SEVERAL TIMES BEFORE HE GIVES AN AN
RESPONDENT OULD BE REACHED AFTER WALKING FOR ABOUT 6KMS.
RESPONDENT REACTED TO HOW VOLUMENOUS THUS QUESTIONNAIRE IS AND NEARLY DROVE ME A
RESPONDENT REFUSED TO GIVE INFORMATION ABOUT DEAD SIBLINGS
RESPONDENT REFUSED TO SIGN IN INK BECAUSE I AM RECORDING IN PENCIL
RESPONDENT SPEECH IS NOT CLEAR, AND DIFFICULT TO UNDERSTAND
RESPONDENT THOUGH OLD SHE IS VERY SMART, SHE IS THE MOTHER OF PAINTSIL OBENG
RESPONDENT VERY CO - OPERATIVE
RESPONDENT VERY COORPERAATIVE
RESPONDENT VERY COORPERATIVE
RESPONDENT VERY DIFFICULT TO TALK TO
RESPONDENT VERY DIFFICULT, ANNOYED AND GRUMBLING ALL THE TIME
RESPONDENT WANTED TO AND VISIT MOTHER PROMISED TO CONTINUE THE FOLLOWING DAY
RESPONDENT WAS CALM DURING THE INTERVIEW
RESPONDENT WAS COMPLAINING BITTERLY ABOUT HER SUFFERING OF WHITE SICKNESS
RESPONDENT WAS COPERATIVE
RESPONDENT WAS DRUNK
RESPONDENT WAS DRUNK AND COULD NOT DO WELL
RESPONDENT WAS EXTRA CO - OPERATIVE AND NICE
RESPONDENT WAS HAPPY WITH INTERVIEW
RESPONDENT WAS IN A HURRY TO TRAVEL
RESPONDENT WAS INVOLVED IN A ROAD TRAFFIC ACCIDENT AND HAD HIS LEFT FINGERS AMPU
RESPONDENT WAS SICK FOR OVER SIZX MONTHS AND POOR.
RESPONDENT WAS TIRED
RESPONDENT WAS VERY CO - OPERATIVE
RESPONDENT WAS VERY CO-OPERATIVE
RESPONDENT WAS VERY COPERATIVE
RESPONDENT WAS VERY HAPPY
RESPONDENT WAS VERY HELPFUL. SHE SOLICITED THE HELP OF A SISTER IN THE VILLAGE T
RESPONDENT WAS VERY RECEPTIVE
RESPONDENT WAS VERY SLOW IN ANSWERING SOME OF THE QUESTIONS. HAD TO BE PROMPTED
RESPONDENT WAS VERY TIRED FROM FARM AND WAS IN A HURRY TO PREPARE EVENING MEALS
RESPONDENT'S HUSBAND WAS PRESENT TILL THE END
RESPONDENT'S RIGT ARM IS AMPUTATED
RESPONDENT'S WIFE RESISTED INITIALLY
RESPONDENTS NAME ON THE QUESTIONNAIRE WAS WRONGLY WRITTEN
RESPONDENTS NAME WAS WRONGLY SPELT ON THE QUESTIONNAIRE
ROAD BAD
ROAD TO 'EA' VERY BAD WITH NO CAR PLYING THE 'EA' SO WE SAT AT THE BACK OF A TRU
ROAMED 75% HAMLETS IN EA ON FOOT TO LOCATE HOUSEHOLD
SALIFFU MOSHIE WAS FOUND TO BE SALIFU BUSANGA
SALIFU WUMBEI HAD BEEN ADMITTED TO TAMALE HOSPITAL AND TIME OF COMING BACK IS UN
SAMUEL TRAVELLED TO KUMASI, ERIC THE SENIOR BROTHER IS NOW HEAD OF HOUSEHOLD
SEARCHED FOR 4HRS. LOCATED OUTSIDE EA
SELECTED PERSON HAS MARRIED AND MOVED TO DIFFERENT TOWN,HOUSEHOLD MEMBER DID THE
SEVERAL INTERUPTIONS
SHE ALSO HAD A VISITOR AND HAVE TO TALK TO HER ONCE A WHILE
SHE APPEARS WORRIED
SHE COMPLAINS ABOUT THE DURATION OF THE INTERVIEW
SHE GOT UP TO GO AND DO TELEPHONE CALLS, CHILD COMING TO WORRY HER
SHE HAS BEEN ILL FOR THE PAST TWO WEEKS
SHE HAS CHRONIC HEADACHE
SHE HAS MOVED FROM HER HOUSE NO. BA 31, THEREFORE I WAS TAKEN TO TE MARKET WHERE
SHE IS A BLIND WOMAN, TAKEN CARE BY A SMALL GIRL
SHE IS A VERY BUSY PERSON WITH LOTS OF INTERRUPTIONS
SHE IS HAVING A GOITRE AND GOING FOR SURGERY BUT SHE IS HYPERTENTIVE
SHE IS USING LOCAL HERBS FOR TREATMENT OF HER BREAST
SHE MADE THE INTERVIEW BORING BECAUSE SHE HESITAATED IN ANSWERING MOST OF THE QU
SHE SAID SHE SUSTAINED AN EYE INJURY WHILES WORKING, AND WAS MADE TO PAY ALL HER
SHE TOOK HER TIME TO ANSWER THE QUESTION AND EVEN READ SOME OF THE QUESTIONS
SHE WAS CO - OPERATIVE
SHE WAS GRUMBLING MOST OF THE TIME
SHE WAS SMELLING OF ALCOHOL
SHE WAS THERE WITH A MUSICIAN
SHE WAS VERY OLD AND SICK, SHE COULD NOT STAND FOR THE MEASUREMENT TO BE TAKEN
SOME PAGES OF THE QUESTIONNAIRE ARE WRONGLY ARRANGED
SOME PAGES WERE BLANK, SO INSERTED THERE
SOME POINTS HAD TO BE EXPLAINED TO HER
SON EXPLAINS TO HER SOMETIMES
SUFFERING FROM LONG TERM CHRONIC SORE
SUFFERING FROM PILE
SUMAILA AWAFU IS DEAD, LEAVING THE WIFE AS THE HEAD OF H/H
SUPERVISOR HEAD TO INTERPRET IN EWE SOMETIMES
TE RESPONDENT WAS IN HURRY TO PREPARAE THE HOUSEHOLD FOOD. THERE FORE NOT PAYING
TH EINTERVIEW HAD TO BE SUSPENDED TO ALLOW RESPONDENT TO ATTEND TO OTHER THINGS.
THE 4 YEAR OLD HAS GUINEAWORM INFECTION
THE COUPLE MARRIED AT RELATIVELY EARLY AGE. THE HEDA OF THE HSEHOLD IS ASPIRING
THE DECEASED SIBLING ALL GAVE BIRTH BEFORE DYING, BUT THE BIRTH AND DEATH DATES
THE ELDER BROTHER WHO WAS THE HSEHOLD HEAD HAD GONE TO STAY ON THE FARM. HE HAD
THE HEAD OF THE HOUSEHOLD IS DEAD SO A MEMBER OF THE HOUSEHOLD DID THE INTERVIEW
THE HOUSEHOLD HEAD IS DEAD AND THE WIFE IS NOW THE HEAD OF THE HOUSEHOLD
THE HUSBAND CAME TO HELP HER TO ANSWER SOME OF THE QUESTIONS
THE HUSBAND NEARLY FOUGHT WITH HER. SHE IS MENTALLY ILL
THE INFORMANT SERVED AS AN INTERVIEWER
THE INFORMANT TWUMASI HAS NOW MOVED TO STAY AT KUMASI, BUT HIS OTHER HOUSEHOLD M
THE INFORMANT WAS THE MOTHER AND A MEMBER OF HOUSEHOL OF FRANCIS YEBOAH WO AD
THE INTERVIEW HAD TO BE DONE PAST MIDNIGHT BECAUSE TEAM WOULD HAVE TO WAIT TWO D
THE INTERVIEW TOOK PLACE IN HIS STORE
THE ORIGINALLY SELECTED H/H HAD MOVED AND WAS REPLACED BY THIS H/H OCUPPYING THE
THE QUESTONNAIRE WAS NOT ARRANGED PROPERLY
THE RESPONDENT HAS SEVERE WAIST PROBLEMS
THE RESPONDENT AS DELIVERED A BABY 2 WEEKS AGO
THE RESPONDENT AS EYE PROBLEM
THE RESPONDENT AS RHEMATISM
THE RESPONDENT AS SEVERE WAIST PAINS
THE RESPONDENT HAS A CHRONIC SORE AND SWOLLEN LEG
THE RESPONDENT HAS A LITTLE MENTAL PROBLEM
THE RESPONDENT HAS A SLIGHT MENTAL PROBLEM
THE RESPONDENT HAS A SWOLLEN LEG (INFECTION IN THE LEG)
THE RESPONDENT HAS BACK PAIN
THE RESPONDENT HAS CHRONIC PAIN IN ER WRIST
THE RESPONDENT HAS DIABETES
THE RESPONDENT HAS DIABETES AND PRESSURE
THE RESPONDENT HAS DIVOPRCED HIS WIFE AND IS NOW STAYING WITH HIS BROTHER IN THE
THE RESPONDENT HAS HEART DISEASE
THE RESPONDENT HAS HEART PROBLEM
THE RESPONDENT HAS PAINS IN HER JOINTS. SHE IS THE HUSBAND OF THE LATE OPANYIN
THE RESPONDENT HAS SCARS ALL OVER THE BODY
THE RESPONDENT HAS SEVERE WAIST PAINS
THE RESPONDENT HAS WAIST PAINS
THE RESPONDENT HAS WAIST PAINS AND SPOUSE IS A STROKE PATIENT
THE RESPONDENT IS A RELATIVE AND HOUSEHOLD MEMBER OF KWADJO KUSI WHO IS DECEASED
THE RESPONDENT IS A RELATIVE AND HOUSEOLD MEMBER OF THE LATE OPANYIN YAW ACHEAMP
THE RESPONDENT IS A RELATIVE OF KOJO AMOAKO WHO HAD TRAVELLED 2 YEARS AGO
THE RESPONDENT IS ASHMATIC AND AS SEVERE WAIST PAINS
THE RESPONDENT IS NINE MONTHS PREGNANT
THE RESPONDENT IS SICK OF TYPHOID FEVER
THE RESPONDENT IS SUFFERING FORM SEVERE HEADACHE,BUR ODUR COMES OUT OF HIS NOSE
THE RESPONDENT IS SUFFERING FROM HERNIA
THE RESPONDENT IS TE WIFE OF OPANYIN KWEKU ABOAGYE WHO IS DECEASED
THE RESPONDENT IS THE NIECE OF KWAME MAXWELL WO DIED A YEAR AGO
THE RESPONDENT IS THE SON OF AKOSUA NYAMEKYE WHO HAS MOVED TO SETTLE IN BEREKUM
THE RESPONDENT IS THE SON OF AUNTIE ADJOA TECHIMAN, WHO HAS TRAVELLED SIX MONTH
THE RESPONDENT IS THE WIFE OF KWAME APPOAGYE WHO AS MOVED TO SETTLE ELSHWERE
THE RESPONDENT IS THE WIFE OF KWEKU EKUBAN WHO IS DECEASED
THE RESPONDENT IS VERY VERY OLD
THE RESPONDENT JUST DELIVERED A BABY A WEEK AGO
THE RESPONDENT LOOKED LIKE A MENTALLY RETARDED PERSON.
THE RESPONDENT MONEY WAS STOLLEN AND HAVE TO LEAVE TO GO AND FIND THE PERSON
THE RESPONDENT READ AND ANSWERED ALL QUESTIONS ON HIS OWN.
THE RESPONDENT READ AND ANSWERED ALMOST EVEYTHING ON HIS OWN.
THE RESPONDENT READ AND ANSWERED EVERY QUESTION ON HIS OWN
THE RESPONDENT READ AND TICKED MOST OF THE QUESTIONS HIMSELF
THE RESPONDENT STAYS WITH ISAAC DONKOR WO AS TAVELLED TO SEFWI WIAWSO 6MTHS AGO
THE RESPONDENT WA IN A HURRY TO GO TO FARM
THE RESPONDENT WAS FRIGHTENED AND IT TOOK SOME TIME TO CONVINCE HER. SHE COMPLAI
THE RESPONDENT WAS SUFFERING FROM THE LEG DUE TO A LEG INJURY
THE RESPONDENT WAS THEN STAYING WITH MAHADI ZUBAR WHO HAD LEFT FOR NIGERIA 2 YEA
THE RESPONDENT'S LEGS SWOLLEN PERIODICALLY WITHOUT PAINS
THE RESPONDENTS RESIDENCE IS RATHER NO. MB 53, BEHIND A YELLOW HOUSE WITH NO. MB
THE RESPONENT IS THE DAUGHTER OF ADWOA AGYEIWAA WHO AS TRAVELLED SIX MONTHS AGO
THE SON HAD TO DO THE INTERPRETATION FOR THE MOTHER
THE SPOUSE OF THE RESPONDENT IS A CRIPPLE AND WAS VERY CO - OPERATIVE
THE WIFE IS ADMITTED AT THE SWEDRU HOSPITAL, AND HE LOOKS WORRIED,HE HAS ABOUR 6
THERE IS A LUNATIC MEMBER WHO HAD HAD SOME TREATMENT AT AA MENTAL HOSPITAL
THERE WAS AN OLD LADY IN THE HOUSE WORRING ME TO BRING HER MEDICINES
THERE WAS FREQUENT INTERUPTIONS DUE TO HER WORK.
THERE WERE FREQUENT BREAKS DUE TO HIS WORK
THEY SAID I WAS SENT BY THE PRESENT GOVERNMENT TO INVESTIGATE THEIR STATE OF LIV
THEY WERE SCARED
THEY WERE VERY CORDIAL
THIS RESPONDENT COULDN'T TELL ME HIS AGE, THEREFORE COULD NOT TELL ME THOSE OF H
THOUGH A BIT DRUNK, COOPERATED
THOUGH ADVANCED IN AGE SHE IS VERY ALERT
THOUGH AGED, HE IS ALERT AND RESPONSIBLE. COMPLAINED OF TOO MANY QUESTIONS
THOUGH COOKING SHE WAS CO - OPERATIVE
THOUGH OLD LOOKS ACTIVE
THOUGH OLD, COOPERATED
THOUGH OLD, DID HER BEST
THOUGH SICK HE DID HIS BEST
TINAMBOR JAKPOR TRAVELLED AND WILL COME BACK IN A MONTH TIME.
TO ATTEND FUNERAL
UNUSUALLY RECEPTIVE RESPONDENT
USED INTERPRETER
VER CO - OPERATIVE
VER CO-OPERATIVE
VER COOPERATIVE
VERY CO - OPERATIVE
VERY RECEPTIVE
VERY - CO OPERATIVE
VERY - OPERATIVE
VERY BUSY AT THE TIME OF THE INTERVIEW
VERY CAREFUL IN ANSWERING QUESTIONS
VERY CO - OEPERATIVE
VERY CO - OERATIVE
VERY CO - OPEARTIVE
VERY CO - OPERA TIVE
VERY CO - OPERAT IVE
VERY CO - OPERATIV
VERY CO - OPERATIVE
VERY CO - OPERATIVE RESPONDENT
VERY CO - OPERATIVE AND EXCELLENT IN ALL HIS RESPONSES
VERY CO - OPERATIVE RESPONDENT
VERY CO -OPERATIVE
VERY CO -OPREATIVE
VERY CO OPERATIVE
VERY CO-OPERATIVE
VERY CO-OPERATIVE BUT LOOKED EXHAUSTED AFTER ANSWERING ALL THE QUESTIONS
VERY CO-OPERATIVE RESPONDENT
VERY CO-OPERATIVE, THOUGH WEAK
VERY CO-ORPORATIVE
VERY COOPERATIVE
VERY COOPERATIVE RESPONDENT
VERY COOPOERATIVE
VERY COORPERAATIVE
VERY COORPERATIVE
VERY CORPERATIVE
VERY CORPORATIVE
VERY CORRESPONDENT
VERY DIFFICULT TERRAIN TO REACH
VERY DIFFICULT TO REACH THE COTTAGE
VERY DULL RESPONDENT
VERY FRIENDLY
VERY GOOD
VERY GOOD CONTRIBUTION
VERY GOOD RESPONDENT
VERY GOOD RESPONDENT, MADE INTERVIEW EASIER
VERY GOOD RESPONSE, THOUGH QUITE OLD
VERY HAPPY WITH INTERVIEW
VERY IN TERLKIGENT
VERY INTELLIGENT
VERY INTERESTED IN THE STUDY, HE IS THE NEPHEW OF CHARLES KWABENA ADU
VERY NICE
VERY NICE RESPONDENT
VERY NICE RESPODNENT
VERY NICE RESPONDENT
VERY NICE RESPONDENT AND INTERESTED IN THE STUDY
VERY OLD, BUT MENTALLY ALERT
VERY PATIENT
VERY RECEPTIVE
VERY RECEPTIVE AND NICE RESPONDENT
VERY RECEPTIVE RESPONDENT
VERY RECEPTIVE RESPONDENTS
VERY RECEPTIVE RESPONSE
VERY RELIABLE
VERY REMOTE AREA DIFFICULT WALK ON FOOT
VERY RESPONDSIVE
VERY RESPONSIVE
VERY RESPONSIVE RESPONDENT
VERY SATISFIED
VERY SHARP, ALERT AND FASTER WITH HIS RESPONSES
VERY WARM RESPONDENT
VERY WISE
VETRY REMOTE & INACCESSIBLE AREA
VISUAL HAPPENING
WAILING DISRUPTED OUR WORK
WAIST PROBLEM
WAITED FOR RESPONDENT TO COME BACK FORM THE FARM
WAITED TILL 3PM BEFORE HE CAME
WALK FOR ABOUT 6 MILES
WAS AFRAID OF US FROM BEGINNING
WAS COOPERATIVE
WAS DRINKING DURING THE TIME OF THE INTERVIEW
WAS VERY CO - OPERATIVE
WAS VERY COOPERATIVE
WAS VERY HAPPY FOR BEING INTERVIEWED
WAS VERY INTERESTED IN STUDY
WAS VERY RECEPTIVE
WAS WASHING
WHEN I GOT TO THE DEAD SIBLINGS SHE REFUSED TO GIVE ME THEIR NAMES,I TRIED TO CO
YAW DONKOR WHO IS A BROTHER AND A MEMBER OF HOUSEHOLD OF DORA MANSA WHO HAS TRAV
YES
YES, FOLLOWED RESPONDENT TO THE GUEST HSE AND THE BUILDING SITE
YES, HER HUSBAND IS MARRIED TO 3 WIVES WHO STAY IN THE SAME HOUSE
YES, SHE TOOK HER GRAND SON TO THE HOSPITAL AND NOT HER BIOLOGICAL SON LE FRANK
YES; HIS MOTHER GAVE BIRTH TO 4 CHILDREN AND AFTER GOT MARRIED TO HIS FATHER. HI
YOUNG MAN VERY ALERT
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
39
08:50
09:07
09:50
09:52
10:00
10:15
10:27
10:40
10:55
11:05
11:06
11:16
11:40
12:12
12:15
12:44
13:02
13:05
13:14
13:33
13:39
13:50
14:00
14:55
15:54
16:00
16:12
16:50
17:05
17:42
18:05
18:55
19:20
20:24
21:45
22:00
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
3833
24100003
24105996
24103327.933
1843.579
Child No
Child No
Child No
Child No
Child No
3833
1
2
3
4
5
6
7
8
9
10
11
12
13
14
name
name
name
name
name
What is the name of your child?
List all names of children
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3805
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
What is the month and year of birth?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3466
01/1901
01/1913
01/1918
01/1920
01/1925
01/1947
01/1957
01/1961
01/1962
01/1963
01/1965
01/1968
01/1969
01/1970
01/1971
01/1972
01/1973
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1972
02/1973
02/1974
02/1979
02/1980
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1991
02/1992
02/1993
02/1994
02/1995
02/1996
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1961
03/1970
03/1973
03/1974
03/1975
03/1977
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
03/1990
03/1991
03/1992
03/1993
03/1994
03/1995
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1970
04/1974
04/1975
04/1978
04/1979
04/1980
04/1981
04/1983
04/1984
04/1985
04/1986
04/1987
04/1988
04/1989
04/1990
04/1991
04/1992
04/1993
04/1994
04/1995
04/1996
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
04/2003
05/1971
05/1974
05/1977
05/1978
05/1979
05/1980
05/1981
05/1982
05/1983
05/1984
05/1985
05/1986
05/1987
05/1988
05/1989
05/1990
05/1991
05/1992
05/1993
05/1994
05/1995
05/1996
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
05/2003
06/1957
06/1963
06/1965
06/1969
06/1970
06/1971
06/1972
06/1973
06/1974
06/1975
06/1976
06/1977
06/1978
06/1979
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1973
07/1974
07/1977
07/1978
07/1979
07/1980
07/1981
07/1982
07/1983
07/1984
07/1985
07/1986
07/1987
07/1988
07/1989
07/1990
07/1991
07/1992
07/1993
07/1994
07/1995
07/1996
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
07/2003
08/1970
08/1974
08/1975
08/1976
08/1977
08/1978
08/1979
08/1980
08/1981
08/1982
08/1983
08/1984
08/1985
08/1986
08/1987
08/1988
08/1989
08/1990
08/1991
08/1992
08/1993
08/1994
08/1995
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1974
09/1975
09/1978
09/1979
09/1980
09/1981
09/1982
09/1983
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1992
09/1993
09/1994
09/1995
09/1996
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/1971
10/1975
10/1977
10/1978
10/1979
10/1980
10/1981
10/1982
10/1983
10/1984
10/1985
10/1986
10/1987
10/1988
10/1989
10/1990
10/1991
10/1992
10/1993
10/1994
10/1995
10/1996
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1972
11/1973
11/1977
11/1978
11/1979
11/1981
11/1982
11/1983
11/1984
11/1985
11/1986
11/1987
11/1988
11/1989
11/1990
11/1991
11/1992
11/1993
11/1994
11/1995
11/1996
11/1997
11/1998
11/1999
11/2000
11/2001
11/2002
12/1972
12/1974
12/1975
12/1976
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1992
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
sex
sex
sex
sex
sex
What is the sex?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3760
73
1
2
Sysmiss
alive
alive
alive
alive
alive
Is the child still alive?
If no, go to Q5007.
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3697
136
1
Yes
5
No
Sysmiss
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
What is the child's current age in years?
Use years for children older than 5 years and adults
This question is to be asked to women respondens of reproductive (18-49) yrs age.
2560
1273
5
39
13.861
6.335
Age (months)
Age (months)
Age (months)
Age (months)
Age (months)
What is the child's current age in months?
Use months for children between two months and five years of age.
This question is to be asked to women respondens of reproductive (18-49) yrs age.
747
3086
2
59
30.629
16.326
Age (days)
Age (days)
Age (days)
Age (days)
Age (days)
What is the child's current age in days?
Use days for infants below two months of age
This question is to be asked to women respondens of reproductive (18-49) yrs age.
50
3783
57
18.7
18.014
living with you
living with you
living with you
living with you
living with you
Is the child currently living with you?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3147
686
1
Yes
5
No
Sysmiss
month / year of death
month / year of death
month / year of death
month / year of death
month / year of death
Month / Year of death
This question is to be asked to women respondens of reproductive (18-49) yrs age.
189
01/1978
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1994
02/1998
02/1999
02/2000
02/2001
02/2003
03/1987
03/1994
03/1997
03/1998
03/1999
03/2003
04/1984
04/1989
05/1967
05/1988
05/1989
05/1992
05/1995
05/1996
05/2002
05/2003
06/1968
06/1974
06/1976
06/1977
06/1978
06/1979
06/1980
06/1982
06/1983
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2003
07/1991
07/1995
07/1999
07/2002
08/1989
08/1991
08/2000
08/2002
09/1983
09/1997
09/1999
09/2002
10/1987
10/1996
10/2001
10/2002
11/1967
11/1977
11/1986
11/1995
11/1999
11/2001
11/2002
12/1982
12/1987
12/1996
12/1998
12/2001
12/2002
age of death in days
age of death in days
age of death in days
age of death in days
age of death in days
Age at death in: Days
Use Days for infants below 2 months of age
This question is to be asked to women respondens of reproductive (18-49) yrs age.
92
3741
59
9.793
14.063
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in: Months
Use Months for children between 2 months
and 5 years of age
This question is to be asked to women respondens of reproductive (18-49) yrs age.
177
3656
2
59
23.492
14.699
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in: Years
Use Years for children older than 5 years and
adults
This question is to be asked to women respondens of reproductive (18-49) yrs age.
57
3776
5
36
11.421
7.474
fever
fever
fever
fever
fever
Did s/he have fever?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
351
3482
1
Yes
5
No
Sysmiss
continuous fever
continuous fever
continuous fever
continuous fever
continuous fever
Was the fever continuous (1) or on and off
(5)?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
271
3562
1
Yes
5
No
Sysmiss
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
Was the fever associated with
chills/shivering?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
318
3515
1
Yes
5
No
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
Did s/he have convulsions or fits?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
348
3485
1
Yes
5
No
Sysmiss
child unconscious
child unconscious
child unconscious
child unconscious
child unconscious
Was the child unconscious for more than a
day during the illness that led to death?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
348
3485
1
Yes
5
No
Sysmiss
stiff neck
stiff neck
stiff neck
stiff neck
stiff neck
Did s/he have a stiff neck?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
349
3484
1
Yes
5
No
Sysmiss
cough
cough
cough
cough
cough
Did s/he have a cough?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
349
3484
1
Yes
5
No
Sysmiss
type of cough
type of cough
type of cough
type of cough
type of cough
If yes, was it (1) dry, (2) productive, (3) with
blood, (4) or unknown ?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
34
3799
1
2
4
Sysmiss
fast breathing
fast breathing
fast breathing
fast breathing
fast breathing
Did s/he have fast breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
323
3510
1
Yes
5
No
Sysmiss
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
Did s/he have in drawing of the chest while
breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
317
3516
1
Yes
5
No
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
Did s/he have diarrhea?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
324
3509
1
Yes
5
No
Sysmiss
Visible blood
Visible blood
Visible blood
Visible blood
Visible blood
Was there visible blood in the stools?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
317
3516
1
Yes
5
No
Sysmiss
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
24850
24100002
24108841
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
24850
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Name of sibling
Name of sibling
Name of sibling
Name of sibling
Name of sibling
If 2 or more births, continue here, starting with eldest child.
Name
It would be best to first ask the respondent to list the names of all his siblings, in chronological order, and to record the names accordingly in Q5104 for each child. The respondents details for the questions Q5105 and Q5106 should then be entered, from previously available information, and the respondent’s details should be used to reference the various dates / ages of the other siblings that are then recorded.
24589
(T
,M
.
1
2
2N
3N
3R
5
5T
6T
7T
8T
9T
A
A.
AA
AB
AC
AD
AE
AF
AG
AH
AI
AJ
AK
AL
AM
AN
AO
AP
AQ
AR
AS
AT
AU
AV
AW
AX
AY
AZ
B-
B.
BA
BE
BI
BL
BO
BR
BU
BY
C
C.
CA
CE
CH
CI
CL
CO
CR
CT
CU
CY
D.
D=
DA
DE
DI
DJ
DK
DM
DN
DO
DR
DU
DW
DY
DZ
E.
EA
EB
EC
ED
EE
EF
EG
EH
EI
EK
EL
EM
EN
EP
ER
ES
ET
EU
EV
EW
EX
EY
EZ
F
F.
FA
FE
FI
FL
FO
FR
FU
G.
GA
GB
GD
GE
GI
GL
GM
GN
GO
GR
GS
GU
GW
GY
H.
HA
HE
HI
HO
HU
HW
HY
I.
IB
ID
IE
IG
IK
IL
IM
IN
IR
IS
IU
IV
IY
IZ
J
J.
JA
JD
JE
JH
JI
JM
JN
JO
JR
JU
K
K'
K.
KA
KC
KE
KG
KI
KK
KL
KO
KP
KR
KS
KU
KW
KY
L.
LA
LE
LI
LO
LP
LU
LY
M
M,
M.
MA
MB
MC
ME
MG
MI
MK
ML
MM
MN
MO
MP
MR
MU
MW
N.
NA
NB
NC
ND
NE
NF
NG
NI
NJ
NK
NL
NM
NN
NO
NP
NR
NS
NT
NU
NW
NY
OA
OB
OC
OD
OF
OG
OH
OJ
OK
OL
OM
ON
OP
OR
OS
OT
OW
OY
P.
PA
PE
PH
PI
PK
PL
PO
PQ
PR
PU
PW
QU
R.
R=
RA
RE
RH
RI
RO
RU
S
S.
S/
SA
SB
SC
SE
SH
SI
SK
SL
SM
SN
SO
SR
SS
ST
SU
SW
SY
T.
TA
TE
TH
TI
TO
TR
TS
TU
TW
TY
UA
UD
UM
UN
US
V.
VA
VE
VI
VO
WA
WE
WI
WO
WU
WY
XA
XO
Y.
YA
YE
YI
YK
YO
YU
YV
YW
ZA
ZE
ZI
ZO
ZU
ab
am
do
kw
na
tu
sex
sex
sex
sex
sex
Sex
24267
583
1
Sex Sibling 1
2
Sex Sibling 2
3
Sex Sibling 3
4
Sex Sibling 4
5
Sex Sibling 5
6
Sex Sibling 6
7
Sex Sibling 7
8
Sex Sibling 8
Sysmiss
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
Month/ Year of birth, e.g. Feb-02
For each child, detailed enquiry is to be made to ascertain the most accurately available date of birth. Members of the household (other than the respondent) who may know better because of education / exposure etc may be enlisted to secure accurate information on dates of birth of siblings.
18418
01/1900
01/1902
01/1903
01/1904
01/1905
01/1906
01/1907
01/1908
01/1909
01/1910
01/1911
01/1912
01/1913
01/1914
01/1915
01/1916
01/1917
01/1918
01/1919
01/1920
01/1921
01/1922
01/1923
01/1924
01/1925
01/1926
01/1927
01/1928
01/1929
01/1930
01/1931
01/1932
01/1933
01/1934
01/1935
01/1936
01/1937
01/1938
01/1939
01/1940
01/1941
01/1942
01/1943
01/1944
01/1945
01/1946
01/1947
01/1948
01/1949
01/1950
01/1951
01/1952
01/1953
01/1954
01/1955
01/1956
01/1957
01/1958
01/1959
01/1960
01/1961
01/1962
01/1963
01/1964
01/1965
01/1966
01/1967
01/1968
01/1969
01/1970
01/1971
01/1972
01/1973
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
02/1917
02/1922
02/1928
02/1929
02/1931
02/1932
02/1935
02/1936
02/1937
02/1938
02/1939
02/1942
02/1943
02/1944
02/1945
02/1946
02/1947
02/1948
02/1949
02/1950
02/1951
02/1952
02/1953
02/1954
02/1955
02/1956
02/1957
02/1958
02/1959
02/1960
02/1961
02/1962
02/1963
02/1964
02/1965
02/1966
02/1967
02/1968
02/1969
02/1970
02/1971
02/1972
02/1973
02/1974
02/1975
02/1976
02/1977
02/1978
02/1979
02/1980
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1991
02/1992
02/1993
02/1994
02/1995
02/1996
02/1997
02/1998
02/1999
02/2001
02/2002
03/1908
03/1928
03/1929
03/1930
03/1931
03/1933
03/1934
03/1938
03/1939
03/1940
03/1941
03/1942
03/1943
03/1944
03/1945
03/1946
03/1947
03/1948
03/1949
03/1950
03/1951
03/1952
03/1953
03/1954
03/1955
03/1956
03/1957
03/1958
03/1959
03/1960
03/1961
03/1962
03/1963
03/1964
03/1965
03/1966
03/1967
03/1968
03/1969
03/1970
03/1971
03/1972
03/1973
03/1974
03/1975
03/1976
03/1977
03/1978
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
03/1990
03/1991
03/1992
03/1993
03/1994
03/1995
03/1996
03/1997
03/1998
03/1999
03/2001
03/2003
04/1904
04/1921
04/1924
04/1928
04/1931
04/1934
04/1937
04/1938
04/1939
04/1940
04/1941
04/1942
04/1943
04/1945
04/1946
04/1947
04/1948
04/1949
04/1950
04/1951
04/1952
04/1953
04/1954
04/1955
04/1956
04/1957
04/1958
04/1959
04/1960
04/1961
04/1962
04/1963
04/1964
04/1965
04/1966
04/1967
04/1968
04/1969
04/1970
04/1971
04/1972
04/1973
04/1974
04/1975
04/1976
04/1977
04/1978
04/1979
04/1980
04/1981
04/1982
04/1983
04/1984
04/1985
04/1986
04/1987
04/1988
04/1989
04/1990
04/1991
04/1992
04/1993
04/1994
04/1995
04/1998
04/2000
04/2001
04/2002
05/1917
05/1920
05/1923
05/1925
05/1926
05/1927
05/1929
05/1930
05/1934
05/1936
05/1937
05/1940
05/1941
05/1942
05/1943
05/1944
05/1945
05/1946
05/1947
05/1948
05/1949
05/1950
05/1951
05/1952
05/1953
05/1954
05/1955
05/1956
05/1957
05/1958
05/1959
05/1960
05/1961
05/1962
05/1963
05/1964
05/1965
05/1966
05/1967
05/1968
05/1969
05/1970
05/1971
05/1972
05/1973
05/1974
05/1975
05/1976
05/1977
05/1978
05/1979
05/1980
05/1981
05/1982
05/1983
05/1984
05/1985
05/1986
05/1987
05/1988
05/1989
05/1991
05/1993
05/1994
05/1995
05/1996
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1901
06/1902
06/1904
06/1906
06/1907
06/1908
06/1909
06/1910
06/1911
06/1912
06/1913
06/1914
06/1915
06/1916
06/1917
06/1918
06/1919
06/1920
06/1921
06/1922
06/1923
06/1924
06/1925
06/1926
06/1927
06/1928
06/1929
06/1930
06/1931
06/1932
06/1933
06/1934
06/1935
06/1936
06/1937
06/1938
06/1939
06/1940
06/1941
06/1942
06/1943
06/1944
06/1945
06/1946
06/1947
06/1948
06/1949
06/1950
06/1951
06/1952
06/1953
06/1954
06/1955
06/1956
06/1957
06/1958
06/1959
06/1960
06/1961
06/1962
06/1963
06/1964
06/1965
06/1966
06/1967
06/1968
06/1969
06/1970
06/1971
06/1972
06/1973
06/1974
06/1975
06/1976
06/1977
06/1978
06/1979
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1915
07/1918
07/1919
07/1921
07/1923
07/1924
07/1926
07/1927
07/1928
07/1929
07/1930
07/1931
07/1932
07/1933
07/1934
07/1935
07/1936
07/1937
07/1938
07/1939
07/1940
07/1941
07/1942
07/1943
07/1944
07/1945
07/1946
07/1947
07/1948
07/1949
07/1950
07/1951
07/1952
07/1953
07/1954
07/1955
07/1956
07/1957
07/1958
07/1959
07/1960
07/1961
07/1962
07/1963
07/1964
07/1965
07/1966
07/1967
07/1968
07/1969
07/1970
07/1971
07/1972
07/1973
07/1974
07/1975
07/1976
07/1977
07/1978
07/1979
07/1980
07/1981
07/1982
07/1983
07/1984
07/1985
07/1986
07/1987
07/1988
07/1989
07/1990
07/1991
07/1992
07/1993
07/1994
07/1995
07/1996
07/1997
07/1998
07/2000
07/2001
08/1916
08/1920
08/1921
08/1922
08/1928
08/1932
08/1933
08/1934
08/1936
08/1937
08/1938
08/1939
08/1940
08/1941
08/1942
08/1943
08/1944
08/1945
08/1946
08/1947
08/1948
08/1949
08/1950
08/1951
08/1952
08/1953
08/1954
08/1955
08/1956
08/1957
08/1958
08/1959
08/1960
08/1961
08/1962
08/1963
08/1964
08/1965
08/1966
08/1967
08/1968
08/1969
08/1970
08/1971
08/1972
08/1973
08/1974
08/1975
08/1976
08/1977
08/1978
08/1979
08/1980
08/1981
08/1982
08/1983
08/1984
08/1985
08/1986
08/1987
08/1988
08/1989
08/1990
08/1991
08/1992
08/1993
08/1995
08/1997
08/1998
08/2000
08/2001
09/1916
09/1921
09/1922
09/1929
09/1930
09/1932
09/1935
09/1937
09/1938
09/1939
09/1940
09/1941
09/1942
09/1943
09/1944
09/1945
09/1946
09/1947
09/1948
09/1949
09/1950
09/1951
09/1952
09/1953
09/1954
09/1955
09/1956
09/1957
09/1958
09/1959
09/1960
09/1961
09/1962
09/1963
09/1964
09/1965
09/1966
09/1967
09/1968
09/1969
09/1970
09/1971
09/1972
09/1973
09/1974
09/1975
09/1976
09/1977
09/1978
09/1979
09/1980
09/1981
09/1982
09/1983
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1992
09/1994
09/1996
09/1998
09/1999
09/2002
1
Date of birth Sibling 1
10/1925
10/1929
10/1930
10/1932
10/1934
10/1935
10/1936
10/1937
10/1938
10/1939
10/1941
10/1942
10/1943
10/1944
10/1945
10/1946
10/1947
10/1949
10/1950
10/1952
10/1953
10/1954
10/1955
10/1956
10/1957
10/1958
10/1959
10/1960
10/1961
10/1962
10/1963
10/1964
10/1965
10/1966
10/1967
10/1968
10/1969
10/1970
10/1971
10/1972
10/1973
10/1974
10/1975
10/1976
10/1977
10/1978
10/1979
10/1980
10/1981
10/1982
10/1983
10/1984
10/1985
10/1986
10/1987
10/1988
10/1989
10/1990
10/1991
10/1992
10/1993
10/1994
10/1995
10/1997
10/2001
10/2003
11/1913
11/1926
11/1929
11/1932
11/1933
11/1936
11/1938
11/1939
11/1940
11/1942
11/1943
11/1944
11/1945
11/1946
11/1947
11/1950
11/1951
11/1952
11/1953
11/1955
11/1956
11/1957
11/1958
11/1959
11/1960
11/1961
11/1962
11/1963
11/1964
11/1965
11/1966
11/1967
11/1968
11/1969
11/1970
11/1971
11/1972
11/1973
11/1974
11/1975
11/1976
11/1977
11/1978
11/1979
11/1980
11/1981
11/1982
11/1983
11/1984
11/1986
11/1987
11/1988
11/1990
11/1991
11/1992
11/1994
11/1995
11/1996
11/1997
11/1998
11/1999
11/2000
12/1921
12/1922
12/1924
12/1927
12/1928
12/1930
12/1932
12/1934
12/1935
12/1936
12/1938
12/1939
12/1940
12/1941
12/1942
12/1944
12/1946
12/1947
12/1948
12/1949
12/1950
12/1951
12/1952
12/1953
12/1954
12/1955
12/1956
12/1957
12/1958
12/1959
12/1960
12/1961
12/1962
12/1963
12/1964
12/1965
12/1966
12/1967
12/1968
12/1969
12/1970
12/1971
12/1972
12/1973
12/1974
12/1975
12/1976
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/2002
2
Date of birth Sibling 2
3
Date of birth Sibling 3
4
Date of birth Sibling 4
5
Date of birth Sibling 5
6
Date of birth Sibling 6
7
Date of birth Sibling 7
8
Date of birth Sibling 8
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
What is the age difference (in years) between
you and [NAME]?
In case the date of birth is unknown (DK response to Q5106), then the age difference between the child in question and the respondent is asked. For e.g. if the child in question is three years older than the respondent, then the answer to Q5107 should be +3, if three years younger, -3.
20346
4504
-29
30
6.097
6.321
1
Difference in age between respondent and sibling 1
2
Difference in age between respondent and sibling 2
3
Difference in age between respondent and sibling 3
4
Difference in age between respondent and sibling 4
5
Difference in age between respondent and sibling 5
6
Difference in age between respondent and sibling 6
7
Difference in age between respondent and sibling 7
8
Difference in age between respondent and sibling 8
alive
alive
alive
alive
alive
Is [NAME] still alive?
24363
487
1
Yes
5
No
Sysmiss
contact with person
contact with person
contact with person
contact with person
contact with person
How often are you in contact with [NAME] in
person, by phone, mail or other means of
communication?
This question aims to record the frequency of communication with the sibling. The response to this should be recorded for all siblings.
16017
8833
1
Weekly
2
Monthly
3
Yearly
4
Every 2-3 years
5
Every 3 years or more
Sysmiss
age
age
age
age
age
If YES to 5108, how old is [NAME]?
Responses to be recorded carefully, and checked for plausibility, with reference to dates of birth / age differences with respondent.
17905
6945
107
36.784
16.399
age at death
age at death
age at death
age at death
age at death
If NO to 5108, how old was [NAME] when
died?
Responses to be recorded carefully, and checked for plausibility, with reference to dates of birth / age differences with respondent.
3446
21404
99
23.181
23.683
how many years ago died
how many years ago died
how many years ago died
how many years ago died
how many years ago died
How many years ago did [NAME] die?
This question is used to cross-check the response to the previous question regarding the age at death.
3334
21516
80
23.488
18.607
where living / lived
where living / lived
where living / lived
where living / lived
where living / lived
Is [NAME] currently living / did [NAME]
before s/he died live in?
22508
2342
1
Private dwelling / house
2
Military establishment
3
Hospital
4
Nursing home
5
Other institution
6
DK
Sysmiss
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
If deceased, a woman aged 15-49, was she
pregnant when she died?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
1430
23420
1
Yes
5
No
Sysmiss
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
If deceased, a woman aged 15-49 did she die
during childbirth?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
1413
23437
1
Yes
5
No
Sysmiss
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
If deceased, a woman aged 15-49 did she die
within 2 months after the end of pregnancy or
childbirth?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
1411
23439
1
Yes
5
No
Sysmiss
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Was the death associated with injury?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
If No, Go to Q5207
4005
20845
1
Yes
5
No
Sysmiss
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Was it due to
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
174
24676
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
Sysmiss
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Provide details of events that led to the
injury.
What was the mechanism or cause of injury?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
174
24676
1
Motor vehicle
2
Pedestrian-vehicle crash
3
Motorcycle
4
Pedal cycle
5
Fall
6
Gunshot, firearm related
7
Landmine / bomblast
8
Stab / cut / pierce
9
Fire / burn
10
Poisoning
11
Near drowning / drowning / submersion
12
Other mechanism / cause of injury
Sysmiss
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where did the injury occur?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
174
24676
1
Home
2
School
3
Street/highway
4
Parking lot
5
Trade and service areas (shop, bank, etc.)
6
Farm
7
River/lake/stream/ocean
8
Industrial/construction area
9
Other public building
10
Other
Sysmiss
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4
5
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Did the deceased report / experience chest
pain lasting less than 24 hrs in the month
preceding the death?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4026
20824
1
Yes
5
No
Sysmiss
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Did the deceased experience paralysis of any
part of the body in the month preceding
death?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4028
20822
1
Yes
5
No
Sysmiss
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
If yes, was the paralysis accompanied or
followed by sudden loss of consciousness?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
3255
21595
1
Yes
5
No
Sysmiss
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Did the deceased have a cough that lasted
more than 3 weeks?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4012
20838
1
Yes
5
No
Sysmiss
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
If yes, was there blood in the sputum ?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
3256
21594
1
Yes
5
No
Sysmiss
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Did (s)he receive any medical treatment for
tuberculosis ?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
3959
20891
1
Yes
5
No
Sysmiss
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Did the deceased have diarrhoea that lasted
more than a month ?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4019
20831
1
Yes
5
No
Sysmiss
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Was there any rapid loss of weight ?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
4023
20827
1
Yes
5
No
Sysmiss
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
Were there any white patches in the mouth ?
For each sibling death recorded in Section B-1, answer the following questions. Complete columns for all siblings.
3999
20851
1
Yes
5
No
Sysmiss