DDI_MEX_2003_WHS_v01_M
2012-01-30
NADA
Version 01 (January 2012)
World Health Survey 2003
Wave 0
WHS 2003
MEX_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.
Mexico
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.
Mexico-ID
38746
8
WHS-Mexico_F2
38746
101
WHS-Mexico_F3
162886
16
WHS-Mexico_F4
563
27
WHS-Mexico_F5
38746
681
WHS-Mexico_F6
23217
26
WHS-Mexico_F7
125955
29
Identification
Identification
Identification
Identification
Identification
38746
14010001
94321250
71778223.983
35986539.709
country code
country code
country code
country code
country code
38746
MEX
Household probability weight
Household probability weight
Household probability weight
Household probability weight
Household probability weight
38618
128
59.681
12158.949
569.781
510.016
Probability weight
Probability weight
Probability weight
Probability weight
Probability weight
38618
128
59.681
36476.848
1480.335
1628.968
38611
135
1
364
89.164
90.869
38718
28
10010286
320560754
165543615.519
92321111.564
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
38617
129
198.983
26833.549
3033.267
3175.809
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
38618
128
105.61
21516.293
1048.489
931.962
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?
38746
14010001
94321250
71778223.983
35986539.709
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.
38746
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.
interviewer ID
interviewer ID
interviewer ID
interviewer ID
interviewer ID
38746
name of interviewer
name of interviewer
name of interviewer
name of interviewer
name of interviewer
38471
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3703
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3903
3911
3965
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4
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603
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802
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940
941
9426
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9614
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.
38746
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
38428
318
1
2
3
4
5
6
7
8
9
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)
38746
/ /20
01/02/2002
01/02/2003
01/02/2005
01/03/2002
01/03/2003
01/11/2002
01/12/2000
01/12/2002
01/12/2003
01/12/2012
02/01/2002
02/01/2003
02/02/2003
02/02/2012
02/03/2002
02/03/2003
02/03/2006
02/03/2007
02/10/2002
02/11/2002
02/12/2001
02/12/2002
02/12/2012
03/01/2003
03/02/2000
03/02/2001
03/02/2002
03/02/2003
03/03/2000
03/03/2002
03/03/2003
03/03/2007
03/08/2003
03/11/2002
03/11/2012
03/12/2001
03/12/2002
03/12/2004
03/12/2009
03/12/2011
04/01/2003
04/02/2001
04/02/2002
04/02/2003
04/02/2006
04/03/2002
04/03/2003
04/11/2002
04/12/2001
04/12/2002
04/12/2003
04/12/2004
04/12/2005
04/12/2007
05/01/2003
05/02/2001
05/02/2002
05/02/2003
05/02/2013
05/03/2002
05/03/2003
05/04/2003
05/06/2003
05/11/2002
05/12/2001
05/12/2002
05/12/2003
05/12/2005
05/12/2006
05/12/2022
06/02/2003
06/03/2002
06/03/2003
06/07/2003
06/12/2001
06/12/2002
06/12/2003
06/12/2004
06/12/2006
06/12/2012
07/01/2003
07/02/2002
07/02/2003
07/02/2009
07/03/2003
07/05/2003
07/11/2002
07/12/2002
07/12/2007
07/12/2011
08/01/2003
08/01/2007
08/02/2002
08/02/2003
08/03/2003
08/10/2012
08/11/2002
08/12/2002
08/12/2003
08/12/2006
08/12/2008
09/01/2002
09/01/2003
09/02/2002
09/02/2003
09/03/2003
09/10/2002
09/11/2002
09/12/2002
09/12/2062
10/01/2003
10/02/2002
10/02/2003
10/02/2005
10/03/2002
10/03/2003
10/03/2007
10/07/2003
10/08/2002
10/11/2002
10/12/2002
11/01/2003
11/02/2000
11/02/2002
11/02/2003
11/03/2002
11/03/2003
11/06/2003
11/07/2003
11/10/2002
11/11/2002
11/11/2008
11/12/2002
11/12/2007
12/01/2003
12/02/2001
12/02/2002
12/02/2003
12/03/2002
12/03/2003
12/05/2003
12/05/2005
12/06/2002
12/07/2002
12/11/2002
12/11/2005
12/11/2007
12/11/2010
12/12/2002
13/01/2002
13/01/2003
13/01/2005
13/02/2002
13/02/2003
13/03/2002
13/03/2003
13/03/2005
13/05/2003
13/11/2002
13/11/2009
13/12/2002
13/12/2011
14/01/2002
14/01/2003
14/01/2006
14/02/2002
14/02/2003
14/02/2005
14/03/2002
14/03/2003
14/03/2007
14/05/2003
14/11/2001
14/11/2002
14/11/2005
14/12/2002
15/01/2002
15/01/2003
15/02/2001
15/02/2003
15/02/2007
15/03/2002
15/03/2003
15/05/2003
15/06/2002
15/07/2003
15/08/2003
15/09/2003
15/11/2002
15/11/2004
15/11/2009
15/12/2002
16/01/2000
16/01/2001
16/01/2002
16/01/2003
16/01/2008
16/02/2003
16/03/2001
16/03/2003
16/04/2003
16/11/2002
16/11/2003
16/11/2007
17/01/2001
17/01/2002
17/01/2003
17/02/2002
17/02/2003
17/02/2005
17/03/2003
17/11/2002
17/11/2003
17/11/2005
17/11/2008
17/12/2002
18/01/2002
18/01/2003
18/01/2005
18/02/2002
18/02/2003
18/03/2002
18/03/2003
18/07/2003
18/11/2002
18/11/2003
18/11/2004
18/12/2002
19/01/2000
19/01/2001
19/01/2003
19/01/2005
19/01/2008
19/01/2040
19/02/2002
19/02/2003
19/02/2007
19/02/2032
19/03/2003
19/07/2002
19/11/2002
19/12/2002
20/01/2002
20/01/2003
20/01/2007
20/02/2003
20/10/2003
20/11/2002
20/11/2082
20/12/2002
21/01/2001
21/01/2003
21/01/2063
21/02/2002
21/02/2003
21/02/2005
21/03/2002
21/03/2003
21/11/2002
22/01/2003
22/01/2005
22/02/2002
22/02/2003
22/03/2001
22/03/2002
22/03/2003
22/10/2003
22/11/2002
22/11/2008
22/11/2022
23/01/2001
23/01/2002
23/01/2003
23/01/2005
23/01/2023
23/02/2002
23/02/2003
23/03/2002
23/03/2003
23/10/2002
23/11/2002
23/11/2009
23/12/2002
24/01/2002
24/01/2003
24/01/2005
24/02/2003
24/02/2005
24/03/2002
24/07/2003
24/11/2002
25/01/2002
25/01/2003
25/01/2005
25/02/2001
25/02/2003
25/02/2005
25/03/2003
25/11/2002
25/11/2003
25/11/2007
25/11/2009
26/01/2003
26/02/2003
26/03/2003
26/11/2002
26/11/2003
27/01/2003
27/01/2005
27/02/2002
27/02/2003
27/03/2003
27/11/2002
27/11/2003
27/11/2022
28/01/2002
28/01/2003
28/02/2002
28/02/2003
28/03/2001
28/03/2002
28/03/2003
28/11/2001
28/11/2002
28/11/2005
28/11/2007
28/11/2009
29/01/2002
29/01/2003
29/03/2001
29/11/2001
29/11/2002
29/11/2012
29/11/2062
29/12/2002
30/01/2002
30/01/2003
30/01/2005
30/10/2003
30/11/2000
30/11/2002
30/11/2003
30/11/2006
30/11/2007
31/01/2001
31/01/2002
31/01/2003
31/10/2002
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)
Data-entry information
1st data entry
3
22-NOV-1902
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)
Data-entry information
2nd data entry
4820
.
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.
38746
001-0
001-1
001-2
001-3
001-4
001-5
001-6
001-7
001-8
001-9
001-A
002-0
002-2
002-3
002-4
002-5
002-6
002-7
002-9
002-A
003-0
003-1
003-2
003-3
003-4
003-5
003-8
003-9
003-A
004-0
004-1
004-3
004-5
004-6
004-9
004-A
005-0
005-1
005-4
005-5
005-6
005-8
006-0
006-1
006-2
006-3
006-4
006-5
006-7
006-8
006-9
006-A
007-1
007-4
007-5
007-8
008-0
008-2
008-3
008-4
008-5
008-6
008-7
008-8
008-A
009-0
009-1
009-2
009-3
009-4
009-5
009-7
009-8
010-0
010-1
010-2
010-4
010-5
010-8
010-9
010-A
011-0
011-1
011-2
011-3
011-4
011-5
011-6
011-7
011-A
012-1
012-2
012-4
012-5
012-6
012-7
012-A
013-0
013-1
013-2
013-3
013-4
013-5
013-A
014-1
014-2
014-3
014-4
014-5
014-7
014-9
014-A
015-1
015-2
015-4
015-6
015-8
016-1
016-2
016-4
016-6
016-7
016-9
016-A
017-3
017-6
017-7
017-8
017-9
018-1
018-2
018-8
019-0
019-2
019-3
019-4
019-7
019-8
019-9
019-A
020-0
020-1
020-4
020-8
020-A
021-0
021-1
021-3
021-6
021-A
022-5
022-8
022-9
022-A
023-0
023-4
023-7
023-8
023-9
023-A
024-1
024-3
024-5
024-7
024-8
025-2
025-6
026-1
026-2
026-3
026-4
027-3
027-7
027-8
027-9
027-A
028-0
028-1
028-6
028-7
028-9
029-1
029-2
029-5
029-6
029-8
030-4
030-7
030-A
031-9
032-2
032-4
033-9
035-0
035-8
035-A
036-0
036-2
036-4
036-8
036-9
037-7
037-A
038-0
038-3
038-4
038-5
038-6
038-A
039-0
039-1
039-5
039-8
039-9
040-0
040-1
040-6
040-9
040-A
041-0
041-2
041-5
041-8
042-0
042-7
042-8
043-2
043-A
044-4
044-5
044-7
044-9
045-2
045-9
046-1
046-7
047-1
047-3
047-5
048-4
048-5
049-3
049-6
049-7
050-0
050-1
050-2
050-3
050-4
050-5
051-A
052-7
053-1
053-3
053-5
053-7
053-8
054-2
054-6
055-3
055-4
055-6
055-8
056-1
056-2
056-5
056-7
057-8
057-9
057-A
058-2
058-A
059-7
061-1
061-3
062-2
062-8
063-0
063-3
063-9
064-2
064-8
065-1
065-4
065-9
066-4
066-5
067-3
067-6
067-7
068-5
069-2
069-8
071-8
071-9
072-1
072-2
072-3
072-4
072-7
072-8
073-0
073-1
074-0
075-0
075-4
076-0
076-5
076-6
076-9
076-A
077-7
078-0
078-3
078-5
078-8
079-1
079-2
079-4
079-8
079-A
080-0
080-2
080-5
081-1
081-2
081-5
081-A
082-0
082-3
082-4
082-5
082-7
084-2
084-4
085-5
086-0
086-3
086-4
086-6
086-9
087-3
088-2
088-8
089-2
089-7
089-8
089-9
090-0
091-6
091-7
092-5
092-6
093-6
093-9
094-6
095-0
096-2
096-3
096-5
096-A
097-1
097-2
097-9
098-6
099-1
099-8
100-5
100-6
101-2
102-5
102-9
103-7
104-0
104-1
104-8
105-3
105-6
106-2
106-4
106-A
107-1
107-4
107-5
108-2
108-7
108-9
108-A
109-0
109-7
110-7
110-A
111-3
111-4
111-5
112-1
112-8
113-8
113-9
114-0
114-3
116-A
118-6
119-0
119-5
120-0
120-4
121-8
122-0
122-2
122-5
123-8
124-1
125-2
125-6
126-0
126-9
127-6
128-7
128-A
130-7
131-1
131-3
131-6
131-9
132-6
133-2
134-7
134-9
135-7
135-9
137-3
139-1
140-A
142-A
145-2
145-4
147-9
149-1
149-4
150-1
150-4
150-9
151-9
152-3
153-9
154-2
155-9
156-1
156-2
157-A
158-A
159-0
159-A
162-0
162-6
163-8
164-A
166-A
169-0
173-0
176-1
178-8
179-1
179-8
179-9
180-5
180-8
181-3
181-8
181-A
185-9
186-6
186-A
187-0
187-1
187-6
189-6
189-7
190-8
191-4
191-8
192-5
192-7
193-0
193-8
194-1
196-5
196-6
197-0
197-3
197-9
198-9
202-6
203-9
204-2
205-0
206-6
208-4
211-4
211-5
212-1
212-5
216-A
217-5
220-4
220-5
223-5
224-9
224-A
226-1
226-4
226-A
227-0
227-1
228-7
228-8
228-9
229-9
230-7
231-A
236-5
237-8
239-1
240-3
240-5
241-8
242-1
243-8
244-0
244-6
245-1
249-1
249-4
251-A
255-5
255-9
261-3
262-9
263-4
263-A
265-1
269-6
269-A
270-2
271-3
271-7
271-9
275-3
279-7
280-8
281-2
283-6
284-2
284-8
285-0
285-7
288-3
291-2
293-1
294-9
296-9
304-5
306-8
307-0
307-2
307-9
308-9
310-7
313-A
316-7
317-6
330-A
335-9
337-0
339-2
339-7
340-A
342-4
343-9
344-6
347-2
351-5
353-5
356-0
356-9
359-4
361-9
364-5
365-6
372-8
373-0
375-7
394-9
399-5
403-4
410-6
412-A
418-1
422-7
426-8
434-9
438-2
448-4
451-5
451-A
452-9
459-2
459-9
466-5
473-1
505-0
505-4
506-7
506-9
524-7
525-A
535-9
545-5
552-2
555-9
558-4
559-9
581-9
585-7
600-6
601-0
624-1
690-9
755-5
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.
38746
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.
38746
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.
38746
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
38746
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.
38746
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
29531
9215
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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
38746
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.
38746
O
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
Longitude
29531
9215
-117
-86
-100.211
6.274
-117
-116
-115
-114
-112
-111
-110
-109
-108
-107
-106
-105
-104
-103
-102
-101
-100
-99
-98
-97
-96
-95
-94
-93
-92
-91
-90
-89
-88
-87
-86
Sysmiss
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
Longitude
38746
waypoint
waypoint
waypoint
waypoint
waypoint
Waypoint
38746
1
center of gravity of the cluster
2
In front of the household
3
Nearby location
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)
37652
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)
38746
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
38746
400
410
401.467
2.854
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.
38746
400
401
402
403
404
405
406
407
408
409
410
411
412
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
38746
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
38746
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.
38746
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
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
1
Yes
5
No
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
63
38683
400
401
402
403
407
408
409
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
8
38738
401
403
407
408
410
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
1
38745
408
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
38746
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
38746
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.
38746
1
Yes
5
No
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.
1104
37642
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
37578
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24:29
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31:55
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51:55
51:61
61:40
81:33
91:32
92:54
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
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]?
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]?
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?
38746
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]…
38746
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]?
38746
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]?
38746
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
38746
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?
38746
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?
38746
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?
38746
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
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Permanent Income Indicators (Higher 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?
38741
5
1
20
3.31
1.707
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 (Higher 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"
38743
3
50
6.099
3.297
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
Permanent Income Indicators (Higher 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 televisions are there in your household?
If none enter "0"
38739
7
19
1.335
0.815
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Permanent Income Indicators (Higher 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?
If none enter "0"
38641
105
5
1
Yes
5
No
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Permanent Income Indicators (Higher 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 video cassette recorder?
38746
1
Yes
5
No
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Permanent Income Indicators (Higher 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 stereo system?
38746
1
Yes
5
No
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Permanent Income Indicators (Higher 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 DVD player?
38746
1
Yes
5
No
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Permanent Income Indicators (Higher 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 video camera?
38746
1
Yes
5
No
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Permanent Income Indicators (Higher 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?
38746
1
Yes
5
No
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Permanent Income Indicators (Higher 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 dishes?
38746
1
Yes
5
No
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Permanent Income Indicators (Higher 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 vacuum cleaner?
38746
1
Yes
5
No
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Permanent Income Indicators (Higher 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?
38746
1
Yes
5
No
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Permanent Income Indicators (Higher 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?
38746
1
Yes
5
No
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Permanent Income Indicators (Higher 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?
38746
1
Yes
5
No
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Permanent Income Indicators (Higher 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?
38746
1
Yes
5
No
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Permanent Income Indicators (Higher 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 access to the internet/World Wide Web from your home?
38746
1
Yes
5
No
Sysmiss
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Permanent Income Indicators (Higher 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 any subscriptions to magazines and/or newspapers?
38746
1
Yes
5
No
Sysmiss
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Permanent Income Indicators (Higher 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 security system in your home (alarm, reinforced doors, guards etc.)?
38746
1
Yes
5
No
Sysmiss
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Permanent Income Indicators (Higher 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.
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
38746
1
Yes
5
No
Sysmiss
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Permanent Income Indicators (Higher 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.
Do you have a second home?
38746
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.
38746
99999
5008.517
15197.927
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").
38746
99999
1720.702
6193.424
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?
38746
99999
465.689
1635.334
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.
38746
99999
176.348
1046.825
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?
38746
99999
131.604
972.288
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?
38746
99999
10.227
649.162
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?
38746
99999
55.401
803.773
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?
38746
70000
126.505
1527.625
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?
38745
1
25000
27.089
333.116
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?
38746
20000
13.257
176.754
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?
38746
48000
87.009
633.286
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?
38746
50000
174.144
725.684
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.?
38746
40000
39.631
394.144
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?
38746
99999
43.368
783.286
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?
38746
25000
9.332
205.626
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
38746
99
0.187
0.84
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.
5473
33273
999999
2908.734
21058.974
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.
38746
1
Yes
5
No
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).
38746
1
Yes
5
No
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”.
38746
1
Yes
5
No
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).
38746
1
Yes
5
No
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.
38746
1
Yes
5
No
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.
38746
1
Yes
5
No
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
38746
1
Yes
5
No
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
38140
00:0
00:11
00:13
00:15
00:5
00:6
01:00
01:05
01:07
01:09
01:10
01:13
01:14
01:15
01:25
01:26
01:33
01:35
01:40
01:41
01:42
01:45
01:50
01:70
02:00
02:05
02:10
02:15
02:16
02:17
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02:25
02:30
02:35
02:41
02:50
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02:56
02:59
03:00
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03:58
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04:38
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04:47
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04:57
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05:25
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05:48
05:50
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06:15
06:19
06:20
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06:30
06:31
06:35
06:38
06:41
06:45
07:05
07:10
07:25
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07:38
07:45
07:52
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08:00
08:02
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08:45
08:46
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08:59
09:00
09:01
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09:37
09:38
09:39
09:40
09:41
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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
09:60
09:80
10:00
10:01
10:02
10:03
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10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
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10:15
10:16
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10:18
10:19
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22:40
22:45
22:46
22:48
23:05
29:15
51:13
51:52
52:00
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)
38746
01/01/2003
01/02/2003
01/03/2003
01/05/2003
01/06/2003
01/11/2002
01/12/2002
02/01/2003
02/02/2003
02/03/2003
02/05/2003
02/11/2002
02/12/2002
03/01/2003
03/02/2003
03/03/2003
03/04/2003
03/05/2003
03/06/2003
03/07/2003
03/08/2003
03/11/2002
03/12/2002
04/01/2003
04/02/2003
04/03/2003
04/05/2003
04/06/2003
04/11/2002
04/12/2002
05/01/2003
05/02/2003
05/03/2003
05/04/2003
05/05/2003
05/06/2003
05/11/2002
05/12/2002
06/01/2003
06/02/2003
06/03/2003
06/05/2003
06/11/2002
06/12/2002
07/01/2003
07/02/2003
07/03/2003
07/05/2003
07/11/2002
07/12/2002
08/01/2003
08/02/2003
08/03/2003
08/05/2003
08/06/2003
08/07/2003
08/11/2002
08/12/2002
09/01/2003
09/02/2003
09/03/2003
09/05/2003
09/07/2003
09/11/2002
09/12/2002
10/01/2003
10/02/2003
10/03/2003
10/05/2003
10/07/2003
10/08/2003
10/09/2003
10/11/2002
10/12/2002
11/01/2003
11/02/2003
11/03/2003
11/04/2003
11/06/2003
11/10/2002
11/11/2002
11/12/2002
12/01/2003
12/02/2003
12/03/2003
12/05/2003
12/07/2003
12/08/2003
12/10/2002
12/11/2002
12/12/2002
13/01/2003
13/02/2003
13/03/2003
13/04/2003
13/05/2003
13/07/2003
13/08/2003
13/10/2002
13/11/2002
13/12/2002
14/01/2003
14/02/2003
14/03/2003
14/05/2003
14/10/2002
14/11/2002
14/12/2002
15/01/2003
15/02/2003
15/03/2003
15/09/2003
15/11/2002
16/01/2003
16/02/2003
16/03/2003
16/05/2003
16/07/2003
16/11/2002
16/12/2002
17/01/2003
17/02/2003
17/03/2003
17/04/2003
17/06/2003
17/11/2002
17/12/2002
18/01/2003
18/02/2003
18/03/2003
18/06/2003
18/10/2002
18/11/2002
18/12/2002
19/01/2003
19/02/2003
19/03/2003
19/05/2003
19/08/2003
19/11/2002
19/12/2002
20/01/2003
20/02/2003
20/03/2003
20/11/2002
21/01/2003
21/02/2003
21/03/2003
21/11/2002
22/01/2003
22/02/2003
22/03/2003
22/05/2003
22/08/2003
22/11/2002
23/01/2003
23/02/2003
23/03/2003
23/10/2002
23/11/2002
24/01/2003
24/02/2003
24/03/2003
24/07/2003
24/11/2002
25/01/2003
25/02/2003
25/03/2003
25/09/2003
25/10/2002
25/11/2002
25/12/2002
26/01/2003
26/02/2003
26/03/2003
26/05/2003
26/06/2003
26/07/2003
26/11/2002
27/01/2003
27/02/2003
27/03/2003
27/05/2003
27/11/2002
27/12/2002
28/01/2003
28/02/2003
28/03/2003
28/04/2003
28/07/2003
28/11/2002
28/12/2002
29/01/2003
29/11/2002
30/01/2003
30/11/2002
30/12/2002
31/01/2003
31/08/2003
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?
162886
14010001
94321250
72062277.316
35845395.385
gender
gender
gender
gender
gender
162886
1
Female
2
Male
162886
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
162884
2
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
162886
106
27.668
20.088
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
143969
18917
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
110573
52313
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.
162886
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
100059
62827
not eligible
1
eligible
Sysmiss
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
38745
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
162877
9
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
162877
9
1
2
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
162877
9
1
2
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]
4328
158558
99999
1262.297
8244.777
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
162877
9
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"
40966
121920
400
9999
1492.93
3044.14
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?
563
14010125
94321203
69724428.808
36947703.413
14010125
14010129
14010139
14010166
14010174
14010189
14010233
14010354
14010365
14010501
14010528
14010573
14010580
14010599
14010611
14010637
14010727
14010852
14010868
14010920
14060014
14060020
14060047
14060050
14060068
14060079
14060120
14060122
14060133
14060138
14060144
14060181
14060257
14060287
14060309
14060317
14060322
14060385
14060431
14060435
14060525
14060569
14060594
14060595
14060596
14060598
14060608
14060645
14060668
14060785
14060803
14060824
14060841
14060845
14060966
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14061016
14061049
14061072
14061082
14061084
14061089
14061091
14061097
14061145
14061175
14061250
14070015
14070033
14070035
14070067
14070084
14070091
14070131
14070189
14070438
14070547
14070564
14070707
14070710
14070729
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14070758
14070763
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14070881
14070914
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14070922
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14070941
14070965
14070989
14070996
14071048
14071111
14090017
14090056
14090058
14090076
14090121
14090146
14090150
14090152
14090158
14090198
14090235
14090241
14090248
14090271
14090385
14090435
14090464
14090510
14090538
14090578
14090588
14090590
14090603
14090653
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14090683
14090686
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14090697
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14090881
14090899
14090912
14090942
14091001
14091008
14091015
14091023
14091026
14091101
14091122
14091139
14091150
14091167
14091227
94100243
94100474
94100540
94100558
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94100605
94100610
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94110341
94110441
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94110678
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94110802
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94110936
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94120138
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94150501
94150586
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94150610
94150613
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94150667
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94150722
94150724
94150743
94150768
94150771
94150794
94150920
94150932
94150970
94151002
94151030
94151032
94151042
94151066
94151136
94151145
94151203
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94160065
94160078
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94160122
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94160257
94160478
94160618
94160648
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94160687
94160688
94160785
94160839
94160963
94161006
94161039
94161079
94161082
94161095
94161109
94161203
94161236
94161249
94170076
94170185
94170207
94170332
94170452
94170453
94170478
94170560
94170605
94170739
94170823
94170869
94170896
94170898
94171080
94171183
94171197
94180250
94180252
94180309
94180342
94180408
94180458
94180505
94180676
94180680
94180694
94180730
94180740
94180744
94180815
94180818
94180867
94180914
94180926
94180936
94180943
94180946
94180981
94181064
94181146
94181156
94181158
94181160
94181173
94181174
94181186
94181223
94200149
94200300
94200323
94200458
94200459
94200482
94200663
94200877
94200884
94200896
94200897
94200974
94201089
94201191
94210051
94210118
94210169
94210473
94210483
94210490
94210587
94210636
94210656
94210662
94210664
94210665
94210666
94210671
94210702
94210710
94210742
94210745
94210749
94210767
94210780
94210824
94210851
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94211160
94211163
94211173
94211178
94211185
94211240
94211242
94220215
94220295
94220350
94220404
94220420
94220449
94220494
94220687
94220696
94220712
94220718
94220740
94220741
94220757
94220767
94220875
94220915
94220919
94220997
94221008
94221015
94240043
94240249
94240282
94240283
94240399
94240401
94240537
94240642
94240658
94240665
94240669
94240696
94240703
94240752
94240767
94240770
94240790
94240823
94240830
94240936
94240981
94240987
94241124
94241129
94241217
94241222
94241235
94241240
94241243
94241248
94270009
94270020
94270050
94270116
94270312
94270386
94270399
94270468
94270497
94270573
94270574
94270588
94270607
94270643
94270662
94270806
94270884
94270890
94270894
94270948
94270959
94271063
94271089
94271134
94271158
94290160
94290209
94290456
94290487
94290505
94290587
94290591
94290609
94290610
94290616
94290624
94290637
94290737
94290755
94290756
94290776
94290806
94290811
94290861
94290863
94291042
94291119
94291215
94300010
94300014
94300085
94300103
94300115
94300118
94300201
94300226
94300234
94300348
94300371
94300373
94300512
94300513
94300560
94300572
94300602
94300610
94300632
94300653
94300766
94300861
94300910
94300912
94300932
94300941
94300997
94301118
94320119
94320362
94320466
94320472
94320488
94320617
94320719
94320827
94320838
94320879
94320972
94321050
94321108
94321125
94321129
94321133
94321146
94321160
94321167
94321175
94321203
559
4
10
4.889
3.561
563
1
2
3
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.
563
1
Yes
2
No, respondent not found
3
No, respondent refused
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”.
563
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.)
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.
563
1
Yes
5
No
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”.
425
138
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.”
420
143
98
37.729
16.006
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.)
425
138
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.)
149
414
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.
425
138
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.
425
138
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.
50
513
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.
49
514
2
63
23.388
17.793
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?
50
513
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.)
26
537
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
50
513
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
138
425
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?
563
1
Yes
5
No
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.
563
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
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.
407
156
1952
2003
1989.423
10.811
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”.
479
84
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.
561
2
250
6.829
25.259
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.
141
422
888888
278360.085
394303.073
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.
395
168
888888
73423.19
226744.876
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.
86
477
888888
7
Refusal
8
Do not know
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?
38746
14010001
94321250
71778223.983
35986539.709
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
38091
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00:7
00:8
00:9
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18:65
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20:57
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21:30
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22:00
22:10
22:13
22:30
22:40
22:45
23:05
24:24
25:39
27:27
41:04
60:01
60:52
66:61
66:66
71:04
71:95
81:01
81:24
81:42
81:55
88:15
91:40
91:75
95:10
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.
38339
0ESPAÑOL
10602
1ESPAÑOL
1ZAPOTEC
33PAÑOL
4CASTELL
5ESPA¥OL
67010010
ALCIDA
ALEMA BA
ALEMAN
ALEMAN B
ALEMAN E
ALEMAN I
ALICIA
AMANDA
AMOSGO
AMOZGO
AMUSGO
AMUZCO
AMUZCOS
AMUZGA
AMUZGAS
AMUZGO
AMUZGOS
ANA
ANTONIO
ARTURO
ATNUZGO
AYA
BENITA
BRICIO
CALLENO
CAPALICO
CARLOS
CARLOTA
CASELLAN
CASTALLE
CASTELAN
CASTELLA
CASTELLN
CASTILLA
CASTTELL
CATELLAN
CATELLLA
CATOLICA
CATOLICO
CENTAL C
CFASTELL
CHINALTE
CHINANTE
CHINATEC
CHINTECO
CHOAL
CHOL
CHOL ESP
CHOL, ES
CHOL,ESP
CHOLO
CHOLTAN
CHONTAL
CHOOL
CHOOL XO
CHUL
CHUNTA
CORA
CORIA
CORO
COSTELLA
CRISANTE
CSATELLA
CUICATEC
CUMACHE
CUMIAY
DAVID
DE CARA
DE COLA
DE CORA
DIALECTO
DORA
E3SPAÑOL
EAPANOL
EAPAÑOL
EDUARDO
EL XOOL
ELIA
EMERICA
ENRIQUE
EPA¥OL
EPAÑOL
ERSPAÑOL
ESAPA¥OL
ESAPAÑOL
ESAP¥OL
ESAPÑOL
ESA¥OL
ESAÑOL
ESOAÑOL
ESP
ESP'AÑOL
ESPA
ESPA;OL
ESPACIAL
ESPALO
ESPALOL
ESPANA
ESPANO Y
ESPANO;
ESPANOL
ESPAOL
ESPAPÑO
ESPA¥0L
ESPA¥A
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ESPA¥OL3
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ESPAÑOL1
ESPAÑOL3
ESPAÑOLI
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ESPEÑOL
ESPNOL
ESPOL
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ESPOSO
ESPO¥OL
ESPOÑOL
ESPS
ESP¥AOL
ESPÁÑOL
ESPÑAOL
ESPÑOL
ESRA¥OL
ESSPAÑOL
ESÁÑOL
ESÑPAÑOL
EUSQUEDA
EVANGELI
FALLECIO
FELICITA
FERNANDO
FRANCISC
FREDI GO
GAMALIER
GENARO
GENOVEVA
GILBERTO
GUADALUP
GUICHOL
HECTOR
HERNNA
HOMBRE
HUAJE
HUASTE
HUASTECA
HUASTECO
HUICHOL
HUSATECO
HUSTECO
ILIANA
INDIGENA
INGLES
INGLES E
INGLES Y
INGLES-E
INGRES
INTRIQUI
IRMA
ISISDRO
ISRAEL
ITZELTAL
ITZOTZI
IVAN
IZEITAL
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IZOTZIL
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JAEEL
JAPONES
JOEL
JOSE
JOSE GPE
JOSE GUA
JOSE JUA
JUAN
JUAN B
KOMIHAY
KUMEL
KUMIAY
KUMIHAY
KUMITLAI
LENGUA A
LESPAÐOL
LETICIA
LUIS
MA DE JE
MAHUATL
MAHYA
MAMA
MANUAL
MANUEL
MANUELA
MARBELLA
MARCELO
MARGARIT
MARIA
MARIA CO
MARIA GU
MARIO
MARTHA M
MARTIN
MASAHUA
MASCULIN
MATERNO
MATILDE
MAYA
MAYA ES
MAYA CAS
MAYA ESP
MAYA Y E
MAYA,ESP
MAYA-ESP
MAYO
MAYRA
MAZAHUA
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MENONITA
MERIDA
MEXICAN
MEXICANA
MEXICANO
MEXICO
MIGUEL
MIJE
MILTECO
MINERVA
MIXE
MIXTECO
MIXTECO-
MIXTECO/
MONICA
MUJER
NAHATL
NAHAUTL
NAHIATL
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NAHUAL
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NAHUAT
NAHUATH
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NAHUC
NAHUTL
NANUATL
NAUALTH
NAUATL
NAUHATL
NAZARET
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OJITECO
OLMECAs
OTHOMI
OTOMI
OTOMI ES
OTOMY
PASTOR
PATRICIA
POPOLOCA
POPOLUCA
POPULUCA
PORTUGUE
PUREPECH
RAQUEL
RAUL
REGINO
ROBERTO
ROCIO
ROGUER
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RUSO
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SILVIA
SINTAL
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SOQUE PA
SOXIL
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SPAÑOL
TABASCO
TARAHUMA
TARASCA
TARASCO
TARASCO/
TARAUMAR
TELTEL
TEN
TENEALEC
TENEC
TENEC PA
TENEC Y
TENEK
TENIC
TENIC HU
TEODORA
TEODORO
TLSELTAL
TOTONACA
TOTONACO
TRELTAL
TRIQUI
TSELTAL
TSOSIL
TSOTSIL
TURAUMAR
TZALTAL
TZECTAL
TZEITAL
TZELTAL
TZELTALT
TZELTLEL
TZELTZAL
TZELZUL
TZETAL
TZETSAL
TZETZAL
TZOLZIL
TZOSIL
TZOTAL
TZOTCIL
TZOTSIL
TZOTZIL
TZOTZIT
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TZUTSIL
UHAZTECO
ULICES
VICTORIA
VIDAL
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XOCHIT
XOCHITL
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XOOL
YAQUI
ZAPOTECA
ZAPOTECO
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}IXTECO
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.
38746
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.
38745
1
18
106
41.004
16.743
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.
38746
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.
23795
14951
32
140
66.65
12.703
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.
38746
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.
23592
15154
102
199
160.546
9.609
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.
38746
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?
38746
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.
38746
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
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.
38746
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
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.
38746
27
7.205
4.967
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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23
24
25
26
27
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.
38746
a_ CATOL
a_ b_ c_
a_ b_11
a_ b_ACA
a_ b_AGU
a_ b_ALV
a_ b_AZU
a_ b_B C
a_ b_BAJ
a_ b_BAL
a_ b_BC
a_ b_BCS
a_ b_BLA
a_ b_CAL
a_ b_CAM
a_ b_CAN
a_ b_CAT
a_ b_CD
a_ b_CEN
a_ b_CHA
a_ b_CHI
a_ b_CIU
a_ b_COA
a_ b_COL
a_ b_COR
a_ b_COS
a_ b_COZ
a_ b_CUA
a_ b_CUB
a_ b_CUE
a_ b_D F
a_ b_D,F
a_ b_D.F
a_ b_DEL
a_ b_DF
a_ b_DIF
a_ b_DIS
a_ b_DUR
a_ b_E U
a_ b_EDO
a_ b_EJI
a_ b_EL
a_ b_EN
a_ b_ESP
a_ b_EVA
a_ b_FRA
a_ b_FRO
a_ b_GUA
a_ b_GUE
a_ b_HID
a_ b_HUA
a_ b_HUE
a_ b_JAL
a_ b_JUA
a_ b_LA
a_ b_LAZ
a_ b_LEO
a_ b_MAY
a_ b_MAZ
a_ b_MER
a_ b_MEX
a_ b_MIC
a_ b_MON
a_ b_MOR
a_ b_NAY
a_ b_NO
a_ b_NOG
a_ b_NOR
a_ b_NOV
a_ b_NUE
a_ b_OAX
a_ b_OCC
a_ b_ORI
a_ b_PAC
a_ b_PAL
a_ b_PAS
a_ b_POB
a_ b_PRE
a_ b_PUE
a_ b_PUR
a_ b_QUI
a_ b_R E
a_ b_RAN
a_ b_REG
a_ b_S C
a_ b_SAL
a_ b_SAN
a_ b_SIN
a_ b_SN
a_ b_SON
a_ b_STA
a_ b_SUC
a_ b_SUR
a_ b_TAB
a_ b_TAM
a_ b_TAP
a_ b_TEM
a_ b_TIJ
a_ b_TLA
a_ b_TOL
a_ b_TOR
a_ b_TUX
a_ b_VER
a_ b_VIL
a_ b_XAL
a_ b_YUC
a_ b_ZAC
a_ b_ZAP
a_ b_ZIN
a_------
a_1 b_ c
a_1 b_DF
a_1CATOL
a_1GUERR
a_3 b_ c
a_31 b_
a_4CATOL
a_5 b_ c
a_55 b_
a_7A DIA
a_7MO DI
a_7O DIA
a_9 b_ c
a_ADBENT
a_ADEVEN
a_ADUENT
a_ADVANT
a_ADVENT
a_ADXENT
a_AGNOST
a_ALBENT
a_ALBEST
a_ALCO b
a_ALEMAN
a_ALIANZ
a_ALVENT
a_ANGELI
a_APOSTI
a_APOSTO
a_ARBENT
a_ASAMBL
a_ATEO b
a_ATEOS
a_ATPENT
a_AVANGE
a_AVANTI
a_AVENTI
a_BAUSTI
a_BAUTIS
a_BC SUR
a_BETEL
a_BRANJA
a_BUDIST
a_BUEN P
a_C EVAN
a_C b_ c
a_C b_TL
a_CACHAN
a_CALITI
a_CAO b_
a_CAOLIC
a_CAOTLI
a_CAOTOL
a_CAROLI
a_CARTOL
a_CASADO
a_CAT b_
a_CAT0LI
a_CATALI
a_CATALO
a_CATEOL
a_CATILI
a_CATL b
a_CATLIC
a_CATLOI
a_CATLOL
a_CATO b
a_CATOIC
a_CATOIL
a_CATOKI
a_CATOL
a_CATOL.
a_CATOLC
a_CATOLI
a_CATOLL
a_CATOLO
a_CATOOL
a_CATOPL
a_CATPLI
a_CATULI
a_CAtoli
a_CCREYE
a_CEYENT
a_CHIHUA
a_COACAL
a_CONCIE
a_COROLI
a_COTOLI
a_CRAMIO
a_CRE EN
a_CRECIE
a_CRELLE
a_CRELLN
a_CRESEN
a_CRESIT
a_CREYEN
a_CREYTE
a_CRISTI
a_CRSTIA
a_CSATOL
a_CSISTI
a_CTISTI
a_CTOLCI
a_CTOLIC
a_CTOPLI
a_CVATOL
a_DE LA
a_DEL TE
a_DESTIS
a_DIA SA
a_DIOS D
a_DIVINO
a_DRABIT
a_EDNA b
a_EL 7 D
a_EN DIO
a_EPA¥OL
a_EPOSTO
a_ESPA¥O
a_ESPAÑO
a_ESPIRI
a_ESPIRU
a_ESTADO
a_EVAGEL
a_EVANEL
a_EVANG
a_EVANGE
a_EVANGL
a_EVANJE
a_EVANTE
a_EVENAG
a_EVENGE
a_EXITO
a_GRACIA
a_GUADAL
a_HERMAN
a_I DE J
a_IDENTI
a_IGL. D
a_IGLES
a_IGLESI
a_IMMC b
a_INDEFI
a_INDIST
a_ISRAEL
a_ISRRAE
a_JALISC
a_JCATOL
a_JEHOVA
a_JESUCR
a_JTESTI
a_JUDIO
a_LA IGL
a_LA ISR
a_LA LUZ
a_LA VOS
a_LA VOZ
a_LEGION
a_LUZ DE
a_MAGIST
a_MANITO
a_MARIAN
a_MARMOM
a_MARMON
a_MARMOR
a_MATE C
a_MENNON
a_MENONI
a_METAFI
a_METODI
a_MISA b
a_MISERI
a_MISION
a_MONTE
a_MORMOM
a_MORMON
a_NAZARE
a_NINGUN
a_NNNN b
a_NO TIE
a_OCEVIT
a_OCOZOC
a_PASTOR
a_PENDEC
a_PENTAC
a_PENTEC
a_PENTEK
a_PENTEN
a_PENTES
a_PEREGR
a_PESTEC
a_PESVIT
a_PETECO
a_PETENC
a_PLESBI
a_PREBAT
a_PREBIS
a_PREDIS
a_PREDIT
a_PREFIT
a_PREPIS
a_PRESBI
a_PRESID
a_PRESPI
a_PRESTI
a_PRESUI
a_PRESVI
a_PREUIT
a_PREVIC
a_PREVIS
a_PREVIT
a_PRIBIS
a_PROTES
a_RAMA E
a_RELIGI
a_RELIGO
a_RENOVA
a_RESVIT
a_SABADI
a_SABATI
a_SAN JO
a_SANTA
a_SEPTIM
a_SINALO
a_SR JES
a_SUR b_
a_T DE J
a_T GEOV
a_T JEHO
a_T JEOV
a_T JHOV
a_TEMPES
a_TEMPLO
a_TEST D
a_TESTID
a_TESTIG
a_TESTIJ
a_TESTIO
a_TESTOG
a_TETIGO
a_TRESTI
a_TRINIT
a_TSTIGO
a_VATOLI
a_VCATOL
a_VITERI
a_VOZ DE
a_ZATOLI
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
19288
19458
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.
18534
20212
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:
19458
19288
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
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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.
38746
1
Very good
2
Good
3
Moderate
4
Bad
5
Very Bad
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
Yes
5
No
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
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.
38746
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.
8385
30361
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.
8387
30359
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.
8269
30477
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.
8279
30467
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.
8378
30368
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.
8380
30366
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.
8262
30484
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.
8260
30486
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.
8375
30371
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.
8373
30373
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.
8262
30484
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.
8268
30478
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.
8376
30370
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.
8374
30372
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.
8264
30482
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.
8265
30481
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.
8380
30366
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.
8376
30370
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.
8260
30486
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.
8234
30512
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.
8232
30514
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.
8231
30515
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.
8251
30495
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.
8268
30478
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.
8224
30522
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.
8228
30518
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.
8260
30486
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.
8260
30486
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.
8225
30521
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.
8227
30519
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.
8264
30482
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.
8269
30477
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.
8227
30519
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.
8229
30517
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.
8262
30484
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.
8259
30487
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.
8229
30517
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.
8229
30517
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.
8255
30491
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.
8234
30512
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.
8276
30470
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.
8275
30471
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.
8352
30394
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.
8363
30383
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.
8257
30489
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.
8261
30485
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.
8344
30402
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.
8348
30398
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.
8239
30507
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.
8235
30511
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.
8348
30398
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.
8344
30402
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.
8263
30483
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.
8262
30484
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.
8345
30401
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.
8341
30405
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.
8264
30482
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.
8260
30486
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.
8313
30433
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.
8271
30475
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.
8354
30392
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.
8353
30393
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.
8255
30491
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.
8263
30483
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.
8342
30404
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.
8347
30399
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.
8242
30504
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.
8257
30489
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.
8334
30412
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.
8337
30409
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.
8249
30497
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.
8257
30489
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.
8342
30404
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.
8341
30405
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.
8253
30493
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.
8255
30491
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.
8342
30404
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.
8343
30403
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.
8233
30513
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.
8204
30542
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
37880
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Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
38111
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HSV Set code
HSV Set code
HSV Set code
HSV Set code
HSV Set code
38746
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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)?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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?
19466
19280
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
19466
ALC
AMP
BAK
BLI
ND
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
19466
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
19466
ALC
AMP
BAK
BLI
ND
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
19466
ALC
AMP
BAK
BLI
ND
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
19466
ALC
AMP
BAK
BLI
ND
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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?
19280
19466
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
19280
AMP
ART
BAK
BLI
INS
ND
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
19280
AMP
ART
BAK
BLI
INS
ND
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
19280
AMP
ART
BAK
BLI
INS
ND
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
19280
AMP
ART
BAK
BLI
INS
ND
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
19280
AMP
ART
BAK
BLI
INS
ND
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
Time begin section 4000
Time begin section 4000
Time begin section 4000
Time begin section 4000
37732
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.
38746
1
Daily
2
Yes, but not daily
5
No, not at all
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.
3179
35567
99
18.089
15.125
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.
3179
35567
80
7.539
7.387
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.
3179
35567
20
0.128
1.261
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.
3179
35567
4
0.00157
0.0731
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.
3179
35567
30
0.128
1.56
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.
38746
1
Yes
5
Never
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.
18346
20400
41
0.143
1.414
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.
18364
20382
40
0.0873
1.058
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.
18364
20382
33
0.0886
0.988
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.
18364
20382
47
0.0885
0.964
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.
18364
20382
50
0.163
1.398
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.
18358
20388
50
0.399
2.068
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.
18362
20384
40
0.324
1.923
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.
38746
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.
38746
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.
38746
1
2
3
4
5
6
7
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.
10910
27836
20
3.138
3.014
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.
10206
28540
59
6.368
12.188
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.
38746
1
2
3
4
5
6
7
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.
25507
13239
20
3.283
2.848
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.
23600
15146
59
5.485
11.719
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.
38746
7
4.86
2.838
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.
30162
8584
20
1.848
2.628
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.
29642
9104
59
12.55
14.064
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.
38746
1
Hard floor
2
Earth floor
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.
38746
1
Cement, brick, stone or wood
2
Mud brick
3
Thatch and other
4
Plastic sheet
5
Metal sheet
6
Other
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
What is the main source of drinking water 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
38746
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
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?
38746
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?
3311
35435
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
38746
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
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?
38746
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.
38746
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
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”.
5228
33518
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?
38746
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
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
38746
1
Yes
5
No
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.
2150
36596
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
567
38179
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
5
Sysmiss
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
36575
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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.
15026
23720
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.
24127
14619
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.
24155
14591
1
20
5.686
2.967
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.
21773
16973
17
2.41
2.326
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.
21567
17179
19
2.819
2.404
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
37016
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).
38677
69
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.
1712
37034
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.
1710
37036
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.
24159
14587
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.
24159
14587
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.
2721
36025
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.
2721
36025
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.
24159
14587
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).
4770
33976
1
30
10.345
10.636
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.
38662
84
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.
929
37817
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.
713
38033
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”.
23420
15326
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.
24159
14587
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.
1556
37190
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".
1556
37190
1
Relieved
2
Not relieved
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.
38717
29
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.
1191
37555
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.
1187
37559
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.
24159
14587
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.
24159
14587
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.
24159
14587
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.
24159
14587
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.
24159
14587
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.)
38705
41
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.
1946
36800
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.
1944
36802
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”.
38717
29
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.
38709
37
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.
38706
40
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).
10763
27983
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.
10763
27983
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.
10763
27983
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.
10763
27983
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.
38698
48
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
138
38608
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
65
38681
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".
24143
14603
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.
24144
14602
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.
24146
14600
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.
24148
14598
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.
24145
14601
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.
1256
37490
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.)
1255
37491
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.
1252
37494
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.
24159
14587
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).
24159
14587
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.
24159
14587
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
24159
14587
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
11358
27388
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.
18
38728
11
12
11.056
0.236
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.
18
38728
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.
7
38739
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.
7
38739
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.
3
38743
11
12
11.333
0.577
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.
3
38743
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.
16
38730
21
24
21.188
0.75
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
38730
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.
5
38741
22
23
24
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
38742
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.
38746
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.
38746
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.
26
38720
31
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.
26
38720
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.
1
38745
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.
1
38745
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.
38746
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.
38746
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.
20
38726
41
42
44
45
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.
20
38726
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.
4
38742
44
45
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
38742
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.
1
38745
45
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
38745
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.
1
38745
51
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
38745
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.
1
38745
52
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
38745
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.
1
38745
53
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
38745
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
38745
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.
1
38745
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
270
38476
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.
270
38476
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.
19
38727
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.
19
38727
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.
1
38745
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.
1
38745
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.
38746
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.
4348
34398
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.
38746
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.
1732
37014
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.
38746
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.
636
38110
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
20604
18142
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
14123
24623
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
8273
30473
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.
6130
32616
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.
5584
33162
1
50
7.887
3.497
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.
5584
33162
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.
5579
33167
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.
5580
33166
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.
5575
33171
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.
2993
35753
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.
2993
35753
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.
554
38192
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.
442
38304
1
Yes
5
No
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.
6087
32659
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.
3135
35611
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.
11858
4
400
401
402
403
404
405
406
407
408
409
410
411
412
413
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.
11858
26888
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.
38746
.
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
01/9999
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1998
06/1999
06/2000
06/2001
06/2002
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1994
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.
7323
31423
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.
7210
31536
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.
38746
.
01/01/2001
01/02/2002
01/03/2003
01/09/1999
01/10/2000
01/10/2001
01/10/2002
01/10/2003
01/11/2001
01/12/2002
02/01/2001
02/02/2002
02/03/2003
02/10/2000
02/10/2001
02/10/2002
02/10/2003
02/11/2001
02/12/2002
03/01/2001
03/02/2002
03/03/2003
03/10/2000
03/10/2001
03/10/2002
03/10/2003
03/11/2001
03/12/2002
04/01/2001
04/02/2002
04/03/2003
04/04/04
04/09/1999
04/10/2000
04/10/2001
04/10/2002
04/11/2001
04/12/2002
05/01/2001
05/02/2002
05/03/2003
05/09/1999
05/10/2000
05/10/2001
05/10/2002
05/11/2001
05/12/2002
06/01/2001
06/02/2002
06/03/2003
06/10/2000
06/10/2001
06/10/2002
06/10/2003
06/11/2001
06/12/2002
07/01/2001
07/02/2002
07/03/2003
07/09/1998
07/10/2000
07/10/2002
07/10/2003
07/11/2001
07/12/2002
08/01/2001
08/02/2002
08/03/2003
08/10/2000
08/10/2001
08/10/2002
08/10/2003
08/11/2001
08/12/2002
09/01/2001
09/02/2002
09/03/2003
09/09/1998
09/10/2000
09/10/2001
09/10/2002
09/10/2003
09/11/2001
09/12/2002
10/01/2001
10/02/2002
10/03/2003
10/09/1999
10/10/2000
10/10/2002
10/10/2003
10/11/2001
10/12/2002
11/01/2001
11/02/2002
11/03/2003
11/09/1999
11/10/2000
11/10/2001
11/10/2002
11/10/2003
11/11/2001
11/12/2002
12/01/2001
12/02/2002
12/03/2003
12/10/2000
12/10/2001
12/10/2002
12/11/2001
12/12/2002
13/01/2001
13/02/2002
13/03/2003
13/09/1997
13/10/2000
13/10/2001
13/10/2002
13/10/2003
13/11/2001
13/12/2002
14/01/2001
14/02/2002
14/03/2003
14/10/2000
14/10/2001
14/10/2002
14/10/2003
14/11/2001
14/12/2002
15/01/2001
15/02/2002
15/03/2003
15/09/1998
15/10/2000
15/10/2001
15/10/2002
15/10/2003
15/11/2001
15/12/2002
16/01/2001
16/02/2002
16/03/2003
16/09/1998
16/10/2000
16/10/2001
16/10/2002
16/10/2003
16/11/2001
16/12/2002
17/01/2001
17/02/2002
17/03/2003
17/10/2000
17/10/2001
17/10/2002
17/10/2003
17/11/2001
17/12/2002
18/01/2001
18/02/2002
18/03/2003
18/09/1999
18/10/2000
18/10/2001
18/10/2002
18/10/2003
18/11/2001
18/12/2002
19/01/2001
19/02/2002
19/03/2003
19/09/1999
19/10/2000
19/10/2001
19/10/2002
19/11/2001
19/12/2002
20/01/2001
20/02/2002
20/03/2003
20/09/1998
20/09/1999
20/10/2000
20/10/2002
20/10/2003
20/11/2001
20/12/2002
21/01/2001
21/02/2002
21/03/2003
21/09/1999
21/10/2000
21/10/2001
21/10/2002
21/10/2003
21/11/2001
21/12/2002
22/01/2001
22/02/2002
22/03/2003
22/10/2000
22/10/2001
22/10/2002
22/10/2003
22/11/2001
22/12/2002
23/01/2001
23/02/2002
23/03/2003
23/09/1999
23/10/2000
23/10/2001
23/10/2002
23/10/2003
23/11/2001
23/12/2002
24/01/2001
24/02/2002
24/03/2003
24/09/1999
24/10/2000
24/10/2001
24/10/2002
24/10/2003
24/11/2001
24/12/2002
25/01/2001
25/02/2002
25/03/2003
25/09/1999
25/10/2000
25/10/2002
25/11/2001
26/01/2001
26/02/2002
26/03/2003
26/09/1998
26/09/1999
26/10/2000
26/10/2002
26/11/2001
26/12/2002
27/01/2001
27/02/2002
27/03/2003
27/09/1998
27/09/1999
27/10/2000
27/10/2001
27/10/2003
27/11/2001
27/12/2002
28/01/2001
28/02/2002
28/03/2003
28/09/1998
28/10/2000
28/10/2001
28/10/2002
28/11/2001
28/12/2002
29/01/2001
29/03/2003
29/09/1999
29/10/2000
29/10/2001
29/10/2002
29/10/2003
29/11/2001
29/12/2002
30/01/2001
30/03/2003
30/09/1998
30/10/2000
30/10/2001
30/10/2002
30/10/2003
30/11/2001
30/12/2002
31/01/2001
31/03/2003
31/10/2000
31/10/2001
31/10/2002
31/10/2003
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.
38746
.
01/01/2001
01/02/2002
01/03/2003
01/10/2000
01/10/2002
01/11/2001
01/12/2002
02/01/2001
02/02/2002
02/10/2000
02/10/2001
02/10/2003
02/11/2001
02/12/2002
03/01/2001
03/02/2002
03/03/2003
03/09/1998
03/10/2000
03/10/2001
03/10/2003
03/11/2001
03/12/2002
04/01/2001
04/02/2002
04/03/2003
04/04/04
04/09/1998
04/10/2000
04/10/2001
04/10/2002
04/10/2003
04/11/2001
04/12/2002
05/01/2001
05/02/2002
05/03/2003
05/09/1999
05/10/2000
05/10/2001
05/10/2002
05/11/2001
05/12/2002
06/01/2001
06/02/2002
06/03/2003
06/09/1998
06/10/2000
06/10/2001
06/10/2002
06/10/2003
06/11/2001
06/12/2002
07/01/2001
07/02/2002
07/03/2003
07/09/1998
07/10/2000
07/10/2001
07/10/2002
07/11/2001
07/12/2002
08/01/2001
08/02/2002
08/03/2003
08/09/1999
08/10/2000
08/10/2001
08/10/2002
08/10/2003
08/11/2001
08/12/2002
09/01/2001
09/02/2002
09/03/2003
09/09/1999
09/10/2000
09/10/2001
09/10/2002
09/10/2003
09/11/2001
09/12/2002
10/01/2001
10/02/2002
10/03/2003
10/10/2000
10/10/2001
10/10/2002
10/10/2003
10/11/2001
10/12/2002
11/01/2001
11/02/2002
11/03/2003
11/09/1999
11/10/2000
11/10/2001
11/10/2002
11/11/2001
11/12/2002
12/01/2001
12/02/2002
12/03/2003
12/09/1999
12/10/2000
12/10/2001
12/10/2002
12/11/2001
12/12/2002
13/01/2001
13/02/2002
13/03/2003
13/10/2000
13/10/2001
13/10/2003
13/11/2001
13/12/2002
14/01/2001
14/02/2002
14/03/2003
14/09/1998
14/10/2000
14/10/2002
14/10/2003
14/11/2001
14/12/2002
15/01/2001
15/02/2002
15/03/2003
15/09/1998
15/10/2000
15/10/2001
15/10/2002
15/10/2003
15/11/2001
15/12/2002
16/01/2001
16/02/2002
16/03/2003
16/09/1998
16/10/2000
16/10/2001
16/10/2002
16/10/2003
16/11/2001
16/12/2002
17/01/2001
17/02/2002
17/03/2003
17/09/1999
17/10/2000
17/10/2001
17/10/2002
17/11/2001
17/12/2002
18/01/2001
18/02/2002
18/03/2003
18/10/2000
18/10/2001
18/10/2002
18/11/2001
18/12/2002
19/01/2001
19/02/2002
19/03/2003
19/09/1998
19/09/1999
19/10/2000
19/10/2001
19/10/2002
19/11/2001
19/12/2002
20/01/2001
20/02/2002
20/03/2003
20/09/1998
20/10/2000
20/10/2001
20/10/2002
20/10/2003
20/11/2001
20/12/2002
21/01/2001
21/02/2002
21/03/2003
21/09/1998
21/10/2000
21/10/2001
21/10/2002
21/10/2003
21/11/2001
21/12/2002
22/01/2001
22/02/2002
22/03/2003
22/09/1998
22/09/1999
22/10/2000
22/10/2001
22/10/2002
22/10/2003
22/11/2001
22/12/2002
23/01/2001
23/02/2002
23/03/2003
23/10/2000
23/10/2001
23/10/2002
23/10/2003
23/11/2001
23/12/2002
24/01/2001
24/03/2003
24/10/2000
24/10/2001
24/10/2002
24/11/2001
24/12/2002
25/01/2001
25/02/2002
25/03/2003
25/09/1998
25/09/1999
25/10/2000
25/10/2001
25/10/2002
25/11/2001
25/12/2002
26/01/2001
26/02/2002
26/03/2003
26/09/1998
26/09/1999
26/10/2000
26/10/2001
26/10/2002
26/11/2001
26/12/2002
27/01/2001
27/02/2002
27/03/2003
27/09/1998
27/09/1999
27/10/2000
27/10/2001
27/10/2002
27/10/2003
27/11/2001
27/12/2002
28/01/2001
28/02/2002
28/03/2003
28/09/1998
28/09/1999
28/10/2000
28/10/2002
28/10/2003
28/11/2001
28/12/2002
29/01/2001
29/10/2000
29/10/2001
29/10/2002
29/10/2003
29/11/2001
29/12/2002
30/01/2001
30/03/2003
30/09/1998
30/10/2000
30/10/2001
30/10/2002
30/11/2001
30/12/2002
31/01/2001
31/03/2003
31/10/2000
31/10/2001
31/12/2002
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.
38746
.
01/02/2002
01/03/2003
01/09/1999
01/10/2000
01/10/2002
01/10/2003
01/12/2002
02/01/2001
02/02/2002
02/03/2003
02/09/1998
02/10/2000
02/10/2001
02/10/2002
02/10/2003
02/11/2001
02/12/2002
03/01/2001
03/02/2002
03/03/2003
03/09/1999
03/10/2000
03/10/2001
03/10/2003
03/11/2001
03/12/2002
04/01/2001
04/02/2002
04/03/2003
04/04/04
04/10/2000
04/10/2001
04/10/2002
04/12/2002
05/01/2001
05/02/2002
05/03/2003
05/10/2000
05/10/2001
05/10/2002
05/11/2001
05/12/2002
06/01/2001
06/02/2002
06/03/2003
06/10/2000
06/11/2001
06/12/2002
07/01/2001
07/02/2002
07/03/2003
07/10/2000
07/10/2001
07/10/2002
07/10/2003
07/11/2001
07/12/2002
08/01/2001
08/02/2002
08/03/2003
08/10/2000
08/10/2001
08/10/2002
08/10/2003
08/11/2001
08/12/2002
09/01/2001
09/02/2002
09/03/2003
09/10/2000
09/10/2001
09/10/2002
09/10/2003
09/11/2001
09/12/2002
10/01/2001
10/02/2002
10/03/2003
10/09/1999
10/10/2000
10/10/2001
10/10/2002
10/10/2003
10/11/2001
10/12/2002
11/01/2001
11/02/2002
11/03/2003
11/09/1998
11/09/1999
11/10/2000
11/10/2001
11/10/2002
11/10/2003
11/11/2001
11/12/2002
12/01/2001
12/02/2002
12/03/2003
12/09/1999
12/10/2000
12/10/2001
12/10/2002
12/11/2001
12/12/2002
13/01/2001
13/02/2002
13/10/2000
13/11/2001
13/12/2002
14/01/2001
14/02/2002
14/03/2003
14/10/2000
14/10/2001
14/10/2002
14/10/2003
14/11/2001
14/12/2002
15/01/2001
15/02/2002
15/03/2003
15/09/1998
15/10/2000
15/10/2001
15/10/2002
15/10/2003
15/11/2001
15/12/2002
16/01/2001
16/02/2002
16/03/2003
16/09/1998
16/10/2000
16/10/2001
16/10/2002
16/11/2001
16/12/2002
17/01/2001
17/02/2002
17/03/2003
17/09/1999
17/10/2000
17/10/2002
17/10/2003
17/11/2001
17/12/2002
18/01/2001
18/02/2002
18/03/2003
18/09/1999
18/10/2000
18/10/2001
18/10/2002
18/10/2003
18/11/2001
18/12/2002
19/01/2001
19/02/2002
19/03/2003
19/10/2000
19/10/2001
19/10/2002
19/11/2001
19/12/2002
20/01/2001
20/02/2002
20/03/2003
20/09/1999
20/10/2000
20/10/2001
20/10/2003
20/12/2002
21/01/2001
21/02/2002
21/09/1998
21/09/1999
21/10/2000
21/10/2001
21/10/2002
21/10/2003
21/11/2001
21/12/2002
22/01/2001
22/02/2002
22/03/2003
22/09/1999
22/10/2000
22/10/2001
22/10/2003
22/11/2001
22/12/2002
23/01/2001
23/02/2002
23/03/2003
23/09/1998
23/10/2000
23/10/2002
23/10/2003
23/11/2001
23/12/2002
24/01/2001
24/02/2002
24/03/2003
24/10/2000
24/10/2001
24/10/2002
24/10/2003
24/11/2001
25/01/2001
25/02/2002
25/03/2003
25/10/2000
25/10/2001
25/10/2002
25/11/2001
25/12/2002
26/01/2001
26/02/2002
26/03/2003
26/09/1998
26/10/2000
26/10/2001
26/10/2002
26/11/2001
26/12/2002
27/01/2001
27/02/2002
27/03/2003
27/09/1998
27/09/1999
27/10/2000
27/10/2001
27/10/2002
27/10/2003
27/11/2001
27/12/2002
28/01/2001
28/02/2002
28/03/2003
28/09/1998
28/09/1999
28/10/2000
28/10/2003
28/11/2001
28/12/2002
29/01/2001
29/03/2003
29/10/2000
29/10/2001
29/10/2002
29/10/2003
29/11/2001
29/12/2002
30/01/2001
30/03/2003
30/10/2000
30/10/2001
30/10/2002
30/10/2003
30/11/2001
30/12/2002
31/01/2001
31/03/2003
31/10/2000
31/10/2001
31/10/2002
31/10/2003
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.
38746
.
01/01/2001
01/02/2002
01/03/2003
01/10/2000
01/10/2001
01/10/2002
01/10/2003
01/11/2001
01/12/2002
02/02/2002
02/03/2003
02/10/2000
02/10/2001
02/10/2002
02/10/2003
02/12/2002
03/01/2001
03/02/2002
03/03/2003
03/10/2000
03/10/2001
03/10/2002
03/10/2003
03/11/2001
03/12/2002
04/01/2001
04/02/2002
04/03/2003
04/04/04
04/09/1999
04/10/2000
04/10/2001
04/10/2002
04/11/2001
04/12/2002
05/01/2001
05/03/2003
05/10/2000
05/10/2001
05/10/2002
05/11/2001
05/12/2002
06/01/2001
06/02/2002
06/03/2003
06/09/1999
06/10/2000
06/10/2001
06/10/2003
06/11/2001
06/12/2002
07/01/2001
07/02/2002
07/03/2003
07/09/1999
07/10/2000
07/10/2001
07/10/2002
07/10/2003
07/11/2001
07/12/2002
08/01/2001
08/02/2002
08/03/2003
08/09/1999
08/10/2000
08/10/2001
08/10/2002
08/10/2003
08/11/2001
08/12/2002
09/01/2001
09/02/2002
09/03/2003
09/10/2000
09/10/2001
09/10/2002
09/11/2001
09/12/2002
10/01/2001
10/02/2002
10/03/2003
10/09/1999
10/10/2000
10/10/2001
10/10/2002
10/10/2003
10/11/2001
10/12/2002
11/01/2001
11/02/2002
11/03/2003
11/09/1999
11/10/2000
11/10/2001
11/10/2002
11/10/2003
11/11/2001
11/12/2002
12/01/2001
12/02/2002
12/03/2003
12/10/2000
12/10/2001
12/10/2002
12/11/2001
12/12/2002
13/01/2001
13/03/2003
13/10/2000
13/10/2001
13/10/2002
13/11/2001
13/12/2002
14/01/2001
14/02/2002
14/03/2003
14/09/1999
14/10/2000
14/10/2001
14/10/2002
14/10/2003
14/11/2001
14/12/2002
15/01/2001
15/02/2002
15/03/2003
15/09/1999
15/10/2000
15/10/2001
15/10/2003
15/11/2001
15/12/2002
16/01/2001
16/02/2002
16/03/2003
16/10/2000
16/10/2001
16/10/2002
16/10/2003
16/11/2001
16/12/2002
17/01/2001
17/02/2002
17/03/2003
17/09/1999
17/10/2000
17/10/2001
17/10/2002
17/10/2003
17/12/2002
18/01/2001
18/02/2002
18/03/2003
18/10/2000
18/10/2002
18/11/2001
18/12/2002
19/01/2001
19/02/2002
19/03/2003
19/09/1999
19/10/2000
19/10/2001
19/10/2002
19/10/2003
19/11/2001
19/12/2002
20/01/2001
20/02/2002
20/03/2003
20/09/1999
20/10/2000
20/10/2001
20/10/2003
20/11/2001
20/12/2002
21/01/2001
21/02/2002
21/03/2003
21/09/1999
21/10/2000
21/10/2001
21/10/2002
21/10/2003
21/11/2001
21/12/2002
22/01/2001
22/02/2002
22/03/2003
22/09/1998
22/10/2000
22/10/2001
22/10/2002
22/10/2003
22/11/2001
22/12/2002
23/01/2001
23/02/2002
23/03/2003
23/10/2000
23/10/2001
23/10/2002
23/10/2003
23/11/2001
23/12/2002
24/01/2001
24/02/2002
24/03/2003
24/10/2000
24/10/2001
24/10/2002
24/10/2003
25/01/2001
25/02/2002
25/03/2003
25/09/1999
25/10/2000
25/10/2001
25/10/2002
25/10/2003
25/11/2001
25/12/2002
26/01/2001
26/02/2002
26/03/2003
26/10/2000
26/10/2002
26/11/2001
26/12/2002
27/01/2001
27/02/2002
27/03/2003
27/09/1999
27/10/2000
27/10/2001
27/10/2002
27/10/2003
27/11/2001
27/12/2002
28/01/2001
28/02/2002
28/03/2003
28/09/1999
28/10/2000
28/10/2001
28/10/2002
28/10/2003
28/11/2001
28/12/2002
29/01/2001
29/03/2003
29/10/2000
29/10/2002
29/10/2003
29/11/2001
29/12/2002
30/01/2001
30/03/2003
30/10/2000
30/10/2001
30/10/2003
30/11/2001
30/12/2002
31/01/2001
31/10/2000
31/10/2001
31/10/2003
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.
3999
34747
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.
151
38595
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.
126
38620
51
3.016
5.116
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.
150
38596
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.
3100
35646
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.
1740
37006
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.
1673
37073
1
99
3.152
4.865
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.
1729
37017
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.
6943
31803
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.
1993
36753
99
2.543
4.055
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.
11559
27187
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.
5789
32957
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.
5786
32960
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.
5782
32964
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.
5784
32962
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.
5782
32964
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.
5784
32962
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.
5781
32965
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.
5779
32967
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.
5775
32971
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.
276
11
111111
ADENOIDES
AGRURAS
ALERGIA
ALGODONCILLO
AMIBAS
AMIGDALITIS
AMP EN LA BOCA
ANGINAS
BRONQUITIS
CAIDA
CAIDA DOLOR
CATARRO
CONJUNTIVITIS
CUERPO CORTADO
DENTAL
DERMATITIS
DESHIDRATACION
DIABETES
DOLOR
DOLOR DE ESTOMAGO
DOLOR DENTAL
DOLOR EN EL ESTOMAGO
DOLOR EN SUP
DOLOR ESTOMAGO
DOLOR OIDOS
ESCURRIMIENTO NASAL
ESTOMACAL
ESTRE¥IMIENTO
ESTREÑIMIENTO
ESTRI¥IMIENTO
EXTREÑIMIENTO
FLUJO NASAL
FLUP NASAL
FOLICULO EN OJO DERECHO
FUEGOS EN LABIO
GARGANTA
GINGIVITIS SIALORREA
GLANDULA TIROIDAL
GRANO EN EL OJO
GRIPA
GRIPE
GRIPEE
GRUPO
HERNIA
INCHASON DE LA CARA
INF DE OJOS
INF DE SD
INF GARGANTA
INF VIAS URINARIAS
INFECCION
INFECCION EN GARGANTA
INFECCION EN VIAS URINARIAS
INFECCION OJOS
INFECCIONES
INFIDEL S D
INFLAMACION EN ABDOMEN
INFLAMACION GARGANTA
INFRECCION DE VIAS URINARIAS
INMOVILIDAD
INTOXICACION
LAGRIMEO
LESION
LESIONES FISICAS
LLORAR
MANCHITAS EN LA PIEL
MICOSIS
NEVICLON DE LOS NIÑOS
OIDO
OTITIS
PARACITOS
PARASITOS
PIEL ALERGIA
PRORITO
PRURITO CEFALEO
QUEMADURA
REFLUJO
RESFRIADO
RINORREA
RINORREA Y SIBILANCIAS
RI¥ORREA
RONCHAS
RONCHITAS EN LA PIEL
RONORREA
ROSADURA
SALPULLIDO
SANGRE EN LA NARIZ
SARNA
SECRECION NASAL
SILBIDOS EN EL PECHO
SINTOMAS DE ASMA
SUDAVA MUCHO
SUEÑO
VARICELA
VARISELA
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.
5785
32961
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.
5786
32960
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.
9277
29469
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.
7466
31280
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.
531
AMISTAD CON EL DR
ASISTENCIA SOCIAL
AUTOMEDICACION
AUTORECETO
AUTORECETO LA MADRE
BOTICARIO
CASA
CASA AUTOMED
CASA DE SALUD
CASA SU MAMA ES DOCTOR
CASERO
CEDENA
CENTRO DE SALUD
CENTRO UNIV DE CIENCIA
CESA
CLINICA
CLINICA DE LA UNIVERSI
CLINICA DEL MAGISTERIO
CLINICA GUADALAJARA
CLINICA MEDICA
CLINICA PAR
CLINICA PARA TRABA DE
CLINICA PARTICULAR
CLINICA PENSIONES
CLINICA SAN JOSE
CLINICA SOBRINO
COMESON
CONSULTORIO
CONSULTORIO DE SIMILAR
CONSULTORIO MEDICO
CRUZ ROJA
CRUZ VERDE
CTRO DE SALUD
DENTISTA
DIF
DIF BRIGADAS
DISPENSARIO
DOCTOR PARTICULAR
DOCTORA GENI
DOM
DOMICILIO
DON PEDRO
DR PARTICULAR
DR SIMILARES
E UNIDOS
EJERCITO
EN EL HOGAAR POR ELLA
EN LA UNIVERSIDAD
EN SANIDA DEL CUARTO
ENF DE PROGRESA
ENFERMERA
FAMILIAR
FAMILIAR DOCTOR
FARMACIA
FARMACIA 24 HRS
FARMACIA SIMILAR
FARMACIA SIMILARES
FARMAICA SIMILARES
FEMAP
GENERICO
GENERICOS
GISIMI
HOGAR
HOMEOPATA
HOSP CIVIL
HOSP MPAL CLINICA QUIR
HOSPITAL BASICO
HOSPITAL CENTRAL
HOSPITAL CIERRA
HOSPITAL CIVIL
HOSPITAL CIVIL MADERO
HOSPITAL DE LA PIEDAD
HOSPITAL EMPANIZADA
HOSPITAL EN ESTADOS UN
HOSPITAL GENERAL
HOSPITAL GRAL
HOSPITAL INFANTIL
HOSPITAL JUAN MARIA
HOSPITAL MILITAR
HOSPITAL MUNICIPAL
HOSPITAL PEMEX
HOSPITAL PRIVADO RONQU
HOSPITAL UNIVERSITARIO
IMSS
IMSS SOLIDARIDAD
INFANTIL
ISSSTE
ISSSTESON
ISSTE
ISSTE LEON
IZCLERO
IZTACALI
JURISDICCION
LA INADEA
LA MAMA LE DIO MEDICIN
MAGISTERIO
MANUEL SALGADO
MARINA
MATERNIDAD INFANTIL
MEDICO PARTICULAR
MODULO DE BIENESTAR SO
MUNICIPAL
NINGUNO
NO ACUDIO AL DOCTOR
NO LA HAN LLEVADO CON
NO LO HA YEBADO
NO SE ENTIENDE
OFTAMOLOGO
OMEOPATA
PART
PART ARMANDO
PARTICULAR
PARTICULAR PEDIATRA
PARTICULAR SIMILARES
PEDIATRA
PEDIATRA PARTICULAR
PEDRIATRA
PEMEX
PENSIONES
PLANIFICACION FAMILIAR
PPARTICULAR
PRIVADA ESPERANZA
PRIVADO
PROMOTORA
REGIONAL
S S A
SALUD EZEQUIEL MONTES
SALUD SAN JOAQUIN
SANIDA
SANIDAD
SECCION 50
SECTOR NAVAL
SEDEMAR
SEDENA
SEMESOL
SEPENA
SERV MEDICO MUNICIPAL
SIMILAR
SIMILARES
SM POTOSI
SSA
SSA JARILLAS
SU PAPA ES DR
SU PAPA LO ATENDIO
SU PAPA MEDICO
SUMAPA
TORRE MEDICA
UNIDAD MOVIL
UNIVERSIDAD
URGENCIAS
VILLA DE REYES
VISITA MEDICA
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.
4608
34138
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.
5845
32901
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.
3218
35528
1
Yes
5
No
8
Do not know
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.
4563
34183
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.
44
38702
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.
25
38721
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.
7
38739
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.
7
38739
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.
7
38739
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.
17016
21730
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.
17016
21730
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
15791
22955
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.
12929
25817
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.
1115
37631
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.
4087
34659
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.
14924
23822
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.
13286
25460
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.
21464
17282
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.
13286
25460
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.
496
38250
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.
25636
13110
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.
1005
37741
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.
6299
32447
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.
2962
35784
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.
753
37993
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.
4169
34577
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.
4160
34586
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.
24159
14587
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.
6098
32648
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.
3061
35685
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.
3061
35685
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.
3061
35685
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.
3061
35685
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.
3061
35685
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.
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.
24159
14587
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.
38746
1
Yes
5
No
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").
639
38107
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.
663
38083
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?
308
38438
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”.
267
38479
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.
308
38438
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.
38746
1
Yes
5
No
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").
2118
36628
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.
2137
36609
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.
1007
37739
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”.
806
37940
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.
1007
37739
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
Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
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
38746
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
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
37986
760
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’.
38012
734
99
1.009
2.773
1
2
3
4
5
6
7
8
9
10
11
12
13
15
30
99
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.
37983
763
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
37985
761
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
912
37834
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.
911
37835
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.
910
37836
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
37071
1675
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.
37050
1696
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
31955
6791
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
1331
37415
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.
38583
163
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.
38626
120
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).
38645
101
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.
4258
34488
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.
4260
34486
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.
4262
34484
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.
4264
34482
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.
4258
34488
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.
25945
12801
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.
23846
14900
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.
23079
15667
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.
21651
17095
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
38598
148
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
38655
91
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
38656
90
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
38661
85
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
38663
83
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
38664
82
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
38663
83
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
38662
84
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
38746
1
Yes - a hospital
2
Yes - long term care facility
5
No
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
38746
1
Yes
5
No
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?
38746
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
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
37392
1354
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
15906
22840
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?
38746
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?
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".
25241
IMSS
IMSS SOLIDARIDAD
ISSSTE
MARINA
OTROS
PEMEX
SEDENA
SSA
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.
38746
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.
25241
13505
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]?
38746
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.
25241
13505
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?
25241
13505
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?
25241
13505
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?
25241
13505
999
28.52
41.151
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
30
31
32
35
36
40
41
42
43
45
46
48
50
51
55
56
59
60
65
66
67
68
70
75
80
81
85
90
95
96
99
100
101
102
104
105
110
111
112
115
120
125
126
130
140
144
145
150
151
160
180
190
200
201
203
210
230
240
250
270
300
340
350
360
400
415
420
432
440
450
460
480
500
520
530
555
560
600
601
605
610
620
630
650
720
780
840
960
999
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
25241
13505
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”.
25241
13505
999999
15094.21
116063.679
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
63
64
65
66
67
68
70
73
74
75
78
80
84
85
87
88
90
95
96
99
100
103
104
105
106
108
109
110
111
112
115
120
125
126
130
135
140
150
160
170
172
175
180
190
200
210
215
220
230
240
245
250
260
270
274
280
285
290
300
306
308
310
320
330
340
350
360
370
380
390
395
400
410
415
430
450
465
480
500
550
560
580
595
600
630
650
700
720
750
760
800
810
850
888
900
999
1000
1040
1060
1100
1150
1170
1200
1250
1300
1400
1500
1600
1700
1800
2000
2100
2300
2400
2500
2600
2800
2900
3000
3300
3500
3600
4000
4200
4300
4500
4800
5000
6000
6700
6785
7000
7500
8000
8500
9000
10000
11000
11100
12000
12500
12685
13000
14000
15000
18000
20000
22000
35000
45000
888888
999999
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”.
25241
13505
999999
73760.381
258907.996
1
2
3
5
6
7
8
Do not know
9
Not applicable, not have
10
11
12
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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63
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84
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91
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101
102
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106
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115
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120
121
122
123
125
128
130
131
135
137
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257
259
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265
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273
275
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280
283
285
286
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295
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315
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317
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342
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405
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420
429
430
435
440
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458
460
467
470
475
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485
486
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491
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510
516
520
525
530
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560
567
570
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607
608
620
625
630
650
660
675
680
689
700
720
725
730
740
750
768
770
780
800
820
830
840
850
863
880
888
900
920
940
948
950
999
1000
1025
1100
1104
1113
1125
1150
1160
1200
1230
1300
1400
1450
1500
1600
1650
1700
1800
2000
2200
2300
2350
2400
2490
2500
3000
3500
3600
3800
3815
4000
4500
5000
6000
7000
8000
10000
13000
15000
15800
20000
888888
999999
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”.
25241
13505
999999
166043.916
371011.249
4
5
6
7
8
Do not know
9
Not applicable, not have
10
13
15
18
20
22
25
29
30
32
34
35
36
37
40
43
45
50
52
57
59
60
64
65
68
70
73
75
76
80
83
84
85
90
93
95
96
98
99
100
101
105
106
108
110
112
114
115
120
125
126
130
133
140
145
149
150
155
160
165
168
170
175
178
180
185
190
195
200
204
206
208
210
220
230
232
240
245
250
255
256
260
270
275
280
300
310
320
330
340
350
355
360
361
365
370
375
380
385
390
400
410
430
440
446
450
460
472
480
490
500
520
530
550
560
570
580
590
600
610
630
650
680
700
720
730
750
780
800
830
888
900
920
930
949
950
999
1000
1020
1100
1150
1200
1250
1280
1300
1400
1500
1550
1600
1650
1700
1800
1900
2000
2300
2400
2500
2800
3000
3050
3500
3600
4000
5000
5500
6000
7000
8000
8500
9500
10000
20000
888888
999999
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”.
25241
13505
999999
117920.024
321618.863
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
44
45
46
47
48
50
52
54
55
56
57
58
60
62
63
64
65
68
70
72
75
76
79
80
84
87
90
92
95
97
98
100
102
105
108
110
112
120
124
126
128
130
140
142
150
160
170
175
180
190
194
196
200
208
220
225
228
230
240
246
250
260
270
280
300
315
320
340
350
352
356
360
370
380
400
420
440
448
450
460
480
496
500
550
600
612
640
650
660
680
700
720
740
750
780
800
850
888
900
999
1000
1042
1090
1100
1200
1300
1400
1500
1550
2000
2200
2400
3000
3500
888888
999999
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”.
25241
13505
999999
199909.361
399207.496
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
11
12
14
15
16
17
18
19
20
22
25
26
28
30
35
37
40
42
44
45
46
48
50
54
55
58
60
63
66
70
74
75
80
85
90
99
100
105
110
120
130
140
150
170
180
200
230
240
250
290
300
303
318
320
340
350
390
400
430
450
495
500
600
650
700
790
800
909
940
991
999
1000
1020
1100
1200
1300
1400
1500
1800
2000
2150
2500
3000
3500
4000
4800
5000
5200
6000
7000
8000
10000
888888
999999
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.
21260
17486
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.
25022
13724
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.
25241
13505
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?
25241
13505
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.
25142
13604
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25184
13562
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.
25241
13505
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?
25104
13642
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?
25129
13617
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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.
25241
13505
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 ?
8400
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
8443
30303
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
8443
30303
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
8440
30306
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
8443
30303
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?
8443
30303
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?
8443
30303
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?
8362
30384
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?
8439
30307
1440
44.567
63.455
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
24
25
26
30
35
36
40
42
43
45
46
47
48
50
51
53
55
59
60
65
66
70
75
78
80
86
90
95
99
100
105
110
120
124
130
140
145
150
153
160
165
180
190
195
200
201
203
210
220
240
245
270
300
301
350
360
390
420
430
480
530
600
602
630
720
780
820
960
1440
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
8443
30303
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.
8443
30303
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
8443
30303
999999
33097.974
164763.44
2
5
6
8
Do not know
9
Not applicable, not have
10
15
20
24
25
26
28
30
31
34
35
36
38
40
45
46
50
52
53
55
56
60
64
70
75
80
90
100
105
106
120
125
130
135
140
150
156
160
170
175
178
180
184
190
200
210
220
227
230
239
240
250
260
265
270
275
280
290
300
306
310
315
320
321
328
340
350
355
360
368
370
375
376
379
380
381
385
395
400
412
413
415
420
430
450
466
470
480
485
490
495
500
515
520
529
540
550
557
560
570
580
581
600
630
645
650
660
671
690
700
717
740
750
760
765
770
780
790
800
810
820
825
840
850
860
870
880
900
904
920
940
950
954
960
969
970
980
985
989
1000
1050
1060
1062
1070
1100
1108
1140
1145
1150
1170
1200
1215
1250
1255
1270
1290
1300
1350
1360
1400
1450
1470
1500
1565
1600
1700
1732
1750
1760
1800
1900
1950
2000
2009
2050
2067
2100
2109
2125
2200
2275
2300
2400
2490
2500
2600
2700
2800
2900
3000
3200
3300
3324
3370
3400
3500
3550
3600
3700
3800
3900
4000
4147
4200
4250
4300
4400
4500
4700
4800
4900
5000
5050
5200
5400
5500
5600
5700
5800
6000
6200
6300
6400
6500
6600
6700
6800
7000
7500
7600
7880
7900
8000
8030
8500
8600
8800
9000
9500
9700
9800
10000
10500
10800
11000
12000
12500
13000
13600
14000
14500
14800
15000
15500
16000
17000
17500
18000
18500
19000
20000
21000
22000
23000
25000
26000
27000
28000
30000
31000
33000
35000
36000
37000
38000
40000
45000
50000
55000
60000
65000
67000
70000
75000
120000
200000
888888
999999
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
8443
30303
999999
50828.055
206105.837
4
8
Do not know
9
Not applicable, not have
10
15
20
30
35
40
45
50
60
65
66
68
70
72
73
75
76
80
85
90
95
98
100
109
110
113
115
120
130
140
150
156
160
175
180
190
193
195
200
210
220
230
240
245
247
250
260
270
275
280
300
310
320
340
350
360
379
380
400
450
460
480
484
485
490
500
550
560
600
607
650
660
670
675
680
700
750
770
790
800
870
900
950
1000
1050
1100
1125
1150
1200
1250
1300
1400
1500
1600
1700
1800
1900
2000
2200
2300
2350
2400
2500
2520
2600
2800
3000
3100
3200
3350
3400
3500
3600
3700
3750
3800
4000
4200
4500
4700
4800
5000
5200
6000
7000
8000
8500
9000
10000
11000
11500
12000
13000
15000
18000
20000
25000
33000
50000
55000
888888
999999
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
8443
30303
999999
55816.544
215885.321
1
2
8
Do not know
9
Not applicable, not have
20
22
28
30
32
35
38
40
50
55
60
64
68
70
75
80
90
100
105
110
120
125
130
135
144
150
155
160
170
175
179
180
190
200
210
230
240
250
260
270
280
285
300
310
320
330
350
360
380
397
400
420
450
460
480
490
500
518
525
550
570
580
590
600
630
650
660
700
720
730
750
800
850
880
900
941
1000
1100
1150
1200
1300
1400
1500
1515
1600
1650
1700
1800
1900
2000
2100
2300
2400
2500
2700
2800
3000
3094
3500
3800
4000
5000
5500
6000
7000
7250
8000
9000
10000
15000
888888
999999
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
8443
30303
999999
34349.158
171734.131
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
34
35
36
37
38
40
42
44
45
46
48
50
52
54
55
56
58
60
65
68
70
72
74
75
76
78
80
85
87
90
95
97
98
100
102
108
110
115
120
123
124
125
130
140
148
150
160
170
180
200
215
225
230
240
250
260
265
270
280
300
320
330
350
360
400
420
450
460
480
500
514
550
600
650
700
710
800
900
960
1000
1100
1200
1250
1300
1500
1600
1700
2000
2500
2600
3000
4000
7000
9000
888888
999999
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
8443
30303
999999
48082.196
201445.479
1
4
5
6
7
8
Do not know
9
Not applicable, not have
10
12
15
20
24
25
28
30
40
45
46
50
55
58
60
70
80
86
90
100
104
110
130
140
150
160
180
200
210
220
230
250
300
320
340
350
400
420
450
500
550
600
625
700
800
880
900
950
1000
1050
1100
1200
1300
1500
1600
1800
2000
2500
3000
3500
4000
5000
6000
6800
7000
8000
10000
13000
15000
18000
150000
888888
999999
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?
7116
31630
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.
8438
30308
50
2.977
4.004
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?
8442
30304
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?
8443
30303
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?
8443
30303
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?
8443
30303
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?
8443
30303
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?
8443
30303
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?
8441
30305
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?
8443
30303
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?
8443
30303
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?
8416
30330
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]?
8443
30303
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?
8443
30303
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?
8443
30303
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.
8442
30304
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).
8443
30303
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.
8443
30303
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.
8443
30303
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.
8443
30303
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.
8443
30303
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.
8443
30303
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.
8443
30303
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.
8443
30303
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").
38746
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?
9629
29117
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?
9628
29118
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?
9618
29128
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?
9627
29119
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?
9620
29126
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?
9622
29124
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?
9612
29134
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?
9623
29123
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?
9609
29137
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?
9624
29122
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?
9618
29128
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?
9627
29119
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?
9624
29122
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?
9623
29123
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?
9618
29128
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?
9613
29133
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?
9613
29133
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?
9612
29134
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?
9620
29126
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?
9583
29163
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?
9655
29091
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?
9656
29090
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?
9648
29098
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?
9653
29093
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?
9642
29104
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?
9655
29091
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?
9644
29102
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?
9648
29098
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?
9644
29102
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?
9651
29095
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?
9638
29108
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?
9649
29097
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?
9648
29098
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?
9651
29095
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?
9646
29100
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?
9643
29103
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?
9643
29103
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?
9644
29102
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?
9646
29100
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?
9562
29184
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?
9680
29066
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?
9681
29065
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?
9664
29082
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?
9668
29078
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?
9666
29080
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?
9666
29080
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?
9671
29075
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?
9672
29074
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?
9669
29077
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?
9663
29083
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?
9671
29075
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?
9657
29089
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?
9665
29081
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?
9663
29083
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?
9661
29085
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?
9645
29101
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?
9662
29084
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?
9657
29089
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?
9628
29118
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?
9675
29071
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?
9683
29063
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?
9678
29068
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?
9680
29066
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?
9659
29087
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?
9677
29069
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?
9669
29077
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?
9666
29080
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?
9669
29077
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?
9671
29075
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?
9665
29081
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?
9671
29075
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?
9670
29076
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?
9670
29076
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?
9662
29084
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?
9668
29078
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?
9660
29086
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?
9661
29085
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?
9662
29084
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?
9606
29140
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
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Time begin section 8000
Time begin section 8000
Time begin section 8000
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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.
38746
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
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.
38746
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
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.
38746
1
Very dissatisfied
2
Dissatisfied
3
Neither satisfied nor dissatisfied
4
Satisfied
5
Very satisfied
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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.
38746
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
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
38746
1
Yes
5
No
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
38746
1
Yes
5
No
wheelchair
wheelchair
wheelchair
wheelchair
wheelchair
Did the respondent use a wheelchair?
To be filled in by the interviewer at the end of the interview
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Yes
5
No
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
38746
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
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
38746
1
Very high
2
High
3
Average
4
Low
5
Very Low
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
8615
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
7936
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
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.
1077
37669
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.
277
38469
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.
78
38668
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.
124
38622
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.
5473
33273
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.
2430
36316
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.
322
38424
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.
465
38281
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.
163
38583
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.
197
38549
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.
25
38721
1
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.
48
38698
1
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.
55
38691
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.
2
38744
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.
1
38745
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.
7
38739
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?
23217
14010001
94321248
79964191.041
30632748.58
Child No
Child No
Child No
Child No
Child No
23217
1
2
3
4
5
6
7
8
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.
23213
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.
23217
01/ DK
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
02/1970
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
02/2000
02/2001
02/2002
02/2003
03/ DK
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
03/2000
03/2001
03/2002
03/2003
04/ DK
04/1968
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
04/1996
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
05/ DK
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
05/1990
05/1991
05/1992
05/1993
05/1994
05/1995
05/1996
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/ DK
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
07/ DK
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
07/1999
07/2000
07/2001
07/2002
08/ DK
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
08/1994
08/1995
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/ DK
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
09/1993
09/1994
09/1995
09/1996
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/ DK
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
10/1996
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/ DK
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
11/1985
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/ DK
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
12/1992
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
12/2003
DK/ DK
DK/1971
DK/1972
DK/1973
DK/1974
DK/1975
DK/1976
DK/1977
DK/1978
DK/1979
DK/1980
DK/1981
DK/1982
DK/1983
DK/1984
DK/1985
DK/1986
DK/1987
DK/1988
DK/1989
DK/1990
DK/1991
DK/1992
DK/1993
DK/1994
DK/1995
DK/1996
DK/1997
DK/1998
DK/1999
DK/2000
DK/2001
DK/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.
23217
1
2
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.
23217
1
Yes
5
No
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.
17600
5617
5
65
14.253
6.206
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.
4537
18680
2
59
28.465
15.366
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.
133
23084
1
59
25.504
14.967
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.
22838
379
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.
374
01/ DK
01/1974
01/1976
01/1978
01/1980
01/1981
01/1983
01/1984
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1998
01/1999
01/2001
01/2002
01/2003
02/1975
02/1977
02/1978
02/1980
02/1983
02/1984
02/1986
02/1991
02/1995
02/1998
02/2003
03/1974
03/1975
03/1977
03/1979
03/1980
03/1984
03/1986
03/1989
03/1990
03/1991
03/1992
03/1994
03/1998
03/1999
03/2000
03/2001
03/2002
04/1972
04/1976
04/1979
04/1980
04/1981
04/1982
04/1984
04/1986
04/1987
04/1988
04/1991
04/1993
04/1995
04/2000
04/2002
05/ DK
05/1979
05/1980
05/1981
05/1983
05/1989
05/1996
05/1997
05/1998
05/2000
06/1974
06/1975
06/1977
06/1978
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1991
06/1993
06/1994
06/1996
06/1997
06/1998
06/1999
06/2000
06/2002
07/1974
07/1975
07/1978
07/1980
07/1981
07/1983
07/1984
07/1987
07/1989
07/1990
07/1991
07/1992
07/1993
07/1994
07/1995
07/1998
07/1999
07/2000
07/2001
07/2002
08/1972
08/1975
08/1977
08/1978
08/1981
08/1982
08/1983
08/1984
08/1985
08/1986
08/1987
08/1989
08/1990
08/1991
08/1992
08/1993
08/1995
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1966
09/1971
09/1978
09/1982
09/1985
09/1986
09/1988
09/1989
09/1994
09/1995
09/1998
09/1999
09/2000
09/2002
10/ DK
10/1970
10/1972
10/1974
10/1977
10/1979
10/1980
10/1982
10/1983
10/1984
10/1987
10/1989
10/1990
10/1991
10/1992
10/1994
10/1995
10/1997
10/1998
10/1999
10/2002
11/1975
11/1976
11/1977
11/1978
11/1980
11/1981
11/1982
11/1983
11/1984
11/1985
11/1987
11/1989
11/1990
11/1992
11/1994
11/1998
11/1999
11/2000
11/2001
11/2002
12/1971
12/1973
12/1974
12/1977
12/1979
12/1980
12/1981
12/1984
12/1986
12/1987
12/1989
12/1991
12/1992
12/1994
12/1995
12/1997
12/1998
12/1999
12/2000
12/2002
DK/ DK
DK/1978
DK/1981
DK/1983
DK/1984
DK/1985
DK/1986
DK/1988
DK/1992
DK/1995
DK/1997
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.
172
23045
59
7.756
11.281
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.
142
23075
2
56
13.662
11.807
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.
49
23168
5
60
16.939
10.953
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.
378
22839
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.
145
23072
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.
145
23072
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.
379
22838
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.
379
22838
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.
379
22838
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.
379
22838
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.
63
23154
1
2
3
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.
379
22838
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.
379
22838
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.
379
22838
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.
379
22838
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?
125955
14010001
94321250
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
125955
1
2
3
4
5
6
7
8
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.
125917
,M
0I
5E
99
A
AA
AB
AC
AD
AE
AF
AG
AH
AI
AK
AL
AM
AN
AO
AP
AQ
AR
AS
AT
AU
AV
AX
AY
AZ
AÑ
B
BA
BE
BI
BL
BO
BR
BU
C
CA
CC
CE
CH
CI
CL
CO
CR
CU
CY
D
DA
DC
DE
DI
DL
DO
DR
DU
E
E3
EB
EC
ED
EF
EG
EH
EI
EJ
EL
EM
EN
EO
EP
ER
ES
ET
EU
EV
EW
EX
EY
EZ
FA
FC
FD
FE
FI
FL
FO
FR
FU
GA
GE
GI
GL
GO
GP
GR
GU
GW
HA
HC
HE
HI
HO
HU
I
IA
IB
IC
ID
IG
IJ
IL
IM
IN
IO
IP
IR
IS
IT
IU
IV
IX
IZ
IÑ
J
JA
JE
JH
JI
JL
JO
JS
JU
KA
KE
KI
KO
KR
L
LA
LE
LI
LL
LO
LU
LY
M
M.
MA
MC
ME
MI
MO
MR
MU
MY
N
N/
NA
NC
NE
NI
NO
NP
NR
NS
NT
NU
OA
OB
OC
OD
OE
OF
OH
OI
OJ
OL
OM
ON
OP
OR
OS
OT
OV
OY
OZ
PA
PE
PI
PL
PO
PR
PU
Pµ
QU
R
R/
RA
RB
RE
RH
RI
RN
RO
RU
S
S/
SA
SE
SF
SH
SI
SJ
SL
SM
SN
SO
SR
ST
SU
T
TA
TE
TH
TI
TO
TR
TU
TZ
U
UB
UC
UD
UF
UG
UI
UL
UM
UN
UP
UR
US
UT
UV
VA
VC
VE
VI
VL
VO
VU
WA
WE
WH
WI
WN
WU
XA
XI
XO
Y0
YA
YC
YD
YE
YI
YL
YO
YU
ZA
ZE
ZI
ZO
ZU
`U
ir
|A
|L
|M
}U
¥I
sex
sex
sex
sex
sex
Sex
125709
246
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.
125955
1
Date of birth Sibling 1
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.
124723
1232
99
18.786
33.467
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?
125345
610
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.
93834
32121
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.
117275
8680
99
45.789
24.634
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.
8039
117916
99
52.799
38.903
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.
5011
120944
80
23.99
19.846
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?
7202
118753
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.
243
125712
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.
37
125918
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.
37
125918
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
7937
118018
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.
1022
124933
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.
1007
124948
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.
972
124983
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.
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.
7810
118145
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.
7816
118139
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.
223
125732
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.
7788
118167
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.
343
125612
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.
338
125617
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.
7820
118135
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.
7823
118132
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.
7813
118142
1
Yes
5
No
Sysmiss