DDI_NPL_2010_MICS_v01_M Development Data Group 2013-01-17 NADA Version 01 (January 2013) Multiple Indicator Cluster Survey 2010 MICS 2010 NPL_2010_MICS_v01_M United Nations Children’s Fund Central Bureau of Statistics of Nepal NADA United Nations Children’s Fund Ashok Vaidya Nebin Lal Shrestha The World Bank Microdata Library Multiple Indicator Cluster Survey - Round 4 [hh/mics-4] The Multiple Indicator Cluster Survey, Round 4 (MICS4) is the forth round of MICS surveys, previously conducted around 1995 (MICS1), 2000 (MICS2), and 2005-2007 (MICS3). MICS was originally developed to support countries measure progress towards an internationally agreed set of goals that emerged from the 1990 World Summit for Children. The fourth round of Multiple Indicator Cluster Surveys (MICS4) is scheduled for 2009-2011 and survey results are expected to be available from 2010 onwards. MICS4 data allow countries to better monitor progress toward national goals and global commitments, including the Millennium Development Goals (MDGs) as the target year 2015 approaches. Information on more than 20 of the MDG indicators is being collected through MICS4, offering one of the largest single sources of data for MDG monitoring. MICS4 continues to address emerging issues and new areas of interest, with validated, standard methodologies in collecting relevant data. It also helps countries capture rapid changes in key indicators. - v01: Edited, anonymous datasets for public distribution. The Nepal Multiple Indicator Cluster Survey (NMICS) 2010 is a subnational survey of 7,372 women aged 15–49 years and 3,574 children under five from 6,000 households in the Mid- and Far Western Regions (MFWR) of Nepal. NMICS 2010 was implemented as part of the fourth round of the global MICS household survey programme with technical and financial support from UNICEF Nepal in collaboration with the Government of Nepal. The main purpose of NMICS 2010 is to support the government to generate statistically sound and comparable data for monitoring the situation of children and women in the MFWR of the country. NMICS 2010 covers topics related to nutrition, child health, water and sanitation, reproductive health, child development, literacy and education, child protection, HIV and AIDS, mass media and the use of information and communication technology, attitude towards domestic violence, the use of tobacco and alcohol, and life satisfaction. In addition, NMICS 2010 is the first survey in Nepal to provide baseline information on the prevalence of chaupadi (women who live in a separate house or animal shed during menstruation) in the MFWR and evidence on women’s life satisfaction. Nepal Mid- and Far- Western regions, both urban and rual areas. (Mid-Western Mountains, Mid-Western Hills, Mid-Western Terai, Far Western Mountains, Far Western Hills,and Far Western Terai) - individuals - households The survey covered all de jure household members (usual residents), all women aged between 15-49 years, and all children under 5 living in the household. Sample survey data [ssd] The scope of the Multiple Indicator Cluster Survey includes: - Household: household listing form, education, water and sanitation, household characteristics, child labour, de-worming (Nepal-specific module), child discipline, handwashing and salt iodisation. - Women: woman's background, access to mass media and use of information communication technology, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, attitudes toward domestic violence (Nepal-specific module), marriage/union, HIV/AIDS Tobacco and alcohol use and life satisfaction. - Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, malaria, immunization and child grant (Nepal-specific module). Central Bureau of Statistics of Nepal The primary objective of the sample design for NMICS 2010 was to produce statistically reliable estimates of most indicators at each of the six subregions: Mid-Western Mountains, Mid-Western Hills, Mid-Western Terai, Far Western Mountains, Far Western Hills and Far Western Terai. It also provides estimates in aggregate at urban and rural areas of the combined Mid- and Far Western Regions of Nepal. In subregions where urban areas exist, (i.e., four of six subregions), urban and rural areas were defined as the sampling strata. A two-stage, cluster sampling design was used for the selection of the survey sample. The target sample size for NMICS 2010 was calculated as 6,000 households. For the calculation of the sample size, the key indicator used was the comprehensive knowledge about the HIV transmission among women aged 15-49 years. The resulting number of households from this exercise was 1,000 households, which is the sample size needed in each subregion-thus yielding about 6,000 in total. The average number of households selected per cluster for NMICS 2010 was determined as 25 households, based on a number of considerations, including the design effect, intra-class correlation coefficient, the budget available, and the time that would be needed per team to complete one cluster. Dividing the total number of households by the number of sample households per cluster, it was calculated that 40 sample clusters would need to be selected in each subregion. Equal allocation of the total sample size to the six subregions was used. Therefore, 40 clusters were allocated to each subregion, with the final sample size calculated at 6,000 households (40 clusters * 6 subregions * 25 sample households per cluster). In each subregion, the clusters (primary sampling units) were distributed to urban and rural domains, proportional to the size of urban and rural households in that subregion. The sampling procedures are more fully described in "Nepal Multiple Indicator Cluster Survey 2010 - Final Report" pp.196-200. Face-to-face [f2f] The 2010 Nepal MICS used the standard MICS4 questionnaires and included several country-specif ic questions and modules. Three sets of questionnaires were used in the survey. Household questionnaires were administered to a knowledgeable adult living in the household. The household questionnaire includes household listing form, education, water and sanitation, household characteristics, child labour, de-worming (Nepal-specific module), child discipline, handwashing and salt iodisation. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. The questionnaire for children under 5 years of age was administered to mothers or caregivers of all children under 5 years of age living in the households. The women's questionnaire includes woman's background, access to mass media and use of information communication technology, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, attitudes toward domestic violence (Nepal-specific module), marriage/union, HIV/AIDS Tobacco and alcohol use and life satisfaction. The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, malaria, immunization and child grant (Nepal-specific module). Field workers were contracted for three months. Of 60 personnel recruited, 12 were males and the rest were females. The field personnel recruited formed a heterogeneous group in terms of age, caste/ethnicity and education. An 11-day residential training course was held on 19–29 September 2010 in Banepa, Kavrepalanchok District, near to Kathmandu. Trainees were organized into three groups, each containing 20 personnel. Each group consisted of interviewers, data editors and supervisors. Training was conducted in three parallel sessions, and included lectures on interviewing techniques and understanding of the questionnaire contents as well as mock interviews between trainees to gain practice on asking questions. The residential mode of training gave participants a good opportunity to become familiar with each other before working as a team during data collection in the field. Data were collected by 12 field teams. Each team consisted of a supervisor, three female interviewers and a data editor. On average, each team collected data from 20 clusters (enumeration areas). In total, 60 people worked in the field over a period of about two and half months. Fieldwork began in October 2010 and concluded in December 2010. There is one supervisor for each of the 12 data collection teams in the field. Sample weights were calculated and these were used in the subsequent analyses of the survey data. The major component of the weight is the reciprocal of the sampling fraction employed in selecting the number of sample households in that particular sampling stratum, from certain Primary Sampling Unit (PSU) within certain category. The sampling fraction is the product of probabilities of selection at every stage in each sampling stratum. A second component in the calculation of sample weights takes into account the level of nonresponse for the household and individual interviews. The adjustment for household non-response is equal to the inverse value of: RRh = Number of interviewed households in stratum h/ Number of occupied households listed in stratum h The non-response adjustment factors for women’s and under-5s’ questionnaires are applied to the adjusted household weights. Numbers of eligible women and under-5s were obtained from the roster of household members in the Household Questionnaire for households where interviews were completed. The design weights for the households were calculated by multiplying the above factors for each enumeration area. These weights were then standardized (or normalized), one purpose of which is to make the weighted sum of the interviewed sample units equal the total sample size at the subregional level. Normalization is performed by dividing the aforementioned design weights by the average design weight at the subregional level. The average design weight is calculated as the sum of the design weights divided by the unweighted total. A similar standardization procedure was followed in obtaining standardized weights for the women’s and under-5s’ questionnaires. The great majority of the adjusted (normalized) household weights were in the range of 0.3 to 2.0, but a few fell outside this range, usually because of large disparities between the original estimated size of a ward or segment and the actual size found during listing. Sample weights were appended to all datasets and analyses were performed by weighting each household, woman or under-5 with these sample weights. Data were entered using the CSPro software on four microcomputers by four data-entry operators and two data-entry supervisors. In order to ensure a high level of quality control, all questionnaires were double-entered and internal consistency checks were performed. Procedures and standard programmes developed under the global MICS4 programme and adapted to the Nepal questionnaires were used throughout. Data entry started in November 2010 and was completed in March 2011. Data were analysed using the Statistical Package for Social Sciences (SPSS) software programme, Version 18. The model syntax and tabulation plans developed by UNICEF were used for this purpose. Of the 6,000 households selected for the sample, 5,917 were found to be occupied. Of these, 5,899 were successfully interviewed, giving a household response rate of 99.7 percent. In interviewed households, 7,674 women (aged 15–49 years) were identified. Of these, 7,372 were successfully interviewed, yielding a response rate of 96.1 percent within interviewed households. In addition, 3,688 children under five were listed in the household questionnaire. Questionnaires were completed for 3,574 of these children, giving a response rate of 96.9 percent within interviewed households. Overall response rates of 95.8 percent and 96.6 percent are calculated for women’s and under-fives’ interviews, respectively. Response rates for households, women and children under five were similar (above 95 percent) between urban/rural areas and across all subregions. Sampling errors are a measure of the variability between the estimates from all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey data. The following sampling error measures are presented in this appendix for each of the selected indicators: • Standard error (se): Sampling errors are usually measured in terms of standard errors for particular indicators (means, proportions etc). Standard error is the square root of the variance of the estimate. The Taylor linearization method is used for the estimation of standard errors. • Coefficient of variation (se/r) is the ratio of the standard error to the value of the indicator, and is a measure of the relative sampling error. • Design effect (deff) is the ratio of the actual variance of an indicator, under the sampling method used in the survey, to the variance calculated under the assumption of simple random sampling. The square root of the design effect (deft) is used to show the efficiency of the sample design in relation to the precision. A deft value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a deft value above 1.0 indicates the increase in the standard error due to the use of a more complex sample design. • Confidence limits are calculated to show the interval within which the true value for the population can be reasonably assumed to fall, with a specified level of confidence. For any given statistic calculated from the survey, the value of that statistic will fall within a range of plus or minus two times the standard error (r + 2.se or r – 2.se) of the statistic in 95 percent of all possible samples of identical size and design. For the calculation of sampling errors from NMICS data, SPSS Version 18 Complex Samples module has been used. The results are shown in the tables that follow. In addition to the sampling error measures described above, the tables also include weighted and unweighted counts of denominators for each indicator. Sampling errors are calculated for indicators of primary interest, for the sub national level, for the subregions, and for urban and rural areas. One of the selected indicators is based on households, five are based on household members, 15 are based on women, and 15 are based on children under five. All indicators presented here are in the form of proportions. A series of data quality tables are available to review the quality of the data and include the following: - Age distribution of the household population - Age distribution of eligible and interviewed women - Age distribution of under-5s in household and under-5 questionnaires - Women's completion rates by socio-economic characteristics of households - Completion rates for under-5 questionnaires by socio-economic characteristics of households - Completeness of reporting - Observation of places for hand washing - Observation of women's health cards - Observation of under-5s birth certificates - Observation of vaccination cards - Presence of mother in the household and the person interviewed for the under-5 questionnaire - Selection of children age 2-14 years for the child discipline module - School attendance by single age The results of each of these data quality tables are shown in appendix D in document "Nepal Multiple Indicator Cluster Survey 2010 - Final Report" pp.224-233. Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Childinfo Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download Example, United Nations Children's Fund, Central Bureau of Statistics of Nepal. Nepal Multiple Indicator Cluster Survey (MICS) 2010, Ref. NPL_2010_MICS_v01_M. Dataset downloaded from [url] on [date]. 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. ch Data collected at the children's level (MICS Under Five Children's questionnaire modules: Under-five child information panel, Child's age, Birth registration, Early childhood development, Breastfeeding , Care of illness, Malaria, Immunization and Child grant (only for Humla, Jumla, Mugu, Kalikot and Dolpa of Karnali).) 3688 262 hh Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Child discipline, Hand washing and Salt iodization.) 5998 157 hl Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, Child Labour, De-worming.) 31753 61 wm Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Access to mass media and use of information/communication technology, Child mortality, Desire for last birth, Maternal and newborn health, Illness symptoms, Contraception, Unmet need, Attitudes toward domestic violence, Marriage/union, HIV/AIDS, Consumption of tobacco or alcoholic substances and Life satisfaction.) 7674 273 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 5998 1 240 120.498 69.299 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 5998 1 25 12.996 7.21 District District District District District 5998 52 75 52 Pyuthan 53 Rolpa 54 Rukum 55 Salyan 56 Dang 57 Banke 58 Bardiya 59 Surkhet 60 Dailekh 61 Jajarkot 62 Dolpa 63 Jumla 64 Kalikot 65 Mugu 66 Humla 67 Bajura 68 Bajhang 69 Acham 70 Doti 71 Kailali 72 Kanchanpur 73 Dadeldhura 74 Baitadi 75 Darchula Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and code number: Enter your own name and identification number provided to you at the time of training. 5998 1 36 18.099 10.333 Supervisor number Supervisor number Supervisor number Supervisor number Supervisor number Supervisor name and code number: Leave this space blank. The supervisor will later enter his/her name and number in the space provided. 5998 1 12 6.425 3.451 Day of interview Day of interview Day of interview Day of interview Day of interview Day / Month / Year of interv iew in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 5998 1 30 14.985 7.978 Month of interview Month of interview Month of interview Month of interview Month of interview Day / Month / Year of interv iew in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 5998 6 9 7.547 0.886 Year of interview Year of interview Year of interview Year of interview Year of interview Day / Month / Year of interv iew in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 5998 2067 2067 2067 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 5998 1 2 1 Urban 2 Rural Subregion Subregion Subregion Subregion Subregion Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 5998 41 53 41 Mid West Mountains 42 Mid West Hills 43 Mid West Terai 51 Far West Mountains 52 Far West Hills 53 Far West Terai Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 5998 1 2 1 Mid-Western 2 Far Western Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. 'Completed': If the Household Questionnaire is completed, circle '01'. 'No household member or no competent respondent at home at time of visit': If the dwelling is occupied, but no one is at home or if there is only a child at home or an adult member who is ill, deaf, or mentally incompetent and you have not been able to contact a more qualified member of the household after repeated visits, circle '02'. 'Entire household absent for extended period of time': If no one is at home and the neighbours say that no one will return for several days or weeks, circle '03'. 'Refused': If the household refuses to be interviewed, circle '04. 'Dwelling vacant / Address not a dwelling': If a dwelling assigned to you is unoccupied, that is, it is empty with no furniture and is not being lived in, this is what we call “vacant,” and you should circle '05'. Other times, you may find that a dwelling is not a residential unit. It is a shop, church, school, workshop, or some other type of facility that is not used as a living area. After making sure there are no residential units in back of or above the premises, circle '05' as the result for the visit. 'Dwelling destroyed': If the dwelling was burned down or was demolished in some other manner, circle '06'. 'Dwelling not found': If you are unable to find the dwelling even after asking people in the area whether they are familiar with the address or the name of the household head on listing forms, circle '07'. 'Other': If you have not been able to complete the Household Questionnaire for another reason, you should circle '96' and specify the reason in the space provided. Some examples of 'Other' codes might be: the household respondent is incapacitated; the questionnaire is partly completed. 5998 1 96 1 Completed 2 No household member or no competent respondent at home at ti 3 Entire household absent for extended time 4 Refused 5 Dwelling vacant / Address not a dwelling 6 Dwelling destroyed 7 Dwelling not found 96 Other Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire. 5899 99 1 18 99 Missing Number of HH members Number of HH members Number of HH members Number of HH members Number of HH members You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form. 5899 99 1 26 5.383 2.434 Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of women age 15-49; these are women eligible for interview with the Questionnaire for Individual Women. 5899 99 9 1.301 0.834 Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. 5899 99 9 1.25 0.812 Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. 5899 99 6 0.625 0.782 Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. 5899 99 6 0.606 0.77 Field editor Field editor Field editor Field editor Field editor Leave this space blank. The field editor of your team will later enter his/her name and number in the space provided when checking the completed household questionnaires. 5998 1 12 6.425 3.451 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data entry clerk will enter his/her name and number in the space provided. 5998 1 4 2.488 1.101 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 5899 99 5 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 5899 99 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 5899 99 5 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 5899 99 99 99 Missing Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. Note that you can only circle one response code. If the source varies by season, record the source for the season of the interview. If the response is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped to neighbour' circle '11', '12', or '13' respectively, and skip to WS6. If the response is 'Bottled water' circle '91' and continue to the next question. Note that the next question is only asked if the response to this question is 'Bottled water'. For all other responses, skip to WS3. 5899 99 11 96 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Handpump without platform 22 Tube well, Handpump with platform 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 91 Bottled water 96 Other 99 Missing Location of the drinking water source Location of the drinking water source Location of the drinking water source Location of the drinking water source Location of the drinking water source Where is drinking water source located? 5034 964 1 3 1 In own dwelling 2 In own yard / plot 3 Elsewhere 9 Missing Time (in minutes) to get drinking water and come back Time (in minutes) to get drinking water and come back Time (in minutes) to get drinking water and come back Time (in minutes) to get drinking water and come back Time (in minutes) to get drinking water and come back How long does it take to go there, stay in a queue, get drinking water, and come back? 3776 2222 1 998 997 No need to go to fetch water 998 DK 999 Missing Person collecting drinking water Person collecting drinking water Person collecting drinking water Person collecting drinking water Person collecting drinking water Who usually goes to this source to collect the water for your household? probe: Is this person under age 15? What sex? 3776 2222 1 9 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 7 No need to go to fetch water 8 DK 9 Missing Main source of water used for other purposes Main source of water used for other purposes Main source of water used for other purposes Main source of water used for other purposes Main source of water used for other purposes What is the main source of water used by your household for other purposes such as cooking and handwashing? This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question. Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water. 5899 99 11 99 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Handpump without platform 22 Tube well, Handpump with platform 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 91 Bottle/Jar water 96 Other 99 Missing Location of the water source Location of the water source Location of the water source Location of the water source Location of the water source Where is the water source for cooking and hand-washing located? This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question. 5041 957 1 3 1 In own dwelling 2 In own yard / plot 3 Elsewhere 9 Missing Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back How long does it take to go there, stay in a queue, get water for cooking and hand-washing, and come back? This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle. Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question. If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'. If the respondent does not know how long it takes, circle '998' and continue to the next question. 3757 2241 1 998 997 No need to go to fetch water 998 DK 999 Missing Person collecting water Person collecting water Person collecting water Person collecting water Person collecting water Who usually goes to this source to collect the water for cooking and hand-washing in your household? The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group. Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member. The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level. 3757 2241 1 4 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 7 No need to go to fetch water 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you do anything to the drinking water to make it safer to drink? Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8. 5899 99 1 8 1 Yes 2 No 8 DK 9 Missing Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 266 ? Missing A Boil Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 67 ? Missing B Add bleach / chlorine Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 142 ? Missing C Strain it through a cloth Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 228 ? Missing D Use water filter Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 4 ? Missing E Solar disinfection Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 14 ? Missing F Let it stand and settle Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 18 ? Missing X Other Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 2 ? Missing Z DK Store drinking water Store drinking water Store drinking water Store drinking water Store drinking water Do you store your drinking water? 5899 99 1 2 1 Yes 2 No 9 Missing Allowed to see container Allowed to see container Allowed to see container Allowed to see container Allowed to see container May I see the main container where you store drinking water? 4189 1809 1 2 1 Yes 2 No 9 Missing Observations: Container mouth Observations: Container mouth Observations: Container mouth Observations: Container mouth Observations: Container mouth Based on the observations of container's mouth, spigot and lid circle the appropriate response code. Interviewer should observe by him/herself and circle the appropriate response codes. 4028 1970 1 2 1 Wide mouth (>=10cm) 2 Narrow mouth (<10cm) 9 Missing Observations: Container spigot Observations: Container spigot Observations: Container spigot Observations: Container spigot Observations: Container spigot Based on the observations of container's mouth, spigot and lid circle the appropriate response code. Interviewer should observe by him/herself and circle the appropriate response codes. 4028 1970 1 2 1 Yes 2 No 9 Missing Observations: Container lid Observations: Container lid Observations: Container lid Observations: Container lid Observations: Container lid Based on the observations of container's mouth, spigot and lid circle the appropriate response code. Interviewer should observe by him/herself and circle the appropriate response codes. 4028 1970 1 2 1 Yes 2 No 9 Missing Container used only for storing drinking water Container used only for storing drinking water Container used only for storing drinking water Container used only for storing drinking water Container used only for storing drinking water Is this container used only for storing drinking water? 4189 1809 1 9 1 Yes 2 No 9 Missing Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. What kind of toilet facility do members of your household usually use? If necessary ask permission to observe the facility. The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members. It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module. If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given. Definitions of various types of toilet facilities are as follows: A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used). '11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater. '12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet. '13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal. '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location. '15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to. '21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark. '22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit. '23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected. '31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost. '41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal. '51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea). Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here. The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility. 5899 99 11 96 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place / Not sure / DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab / Open pit 31 Composting toilet 41 Bucket toilet 95 No facility, Bush, Field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this faciilty with others who are not members of your household? Circle the code corresponding to the response given. If 'No', go to the next module. 2703 3295 1 2 1 Yes 2 No 9 Missing Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public? The intention of this question is to understand whether the shared facility is only shared with other households (such as a neighbouring household) or whether the facility is open to the public. If it is a public facility, then circle '2' and skip to the next module. If '1' is circled, continue with WS11. 401 5597 1 2 1 Other households only (not public) 2 Public facility 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. How many households in total use this toilet facility, including your own household? The total number of households using this facility should include the household being interviewed. If less than ten households use this toilet facility, enter the number of households on the line provided. Circle '10' if ten or more households use this toilet facility. Note that '01' is not a valid response (since it means that this is the only household that uses the facility; if that is the case, you should go back to WS9 and correct the response there). Circle '98' for 'DK' ('Doesn't know'). 386 5612 2 98 98 DK 99 Missing Facility usable all hours of the day and night Facility usable all hours of the day and night Facility usable all hours of the day and night Facility usable all hours of the day and night Facility usable all hours of the day and night Can you use this facility at all hours of the day and night? 15 5983 1 2 1 Yes 2 No 9 Missing Religion of household head Religion of household head Religion of household head Religion of household head Religion of household head What is the religion of the head of this household? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 5899 99 1 97 1 Hindu 2 Buddhist 3 Islam 4 Kirat 5 Christian 6 Sikh 7 Jain 8 Bahai 96 Other religion 97 No religion 99 Missing Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head What is the mother tongue/native language of the head of this household? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 5899 99 1 99 1 Nepali 2 Maithali 3 Bhojpuri 4 Tharu (Dagaura/Rana) 5 Tamang 6 Newari 7 Magar 8 Awadhi 9 Wantawa 10 Gurung 11 Limbu 12 Bajeeka 13 Urdu 14 Rajbansi 15 Sherpa 16 Hindi 17 Chhamling 18 Santhali 19 Chepang 20 Danuwar 21 Jhangad/Dhangad 22 Sunuwar 23 Bangala 24 Marwadi/Rajsthani 25 Maaghi 26 Thami 27 Kulung 28 Dhimal 29 Aangika 30 Yakkha 31 Thulung 32 Sangpang 33 Bhujel/Khawas 34 Darai 35 Khaling 36 Kumal 37 Thakali 38 Chhantyal/Chhantel 39 Nepali sign language 40 Tibetean 41 Dumi 42 Jirel 43 Wambule/Umbule 44 Puma 45 Yelhmo 46 Nachhiring 47 Dura 48 Meche 49 Pahari 50 Lepcha/Lepchhe 51 Bote 52 Wahing 53 Koi/Kou 54 Raji 55 Hayu 56 Byansi 57 Yamphu/Yamphe 58 Ghale 59 Khariya 60 Chheling 61 Lohorung 62 Panjabi 63 Chainese 64 English 65 Mewahang 66 Sanskrit 67 Kaike 68 Rawat 69 Kishan 70 Churauti 71 Waram/Maramu 72 Tilung 73 Jero/Jirung 74 Dhungmali 75 Boria 76 Lingkhim 77 Kusunda 78 Sinhee 79 Koche 80 Hariyanawi 81 Magahi 82 Sam 83 Kurmi 84 Kagate 85 Doukha 86 Kuki 87 Chhintang 88 Mijo 89 Nagamese 90 Lohami 91 Asami 92 Sadhani 96 Other language 99 Missing Ethnic group of household head Ethnic group of household head Ethnic group of household head Ethnic group of household head Ethnic group of household head To what ethnic group does the head of this household belong? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 5899 99 1 999 1 Chhetri 2 Brahman (Hill) 3 Magar 4 Tharu 5 Tamang 6 Newar 7 Muslim 8 Kami 9 Yadav 10 Rai 11 Gurung 12 Damai/Dholi 13 Limbu 14 Thakuri 15 Sarki 16 Teli 17 Chamar/Harijan/Ram 18 Koire 19 Kurmi 20 Sannyasi 21 Dhanuk 22 Musahar 23 Dushadh/Paswan/Pasi 24 Sherpa 25 Sonar 26 Kewat 27 Brahman (Tarai) 28 Baniya 29 Gharti/Bhujel 30 Mallaha 31 Kalwar 32 Kumal 33 Hajam/Thakur 34 Kanu 35 Rajbansi 36 Sunuwar 37 Sudhi 38 Lohar 39 Tatma 40 Khatwe 41 Dhobi 42 Majhi 43 Nuniya 44 Kumhar 45 Danuwar 46 Chepang/Praja 47 Haluwai 48 Rajput 49 Kayastha 50 Badhai 51 Marwadi 52 Santhal/Satar 53 Dhangad/Jhangad 54 Bantar 55 Barai 56 Kahar 57 Gangai 58 Lodh 59 Rajbhar 60 Thami 61 Dhimal 62 Bhote 63 Bing/Binda 64 Bhendiyar/Gaderi 65 Nurang 66 Yakkha 67 Darai 68 Tajpuriya 69 Thakali 70 Chidimar 71 Pahari 72 Mali 73 Bangali 74 Chhantel 75 Dom 76 Kamar 77 Bote 78 Brahmu/Baramu 79 Gaine 80 Jerel 81 Aadibasi/Janajati 82 Dura 83 Churaute 84 Badi 85 Meche 86 Lepcha 87 Halkhor 88 Panjabi/Sikh 89 Kisan 90 Raji 91 Byangsi 92 Hayu 93 Koche 94 Dhuniya 95 Walung 96 Jain 97 Munda 98 Raut 99 Hyalhmo 100 Pattharkatta/Kuswadiya 101 Kusunda 102 Other Dalit 996 Other ethnic group 999 Missing Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping How many rooms in this household are used for sleeping? This information provides a measure of how crowded the house is, and reflects the socio-economic condition of the household. A room in this case refers to a special area with a permanent partition that is used for sleeping. It is not necessarily the number of rooms in the household that are called 'bedrooms', but rather how many rooms get used for sleeping on a regular basis. Exclude rooms that are used only for sleeping by visitors to the household, but include those rooms that may not be regular 'bedrooms' but may be regularly used by one or more of the household members for sleeping. Enter the number of rooms in this household that are used for sleeping. 5899 99 1 99 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Record observation. Circle the correct code for the material of the floor, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space). 5899 99 11 96 11 Earth / sand 21 Wood planks 22 Palm / Bamboo 33 Ceramic tiles 34 Cement 35 Carpet 36 TAAT 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Record observation. Circle the correct code for the material of the roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space). 5899 99 12 96 12 Thatch / Palm leaf 13 Sod 21 Rustic mat 23 Wood planks 31 Metal 32 Wood 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Record observation. Circle the correct code for the material of the exterior walls, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the walls at different parts of the household, record the main wall material (the material that covers the largest amount of wall space). 5899 99 11 96 11 No walls 21 Bamboo with mud 22 Bricks or stone with mud 23 Raw bricks 24 Plywood 27 Thatch with mud 28 Plastic covered 29 Mud 31 Cement plaster 32 Bricks or stone with cement 34 Cement blocks 96 Other 99 Missing Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Information on the type of fuel used for cooking is collected as another measure of the socio-economic status of the household. The use of some cooking fuels can also have adverse health consequences. Circle the code corresponding to the answer given. Remember that this question asks about fuel for cooking, not fuel for heating or lighting. If the household uses more than one fuel for cooking, find out which type of fuel is used most often. If electricity, liquid propane gas (LPG), natural gas, biogas or kerosene is mainly used, circle '01', '02', '03', '04', or '05', respectively, and skip to HC8. There might be cases when no cooking is done in the household. In this case, circle '95' and skip to HC8. If any fuel other than the pre-coded ones is reported as being the main fuel used for cooking, circle '96' and specify the type of fuel on the line provided. Definitions of some of the types of fuel are as follows: 'Biogas' includes gases produced by fermenting manure in an enclosed pit. 'Lignite' is a derivative of coal that produces more smoke when burned but produces less heat than coal. 5899 99 1 96 1 Electricity 2 Liquefied Petroleum Gas (LPG) 4 Biogas 5 Kerosene 8 Fire Wood 9 Straw / Shrubs / Grass 10 Animal dung / briquette 11 Agricultural crop residue 95 No food cooked in household 96 Other 99 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the same house, in a separate building, or outdoors? If “In the house“, probe: Is it done in a separate room used as a kitchen? Circle the code corresponding to the response given. Circle '1' if the cooking is done in a separate room designated as a kitchen. Circle '2' if the cooking is done in an area used for living, sitting, sleeping, and not in a separate kitchen or building. Circle '3' if the cooking is done in another building and '4' only if the cooking is usually done outdoors. If a response is given other than the pre-coded ones, circle '6' and specify the cooking place on the line provided. The answers to the following two questions on ownership of certain items will be used as an approximate measure of the socio-economic status of the household. 5895 103 1 9 1 In a separate room used as kitchen 2 Elsewhere in the house 3 In a separate building 4 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Electricity? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: A radio? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: A television? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Landline phone Landline phone Landline phone Landline phone Landline phone Does your household have: A non-mobile telephone? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: A refrigerator? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Improved Cooking Stove Improved Cooking Stove Improved Cooking Stove Improved Cooking Stove Improved Cooking Stove Does your household have: An improved cooking stove (ICS)? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Table Table Table Table Table Does your household have: Table? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Chair Chair Chair Chair Chair Does your household have: Chair? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Cot/Bed Cot/Bed Cot/Bed Cot/Bed Cot/Bed Does your household have: Bed/cot? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Sofa set Sofa set Sofa set Sofa set Sofa set Does your household have: Sofa? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Cupboard Cupboard Cupboard Cupboard Cupboard Does your household have: Wardrobe? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer Does your household have: Computer? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Wall clock Wall clock Wall clock Wall clock Wall clock Does your household have: Wall clock? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Electric fan Electric fan Electric fan Electric fan Electric fan Does your household have: Electric fan? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Dhiki/Jato Dhiki/Jato Dhiki/Jato Dhiki/Jato Dhiki/Jato Does your household have: Dhiki/Jato? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Microwave oven Microwave oven Microwave oven Microwave oven Microwave oven Does your household have: Microwave oven? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Washing machine Washing machine Washing machine Washing machine Washing machine Does your household have: Washing machine? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 5899 99 1 2 1 Yes 2 No 9 Missing Watch Watch Watch Watch Watch Does any member of your household own: A watch? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Mobile telephone Mobile telephone Mobile telephone Mobile telephone Mobile telephone Does any member of your household own: A mobile telephone? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Bicycle or Rickshaw Bicycle or Rickshaw Bicycle or Rickshaw Bicycle or Rickshaw Bicycle or Rickshaw Does any member of your household own: A bicycle/ rickshaw? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: A motorcycle or scooter? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: An animal-drawn cart? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Car or truck or bus or Jeep Car or truck or bus or Jeep Car or truck or bus or Jeep Car or truck or bus or Jeep Car or truck or bus or Jeep Does any member of your household own: A car/truck/bus/jeep? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Tractor Tractor Tractor Tractor Tractor Does any member of your household own: A tractor? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 1 2 1 Yes 2 No 9 Missing Boat Boat Boat Boat Boat Does any member of your household own: A boat? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 5899 99 2 2 1 Yes 2 No 9 Missing Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Do you or someone living in this household own this dwelling or is it rented or have any other arrangement? Note that the question pertains to the situation at the time of interview. If the respondent or anyone else living in the household owns the dwelling, circle '1' and continue with the next question. If the answer is 'No' then ask Do you rent this dwelling from someone not living in this household? If the dwelling is rented, circle '2'. If the household lives in the dwelling without paying rent, if the household is squatting (occupied illegally), or if there is another arrangement, circle '6'; probe if the dwelling is not owned or rented by a household member. 5899 99 1 6 1 Own 2 Rent 6 Other (not owned or rented) 9 Missing Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Does any member of this household own any land that can be used for agriculture? Agricultural land refers to land that is used for growing crops (the crops may be food for people, food for animals, or other non-food crops), raising animals, and grazing animals. In answering this question, common land used to graze animals but not owned by the household should not be included. Circle the code corresponding to the response given. If 'No', skip to HC13. Note that the land in question may be far away, even in another country. Accept such answers as “Yes”. 5899 99 1 2 1 Yes 2 No 9 Missing Ropani Ropani Ropani Ropani Ropani How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 400 990 990 or more 998 DK 999 Missing Anna Anna Anna Anna Anna How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 15 98 DK 99 Missing Paisa Paisa Paisa Paisa Paisa How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 8 8 DK 9 Missing Bigha Bigha Bigha Bigha Bigha How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 31 990 990 or more 998 DK 999 Missing Katha Katha Katha Katha Katha How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 19 98 DK 99 Missing Dhur Dhur Dhur Dhur Dhur How much area of agricultural land do members of this household own? Record the total number of hectares of land owned by all members of the household that can be used for agriculture. 5365 633 18 98 DK 99 Missing Household own any animals Household own any animals Household own any animals Household own any animals Household own any animals Does this household own any livestock, herds, other farm animals or poultry? Circle the code corresponding to the response given. If 'No', skip to HC15. 5899 99 1 2 1 Yes 2 No 9 Missing Cow/Ox Cow/Ox Cow/Ox Cow/Ox Cow/Ox How many (livestock) does this household have? Cow/Ox? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 18 95 95+ 98 DK 99 Missing Yak Yak Yak Yak Yak How many (livestock) does this household have? Yak/Nak/Chauri Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 23 95 95+ 98 DK 99 Missing Buffalo Buffalo Buffalo Buffalo Buffalo How many (livestock) does this household have? Male/female buffalo Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 11 95 95+ 98 DK 99 Missing Goat/Sheep Goat/Sheep Goat/Sheep Goat/Sheep Goat/Sheep How many (livestock) does this household have? Goats/Tibetan goat Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 80 95 95+ 98 DK 99 Missing Lamb Lamb Lamb Lamb Lamb How many (livestock) does this household have? Sheep Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 80 95 95+ 98 DK 99 Missing Pigs/Swines Pigs/Swines Pigs/Swines Pigs/Swines Pigs/Swines How many (livestock) does this household have? Pigs/Swines Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 14 95 95+ 98 DK 99 Missing Horse, Ass or Mules Horse, Ass or Mules Horse, Ass or Mules Horse, Ass or Mules Horse, Ass or Mules How many (livestock) does this household have? Horses, Ass, Mules? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 14 95 95+ 98 DK 99 Missing Chicken/Ducks/Pigeons Chicken/Ducks/Pigeons Chicken/Ducks/Pigeons Chicken/Ducks/Pigeons Chicken/Ducks/Pigeons How many (livestock) does this household have? Chickens/Ducks/Pigeons Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 95 95 95+ 98 DK 99 Missing Other animals Other animals Other animals Other animals Other animals How many (livestock) does this household have? Other animals Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 20 95 95+ 98 DK 99 Missing Other birds Other birds Other birds Other birds Other birds How many (livestock) does this household have? Other poultry Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 5280 718 2 95 95+ 98 DK 99 Missing Any household member own bank account Any household member own bank account Any household member own bank account Any household member own bank account Any household member own bank account Does any member of this household have an account in any bank or financial institution? Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given. 5899 99 1 9 1 Yes 2 No 8 DK 9 Missing Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total number of children age 2–14 years Count the number of children and record the total number of children aged 2-14 years in the box provided. If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child. If there is more than one eligible child on the list, go on to fill in Table 2. 4722 1276 1 9 2.439 1.263 Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Record the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions. 4722 1276 1 8 1.705 0.98 Child line number Child line number Child line number Child line number Child line number Write the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8. Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page. 4722 1276 1 16 97 Inconsistent Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number 4722 1276 1 2 1 Correct child selected 2 Incorrect child selected Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges In the past one month, took away privileges, forbade something (name) liked or did not allow him/her to leave house? 'Privileges' means a right or a benefit that is not available to everyone. As children get older, parents/caretakers often extend privileges not available to a very young child. If you must explain what this question means, first try by asking each prompting question separately. If you need to give examples, try to phrase these questions appropriately for the child's age. “Did you (or someone else in the household) forbid (name) from leaving the house or from going outside for a time? Did you (or someone else in the household) prohibit (name) from doing something he/she usually does, such as playing with friends or watching TV?” For a young child, you might include such things as 'forbidding him/her to have sweets', etc. 4722 1276 1 2 1 Yes 2 No 9 Missing Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong In the past one month, explained why (name)'s behavior was wrong? When a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire. 4722 1276 1 2 1 Yes 2 No 9 Missing Shook child Shook child Shook child Shook child Shook child In the past one month, shook (name)? Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child. 4722 1276 1 2 1 Yes 2 No 9 Missing Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child In the past one month, shouted, yelled at or screamed at (name)? Parents/caretakers may raise their voice when a child does something they consider wrong. 4722 1276 1 2 1 Yes 2 No 9 Missing Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do In the past one month, gave (name) something else to do? This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.” 4722 1276 1 2 1 Yes 2 No 9 Missing Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand In the past one month, spanked, hit or slapped (name) on the bottom with bare hand? Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 4722 1276 1 2 1 Yes 2 No 9 Missing Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick In the past one month, hit (name) on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object? Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days. 4722 1276 1 2 1 Yes 2 No 9 Missing Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name In the past one month, called (name) dumb, lazy or another name like that? Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 4722 1276 1 2 1 Yes 2 No 9 Missing Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears In the past one month, hit or slapped (name) on the face, head or ears. This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20. 4722 1276 1 2 1 Yes 2 No 9 Missing Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg In the past one month, hit or slapped (name) on the hand, arm or leg. This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s). 4722 1276 1 2 1 Yes 2 No 9 Missing Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could In the past one month, beat (name) up, that is hit him/her over and over as hard as one could? Circle the code corresponding to the response given. 4722 1276 1 2 1 Yes 2 No 9 Missing Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. The question asks the respondent for her/his own opinion of whether it is necessary to use physical punishment when teaching a child to behave properly. Do not be surprised if a respondent who has indicated that she/he has used physical punishment says that she/he does not believe in such punishment. If the respondent states that she/he has no opinion on this or that she/he does not know, circle '8'. 4722 1276 1 8 1 Yes 2 No 8 Don't know / No opinion 9 Missing Important to wash your hands: Before eating Important to wash your hands: Before eating Important to wash your hands: Before eating Important to wash your hands: Before eating Important to wash your hands: Before eating Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 5232 ? Missing A Before eating Important to wash your hands: After eating Important to wash your hands: After eating Important to wash your hands: After eating Important to wash your hands: After eating Important to wash your hands: After eating Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 4782 ? Missing B After eating Important to wash your hands: Before praying/worship Important to wash your hands: Before praying/worship Important to wash your hands: Before praying/worship Important to wash your hands: Before praying/worship Important to wash your hands: Before praying/worship Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 204 ? Missing C Before praying/worship Important to wash your hands: Before breastfeeding or feeding child Important to wash your hands: Before breastfeeding or feeding child Important to wash your hands: Before breastfeeding or feeding child Important to wash your hands: Before breastfeeding or feeding child Important to wash your hands: Before breastfeeding or feeding child Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 137 ? Missing D Before breastfeeding or feeding child Important to wash your hands: Before cooking or preparing food Important to wash your hands: Before cooking or preparing food Important to wash your hands: Before cooking or preparing food Important to wash your hands: Before cooking or preparing food Important to wash your hands: Before cooking or preparing food Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 935 ? Missing E Before cooking or preparing food Important to wash your hands: After defeacation/urination Important to wash your hands: After defeacation/urination Important to wash your hands: After defeacation/urination Important to wash your hands: After defeacation/urination Important to wash your hands: After defeacation/urination Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 4363 ? Missing F After defeacation/urination Important to wash your hands: After washing child after defeacation Important to wash your hands: After washing child after defeacation Important to wash your hands: After washing child after defeacation Important to wash your hands: After washing child after defeacation Important to wash your hands: After washing child after defeacation Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 298 ? Missing G After washing child after defeacation Important to wash your hands: When hands are dirty Important to wash your hands: When hands are dirty Important to wash your hands: When hands are dirty Important to wash your hands: When hands are dirty Important to wash your hands: When hands are dirty Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 4173 ? Missing H When hands are dirty Important to wash your hands: After cleaning toilet or potty Important to wash your hands: After cleaning toilet or potty Important to wash your hands: After cleaning toilet or potty Important to wash your hands: After cleaning toilet or potty Important to wash your hands: After cleaning toilet or potty Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 274 ? Missing I After cleaning toilet or potty Important to wash your hands: Others Important to wash your hands: Others Important to wash your hands: Others Important to wash your hands: Others Important to wash your hands: Others Please mention all the occasions when is it important to wash your hands. Circle all mentioned. ? Missing X Others Important to wash your hands: DK Important to wash your hands: DK Important to wash your hands: DK Important to wash your hands: DK Important to wash your hands: DK Please mention all the occasions when is it important to wash your hands. Circle all mentioned. 515 ? Missing X Z DK Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Please show me where members of your household most often wash their hands. You will begin by asking whether you may see the place where household members most often wash their hands. If the respondent agrees and you observe the facility, circle '1'. If there is no specific place in dwelling, plot, or yard, circle '2' and skip to HW4. If there is a place but permission is not granted to see it, circle '3'and skip to HW4. If the place used for handwashing is not observed for any other reason, circle '6' and skip to HW4. In many cultures and crowded slum areas there may not be a designated place for hand-washing. Rather a movable object is used, like a bucket, basin, container or kettle, for people to wash or rinse their hands. Recording where such movable object is usually used for hand washing is important. 5899 99 1 6 1 Observed 2 Not in dwelling/plot/yard 3 No permission to see 6 Other reason 9 Missing Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing In HW2, you will observe whether there is water available at the place used for handwashing. If there is a tap or pump at the specific place for handwashing, open the tap or operate the pump to see if water is coming out. If there is a bucket, basin or other type of water container, examine to see whether water is present in the container. If you learn that the water is temporarily not available at the specific place for handwashing, code it as water not available ('2') but take a note of this at the end of the questionnaire. 5459 539 1 2 1 Water is available 2 Water is not available 9 Missing Distance between toilet and handwashing place Distance between toilet and handwashing place Distance between toilet and handwashing place Distance between toilet and handwashing place Distance between toilet and handwashing place Check the distance of the handwashing place from the toilet in paces and circle appropriate code. 5459 539 1 2 1 Within 10 paces 2 More than 10 paces 9 Missing Bar soap Bar soap Bar soap Bar soap Bar soap Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 2616 ? Missing A Bar soap Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 92 ? Missing B Detergent (Powder / Liquid / Paste) Liquid soap Liquid soap Liquid soap Liquid soap Liquid soap Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 6 ? Missing C Liquid soap Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 1306 ? Missing D Ash / Mud / Sand None None None None None Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 1884 ? Missing Y None Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Do you have any soap or detergent or other locally used cleansing agent in your household for washing hands? 2324 3674 1 2 1 Yes 2 No 9 Missing Bar soap Bar soap Bar soap Bar soap Bar soap Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 1092 ? Missing A Bar soap Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 32 ? Missing B Detergent (Powder / Liquid / Paste) Liquid soap Liquid soap Liquid soap Liquid soap Liquid soap Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. ? Missing C Liquid soap Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Ash/Mud/Sand Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 780 ? Missing D Ash / Mud / Sand Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 15 ? Missing Y Not able / Does not want to show Type of salt used at home Type of salt used at home Type of salt used at home Type of salt used at home Type of salt used at home What type of salt do you usually use at home? Could you show me the salt you regularly use for cooking? Observe the salt in use in the household; if packed salt is used and if packet is available at home, check if it has the mark of a girl and a boy child or not and tick the appropriate answer. 5899 99 1 9 1 Large crystal salt 2 Loose powder salt 3 Packaged powder salt with logo 4 Packaged powder salt without logo 5 Tibetan salt 6 Other 9 Missing Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome We would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household? Ask for a sample of the salt usually used for cooking in the household, and perform the test on this sample of salt. Once you have a sample of salt, perform the test as described below and circle the code that corresponds to the test outcome. Circle '1' if the test is negative (0 parts per million/no colour - not iodized). Circle '2' if the test shows more than 0 but less than 15 parts per million iodine (weak colour). Circle '3' if the test is positive (15 parts per million or more, strong colour). Circle '6' if there is 'No salt in home'. Circle '7' if the salt was present, but not tested for any reason. Use the provided salt test kit to test the iodine content in the salt sample. The salt testing kits contain small 10 ml bottles with a stabilized starch-based solution. Each kit is sufficient for testing at least 100 samples of salt. One to two drops of the solution dripped on a small amount of salt containing iodine produces a blue/purple colour change. Coloration indicates that iodine is present. Below follows a brief description of the basic steps to test for iodate content in salt, the most common fortificant. The same basic principles also apply when testing for iodide content in salt, with the main difference being that no re-check solution will be needed with that type of salt. 1. Put a small amount of salt (about a teaspoon or less) on a white piece of paper. Make a small pile and flatten the top. 2. Add 1-2 drops of test solution and check the result immediately in good light, using the colour chart supplied with the test kit. 3. When no colour appears (suspected alkalinity in the salt sample); on a fresh sample of salt, add up to 5 drops of the re-check solution supplied with the kit and then add 2 drops of test solution on the same spot and compare to the colour chart. 4. When you have compared to the colour chart, circle on the questionnaire the code that corresponds to the test outcome. 5899 99 1 9 1 Not iodized 0 PPM 2 More than 0 PPM and less than 15 PPM 3 15 PPM or more 6 No salt in the household 7 Salt not tested 9 Missing Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head 5899 99 1 2 1 Male 2 Female 9 Missing Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 5899 99 1 999 1 Chhetri 2 Brahman (Hill) 3 Magar 4 Tharu 5 Tamang 6 Newar 7 Muslim 8 Kami 9 yadav 10 Rai 11 Gurung 12 Damai/Dholi 13 Limbu 14 Thakuri 15 Sarki 16 Teli 17 Chamar/Harijan/Ram 18 Koire 19 Kurmi 20 Sannyasi 21 Dhanuk 22 Musahar 23 Dushadh/Paswan/Pasi 24 Sherpa 25 Sonar 26 Kewat 27 Brahman (Terai) 28 Baniya 29 Gharti/Bhujel 30 Mallaha 31 Kalwar 32 Kumal 33 Hajam/Thakur 34 Kanu 35 Rajbansi 36 Sunuwar 37 Sudhi 38 Lohar 39 Tatma 40 khatwe 41 Dhobi 42 Majhi 43 Nuniya 44 Kumhar 45 Danuwar 46 Chepang/Praja 47 Haluwai 48 Rajput 49 Kayastha 50 Badhai 51 Marwadi 52 Santhal/Satar 53 Dhangad/Jhangad 54 Bantar 55 Barai 56 kahar 57 Gangai 58 Lodh 59 Rajbhar 60 Thami 61 Dhimal 62 Bhote 63 Bing/Binda 64 Bhendiyar/Gaderi 65 Nurang 66 Yakkha 67 Darai 68 Tajpuriya 69 Thakali 70 Chidimar 71 pahari 72 Mali 73 Bangali 74 Chhantel 75 Dom 76 Kamar 77 Bote 78 Brahmu/Baramu 79 Gaine 80 Jerel 81 Aadibasi/janjati 82 Dura 83 Churaute 84 Badi 85 Meche 86 Lepcha 87 Halkhor 88 Panjabi/Sikh 89 kisan 90 Raji 91 Byangsi 92 Hayu 93 Koche 94 Dhuniya 95 Walung 96 Jain 97 Munda 98 Raut 99 Hyalhmo 100 Pattharkatta/Kuswadiya 101 Kusunda 102 Other Dalit 996 Other caste/ethnic group Education of household head Education of household head Education of household head Education of household head Education of household head 5899 99 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 5998 -0.956 4.744 -5.63e-18 0.992 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 5998 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 5998 5899 1 240 120.498 124.228 69.299 66.164 Strata Strata Strata Strata Strata 5998 1 10 5.874 2.766 Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 5998 6.972 0.983 0.87 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 31753 31259.781 1 240 119.33 125.264 70.208 67.199 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 31753 1 25 12.935 7.207 District District District District District 31753 52 75 52 Pyuthan 53 Rolpa 54 Rukum 55 Salyan 56 Dang 57 Banke 58 Bardiya 59 Surkhet 60 Dailekh 61 Jajarkot 62 Dolpa 63 Jumla 64 Kalikot 65 Mugu 66 Humla 67 Bajura 68 Bajhang 69 Acham 70 Doti 71 Kailali 72 Kanchanpur 73 Dadeldhura 74 Baitadi 75 Darchula Line number Line number Line number Line number Line number This is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household, but you do not need to fill in or do anything in this column since the numbers are already provided. This is a very important number since, once household members are assigned these line numbers after the Household Listing Form is completed, all members are identified with these line numbers throughout the questionnaires administered in this household. Probe for additional household members. Probe especially for any infants or small children not listed, and others who may not be members of the family (such as servants, friends) but who usually live in the household. Insert names of additional members in the household list and complete form accordingly. 31753 1 26 3.742 2.484 Relationship to the head Relationship to the head Relationship to the head Relationship to the head Relationship to the head What is the relationship of (name) to the head of the household? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Enter the code corresponding to how the person listed is related to the head of the household. Use the codes at the bottom of the Household Listing Form. Be particularly careful in doing this if the respondent is not the head of the household. Make sure that you record the relationship of each person to the household head, not the relationship to the respondent. For example, if the respondent is the wife of the head of the household and she says that Sola is her brother, then Sola should be coded as '09' ('Brother-in-law / Sister-in-law'), not as '08' ('Brother / Sister'), because Sola is a brother-in-law of the head of the household. Be very careful in obtaining this information correctly, since respondents tend to provide the relationship of the person to themselves, rather than to the head of the household. If the head of the household is married to a woman who has a child from a previous marriage, that child's relationship to the head of the household should be coded as '13' ('Adopted/foster/stepchild'). If a household member is not related to the head of household, such as a friend who lives with the household, enter '14' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household. 31753 1 98 1 Head 2 Wife / Husband 3 Son / Daughter 4 Son-In-Law / Daughter-In-Law 5 Grandchild 6 Parent 7 Parent-In-Law 8 Brother / Sister 9 Brother-In-Law / Sister-In-Law 10 Uncle / Aunt 11 Niece / Nephew 12 Other relative 13 Adopted / Foster / Stepchild 14 Not related (except household servant) 15 Co-wife 16 Household servant 97 Inconsistent 98 Don't know 99 Missing Sex Sex Sex Sex Sex Is (name) male or female? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc. 31753 1 2 1 Male 2 Female 9 Missing Month of birth Month of birth Month of birth Month of birth Month of birth What is (name)’s date of birth? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. If the respondent knows the date of birth for the member of the household, record the answer in months and year. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', and so on. If the respondent does not know the month of birth, enter the code '98' for 'Don't know month' and ask for the year of birth. Try to obtain at least the year of birth. If year is still unknown, enter '9998'. 31753 1 99 98 DK 99 Missing Year of birth Year of birth Year of birth Year of birth Year of birth What is (name)’s date of birth? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. If the respondent knows the date of birth for the member of the household, record the answer in months and year. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', and so on. If the respondent does not know the month of birth, enter the code '98' for 'Don't know month' and ask for the year of birth. Try to obtain at least the year of birth. If year is still unknown, enter '9998'. 31753 1972 9999 9998 DK 9999 Missing Age Age Age Age Age How old is (name)? Enter each person's age in completed years, that is, his/her age at his/her last birthday. Completed age is also defined as 'the number of completed years since birth'. With this definition, since a 6-month-old baby has not completed a full year, his/her age will be entered as '00'. Note that you will be obtaining more accurate estimates of children's ages later. This column should never be left blank. Even after you have probed and asked all the necessary information from the respondent and you still have difficulty obtaining the ages of elderly members of the household, you may enter the code '98', meaning 'Doesn't know/over age 50'. For household members younger than 50, completed ages must be entered. However, you should still indicate, with a note, what age range the person in question might be, so that your editor or supervisor can have an idea of the eligibility of the person to administer the individual questionnaires. If the age of the member of the household is 95 or higher enter the code '95' for all such cases. 31753 99 95 95+ 98 DK 99 Missing Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information. Circle the line number in this column if the household member is a woman 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent. 31753 26 Not eligible Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Who is the mother or primary caretaker of (name)? If the household member is a child between 5 and 14 years of age (this includes those age 5 and age 14), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. 31753 99 Not eligible 99 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information. Who is the mother or primary caretaker of (name)? If the household member is a child under the age of five (this includes those just born and those age 4, but not children who have completed 5 years of age), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. Later, you will be interviewing the person you are recording her/his line number here about the child you are collecting information. 31753 22 Not eligible Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is (name)’s natural mother alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. By 'natural' we mean the biological mother. In many cultures, people consider other people's children whom they are raising as their own, especially children of their husband or sisters, etc. You should be certain that the respondent understands that you are asking about the woman who gave birth to the child. Record whether or not the child's natural mother is still alive by circling the code corresponding to the response given. If the child's natural mother is not alive or if the respondent does not know, skip to HL13. Otherwise, continue to the question in the next column. 14903 16850 1 9 1 Yes 2 No 8 DK 9 Missing Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Does (name)’s natural mother live in this household? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. If the natural mother is still alive, we want to know whether she lives in the household. If the mother does live in the household, ask who she is (she should be listed in the Household Listing Form if she lives in the household) and record her line number in the space provided. If the mother is not a member of the household (not listed in the Household Listing Form), record '00'. 14527 17226 22 Not stay in this household 97 Inconsistent 99 Missing Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is (name)’s natural father alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 14903 16850 1 9 1 Yes 2 No 8 DK 9 Missing Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Does (name)’s natural father live in this household? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 14206 17547 21 Not stay in this household 97 Inconsistent 99 Missing Line number Line number Line number Line number Line number For household members age 5 and above, ask ED1-ED8: This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 31753 1 26 3.742 2.484 Able to read and write Able to read and write Able to read and write Able to read and write Able to read and write Does (name) know to read and write? 28065 3688 1 9 1 Read and write 2 Read only 3 Cannot read and write 9 Missing Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Has (name) ever attended school or pre-school? For household members age 5 and above, ask ED1-ED8: Circle '1' if the answer is 'Yes' and continue with question ED4A. If the answer is 'No', circle '2' and go to the household member on the next line. The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work. Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school. 'Preschool' is listed for children who do not attend grade 1, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered part of the school system. The definition of organized early learning programme does not refer to programmes offering only babysitting or child-minding. 28065 3688 1 9 1 Yes 2 No 9 Missing Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed? For household members age 5 and above, ask ED1-ED8: Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B. Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5. Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank. For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period). 18105 13648 99 Pre-primary 1 Class 1 2 Class 2 3 Class 3 4 Class 4 5 Class 5 6 Class 6 7 Class 7 8 Class 8 9 Class 9 10 Class 10 11 SLC 12 Plus 2 13 Bachelor 14 Master 15 PH.D. 97 Inconsistent 98 DK 99 Missing Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) During the current school year 2067, did (name) attend any preschool, school or college at any time? For household members age 5 and above, ask ED1-ED8: Circle the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No', skip to ED7. If the interview is carried out during the school year, then the question should be worded to refer to the current school year. If the interview is carried out between school years, then the question should refer to the last school year that has ended. Take the example of a country where the school year ends in June and the new school year begins in September: If the interview is carried out in July 2012 (between school years), then the question should refer to the 2011-2012 school year; if the interview is carried out in October 2012 (during the new school year), then the question should refer to the 2012-2013 school year. 13204 18549 1 9 1 Yes 2 No 9 Missing Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year During school year 2067, which grade is/was (name) attending? For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 11365 20388 98 97 Inconsistent 98 DK 99 Missing Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) During the previous school year, that is 2066 did (name) attend any preschool, school or college at any time? For household members age 5 and above, ask ED1-ED8: If the child attended school at any time during the last school year, circle '1'. If the answer is 'No' or 'DK', circle the appropriate code and go to the household member on the next line. 13204 18549 1 9 1 Yes 2 No 8 DK 9 Missing Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year During the previous school year 2066, which grade did (name) attend? For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person. 10843 20910 99 97 Inconsistent 98 DK 99 Missing Line number Line number Line number Line number Line number This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 31753 1 26 3.742 2.484 Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member During the past 7 days, did (name) do any kind of work for someone who is not a member of this household? 'Pay' refers to any compensation for work, including cash or goods or services provided to the child or his family. 'The past week' refers to the 7 days preceding the interview day (not counting the interview day). Note that the person indicated - someone who is not a member of this household - may be a relative or a family member who lives in a different household. If the answer is 'Yes', ask if the work was done for pay in cash or kind. Circle '1' if work was done for pay in cash or kind. Circle '2' if work was not done for any form of pay. If '1' or '2' is circled, continue to the next question. If no work was done by that child in the past week, circle '3' and skip to CL5. 9180 22573 1 3 1 Yes, for pay 2 Yes, unpaid 3 No 9 Missing Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member During the past 7 days, about how many hours did (name) do this work for someone who is not a member of this household? Record the estimated number of hours the child spent doing work in the past 7 days and continue with CL5. If less than 1 hour, record 00. Make sure the respondent understands what you mean by “since last (day of the week)” - specify the name of today's weekday, as you did in the Education Module. If the child works more than one such job, include the total hours spent doing such work in all jobs. 910 30843 99 Less than one hour 98 DK 99 Missing Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h During the past 7 days, did (name) fetch water or collect firewood for household use? As in CL3, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). CL5 is intended to capture typical work children usually get involved with. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL7. 9180 22573 1 2 1 Yes 2 No 9 Missing Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood During the past 7 days, about how many hours did (name) fetch water or collect firewood for household use? Insert the estimated number of hours worked. 5299 26454 64 Less than one hour 98 DK 99 Missing Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week During the past 7 days, did (name) do any paid or unpaid work on a family farm or in a family business or selling goods in the street for his/her family or himself/herself? This question is intended to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL9. 9180 22573 1 2 1 Yes 2 No 9 Missing Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work During the past 7 days, about how many hours did (name) do this work for his/her family or himself/herself? As in CL4 and CL6, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 1927 29826 56 Less than one hour 98 DK 99 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past 7 days, did (name) help with household chores such as shopping, cleaning, washing clothes, cooking; or caring for children, old or sick people? This question intends to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to next child. If there are no more children left in this module, skip to next module. 9180 22573 1 2 1 Yes 2 No 9 Missing Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week During the past 7 days, about how many hours did (name) spend doing these chores? As in CL3, CL6 and CL8, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 4786 26967 70 Less than one hour 98 DK 99 Missing Line number Line number Line number Line number Line number Now I would like to ask about the de-worming tablets your children of age 6-11 years have received in the last one year. To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 31753 1 26 3.742 2.484 Received de-worming tablet any time during last 1 year Received de-worming tablet any time during last 1 year Received de-worming tablet any time during last 1 year Received de-worming tablet any time during last 1 year Received de-worming tablet any time during last 1 year Has (name) received de-worming tablet at least once at any time during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 5387 26366 1 9 1 Yes 2 No 8 DK 9 Missing Source: Govt. school Source: Govt. school Source: Govt. school Source: Govt. school Source: Govt. school From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 1925 ? Missing A Govt. school Source: Private school Source: Private school Source: Private school Source: Private school Source: Private school From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 98 ? Missing B Private school Source: Health post/Subhealth post/PHC Source: Health post/Subhealth post/PHC Source: Health post/Subhealth post/PHC Source: Health post/Subhealth post/PHC Source: Health post/Subhealth post/PHC From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 486 ? Missing C Health post/Subhealth post/PHC Source: Govt. hospital Source: Govt. hospital Source: Govt. hospital Source: Govt. hospital Source: Govt. hospital From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 90 ? Missing D Govt. hospital Source: FCHV Source: FCHV Source: FCHV Source: FCHV Source: FCHV From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 1387 ? Missing E FCHV Source: Private pharma Source: Private pharma Source: Private pharma Source: Private pharma Source: Private pharma From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 335 ? Missing F Private pharma Source: Others Source: Others Source: Others Source: Others Source: Others From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 11 ? Missing X Others Z Source: DK Source: DK Source: DK Source: DK Source: DK From where has (name) received de-worming tablet during the last one year? To be administered only for children in the household age 6-11 years. For household members below age 6 or above age 11, leave rows blank. 23 ? Missing X Z DK Day of interview Day of interview Day of interview Day of interview Day of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 31753 1 30 14.989 8.035 Month of interview Month of interview Month of interview Month of interview Month of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 31753 6 9 7.544 0.885 Year of interview Year of interview Year of interview Year of interview Year of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 31753 2067 2067 2067 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 31753 1 2 1 Urban 2 Rural Subregion Subregion Subregion Subregion Subregion Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 31753 41 53 41 Mid West Mountains 42 Mid West Hills 43 Mid West Terai 51 Far West Mountains 52 Far West Hills 53 Far West Terai Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 31753 1 2 1 Mid-Western 2 Far Western Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number 14903 16850 99 Not in household Father's line number Father's line number Father's line number Father's line number Father's line number 14903 16850 21 Not in household Mother's education Mother's education Mother's education Mother's education Mother's education 14899 16854 1 9 1 None 2 Primary 3 Secondary + 5 Mother not in household 9 Missing/DK Father's education Father's education Father's education Father's education Father's education 14903 16850 1 9 1 None 2 Primary 3 Secondary + 5 Father not in household 9 Missing/DK Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year 31753 998 995 Child born after beginning of school year 998 DK/Missing Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 31753 1 999 30.549 150.764 Education of household head Education of household head Education of household head Education of household head Education of household head 31753 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 31753 -0.956 4.744 0.000166 0.985 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 31753 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 31753 1 240 119.33 70.208 Strata Strata Strata Strata Strata 31753 1 10 5.908 2.768 Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 31753 0.0438 6.972 0.984 0.846 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 7674 1 240 122.515 70.11 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 7674 1 25 12.983 7.177 Line number Line number Line number Line number Line number 7674 1 26 3.136 2.222 District District District District District 7674 52 75 52 Pyuthan 53 Rolpa 54 Rukum 55 Salyan 56 Dang 57 Banke 58 Bardiya 59 Surkhet 60 Dailekh 61 Jajarkot 62 Dolpa 63 Jumla 64 Kalikot 65 Mugu 66 Humla 67 Bajura 68 Bajhang 69 Acham 70 Doti 71 Kailali 72 Kanchanpur 73 Dadeldhura 74 Baitadi 75 Darchula Cluster number Cluster number Cluster number Cluster number Cluster number WM1-WM6 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 7674 1 240 122.515 70.11 Household number Household number Household number Household number Household number WM1-WM6 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 7674 1 25 12.983 7.177 Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number WM1-WM6 should be filled in before you start the interview. Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing. 7674 1 26 3.136 2.222 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer’s name and number: WM1-WM6 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers at the time of training. 7674 1 36 18.059 10.358 Day of interview Day of interview Day of interview Day of interview Day of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 7674 1 30 14.938 7.872 Month of interview Month of interview Month of interview Month of interview Month of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 7674 6 9 7.526 0.894 Year of interview Year of interview Year of interview Year of interview Year of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 7674 2067 2067 2067 Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Complete this question once you have concluded the interview with the woman. Circle the code corresponding to the result of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '02' for 'Not at home'. If the woman refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the woman is incapacitated (mentally or physically incapacitated), circle '05'. If you have not been able to complete this interview for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 7674 1 96 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 7674 1 12 6.406 3.453 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 7674 1 30 2.522 1.249 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 7372 302 5 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 7372 302 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 7372 302 5 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 7372 302 99 99 Missing Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 7372 302 1 98 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 7372 302 2017 9998 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old are you? Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided. Probe: “How old were you at your last birthday?” Compare and correct WB1 and/or WB2 if inconsistent. If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent. Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire. 7372 302 15 49 28.971 9.502 Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Have you ever attended school or preschool? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. Circle the code corresponding to the response given. If 'No', skip to WB7. Otherwise, continue on to the next question. The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work. Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school. 7372 302 1 2 1 Yes 2 No Highest grade of school Highest grade of school Highest grade of school Highest grade of school Highest grade of school What is the highest grade you have completed? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. For this question, record the number of years that the respondent successfully completed at that level recorded in WB4. For example, if a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. Although grade 3 was the highest year she attended, she completed 2 years of secondary school. If less than 1 year, record '00' for completed years. For example, if she attended only 2 weeks of grade 1 of secondary school, record '00' for completed years. 3188 4486 98 97 Inconsistent 98 DK 99 Missing Currently attending school Currently attending school Currently attending school Currently attending school Currently attending school Are you currently studying in any school? 2336 5338 1 2 1 Yes 2 No Reason not to continue study Reason not to continue study Reason not to continue study Reason not to continue study Reason not to continue study What was the main reason why you didn’t continue your studies further? 1579 6095 1 96 1 Economic problem 2 Parents didnot allow 3 Due to marriage 4 Education center far away 5 Need to do household chores 6 Didnot want to study further 7 Physically disabled 96 Others 99 Missing Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Now I would like you to read this sentence to me. Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women. Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?” Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'. It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card. 5158 2516 1 4 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Read newspaper or magazine Read newspaper or magazine Read newspaper or magazine Read newspaper or magazine Read newspaper or magazine How often do you read newspapers or magazines: Almost daily, at least once a week, fewer than once a week or not read at all? The purpose of this question is to find out whether the respondent is exposed to influences outside her local community by means of reading newspapers or magazines. It does not matter what type of articles she reads, what language she reads in, or who buys the newspapers or magazines she reads. The question is simply about how often she reads them. Make sure that you read the entire question. It is important that the respondent hears all the four categories embodied in the question. If the respondent tells you that she is reading newspapers on the internet, this should still be considered as exposure to newspapers. The objective is to collect information on whether respondents are accessing newspapers, and if so, how frequently. Circle '1' if the respondent reads a newspaper or magazine almost every day, '2' if she reads it at least once a week, '3' if less than once a week and '4' if she does not read at all. 3585 4089 1 9 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Listen to radio Listen to radio Listen to radio Listen to radio Listen to radio How often do you listen to the radio: almost daily, at least once a week, fewer than once a week or do not listen at all? A radio is a device capable of receiving broadcast radio signals, using popular frequencies, such as FM, AM, LW and SW. Accessing the radio through the internet or cable services, or other means is also included here. We need to establish whether the respondent is exposed to radio broadcasts, by whatever means. Circle the code corresponding to the response given. If there is any doubt as to whether the respondent listens to the radio almost every day, probe. For example, after probing, if she says “I listen almost every day, but during the planting season, I'm away and I don't listen at all,” record “Almost every day”, since she normally listens almost every day. It does not matter who owns the radio or what program(s) she listens to. It also does not matter whether the radio is a transistor radio, part of a music set or a movie theatre. We need to ascertain whether the respondent is exposed to radio broadcasts. Again, make sure to read the entire question. 7372 302 1 9 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Watch television Watch television Watch television Watch television Watch television How often do you watch television: almost daily, at least once a week, fewer than once a week or do not watch at all? A television (TV) is a stand-alone device capable of receiving broadcast television signals, using popular access means such as over-the-air, cable and satellite. However, a respondent watching television broadcasts via the internet or with other means should still be considered as watching television, like other respondents who may be using regular TV sets, as long as she is accessing TV broadcasts. Circle the code corresponding to the response given. As with MT2 and MT3, the purpose is to get an idea of how much exposure the respondent has to influences outside her place of residence, this time through television broadcasts. It does not matter who owns the television or what program she watches. Read the entire question. If the respondent watches television on a computer, for instance, this would still count as watching television, since the intention is to capture exposure to television broadcasts. 7372 302 1 9 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Ever used a computer Ever used a computer Ever used a computer Ever used a computer Ever used a computer Have you ever used (or operated) a computer? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. A computer refers to a desktop or a laptop computer. It does not include equipment with some embedded computing abilities such as mobile cellular phones, personal digital assistants (PDAs) or TV sets. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to MT9. It does not matter who owns the computer and if the computer that the respondent may be using is in the household or elsewhere. 2831 4843 1 2 1 Yes 2 No 9 Missing Used computer from a location in last 12 months Used computer from a location in last 12 months Used computer from a location in last 12 months Used computer from a location in last 12 months Used computer from a location in last 12 months Did you ever use the computer at any place in the past 12 months? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to MT9. Again, it does not matter who owns the computer and if the computer is in the household or elsewhere. 275 7399 1 2 1 Yes 2 No 9 Missing How often used a computer in last 12 months How often used a computer in last 12 months How often used a computer in last 12 months How often used a computer in last 12 months How often used a computer in last 12 months How often did you use the computer during the past one month: almost daily, at least once a week, fewer than once a week, did not use at all? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. Circle the code corresponding to the response given. See explanations above for response categories. Note that a respondent who has used a computer during the last 12 months (MT7 = 1) may respond as “Not at all” to this question, when the use of a computer was prior to the last one month, but within the last 12 months. 194 7480 1 4 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Ever used internet Ever used internet Ever used internet Ever used internet Ever used internet Have you ever used the Internet? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. The Internet is a world-wide public computer network. It provides access to a number of communication services including the World Wide Web and carries e-mail, news, entertainment and data files, irrespective of the device used (not assumed to be only via a computer - it may also be by mobile phone, PDA, games machine, digital TV etc.). Access can be via a fixed or mobile network. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to the next module. It does not matter if the use of internet is in the household the respondent is living or elsewhere. Note that for those who have said that they have never used a computer or have not used a computer recently, we still ask the questions on internet use, since the respondent may have used the internet by mobile phone, PDA, games machine, digital TV and the like. 2831 4843 1 2 1 Yes 2 No 9 Missing Used internet in last 12 months Used internet in last 12 months Used internet in last 12 months Used internet in last 12 months Used internet in last 12 months Have you used the Internet in the past 12 months? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to the next module. If necessary, probe for use from any location, with any device. 104 7570 1 2 1 Yes 2 No 9 Missing How often used internet in last one month How often used internet in last one month How often used internet in last one month How often used internet in last one month How often used internet in last one month How often did you use the internet in the past 1 month: almost daily, at least once a week, fewer than once a week, did not use at all? Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24. Circle the code corresponding to the response given. Note that a respondent who has used the internet during the last 12 months (MT10 = 1) may respond as “Not at all” to this question, when the last use of the internet was prior to the last one month, but within the last 12 months. 81 7593 1 4 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now, let’s talk about all the children you have given birth to. Have you ever given birth to a child? probe: I wish to know about the first child you have given birth to, even if it is not alive today or its father is not your current husband? The first question of the module is used to determine if the rest of the module and several subsequent modules should be administered to this woman. If the answer is 'Yes', circle '1', and continue with the next question. If the woman says she has never given birth, circle '2' and skip to CM8. 7372 302 1 2 1 Yes 2 No Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Out of the children you gave live birth to, when did you give birth to the last one? probe: I wish to know about the first child you have given birth to, even if it is not alive today or its father is not your current husband? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 5422 2252 1 98 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Out of the children you gave live birth to, when did you give birth to the last one? probe: I wish to know about the first child you have given birth to, even if it is not alive today or its father is not your current husband? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 5422 2252 1 99 97 Inconsistent 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Out of the children you gave live birth to, when did you give birth to the last one? probe: I wish to know about the first child you have given birth to, even if it is not alive today or its father is not your current husband? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 5422 2252 2032 9999 9997 Inconsistent 9999 Missing Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years Check question CM12 on whether the child was born within the last two years and circle the appropriate response code. If the respondent's last birth occurred in the last 2 years, check the relevant box and enter the name of the child on the line provided. Then continue with DESIRE FOR LAST BIRTH, MATERNAL AND NEWBORN HEALTH, and then POST-NATAL HEALTH CHECKS Modules. If the respondent's last birth did not occur in the last 2 years, check the relevant box and go to the ILLNESS SYMPTOMS Module. While asking the questions hereafter, refer to the name of this child where mentioned. If the child is dead, be particularly careful while talking about such children by referring to them by the name in the modules below. 5422 2252 1 2 1 Yes 2 No Wanted last child then Wanted last child then Wanted last child then Wanted last child then Wanted last child then Did you want to become pregnant when (name) was conceived? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module. 1339 6335 1 2 1 Yes 2 No 9 Missing Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Did you want to give birth to a child a little later or did you not want to give birth to any more (additional) child? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module. 167 7507 1 2 1 Later 2 No more 9 Missing Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 42 7632 2 9 1 Months 2 Years 9 Special Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 42 7632 1 98 98 DK 99 Missing Received antenatal care Received antenatal care Received antenatal care Received antenatal care Received antenatal care Did you see anyone for antenatal check-up (ANC) during your pregnancy with (name)? Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 1339 6335 1 2 1 Yes 2 No 9 Missing Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 265 ? Missing A Doctor Antenatal care: Staff nurse Antenatal care: Staff nurse Antenatal care: Staff nurse Antenatal care: Staff nurse Antenatal care: Staff nurse Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 271 ? Missing B Staff nurse Antenatal care: Auxiliary nurse midwife Antenatal care: Auxiliary nurse midwife Antenatal care: Auxiliary nurse midwife Antenatal care: Auxiliary nurse midwife Antenatal care: Auxiliary nurse midwife Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 155 ? Missing C Auxiliary nurse midwife Antenatal care: HA/Auxiliary Health Worker Antenatal care: HA/Auxiliary Health Worker Antenatal care: HA/Auxiliary Health Worker Antenatal care: HA/Auxiliary Health Worker Antenatal care: HA/Auxiliary Health Worker Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 269 ? Missing D HA/Auxiliary health worker Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 7 ? Missing F Traditional birth attendant Antenatal care: Village health worker Antenatal care: Village health worker Antenatal care: Village health worker Antenatal care: Village health worker Antenatal care: Village health worker Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 83 ? Missing G Village health worker Antenatal care: Maternal and child health worker Antenatal care: Maternal and child health worker Antenatal care: Maternal and child health worker Antenatal care: Maternal and child health worker Antenatal care: Maternal and child health worker Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 125 ? Missing H Maternal and child health worker Antenatal care: Female community health worker Antenatal care: Female community health worker Antenatal care: Female community health worker Antenatal care: Female community health worker Antenatal care: Female community health worker Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 92 ? Missing I Female community health worker Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Whom did you see for ANC check-up? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 2 ? Missing X Other Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care How many times did you receive antenatal care during this pregnancy? Ask the respondent how many times she saw someone for antenatal care during her last pregnancy (i.e., she was pregnant with her last child). This refers to care related to her pregnancy and would not include seeing a doctor or nurse for other reasons. 1001 6673 99 98 DK 99 Missing Blood pressure Blood pressure Blood pressure Blood pressure Blood pressure As part of your antenatal care during this pregnancy, were any of the following done at least once: Was your blood pressure measured? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. Blood pressure is measured with a medical instrument. A rubber cuff is wrapped around a person's upper arm and is inflated. While slowly releasing air from the cuff, the person measuring the blood pressure listens to the pulsing of the blood vessels with a stethoscope to determine the pressure. 1001 6673 1 2 1 Yes 2 No 9 Missing Urine sample Urine sample Urine sample Urine sample Urine sample As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a urine sample? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. 1001 6673 1 2 1 Yes 2 No 9 Missing Blood sample Blood sample Blood sample Blood sample Blood sample As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a blood sample? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. A blood sample may be taken from the woman's fingertip or from a vein (usually from a vein near the elbow or on the wrist). The blood sample is used to test for various diseases, such as anaemia, parasite infestations or infectious diseases. 1001 6673 1 2 1 Yes 2 No 9 Missing Has own immunization card Has own immunization card Has own immunization card Has own immunization card Has own immunization card Do you have a card or other document with your own immunizations listed when you were pregnant with (name)? May I see it please? First, ask whether she has a vaccination card or other documentary evidence of vaccination. Ask to see this evidence and record that you have seen it by circling '1'. If a card is presented, use it to assist with answers to the following 2 questions. If the woman says she has a card but does not/cannot show it to you, circle '2'. If the card is not available ('2' or '3' circled in MN5), you must try to find out how long ago the last Tetanus toxoid (TT) dose was received in MN6, and the total number of TT doses the mother has received in her lifetime in MN7. Use the probing questions, and record her answers in the spaces provided. Women who do not have immunization cards may have difficulty identifying whether injections they received were tetanus toxoid injections. 1339 6335 1 8 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy When you were pregnant with (name), did you receive any injection in the arm or shoulder to prevent the baby from getting tetanus, that is convulsions after birth? Tetanus is an infection of the wound and women may be infected with tetanus after delivery. It can be prevented through a vaccination during pregnancy. The vaccine is known as tetanus toxoid. Ask if she received any tetanus toxoid injection during her last pregnancy. Circle '1' for a 'Yes' response. If the answer is 'No' or 'DK', circle the code corresponding to the response and skip to MN9. 1339 6335 1 8 1 Yes 2 No 8 DK 9 Missing Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy How many times did you receive this tetanus injection during your pregnancy with (name)? Enter the number of doses she reports in the space provided and continue to MN8. If the number of doses is 7 or more times, record '7'. If she does not know, circle '8' and skip to MN9. 972 6702 1 8 8 DK 9 Missing Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Did you receive any tetanus injection at any time before your pregnancy with (name), either to protect yourself or another baby? Circle the code corresponding to her response. If she reports never having received any tetanus injection prior to her last pregnancy, or does not know, circle the code corresponding to the answer given and skip to MN12. If 'Yes', continue with MN10. 546 7128 1 8 1 Yes 2 No 8 DK 9 Missing Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy How many times did you receive a tetanus injection before your pregnancy with (name)? Ask about doses of tetanus injections received during or before the next-to-last pregnancy or between pregnancies (at any time before the last pregnancy). Enter her response in the space provided, as in MN7. If the number of doses is 7 or more times, record '7'. 112 7562 1 8 7 7+ 8 DK 9 Missing Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received How many years ago did you receive the last tetanus injection before your pregnancy with (name)? Ask her to estimate how long ago she received the last dose of tetanus injections (the dose before her last pregnancy), and enter her response in years. If less than 1 year, record 00. 99 7575 14 99 Missing Iron/Folic acid tablets given this pregnancy Iron/Folic acid tablets given this pregnancy Iron/Folic acid tablets given this pregnancy Iron/Folic acid tablets given this pregnancy Iron/Folic acid tablets given this pregnancy During this pregnancy, did you take iron/folic acid tablets? 1001 6673 1 8 1 Yes 2 No 8 DK 9 Missing Days took Iron/Folic acid tablets Days took Iron/Folic acid tablets Days took Iron/Folic acid tablets Days took Iron/Folic acid tablets Days took Iron/Folic acid tablets During this whole pregnancy, for how many days did you take the iron/folic acid tablets? 940 6734 1 998 998 DK 999 Missing Drugs taken for intestinal worms Drugs taken for intestinal worms Drugs taken for intestinal worms Drugs taken for intestinal worms Drugs taken for intestinal worms During this pregnancy, did you take any medicines for intestinal worms? 1001 6673 1 8 1 Yes 2 No 8 DK 9 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 223 ? Missing A Doctor Assistance at delivery: Staff nurse Assistance at delivery: Staff nurse Assistance at delivery: Staff nurse Assistance at delivery: Staff nurse Assistance at delivery: Staff nurse Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 223 ? Missing B Staff nurse Assistance at delivery: Auxiliary nurse midwife Assistance at delivery: Auxiliary nurse midwife Assistance at delivery: Auxiliary nurse midwife Assistance at delivery: Auxiliary nurse midwife Assistance at delivery: Auxiliary nurse midwife Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 56 ? Missing C Auxiliary nurse midwife Assistance at delivery: HA/Auxiliary health worker Assistance at delivery: HA/Auxiliary health worker Assistance at delivery: HA/Auxiliary health worker Assistance at delivery: HA/Auxiliary health worker Assistance at delivery: HA/Auxiliary health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 61 ? Missing D HA/Auxiliary health worker Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 146 ? Missing F Traditional birth attendant Assistance at delivery: Village health worker Assistance at delivery: Village health worker Assistance at delivery: Village health worker Assistance at delivery: Village health worker Assistance at delivery: Village health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 34 ? Missing G Village health worker Assistance at delivery: Relative/Friend Assistance at delivery: Relative/Friend Assistance at delivery: Relative/Friend Assistance at delivery: Relative/Friend Assistance at delivery: Relative/Friend Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 837 ? Missing H Relatives/Friends Assistance at delivery: Maternal and child health worker Assistance at delivery: Maternal and child health worker Assistance at delivery: Maternal and child health worker Assistance at delivery: Maternal and child health worker Assistance at delivery: Maternal and child health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 44 ? Missing I Maternal and child health worker Assistance at delivery: Female community health worker Assistance at delivery: Female community health worker Assistance at delivery: Female community health worker Assistance at delivery: Female community health worker Assistance at delivery: Female community health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 85 ? Missing J Female community health worker Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 58 ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 31 ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (name)? The intent of this question is to identify births delivered in a health facility. If the woman gave birth in a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the place is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle '26'. Similarly, if the place is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle '36'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that she delivered in another place not listed, write the description of the place in the space provided for 'Other' and circle '96'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 1339 6335 11 96 11 Respondent's home 12 Other home 21 Government hospital 22 Government primary health care center 23 Government health post/sub-health post 26 Other government health center 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private health center 96 Other 99 Missing Delivery kit used Delivery kit used Delivery kit used Delivery kit used Delivery kit used Was the safe/home delivery kit used during the birth of (name)? 947 6727 1 8 1 Yes 2 No 8 DK 9 Missing Dried before placenta was delivered Dried before placenta was delivered Dried before placenta was delivered Dried before placenta was delivered Dried before placenta was delivered Before discharge of placenta, was (name) wiped with a cloth and dried? 947 6727 1 8 1 Yes 2 No 8 DK 9 Missing Wrapped in a separate cloth Wrapped in a separate cloth Wrapped in a separate cloth Wrapped in a separate cloth Wrapped in a separate cloth Before discharge of placenta, was (name) covered with another dry cloth after wiping? 573 7101 1 8 1 Yes 2 No 8 DK 9 Missing Instrument used to cut UMBILICAL cord Instrument used to cut UMBILICAL cord Instrument used to cut UMBILICAL cord Instrument used to cut UMBILICAL cord Instrument used to cut UMBILICAL cord What tools or equipment were used to cut the placenta during (name) delivery? 947 6727 11 98 11 New/boiled/sterilized blade 21 Used blade 22 Knife 23 Hasiya 24 Khukuri 25 Scissors 96 Other 98 DK 99 Missing Anything placed on stump after UMBILICAL cord was cut Anything placed on stump after UMBILICAL cord was cut Anything placed on stump after UMBILICAL cord was cut Anything placed on stump after UMBILICAL cord was cut Anything placed on stump after UMBILICAL cord was cut Was anything applied on the wound after cutting the cord and removing the placenta? 947 6727 1 8 1 Yes 2 No 8 DK 9 Missing Time baby bathed first time (unit) Time baby bathed first time (unit) Time baby bathed first time (unit) Time baby bathed first time (unit) Time baby bathed first time (unit) How long after delivery, was (name) bathed for the first time? Write hour if less than 1 day and write day if more than a day. 947 6727 1 9 1 Hours 2 Days 9 Special Time baby bathed first time (number) Time baby bathed first time (number) Time baby bathed first time (number) Time baby bathed first time (number) Time baby bathed first time (number) How long after delivery, was (name) bathed for the first time? Write hour if less than 1 day and write day if more than a day. 947 6727 98 98 DK 99 Missing Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Was (name) delivered by caesaeran section? That is, did they cut your belly open to take the baby out? A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal. 392 7282 1 2 1 Yes 2 No 9 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When (name) was born, was he/she very large, larger than average, average, smaller than average or very small? Low-birthweight babies are at higher risk of serious illness or death than other babies. Mothers are asked to give the baby's birthweight, but since some babies are not weighed at birth, a mother's subjective assessment of the baby's size at birth is important. When the information from women who answer these questions is analysed, we can obtain an indication of what women mean by these subjective categories. This information can provide an estimate of the average birthweight. Read the entire question exactly as written before accepting an answer. This is the woman's own opinion about the size of her baby. Even if she knows the child's birthweight, tell her that you want to know her own idea of whether the baby was very large, larger than average, average, smaller than average or very small. If the respondent is unable to tell you, do not try to guess the answer based on the birthweight information or the appearance of the baby; circle '8' for 'DK'. In cases when the woman knows the birthweight of the baby and tells you the exact weight, do not use your judgement to influence her response in MN20. In other words, even if the woman tells you that her baby was smaller than average while the birthweight she is stating is quite large in your opinion, do not probe further to 'correct' the woman's perception of the size of the baby. 1339 6335 1 8 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Circle the code corresponding to the response given. If the baby was not weighed at birth or the mother doesn't know, skip to MN23. 1339 6335 1 8 1 Yes 2 No 8 DK 9 Missing Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh at birth? Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible. If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight. 393 7281 1 9 1 Card 2 Recall 9 Missing Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) How much did (name) weigh at birth? Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible. If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight. 393 7281 0.7 9.998 9.998 DK 9.999 Missing Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Has your menstrual period returned since the birth of (name)? After a woman has given birth, there is a length of time when she will not have her monthly menstrual periods. This question asks about whether her period has resumed following the last birth. Circle the code corresponding to the response given. 1339 6335 1 2 1 Yes 2 No 9 Missing Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Breastfeeding is important for a child's health and it prevents pregnancy during the period when the mother is breastfeeding. For this question, it does not matter how long the respondent breastfed the child, only whether or not she ever gave the child the breast, even if the baby died very young. Circle the code corresponding to the response given. If the response is 'No' (she never breastfed the child), go to next module. 1339 6335 1 2 1 Yes 2 No 9 Missing Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) to the breasts? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 1327 6347 9 Minute 1 Hours 2 Days 9 Special Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) to the breasts? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 1327 6347 1 98 98 DK 99 Missing Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to In the first three days after birth, was (name) given anything to drink other than breast milk? If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module. 1327 6347 1 2 1 Yes 2 No 9 Missing Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 66 ? Missing A Milk (other than breast milk) Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 18 ? Missing B Plain water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 4 ? Missing C Sugar or glucose water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 3 ? Missing D Gripe water Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 4 ? Missing E Sugar-salt-water solution Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. ? Missing F Fruit juice Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 12 ? Missing G Infant formula Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 1 ? Missing H Tea / Infusions Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 4 ? Missing I Honey Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 9 ? Missing X Other Post natal checkup Post natal checkup Post natal checkup Post natal checkup Post natal checkup After (name) was born, did any health care provider check on your health as post natal check-up? 1339 6335 1 8 1 Yes 2 No 8 DK 9 Missing Time for postnatal checkup (unit) Time for postnatal checkup (unit) Time for postnatal checkup (unit) Time for postnatal checkup (unit) Time for postnatal checkup (unit) How long after delivery did the first check take place? If less than one day, record hours If less than one week, record days 221 7453 1 9 1 Hours 2 Days 3 Weeks 9 Special Time for postnatal checkup (number) Time for postnatal checkup (number) Time for postnatal checkup (number) Time for postnatal checkup (number) Time for postnatal checkup (number) How long after delivery did the first check take place? If less than one day, record hours If less than one week, record days 221 7453 1 98 98 DK 99 Missing Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 601 ? Missing A Child not able to drink or breastfeed Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 1041 ? Missing B Child becomes sicker Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 2432 ? Missing C Child develops a fever Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 559 ? Missing D Child has fast breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 580 ? Missing E Child has difficult breathing Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 343 ? Missing F Child has blood in stools Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 187 ? Missing G Child is drinking poorly Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 950 ? Missing X Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 264 ? Missing Y Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 35 ? Missing Z Other Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant Let's talk about another subject: family planning. Are you pregnant now? This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception! Circle the code corresponding to the response given. If she is pregnant, circle '1' and go to the next module. If the woman is unsure or does not know for certain if she is pregnant, circle '8' for 'Unsure or DK'. 7372 302 1 9 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy There are various ways or methods to delay or avoid a pregnancy: Are you currently doing something or using any method to delay or avoid getting pregnant? Circle the code corresponding to the response given. If the answer is 'No', go to the next module. 6990 684 1 9 1 Yes 2 No 9 Missing Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 710 ? Missing A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 453 ? Missing B Male sterilization Current method: IUD/Copper T Current method: IUD/Copper T Current method: IUD/Copper T Current method: IUD/Copper T Current method: IUD/Copper T What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 73 ? Missing C IUD/Cupper T Current method: Injectables/Sangini/Dipo/3 mo Current method: Injectables/Sangini/Dipo/3 mo Current method: Injectables/Sangini/Dipo/3 mo Current method: Injectables/Sangini/Dipo/3 mo Current method: Injectables/Sangini/Dipo/3 mo What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 867 ? Missing D Injectables Current method: Implants/Norplant/Zadelle Current method: Implants/Norplant/Zadelle Current method: Implants/Norplant/Zadelle Current method: Implants/Norplant/Zadelle Current method: Implants/Norplant/Zadelle What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 69 ? Missing E Implants Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 302 ? Missing F Pill Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 314 ? Missing G Male condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 8 ? Missing H Female condom Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Missing I Diaphragm Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 12 ? Missing J Foam/Jelly Current method: Lactational amenorrhoea method, Breastfeedin Current method: Lactational amenorrhoea method, Breastfeedin Current method: Lactational amenorrhoea method, Breastfeedin Current method: Lactational amenorrhoea method, Breastfeedin Current method: Lactational amenorrhoea method, Breastfeedin What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 4 ? Missing K Lactational amenorrhoea method (LAM) Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 15 ? Missing L Periodic abstinence / Rhythm Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 56 ? Missing M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other What are you doing to delay or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 12 ? Missing X Other Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Now I would like to talk to you about your current pregnancy. When you got pregnant, did you want to get pregnant at that time? Circle the code corresponding to the answer given. Skip to UN4 if 'Yes'. Otherwise, continue to the next question. 382 7292 1 2 1 Yes 2 No 9 Missing Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Did you want to have a baby later on or did you not want any (more) children? Circle the code corresponding to the answer given. 59 7615 1 2 1 Later 2 No more 9 Missing Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Now I would like to ask some questions about the future. After the child you are now expecting, would you like to have another child, or would you prefer not to have any more children? Note that we want to make sure that pregnant women do not think that we are asking them if they want the child they are pregnant with now. Circle the code corresponding to the response given. If the woman wants to have another child, you should circle '1' and continue with UN7. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN13. If she is undecided or does not know, circle '8' and skip to UN13. 382 7292 1 8 1 Have another child 2 No more / None 8 Undecided / Don't know 9 Missing Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Now I would like to ask you some questions about the future. Would you like to have (another) child, or would you prefer not to have any (more) children? Circle the code corresponding to the response given. If the woman wants to have a/another child, you should circle '1'. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN9. If she says she cannot get pregnant, circle '3' and skip to UN11. If she is undecided or does not know, circle '8' and skip to UN9. 6280 1394 1 9 1 Have (a/another) child 2 No more / None 3 Says she cannot get pregnant 8 Undecided / Don't know 9 Missing Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) How long would you like to wait before the birth of (another) child? Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child. Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11. 2264 5410 1 9 1 Months 2 Years 9 Special Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) How long would you like to wait before the birth of (another) child? Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child. Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11. 2264 5410 1 98 93 Soon / Now 94 Says she cannot get pregnant 95 After marriage 96 Other 98 Don't know 99 Missing Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Do you think you are physically able to get pregnant at this time? A woman who believes that she is incapable of becoming pregnant cannot be considered to have 'unmet need' for contraception. This question aims to learn whether the woman thinks she can conceive a child. Circle the code corresponding to the response given. Make sure that the woman does not relate her current physical ability to get pregnant with her current marital status. It is important to emphasize to the woman, if necessary, that we are interested in her current physical ability - she may be physically able to get pregnant, but may think that this is not possible because she currently does not have a partner. In such cases, the woman should obviously be coded as 'Yes'. 4060 3614 1 8 1 Yes 2 No 8 DK 9 Missing Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 226 ? Missing A Infrequent sex / No sex Reason: Menopausal Reason: Menopausal Reason: Menopausal Reason: Menopausal Reason: Menopausal Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 124 ? Missing B Menopausal Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 45 ? Missing C Never menstruated Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 35 ? Missing D Hysterectomy Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 49 ? Missing E Trying to get pregnant for 2 years without result Reason: Irregular/problematic periods Reason: Irregular/problematic periods Reason: Irregular/problematic periods Reason: Irregular/problematic periods Reason: Irregular/problematic periods Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 192 ? Missing F Postpartum amenorrheic Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 450 ? Missing G Breastfeeding Reason: Too old Reason: Too old Reason: Too old Reason: Too old Reason: Too old Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 340 ? Missing H Too old Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 61 ? Missing I Fatalistic Reason: Male sterilization Reason: Male sterilization Reason: Male sterilization Reason: Male sterilization Reason: Male sterilization Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 27 ? Missing J Male sterilization Reason: Other Reason: Other Reason: Other Reason: Other Reason: Other Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 924 ? Missing X Other Reason: Don't know Reason: Don't know Reason: Don't know Reason: Don't know Reason: Don't know Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 60 ? Missing Z Don't know Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) When did your last menstrual period start? The answers to this question will help to determine whether any of the respondents are actually menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces. In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date. If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'. 7327 347 1 9 1 Days ago 2 Weeks ago 3 Months ago 4 Years ago 9 Special Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) When did your last menstrual period start? The answers to this question will help to determine whether any of the respondents are actually menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces. In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date. If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'. 7327 347 99 94 In menopause/had hysterectomy 95 Before last birth 96 Never menstruated 99 Missing Reproductive health advise Reproductive health advise Reproductive health advise Reproductive health advise Reproductive health advise Do you seek any help/advice if required on reproductive health? 7327 347 1 9 1 Yes 2 No 8 DK 9 Missing RH advise: Mother RH advise: Mother RH advise: Mother RH advise: Mother RH advise: Mother From whom do you seek advice on reproductive health? 370 ? Missing A Mother RH advise: Mother in law RH advise: Mother in law RH advise: Mother in law RH advise: Mother in law RH advise: Mother in law From whom do you seek advice on reproductive health? 224 ? Missing B Mother in law RH advise: Elder sister RH advise: Elder sister RH advise: Elder sister RH advise: Elder sister RH advise: Elder sister From whom do you seek advice on reproductive health? 148 ? Missing C Elder sister RH advise: Husband RH advise: Husband RH advise: Husband RH advise: Husband RH advise: Husband From whom do you seek advice on reproductive health? 1024 ? Missing D Husband RH advise: Friends RH advise: Friends RH advise: Friends RH advise: Friends RH advise: Friends From whom do you seek advice on reproductive health? 463 ? Missing E Friends RH advise: FCHV RH advise: FCHV RH advise: FCHV RH advise: FCHV RH advise: FCHV From whom do you seek advice on reproductive health? 623 ? Missing F FCHV RH advise: MCHW/VHW RH advise: MCHW/VHW RH advise: MCHW/VHW RH advise: MCHW/VHW RH advise: MCHW/VHW From whom do you seek advice on reproductive health? 208 ? Missing G MCHW/VHW RH advise: Health facilities/Hospitals RH advise: Health facilities/Hospitals RH advise: Health facilities/Hospitals RH advise: Health facilities/Hospitals RH advise: Health facilities/Hospitals From whom do you seek advice on reproductive health? 959 ? Missing H Health facility/hospital RH advise: Other RH advise: Other RH advise: Other RH advise: Other RH advise: Other From whom do you seek advice on reproductive health? 43 ? Missing X Other Live in different house Live in different house Live in different house Live in different house Live in different house Do you face any of the following situations during your menstrual period? Have to live in different house 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Live in different room of same house Live in different room of same house Live in different room of same house Live in different room of same house Live in different room of same house Do you face any of the following situations during your menstrual period? Have to live in different room of same house 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Live in animal shed Live in animal shed Live in animal shed Live in animal shed Live in animal shed Do you face any of the following situations during your menstrual period? Have to live in animal shed 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Eat different food Eat different food Eat different food Eat different food Eat different food Do you face any of the following situations during your menstrual period? Have to eat different types of food 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Bath in separate place Bath in separate place Bath in separate place Bath in separate place Bath in separate place Do you face any of the following situations during your menstrual period? Have to bath in separate place 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Absent from school/work Absent from school/work Absent from school/work Absent from school/work Absent from school/work Do you face any of the following situations during your menstrual period? Have to be absent from school or work 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing Avoid social gatherings Avoid social gatherings Avoid social gatherings Avoid social gatherings Avoid social gatherings Do you face any of the following situations during your menstrual period? Have to avoid social gatherings 7327 347 1 8 1 Yes 2 No 8 DK 9 Missing If she goes out without telling husband: wife beating justif If she goes out without telling husband: wife beating justif If she goes out without telling husband: wife beating justif If she goes out without telling husband: wife beating justif If she goes out without telling husband: wife beating justif Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she goes out without telling him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she neglects the chidlren? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she argues with him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she refuses to have sex with him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she burns the food? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she goes out without telling her: daughter-in-law beating If she goes out without telling her: daughter-in-law beating If she goes out without telling her: daughter-in-law beating If she goes out without telling her: daughter-in-law beating If she goes out without telling her: daughter-in-law beating Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she goes out without telling her? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she neglects the children: daughter-in-law beating justif If she neglects the children: daughter-in-law beating justif If she neglects the children: daughter-in-law beating justif If she neglects the children: daughter-in-law beating justif If she neglects the children: daughter-in-law beating justif Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she neglects the chidlren? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she argues with her: daughter-in-law beating justified If she argues with her: daughter-in-law beating justified If she argues with her: daughter-in-law beating justified If she argues with her: daughter-in-law beating justified If she argues with her: daughter-in-law beating justified Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she argues with her? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she refuses to obey her order: daughter-in-law beating ju If she refuses to obey her order: daughter-in-law beating ju If she refuses to obey her order: daughter-in-law beating ju If she refuses to obey her order: daughter-in-law beating ju If she refuses to obey her order: daughter-in-law beating ju Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she refuses to obey her order? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she did not bring dowry: daughter-in-law beating justifie If she did not bring dowry: daughter-in-law beating justifie If she did not bring dowry: daughter-in-law beating justifie If she did not bring dowry: daughter-in-law beating justifie If she did not bring dowry: daughter-in-law beating justifie Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she did not bring dowry? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing If she did not complete her work on time: daughter-in-law be If she did not complete her work on time: daughter-in-law be If she did not complete her work on time: daughter-in-law be If she did not complete her work on time: daughter-in-law be If she did not complete her work on time: daughter-in-law be Sometimes a mother-in-law is annoyed or angered by things that their daughter-in-law does. in your opinion, is a mother-in-law justified in verbal abuse or threat their daughter-in-law in the following situations: If she did not complete her work on time? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the mother-in-law is justified in verbal abuse or threat their daughter-in-law in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 7372 302 1 9 1 Yes 2 No 8 DK 9 Missing Currently married Currently married Currently married Currently married Currently married Are you currently married? The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5. 7372 302 1 3 1 Yes 3 No Age of husband Age of husband Age of husband Age of husband Age of husband How old is your husband? Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'. 5757 1917 12 99 98 DK 99 Missing Husband has other wives Husband has other wives Husband has other wives Husband has other wives Husband has other wives Besides yourself, does your husband have any other wives? In this question, we are interested in the wives and/or live-in partners that the respondent's husband/partner has. Circle the code corresponding to the answer given. If 'No', skip to MA7. 5757 1917 1 2 1 Yes 2 No 9 Missing Number of other wives Number of other wives Number of other wives Number of other wives Number of other wives How many other wives does he have? Similar to the previous question, we are interested here in the number of wives and/or live-in partners the respondent's husband has. Enter the number of other wives in the space provided. Use leading zeros if necessary. For all answers, skip to MA7. 213 7461 1 8 8 DK 9 Missing Ever married Ever married Ever married Ever married Ever married Have you ever been married? For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions. Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'. If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6. 1615 6059 1 3 1 Yes, formerly married 3 No 9 Missing Marital status Marital status Marital status Marital status Marital status What is your marital status now: are you widowed, divorced or separated? Circle the code corresponding to the response given. For a woman who is not currently married and not currently living with someone but who was formerly in a union, record her current marital status at the time of the interview. Since she was in a union at one time, but is not on the day you are interviewing her, she will be either widowed, divorced or separated. You should use 'widowed' (a) for women who were married and their husband died, and (b) for women who were in an informal union and their partner died. 'Divorced' should be used for women who were formally married and whose marriage formally ended. 'Separated' should be used (a) for women who were married, but are no longer continuing the marriage with their husband, and (b) for women who were in an informal union and are no longer continuing the union with their partner. 207 7467 1 3 1 Widowed 2 Divorced 3 Separated Married once or more than once Married once or more than once Married once or more than once Married once or more than once Married once or more than once Have you been married only once or more than once? As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.' Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person. 5964 1710 1 2 1 Only once 2 More than once 9 Missing Month of first marriage Month of first marriage Month of first marriage Month of first marriage Month of first marriage In what month and year did you (first) marry? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 5964 1710 1 99 97 Inconsistent 98 DK 99 Missing Year of first marriage Year of first marriage Year of first marriage Year of first marriage Year of first marriage In what month and year did you (first) marry? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 5964 1710 2027 9999 9997 Inconsistent 9998 DK 9999 Missing Age at first marriage Age at first marriage Age at first marriage Age at first marriage Age at first marriage How old were you when you started living with your (first) husband? As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank. 3070 4604 7 45 97 Inconsistent 99 Missing Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Now I would like to talk with you about something else. Have you ever heard of AIDS? This question serves as an introduction and allows us to verify whether a respondent has heard of AIDS. If there is a local term for AIDS, use the local term in addition to 'AIDS'. If a respondent has never heard of the AIDS, skip to next module. 7372 302 1 2 1 Yes 2 No 9 Missing Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can people reduce their chance of getting the AIDS virus by having just one uninfected sex partner who has no other sex partners? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can people get the AIDS virus because of witchcraft or other supernatural means? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can people get the AIDS virus from mosquito bites? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can people get the AIDS virus by sharing food with a person who has AIDS? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Is it possible for a healthy-looking person to have the AIDS virus? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy Can the virus that causes AIDS be transmitted from a mother to her baby: During pregnancy? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery Can the virus that causes AIDS be transmitted from a mother to her baby: During delivery? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding Can the virus that causes AIDS be transmitted from a mother to her baby: By breasfeeding? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 3710 3964 1 8 1 Yes 2 No 8 DK 9 Missing Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in In your opinion, if a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school? If a school learns that a female teacher has the AIDS virus, but she is not sick, how should the school handle this information? Should the female teacher be allowed to continue teaching at the school, or should she be removed from her teaching position? We are not asking about whether or not a female teacher has actually been asked to leave a teaching position, but rather, what is the respondent's opinion about how such a case should be handled; should the female teacher be allowed to continue teaching? 3710 3964 1 8 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus? 3710 3964 1 8 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If a member of your family got infected with the AIDS virus, would you want it to remain a secret? 3710 3964 1 8 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household If a member of your family became sick with AIDS, would you be willing to care for him or her in your household? 3710 3964 1 8 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing During the ANC visit had you been informed about the transmi During the ANC visit had you been informed about the transmi During the ANC visit had you been informed about the transmi During the ANC visit had you been informed about the transmi During the ANC visit had you been informed about the transmi During any of the antenatal visits for your pregnancy with (name), were you given any information about: Babies getting the AIDS virus from their mother? We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits. 515 7159 1 8 1 Yes 2 No 8 DK 9 Missing Dring the ANC visit had you been informed about the preventi Dring the ANC visit had you been informed about the preventi Dring the ANC visit had you been informed about the preventi Dring the ANC visit had you been informed about the preventi Dring the ANC visit had you been informed about the preventi During any of the antenatal visits for your pregnancy with (name), were you given any information about: Things that you can do to prevent geting the AIDS virus? We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits. 515 7159 1 8 1 Yes 2 No 8 DK 9 Missing During the ANC visit had you been informed about the medical During the ANC visit had you been informed about the medical During the ANC visit had you been informed about the medical During the ANC visit had you been informed about the medical During the ANC visit had you been informed about the medical During any of the antenatal visits for your pregnancy with (name), were you given any information about: Getting tested for the AIDS virus? We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits. 515 7159 1 8 1 Yes 2 No 8 DK 9 Missing During the ANC visit had you been proposed to test for AIDS During the ANC visit had you been proposed to test for AIDS During the ANC visit had you been proposed to test for AIDS During the ANC visit had you been proposed to test for AIDS During the ANC visit had you been proposed to test for AIDS During any of the antenatal visits for your pregnancy with (name), were you: Offered a test for the AIDS virus? We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits. 515 7159 1 8 1 Yes 2 No 8 DK 9 Missing Tested for AIDS virus as part of antenatal care Tested for AIDS virus as part of antenatal care Tested for AIDS virus as part of antenatal care Tested for AIDS virus as part of antenatal care Tested for AIDS virus as part of antenatal care I don’t want to know the results, but were you tested for the AIDS virus as part of your antenatal care? Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA19. 515 7159 1 8 1 Yes 2 No 8 DK 9 Missing Received results from test during antenatal care Received results from test during antenatal care Received results from test during antenatal care Received results from test during antenatal care Received results from test during antenatal care I don’t want to know the results, but did you get the results of the test? Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA22. 96 7578 1 2 1 Yes 2 No 8 DK 9 Missing Received consultation after testing during antenatal care Received consultation after testing during antenatal care Received consultation after testing during antenatal care Received consultation after testing during antenatal care Received consultation after testing during antenatal care Regardless of the result, all women who are tested are supposed to receive counselling after getting test result. After you were tested, did you receive counselling? Circle the code corresponding to the response. All answers should skip to HA22 83 7591 1 2 1 Yes 2 No 8 DK 9 Missing Tested for AIDS virus during delivery Tested for AIDS virus during delivery Tested for AIDS virus during delivery Tested for AIDS virus during delivery Tested for AIDS virus during delivery I don’t want to know the results, but were you tested for the AIDS virus between the time you went for delivery but before the baby was born? Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No', skip to HA24. 179 7495 1 8 1 Yes 2 No 8 DK 9 Missing Received results from test during delivery Received results from test during delivery Received results from test during delivery Received results from test during delivery Received results from test during delivery I don’t want to know the results, but did you get the results of the test? Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response. 4 7670 1 2 1 Yes 2 No 9 Missing Tested for AIDS virus since test during pregnancy Tested for AIDS virus since test during pregnancy Tested for AIDS virus since test during pregnancy Tested for AIDS virus since test during pregnancy Tested for AIDS virus since test during pregnancy Have you been tested for the AIDS virus since that time you were tested during your pregnancy? Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'Yes', skip to HA25. If the answer is 'No', continue with HA23. 100 7574 1 2 1 Yes 2 No 9 Missing Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus When was the most recent time you were tested for the AIDS virus? Circle the code corresponding to the response. All answers should skip to next module. 88 7586 1 3 1 Less than 12 months ago 2 12-23 months ago 3 2 or more years ago 9 Missing Ever been tested for AIDS virus Ever been tested for AIDS virus Ever been tested for AIDS virus Ever been tested for AIDS virus Ever been tested for AIDS virus I don’t want to know the results, but have you ever been tested to see if you have the AIDS virus? Ask the respondent if she was tested for the HIV. Be clear to the respondent that you are not asking to know the results of the test. Circle the code for the response given. If her answer is 'No', skip to HA27. 3610 4064 1 2 1 Yes 2 No 9 Missing Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus Most recent time of testing for AIDS virus When was the most recent time you were tested? Circle the code corresponding to the response. 301 7373 1 9 1 Less than 12 months ago 2 12-23 months ago 3 2 or more years ago 9 Missing Received results of AIDS virus test Received results of AIDS virus test Received results of AIDS virus test Received results of AIDS virus test Received results of AIDS virus test I don’t want to know the results, but did you get the results of the test? Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or simply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the results of any test she may have undergone. Circle the code corresponding to her response. All answers should skip to next module. 301 7373 1 9 1 Yes 2 No 8 DK 9 Missing Know a place to get AIDS virus test Know a place to get AIDS virus test Know a place to get AIDS virus test Know a place to get AIDS virus test Know a place to get AIDS virus test Do you know of a place where people can go to get tested for the AIDS virus? Circle the code corresponding to the response. 3321 4353 1 9 1 Yes 2 No 9 Missing Ever tried cigarette smoking Ever tried cigarette smoking Ever tried cigarette smoking Ever tried cigarette smoking Ever tried cigarette smoking Have you ever smoked a cigarette/bidi, even if a puff or two? Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA6. Note that one or two puffs at any time in the past will be sufficient for a “Yes” answer in this question. Note that this question is only on cigarettes, and does not include other smoked or smokeless tobacco products. If the respondent has only had tobacco products other than cigarettes, circle '2'. This question is asked by reference to one or two puffs as an introductory question to ensure that we do not miss out on former users. 7372 302 1 2 1 Yes 2 No 9 Missing Age when smoked cigarette first time Age when smoked cigarette first time Age when smoked cigarette first time Age when smoked cigarette first time Age when smoked cigarette first time How old were you when you smoked a whole stick of cigarette/bidi the very first time? Write the age at which the respondent first smoked a whole cigarette. If the respondent says she has never smoked a whole cigarette in her life, then circle '00' and skip to TA6. Note that this question is no longer about smoking one or two puffs from a cigarette, but is about smoking a whole cigarette. It is possible that someone who has tried cigarette smoking with one or two puffs (TA1='1') will respond with a 'Never smoked a whole cigarette' to this question. 1338 6336 45 Never smoked a cigarette 99 Missing Currently smoking cigarette Currently smoking cigarette Currently smoking cigarette Currently smoking cigarette Currently smoking cigarette Do you smoke cigarette/bidi now-adays? Here you will ask the respondent whether she is currently smoking cigarettes. The intention is to capture those who smoke on a daily basis, as well as those who smoke occasionally, and those who smoke infrequently. Whether the respondent regards herself as currently smoking or not will determine the response to this question. Do not indicate to the respondent that you are asking the question to see if she smokes regularly or occasionally, as this type of information is collected in the next two questions. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA6. 1271 6403 1 2 1 Yes 2 No 9 Missing How many cigarettes smoked last 24 hours How many cigarettes smoked last 24 hours How many cigarettes smoked last 24 hours How many cigarettes smoked last 24 hours How many cigarettes smoked last 24 hours How many cigarette/bidi sticks have you smoked in the past 24 hours? Record the total number of cigarettes smoked by the respondent during the last 24 hours. Here, if need be, explain to the respondent that we are interested in knowing the consumption of at least one whole cigarette. If the respondent did not smoke any cigarettes during the last 24 hours, write “00”. 1012 6662 1 35 99 Missing How many days did you smoke cigarette last one month How many days did you smoke cigarette last one month How many days did you smoke cigarette last one month How many days did you smoke cigarette last one month How many days did you smoke cigarette last one month How many days did you smoke cigarette/bidi in the past one month? Record the total number of days on which the respondent smoked cigarettes during the last one month. Again, smoking cigarettes refers to smoking a whole cigarette, rather than a few puffs. If the answer given is less than 10 days, record the number of days in the space provided. If the respondent says she smoked “everyday” or “almost every day”, circle “30”. If the response is '10 days or more but less than a month', circle “10”. 1012 6662 1 30 10 10 days or more 30 Everyday or almost everyday 99 Missing Ever tried tobacco other than cigarette Ever tried tobacco other than cigarette Ever tried tobacco other than cigarette Ever tried tobacco other than cigarette Ever tried tobacco other than cigarette Have you ever consumed a tobacco-based substance that is smoked other than cigarette/bidi, such as tobacco, kakkad, sulfa, hukkah (hubble-bubble), chilim, cigar, etc.? Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA10. Note that the questions refers to “having tried” any of the mentioned smoked tobacco products, without any reference to frequency of use or when the product was used. This information is collected in the next few questions. 7372 302 1 2 1 Yes 2 No 9 Missing Smoked tobacco last one month Smoked tobacco last one month Smoked tobacco last one month Smoked tobacco last one month Smoked tobacco last one month Have you smoked any tobacco-based substance other than cigarette/bidi (such as tobacco, kakkad, sulfa, hukkah, chilim, cigar, etc) in the past one month? Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA10. “Use” will be dependent on the respondent's perception. 470 7204 1 2 1 Yes 2 No 9 Missing Tobacco type: Cigar Tobacco type: Cigar Tobacco type: Cigar Tobacco type: Cigar Tobacco type: Cigar What type of smoked tobacco-based substance did you consume in the past one month? Circle the codes for the tobacco products smoked by the respondent during the last one month. Give the respondent the chance to tell you all types of smoked tobacco products she may have used or smoked. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 18 ? Missing A Cigar Tobacco type: Water pipe Tobacco type: Water pipe Tobacco type: Water pipe Tobacco type: Water pipe Tobacco type: Water pipe What type of smoked tobacco-based substance did you consume in the past one month? Circle the codes for the tobacco products smoked by the respondent during the last one month. Give the respondent the chance to tell you all types of smoked tobacco products she may have used or smoked. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 64 ? Missing B Water pipe Tobacco type: Pipe Tobacco type: Pipe Tobacco type: Pipe Tobacco type: Pipe Tobacco type: Pipe What type of smoked tobacco-based substance did you consume in the past one month? Circle the codes for the tobacco products smoked by the respondent during the last one month. Give the respondent the chance to tell you all types of smoked tobacco products she may have used or smoked. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 305 ? Missing D Pipe Tobacco type: Other Tobacco type: Other Tobacco type: Other Tobacco type: Other Tobacco type: Other What type of smoked tobacco-based substance did you consume in the past one month? Circle the codes for the tobacco products smoked by the respondent during the last one month. Give the respondent the chance to tell you all types of smoked tobacco products she may have used or smoked. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 9 ? Missing X Other How many days did you smoke tobacco last one month How many days did you smoke tobacco last one month How many days did you smoke tobacco last one month How many days did you smoke tobacco last one month How many days did you smoke tobacco last one month How many days did you smoke a tobacco-based substance other than cigarette/bidi (such as tobacco, kakkad, sulfa, hukkah, chilim, cigar, etc) in the past one month? Record the total number of days the respondent smoked tobacco products during the last one month. If the answer refers to a period less than 10 days, record the number of days. If the respondent says she has been using smoked tobacco products “everyday” or “almost every day”, circle “30”. If the response is '10 days or more but less than a month', circle “10”. 379 7295 1 30 10 10 days or more 30 Everyday or almost everyday 99 Missing Ever tried smokeless tobacco Ever tried smokeless tobacco Ever tried smokeless tobacco Ever tried smokeless tobacco Ever tried smokeless tobacco Have you ever consumed smokeless tobacco-based substances such as surti (tobacco plant leaves), khaini, snuff? This time we are interested with ever use of smokeless tobacco products. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA14. Note that the question refers to “having tried” any of the mentioned smokeless tobacco products, without any reference to frequency of use or when the product was used. This information is collected in the next few questions. 7372 302 1 2 1 Yes 2 No 9 Missing Used smokeless tobacco last one month Used smokeless tobacco last one month Used smokeless tobacco last one month Used smokeless tobacco last one month Used smokeless tobacco last one month Have you consumed any smokeless tobacco substances (such as surti tobacco plant leaves, khaini, snuff) in the past one month? Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to TA14. “Use” is dependent on the respondent's perception. 219 7455 1 2 1 Yes 2 No 9 Missing Smokeless Tobacco type: Chewing tobacco Smokeless Tobacco type: Chewing tobacco Smokeless Tobacco type: Chewing tobacco Smokeless Tobacco type: Chewing tobacco Smokeless Tobacco type: Chewing tobacco What type of smokeless tobacco did you consume or chew in the past one month? Circle the codes for the smokeless tobacco products used by the respondent during the last one month. Give the respondent the chance to tell you all types of smokeless tobacco products she may have used. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 140 ? Missing A Chewing tobacco Smokeless Tobacco type: Snuff Smokeless Tobacco type: Snuff Smokeless Tobacco type: Snuff Smokeless Tobacco type: Snuff Smokeless Tobacco type: Snuff What type of smokeless tobacco did you consume or chew in the past one month? Circle the codes for the smokeless tobacco products used by the respondent during the last one month. Give the respondent the chance to tell you all types of smokeless tobacco products she may have used. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 1 ? Missing B Snuff Smokeless Tobacco type: Guthka Smokeless Tobacco type: Guthka Smokeless Tobacco type: Guthka Smokeless Tobacco type: Guthka Smokeless Tobacco type: Guthka What type of smokeless tobacco did you consume or chew in the past one month? Circle the codes for the smokeless tobacco products used by the respondent during the last one month. Give the respondent the chance to tell you all types of smokeless tobacco products she may have used. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 21 ? Missing D Guthka Smokeless Tobacco type: Processed tobacco (khaini) Smokeless Tobacco type: Processed tobacco (khaini) Smokeless Tobacco type: Processed tobacco (khaini) Smokeless Tobacco type: Processed tobacco (khaini) Smokeless Tobacco type: Processed tobacco (khaini) What type of smokeless tobacco did you consume or chew in the past one month? Circle the codes for the smokeless tobacco products used by the respondent during the last one month. Give the respondent the chance to tell you all types of smokeless tobacco products she may have used. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 59 ? Missing E Processed tobacco (khaini) Smokeless Tobacco type: Other Smokeless Tobacco type: Other Smokeless Tobacco type: Other Smokeless Tobacco type: Other Smokeless Tobacco type: Other What type of smokeless tobacco did you consume or chew in the past one month? Circle the codes for the smokeless tobacco products used by the respondent during the last one month. Give the respondent the chance to tell you all types of smokeless tobacco products she may have used. Do not rush to the next question. Pause and let the respondent mention all products that she may have used. 1 ? Missing X Other How many days did you use smokeless tobacco last one month How many days did you use smokeless tobacco last one month How many days did you use smokeless tobacco last one month How many days did you use smokeless tobacco last one month How many days did you use smokeless tobacco last one month How many days did you consume smokeless tobacco substances (such as surti tobacco plant leaves, khaini, snuff) in the past one month? Write number of days if less than 10 days. Circle 10 if days 10 or more but less than a month. Circle on “30” if “everyday” or “almost everyday”. 191 7483 2 30 10 10 days or more 30 Everyday or almost everyday 99 Missing Ever drunk alcohol Ever drunk alcohol Ever drunk alcohol Ever drunk alcohol Ever drunk alcohol Now, i would like to ask you a few questions about alcohol-drinking? Have you ever had alcohol (such as beer, wine or homemade liquor)? Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to the next module. 7372 302 1 2 1 Yes 2 No 9 Missing Age when first drank alcohol Age when first drank alcohol Age when first drank alcohol Age when first drank alcohol Age when first drank alcohol How old were you when you first had an alcoholic drink? Make sure that the respondent understands what we mean by one drink of alcohol. Otherwise, we may be capturing those cases when the respondent may have taken just a few sips very early on, which we do not want to. We are looking for the consumption of at least one drink, as described in the question. Write the age of the respondent at the time when she had her first drink. If the respondent says she has never had one drink of alcohol, then circle '00' and skip to the next module. Note that a respondent who has had a few sips but never one full drink may respond with 'Yes' in TA14, but may respond with 'Never had one drink of alcohol' in this question. This is possible. 815 6859 2 99 99 Missing How many days did you drink alcohol last one month How many days did you drink alcohol last one month How many days did you drink alcohol last one month How many days did you drink alcohol last one month How many days did you drink alcohol last one month How many days did you drink alcohol in the past one month? Record the total number of days the respondent had at least one drink of alcohol during the last one month. If the answer refers to a period less than 10 days, record the number of days. If the respondent says she drank alcohol “everyday” or “almost every day”, circle “30”. If the response is ten days or more but less than a month, circle “10”. If the respondent says she did not have one drink of alcohol in the last month, then circle '00' and skip to the next module. 815 6859 30 No drink in last one month 10 10 days or more 30 Everyday or almost everyday 99 Missing Satisfaction with your family life Satisfaction with your family life Satisfaction with your family life Satisfaction with your family life Satisfaction with your family life Now I would like to ask you some very simple questions about your level of satisfaction in different areas. In each case, I would like to know where you would place yourself: Whether you are very or somewhat satisfied, neither satisfied nor unsatisfied, or somewhat or very unsatisfied. You can also look at these pictures to help you with your response. How satisfied are you with your family life? Give response card to respondent and prompt her to look at the card while and after you ask each question from LS2 to LS10. If the respondent says that she does not have a family, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent. We have to leave it to the respondent's perception as to what she refers to as “family life”. Note that the question is not about “family”, but rather about “family life”. In other words, we are not asking the respondent to think about family members individually. At hearing this question, some respondents will think of their immediate family, or members of family that she is living together with. Depending on the living arrangements or relationship patterns between immediate and extended family members, some respondents will automatically think of the extended family. Do not try to explain what is meant by the “family”, unless the respondent asks you to. If that happens, tell the respondent that we are interested in their family experiences, immediate or extended family, whichever they spend more time with. 2831 4843 1 5 Does not have family 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your friends Satisfaction with your friends Satisfaction with your friends Satisfaction with your friends Satisfaction with your friends How satisfied are you with your friendships? If the respondent says that she does not have any friends, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 2831 4843 5 Does not have friends 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your school Satisfaction with your school Satisfaction with your school Satisfaction with your school Satisfaction with your school How satisfied are you with your school? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 2831 4843 5 Does not go to school 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your current job Satisfaction with your current job Satisfaction with your current job Satisfaction with your current job Satisfaction with your current job How satisfied are you with your current job? Note that you will be leaving the definition of “job” to the perception of the respondent. When answering this question, she might be referring to a full-time job, irregular or seasonal work, family business, paid work or unpaid work, and the like. It is important that you ask the question as it is and ask the respondent to answer. You are not expected to define what a “job” is. If the respondent says that he/she does not have a job, circle “0” and continue with the next question. Do not probe to find out how she feels about not having a job, unless she tells you herself. For example, if she says that she does not have a job and she is very unsatisfied, circle “5” and continue with the next question. 2831 4843 5 Does not have a job 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your ownself Satisfaction with your ownself Satisfaction with your ownself Satisfaction with your ownself Satisfaction with your ownself How satisfied are you with yourself? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 2831 4843 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with where you live Satisfaction with where you live Satisfaction with where you live Satisfaction with where you live Satisfaction with where you live How satisfied are you with where you live? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. “Where you live” might be understood in different ways by different respondents. The intention here is to get the respondent's satisfaction from the neighbourhood she is living in, her neighbours and the characteristics of the dwelling (if they like it or if they wish they lived in a different house etc.). If necessary, explain that the question refers to the living environment, including the neighbourhood and the dwelling. We are not interested in the level of satisfaction of the respondent with the city or country they are living in. 2831 4843 1 5 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your life, overall Satisfaction with your life, overall Satisfaction with your life, overall Satisfaction with your life, overall Satisfaction with your life, overall How satisfied are you with your life, overall? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 2831 4843 1 5 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Satisfaction with your current income Satisfaction with your current income Satisfaction with your current income Satisfaction with your current income Satisfaction with your current income How satisfied are you with your current income? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. This question is asked after the general question on life satisfaction deliberately, so as to avoid having the respondent to condition her other responses to her level of satisfaction in other non-income domains. If the respondent says responds that he/she does not have any income, circle “0” and continue with the next question. Do not probe to find out how she feels about not having any income, unless she tells you herself. For example, if she says that she does not have any income and she is very unsatisfied with this situation, circle “5” and continue with the next question. 2831 4843 5 Does not have any income 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Are you happy taking all things together Are you happy taking all things together Are you happy taking all things together Are you happy taking all things together Are you happy taking all things together Taking all things together, would you say you are very or somewhat happy, neither happy nor unhappy, or somewhat or very unhappy? Circle the code corresponding to the response given or to the smiling face pointed out by the respondent. 2831 4843 1 5 1 Very happy 2 Somewhat happy 3 Neither happy nor unhappy 4 Somewhat unhappy 5 Very unhappy 9 Missing Has your life improved compared to last year Has your life improved compared to last year Has your life improved compared to last year Has your life improved compared to last year Has your life improved compared to last year Compared to this time last year, would you say that your life has improved or worsened, overall? Make sure that the respondent understands the reference to the last one year of her life, and that we are referring to the overall improvement or worsening. 2831 4843 1 3 1 Improved 2 More or less the same 3 Worsened 9 Missing Year from now do you expect better life Year from now do you expect better life Year from now do you expect better life Year from now do you expect better life Year from now do you expect better life And in one year from now, do you expect that your life will be better or worse, overall? Note that this question is about the respondent's expectations about her life course during the next one year, and that the sentence here is designed as a continuation of the previous question, by beginning with “And…”. This question is also about overall improvement or worsening. 2831 4843 1 8 1 Better 2 More or less the same 3 Worse 8 DK 9 Missing Area Area Area Area Area Type of settlement: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 7674 1 2 1 Urban 2 Rural Subregion Subregion Subregion Subregion Subregion Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 7674 41 53 41 Mid West Mountains 42 Mid West Hills 43 Mid West Terai 51 Far West Mountains 52 Far West Hills 53 Far West Terai Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 7674 1 2 1 Mid-Western 2 Far Western Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) 7674 2010 2013 2011.526 0.894 Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) 7372 302 1413 1833 1658.606 113.944 Age Age Age Age Age 7372 302 1 7 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) 5964 1710 1525 2014 1834.132 109.894 Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union 5964 1710 3 45 16.711 3.217 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status 7372 302 1 3 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Education Education Education Education Education 7372 302 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 7674 1 999 1 Chhetri 2 Hill Brahmin 3 Magar 4 Tharu 7 Muslim 8 Kami 12 Damai 14 Thakuri 15 Sharki 25 Sonar 122 Other Dalit Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 7674 -0.956 4.744 0.0809 0.999 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 7674 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 7674 7372 1 240 122.515 127.7 70.11 67.121 Strata Strata Strata Strata Strata 7674 1 10 5.917 2.79 Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight 7674 6.859 0.961 0.88 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 3688 1 240 113.152 71.063 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 3688 1 25 12.796 7.261 Line number Line number Line number Line number Line number 3688 2 24 5.507 2.163 District District District District District 3688 52 75 52 Pyuthan 53 Rolpa 54 Rukum 55 Salyan 56 Dang 57 Banke 58 Bardiya 59 Surkhet 60 Dailekh 61 Jajarkot 62 Dolpa 63 Jumla 64 Kalikot 65 Mugu 66 Humla 67 Bajura 68 Bajhang 69 Acham 70 Doti 71 Kailali 72 Kanchanpur 73 Dadeldhura 74 Baitadi 75 Darchula Cluster number Cluster number Cluster number Cluster number Cluster number UF1-UF8 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 3688 1 240 113.152 71.063 Household number Household number Household number Household number Household number UF1-UF8 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 3688 1 25 12.796 7.261 Child's line number Child's line number Child's line number Child's line number Child's line number UF1-UF8 should be filled in before you start the interview. Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing. 3688 2 24 5.507 2.163 Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number UF1-UF8 should be filled in before you start the interview. Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing. 3688 1 22 2.918 2.042 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number UF1-UF8 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers during training. 3688 1 36 18.845 10.11 Day of interview Day of interview Day of interview Day of interview Day of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 3688 1 30 14.977 8.313 Month of interview Month of interview Month of interview Month of interview Month of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 3688 6 9 7.58 0.864 Year of interview Year of interview Year of interview Year of interview Year of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 3688 2067 2067 2067 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Complete this question once you have concluded the interview. Remember that the code refers to the mother or primary caretaker of the under-five child. Circle the code corresponding to the results of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '02' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '05'. If you have not been able to complete this questionnaire for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 3688 1 96 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 3688 1 12 6.671 3.373 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 3688 1 4 2.53 1.084 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 3574 114 6 22 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 3574 114 59 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 3574 114 6 22 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 3574 114 59 99 Missing Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Now I would like to ask you some questions about the age of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 3574 114 1 98 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Now I would like to ask you some questions about the age of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 3574 114 1 99 97 Inconsistent 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Now I would like to ask you some questions about the age of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 3574 114 2062 9999 9997 Inconsistent 9999 Missing Age of child Age of child Age of child Age of child Age of child How old is (name)? After having obtained the child's date of birth, ask the child's age in completed years, and record in the space provided. Remember, ages must refer to the last birthday. Probe if necessary by asking “How old was (name) at his/her last birthday?” If the mother/primary caretaker does not know the current age of the child, try asking “How many years ago was (name) born?” You may help the respondent by relating the child's age to that of other children or to some important event or to the season of birth, by asking, for example, “How many wet seasons ago was (name) born?” Record age in completed years. Record '0' if the child is less than 1 year old. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 3574 114 4 2.086 1.401 Birth certificate Birth certificate Birth certificate Birth certificate Birth certificate Does (name) have a birth certificate? This question aims to provide an estimate of the extent of birth registration in your country. Respondents must be assured that the information about individual families will never be given to authorities, and that they cannot be identified in any way. If the answer is yes, ask “May I see it?” and circle the appropriate corresponding code, noting whether or not the certificate was seen. If the child has a birth certificate and it was seen, circle '1' and go to next module. If the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate, circle '2' and go to next module. If the child does not have a birth certificate '3' or the respondent does not know '8' continue to the next question. 3574 114 1 8 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Birth registered Birth registered Birth registered Birth registered Birth registered Has (name)'s birth been registered with VDCs or municipalities? Circle the code corresponding to the response. If the answer is 'Yes', go to next module. If the child's birth has not been registered with civil authorities or the respondent does not know, continue to the next question. 1972 1716 1 8 1 Yes 2 No 8 DK 9 Missing Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child’s birth? The purpose of this question is to assess how important lack of knowledge (of the process of registering or, if applicable, the place to go to register) may be among the reasons for non-registration. This information can inform advocacy efforts and help in the formulation of education campaigns. Circle the code corresponding to the response. 1889 1799 1 2 1 Yes 2 No 9 Missing Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child How many children’s books or picture books do you have for (name)? This question asks specifically about children's books or picture books for the child. This excludes schoolbooks (appropriate for or belonging to older children), as well as other books for adults that are present in the household. Record the number of books in the space provided. There is no need to make an actual count of books yourself. Rely on the respondent's answer, and avoid asking to see and count the books yourself, since this is likely to require extra time. If the respondent is unsure about the number of children's books or picture books and is not able to provide an answer the first time you ask the question, ask her/him if there are more than 10 such books. If yes, circle '10'. If she/he says that there are less than 10 such books, probe further to get an exact number. If there are no such books in the household, record '00'. 3574 114 99 99 Missing Homemade toys Homemade toys Homemade toys Homemade toys Homemade toys I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: homemade toys (such as dolls, cars or some other toys made at home)? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Toys from shops Toys from shops Toys from shops Toys from shops Toys from shops I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: toys from a shop or manufactured toys? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: household objects (such as bowls or pots) or objects found outside (such as sticks, rocks, animal shells or leaves)? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past 7 days was (name): Left alone for more than an hour? This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children. The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house. Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old. 3574 114 9 None 8 DK 9 Missing In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past 7 days was (name): Left in the care of another child, that is, someone less than 10 years old, for more than an hour? This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children. The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house. Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old. 3574 114 9 None 8 DK 9 Missing Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? This question aims to find out if the child is participating in early learning activities. Baby-sitting or child-minding, even if done in a special place such as a day-care centre, does not qualify as such a programme unless it includes organized learning activities. You must ensure that the mother or primary caretaker understands the meaning of 'Early Childhood Education Programme', explaining it as instructed. Circle the appropriate code. Skip to EC7 if the answer to this question is 'No' or 'DK'. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within the last seven days, about how many hours did (name) attend such organized learning or early childhood education programme? This question is asked if the child is attending an early childhood education programme. Record the estimated number of hours the child attended any organized learning or early childhood education programme in the last 7 days (excluding the day of interview). Use a leading zero if necessary. 453 3235 99 99 Missing Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 272 ? Missing A Mother Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 213 ? Missing B Father Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 508 ? Missing X Other Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 693 ? Missing Y No one Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 452 ? Missing A Mother Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 204 ? Missing B Father Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 532 ? Missing X Other Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 496 ? Missing Y No one Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 541 ? Missing A Mother Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 136 ? Missing B Father Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 639 ? Missing X Other Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 410 ? Missing Y No one Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 443 ? Missing A Mother Took outside-Father Took outside-Father Took outside-Father Took outside-Father Took outside-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 484 ? Missing B Father Took outside-Other Took outside-Other Took outside-Other Took outside-Other Took outside-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 816 ? Missing X Other Took outside-No one Took outside-No one Took outside-No one Took outside-No one Took outside-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 254 ? Missing Y No one Played with-Mother Played with-Mother Played with-Mother Played with-Mother Played with-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 174 ? Missing A Mother Played with-Father Played with-Father Played with-Father Played with-Father Played with-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 101 ? Missing B Father Played with-Other Played with-Other Played with-Other Played with-Other Played with-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1246 ? Missing X Other Played with-No one Played with-No one Played with-No one Played with-No one Played with-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 163 ? Missing Y No one Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 248 ? Missing A Mother Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 166 ? Missing B Father Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 535 ? Missing X Other Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 718 ? Missing Y No one Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet I would like to ask you some questions about the health and development of your child. Children do not all develop and learn at the same rate. For example, some walk earlier than others. These questions are related to several aspects of your child’s development. Can (name) identify or name at least ten letters of the alphabet? Circle the code corresponding to the response. A 'Yes' answer means that the child can name ten or more letters of the alphabet while a 'No' answer means that the child can name less than ten or none at all. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Can (name) read at least four simple, popular words? Circle the code corresponding to the response. A 'Yes' response means that the child can read at least four simple, popular words while a 'No' response means that the child can only read one or two, or none at all. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child knows name and recognizes symbol of all numbers from 1 Child knows name and recognizes symbol of all numbers from 1 Child knows name and recognizes symbol of all numbers from 1 Child knows name and recognizes symbol of all numbers from 1 Child knows name and recognizes symbol of all numbers from 1 Does (name) know the name and recognize the symbol of all numbers from 1 to 10? Circle the code corresponding to the response. If parent seems hesitant, prompt with “does the child know '1'? Does the child know 2?” etc. A 'Yes' answer means that the child can recognize the symbol of all numbers from 1 to 10 while a 'No' answer means that the child can recognize less than ten or none at all. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Can (name) pick up a small object with two fingers, like a stick or a rock from the ground? Circle the code corresponding to the response. If necessary, use the pen you are holding to demonstrate the grip. Consider the small objects mentioned before when asking about the items children play with (sticks, rocks, animal shells or leaves). A 'Yes' answer means that the child is able to pick up small objects without difficulty while a 'No' answer means that the child seems to have difficulty with small items. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Is (name) sometimes too sick to play? Circle the code corresponding to the response. A 'Yes' answer means that the child often gets sick and cannot play or do many physical activities, while a 'No' answer is in cases when the child is consistently ready to be active and play and only appears tired when it is appropriate for him/her to be so (e.g., in the evening; at the usual nap time). 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child follows simple directions Child follows simple directions Child follows simple directions Child follows simple directions Child follows simple directions Does (name) follow simple directions on how to do something correctly? Circle the code corresponding to the response. A 'Yes' answer means that the child can do things easily and correctly when asked to do so while a 'No' answer means that the child usually does not accomplish the simple tasks she/he is given successfully. Do not concern yourself with the reasons why not. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child able to do something independently Child able to do something independently Child able to do something independently Child able to do something independently Child able to do something independently When given something to do, is (name) able to do it independently? Circle the code corresponding to the response. A 'Yes' answer means that the child is able to occupy herself/himself independently for an appropriate length of time, without constant asking for assistance or giving up quickly (e.g., colouring, building structures, etc.) while a 'No' answer means that the child cannot occupy herself/himself independently, asks for help or assistance, or gives up the work/play easily if not provided with help. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child gets along well with other children Child gets along well with other children Child gets along well with other children Child gets along well with other children Child gets along well with other children Does (name) get along well with other children? Circle the code corresponding to the response. A 'Yes' answer means that the child does well playing and interacting with other children while a 'No' answer means that the child is uncomfortable around other children, prefers to be alone, or gets into conflicts. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Does (name) kick, bite or hit other children or adults? Circle the code corresponding to the response. A 'Yes' answer means that the parent has noticed that the child can physically hurt (kick, bite, hit) other children while a 'No' answer means that the child does not do it. Do not concern yourself with what may be the reason of such behaviour (e.g., if parent tries to explain the reasons, or excuse the child). 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child gets distracted easily Child gets distracted easily Child gets distracted easily Child gets distracted easily Child gets distracted easily Does (name) lose attention easily? Circle the code corresponding to the response. A 'Yes' answer means that the child has difficulty sticking with/continuing any activity for the necessary length of time, gets easily distracted by anything happening around her/him, or finds other activities before completing the one started while a 'No' answer means that the child doesn't get easily distracted. 1553 2135 1 8 1 Yes 2 No 8 DK 9 Missing Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Has (name) ever been breastfed? This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother/primary caretaker. Circle the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, circle 'No' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is he/she still being breastfed? 'Being breastfed' is defined as putting the child to the breast at least once a day. Circle the code corresponding to the response. The questions BF3-BF18 asks about what the child was fed in the preceding 24 hours. The purpose of these questions is to determine what liquids or foods the child was given. Make sure that the respondent understands the question, particularly what is meant by 'yesterday, during the day or night'. Circle the code corresponding to the response. If the mother/primary caretaker does not know the answer, repeat the question using other local words for the fluid or food. If the answer is still not known, circle '8' for 'DK'. Note that for infant formula, milk, yogurt, and solid/semi-solid mushy food, the number of times the child had the food is also asked. 3506 182 1 8 1 Yes 2 No 8 DK 9 Missing Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday I would like to ask you about liquids that (name) may have had yesterday during the day or the night. I am interested in whether (name) had the item even if it was combined with other foods. Did (name) drink plain water yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Did (name) drink infant formula yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK,' skip to BF6. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula How many times did (name) drink infant formula? Record the number of times the child had infant formula. 266 3422 1 10 99 Missing Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Did (name) drink milk, such as tinned, powdered or fresh animal milk yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF8. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Times child drank milk Times child drank milk Times child drank milk Times child drank milk Times child drank milk How many times did (name) drink tinned, powdered or fresh animal milk? Record the number of times the child had tinned, powdered or fresh animal milk. 1842 1846 1 20 99 Missing Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Did (name) drink juice or juice drinks yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Did (name) drink (mixed beans soup/dhal soup/meat soup/vegetable soup) yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Did (name) drink ORS (oral rehydratation solution/jeevanjal) yesterday, during the day or night? Oral Rehydration Solution is a simple and inexpensive solution that can be prepared at home, consisting of sugar, salt, and water and can decrease fluid loss in children with diarrhoea. Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Did (name) drink any other liquids yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Did (name) drink or eat yogurt/yogurt drink yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt How many times did (name) drink or eat yogurt/yogurt drink yesterday, during the day or night? Record the number of times the child had yogurt. 963 2725 1 8 99 Missing Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Did (name) eat thin porridge yesterday, during the day or night? Circle the code corresponding to the response. 3574 114 1 9 1 Yes 2 No 8 DK 9 Missing Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Did (name) eat solid or semi-solid (soft, mushy) food (roti, fruits, rice)yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food How many times did (name) eat solid or semi-solid (soft, mushy) food (roti, fruits, rice) yesterday, during the day or night? Record the number of times the child had solid or semi-solid food. 3036 652 1 10 99 Missing Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple? Circle the code corresponding to the response. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks In the last two weeks, has (name) had diarrhoea? Diarrhoea is determined by the perception of the mother or caretaker, or by three or more loose or watery stools per day, or by blood in stool. Record the mother's/primary caretaker's answer by circling the corresponding code. If a respondent is not sure what is meant by diarrhoea, tell her/him it means “three or more loose or watery stools per day, or blood in the stool.” Make sure the respondent understands what is meant by 'in the last 2 weeks'. If the child has not had diarrhoea in the last 2 weeks or the caretaker doesn't know, skip to CA7. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness I would like to know how much (name) was given to drink during the diarrhoea (including breastmilk). During the time (name) had diarrhoea, was he/she given less than usual to drink, about the same amount, or more than usual? If dehydrated, a child may take more fluids than usual. We want to know if the pattern of fluid consumption changed during diarrhoea. The focus in this question is on how much fluid was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the appropriate code for the caretaker's response. Get the respondent's best judgement of the relative amount of total fluids actually consumed by the child. All fluids are included, not just special ones given during diarrhoea. For example, water, tea, fruit juice, breastmilk and formula are included as well as special fluids such as ORS. If the child was given less drink than usual during the diarrhoea, probe: “Was he/she given much less than usual to drink, or somewhat less?” Try to find out what actually happened, not what the respondent thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more fluids” is not satisfactory. You would need to ask, “But how much did your child actually drink during this diarrhoea?” It may be difficult to estimate the relative amount of breastmilk taken by the child. The respondent may make an estimate based on whether the child nursed longer or more frequently. 433 3255 1 8 1 Much less 2 Somewhat less 3 About the same 4 More 5 Nothing to drink 8 DK 9 Missing Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During the time (name) had diarrhoea, was he/she given less than usual to eat, about the same amount, more than usual, or nothing to eat? During an episode of diarrhoea or other illness, a child may change the amount usually eaten. The focus in this question is on how much food was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the code corresponding to the caretaker's response. Get the caretaker's best judgement of the relative amount of total food actually consumed by the child. Try to find out what actually happened, not what the caretaker thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more food” is not satisfactory. You would need to ask, “But how much did your child actually eat during this diarrhoea?” If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), circle '5' for 'Stopped food'. If the child was given less than usual to eat during the diarrhoea, probe: “Was he/she given much less than usual to eat, or somewhat less?”. Then circle the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; circle '1'. Make sure that the respondent understands that this includes breastmilk, if the child is still being breastfed. If the child is very young and the caretaker replies that he/she takes only fluids or breastmilk (that is, has not started 'eating' yet), there is no need to probe, since 'drinking' and 'eating' count as the same for this child. Circle the answer for this question (eating) that comes closest to the answer you circle for CA4 (drinking). 433 3255 1 8 1 Much less 2 Somewhat less 3 About the same 4 More 5 Stopped food 6 Never gave food 8 DK 9 Missing Drank ORS like Navajeevan/Jeevanjal for diarrhoea Drank ORS like Navajeevan/Jeevanjal for diarrhoea Drank ORS like Navajeevan/Jeevanjal for diarrhoea Drank ORS like Navajeevan/Jeevanjal for diarrhoea Drank ORS like Navajeevan/Jeevanjal for diarrhoea Was (name) given oral rehydration solution (ORS) by mixing nawajeewan/jeewanjal powder in water during diarrhoea? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 433 3255 1 2 1 Yes 2 No 8 DK 9 Missing Source of ORS packet Source of ORS packet Source of ORS packet Source of ORS packet Source of ORS packet From where was the packet of ORS (nawajeevan) brought from? 267 3421 11 14 11 Health post/sub health post 12 Female community health worker 13 Private clinic 14 Shop 96 Others Price of one packet of ORS Price of one packet of ORS Price of one packet of ORS Price of one packet of ORS Price of one packet of ORS How much you had to pay for one packet of ORS (nawajeevan)? If received for free write '00'. 267 3421 98 98 DK 99 Missing Took Zinc tablets with ORS Took Zinc tablets with ORS Took Zinc tablets with ORS Took Zinc tablets with ORS Took Zinc tablets with ORS Was (name) given to take Zinc tablet along with ORS during that episode of diarrhoea? 267 3421 1 8 1 Yes 2 No 8 DK 9 Missing Source of Zinc tablets Source of Zinc tablets Source of Zinc tablets Source of Zinc tablets Source of Zinc tablets From where was Zinc tablets brought from? 106 3582 11 14 11 Health post/sub health post 12 Female community health worker 13 Private clinic 14 Shop 96 Others Price of one file (10 tablets) of Zinc tablets Price of one file (10 tablets) of Zinc tablets Price of one file (10 tablets) of Zinc tablets Price of one file (10 tablets) of Zinc tablets Price of one file (10 tablets) of Zinc tablets How much you had to pay for one file (10 tablets) of Zinc tablets? If received for free write '00'. 106 3582 98 98 DK 99 Missing Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Was anything else given to (name) to treat the episode of diarrhoea? This question asks the mother or caretaker whether the child received any (other) treatment for diarrhoea other than those mentioned in CA4 for this episode of diarrhoea. If in CA4 you learned that the child was given fluid from an ORS packet, sugar and salt solution, or pre-packaged ORS fluid, then phrase CA5 by saying, “Was anything else given to treat the diarrhoea?” If none of the liquids was given, ask CA5 by saying, “Was anything given to treat the diarrhoea?” Circle the code corresponding to the answer given. If the response is 'Yes', continue to CA6 to learn the type of treatment given. If the child was not given anything (else) for the diarrhoea or the respondent doesn't know, skip to CA7. 433 3255 1 8 1 Yes 2 No 8 DK 9 Missing Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 11 ? Missing A Antibiotic pill or syrup Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. ? Missing B Antimotility pill or syrup Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 18 ? Missing C Zinc Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 4 ? Missing G Other pill or syrup Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 17 ? Missing H Unknown pill or syrup Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 2 ? Missing L Antibiotic injection Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. ? Missing M Non antibiotic injection Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 1 ? Missing N Unknown injection Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. ? Missing O Intravenous Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 17 ? Missing Q Home remedy/Herbal medicine Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 8 ? Missing X Other Reason diarrhoea: Unsafe drinking water Reason diarrhoea: Unsafe drinking water Reason diarrhoea: Unsafe drinking water Reason diarrhoea: Unsafe drinking water Reason diarrhoea: Unsafe drinking water Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 13 ? Missing A Unsafe drinking water Reason diarrhoea: Eating unhygenic/stale food Reason diarrhoea: Eating unhygenic/stale food Reason diarrhoea: Eating unhygenic/stale food Reason diarrhoea: Eating unhygenic/stale food Reason diarrhoea: Eating unhygenic/stale food Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 17 ? Missing B Eating unhygenic/stale food Reason diarrhoea: Open defecation Reason diarrhoea: Open defecation Reason diarrhoea: Open defecation Reason diarrhoea: Open defecation Reason diarrhoea: Open defecation Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 4 ? Missing C Open defecation Reason diarrhoea: Eating without washing hands Reason diarrhoea: Eating without washing hands Reason diarrhoea: Eating without washing hands Reason diarrhoea: Eating without washing hands Reason diarrhoea: Eating without washing hands Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 14 ? Missing D Eating without washing hands Reason diarrhoea: Other Reason diarrhoea: Other Reason diarrhoea: Other Reason diarrhoea: Other Reason diarrhoea: Other Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 18 ? Missing X Other Reason diarrhoea: DK Reason diarrhoea: DK Reason diarrhoea: DK Reason diarrhoea: DK Reason diarrhoea: DK Why do you think he/she was suffering from diarrhoea? probe: Any other reasons? 25 ? Missing Z DK Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 7 ? Missing A Government hospital Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 3 ? Missing B Primary health care center Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 17 ? Missing C Health post/Sub Health post Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 3 ? Missing D Village health worker Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. ? Missing E Mobile / Outreach clinic Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 5 ? Missing F FCHV Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. ? Missing H Other public Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 12 ? Missing I Private hospital / clinic Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 1 ? Missing J Private physician Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 9 ? Missing K Private pharmacy Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. ? Missing L Mobile clinic Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. ? Missing O Other private medical Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. ? Missing R Traditional practitioner Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 16 ? Missing S Household remedies Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek advice or treatment for diarrhoea? Probe: ANYWHERE ELSE? Circle all providers mentioned, but do NOT prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place. 1 ? Missing X Other Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks At any time in the last two weeks, has (name) had an illness with a cough? Illness with a cough means a cold or other acute respiratory illness with a cough. Circle the code corresponding to the response given. If the respondent says “He coughs all the time,” or “She's been coughing for months,” do not count this as an 'illness with a cough' since it is a chronic problem. If the answer is 'No' or 'DK', circle the appropriate code and go to CA14. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When the child had an illness with a cough, did he/she breathe faster than usual, with short, rapid breaths or have difficulty breathing? The question aims to find out if the child has or had an illness requiring assessment by a health professional. If the respondent asks “What do you mean by 'fast breathing'?” you may say “noticeably faster than normal when the child is rested.” If the respondent asks “What do you mean by 'difficulty breathing'?” you may say “The child sounded/looked as if he/she was having trouble breathing.” You may give other explanations that were developed and tested during the adaptation and pre-testing of the questionnaire. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA14. 1137 2551 1 8 1 Yes 2 No 8 DK 9 Missing Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose? This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold. Circle the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked or runny nose only', skip to CA14. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, circle '6' and skip to CA14. Otherwise, continue to the next question. 800 2888 1 8 1 Problem in chest 2 Blocked or runny nose 3 Both 6 Other 8 DK 9 Missing Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Did you seek any advice or treatment for the illness from any source? 'Seeking care outside the home' means going outside the family or household for advice or treatment. Seeking care could include anything from asking a neighbour for advice, to holding a religious ceremony on the child's behalf, to going to a hospital. If a physician or other provider visits the household to give care, this counts as seeking care outside the home. The child may or may not have accompanied the respondent when he/she sought care. For example, going to buy medicine without the child counts as seeking care. Circle the code corresponding to the response given. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA12. 243 3445 1 2 1 Yes 2 No 8 DK 9 Missing Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 23 ? Missing A Government hospital Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente Place sought care: (public sector) Primary health care cente From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 18 ? Missing B Primary health care center Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po Place sought care: (public sector) Health post/Sub Health po From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 40 ? Missing C Health post/sub health post Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 5 ? Missing D Village health worker Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 2 ? Missing E Mobile / Outreach clinic Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV Place sought care: (public sector) FCHV From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 15 ? Missing F FCHV Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. ? Missing H Other public Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 45 ? Missing I Private hospital / clinic Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. ? Missing J Private physician Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 31 ? Missing K Private pharmacy Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic Place sought care: Private Mobile clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. ? Missing L Mobile clinic Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. ? Missing O Other private medical Place sought care: Relatives/friends Place sought care: Relatives/friends Place sought care: Relatives/friends Place sought care: Relatives/friends Place sought care: Relatives/friends From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 2 ? Missing P Relatives/friends Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 1 ? Missing Q Shop Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies Place sought care: Household remedies From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 17 ? Missing S Household remedies Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 3 ? Missing T Traditional practitioner Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. ? Missing X Other Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given any medicine to treat this illness? Circle the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA14. 243 3445 1 8 1 Yes 2 No 8 DK 9 Missing Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 127 ? Missing A Antibiotic pill / syrup Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 8 ? Missing B Antibiotic injection Medicine given: Antimalarials Medicine given: Antimalarials Medicine given: Antimalarials Medicine given: Antimalarials Medicine given: Antimalarials What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. ? Missing M Antimalarials Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 28 ? Missing P Paracetamol / Panadol / Acetaminophen Medicine given: Aspirine Medicine given: Aspirine Medicine given: Aspirine Medicine given: Aspirine Medicine given: Aspirine What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. ? Missing Q Aspirine Medicine given: Ibupropfen Medicine given: Ibupropfen Medicine given: Ibupropfen Medicine given: Ibupropfen Medicine given: Ibupropfen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 1 ? Missing R Ibuprofen Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 11 ? Missing X Other Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 21 ? Missing Z DK What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools The last time (name) passed stools, what was done to dispose of the stools? The purpose of this question is to know what was done with the most recent stools passed by the child in the household. The safe disposal of children's stools is of particular importance because children's stools are the most likely cause of faecal contamination to the immediate household environment. Correct disposal of stools is linked with lower risks of diarrhoea. Respondents are asked where they usually dispose of their children's stools if the child did not use the toilet facility. Circle the most appropriate code. If the respondent states that diapers are used, then probe to establish how the diapers are disposed of. 2021 1667 1 98 1 Child used toilet/latrine 2 Put/rinsed into toilet or latrine 3 Put/rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open places 96 Other 98 DK 99 Missing Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks Child ill with fever in last 2 weeks In the last two weeks, has (name) been ill with a fever at any time? Fever is a symptom of malaria, and in areas where malaria is prevalent, mothers are advised to take action to treat for malaria as soon as fever begins. Circle the code corresponding to the answer given. Circle the code corresponding to 'Yes' only if the child has been ill with a fever at any time in the 2 weeks prior to the date of the interview. If the child has not been ill with a fever or the respondent doesn't know, go to next module. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Blood taken for testing during illness Blood taken for testing during illness Blood taken for testing during illness Blood taken for testing during illness Blood taken for testing during illness At any time during the illness, did (name) have blood taken from his/her finger or heel for testing? Circle the code corresponding to the response given. 646 3042 1 8 1 Yes 2 No 8 DK 9 Missing Advice or treatment during illness Advice or treatment during illness Advice or treatment during illness Advice or treatment during illness Advice or treatment during illness Did you seek any advice or treatment for the illness from any source? Circle the code corresponding to the answer given. If the respondent did not seek any advice or treatment from any source or doesn't know, skip to ML8. 646 3042 1 8 1 Yes 2 No 8 DK 9 Missing Child taken to a health facility during illness Child taken to a health facility during illness Child taken to a health facility during illness Child taken to a health facility during illness Child taken to a health facility during illness Was (name) taken to a health facility during this illness? Circle the code corresponding to the answer given. If the child was not taken to a health facility or if the mother/primary caretaker does not know, skip to ML9. 422 3266 1 8 1 Yes 2 No 8 DK 9 Missing Child given medicine at health facility Child given medicine at health facility Child given medicine at health facility Child given medicine at health facility Child given medicine at health facility Was (name) given any medicine for fever or malaria at the health facility? Circle the code corresponding to the answer given. If the child was not given any medicine for the fever or malaria that was provided or prescribed at a health facility, or if the mother/primary caretaker does not know, skip to ML7. 385 3303 1 8 1 Yes 2 No 8 DK 9 Missing Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing A SP / Fansidar Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 1 ? Missing B Chloroquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing C Amodiaquine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing D Quinine Medicine given: Combination with artemisinin Medicine given: Combination with artemisinin Medicine given: Combination with artemisinin Medicine given: Combination with artemisinin Medicine given: Combination with artemisinin What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 1 ? Missing E Combination with artemisinin Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 3 ? Missing H Other anti-malarial Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 194 ? Missing I Antibiotic pill / syrup Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 11 ? Missing J Antibiotic injection Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 55 ? Missing P Paracetamol / Panadol / Acetaminophen Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 1 ? Missing Q Aspirin Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing R Ibuprofen Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: “Any other medicine?” until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 13 ? Missing X Other Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: “Any other medicine?” until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 47 ? Missing Z DK Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Child given medicine before visiting health facility Was (name) given any medicine for the fever or malaria before being taken to the health facility? Circle the code corresponding to the answer given. If the response is 'Yes', skip to ML9 to learn the type of medicine given. If the child did not take any medicine for the fever or malaria before being taken to the health facility or the respondent doesn't know, skip to ML10. Note that all response categories to this question skip ML8, to go to either ML9 or ML10. 385 3303 1 8 1 Yes 2 No 8 DK 9 Missing Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Child given medicine for malaria or fever during illness Was (name) given any medicine for fever or malaria during this illness? This question is only asked if the respondent did not seek advice or treatment for the illness from any source (ML3 = 2 or 8). Circle the code corresponding to the answer given. If the child was not given any medicine for the fever or malaria during this illness or the respondent does not know, circle the appropriate code and skip to ML10. Otherwise, continue to the next question. 261 3427 1 8 1 Yes 2 No 8 DK 9 Missing Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar Medicine given: SP / Fansidar What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing A SP / Fansidar Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine Medicine given: Chloroquine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing B Chloroquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine Medicine given: Amodiaquine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing C Amodiaquine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine Medicine given: Quinine What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing D Quinine Medicine given: Combination with Artemisinin Medicine given: Combination with Artemisinin Medicine given: Combination with Artemisinin Medicine given: Combination with Artemisinin Medicine given: Combination with Artemisinin What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing E Combination with Artemisinin Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial Medicine given: Other anti-malarial What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing H Other anti-malarial Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup Medicine given: Antibiotic pill / syrup What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 47 ? Missing I Antibiotic pill / syrup Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection Medicine given: Antibiotic injection What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing J Antibiotic injection Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen Medicine given: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 17 ? Missing P Paracetamol / Panadol / Acetaminophen Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin Medicine given: Aspirin What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. ? Missing Q Aspirin Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen Medicine given: Ibuprofen What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 1 ? Missing R Ibuprofen Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other Medicine given: Other What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 5 ? Missing X Other Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK Medicine given: DK What medicine was (name) given? Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen given during this illness. Write brand name(s) of all medicines, if given. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial or other types of medicines taken: (1)Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home. (2)Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers. (3)Use common brand names when asking the respondent about anti-malarial medicines. If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'. 10 ? Missing Z DK Days after fever started first took anti-malarial Days after fever started first took anti-malarial Days after fever started first took anti-malarial Days after fever started first took anti-malarial Days after fever started first took anti-malarial How long (day) after the fever started did (name) first take (name of anti-malarial from ML6 or ML9)? This question asks about the time interval between the beginning of the child's fever and when he/she took the first dose of an anti-malarial medicine to treat the fever. If multiple anti-malarials mentioned in ML6 or ML9, name all anti-malarial medicines mentioned and write down the response for the medicine that was taken at first taken after the fever started. Record the code for the day on which an anti-malarial was given for the first time. If he/she started taking (the anti-malarial) the same day the fever started, circle '0' for 'Same day'. If the anti-malarial was first given the next day (the day after the fever began), circle '1' for 'Next day' and so on. If the respondent does not know how long after the fever started the child first took the anti-malarial, circle '8'. 5 3683 8 Same day 1 Next day 2 2 days after the fever 3 3 days after the fever 4 4 or more days after the fever 8 DK 9 Missing Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Is there a vaccination card for the vaccinations administered to (name)? (If yes) can I see the card? If the respondent reports that there is a vaccination card for the child, ask to see it. You should have obtained vaccination cards at the beginning of the interview. If you did not already obtain the card for the child, now is the time to ask for it again. In some cases, the respondent may not be willing to take time to look for the vaccination card, thinking that you are in a hurry. Encourage the respondent to look for the vaccination card for the child. It is critical to obtain written documentation of the child's immunization history. Therefore, be patient if the respondent needs to search for the card. If the respondent does not have a vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), ask to see it. If the card or other document is seen, circle '1' and skip to IM3. If the child has a vaccination card or other document but the respondent is unable to show you, circle '2' and skip to IM6 - you will be asking the respondent to recall the child's vaccinations. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, circle '3' and continue to next question. 3574 114 1 3 1 Yes, seen 2 Yes, not seen 3 No 9 Missing Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Was vaccination card for (name) ever prepared? Circle the code corresponding to the answer given and skip to IM6. 1649 2039 1 2 1 Yes 2 No 9 Missing Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 66 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 414 3274 1 12 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 414 3274 2062 9999 9999 Missing Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 66 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 384 3304 1 12 99 Missing Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 384 3304 2062 9999 9999 Missing Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 66 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 348 3340 1 12 99 Missing Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 348 3340 2062 9999 9999 Missing Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 77 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 319 3369 1 12 99 Missing Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 319 3369 2062 9999 9999 Missing Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 66 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 397 3291 1 12 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 397 3291 2062 9999 9999 Missing Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 66 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 359 3329 1 12 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 359 3329 2062 9999 9999 Missing Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 77 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 330 3358 1 12 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 330 3358 2062 9999 9999 Missing Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 77 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 230 3458 1 12 99 Missing Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 230 3458 2063 9999 9999 Missing Day of Vitamin A Day of Vitamin A Day of Vitamin A Day of Vitamin A Day of Vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 431 3257 77 Not given 44 Marked on card - no date given 66 Reported by mother 77 Don't know 99 Missing Month of Vitamin A Month of Vitamin A Month of Vitamin A Month of Vitamin A Month of Vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 53 3635 1 12 99 Missing Year of Vitamin A Year of Vitamin A Year of Vitamin A Year of Vitamin A Year of Vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 53 3635 2063 9999 9999 Missing Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Has (name) been administered any vaccinations other than those mentioned in the vaccination card (even if on any health camp/campaign or immunization day)? It is possible that some of the vaccinations received by the child were not recorded. For example, the respondent may have forgotten to bring the card to the health facility or the respondent may have taken the child to a National Immunization Day. If the answer is 'Yes', circle '1' only if the respondent mentions vaccines included in the questionnaire. You can refer to the information already obtained from the vaccination card to make sure that the mother/primary caretaker is referring only to these vaccines. Write '66' in the corresponding 'Day' column for IM3, and leave the month and year columns blank. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, there should be '66' in the 'Day' column. Do not ask the respondent to supply dates from memory. Enter a date only if the card or other document is available and lists a date for the immunization dose. Once you have probed for any other vaccination, skip to IM18. 162 3526 1 8 1 Yes 2 No 8 DK 9 Missing Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Was any disease-preventive vaccine ever administered to (name) at a health camp/campaign or immunization day or on any other occasion? Only ask IM6-IM17 to obtain the child's vaccination status if a vaccination card or other document is not available (that is, if the answer to IM1 was '2' for 'Yes, not seen' or '3' for 'No card'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, anti-malarials, etc. - but only in vaccines. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question, to start asking about each of the vaccines. If the answer is 'No' or 'DK', skip to IM18. 3143 545 1 8 1 Yes 2 No 8 DK 9 Missing Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has the BCG vaccine (i.e. injected in the arms, which also leaves marks on the injected area), which is administered against tuberculosis, ever administered on (name)? Circle the code corresponding to the response. 2862 826 1 8 1 Yes 2 No 8 DK 9 Missing Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has the oral polio drop against the polio ever fed to (name)? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If the answer is 'No' or 'DK', skip to IM11. 2862 826 1 8 1 Yes 2 No 8 DK 9 Missing Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination How many times was polio drop fed? Fill in the number in the space provided. DPT vaccine and polio drop are sometimes administered simultaneously; so, probe to find out. 2817 871 1 15 98 DK 99 Missing Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Has (name) ever been administered DPT/HepB vaccine (administered on thighs) against tetanus, whooping cough, diphtheria, (i.e. a throat-related disease accompanied by difficulty in breathing)? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM13. DPT vaccine and polio drop are sometimes administered simultaneously; so, probe to find out. 2862 826 1 8 1 Yes 2 No 8 DK 9 Missing Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination How many times was a DPT injection administered? Fill in the number in the space provided. 2522 1166 1 9 9 Missing Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Has (name) ever been administered vaccination against measles (i.e. injection administered on arms at the age of 9 months or above)? Circle the code corresponding to the response. If the caretaker specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid and circle '1' for 'Yes'. 2862 826 1 8 1 Yes 2 No 8 DK 9 Missing Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Has (name) been fed vitamin A (such or any of the following) within 6 months? This question asks if the child has received a vitamin A supplement. Show the popular, capsules or syrup drugs to the respondent. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child participated in National Vitamin A and De-worming camp Child participated in National Vitamin A and De-worming camp Child participated in National Vitamin A and De-worming camp Child participated in National Vitamin A and De-worming camp Child participated in National Vitamin A and De-worming camp Mention if ( name) has taken part in any campaigns such as the national immunization day, vitamin A day or child health day in the past one year? National Vitamin A Day, Vitamin A? This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child participated in National Polio campaign Child participated in National Polio campaign Child participated in National Polio campaign Child participated in National Polio campaign Child participated in National Polio campaign Mention if ( name) has taken part in any campaigns such as the national immunization day, vitamin A day or child health day in the past one year? National Polio Campaign, against Polio. This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 3574 114 1 8 1 Yes 2 No 8 DK 9 Missing Child ever given Japanese Encephalitis vaccination Child ever given Japanese Encephalitis vaccination Child ever given Japanese Encephalitis vaccination Child ever given Japanese Encephalitis vaccination Child ever given Japanese Encephalitis vaccination Has (name) ever received an injection for Japanese encephalitis? (An injection given in the arm after a child is one years of age to protect from Japanese encephalitis). 955 2733 1 8 1 Yes (card seen) 2 Yes (respondent memory) 3 No 4 Child less than one year 8 DK 9 Missing Day of Japanese Encephalitis immunization Day of Japanese Encephalitis immunization Day of Japanese Encephalitis immunization Day of Japanese Encephalitis immunization Day of Japanese Encephalitis immunization Record the date from the immunization card. If date is not mentioned in the card mention '44'. If any of the day, month or year is missing write '98' or '9998" as applicable. 54 3634 3 98 44 Marked on card - no date given 98 DK 99 Missing Month of Japanese Encephalitis immunization Month of Japanese Encephalitis immunization Month of Japanese Encephalitis immunization Month of Japanese Encephalitis immunization Month of Japanese Encephalitis immunization Record the date from the immunization card. If date is not mentioned in the card mention '44'. If any of the day, month or year is missing write '98' or '9998" as applicable. 54 3634 1 98 98 DK 99 Missing Year of Japanese Encephalitis immunization Year of Japanese Encephalitis immunization Year of Japanese Encephalitis immunization Year of Japanese Encephalitis immunization Year of Japanese Encephalitis immunization Record the date from the immunization card. If date is not mentioned in the card mention '44'. If any of the day, month or year is missing write '98' or '9998" as applicable. 54 3634 2062 9998 9998 DK 9999 Missing Ever received child grant Ever received child grant Ever received child grant Ever received child grant Ever received child grant Has (name) ever received money/cash from local government authorities (DDC/VDC) as child grant? This grant is received by the parents of the caretaker of the child. Thus prove to find out whether parents or caretaker has received on behalf of the child. 817 2871 1 8 1 Yes 2 No 8 DK 9 Missing Last received child grant (unit) Last received child grant (unit) Last received child grant (unit) Last received child grant (unit) Last received child grant (unit) When did (name) receive money/cash from local government authorities (DDC/VDC) as the most recent instalment of the child grant? If less than 7 days ago write in days. If less than a month ago write in weeks. If more than a month, write in months. 621 3067 1 9 1 Days ago 2 Weeks ago 3 Months ago 9 Special Last received child grant (number) Last received child grant (number) Last received child grant (number) Last received child grant (number) Last received child grant (number) When did (name) receive money/cash from local government authorities (DDC/VDC) as the most recent instalment of the child grant? If less than 7 days ago write in days. If less than a month ago write in weeks. If more than a month, write in months. 621 3067 1 98 98 DK 99 Missing Who received latest installment of the grant Who received latest installment of the grant Who received latest installment of the grant Who received latest installment of the grant Who received latest installment of the grant Who in your family received the money/cash from local government authorities (DDC/VDC) on behalf of (name)? 621 3067 1 6 1 Mother 2 Father 6 Others 9 Missing Child grant amount (latest) Child grant amount (latest) Child grant amount (latest) Child grant amount (latest) Child grant amount (latest) How much money/cash was received most recently from local government authorities (DDC/VDC) as child grant for (name)? 621 3067 300 9998 9998 DK Child grant amount (total) Child grant amount (total) Child grant amount (total) Child grant amount (total) Child grant amount (total) How much money/cash in total has been received until now from local government authorities (DDC/VDC) as child grant for (name)? 621 3067 500 9998 9998 DK Months received child grant until now Months received child grant until now Months received child grant until now Months received child grant until now Months received child grant until now In total for how many months grant has (name) received the child grant from the government authorities (DDC/VDC)? 621 3067 1 98 98 DK 99 Missing Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 3688 1 2 1 Urban 2 Rural Subregion Subregion Subregion Subregion Subregion Circle the code for region as instructed/provided by your supervisor. 3688 41 53 41 Mid West Mountains 42 Mid West Hills 43 Mid West Terai 51 Far West Mountains 52 Far West Hills 53 Far West Terai Region Region Region Region Region 3688 1 2 1 Mid-Western 2 Far Western Sex Sex Sex Sex Sex Is (name) male or female? Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. 3688 1 2 1 Male 2 Female 9 Missing Highest grade completed at that level (mother / caretaker) Highest grade completed at that level (mother / caretaker) Highest grade completed at that level (mother / caretaker) Highest grade completed at that level (mother / caretaker) Highest grade completed at that level (mother / caretaker) What is the highest grade (name) completed at this level? For household members age 5 and above, ask ED1-ED8: Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B. Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5. Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank. For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period). 1322 2366 98 Pre-primary 1 Class 1 2 Class 2 3 Class 3 4 Class 4 5 Class 5 6 Class 6 7 Class 7 8 Class 8 9 Class 9 10 Class 10 11 SLC 12 Plus 2 13 Bachelor 14 Master 15 PH.D. 97 Inconsistent 98 DK 99 Missing Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) 3688 2010 2013 2011.58 0.864 Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) 3574 114 1951 2013 1980.94 16.993 Age (months) Age (months) Age (months) Age (months) Age (months) 3574 114 59 30.273 17.001 Age Age Age Age Age 3574 114 1 6 1 0-5 2 6-11 3 12-23 4 24-35 5 36-47 6 48-59 Age Age Age Age Age 3574 114 1 5 1 0-11 2 12-23 3 24-35 4 36-47 5 48-59 Age in days Age in days Age in days Age in days Age in days 3574 114 9999 1004.498 951.321 Mother's education Mother's education Mother's education Mother's education Mother's education 3688 1 9 1 None 2 Primary 3 Secondary 9 Missing/DK Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 3688 1 999 33.175 158.134 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 3688 -0.956 4.281 -0.161 0.855 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 3688 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 3688 1 240 113.152 71.063 Strata Strata Strata Strata Strata 3688 1 10 5.854 2.775 Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight 3688 7.611 0.969 0.845