DDI_SLE_2010_MICS_v01_M Development Data Group 2013-01-22 NADA Version 01 (January 2013) Multiple Indicator Cluster Survey 2010 MICS 2010 SLE_2010_MICS_v01_M United Nations Children’s Fund Statistics Sierra Leone

Ministry of Finance and Economic Development

Ministry of Education, Science and Technology

Ministry of Energy and Water Resources (Water Division)

Ministry of Health and Sanitation

Ministry of Information and Communications

Ministry of Local Government and Rural Development

Ministry of Social Welfare, Gender and Children’s Affairs

United Nations Population Fund

United Nations World Food Programme

World Health Organization

World Bank

NADA United Nations Children’s Fund Mohamed King Koroma Boniface Kalanda Glenis Taylor 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 2010 Sierra Leone Multiple Indicator Cluster Survey (MICS4) is a nationally representative survey of households, women, and children. The main objectives of the survey are (i) to provide current information for assessing the present situation of women and children in Sierra Leone-including the identification of vulnerable groups and of disparities among groups-in order to inform policies and interventions; (ii) to produce data to monitor progress toward the achievement of targets and goals that include the Millennium Development Goals (MDGs) and World Fit For Children; and, (iii) to contribute to the improvement of national statistical, data and monitoring systems in Sierra Leone and to strengthen national capacity and technical expertise in the design and implementation of such systems. Interviews were successfully completed in 11,394 households drawn from all districts of Sierra Leone. Sierra Leone National - individuals - households The survey covered all de jure household members (usual residents), all women aged between 15-49 years, 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, insecticide-treated nets, indoor residual spraying, child labour, child discipline, handwashing and salt iodisation. - Women: woman's background, child mortality, tetanus toxoid, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, female genital mutilation/cutting, attitudes towards domestic violence, marriage/union, sexual behavior and HIV/AIDS. - Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, malaria, immunization and anthropometry. Statistics Sierra Leone The primary objective of the sample design for the Sierra Leone Multiple Indicator Cluster Survey was to produce statistically reliable estimates of most indicators at the national level, for urban and rural areas, for the four regions of the country (Northern Province, Eastern Province, Southern Province, and the West), and finally, for the fourteen districts of Sierra Leone. Urban and rural areas in each of the fourteen districts were defined as the sampling strata. A multi-stage, stratified cluster sampling approach was used for the selection of the survey sample. The target sample size for the Sierra Leone MICS was calculated as 12,000 households. For the calculation of the sample size, the key indicator used was the proportion of children aged 12-23 months who are vaccinated with DPT3 by one year of age. The resulting number of households to be selected that was calculated using the formula above was 11,990, which was rounded up to 12,000 households. It was decided that the cluster size would be 25 households, based on a number of considerations that include the available budget and the estimated time that was required for a team to completely survey one cluster. Dividing the total number of households by the number of households per cluster, it was calculated that a total of 480 clusters was required. The MICS4 Steering Committee made a decision to sample a minimum of 30 enumeration areas (EAs) in each district in order to generate district-level estimates with a maximum precision level of ± 12 percent. Using a probability proportion to size (pps) method to allocate clusters to districts would have resulted in several districts with less than 30 EAs. The decision was thus taken to create a weighted sample (i.e., not pps) that contained at least 30 clusters per district. Other districts were under-sampled to compensate for over-sampling the smaller districts. The number of EAs for each district that was included in the sample is listed in the table below. In each district, the EAs (primary sampling units) were distributed to urban and rural domains, proportional to the size of urban and rural populations in that district. The sampling procedures are more fully described in "Sierra Leone Multiple Indicator Cluster Survey 2010 - Final Report" pp.130-135. Face-to-face [f2f] The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered to a knowledgeable adult living in the household. The household questionnaire includes household listing form, education, water and sanitation, household characteristics, insecticide-treated nets, indoor residual spraying, child labour, 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, child mortality, tetanus toxoid, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, female genital mutilation/cutting, attitudes towards domestic violence, marriage/union, sexual behavior and HIV/AIDS. The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, malaria, immunization and anthropometry. Supervisors and enumerators participated in separate trainings prior to the MICS4 fieldwork. The three-day training of supervisors was conducted in September 2010. All supervisors then participated as trainers in the nine-day training of enumerators. Training included lectures on interviewing techniques and the contents of the questionnaires, interviews of respondents by groups of trainees to gain practice in asking questions, and then community-level interviews with actual respondents. Towards the end of the training period, trainees spent a full day conducting practice interviews in the rural West outside of Freetown. Actual survey data were collected by 24 teams; each team was comprised of four enumerators, one driver and a supervisor. Fieldwork began in early October 2010 and concluded in December 2010. There is one supervisor for each of the 24 survey teams in the field. Sample weights were calculated and these were used in the subsequent analyses of the survey data. Since the estimated number of households in each enumeration area (PSU) in the sampling frame used for the first stage selection and the updated number of households in the enumeration area from the listing were different, individual sampling fractions for households in each sample enumeration area (cluster) were calculated. The sampling fractions for households in each cluster therefore included the first stage probability of selection of the enumeration area in that particular sampling stratum and the second stage probability of selection of a household in the sample enumeration area cluster. A second component in the calculation of sample weights takes into account the level of non-response 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-5's questionnaires are applied to the adjusted household weights. Numbers of eligible women and under-5 children were obtained from the roster of household members in the Household Questionnaire for households where interviews were completed. The design weights for the households were calculated by multiplying the above factors for each 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 national level. Normalization is performed by dividing the aforementioned design weights by the average design weight at the national level. The average design weight is calculated as the sum of the design weights divided by the unweighted total. A similar standardization procedure was followed in obtaining standardized weights for the women's and under-5's questionnaires. Adjusted (normalized) weights for households varied between 0.0494 and 4.4452 in the 480 sample enumeration areas (clusters). Data were entered using CSPro software. Data processing was carried out by 30 data entry operators and 2 data entry supervisors. In order to ensure quality control, all questionnaires were double-entered and internal consistency checks were performed. Procedures and standard programs developed under the global MICS programme and adapted to the Sierra Leone questionnaire were used throughout. Data processing began simultaneously with data collection in October 2010 and was completed in June 2011. Data were analysed using the Statistical Package for Social Sciences (SPSS) software program (Version 18). The analysis was carried out using the model syntax and tabulation plans developed by UNICEF. Of the 11,923 households selected for the sample, 11,578 were found to be occupied. Of these, 11,394 were successfully interviewed for a household response rate of 98.4 percent. In the interviewed households, 14,068 women (age 15-49 years) were identified. Of these, 13,359 were successfully interviewed, yielding a response rate of 95.0 percent within interviewed households. In addition, 8,799 children under age five were listed in the household questionnaire. Questionnaires were completed for 8,600 of these children, which corresponds to a response rate of 97.7 percent within interviewed households. Overall response rates of 93.5 and 96.2 percent are calculated for the women's and under-5's interviews respectively. Ninety-seven percent of sampled households were found to be occupied. The household response rate was slightly lower in the West as compared to other provinces, primarily due to difficulties finding household members at home in Freetown. Response rates for women and children were very similar across provinces and areas of residence. Overall response rates were at an acceptable level. 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 MICS data, the 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 at the national, regional and location (i.e., urban/rural) levels. Two of the selected indicators are based on households, eight are based on household members, 23 are based on women, and 20 are based on children under 5. 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 children under 5 questionnaires - Women's completion rates by socio-economic characteristics of households - Completion rates for under-5 questionnaires by socio-economic characteristics of households - Completeness of reporting - Completeness of information for anthropometric indicators - Heaping in anthropometric measurements - Observation of bed nets and places for hand washing - Observation of women's health cards - Observation of children under 5 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 "Sierra Leone Multiple Indicator Cluster Survey 2010 - Final Report" pp.149-157. 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, Statistics Sierra Leone. Sierra Leone Multiple Indicator Cluster Survey (MICS) 2010, Ref. SLE_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, Anthropometry and Insecticide treated nets.) 8798 305 fg Data collected at the individual's level about female genital mutilation/cutting 14676 23 hh Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Insecticide treated nets, Indoor residual spraying, Child discipline, Hand washing and Salt iodization.) 11923 118 hl Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, Child Labour and Insecticide treated nets.) 66571 64 tn Data collected at the household' level about mosquito nets. 6806 24 wm Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Desire for last birth, Maternal and newborn health, Illness symptoms, Contraception, Unmet need, Female genital mutilation/cutting, Attitudes toward domestic violence, Marriage/union, Sexual behavior, HIV/AIDS and Insecticide treated nets.) 14066 245 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 11923 1 480 240.503 138.449 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 11923 1 25 12.945 7.194 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Enter your own name and identification number provided to you at the time of training. 11923 99 50.078 27.437 Supervisor number Supervisor number Supervisor number Supervisor number Supervisor number Leave this space blank. The supervisor will later enter his/her name and number in the space provided. 11923 1 99 12.784 7.132 Day of interview Day of interview Day of interview Day of interview Day 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. 11923 1 31 16.31 8.754 Month of interview Month of interview Month of interview Month of interview Month 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. 11923 10 12 10.559 0.539 Year of interview Year of interview Year of interview Year of interview 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. 11923 2009 2010 2010 0.00916 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. 11923 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 11923 1 4 1 East 2 North 3 South 4 West District District District District District 11923 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban 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. 11923 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 Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire. 11394 529 1 14 99 Missing Number of HH members Number of HH members Number of HH members Number of HH members Number of HH members 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. 11394 529 1 28 5.843 3.043 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. 11394 529 9 1.235 0.966 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 Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. 11394 529 9 1.172 0.918 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 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. 11394 529 8 0.772 0.855 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 Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. 11394 529 7 0.755 0.843 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. 11923 1 24 12.619 6.845 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. 11923 1 30 15.673 8.701 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. 11394 529 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 11394 529 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. 11394 529 6 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. 11394 529 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. 11394 529 11 99 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 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 Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) 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. 52 11871 11 99 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 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 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 that water source located? This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question. 10378 1545 1 9 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, get water, and come back? This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle. Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question. If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'. If the respondent does not know how long it takes, circle '998' and continue to the next question. 9652 2271 1 999 998 DK 999 Missing Person collecting water Person collecting water Person collecting water Person collecting water Person collecting water Who usually goes to this source to collect the water for your household? The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group. Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member. The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level. 9652 2271 1 9 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you do anything to the water to make it safer to drink? Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8. 11394 529 1 9 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. 80 ? 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. 757 ? 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. 250 ? 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. 27 ? 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. 5 ? 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. 122 ? 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. 27 ? 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. 42 ? Missing Z DK Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. What kind of toilet facility do members of your household usually use? If necessary ask permission to observe the facility. The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members. It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module. If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given. Definitions of various types of toilet facilities are as follows: A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used). '11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater. '12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet. '13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal. '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location. '15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to. '21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark. '22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit. '23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected. '31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost. '41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal. '51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea). Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here. The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility. 11394 529 11 99 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place / Not sure / DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab / Open pit 31 Composting toilet 41 Bucket 51 Hanging toilet, Hanging latrine 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. 8014 3909 1 9 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. 5703 6220 1 9 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'). 5046 6877 2 99 10 Ten or more households 98 DK 99 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. 11394 529 1 9 1 Christian 2 Muslim 3 Traditional 6 Other religion 7 No religion 9 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. 11394 529 1 99 1 Mende 2 Temne 3 Limba 4 Creole 5 Madiingo 6 Loko 7 Sherbro 8 Kono 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. 11394 529 1 99 1 Mende 2 Temne 3 Limba 4 Creole 5 Madiingo 6 Loko 7 Sherbro 8 Kono 96 Other ethnic group 99 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. 11394 529 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 dwelling floor based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space). 11394 529 11 99 11 Earth / sand 12 Dung 21 Wood planks 22 Palm / Bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing 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). 11394 529 11 99 11 No roof 12 Thatch / Palm leaf 13 Sod 21 Rustic mat 22 Palm / Bamboo 23 Wood planks 24 Cardboard 31 Metal 32 Wood 33 Calamine / Cement fibre 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing 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). 11394 529 11 99 11 No walls 12 Cane/Palm/Trunks 13 Dirt 21 Bamboo with mud 22 Stone with mud 23 Uncovered adobe 24 Plywood 25 Cardboard 26 Reused wood 31 Cement 32 Stone with lime / cement 33 Bricks 34 Cement blocks 35 Covered adobe 36 Wood planks / shingles 96 Other 99 Missing 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. 11394 529 1 99 1 Electricity 2 Liquefied Petroleum Gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal / Lignite 7 Charcoal 8 Wood 9 Straw / Shrubs / Grass 10 Animal dung 11 Agricultural crop residue 95 No food cooked in household 96 Other 99 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the 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. 11241 682 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. 11394 529 1 9 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. 11394 529 1 9 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. 11394 529 1 9 1 Yes 2 No 9 Missing Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: A non-mobile telephone? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 11394 529 1 9 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. 11394 529 1 9 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. 11394 529 1 9 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. 11394 529 1 9 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: A bicycle? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 11394 529 1 9 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. 11394 529 1 9 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. 11394 529 1 9 1 Yes 2 No 9 Missing Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: A car or truck? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 11394 529 1 9 1 Yes 2 No 9 Missing Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: A boat with a motor? 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. 11394 529 1 9 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? 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. 11394 529 1 9 1 Own 2 Rent 6 Other (not owned or rented) 9 Missing Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture 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”. 11394 529 1 9 1 Yes 2 No 9 Missing Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns How many hectares 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. If less than 1, record “00”. If 95 or more hectares (or other units) are owned, record '95'. If unknown, record '98'. 6370 5553 99 Less than one hectare 95 More than 95 98 DK 99 Missing Household own any animals Household own any animals Household own any animals Household own any animals Household own any animals Does this household own any livestock, herds, other farm animals, or poultry? Circle the code corresponding to the response given. If 'No', skip to HC15. 11394 529 1 9 1 Yes 2 No 9 Missing Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls How many of the following animals does this household have? Cattle, milk cows or bulls? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 95 95+ 98 DK 99 Missing Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules How many of the following animals does this household have? Horses, donkeys or mules? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 95 95+ 98 DK 99 Missing Goats Goats Goats Goats Goats How many of the following animals does this household have? Goats? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 95 95+ 98 DK 99 Missing Sheep Sheep Sheep Sheep Sheep How many of the following animals does this household have? Sheep? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 95 95+ 98 DK 99 Missing Chickens Chickens Chickens Chickens Chickens How many of the following animals does this household have? Chickens? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 95 95+ 98 DK 99 Missing Pigs Pigs Pigs Pigs Pigs How many of the following animals does this household have? Pigs? Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants. 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. 4925 6998 99 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 a bank account? Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given. 11394 529 1 9 1 Yes 2 No 9 Missing Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Household has mosquito nets Does your household have any mosquito nets that can be used while sleeping? Note that the question asks whether the household has mosquito nets that can be used while sleeping. In short, even if there is a mosquito net which is actually not used or set up, we consider that the household owns it and include this net in the total number of mosquito nets. 11394 529 1 9 1 Yes 2 No 9 Missing Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Enter the number of mosquito nets that the household has. Remember that if a mosquito net is owned but not used, we include this net in the total number of mosquito nets. 4355 7568 1 7 1.563 0.804 Interior walls of dwelling sprayed against mosquitos Interior walls of dwelling sprayed against mosquitos Interior walls of dwelling sprayed against mosquitos Interior walls of dwelling sprayed against mosquitos Interior walls of dwelling sprayed against mosquitos At any time in the past 12 months, has anyone come into your dwelling to spray the interior walls against mosquitoes? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). 11394 529 1 9 1 Yes 2 No 8 DK 9 Missing Government worker / program Government worker / program Government worker / program Government worker / program Government worker / program Who sprayed the dwelling? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). If spraying was done more than once during the last 12 months, then information in IR2 should refer to the last spraying. 119 ? Missing A Government worker / program Private company Private company Private company Private company Private company Who sprayed the dwelling? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). If spraying was done more than once during the last 12 months, then information in IR2 should refer to the last spraying. 116 ? Missing B Private company Non-governmental organization Non-governmental organization Non-governmental organization Non-governmental organization Non-governmental organization Who sprayed the dwelling? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). If spraying was done more than once during the last 12 months, then information in IR2 should refer to the last spraying. 7 ? Missing C Non-governmental organization Other Other Other Other Other Who sprayed the dwelling? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). If spraying was done more than once during the last 12 months, then information in IR2 should refer to the last spraying. 27 ? Missing X Other DK DK DK DK DK Who sprayed the dwelling? With IR1, we want to learn whether anyone has come into the dwelling to spray the interior walls of the dwelling against mosquitoes during the last 12 months. Record YES only if the spraying was done as part of an organized spraying program. If such spraying has not been done during the last 12 months or the respondent does not know, we skip to the next module. If such spraying has been done, then we ask who did the spraying (IR2). If spraying was done more than once during the last 12 months, then information in IR2 should refer to the last spraying. 13 ? Missing Z DK 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. 9270 2653 1 15 2.643 1.586 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. 9270 2653 1 8 1.789 1.139 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. 9270 2653 2 22 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 9270 2653 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 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. 9270 2653 1 9 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 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. 9270 2653 1 9 1 Yes 2 No 9 Missing Shook child Shook child Shook child Shook child Shook child Shook him/her. Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child. 9270 2653 1 9 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 Shouted, yelled at or screamed at him/her. Parents/caretakers may raise their voice when a child does something they consider wrong. 9270 2653 1 9 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 Gave him/her something else to do. This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.” 9270 2653 1 9 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 Spanked, hit or slapped him/her on the bottom with bare hand. Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 9270 2653 1 9 1 Yes 2 No 9 Missing Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object. Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days. 9270 2653 1 9 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 Called him/her dumb, lazy or another name like that. Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 9270 2653 1 9 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 Hit or slapped him/her on the face, head or ears. This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20. 9270 2653 1 9 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 Hit or slapped him/her on the hand, arm or leg. This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s). 9270 2653 1 9 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 Beat him/her up, that is hit him/her over and over as hard as one could. Circle the code corresponding to the response given. 9270 2653 1 9 1 Yes 2 No 9 Missing Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly 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'. 9270 2653 1 9 1 Yes 2 No 8 Don't know / No opinion 9 Missing 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. 11394 529 1 9 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. 7587 4336 1 9 1 Water is available 2 Water is not available 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. 1784 ? 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. 232 ? 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. 53 ? 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. 156 ? 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. 5573 ? 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 cleasing agent) in your household for washing hands? 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. 9374 2549 1 9 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. 2701 ? 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. 432 ? 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. 30 ? 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. 79 ? 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. 64 ? Missing Y Not able / Does not want to show Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome We would like to check whether the salt used in your household is iodized. May i have a sample of the salt used to cook meals in your household? Ask for a sample of the salt usually used for cooking in the household, and perform the test on this sample of salt. Once you have a sample of salt, perform the test as described below and circle the code that corresponds to the test outcome. Circle '1' if the test is negative (0 parts per million/no colour - not iodized). Circle '2' if the test shows more than 0 but less than 15 parts per million iodine (weak colour). Circle '3' if the test is positive (15 parts per million or more, strong colour). Circle '6' if there is 'No salt in home'. Circle '7' if the salt was present, but not tested for any reason. 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. 11394 529 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 11394 529 1 2 1 Male 2 Female 9 Missing Education of household head Education of household head Education of household head Education of household head Education of household head 11394 529 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 11923 11394 -1.261 3.465 3.87e-17 -0.0498 0.977 0.956 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 11923 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 11923 4.373 0.956 0.591 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 11923 1 480 240.503 138.449 Strata Strata Strata Strata Strata 11923 1 26 16.248 6.808 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 66571 1 480 234.645 134.029 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 66571 1 25 12.824 7.22 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. 66571 1 28 4.214 2.97 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. 66571 1 99 1 Head 2 Wife / Husband 3 Son / Daughter 4 Son-In-Law / Daughter-In-Law 5 Grandchild 6 Parent 7 Parent-In-Law 8 Brother / Sister 9 Brother-In-Law / Sister-In-Law 10 Uncle / Aunt 11 Niece / Nephew 12 Other relative 13 Adopted / Foster / Stepchild 14 Not related 97 Inconsistent 98 Don't know 99 Missing Sex Sex Sex Sex Sex Is (name) male or female? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc. 66571 1 9 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'. 66571 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'. 66571 1908 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. 66571 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. 66571 27 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 this child? If the household member is a child between 5 and 14 years of age (this includes those age 5 and age 14), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. 66571 26 Not eligible 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 this child? If the household member is a child under the age of five (this includes those just born and those age 4, but not children who have completed 5 years of age), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. Later, you will be interviewing the person you are recording her/his line number here about the child you are collecting information. 66571 25 Not eligible Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Did (name) stay here last night? Record whether or not the household member stayed in the household last night. 66571 1 9 1 Yes 2 No 9 Missing Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is (name)’s natural mother alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. By 'natural' we mean the biological mother. In many cultures, people consider other people's children whom they are raising as their own, especially children of their husband or sisters, etc. You should be certain that the respondent understands that you are asking about the woman who gave birth to the child. Record whether or not the child's natural mother is still alive by circling the code corresponding to the response given. If the child's natural mother is not alive or if the respondent does not know, skip to HL13. Otherwise, continue to the question in the next column. 31674 34897 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'. 29721 36850 99 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. 31674 34897 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. 28089 38482 99 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. 66571 1 28 4.214 2.97 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. 57772 8799 1 9 1 Yes 2 No 9 Missing Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of school (name) attended? For household members age 5 and above, ask ED1-ED8: If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5. 30733 35838 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 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 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). 30004 36567 99 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 (2009-2010) school year, did (name) attend school or preschool at any time? For household members age 5 and above, ask ED1-ED8: Circle the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No', skip to ED7. If the interview is carried out during the school year, then the question should be worded to refer to the current school year. If the interview is carried out between school years, then the question should refer to the last school year that has ended. Take the example of a country where the school year ends in June and the new school year begins in September: If the interview is carried out in July 2012 (between school years), then the question should refer to the 2011-2012 school year; if the interview is carried out in October 2012 (during the new school year), then the question should refer to the 2012-2013 school year. 22498 44073 1 9 1 Yes 2 No 9 Missing Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year During this/that school year, which level and grade is/was (name) attending? Level: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 19610 46961 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 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 this/that school year, which level and grade is/was (name) attending? Grade: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 18916 47655 1 99 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 (2008-2009), did (name) attend school or preschool at any time? For household members age 5 and above, ask ED1-ED8: If the child attended school at any time during the last school year, circle '1'. If the answer is 'No' or 'DK', circle the appropriate code and go to the household member on the next line. 22498 44073 1 9 1 Yes 2 No 8 DK 9 Missing Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year During that previous school year, which level and grade did (name) attend? Level: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person. 19143 47428 9 Preschool 1 Primary 2 Secondary 3 Higher 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 that previous school year, which level and grade did (name) attend? Grade: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person. 18506 48065 1 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. 66571 1 28 4.214 2.97 Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member During the past week, did (name) do any kind of work for someone who is not a member of this household? 'Pay' refers to any compensation for work, including cash or goods or services provided to the child or his family. 'The past week' refers to the 7 days preceding the interview day (not counting the interview day). Note that the person indicated - someone who is not a member of this household - may be a relative or a family member who lives in a different household. If the answer is 'Yes', ask if the work was done for pay in cash or kind. Circle '1' if work was done for pay in cash or kind. Circle '2' if work was not done for any form of pay. If '1' or '2' is circled, continue to the next question. If no work was done by that child in the past week, circle '3' and skip to CL5. 19004 47567 1 9 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 Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household? Record the estimated number of hours the child spent doing work in the past 7 days and continue with CL5. If less than 1 hour, record 00. Make sure the respondent understands what you mean by “since last (day of the week)” - specify the name of today's weekday, as you did in the Education Module. If the child works more than one such job, include the total hours spent doing such work in all jobs. 4110 62461 99 Less than one hour 98 DK 99 Missing Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use During the past week, did (name) fetch water or collect firewood for household use? As in CL3, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). CL5 is intended to capture typical work children usually get involved with. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL7. 19004 47567 1 9 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 Since last (day of the week), about how many hours did he/she fetch water or collect firewood for household use? Insert the estimated number of hours worked. 12349 54222 99 Less than one hour 98 DK 99 Missing Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week During the past week, did (name) do any paid or unpaid work on a family farm or in a family business or selling goods in the street? This question is intended to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL9. 19004 47567 1 9 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 Since last (day of the week), about how many hours did he/she do this work for his/her family or himself/herself? As in CL4 and CL6, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 4407 62164 99 Less than one hour 98 DK 99 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past week, did (name) help with household chores such as shopping, cleaning, washing clothes, cooking; or caring for children, old or sick people? This question intends to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to next child. If there are no more children left in this module, skip to next module. 19004 47567 1 9 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 Since last (day of the week), about how many hours did he/she spend doing these chores? As in CL3, CL6 and CL8, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 12891 53680 99 Less than one hour 98 DK 99 Missing Net number Net number Net number Net number Net number 13889 13912.999 52682 52793.643 1 7 1.392 1.393 0.673 0.674 Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed For each net, record first whether you actually observed the net. 13889 52682 1 9 1 Observed 2 Not observed 9 Missing Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net TN5 is about the type and brand of net. You may encounter nets in the field that you will not recognize. During training, you will be shown all the common mosquito nets that are available in the country. The brand name is often located on the net itself. A picture of the different types of nets available in the country may also be provided for reference during interviews. Use this to identify the type of net in the dwelling and circle the corresponding number on the questionnaire. If the respondent tells you or you learn from the packaging that the net is long-lasting try to determine the exact brand. If you cannot determine the brand circle '18' for 'DK brand'. Similarly, if you determine that the net is pre-treated but it is not one of the listed brands, circle '26'and specify the brand of the net in the space provided. When you cannot determine the brand but have determined that it is pre-treated, circle '28' for 'DK brand'. In some cases, you may be able to identify the brand but not what the type of net it is; for those nets, circle '31' (Other). Code '98' should be circled when you cannot obtain information on either the type or brand. For nets for which you circle '31' or '98' in question TN5, you must probe to find out if the respondent knows whether or not the net was treated when the household first got the net. 13889 52682 11 99 11 Olyset 12 Permanet 13 Long-lasting treated net Brand C 16 Other long-lasting treated net 18 DK brand of long-lasting treated net 21 Pre-treated net Brand D 22 Pre-treated net Brand E 23 Pre-treated net Brand F 26 Other pre-treated net 28 DK brand of pre-treated net 31 Other net 98 DK brand / type 99 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago did your household get the mosquito net? Ask how many months ago the household obtained the net. If the net was obtained within 36 months from the interview date, you must record the actual number of months before the interview that the net was obtained. If the household got the mosquito net more than 36 months ago, record '95'. If less than one month, record “00” The respondent may tell you that they are not exactly certain when the net was obtained. In such cases, probe to try to get some idea of approximately how many months ago the net was obtained. Record '98' (DK/Not sure) if the respondent does not have any idea of how long ago the household obtained the net. 13889 52682 99 Less than one month ago 95 More than 36 months ago 98 DK / Not sure 99 Missing Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained When you got the net, was it already treated with an insecticide to kill or repel mosquitoes? This question is only asked about all nets other than the long-lasting and pre-treated nets. With this question, we try to learn whether the net was actually treated with an insecticide when the household obtained it. 295 66276 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Since you got the net, was it ever soaked or dipped in a liquid to kill or repel mosquitoes? This question is only asked for pre-treated nets, and obtains information on whether the household has ever treated the net with insecticide. Make sure that the respondent understands that you don't mean simply “washing the net” or spraying it with insecticide from a can or canister. We want to know whether the net was soaked or dipped in an insecticide. This information will be linked to the information on the type of net and when the net was obtained to determine if the net is still effective. If the respondent answers 'Yes', circle 1 and continue with the next question. If the response is 'No' or the respondent does not know or unsure about it, circle '2' or '8' respectively and skip to TN11. 1351 65220 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped How many months ago was the net last soaked or dipped? If the last time was within the last 2 years (24 months), record the number of months ago in the space provided. If the last time was less than 1 month ago, record '00'. If the last time was more than 24 months ago, circle '95'. If the respondent does not know the number of months, probe to obtain his/her best estimate. Circle '98' for 'DK/Not sure' only if the respondent cannot even estimate when the net was last soaked or dipped. 303 66268 99 Less than one month ago 95 More than 24 months ago 98 DK / Not sure 99 Missing Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Did anyone sleep under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 13889 52682 1 1 1 Yes 2 No 8 DK / Not sure 9 Missing Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 13889 52682 26 Person who slept under net not in HH listing 90 No one / No one else Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 13889 52682 90 Person who slept under net not in HH listing 90 No one / No one else Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 12602 53969 90 Person who slept under net not in HH listing 90 No one / No one else Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 8104 58467 90 Person who slept under net not in HH listing 90 No one / No one else 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. 66571 1 31 16.434 8.678 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. 66571 10 12 10.54 0.537 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. 66571 2009 2010 2010 0.0123 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. 66571 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 66571 1 4 1 East 2 North 3 South 4 West District District District District District 66571 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number 31674 34897 99 Not in household Father's line number Father's line number Father's line number Father's line number Father's line number 31674 34897 24 Not in household Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year 66571 101 995 Child born after beginning of school year 998 DK/Missing Mother's education Mother's education Mother's education Mother's education Mother's education 31671 34900 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 31674 34897 1 9 1 None 2 Primary 3 Secondary + 5 Father not in household 9 Missing/DK Education of household head Education of household head Education of household head Education of household head Education of household head 66571 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 66571 -1.261 3.465 0.00242 0.973 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 66571 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 66571 0.0498 4.373 1.002 0.578 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 66571 1 480 234.645 134.029 Strata Strata Strata Strata Strata 66571 1 26 16.047 6.743 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 6806 1 480 228.815 129.731 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 6806 1 25 12.897 7.21 Net number Net number Net number Net number Net number 6806 1 7 1.488 0.746 Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed For each net, record first whether you actually observed the net. 6806 1 9 1 Observed 2 Not observed 9 Missing Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net TN5 is about the type and brand of net. You may encounter nets in the field that you will not recognize. During training, you will be shown all the common mosquito nets that are available in the country. The brand name is often located on the net itself. A picture of the different types of nets available in the country may also be provided for reference during interviews. Use this to identify the type of net in the dwelling and circle the corresponding number on the questionnaire. If the respondent tells you or you learn from the packaging that the net is long-lasting try to determine the exact brand. If you cannot determine the brand circle '18' for 'DK brand'. Similarly, if you determine that the net is pre-treated but it is not one of the listed brands, circle '26'and specify the brand of the net in the space provided. When you cannot determine the brand but have determined that it is pre-treated, circle '28' for 'DK brand'. In some cases, you may be able to identify the brand but not what the type of net it is; for those nets, circle '31' (Other). Code '98' should be circled when you cannot obtain information on either the type or brand. For nets for which you circle '31' or '98' in question TN5, you must probe to find out if the respondent knows whether or not the net was treated when the household first got the net. 6806 11 99 11 Olyset 12 Permanet 13 Long-lasting treated net Brand C 16 Other long-lasting treated net 18 DK brand of long-lasting treated net 21 Pre-treated net Brand D 22 Pre-treated net Brand E 23 Pre-treated net Brand F 26 Other pre-treated net 28 DK brand of pre-treated net 31 Other net 98 DK brand / type 99 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago did your household get the mosquito net? Ask how many months ago the household obtained the net. If the net was obtained within 36 months from the interview date, you must record the actual number of months before the interview that the net was obtained. If the household got the mosquito net more than 36 months ago, record '95'. If less than one month, record “00” The respondent may tell you that they are not exactly certain when the net was obtained. In such cases, probe to try to get some idea of approximately how many months ago the net was obtained. Record '98' (DK/Not sure) if the respondent does not have any idea of how long ago the household obtained the net. 6806 99 Less than one month ago 95 More than 36 months ago 98 DK / Not sure 99 Missing Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained When you got the net, was it already treated with an insecticide to kill or repel mosquitoes? This question is only asked about all nets other than the long-lasting and pre-treated nets. With this question, we try to learn whether the net was actually treated with an insecticide when the household obtained it. 171 6635 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Since you got the net, was it ever soaked or dipped in a liquid to kill or repel mosquitoes? This question is only asked for pre-treated nets, and obtains information on whether the household has ever treated the net with insecticide. Make sure that the respondent understands that you don't mean simply “washing the net” or spraying it with insecticide from a can or canister. We want to know whether the net was soaked or dipped in an insecticide. This information will be linked to the information on the type of net and when the net was obtained to determine if the net is still effective. If the respondent answers 'Yes', circle 1 and continue with the next question. If the response is 'No' or the respondent does not know or unsure about it, circle '2' or '8' respectively and skip to TN11. 717 6089 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped How many months ago was the net last soaked or dipped? If the last time was within the last 2 years (24 months), record the number of months ago in the space provided. If the last time was less than 1 month ago, record '00'. If the last time was more than 24 months ago, circle '95'. If the respondent does not know the number of months, probe to obtain his/her best estimate. Circle '98' for 'DK/Not sure' only if the respondent cannot even estimate when the net was last soaked or dipped. 146 6660 99 Less than one month ago 95 More than 24 months ago 98 DK / Not sure 99 Missing Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Did anyone sleep under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 6806 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 6289 517 26 Person who slept under net not in HH listing 90 No one / No one else Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 6289 517 90 Person who slept under net not in HH listing 90 No one / No one else Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 4955 1851 90 Person who slept under net not in HH listing 90 No one / No one else Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers “Yes”, record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record “00” for the line number. 2678 4128 90 Person who slept under net not in HH listing 90 No one / No one else Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets Number of mosquito nets How many mosquito nets does your household have? Enter the number of mosquito nets that the household has. Remember that if a mosquito net is owned but not used, we include this net in the total number of mosquito nets. 6806 1 7 1.976 0.971 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. 6806 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 6806 1 4 1 East 2 North 3 South 4 West District District District District District 6806 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban Education of household head Education of household head Education of household head Education of household head Education of household head 6806 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 6806 6747.161 -1.261 3.465 0.0618 0.0237 0.988 0.941 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 6806 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 6806 0.0498 4.373 0.991 0.554 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 6806 1 480 228.815 129.731 Strata Strata Strata Strata Strata 6806 1 26 16.035 6.718 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 14066 1 480 239.558 138.645 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 14066 1 25 12.778 7.209 Line number Line number Line number Line number Line number 14066 1 27 3.249 2.374 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. 14066 1 480 239.558 138.645 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. 14066 1 25 12.778 7.209 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. 14066 1 27 3.249 2.374 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. 14066 99 50.637 27.606 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. 14066 1 31 16.506 8.634 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. 14066 10 12 10.546 0.554 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. 14066 2010 2010 2010 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. 14066 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. 14066 99 26.893 32.6 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. 14066 99 16.179 8.666 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. 13359 707 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 13359 707 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. 13359 707 6 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. 13359 707 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'. 13359 707 1 99 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 13359 707 1960 9999 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old are you? Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided. Probe: “How old were you at your last birthday?” Compare and correct WB1 and/or WB2 if inconsistent. If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent. Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire. 13359 707 15 49 28.345 8.795 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. 13359 707 1 2 1 Yes 2 No Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended What is the highest level of school you attended? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. Circle the code corresponding to the highest level ever attended, regardless of whether or not the year was completed. For example, if she attended Form/Year 1 of secondary school for only 2 weeks, record 'Secondary'. 5408 8658 3 Preschool 1 Primary 2 Secondary 3 Higher Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade you completed at that level? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. For this question, record the number of years that the respondent successfully completed at that level recorded in WB4. For example, if a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. Although grade 3 was the highest year she attended, she completed 2 years of secondary school. If less than 1 year, record '00' for completed years. For example, if she attended only 2 weeks of grade 1 of secondary school, record '00' for completed years. 5401 8665 99 97 Inconsistent 98 DK 99 Missing Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Now I would like you to read this sentence to me. Can you read part of the sentence to me? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women. Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?” Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'. It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card. 9682 4384 1 9 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now I would like to ask you about all the births you have had during your life. Have you ever given birth? The first question of the module is used to determine if the rest of the module and several subsequent modules should be administered to this woman. If the answer is 'Yes', circle '1', and continue with the next question. If the woman says she has never given birth, circle '2' and skip to CM8. 13359 707 1 2 1 Yes 2 No Day of first birth Day of first birth Day of first birth Day of first birth Day of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 10290 3776 1 99 97 Inconsistent 98 DK 99 Missing Month of first birth Month of first birth Month of first birth Month of first birth Month of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 10290 3776 1 99 97 Inconsistent 98 DK 99 Missing Year of first birth Year of first birth Year of first birth Year of first birth Year of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 10290 3776 1970 9999 9997 Inconsistent 9998 DK 9999 Missing Years since first birth Years since first birth Years since first birth Years since first birth Years since first birth How many years ago did you have your first birth? This question is asked only to women who are not able to give the year of their first birth in CM2. It may be easier to obtain this information, especially if the first child is still alive. In this case, the answer is the first child's current age in completed years. Record the response in the space provided. 1448 12618 99 97 Inconsistent 99 Missing Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Read the question slowly. The sons and daughters being considered are those who live with her in her household (these children should have been listed in the Household Listing). Circle the code corresponding to the response. If she answers 'No', skip to CM6. 10290 3776 1 2 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker. 8878 5188 10 1.265 1.09 Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker. 8878 5188 9 1.137 1.001 Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? This refers to sons and daughters who are alive but not living with the woman. For example, one or more of her children may be living with a relative, staying in a boarding school, been given up for adoption, or may be grown-up children who have left home. Make sure the respondent is not reporting dead children in this question. Circle the code corresponding to the response. If she answers 'No', skip to CM8. 10290 3776 1 2 1 Yes 2 No Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere How many sons are alive but do not live with you? If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters. Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank. 4460 9606 7 1.079 1.011 Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere How many daughters are alive but do not live with you? If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters. Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank. 4460 9606 5 0.941 0.925 Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? This question is extremely important. Circle the code corresponding to the response. Some respondents may fail to mention children who died very young, so if she answers 'No', it is important to probe by asking “I mean, to a child who ever breathed, cried or showed signs of life - even if he or she lived only a few minutes or hours?” If the answer is still 'No', skip to CM10. Some respondents may be reluctant to talk about this subject and may become sad or upset that you are asking such questions. Be sympathetic and tactful in such situations. Say that you know the subject is painful, but the information is important. 13359 707 1 2 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00. 4670 9396 7 1.044 0.964 Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00. 4670 9396 7 0.876 0.945 Children ever born Children ever born Children ever born Children ever born Children ever born Add the numbers of births reported in CM5, CM7 and CM9 and write the sum here, then continue with CM11. 13359 707 20 2.942 2.74 Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Of these (total number in CM10) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 10287 3779 1 99 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Of these (total number in CM10) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 10287 3779 1 99 97 Inconsistent 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Of these (total number in CM10) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 10287 3779 1970 9999 9997 Inconsistent 9999 Missing Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years If the respondent's last birth occurred in the last 2 years, check the relevant box and enter the name of the child on the line provided. Then continue with DESIRE FOR LAST BIRTH, MATERNAL AND NEWBORN HEALTH, and then POST-NATAL HEALTH CHECKS Modules. If the respondent's last birth did not occur in the last 2 years, check the relevant box and go to the ILLNESS SYMPTOMS Module. 10287 N No Y Yes Wanted last child then Wanted last child then Wanted last child then Wanted last child then Wanted last child then When you got pregnant with (name), did you want to get pregnant at that time? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module. 3415 10651 1 9 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 have a baby later on, or did you not want any (more) children? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module. 792 13274 1 9 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. 518 13548 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 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. 518 13548 1 99 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 care during your last 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. 3415 10651 1 9 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? 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. 248 ? Missing A Doctor Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 3009 ? Missing B Nurse / Midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 151 ? Missing C Auxiliary midwife Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 187 ? Missing F Traditional birth attendant Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 136 ? Missing G Community health worker Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 8 ? 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. 3279 10787 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. 3279 10787 1 9 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. 3279 10787 1 9 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. 3279 10787 1 9 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? 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. 3415 10651 1 9 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. 3415 10651 1 9 1 Yes 2 No 8 DK 9 Missing How many times did you receive this tetanus injection during your pregnancy with(Name)? How many times did you receive this tetanus injection during your pregnancy with(Name)? How many times did you receive this tetanus injection during your pregnancy with(Name)? How many times did you receive this tetanus injection during your pregnancy with(Name)? How many times did you receive this tetanus injection during your pregnancy with(Name)? 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. 3179 10887 9 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. 617 13449 1 9 1 Yes 2 No 8 DK 9 Missing How many times did you receive a tetanus injection before your pregnancy? How many times did you receive a tetanus injection before your pregnancy? How many times did you receive a tetanus injection before your pregnancy? How many times did you receive a tetanus injection before your pregnancy? How many times did you receive a tetanus injection before your 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'. 208 13858 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. 189 13877 99 99 Missing Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria Took medicine in order to prevent malaria During any of these antenatal visits for the pregnancy, did you take any medicine in order to prevent you from getting malaria? During pregnancy, a woman's immune system is weakened, making her more susceptible to malaria infection than women who are not pregnant. Malaria in pregnant women can cause several complications that are dangerous to the mother and unborn child, including severe malaria and death, maternal anaemia and low birthweight in newborns. The World Health Organization recommends that pregnant women in malaria-endemic areas take a treatment dose of SP/Fansidar (usually three tablets taken all at once) as a preventive measure, once a month during the third trimester of pregnancy (months 7, 8 and 9 of the pregnancy). Such preventive treatment with SP/Fansidar, usually given during antenatal visits, is known as intermittent preventive treatment (IPT). The generic name for SP/Fansidar is sulfadoxine-pyrimethamine, and other brand names can exist. Other anti-malarial medicines can be used as a preventive measure as well. Circle the code corresponding to the answer given. Medicines to prevent malaria include only those medicines that a woman takes during pregnancy when she does not already have malaria. If the respondent took medicines during pregnancy when she did not already have malaria, continue to the next question. If the respondent did not take any medicine to prevent her from getting malaria, circle '2'. If she does not know whether she received treatment to prevent malaria during her last pregnancy, circle '8' for 'DK'. In both cases, skip to MN17. If the respondent says that she had malaria or a fever during the pregnancy and was given medicines to treat the malaria or fever, this would not be considered preventive treatment. In such a case, circle '2' for 'No' and skip to MN17. 3279 10787 1 9 1 Yes 2 No 8 DK 9 Missing Medicines taken to prevent malaria: SP / Fansidar Medicines taken to prevent malaria: SP / Fansidar Medicines taken to prevent malaria: SP / Fansidar Medicines taken to prevent malaria: SP / Fansidar Medicines taken to prevent malaria: SP / Fansidar Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical anti-malarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. 1908 ? Missing A SP / Fansidar Medicines taken to prevent malaria: Chloroquine Medicines taken to prevent malaria: Chloroquine Medicines taken to prevent malaria: Chloroquine Medicines taken to prevent malaria: Chloroquine Medicines taken to prevent malaria: Chloroquine Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical anti-malarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. 311 ? Missing B Chloroquine Medicines taken to prevent malaria: Other Medicines taken to prevent malaria: Other Medicines taken to prevent malaria: Other Medicines taken to prevent malaria: Other Medicines taken to prevent malaria: Other Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical anti-malarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. 524 ? Missing X Other Medicines taken to prevent malaria: DK Medicines taken to prevent malaria: DK Medicines taken to prevent malaria: DK Medicines taken to prevent malaria: DK Medicines taken to prevent malaria: DK Which medicines did you take to prevent malaria? Circle the codes corresponding to all medicines reported taken to prevent malaria during the pregnancy. If the respondent cannot remember the name of the medicine taken, ask her to show you the package it came in. If she doesn't have the package, show her typical anti-malarials and ask if she took any of them. If she mentions that during an antenatal visit she was given three tablets to take all at the same time in order to prevent malaria, circle 'A' on the assumption that she took SP/Fansidar. If she took another medicine, write the name in the space provided in 'Other', and circle 'X'. If she doesn't know the name of the medicine she took to prevent malaria, circle 'Z'. 76 ? Missing Z DK Times took SP / Fansidar Times took SP / Fansidar Times took SP / Fansidar Times took SP / Fansidar Times took SP / Fansidar During this pregnancy, how many times did you take sp/ fansidar? Here we are asking about preventive doses of SP/Fansidar, not curative doses given if she had a fever. Therefore, in this question, we want to know only about preventive doses. Record the number of times she took SP/Fansidar during pregnancy in the space provided. If the woman visited an antenatal clinic or other facility because she was sick with fever and was given SP/Fansidar, do not count this in the number of times she took SP/Fansidar during the pregnancy. Count only the 'times' taken (three tablets taken at the same time = '1 dose' = '1 time') when the woman was pregnant and did not have a fever. 1902 12164 1 99 98 DK 99 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of (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'. 139 ? Missing A Doctor Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 1998 ? Missing B Nurse / Midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 140 ? Missing C Auxiliary midwife Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 1129 ? Missing F Traditional birth attendant Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 115 ? Missing G Community health worker Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 481 ? Missing H Relative / Friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 48 ? 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'. 48 ? 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. 3415 10651 11 99 11 Respondent's home 12 Other home 21 Government hospital 22 Government clinic / health centre 23 Government health post 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Was (name) delivered by caesarean section? That is, did they cut your belly open to take the baby out? A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal. 1691 12375 1 9 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. 3415 10651 1 9 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. 3415 10651 1 9 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? 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. 1853 12213 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? 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. 1853 12213 0.5 9.999 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. 3415 10651 1 9 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. 3415 10651 1 9 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 breast? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 3249 10817 9 Immediately 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 breast? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 3249 10817 99 98 DK 99 Missing Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk In the first three days after delivery, was (name) given anything to drink other than breast milk? If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module. 3249 10817 1 9 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'. 33 ? 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'. 802 ? 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'. 48 ? 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'. 34 ? 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'. 12 ? 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'. 8 ? 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'. 17 ? 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'. 8 ? 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'. 8 ? 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'. 40 ? Missing X Other 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). 1175 ? 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). 2929 ? 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). 5312 ? 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). 1349 ? 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). 1500 ? 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). 1366 ? 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). 544 ? 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). 1670 ? 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). 635 ? 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). 282 ? Missing Z Other Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant I would like to talk with you about another subject— family planning. Are you pregnant now? This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception! Circle the code corresponding to the response given. If she is pregnant, circle '1' and go to the next module. If the woman is unsure or does not know for certain if she is pregnant, circle '8' for 'Unsure or DK'. 13359 707 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 Couples use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant? Circle the code corresponding to the response given. If the answer is 'No', go to the next module. 12000 2066 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? Female Sterilization:Women can have an operation to avoid having any more children. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 72 ? Missing A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization What are you doing to delay or avoid pregnancy? Male Sterilization: Men can have an operation to avoid having any more children. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 3 ? Missing B Male sterilization Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD What are you doing to delay or avoid pregnancy? IUD: Women can have a loop or coil placed inside them by a doctor or a nurse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 22 ? Missing C IUD Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables What are you doing to delay or avoid pregnancy? Injectables:Women can have an injection by a health provider, that stops her from becoming pregnant for one or more months. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 782 ? Missing D Injectables Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants What are you doing to delay or avoid pregnancy? Implants: Women can have one or more small implants placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 189 ? Missing E Implants Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill What are you doing to delay or avoid pregnancy? Pill: Women have to take a pill every day to avoid becoming pregnant. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 836 ? Missing F Pill Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom What are you doing to delay or avoid pregnancy? Male Condom: Men can put a rubber condom on their penis before or during the sexual intercourse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 82 ? Missing G Male condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom What are you doing to delay or avoid pregnancy? Female Condom: Women can place a sheath in their vagina before sexual intercourse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 14 ? Missing H Female condom Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm What are you doing to delay or avoid pregnancy? Diaphragm: Women can place a soft rubber cup in their vagina to block sperm from entering uterus or tubes. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 4 ? Missing I Diaphragm Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly What are you doing to delay or avoid pregnancy? Foam, Jelly: Women may be using spermicides such as foam, jelly, cream that are used to kill supreme or make sperm unable to move to the egg. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 7 ? Missing J Foam / Jelly Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method What are you doing to delay or avoid pregnancy? Lactational Amenorrhoea Method (LAM) Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 18 ? Missing K Lactational amenorrhoea method (LAM) Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm What are you doing to delay or avoid pregnancy? Periodic abstinence / Rhythm: Woman can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 34 ? Missing L Periodic abstinence / Rhythm Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal What are you doing to delay or avoid pregnancy? Withdrawal: Men can be careful and pull out before climax. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 8 ? Missing M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other What are you doing to delay or avoid pregnancy? Other Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 105 ? 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. 1359 12707 1 9 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. 245 13821 1 9 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. 1359 12707 1 9 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 (a/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. 11929 2137 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 (a/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. 8487 5579 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 (a/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. 8487 5579 99 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'. 10639 3427 1 9 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. 469 ? 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. 298 ? 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. 121 ? 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. 62 ? 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. 179 ? Missing E Trying to get pregnant for 2 years without result Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic 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. 26 ? 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. 615 ? 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. 138 ? 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. 26 ? Missing I Fatalistic 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. 153 ? 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. 44 ? 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'. 13244 822 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'. 13244 822 99 94 In menopause/had hysterectomy 95 Before last birth 96 Never menstruated 99 Missing Heard of female circumcision Heard of female circumcision Heard of female circumcision Heard of female circumcision Heard of female circumcision Have you ever heard of female circumcision? Circle the code corresponding to the answer given. Skip to FG3 if 'Yes'. Otherwise, continue to the next question. 13359 707 1 9 1 Yes 2 No 9 Missing Heard of genital cutting Heard of genital cutting Heard of genital cutting Heard of genital cutting Heard of genital cutting In some countries, there is a practice in which a girl may have part of her genitals cut. have you ever heard about this practice? Circle the code corresponding to the answer given. If 'No', go to the next module. 72 13994 1 9 1 Yes 2 No 9 Missing Ever circumcised Ever circumcised Ever circumcised Ever circumcised Ever circumcised Have you yourself ever been circumcised? Circle the code corresponding to the answer given. If 'No', skip to FG9. 13339 727 1 9 1 Yes 2 No 9 Missing Flesh removed from the genital area Flesh removed from the genital area Flesh removed from the genital area Flesh removed from the genital area Flesh removed from the genital area Now I would like to ask you what was done to you at that time. Was any flesh removed from the genital area? Circle the code corresponding to the answer given. Skip to FG6 if 'Yes' ('1'). 11686 2380 1 9 1 Yes 2 No 8 DK 9 Missing Genital area nicked without removing flesh Genital area nicked without removing flesh Genital area nicked without removing flesh Genital area nicked without removing flesh Genital area nicked without removing flesh Was the genital area just nicked without removing any flesh? Circle the code corresponding to the answer given. 1561 12505 1 9 1 Yes 2 No 8 DK 9 Missing Genital area sewn closed (or sealed) Genital area sewn closed (or sealed) Genital area sewn closed (or sealed) Genital area sewn closed (or sealed) Genital area sewn closed (or sealed) Was the genital area sewn closed? Circle the code corresponding to the answer given. If necessary, probe: Was it sealed? 11686 2380 1 9 1 Yes 2 No 8 DK 9 Missing Age of circumcision Age of circumcision Age of circumcision Age of circumcision Age of circumcision How old were you when you were circumcised? Write the age of respondent at circumcision. If the respondent does not know the exact age, probe to get an estimate. If she still says she does not remember or unsure, circle '98'. 11686 2380 99 During infancy 97 Inconsistent 98 DK/Don't remember/Not sure 99 Missing Person circumcising respondent Person circumcising respondent Person circumcising respondent Person circumcising respondent Person circumcising respondent Who performed the circumcision? First ask if she knows who circumcised her. Probe to find out the type of person who performed the operation. Circle the code corresponding to the answer given. If she knows it was a health professional but you are unsure how to code the person mentioned, write the words used to describe the person in the space provided for 'Other health professional' and circle '16'. If she knows it was a traditional person but you are unsure how to code the person mentioned, write the words used to describe the person in the space provided for 'Other traditional' and circle '26'. If she does not know who circumcised her, circle '98'. 11686 2380 11 99 11 Doctor 12 Nurse / Midwife 16 Other health professional 21 Traditional circumciser 22 Traditional birth attendant 26 Other traditional 98 DK 99 Missing Number of daughters Number of daughters Number of daughters Number of daughters Number of daughters Check CM5 for Number of daughters at home and CM7 for Number of daughters elsewhere of the Child Mortality module. Sum the answers to both questions and write the total. 13339 727 9 99 Missing Should practice be continued or discontinued Should practice be continued or discontinued Should practice be continued or discontinued Should practice be continued or discontinued Should practice be continued or discontinued Do you think this practice should be continued or should it be discontinued? The last question in the module aims to elicit the respondent's opinion of FGM/C. The question is asked of all women who have ever heard of FGM/C (FG1=1 or FG2=1). Circle the code corresponding to the answer given. 7724 6342 1 9 1 Continued 2 Discontinued 3 Depends 8 DK 9 Missing If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling 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 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. 13359 707 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. 13359 707 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. 13359 707 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. 13359 707 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. 13359 707 1 9 1 Yes 2 No 8 DK 9 Missing Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5. 13359 707 1 3 1 Yes, currently married 2 Yes, living with a man 3 No, not in union Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner How old is your husband/partner? Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'. 8912 5154 10 99 98 DK 99 Missing Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Besides yourself, does your husband/partner have any other wives or partners or does he live with other women as if married? In this question, we are interested in the wives and/or live-in partners that the respondent's husband/partner has. Circle the code corresponding to the answer given. If 'No', skip to MA7. 8912 5154 1 9 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 or partners does he have? Similar to the previous question, we are interested here in the number of wives and/or live-in partners the respondent's husband has. Enter the number of other wives in the space provided. Use leading zeros if necessary. For all answers, skip to MA7. 3005 11061 1 99 98 DK 99 Missing Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Have you ever been married or lived together with a man as if married? For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions. Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'. If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6. 4447 9619 1 9 1 Yes, formerly married 2 Yes, formerly lived with a man 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. 1096 12970 1 3 1 Widowed 2 Divorced 3 Separated Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Have you been married or lived with a man only once or more than once? As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.' Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person. 10008 4058 1 9 1 Only once 2 More than once 9 Missing Month of first union Month of first union Month of first union Month of first union Month of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 10008 4058 1 99 97 Inconsistent 98 DK 99 Missing Year of first union Year of first union Year of first union Year of first union Year of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 10008 4058 1970 9999 9997 Inconsistent 9998 DK 9999 Missing Age at first union Age at first union Age at first union Age at first union Age at first union How old were you when you started living with your first husband/partner? As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank. 4368 9698 5 48 97 Inconsistent 99 Missing Age at first sexual intercourse Age at first sexual intercourse Age at first sexual intercourse Age at first sexual intercourse Age at first sexual intercourse Now, I would like to ask you some questions about sexual activity in order to gain a better understanding of some important life issues. The information you supply will remain strictly confidential. How old were you when you had sexual intercourse for the very first time? It is very important that you read the first sentence, and to emphasize to the respondent that her responses will remain strictly confidential. If necessary, explain to her once again that the information she shares with you will only be used for statistical purposes; that her name will never be revealed; and her responses will not be shared with others in the community or elsewhere. The age we are asking about is the age of the respondent the very first time she had sexual intercourse. It does not matter whether the woman continued to have a relationship with this person. We are not asking about the first time with her current partner, but rather, the first experience of sexual intercourse in her entire life. If the response is 'Never had intercourse', circle '00' and skip to the next module. Otherwise, enter the age in years on the line provided. If she was less than 10 years old, use a zero to fill in the first space. If the respondent tells you that her first time was when she started living with her first husband, record her response by circling '95'. You will have collected this information in the Marriage/Union module. If the respondent says that her first time was with her first husband, but it was before they began living together, probe for the respondent's age at the time. If the respondent says she does not know how old she was when she first had intercourse, probe by relating it to how old she was when she first married or had her first child. However, when doing this probing, be certain not to assume that the first time she had sex was at the time of her first marriage. If she has never married and/or never had children, you can probe by relating the timing of the first intercourse to whether she was going to school at the time, or to places that she might have lived. The respondent should feel comfortable in taking her time to think about her response to remember correctly. 13359 707 99 Never had intercourse 95 First time when started living with partner 97 Inconsistent 99 Missing Condom used during first sexual intercourse Condom used during first sexual intercourse Condom used during first sexual intercourse Condom used during first sexual intercourse Condom used during first sexual intercourse The first time you had sexual intercourse, was a condom used? If used correctly, condoms can reduce the risk of transmission of AIDS and other sexually transmitted infections. We do not mention this fact to the respondent, because we do not want to influence her answer here. In this question we are referring to the first occasion the respondent had sexual intercourse. Circle the code for the response given. 12329 1737 1 9 1 Yes 2 No 8 DK / Don't remember 9 Missing Time since last sexual intercourse (unit) Time since last sexual intercourse (unit) Time since last sexual intercourse (unit) Time since last sexual intercourse (unit) Time since last sexual intercourse (unit) When was the last time you had sexual intercourse? By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse. In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago. If 12 months or more the answer must be recorded in years. If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13. While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?" If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time. 12329 1737 1 9 1 Days ago 2 Weeks ago 3 Months ago 4 Year ago 9 Special Time since last sexual intercourse (number) Time since last sexual intercourse (number) Time since last sexual intercourse (number) Time since last sexual intercourse (number) Time since last sexual intercourse (number) When was the last time you had sexual intercourse? By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse. In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago. If 12 months or more the answer must be recorded in years. If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13. While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?" If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time. 12329 1737 99 97 Inconsistent 99 Missing Condom used at last sexual intercourse Condom used at last sexual intercourse Condom used at last sexual intercourse Condom used at last sexual intercourse Condom used at last sexual intercourse The last time you had sexual intrecourse, was a condom used? In this question, this time, we are referring only to the last occasion the respondent had sexual intercourse. Circle the code for the response given. 10401 3665 1 9 1 Yes 2 No 9 Missing Relationship to last sexual partner Relationship to last sexual partner Relationship to last sexual partner Relationship to last sexual partner Relationship to last sexual partner What was your relationship to this person with whom you last had sexual intercourse? Probe to ensure that the response refers to the relationship at the time of sexual intercourse. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB7. Note that we are interested in the relationship of the woman with the person mentioned at the time they last engaged in sexual intercourse. For example, if a woman's last partner was a boyfriend she was living with at the time, you would record 'Cohabiting partner' even though they are no longer living together. They were living together at the time of the sexual encounter. Record the status of the relationship that existed at the time the two people last had sexual intercourse. It is most important to determine whether or not the sexual partner was someone the respondent was living with at the time they last had sexual intercourse. 10401 3665 1 9 1 Husband 2 Cohabiting partner 3 Boyfriend 4 Casual acquaintance 6 Other 9 Missing Age of last sexual partner Age of last sexual partner Age of last sexual partner Age of last sexual partner Age of last sexual partner How old is this person? Sometimes young women have sexual partners who are significantly older than they are; this can put them at higher risk of HIV infection. In this question we ask young women to tell us the age of their sexual partners. Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question. 2819 11247 15 99 98 DK 99 Missing Sex with any other man in the last 12 month Sex with any other man in the last 12 month Sex with any other man in the last 12 month Sex with any other man in the last 12 month Sex with any other man in the last 12 month Have you had sexual intercourse with any other person in the last 12 months? We are interested in finding out whether the respondent had sexual intercourse with anyone else within the past 12 months. We want the respondent to take their time in answering because we are asking about a fairly long period of time - the entire year preceding the date of interview. Continue to the next question if 'Yes'. If 'No', skip to SB15. 10401 3665 1 9 1 Yes 2 No 9 Missing Condom used with prior sexual partner Condom used with prior sexual partner Condom used with prior sexual partner Condom used with prior sexual partner Condom used with prior sexual partner The last time you had sexual intercourse with this other person, was a condom used? This question asks about condom use with 'this other person'. This is the person she had intercourse with during the last 12 months, but not the person she had her last intercourse with. Circle the code for the response given. 1023 13043 1 9 1 Yes 2 No 9 Missing Relationship to prior sexual partner Relationship to prior sexual partner Relationship to prior sexual partner Relationship to prior sexual partner Relationship to prior sexual partner What was your relationship to this person? This question asks about the relationship she had with this other person. It should refer to the relationship she had with the person at the time of intercourse. The questions should be asked, probed and recorded the same way as SB5. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB12. 1023 13043 1 9 1 Husband 2 Cohabiting partner 3 Boyfriend 4 Casual acquaintance 6 Other 9 Missing Age of prior sexual partner Age of prior sexual partner Age of prior sexual partner Age of prior sexual partner Age of prior sexual partner How old is this person? Again, we are looking for the age of the person she had sexual intercourse with at the time of the sexual encounter. Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the sexual partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question. 667 13399 12 99 98 DK 99 Missing Sex with any other man in the last 12 months Sex with any other man in the last 12 months Sex with any other man in the last 12 months Sex with any other man in the last 12 months Sex with any other man in the last 12 months Other than these two persons, have you had sexual intercourse with any other person in the last 12 months? Circle the code corresponding to response given. Continue to the next question if the response if 'Yes'. If 'No', skip to SB15. 1023 13043 1 9 1 Yes 2 No 9 Missing Number of sex partners in last 12 months Number of sex partners in last 12 months Number of sex partners in last 12 months Number of sex partners in last 12 months Number of sex partners in last 12 months In total, with how many different people have you had sexual intercourse in the last 12 months? This is the total number of different partners the respondent has had sexual intercourse with in the last 12 months, including the ones already mentioned. Enter the total in the space provided. If her response is less than 10, use a leading zero. Since this question is asked only if the respondent has had sexual intercourse with at least three partners in the last 12 months, the answer should never be '00', '01' or '02'. 181 13885 3 99 99 Missing Number of sex partners in lifetime Number of sex partners in lifetime Number of sex partners in lifetime Number of sex partners in lifetime Number of sex partners in lifetime In total, with how many different people have you had sexual intercourse in your lifetime? This is the total number of different partners the respondent has had sexual intercourse in her lifetime. Enter the total in the space provided. If her response is less than 10, use a leading zero. If a non-numeric answer is given, probe to get an estimate. If number of partners is 95 or more, write '95'. 12329 1737 1 99 98 DK 99 Missing Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Now I would like to talk with you about something else. Have you ever heard of an illness called AIDS? This question serves as an introduction and allows us to verify whether a respondent has heard of AIDS. If there is a local term for AIDS, use the local term in addition to 'AIDS'. If a respondent has never heard of the AIDS, skip to next module. 13359 707 1 9 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. 10772 3294 1 9 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. 10772 3294 1 9 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. 10772 3294 1 9 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. 10772 3294 1 9 1 Yes 2 No 8 DK 9 Missing Can get AIDS virus by sharing food with a person who has AIDS Can get AIDS virus by sharing food with a person who has AIDS Can get AIDS virus by sharing food with a person who has AIDS Can get AIDS virus by sharing food with a person who has AIDS Can get AIDS virus by sharing food with a person who has AIDS Can people get the AIDS virus by sharing food with a person who has AIDS virus? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 10772 3294 1 9 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. 10772 3294 1 9 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'. 10772 3294 1 9 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'. 10772 3294 1 9 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'. 10772 3294 1 9 1 Yes 2 No 8 DK 9 Missing Should female teacher with AIDS virus be allowed to teach in school Should female teacher with AIDS virus be allowed to teach in school Should female teacher with AIDS virus be allowed to teach in school Should female teacher with AIDS virus be allowed to teach in school Should female teacher with AIDS virus be allowed to teach in school 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? 10772 3294 1 9 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? 10772 3294 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing If HH member became infected with AIDS virus, would want it to remain a secret If HH member became infected with AIDS virus, would want it to remain a secret If HH member became infected with AIDS virus, would want it to remain a secret If HH member became infected with AIDS virus, would want it to remain a secret If HH member became infected with AIDS virus, would want it to remain a secret If a member of your family got infected with the AIDS virus, would you want it to remain a secret? 10772 3294 1 9 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? 10772 3294 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Given information about AIDS virus during antenatal care visit Given information about AIDS virus during antenatal care visit Given information about AIDS virus during antenatal care visit Given information about AIDS virus during antenatal care visit Given information about AIDS virus during antenatal care visit 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. 2602 11464 1 9 1 Yes 2 No 8 DK 9 Missing Things to do to prevent getting the AIDS virus Things to do to prevent getting the AIDS virus Things to do to prevent getting the AIDS virus Things to do to prevent getting the AIDS virus Things to do to prevent getting the AIDS virus 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. 2602 11464 1 9 1 Yes 2 No 8 DK 9 Missing Getting tested for the AIDS virus Getting tested for the AIDS virus Getting tested for the AIDS virus Getting tested for the AIDS virus Getting tested for the AIDS virus 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. 2601 11465 1 9 1 Yes 2 No 8 DK 9 Missing Offered a test for the AIDS virus Offered a test for the AIDS virus Offered a test for the AIDS virus Offered a test for the AIDS virus Offered a test for the AIDS virus 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. 2601 11465 1 9 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. 2598 11468 1 9 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. 1350 12716 1 9 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 999 13067 1 9 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. 745 13321 1 9 1 Yes 2 No 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. 61 14005 1 9 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. 1393 12673 1 9 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. 1074 12992 1 9 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. 9378 4688 1 9 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. 2834 11232 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. 2834 11232 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. 6843 7223 1 9 1 Yes 2 No 9 Missing Net number Net number Net number Net number Net number 3811 10255 1 6 1.33 0.625 Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed For each net, record first whether you actually observed the net. 3811 10255 1 9 1 Observed 2 Not observed 9 Missing Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net TN5 is about the type and brand of net. You may encounter nets in the field that you will not recognize. During training, you will be shown all the common mosquito nets that are available in the country. The brand name is often located on the net itself. A picture of the different types of nets available in the country may also be provided for reference during interviews. Use this to identify the type of net in the dwelling and circle the corresponding number on the questionnaire. If the respondent tells you or you learn from the packaging that the net is long-lasting try to determine the exact brand. If you cannot determine the brand circle '18' for 'DK brand'. Similarly, if you determine that the net is pre-treated but it is not one of the listed brands, circle '26'and specify the brand of the net in the space provided. When you cannot determine the brand but have determined that it is pre-treated, circle '28' for 'DK brand'. In some cases, you may be able to identify the brand but not what the type of net it is; for those nets, circle '31' (Other). Code '98' should be circled when you cannot obtain information on either the type or brand. For nets for which you circle '31' or '98' in question TN5, you must probe to find out if the respondent knows whether or not the net was treated when the household first got the net. 3811 10255 11 99 11 Olyset 12 Permanet 13 Long-lasting treated net Brand C 16 Other long-lasting treated net 18 DK brand of long-lasting treated net 21 Pre-treated net Brand D 22 Pre-treated net Brand E 23 Pre-treated net Brand F 26 Other pre-treated net 28 DK brand of pre-treated net 31 Other net 98 DK brand / type 99 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago did your household get the mosquito net? Ask how many months ago the household obtained the net. If the net was obtained within 36 months from the interview date, you must record the actual number of months before the interview that the net was obtained. If the household got the mosquito net more than 36 months ago, record '95'. If less than one month, record "00" The respondent may tell you that they are not exactly certain when the net was obtained. In such cases, probe to try to get some idea of approximately how many months ago the net was obtained. Record '98' (DK/Not sure) if the respondent does not have any idea of how long ago the household obtained the net. 3811 10255 99 Less than one month ago 95 More than 36 months ago 98 DK / Not sure 99 Missing Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained When you got the net, was it already treated with an insecticide to kill or repel mosquitoes? This question is only asked about all nets other than the long-lasting and pre-treated nets. With this question, we try to learn whether the net was actually treated with an insecticide when the household obtained it. 75 13991 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Since you got the net, was it ever soaked or dipped in a liquid to kill or repel mosquitoes? This question is only asked for pre-treated nets, and obtains information on whether the household has ever treated the net with insecticide. Make sure that the respondent understands that you don't mean simply "washing the net" or spraying it with insecticide from a can or canister. We want to know whether the net was soaked or dipped in an insecticide. This information will be linked to the information on the type of net and when the net was obtained to determine if the net is still effective. If the respondent answers 'Yes', circle 1 and continue with the next question. If the response is 'No' or the respondent does not know or unsure about it, circle '2' or '8' respectively and skip to TN11. 389 13677 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped How many months ago was the net last soaked or dipped? If the last time was within the last 2 years (24 months), record the number of months ago in the space provided. If the last time was less than 1 month ago, record '00'. If the last time was more than 24 months ago, circle '95'. If the respondent does not know the number of months, probe to obtain his/her best estimate. Circle '98' for 'DK/Not sure' only if the respondent cannot even estimate when the net was last soaked or dipped. 78 13988 99 Less than one month ago 95 More than 24 months ago 98 DK / Not sure 99 Missing Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Did anyone sleep under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 3811 10255 1 1 1 Yes 2 No 8 DK / Not sure 9 Missing Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 3811 10255 26 Person who slept under net not in HH listing 90 No one / No one else Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 3811 10255 90 Person who slept under net not in HH listing 90 No one / No one else Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 3526 10540 90 Person who slept under net not in HH listing 90 No one / No one else Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2167 11899 90 Person who slept under net not in HH listing 90 No one / No one else 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. 14066 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 14066 1 4 1 East 2 North 3 South 4 West District District District District District 14066 13359 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban 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) 14066 1330 1332 1330.546 0.554 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) 13359 707 731 1162 985.187 105.659 Age Age Age Age Age 13359 707 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) 10002 4064 835 1332 1164.262 99.226 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 10002 4064 4 48 17.231 4.419 Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) 10258 3808 841 1332 1184.144 94.685 Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) 8285 5781 930 1332 1276.02 51.54 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status 13359 707 1 9 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Children ever born Children ever born Children ever born Children ever born Children ever born 13359 707 20 2.939 2.742 Children surviving Children surviving Children surviving Children surviving Children surviving 13359 707 17 2.271 2.073 Children dead Children dead Children dead Children dead Children dead 13359 707 13 0.671 1.2 Education Education Education Education Education 13359 707 1 3 1 None 2 Primary 3 Secondary + 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 14066 -1.261 3.465 0.0814 0.987 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 14066 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight 14066 4.245 0.95 0.601 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 14066 1 480 239.558 138.645 Strata Strata Strata Strata Strata 14066 1 26 15.996 6.838 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 14676 1 480 222.465 130.541 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 14676 1 25 12.84 7.207 Line number Line number Line number Line number Line number 14676 1 25 2.576 1.846 Heard of female circumcision Heard of female circumcision Heard of female circumcision Heard of female circumcision Heard of female circumcision Have you ever heard of female circumcision? Circle the code corresponding to the answer given. Skip to FG3 if 'Yes'. Otherwise, continue to the next question. 14676 1 9 1 Yes 2 No 9 Missing Ever circumcised Ever circumcised Ever circumcised Ever circumcised Ever circumcised Have you yourself ever been circumcised? Circle the code corresponding to the answer given. If 'No', skip to FG9. 14276 400 1 9 1 Yes 2 No 9 Missing Number of daughters Number of daughters Number of daughters Number of daughters Number of daughters Check CM5 for Number of daughters at home and CM7 for Number of daughters elsewhere of the Child Mortality module. Sum the answers to both questions and write the total. 14276 400 1 9 99 Missing Line Number Line Number Line Number Line Number Line Number 14676 1 20 1.957 1.964 Age of daughter Age of daughter Age of daughter Age of daughter Age of daughter How old is (name)? Record the age of her daughter in the space provided. 14676 99 99 Missing Daughter circumcised Daughter circumcised Daughter circumcised Daughter circumcised Daughter circumcised Is (name) circumcised? Record the corresponding answer. If 'No', skip to FG13 for next daughter. If there are no more daughters, skip to FG22. 11258 3418 1 9 1 Yes 2 No 9 Missing Daughter's age at circumcision Daughter's age at circumcision Daughter's age at circumcision Daughter's age at circumcision Daughter's age at circumcision How old was (name) when this occurred? Enter the daughter's age at the time she was circumcised in the space provided. If the respondent does not know how old her daughter was at circumcision, probe to get an estimate. If she is still unable to provide her daughter's age at circumcision, circle '98'. 1442 13234 99 98 DK 99 Missing Flesh removed from the genital area: daughter Flesh removed from the genital area: daughter Flesh removed from the genital area: daughter Flesh removed from the genital area: daughter Flesh removed from the genital area: daughter Now I would like to ask you what was done to (name) at that time. Was any flesh removed from the genital area? Circle the code corresponding to the answer given. If 'Yes', skip to FG19. Otherwise, continue to the next question. 1442 13234 1 9 1 Yes 2 No 8 DK 9 Missing Genital area nicked without removing flesh: daughter Genital area nicked without removing flesh: daughter Genital area nicked without removing flesh: daughter Genital area nicked without removing flesh: daughter Genital area nicked without removing flesh: daughter Was her genital area just nicked without removing any flesh? Circle the code corresponding to the answer given. 311 14365 1 9 1 Yes 2 No 8 DK 9 Missing Genital area sewn closed: daughter Genital area sewn closed: daughter Genital area sewn closed: daughter Genital area sewn closed: daughter Genital area sewn closed: daughter Was her genital area sewn closed? Circle the code corresponding to the answer given. If necessary, probe: Was it sealed? 1442 13234 1 9 1 Yes 2 No 8 DK 9 Missing Person circumcising daughter Person circumcising daughter Person circumcising daughter Person circumcising daughter Person circumcising daughter Who performed the circumcision? First ask if she knows who circumcised her daughter. Probe to find out the type of person who performed the operation. Circle the code corresponding to the answer given. If she knows it was a health professional but you are unsure how to code the person mentioned, write the words used to describe the person in the space provided for 'Other health professional' and circle '16'. If she knows it was a traditional person but you are unsure how to code the person mentioned, write the words used to describe the person in the space provided for 'Other traditional' and circle '26'. If she does not know who circumcised her daughter, circle '98'. 1442 13234 11 99 11 Doctor 12 Nurse / Midwife 16 Other health professional 21 Traditional circumciser 22 Traditional birth attendant 26 Other traditional 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. 14676 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 14676 1 4 1 East 2 North 3 South 4 West District District District District District 14676 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban Education Education Education Education Education 14676 1 3 1 None 2 Primary 3 Secondary + 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 14676 -1.261 3.465 -0.104 0.884 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 14676 14702.527 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight 14676 0.0482 4.245 1.002 0.568 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 14676 1 480 222.465 130.541 Strata Strata Strata Strata Strata 14676 1 26 15.707 6.83 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 8798 1 480 221.793 128.592 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 8798 1 25 12.84 7.191 Line number Line number Line number Line number Line number 8798 2 26 6.255 2.953 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. 8798 1 480 221.793 128.592 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. 8798 1 25 12.84 7.191 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. 8798 2 26 6.255 2.953 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. 8798 1 25 2.624 1.932 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. 8798 99 47.336 25.866 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. 8798 1 31 16.436 8.623 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. 8798 10 12 10.555 0.555 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. 8798 2010 2010 2010 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. 8798 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. 8798 99 25.672 32.45 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. 8798 44 16.006 8.516 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. 8598 200 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 8598 200 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 8598 200 6 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 8598 200 99 99 Missing Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 8598 200 1 99 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 8598 200 1 99 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 8598 200 2005 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. 8598 200 4 2.04 1.428 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. 8598 200 1 9 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 been registered with the civil authorities? Circle the code corresponding to the response. If the answer is 'Yes', go to next module. If the child's birth has not been registered with civil authorities or the respondent does not know, continue to the next question. 3117 5681 1 9 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. 1815 6983 1 9 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'. 8598 200 99 10 Ten or more books 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. 8598 200 1 9 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. 8598 200 1 9 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 etc.)? 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. 8598 200 1 9 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 week was (name): Left alone for more than an hour? This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children. The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house. Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old. 8598 200 9 None 8 DK 9 Missing In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past week was (name): Left 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. 8598 200 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'. 3688 5110 1 9 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? 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. 507 8291 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. 194 ? 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. 190 ? 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. 686 ? 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. 2770 ? 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. 901 ? 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. 450 ? 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. 1225 ? 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. 1805 ? 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. 1722 ? 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. 498 ? 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. 1612 ? 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. 940 ? 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. 1586 ? 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. 1060 ? 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. 1545 ? 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. 933 ? 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. 1745 ? 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. 1118 ? 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. 2485 ? 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. 444 ? 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. 350 ? 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. 267 ? 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. 881 ? 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. 2479 ? 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. 3688 5110 1 9 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. 3688 5110 1 9 1 Yes 2 No 8 DK 9 Missing Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 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. 3688 5110 1 9 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. 3688 5110 1 9 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). 3688 5110 1 9 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. 3688 5110 1 9 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. 3688 5110 1 9 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. 3688 5110 1 9 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). 3688 5110 1 9 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. 3688 5110 1 9 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. 8598 200 1 9 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. 8464 334 1 9 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. 8598 200 1 9 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. 8598 200 1 9 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. 612 8186 1 99 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. 8598 200 1 9 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. 565 8233 1 99 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. 8598 200 1 9 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 (local name for clear broth/clear soup) yesterday, during the day or night? Circle the code corresponding to the response. 8598 200 1 9 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. 8598 200 1 9 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) 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. 8598 200 1 9 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. 8598 200 1 9 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 yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15. 8598 200 1 9 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 yesterday, during the day or night? Record the number of times the child had yogurt. 164 8634 1 99 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. 8598 200 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 yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18. 8598 200 1 9 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 yesterday, during the day or night? Record the number of times the child had solid or semi-solid food. 6178 2620 1 99 99 Missing Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple? Circle the code corresponding to the response. 8598 200 1 9 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. 8598 200 1 9 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. 1392 7406 1 9 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). 1392 7406 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 fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) During the episode of diarrhoea, was (name) given to drink any of the following: A fluid made from a special packet called (local name for ORS packet solution)? 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. 1392 7406 1 9 1 Yes 2 No 8 DK 9 Missing Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea During the episode of diarrhoea, was (name) given to drink any of the following: A pre-packaged ORS fluid for diarrhoea? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 1392 7406 1 9 1 Yes 2 No 8 DK 9 Missing Pre-Packaged ORS fluid with zinc for diarrhoea Pre-Packaged ORS fluid with zinc for diarrhoea Pre-Packaged ORS fluid with zinc for diarrhoea Pre-Packaged ORS fluid with zinc for diarrhoea Pre-Packaged ORS fluid with zinc for diarrhoea During the episode of diarrhoea, was (name) given to drink any of the following: A pre-packaged ORS fluid with zinc for diarrhoea? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 1392 7406 1 9 1 Yes 2 No 8 DK 9 Missing Govt. recommended homemade sss fluid Govt. recommended homemade sss fluid Govt. recommended homemade sss fluid Govt. recommended homemade sss fluid Govt. recommended homemade sss fluid During the episode of diarrhoea, was (name) given to drink any of the following: Government-recommended homemade SSS fluid? 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. 1392 7406 1 9 1 Yes 2 No 8 DK 9 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 treat diarrhoea? This question asks the mother or caretaker whether the child received any (other) treatment for diarrhoea other than those mentioned in CA4 for this episode of diarrhoea. If in CA4 you learned that the child was given fluid from an ORS packet, sugar and salt solution, or pre-packaged ORS fluid, then phrase CA5 by saying, “Was anything else given to treat the diarrhoea?” If none of the liquids was given, ask CA5 by saying, “Was anything given to treat the diarrhoea?” Circle the code corresponding to the answer given. If the response is 'Yes', continue to CA6 to learn the type of treatment given. If the child was not given anything (else) for the diarrhoea or the respondent doesn't know, skip to CA7. 1392 7406 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. 467 ? 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. 34 ? 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. 22 ? Missing C Zinc pill or syrup Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or 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. 14 ? 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. 153 ? 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. 90 ? 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. 12 ? 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. 30 ? 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. 7 ? 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. 147 ? 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. 186 ? 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'. 8598 200 1 9 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. 2807 5991 1 9 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. 1776 7022 1 9 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. 722 8076 1 9 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. 73 ? Missing A Government hospital Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 296 ? Missing B Government health center Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 88 ? Missing C Government health post Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 30 ? 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. 5 ? Missing E Mobile / Outreach clinic Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 2 ? 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. 28 ? 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. 8 ? 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. 27 ? Missing K Private pharmacy Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 4 ? 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. 7 ? Missing O Other private medical Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 21 ? Missing P Relative / Friend Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 5 ? Missing Q Shop Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 7 ? Missing R Traditional practitioner Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 6 ? 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. 722 8076 1 9 1 Yes 2 No 8 DK 9 Missing Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 385 ? Missing A Antibiotic pill / syrup Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 87 ? Missing B Antibiotic injection Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 59 ? Missing M Anti-malarials Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 375 ? Missing P Paracetamol / Panadol / Acetaminophen Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 49 ? Missing Q Aspirin Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 17 ? Missing R Ibuprofen Medicine: Other Medicine: Other Medicine: Other Medicine: Other Medicine: Other What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 137 ? Missing X Other Medicine: DK Medicine: DK Medicine: DK Medicine: DK Medicine: DK What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 15 ? 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. 4910 3888 1 99 1 Child used toilet / latrine 2 Put / Rinsed into toilet or latrine 3 Put / Rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing 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. 8598 200 1 9 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. 3160 5638 1 9 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. 3160 5638 1 9 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. 2263 6535 1 9 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. 2051 6747 1 9 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'. 393 ? 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'. 218 ? 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'. 538 ? 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'. 46 ? 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'. 541 ? Missing E Combination with artemisinin Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD 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 F Country specific CBD anti-malarial 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'. 177 ? 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'. 649 ? 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'. 250 ? 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'. 1154 ? 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'. 60 ? 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'. 6 ? 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'. 198 ? 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'. 31 ? 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. 2051 6747 1 9 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. 1109 7689 1 9 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'. 108 ? 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'. 157 ? 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'. 131 ? 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'. 20 ? 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'. 137 ? Missing E Combination with Artemisinin Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD anti-malarial Medicine given: Country specific CBD 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 F Country specific CBD anti-malarial 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'. 58 ? 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'. 159 ? 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'. 25 ? 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'. 970 ? 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'. 84 ? 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'. 4 ? 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'. 333 ? 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'. 17 ? 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 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-malarial medicines are mentioned in ML6 or ML9, name all anti-malarials mentioned. 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'. 1958 6840 9 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 Do you have a card/ handbook where (name)’s vaccinations are written down? (If yes) May I see it please? If the respondent reports that there is a vaccination card for the child, ask to see it. You should have obtained vaccination cards at the beginning of the interview. If you did not already obtain the card for the child, now is the time to ask for it again. In some cases, the respondent may not be willing to take time to look for the vaccination card, thinking that you are in a hurry. Encourage the respondent to look for the vaccination card for the child. It is critical to obtain written documentation of the child's immunization history. Therefore, be patient if the respondent needs to search for the card. If the respondent does not have a vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), ask to see it. If the card or other document is seen, circle '1' and skip to IM3. If the child has a vaccination card or other document but the respondent is unable to show you, circle '2' and skip to IM6 - you will be asking the respondent to recall the child's vaccinations. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, circle '3' and continue to next question. 8598 200 1 9 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 Did you ever have a vaccination card for (name)? Circle the code corresponding to the answer given and skip to IM6. 666 8132 1 9 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. 4265 4533 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4182 4616 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. 4182 4616 2004 2010 9999 Missing Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4114 4684 1 12 99 Missing Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4114 4684 2004 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3641 5157 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. 3641 5157 2005 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3322 5476 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. 3322 5476 2005 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2919 5879 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. 2919 5879 2005 2011 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1809 6989 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. 1809 6989 2005 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1652 7146 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. 1652 7146 2005 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1495 7303 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. 1495 7303 2005 2010 9999 Missing Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 292 8506 1 99 99 Missing Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 292 8506 2005 9999 9999 Missing Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1569 7229 1 12 99 Missing Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1569 7229 2004 2010 9999 Missing Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1443 7355 1 12 99 Missing Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1443 7355 2004 2010 9999 Missing Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1298 7500 1 12 99 Missing Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 1298 7500 2004 2010 9999 Missing Day of Penta at birth immunization Day of Penta at birth immunization Day of Penta at birth immunization Day of Penta at birth immunization Day of Penta at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Penta at birth immunization Month of Penta at birth immunization Month of Penta at birth immunization Month of Penta at birth immunization Month of Penta at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 271 8527 1 12 99 Missing Year of Penta at birth immunization Year of Penta at birth immunization Year of Penta at birth immunization Year of Penta at birth immunization Year of Penta at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 271 8527 2005 2010 9999 Missing Day of Penta1 immunization Day of Penta1 immunization Day of Penta1 immunization Day of Penta1 immunization Day of Penta1 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Penta1 immunization Month of Penta1 immunization Month of Penta1 immunization Month of Penta1 immunization Month of Penta1 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. 2291 6507 1 12 99 Missing Year of Penta1 immunization Year of Penta1 immunization Year of Penta1 immunization Year of Penta1 immunization Year of Penta1 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. 2291 6507 2005 2010 9999 Missing Day of Penta2 immunization Day of Penta2 immunization Day of Penta2 immunization Day of Penta2 immunization Day of Penta2 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Penta2 immunization Month of Penta2 immunization Month of Penta2 immunization Month of Penta2 immunization Month of Penta2 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. 2082 6716 1 12 99 Missing Year of Penta2 immunization Year of Penta2 immunization Year of Penta2 immunization Year of Penta2 immunization Year of Penta2 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. 2082 6716 2006 2010 9999 Missing Day of Penta3 immunization Day of Penta3 immunization Day of Penta3 immunization Day of Penta3 immunization Day of Penta3 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Penta3 immunization Month of Penta3 immunization Month of Penta3 immunization Month of Penta3 immunization Month of Penta3 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. 1802 6996 1 12 99 Missing Year of Penta3 immunization Year of Penta3 immunization Year of Penta3 immunization Year of Penta3 immunization Year of Penta3 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. 1802 6996 2006 2010 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2508 6290 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. 2508 6290 2005 2010 9999 Missing Day of Yellow Fever immunization Day of Yellow Fever immunization Day of Yellow Fever immunization Day of Yellow Fever immunization Day of Yellow Fever 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. 4265 4533 66 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Yellow Fever immunization Month of Yellow Fever immunization Month of Yellow Fever immunization Month of Yellow Fever immunization Month of Yellow Fever 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. 2493 6305 1 12 99 Missing Year of Yellow Fever immunization Year of Yellow Fever immunization Year of Yellow Fever immunization Year of Yellow Fever immunization Year of Yellow Fever 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. 2493 6305 2005 2010 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. 4265 4533 99 Not given 44 Marked on card - no date given 66 Reported by mother 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. 1251 7547 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. 1251 7547 2006 2010 9999 Missing Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations In addition to what is recorded on this card, did (name) receive any other vaccinations – including vaccinations received in campaigns or immunization days? It is possible that some of the vaccinations received by the child were not recorded. For example, the respondent may have forgotten to bring the card to the health facility or the respondent may have taken the child to a National Immunization Day. If the answer is 'Yes', circle '1' only if the respondent mentions vaccines included in the questionnaire. You can refer to the information already obtained from the vaccination card to make sure that the mother/primary caretaker is referring only to these vaccines. Write '66' in the corresponding 'Day' column for IM3, and leave the month and year columns blank. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, there should be '66' in the 'Day' column. Do not ask the respondent to supply dates from memory. Enter a date only if the card or other document is available and lists a date for the immunization dose. Once you have probed for any other vaccination, skip to IM18. 3577 5221 1 9 1 Yes 2 No 8 DK 9 Missing Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? Only ask IM6-IM17 to obtain the child's vaccination status if a vaccination card or other document is not available (that is, if the answer to IM1 was '2' for 'Yes, not seen' or '3' for 'No card'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, anti-malarials, etc. - but only in vaccines. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question, to start asking about each of the vaccines. If the answer is 'No' or 'DK', skip to IM18. 4333 4465 1 9 1 Yes 2 No 8 DK 9 Missing Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever received a BCG vaccination against tuberculosis – that is, an injection in the arm or shoulder that usually causes a scar? Circle the code corresponding to the response. 3842 4956 1 9 1 Yes 2 No 8 DK 9 Missing Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever received any “vaccination drops in the mouth” to protect him/her from getting diseases – that is, polio? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If the answer is 'No' or 'DK', skip to IM11. 3842 4956 1 9 1 Yes 2 No 8 DK 9 Missing Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Was the first polio vaccine received in the first two weeks after birth or later? 3772 5026 1 9 1 First two weeks 2 Later 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 the polio vaccine received? Fill in the number in the space provided. 3772 5026 1 9 9 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 received a DPT vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting tetanus, whooping cough, or diphtheria? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM13. 3842 4956 1 9 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 vaccine received? Fill in the number in the space provided. 2890 5908 1 9 9 Missing Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Has (name) ever been given a Hepatitis B vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting Hepatitis B? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM16. 3842 4956 1 9 1 Yes 2 No 8 DK 9 Missing Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Was the first Hepatitis B vaccine received within 24 hours after birth, or later? Ask if the first hepatitis B vaccine was received within 24 hours after birth or later. Circle the code corresponding to the response. 2541 6257 1 9 1 Within 24 hours 2 Later 9 Missing Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination How many times was a Hepatitis B vaccine received? Fill in the number in the space provided. 2541 6257 1 9 9 Missing Child ever given Penta vaccination Child ever given Penta vaccination Child ever given Penta vaccination Child ever given Penta vaccination Child ever given Penta vaccination Has (name) ever been given a pentavalent vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting tetanus, whooping cough, diptheria, and hepatitis b? Probe by indicating that the Pentavalent vaccine is sometimes given at the same time as the Polio vaccine. 3842 4956 1 9 1 Yes 2 No 8 DK 9 Missing Penta first given within 24 h after birth or later Penta first given within 24 h after birth or later Penta first given within 24 h after birth or later Penta first given within 24 h after birth or later Penta first given within 24 h after birth or later Was the first pentavalent vaccine received within 24 hours after birth, or later? 2118 6680 1 9 1 Within 24 hours 2 Later 9 Missing Times child given Penta vaccination Times child given Penta vaccination Times child given Penta vaccination Times child given Penta vaccination Times child given Penta vaccination How many times was a pentavalent vaccine received? Fill in the number in the space provided. 2118 6680 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 received a Measles injection or an MMR injection – that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles? Circle the code corresponding to the response. If the caretaker specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid and circle '1' for 'Yes'. 3842 4956 1 9 1 Yes 2 No 8 DK 9 Missing Child ever given Yellow Fever vaccination Child ever given Yellow Fever vaccination Child ever given Yellow Fever vaccination Child ever given Yellow Fever vaccination Child ever given Yellow Fever vaccination Has (name) ever received the yellow fever vaccination – that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting yellow fever? Probe by indicating that the yellow fever vaccine is sometimes given at the same time as the measles vaccine. Circle the code corresponding to the response. 3842 4956 1 9 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) received a Vitamin A dose like (this/any of these) within the last 6 months? This question asks if the child has received a vitamin A supplement. Show the capsule or dispenser you were given to help the caretaker remember. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question. 8598 200 1 9 1 Yes 2 No 8 DK 9 Missing 6th to 9th March 2010/SNIDS, POLIO A 6th to 9th March 2010/SNIDS, POLIO A 6th to 9th March 2010/SNIDS, POLIO A 6th to 9th March 2010/SNIDS, POLIO A 6th to 9th March 2010/SNIDS, POLIO A Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign A, antigens 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. 8598 200 1 9 1 Yes 2 No 8 DK 9 Missing 23rd to 26th April 2010/SNIDS, POLIO B 23rd to 26th April 2010/SNIDS, POLIO B 23rd to 26th April 2010/SNIDS, POLIO B 23rd to 26th April 2010/SNIDS, POLIO B 23rd to 26th April 2010/SNIDS, POLIO B Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign B, antigens 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. 8598 200 1 9 1 Yes 2 No 8 DK 9 Missing 28th to 31st May 2010/SNIDS Maternal & Child Health week, Polio, Vitamin A C 28th to 31st May 2010/SNIDS Maternal & Child Health week, Polio, Vitamin A C 28th to 31st May 2010/SNIDS Maternal & Child Health week, Polio, Vitamin A C 28th to 31st May 2010/SNIDS Maternal & Child Health week, Polio, Vitamin A C 28th to 31st May 2010/SNIDS Maternal & Child Health week, Polio, Vitamin A C Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign C, antigens 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. 8598 200 1 9 1 Yes 2 No 8 DK 9 Missing Measurer's identification code Measurer's identification code Measurer's identification code Measurer's identification code Measurer's identification code Measurer’s name and identification code: You should enter the name and two-digit identification number of the person who performed the measurements in the space provided. This would normally be the measurer. 8598 200 99 46.942 26.283 Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Circle the appropriate code corresponding to the result of the measurement. If the reason is 'Other', write a description in the line provided and circle '6'. 8598 200 1 9 1 Either or both measured 2 Child not present 3 Child or caretaker refused 6 Other 7 Inconsistent 9 Missing Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) The child should be weighed according to the instructions given during training. Record exactly as is shown on the scale, in kilograms with one decimal point. Place the kilograms to the left of the decimal point and grams to the right of the decimal point. Use a leading zero if the number of kilograms is one digit. If the weight is not measured circle '99.9'. 8444 354 1.3 99.9 99.9 Missing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits. 8444 354 1 9 1 Lying down 2 Standing up 9 Missing Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits. 8444 354 36 999.9 999.9 Missing Mid upper arm circumference Mid upper arm circumference Mid upper arm circumference Mid upper arm circumference Mid upper arm circumference 8124 674 5 99.9 99.9 Missing Oedema presence Oedema presence Oedema presence Oedema presence Oedema presence Oedema is the retention of fluid in the tissues of the body; sign of kwashiorkor, a form of severe acute malnutrition. Please check to see if the child is having oedema. If the child is having oedema circle '1'. If the child is not having oedema, circle '2'. If undecided, circle '3'. If oedema is not checked for some reason, circle '7' and specify the reason. 8444 354 1 9 1 Checked, oedema present 2 Checked, odoema not present 3 Checked, unsure 7 Not checked 9 Missing Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Recoded variable 8598 200 99.9 24.494 33.48 Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Recoded variable 8598 200 -9.98 9.99 -1.144 3.395 Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Recoded variable 8598 200 36.8 999.9 140.421 201.957 Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Recoded variable 8598 200 99.9 28.546 32.121 Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Recoded variable 8598 200 -8.7 9.99 -0.537 2.848 Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Recoded variable 8598 200 10.9 999.9 134.008 198.848 Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Recoded variable 8598 200 99.9 50.44 34.692 Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Recoded variable 8598 200 -9.98 9.99 0.647 3.066 Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Recoded variable 8598 200 11.5 999.9 161.544 224.667 Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators 8598 200 7 No flag 1 Height for age 2 Weight for height 3 Weight for height, Height for age 4 Weight for age 5 Weight for age, Height for age 6 Weight for age, Weight for height 7 Weight for age, Weight for height, Height for age Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO 8596 202 1.88 99.99 99.97 Measurement out of range 99.99 Not measured Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO 8598 200 -5 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Recoded variable 8598 200 -6 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Recoded variable 8598 200 -5.95 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Recoded variable 8598 200 -4.99 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Height for age flag WHO Height for age flag WHO Height for age flag WHO Height for age flag WHO Height for age flag WHO Recoded variable 8598 200 1 No error 1 Error flag Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Recoded variable 8598 200 1 No error 1 Error flag Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Recoded variable 8598 200 1 No error 1 Error flag BMI flag WHO BMI flag WHO BMI flag WHO BMI flag WHO BMI flag WHO 8598 200 1 No error 1 Error flag Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Recoded variable 8598 200 1 Age given - all measurements calculated 1 No age - only weight for height calculated Net number Net number Net number Net number Net number 2800 5998 1 6 1.303 0.591 Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed Mosquito net observed For each net, record first whether you actually observed the net. 2800 5998 1 9 1 Observed 2 Not observed 9 Missing Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net Brand/type of observed net TN5 is about the type and brand of net. You may encounter nets in the field that you will not recognize. During training, you will be shown all the common mosquito nets that are available in the country. The brand name is often located on the net itself. A picture of the different types of nets available in the country may also be provided for reference during interviews. Use this to identify the type of net in the dwelling and circle the corresponding number on the questionnaire. If the respondent tells you or you learn from the packaging that the net is long-lasting try to determine the exact brand. If you cannot determine the brand circle '18' for 'DK brand'. Similarly, if you determine that the net is pre-treated but it is not one of the listed brands, circle '26'and specify the brand of the net in the space provided. When you cannot determine the brand but have determined that it is pre-treated, circle '28' for 'DK brand'. In some cases, you may be able to identify the brand but not what the type of net it is; for those nets, circle '31' (Other). Code '98' should be circled when you cannot obtain information on either the type or brand. For nets for which you circle '31' or '98' in question TN5, you must probe to find out if the respondent knows whether or not the net was treated when the household first got the net. 2800 5998 11 99 11 Olyset 12 Permanet 13 Long-lasting treated net Brand C 16 Other long-lasting treated net 18 DK brand of long-lasting treated net 21 Pre-treated net Brand D 22 Pre-treated net Brand E 23 Pre-treated net Brand F 26 Other pre-treated net 28 DK brand of pre-treated net 31 Other net 98 DK brand / type 99 Missing Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained Months ago net obtained How many months ago did your household get the mosquito net? Ask how many months ago the household obtained the net. If the net was obtained within 36 months from the interview date, you must record the actual number of months before the interview that the net was obtained. If the household got the mosquito net more than 36 months ago, record '95'. If less than one month, record "00" The respondent may tell you that they are not exactly certain when the net was obtained. In such cases, probe to try to get some idea of approximately how many months ago the net was obtained. Record '98' (DK/Not sure) if the respondent does not have any idea of how long ago the household obtained the net. 2800 5998 99 Less than one month ago 95 More than 36 months ago 98 DK / Not sure 99 Missing Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained Net treated with an insecticide when obtained When you got the net, was it already treated with an insecticide to kill or repel mosquitoes? This question is only asked about all nets other than the long-lasting and pre-treated nets. With this question, we try to learn whether the net was actually treated with an insecticide when the household obtained it. 63 8735 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Net soaked or dipped since obtained Since you got the net, was it ever soaked or dipped in a liquid to kill or repel mosquitoes? This question is only asked for pre-treated nets, and obtains information on whether the household has ever treated the net with insecticide. Make sure that the respondent understands that you don't mean simply "washing the net" or spraying it with insecticide from a can or canister. We want to know whether the net was soaked or dipped in an insecticide. This information will be linked to the information on the type of net and when the net was obtained to determine if the net is still effective. If the respondent answers 'Yes', circle 1 and continue with the next question. If the response is 'No' or the respondent does not know or unsure about it, circle '2' or '8' respectively and skip to TN11. 261 8537 1 9 1 Yes 2 No 8 DK / Not sure 9 Missing Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped Months ago net soaked or dipped How many months ago was the net last soaked or dipped? If the last time was within the last 2 years (24 months), record the number of months ago in the space provided. If the last time was less than 1 month ago, record '00'. If the last time was more than 24 months ago, circle '95'. If the respondent does not know the number of months, probe to obtain his/her best estimate. Circle '98' for 'DK/Not sure' only if the respondent cannot even estimate when the net was last soaked or dipped. 53 8745 99 Less than one month ago 95 More than 24 months ago 98 DK / Not sure 99 Missing Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Persons slept under mosquito net last night Did anyone sleep under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2800 5998 1 1 1 Yes 2 No 8 DK / Not sure 9 Missing Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Person 1 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2800 5998 15 Person who slept under net not in HH listing 90 No one / No one else Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Person 2 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2800 5998 90 Person who slept under net not in HH listing 90 No one / No one else Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Person 3 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2780 6018 90 Person who slept under net not in HH listing 90 No one / No one else Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Person 4 who slept under net Who slept under this mosquito net last night? These questions are intended to collect information on the particular mosquito nets and people sleeping under them the night before the survey. In TN11, ask the respondent if anyone slept under each mosquito net last night, and if the respondent answers "Yes", record the name and line number of the person from the household listing form in TN12. If more than four people slept under a single net the night before the survey, use an additional questionnaire to record the name and line number of these persons. Fill the identification information on the first page of the additional questionnaire (mainly cluster number and household number). Once additional persons are listed there, continue the interview on the first household questionnaire. If someone not listed in the Household List slept under the mosquito net, record "00" for the line number. 2161 6637 90 Person who slept under net not in HH listing 90 No one / No one else 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. 8798 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. 8798 1 4 1 East 2 North 3 South 4 West District District District District District 8798 11 42 11 Kailahun 12 Kenema 13 Kono 21 Bombali 22 Kambia 23 Koinadugu 24 Port Loko 25 Tonkolili 31 Bo 32 Bonthe 33 Moyamba 34 Pujehun 41 Western Rural 42 Western Urban 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. 8798 1 9 1 Male 2 Female 9 Missing Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of school (name) attended? For household members age 5 and above, ask ED1-ED8: If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5. 2383 6415 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 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 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). 2380 6418 99 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) 8798 1330 1332 1330.555 0.555 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) 8598 200 775 1332 1299.82 22.683 Age (months) Age (months) Age (months) Age (months) Age (months) 8584 214 59 29.755 17.186 Age Age Age Age Age 8598 200 1 9 1 0-5 2 6-11 3 12-23 4 24-35 5 36-47 6 48-59 9 Missing Age Age Age Age Age 8598 200 1 8 1 0-11 2 12-23 3 24-35 4 36-47 5 48-59 8 DK/Misssing Age in days Age in days Age in days Age in days Age in days 8598 200 9999 1146.791 1527.765 Mother's education Mother's education Mother's education Mother's education Mother's education 8798 1 3 1 None 2 Primary 3 Secondary 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 8798 8598.481 -1.259 3.263 -0.144 -0.174 0.855 0.837 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 8798 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight 8798 4.268 0.977 0.584 Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 8798 1 480 221.793 128.592 Strata Strata Strata Strata Strata 8798 1 26 15.798 6.739