DDI_PAK_2010_MICS-BAL_v01_MDevelopment Data Group2013-01-23NADAVersion 01 (January 2013)Multiple Indicator Cluster Survey 2010 - BalochistanMICS-BAL 2010PAK_2010_MICS-BAL_v01_MUnited Nations Children’s FundPlanning and Development Department
Federal Bureau of Statistics
SoSec Consulting Services
NADAUnited Nations Children’s FundAustralian Agency for International DevelopmentDepartment for International DevelopmentArif Hussain ShahKaren AllenZulfiqar DurraniThe World Bank Microdata LibraryMultiple 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 Balochistan Multiple Indicator Cluster Survey (MICS) was conducted by the Planning and Development Department, Government of Balochistan in May through September 2010. The survey provides valuable information about the health of young children and their mothers in Balochistan province of Pakistan. The survey aims to monitor progress towards achievement of the goals and targets set under international agreements, the Millennium Declaration adopted by 191 United Nations member states in September 2000, the Plan of Action adopted by 189 member states at the United Nations Special Session on Children in May 2002 and commitments made at the 1990 World Summit for Children. Pakistan has committed itself to improving conditions of women and children under these agreements and to monitor progress towards this end.
A total of 12,378 households were sampled out of which 12,069 were found to be occupied at the time of survey of which 11,612 were successfully interviewed, giving a response rate of 96.2 percent. Questionnaires were completed for 1) households, 2) women aged 15-49 years and 3) mothers or caretakers of under-five children.PakistanBalochistan- individuals
- householdsThe 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, Education, Water and Sanitation, Household Characteristics, Insecticide Treated Nets, Child Labor, Hand Washing and Salt Iodization.
- Children under five: Birth Registration, Early Childhood Development, Breastfeeding, Care during Illness, Malaria, Immunization, and Anthropometry.
- Women: Woman's Background, Marriage, Child Mortality, Maternal and Newborn Health, Illness Symptoms, Contraception, Attitude toward Domestic Violence and Knowledge about HIV/AIDS.Planning and Development DepartmentThe primary objective of the sample design for the province of Balochistan, Multiple Indicator Cluster Survey was to produce statistically reliable estimates of most indicators, at the Balochistan level, for urban and rural areas, and for six regions of Balochistan, The six regions were defined as the sampling strata.
A two-stage, stratified cluster sampling approach was used for the selection of the survey sample.
The target sample size for the Balochistan MICS was calculated as 12,378 households. For the calculation of the sample size, the indicators used were the immunisation, literacy rate, antenatal and postnatal care.
The resulting number of average households was 2,063 households which is the sample size needed in each region- thus yielding about 12,378 in total. The estimates of key variables would be valid at region level. The average number of households selected per cluster for the Balochistan MICS was determined as 12 and 16 households for urban and rural areas respectively, based on a number of considerations, including the design effect, the budget available, and the time that would be needed per team to complete one cluster. Dividing the total number of households by the number of sample households per cluster, it was calculated that on an average 140 sample clusters would need to be selected in each region.
A combination of proportional and square root type of allocation was used to distribute total sample size to the six regions. A sample size in the range of 85 to 176 sample clusters was allocated to six regions. On the average 140 clusters were allocated to each region. Consequently, a sample of 844 (sample areas) clusters was fixed for the entire six regions of Balochistan province. In each region, the clusters (primary sampling units) were distributed to urban and rural domains, proportional to the size of urban and rural populations in that region. Meanwhile, a higher proportion of sample was allocated to urban domain and smaller region(s) to get reliable estimates.
The sampling procedures are more fully described in "Balochistan Multiple Indicator Cluster Survey 2010 - Final Report" pp.135-139.Face-to-face [f2f]The questionnaires are based on the MICS-4 model questionnaires, modified to fit the Balochistan social and cultural norms and in line with prevalence of certain diseases like IDV/AIDS. The questionnaires were translated into Urdu and then translated back into English. The questionnaires were then pre-tested in non-sampled areas and modified on the basis of pre-test feedback before application in the survey for data collection from the sample households. The pre-test assisted in modifications to wording and flow of the questions. While administering the questionnaires, field teams also tested the salt used for cooking in the households to determine iodine level in the cooking salt, and measured the height and weight of all children less than 5 years of age (0-59 months).
Three sets of questionnaires were used in the survey:
• A household questionnaire was used to collect information on all de jure household members, household characteristics and to identify eligible women and individuals for detailed interviews. The household questionnaire included eight modules comprising: Household Listing, Education, Water and Sanitation, Household characteristics' Insecticide treated nets, Child Labor, Hand Washing and Salt Iodization.
• A woman questionnaire to collect information from all women aged 15-49 years registered in the household questionnaire. The women questionnaire also included eight modules comprising: Woman's Background, Marriage, Child Mortality, Maternal and Newborn Health, Illness Symptoms, Contraception, Attitude toward Domestic Violence and Knowledge about HIV/AIDS
• A questionnaire for under 5 children, to be administered to mothers or caretakers living in the household, has seven modules, comprising: Birth Registration, Early Childhood Development, Breastfeeding, Care during Illness, Malaria, Immunization, and AnthropometryBefore starting the training, questionnaires and instructional material (instructional manual, transparencies, hands on exercises, handouts, and etc) were made available in the Urdu language to the trainee supervisors/ editors/ and interviewers. The training material was developed with assistance from MICS3 manual.
A total of 68 interviewers and 21 supervisors participated in the main fieldwork training, conducted for three weeks from 18 January, 2010. The trainers included Lead Consultant and data processing supervisor besides some subject specialists such as MNCH specialist. The training included lectures on interviewing techniques, discussion on the questionnaires, and mock interviews among trainees to acquire skills in asking questions. All interviewers were further trained in testing iodine in salt and taking the height and weights of all under-five children. Towards the end of the training, trainees spent two days conducting field interviews in areas not included in the sample. From among the trained pool of staff only those supervisors and interviewers were selected who performed well in the field practice, and participation in class and assessment test.
Data collection was done by 16 teams, each comprising three interviewers, one driver, and a supervisor. Height and weight measurement was taken by the interviewers who were assisted by the team supervisors. The fieldwork was started in mid-May, 2010 and lasted for five months.There is one supervisor for each of the 16 survey teams in the field.Sample weights were calculated and these were used in the subsequent analyses of the survey data.
The major component of the weight is the reciprocal of the sampling fraction employed in selecting the number of sample households in that particular sampling stratum and PSU. The sampling fraction for the sample PSU in the stratum is the product of probabilities of selection at every stage in each sampling stratum.
A second component in the calculation of sample weights takes into account the level of 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 hi Number of occupied households listed in stratum h
After the completion of fieldwork, response rates were calculated for each sampling stratum. These were used to adjust the sample weights calculated for each cluster. 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 provincial level. Dividing the aforementioned design weights by the average design weight at the provincial level performs normalization. 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 varied between 0.08246123 and 3.8667738 in the 841 sample enumeration areas (clusters).
Sample weights were appended to all data sets and weighting each household, woman or under-5 with these sample weights performed analyses.The processing of the data entry started shortly after the fieldwork commenced. Completed questionnaires were received regularly from the field to SoSec office in Islamabad, where these were edited and entered by the data processing staff, specifically trained for this task. A well-qualified and experienced Data Analyst supervised the data processing. Other data processing personnel included questionnaire administrator and office editors who ensured that the expected number of questionnaires from each cluster was received and duly edited. Well trained Data Entry Operators worked on two shift basis using double entry system. The concurrent processing of the data was undertaken to advise field teams of problems detected during the data entry. Field check tables were timely generated and, as a result, specific feedback was given to the field teams to improve performance.A total of 12,378 households were sampled, 12,069 were found occupied during data collection and 11,612 households were successfully interviewed, giving a response rate of 96.2 percent.
In the surveyed households, 18,958 women 15-49 years were identified as eligible for interview and 17,732 were successfully interviewed, yielding a response rate of 93.5 percent. In addition, 10,432 children under age five were listed in the household questionnaires while 9,734 children questionnaires were completed giving a response rate of 93.3 percent. Overall response rates of 90.0 and 89.8 percent are calculated for the women's and under-5's interviews respectively. Response rates at various levels are slightly low compared to MICS-3 undertaken in 2003 because of deteriorating law and order situation in Balochistan.
Response rates were slightly higher in rural compared to urban areas. The lowest response rate was noted for Nasirabad and Quetta regions. Culturally, rural residents are more cooperative and humble in dealing with visitors. Similar trends have been observed in other surveys as well (Balochistan-MICS, 2003; NIPS, 2008; Punjab-MICS, 2008).A series of data quality tables are available to review the quality of the data and include the following:
- Age distribution of household population
- Age distribution of eligible and interviewed women
- Age distribution of under-fives in household and under-5 questionnaires
- Women's completion rates by socio-economic characteristics of households
- Completion rates for under-5 questionnaires by socio-economic characteristics of households
- Completeness of reporting
- Completeness of information for anthropometric indicators
- Heaping in anthropometric measurements
- Observation of bednets and places for hand washing
- Observation of women's health cards
- Obsenation of under-Ss birth certificates
- Observation of vaccination cards
- Presence of mother in the household and the person interviewed for the under-5 questionnaire
- School attendance by single age
- Sex ratio at birth among children ever born and living
The results of each of these data quality tables are shown in appendix D in document "Balochistan Multiple Indicator Cluster Survey 2010 - Final Report" pp.195-213.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.ChildinfoUse 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, Planning and Development Department, Government of Balochistan. Pakistan Multiple Indicator Cluster Survey (MICS) 2010 - Balochistan, Ref. PAK_2010_MICS-BAL_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.chData 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.)10432280hhData collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Insecticide treated nets, Hand washing and Salt iodization.)1237892hlData collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, Child Labour and Insecticide treated nets.)8842770tnData collected at the household' level about mosquito nets.194725wmData collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Maternal and newborn health, Illness symptoms, Contraception, Attitudes toward domestic violence, Marriage/union, HIV/AIDS and Insecticide treated nets.)18958176Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.123781844426.696242.285Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.1237812345678910111213141516DistrictDistrictDistrictDistrictDistrict123781311Quetta Zarghoon Town2Quetta Chilton Town3Pishin4Qilla Abdullah5Ziarat6Harnai7Mastung8Kalat9Khuzdar10Awaran11Lasbela12Jafarabad13Naseerabad14Jhal Magsi15Bolan16Sibi17Dera Bugti18Noshki19Chagai20Kharan21Washuk22Panjgoor23Kech24Gawader25Qilla Saifullah26Zhob27Sherani28Musakhail29Loralai30Barkhan31KohluInterviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer numberEnter your own name and identification number provided to you at the time of training.1237816930.55420.193Supervisor numberSupervisor numberSupervisor numberSupervisor numberSupervisor numberLeave this space blank. The supervisor will later enter his/her name and number in the space provided.123781999.1876.55Day of interviewDay of interviewDay of interviewDay of interviewDay of interviewEnter 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.1237813116.1398.944Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewEnter 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.1237823456789Year of interviewYear of interviewYear of interviewYear of interviewYear of interviewEnter 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.123782010AreaAreaAreaAreaAreaCircle 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.123781Urban2RuralRegionRegionRegionRegionRegionCircle 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.123781Quetta2Kalat3Sibi4Zhob5Nasirabad10MekranResult of HH interviewResult of HH interviewResult of HH interviewResult of HH interviewResult of HH interviewYou 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.123781Completed2Not at home3Refused4HH not found/destroyed/vacant6OtherRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireEnter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.1161276612699MissingNumber of HH membersNumber of HH membersNumber of HH membersNumber of HH membersNumber of HH membersCount 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.116127661507.6153.562Number of women 15 - 49 yearsNumber of women 15 - 49 yearsNumber of women 15 - 49 yearsNumber of women 15 - 49 yearsNumber of women 15 - 49 yearsYou 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.11612766123456789121417SysmissNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedOnce all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.11612766123456789101117SysmissNumber of children under age 5Number of children under age 5Number of children under age 5Number of children under age 5Number of children under age 5Enter 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.116127661234567891013SysmissNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedOnce all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.116127661234567910SysmissField editorField editorField editorField editorField editorLeave 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.123789921.53630.823Data entry clerkData entry clerkData entry clerkData entry clerkData entry clerkLeave this space blank. The data entry clerk will enter his/her name and number in the space provided.1237812345678910111213202543468099Start of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourRecord 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.1161276667891011121314151617181920212299MissingSysmissStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesRecord 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.116127669999MissingEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourRecord 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.1161276667891011121314151617181920212299MissingSysmissEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesRecord 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.116127669999MissingMain source of drinking waterMain source of drinking waterMain source of drinking waterMain source of drinking waterMain source of drinking waterWhat 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 WS3.1161276611Piped into dwelling12Piped into compound, yard or plot13Piped to neighbor14Public tap / standpipe15Filter Plant21Tube well, Borehole31Protected well32Unprotected well41Protected spring42Unprotected spring51Rainwater collection61Tanker-truck71Cart with small tank / drum81Surface water (river, stream, dam, lake, pond, canal, irriga91Bottled water96Other99MissingSysmissMain source of water used for other purposes (if bottled watMain source of water used for other purposes (if bottled watMain source of water used for other purposes (if bottled watMain source of water used for other purposes (if bottled watMain source of water used for other purposes (if bottled watWhat 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.31237511Piped into dwelling12Piped into compound, yard or plot13Piped to neighbor14Public tap / standpipe15Filter Plant21Tube well, Borehole31Protected well32Unprotected well41Protected spring42Unprotected spring51Rainwater collection61Tanker-truck71Cart with small tank / drum81Surface water (river, stream, dam, lake, pond, canal, irriga96Other99MissingSysmissLocation of the water sourceLocation of the water sourceLocation of the water sourceLocation of the water sourceLocation of the water sourceWhere 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.762647521In own dwelling2In own yard / plot3Elsewhere9MissingSysmissTime to get water and come backTime to get water and come backTime to get water and come backTime to get water and come backTime to get water and come backHow 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.460577731999998DK999MissingPerson collecting waterPerson collecting waterPerson collecting waterPerson collecting waterPerson collecting waterWho 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.460577731Adult woman (age 15+ years)2Adult man (age 15+ years)3Female child (under 15)4Male child (under 15)8DK9MissingSysmissTreat water to make safer for drinkingTreat water to make safer for drinkingTreat water to make safer for drinkingTreat water to make safer for drinkingTreat water to make safer for drinkingDo 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 WS8.116127661Yes2No8DK9MissingSysmissWater treatment: BoilWater treatment: BoilWater treatment: BoilWater treatment: BoilWater treatment: BoilWhat 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.544?MissingABoilWater treatment: Add bleach/chlorineWater treatment: Add bleach/chlorineWater treatment: Add bleach/chlorineWater treatment: Add bleach/chlorineWater treatment: Add bleach/chlorineWhat 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.61?MissingBAdd bleach / chlorineWater treatment: Strain it through a clothWater treatment: Strain it through a clothWater treatment: Strain it through a clothWater treatment: Strain it through a clothWater treatment: Strain it through a clothWhat 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.819?MissingCStrain it through a clothWater treatment: Use water filterWater treatment: Use water filterWater treatment: Use water filterWater treatment: Use water filterWater treatment: Use water filterWhat 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.72?MissingDUse water filter (ceramic, sand, composite, etc.)Water treatment: Solar disinfectionWater treatment: Solar disinfectionWater treatment: Solar disinfectionWater treatment: Solar disinfectionWater treatment: Solar disinfectionWhat 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.152?MissingESolar disinfectionWater treatment: Let it stand and settleWater treatment: Let it stand and settleWater treatment: Let it stand and settleWater treatment: Let it stand and settleWater treatment: Let it stand and settleWhat 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.129?MissingFLet it stand and settleWater treatment: OtherWater treatment: OtherWater treatment: OtherWater treatment: OtherWater treatment: OtherWhat 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.15?MissingXOtherWater treatment: DKWater treatment: DKWater treatment: DKWater treatment: DKWater treatment: DKWhat 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.10?MissingZDKType of toilet facilityType of toilet facilityType of toilet facilityType of toilet facilityType of toilet facilityQuestions 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.1161276611Flush to piped sewer system12Flush to septic tank13Flush to pit (latrine)14Flush to somewhere else15Flush to unknown place / Not sure / DK where21Ventilated Improved Pit latrine (VIP)22Pit latrine with slab23Pit latrine without slab / Open pit31Composting toilet41Bucket52Public/ communal latrine95No facility, Bush, Field96Other99MissingSysmissToilet facility sharedToilet facility sharedToilet facility sharedToilet facility sharedToilet facility sharedQuestions 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.844139371Yes2No9MissingSysmissToilet shared with other household or with general publicToilet shared with other household or with general publicToilet shared with other household or with general publicToilet shared with other household or with general publicToilet shared with other household or with general publicQuestions 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 WS11.1032113461Other households only (not public)2Public facility9MissingSysmissHouseholds using this toilet facilityHouseholds using this toilet facilityHouseholds using this toilet facilityHouseholds using this toilet facilityHouseholds using this toilet facilityQuestions 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').1241225423456710Ten or more households98DK99MissingSysmissNumber of rooms for sleepingNumber of rooms for sleepingNumber of rooms for sleepingNumber of rooms for sleepingNumber of rooms for sleepingHow 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.116127661234567891011121314151619202122328899MissingSysmissMain material of floorMain material of floorMain material of floorMain material of floorMain material of floorRecord 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).1161276611Earth / sand12Dung21Rudimentary floor (katcha)33Ceramic tiles34Cement35Carpet36Bricked37Cemented with marble chips96Other99MissingSysmissMain material of roofMain material of roofMain material of roofMain material of roofMain material of roofRecord observation.
Circle the correct code for the material of the dwelling roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space).1161276611No roof12Thatch / Palm leaf13Sod21Rustic mat22Palm / Bamboo beams23Wood planks24Cardboard31Tin with iron girders32Wood34Ceramic tiles35Cement concrete36Roofing shingles96Other99MissingSysmissMain material of exterior wallMain material of exterior wallMain material of exterior wallMain material of exterior wallMain material of exterior wallRecord 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).1161276611No walls12Cane/Palm/Trunks13Dirt21Bamboo with mud22Stone with mud23Uncovered adobe24Plywood25Cardboard26Reused wood31Cement32Stone with lime / cement33Bricks34Cement blocks35Covered adobe36Wood planks / shingles96Other99MissingSysmissType of fuel using for cookingType of fuel using for cookingType of fuel using for cookingType of fuel using for cookingType of fuel using for cookingWhat 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.116127661Electricity2Liquefied Petroleum Gas (LPG)3Natural gas4Biogas5Kerosene6Coal7Charcoal8Wood9Straw / Shrubs / Grass10Animal dung11Agricultural crop residue95No food cooked in household96Other99MissingSysmissCooking locationCooking locationCooking locationCooking locationCooking locationIs 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.116077711In a separate room used as kitchen2Elsewhere in the house3In a separate building4Outdoors6Other9MissingSysmissElectricityElectricityElectricityElectricityElectricityDoes 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.116127661Yes2No9MissingSysmissRadioRadioRadioRadioRadioDoes 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.116127661Yes2No9MissingSysmissTelevisionTelevisionTelevisionTelevisionTelevisionDoes 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.116127661Yes2No9MissingSysmissNon-mobile phoneNon-mobile phoneNon-mobile phoneNon-mobile phoneNon-mobile phoneDoes 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.116127661Yes2No9MissingSysmissRefrigeratorRefrigeratorRefrigeratorRefrigeratorRefrigeratorDoes 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.116127661Yes2No9MissingSysmissComputerComputerComputerComputerComputerDoes your household have: A computer?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.116127661Yes2No9MissingSysmissSewing / Embroidery MachineSewing / Embroidery MachineSewing / Embroidery MachineSewing / Embroidery MachineSewing / Embroidery MachineDoes your household have: A sewing/embroidery machine?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.116127661Yes2No9MissingSysmissGasGasGasGasGasDoes your household have: Gas?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.116127661Yes2No9MissingSysmissWatchWatchWatchWatchWatchDoes 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.116127661Yes2No9MissingSysmissMobile telephoneMobile telephoneMobile telephoneMobile telephoneMobile telephoneDoes 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.116127661Yes2No9MissingSysmissBicycleBicycleBicycleBicycleBicycleDoes 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.116127661Yes2No9MissingSysmissMotorcycle or scooterMotorcycle or scooterMotorcycle or scooterMotorcycle or scooterMotorcycle or scooterDoes 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.116127661Yes2No9MissingSysmissAnimal-drawn cartAnimal-drawn cartAnimal-drawn cartAnimal-drawn cartAnimal-drawn cartDoes 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.116127661Yes2No9MissingSysmissCar or truckCar or truckCar or truckCar or truckCar or truckDoes 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.116127661Yes2No9MissingSysmissTractorTractorTractorTractorTractorDoes any member of your household own: A tractor?This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.116127661Yes2No9MissingSysmissHousehold owns the dwellingHousehold owns the dwellingHousehold owns the dwellingHousehold owns the dwellingHousehold owns the dwellingDo 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.116127661Own2Rent6Other (not owned or rented)9MissingSysmissMembers of household own landMembers of household own landMembers of household own landMembers of household own landMembers of household own landDoes 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”.116127661Yes2No9MissingSysmissAcres of agricultural land household ownsAcres of agricultural land household ownsAcres of agricultural land household ownsAcres of agricultural land household ownsAcres of agricultural land household ownsHow many acres 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 '99998'.50757303999595 or more98DK99MissingHousehold owns animalsHousehold owns animalsHousehold owns animalsHousehold owns animalsHousehold owns animalsDoes this household own any livestock, herds, other farm animals, or poultry?Circle the code corresponding to the response given. If 'No', skip to HC15.116127661Yes2No9MissingSysmissCattle, milk cows, or bullsCattle, milk cows, or bullsCattle, milk cows, or bullsCattle, milk cows, or bullsCattle, milk cows, or bullsHow 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.69965382999595+98DK99MissingHorses, donkeys, camels, or mulesHorses, donkeys, camels, or mulesHorses, donkeys, camels, or mulesHorses, donkeys, camels, or mulesHorses, donkeys, camels, or mulesHow many of the following animals does this household have?
Horses, donkeys, camels, 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.6996538212345678910111215172030409595+98DK99MissingSysmissGoatsGoatsGoatsGoatsGoatsHow 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.69965382999595+98DK99MissingSheepSheepSheepSheepSheepHow 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.69965382999595+98DK99MissingChickensChickensChickensChickensChickensHow 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.69965382999595+98DK99MissingHousehold has mosquito netsHousehold has mosquito netsHousehold has mosquito netsHousehold has mosquito netsHousehold has mosquito netsDoes 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.116127661Yes2No9MissingSysmissNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsHow 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.10781130012346SysmissPlace where household members most often wash their handsPlace where household members most often wash their handsPlace where household members most often wash their handsPlace where household members most often wash their handsPlace where household members most often wash their handsPlease 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.116127661Observed2Not in dwelling/plot/yard3No permission to see6Other reason9MissingSysmissWater available at the place for handwashingWater available at the place for handwashingWater available at the place for handwashingWater available at the place for handwashingWater available at the place for handwashingIn 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.771346651Water is available2Water is not available9MissingSysmissBar soapBar soapBar soapBar soapBar soapRecord 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 HW4.4992?MissingABar soapDetergent (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 HW4.843?MissingBDetergent (Powder / Liquid / Paste)Ash / Mud / SandAsh / Mud / SandAsh / Mud / SandAsh / Mud / SandAsh / Mud / SandRecord 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 HW4.296?MissingDAsh / Mud / SandNoneNoneNoneNoneNoneRecord 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 HW4.2279?MissingYNoneMaterial available for washing handsMaterial available for washing handsMaterial available for washing handsMaterial available for washing handsMaterial available for washing handsDo you have any soap or detergent (or other locally used cleansing 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.616562131Yes2No9MissingSysmissBar soapBar soapBar soapBar soapBar soapCan 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.2984?MissingABar soapDetergent (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.305?MissingBDetergent (Powder / Liquid / Paste)Ash / Mud / SandAsh / Mud / SandAsh / Mud / SandAsh / Mud / SandAsh / Mud / SandCan 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.301?MissingDAsh / Mud / SandNot able / Does not want to showNot able / Does not want to showNot able / Does not want to showNot able / Does not want to showNot able / Does not want to showCan 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.217?MissingYNot able / Does not want to showSalt iodization test outcomeSalt iodization test outcomeSalt iodization test outcomeSalt iodization test outcomeSalt iodization test outcomeWe 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.116127661Not iodized 0 PPM2More than 0 PPM and less than 15 PPM315 PPM or more6No salt in the house7Salt not tested9MissingSysmissSex of household headSex of household headSex of household headSex of household headSex of household head116127661Male2Female9MissingSysmissPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit123781844426.696242.285StrataStrataStrataStrataStrata123781127.8363.111Education of household headEducation of household headEducation of household headEducation of household headEducation of household head1161211612766191None2Primary3Secondary +9Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score12378-1.6853.1311.5e-160.968Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles123781Poorest2Second3Middle4Fourth5RichestHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weight123784.750.9380.674Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.884271844424.471245.111Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.8842712345678910111213141516Line numberLine numberLine numberLine numberLine numberThis 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.884271505.143.891Relationship to the headRelationship to the headRelationship to the headRelationship to the headRelationship to the headWhat 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.884271Head2Wife or Husband3Son or Daughter4Son/Daughter-in-law5Grandchild6Parent7Parent-in-law8Brother or sister9Brother/Sister-in-law10Uncle/Aunt11Niece/Nephew12Other relative13Adopted/Foster/Stepchild14Not related97Inconsistent98DK99MissingSexSexSexSexSexIs (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.884271Male2Female9MissingMonth of birthMonth of birthMonth of birthMonth of birthMonth of birthWhat 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'.8842712345678910111298DK99MissingYear of birthYear of birthYear of birthYear of birthYear of birthWhat 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'.88427191099999998DK9999MissingAgeAgeAgeAgeAgeHow 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.88427999595+98DK99MissingLanguage - Can Read with UnderstandingLanguage - Can Read with UnderstandingLanguage - Can Read with UnderstandingLanguage - Can Read with UnderstandingLanguage - Can Read with UnderstandingCan (name) read with understanding in any one of the languages?63902245251Urdu2English3Pashtu4Balochi5Brahvi10Sindhi11Can not Read66Other88DK99MissingSysmissLanguage - Can Write with UnderstandingLanguage - Can Write with UnderstandingLanguage - Can Write with UnderstandingLanguage - Can Write with UnderstandingLanguage - Can Write with UnderstandingCan (name) write with understanding in any one of the languages?63902245251Urdu2English3Pashtu4Balochi5Brahvi10Sindhi11Can not Read66Other88DK99MissingSysmissLine number of woman age 15 - 49Line number of woman age 15 - 49Line number of woman age 15 - 49Line number of woman age 15 - 49Line number of woman age 15 - 49Eligibility 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.8842746Not eligibleLine number of mother/caretaker for children age 5-14Line number of mother/caretaker for children age 5-14Line number of mother/caretaker for children age 5-14Line number of mother/caretaker for children age 5-14Line number of mother/caretaker for children age 5-14Who 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.8842744Not eligibleLine number of mother/caretaker for children under age 5Line number of mother/caretaker for children under age 5Line number of mother/caretaker for children under age 5Line number of mother/caretaker for children under age 5Line number of mother/caretaker for children under age 5Eligibility 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.8842745Not eligibleMember stayed in the house last nightMember stayed in the house last nightMember stayed in the house last nightMember stayed in the house last nightMember stayed in the house last nightDid (name) stay here last night?Record whether or not the household member stayed in the household last night.884271Yes2No9MissingMother aliveMother aliveMother aliveMother aliveMother aliveIs (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.43116453111Yes2No8DK9MissingSysmissMother line number in HHMother line number in HHMother line number in HHMother line number in HHMother line number in HHDoes (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'.42264461634597Inconsistent99MissingFather aliveFather aliveFather aliveFather aliveFather aliveIs (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.43116453111Yes2No8DK9MissingSysmissFather line number in HHFather line number in HHFather line number in HHFather line number in HHFather line number in HHDoes (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.41854465739997Inconsistent99MissingLine numberLine numberLine numberLine numberLine numberFor 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.884271505.143.891Ever attended school or pre-schoolEver attended school or pre-schoolEver attended school or pre-schoolEver attended school or pre-schoolEver attended school or pre-schoolHas (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.77995104321Yes2No9MissingSysmissHighest level of education attendedHighest level of education attendedHighest level of education attendedHighest level of education attendedHighest level of education attendedWhat 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 ED5.3083557592Preschool1Primary2Middle3Matric4Higher5Madrassa8DK9MissingSysmissHighest grade at levelHighest grade at levelHighest grade at levelHighest grade at levelHighest grade at levelWhat 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).29279591481234567891011121314151697Inconsistent98DK99MissingSysmissAttended 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.21573668541Yes2No9MissingSysmissLevel of education attended current school yearLevel of education attended current school yearLevel of education attended current school yearLevel of education attended current school yearLevel of education attended current school yearDuring 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.1489673531Preschool1Primary2Middle3Matric4Higher5Madrassa8DK9MissingSysmissGrade of education attended current school yearGrade of education attended current school yearGrade of education attended current school yearGrade of education attended current school yearGrade of education attended current school yearDuring this/that school year, which level and grade is/was (name) attending? Grade/year: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.13475749521234567891011121314151697Inconsistent98DK99MissingSysmissAttended 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.21573668541Yes2No8DK9MissingSysmissLevel of education attended previous school yearLevel of education attended previous school yearLevel of education attended previous school yearLevel of education attended previous school yearLevel of education attended previous school yearDuring 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.1401974408Preschool1Primary2Middle3Matric4Higher5Madrassa8DK9MissingSysmissGrade of education attended previous school yearGrade of education attended previous school yearGrade of education attended previous school yearGrade of education attended previous school yearGrade of education attended previous school yearDuring that previous school year, which level and grade did (name) attend? Grade/year: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.12387760401234567891011121314151697Inconsistent98DK99MissingSysmissGovernment or Private SchoolGovernment or Private SchoolGovernment or Private SchoolGovernment or Private SchoolGovernment or Private SchoolWhat type of school did/does (name) attend during 2009-10, government
or private?11508769191Government2Private8DK9MissingSysmissType of SchoolType of SchoolType of SchoolType of SchoolType of SchoolWas/is it a girls, boys or co-education school?11508769191Girls2Boys3Co-Edu8DK9MissingSysmissMode of ConveyanceMode of ConveyanceMode of ConveyanceMode of ConveyanceMode of ConveyanceDid/Does (name) go to school on foot or by any other means?11508769191On Foot2By Other Means9MissingSysmissTime it Takes to Reach SchoolTime it Takes to Reach SchoolTime it Takes to Reach SchoolTime it Takes to Reach SchoolTime it Takes to Reach SchoolHow long did/does it take (name) to reach school?11508769191999999MissingLine numberLine numberLine numberLine numberLine numberThis 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.884271505.143.891Worked in past week for someone who is not a HH memberWorked in past week for someone who is not a HH memberWorked in past week for someone who is not a HH memberWorked in past week for someone who is not a HH memberWorked in past week for someone who is not a HH memberDuring 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 CL5.26504619231Yes, for pay (cash or kind)2Yes, unpaid3No9MissingSysmissHours worked in past week for someone who is not a HH memberHours worked in past week for someone who is not a HH memberHours worked in past week for someone who is not a HH memberHours worked in past week for someone who is not a HH memberHours worked in past week for someone who is not a HH memberSince 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.1421870069998DK99MissingWorked in past week to fetch water or collect firewood for hWorked in past week to fetch water or collect firewood for hWorked in past week to fetch water or collect firewood for hWorked in past week to fetch water or collect firewood for hWorked in past week to fetch water or collect firewood for hDuring 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 CL7.26504619231Yes2No9MissingSysmissHours to fetch water or collect firewoodHours to fetch water or collect firewoodHours to fetch water or collect firewoodHours to fetch water or collect firewoodHours to fetch water or collect firewoodSince 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.5177832509998DK99MissingOther paid or unpaid family work in past weekOther paid or unpaid family work in past weekOther paid or unpaid family work in past weekOther paid or unpaid family work in past weekOther paid or unpaid family work in past weekDuring 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 CL9.26504619231Yes2No9MissingSysmissHours worked on other family workHours worked on other family workHours worked on other family workHours worked on other family workHours worked on other family workSince 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.2746856819998DK99MissingHelped with household chores in past weekHelped with household chores in past weekHelped with household chores in past weekHelped with household chores in past weekHelped with household chores in past weekDuring 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.26504619231Yes2No9MissingSysmissHours spent on chores in past weekHours spent on chores in past weekHours spent on chores in past weekHours spent on chores in past weekHours spent on chores in past weekSince 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.8133802949998DK99MissingNet numberNet numberNet numberNet numberNet number133387094123SysmissMosquito net observedMosquito net observedMosquito net observedMosquito net observedMosquito net observedFor each net, record first whether you actually observed the net.1333870941Observed2Not observed9MissingSysmissLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNTN5 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.1333870941Yes2No6Other8DK9MissingSysmissPre-treated netsPre-treated netsPre-treated netsPre-treated netsPre-treated netsTN5 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.1333870941Yes2No6Other8DK9MissingSysmissMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedHow 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.133387094123456789101112161824293695More than 36 months ago98DK / Not sure99MissingSysmissNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedWhen 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.745876821Yes2No8DK / Not sure9MissingSysmissNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedSince 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 TN11.1051873761Yes2No8DK / Not sure9MissingSysmissMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedHow 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.42883851395More than 24 months ago98DK / Not sure99MissingSysmissPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightDid 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.1333870941Yes2No8DK / Not sure9MissingSysmissPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netWho 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.133387094123456789101112131521262790No one / No one elseSysmissPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netWho 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.133387094123456789101112142290No one / No one elseSysmissPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netWho 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.1184872433456789101112132390No one / No one elseSysmissPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netWho 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.69287735145678910121490No one / No one elseSysmissDistrictDistrictDistrictDistrictDistrict884271311Quetta Zarghoon Town2Quetta Chilton Town3Pishin4Qilla Abdullah5Ziarat6Harnai7Mastung8Kalat9Khuzdar10Awaran11Lasbela12Jafarabad13Naseerabad14Jhal Magsi15Bolan16Sibi17Dera Bugti18Noshki19Chagai20Kharan21Washuk22Panjgoor23Kech24Gawader25Qilla Saifullah26Zhob27Sherani28Musakhail29Loralai30Barkhan31KohluDay of interviewDay of interviewDay of interviewDay of interviewDay of interviewDay/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.8842713115.8618.939Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewDay/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.8842723456789Year of interviewYear of interviewYear of interviewYear of interviewYear of interviewDay/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.884272010AreaAreaAreaAreaAreaArea: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.884271Urban2RuralRegionRegionRegionRegionRegionCircle 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.884271Quetta2Kalat3Sibi4Zhob5Nasirabad10MekranMother's line numberMother's line numberMother's line numberMother's line numberMother's line number546023382545Not in householdFather's line numberFather's line numberFather's line numberFather's line numberFather's line number546023382599Not in householdPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit884271844424.471245.111StrataStrataStrataStrataStrata884271127.8683.075Mother's educationMother's educationMother's educationMother's educationMother's education5459955424.1043382833793.758191None2Primary3Secondary +5Mother not in household9Missing/DKFather's educationFather's educationFather's educationFather's educationFather's education5460133826191None2Primary3Secondary +5Father not in household9Missing/DKEducation of household headEducation of household headEducation of household headEducation of household headEducation of household head88427191None2Primary3Secondary +9Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score88427-1.6853.1310.04610.998Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles884271Poorest2Second3Middle4Fourth5RichestHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weight884270.08984.751.0090.644Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.19472844510.437231.893Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.194712345678910111213141516Net numberNet numberNet numberNet numberNet number1947123456Mosquito net observedMosquito net observedMosquito net observedMosquito net observedMosquito net observedFor each net, record first whether you actually observed the net.19471Observed2Not observed9MissingLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNTN5 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.19471Yes2No6Other8DK9MissingPre-treated netsPre-treated netsPre-treated netsPre-treated netsPre-treated netsTN5 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.19471Yes2No6Other8DK9MissingMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedHow 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.19479995More than 36 months ago98DK / Not sure99MissingNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedWhen 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.12447031Yes2No8DK / Not sure9MissingSysmissNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedSince 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 TN11.15553921Yes2No8DK / Not sure9MissingSysmissMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedHow 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.461901123795More than 24 months ago98DK / Not sure99MissingSysmissPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightDid 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.19471Yes2No8DK / Not sure9MissingPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netWho 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.6171330123456789101112131521262790No one / No one elseSysmissPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netWho 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.6171330123456789101112142290No one / No one elseSysmissPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netWho 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.45714903456789101112132390No one / No one elseSysmissPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netWho 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.2101737145678910121490No one / No one elseSysmissNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsNumber of mosquito netsHow 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.194712346AreaAreaAreaAreaAreaArea: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.19471Urban2RuralRegionRegionRegionRegionRegionCircle 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.19471Quetta2Kalat3Sibi4Zhob5Nasirabad10MekranPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit19472844510.437231.893StrataStrataStrataStrataStrata19471128.412.947Sex of household headSex of household headSex of household headSex of household headSex of household head19471Male2Female9MissingEducation of household headEducation of household headEducation of household headEducation of household headEducation of household head1947191None2Primary3Secondary +9Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score1947-1.4382.7760.4460.924Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles19471Poorest2Second3Middle4Fourth5RichestHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weight19470.1484.750.9650.603Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.189581844411.103244.242Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.1895812345678910111213141516Line numberLine numberLine numberLine numberLine number189581464.4633.799Cluster numberCluster numberCluster numberCluster numberCluster numberWM1-WM6 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.189581844411.103244.242Household numberHousehold numberHousehold numberHousehold numberHousehold numberWM1-WM6 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.1895812345678910111213141516Woman's line numberWoman's line numberWoman's line numberWoman's line numberWoman's line numberWM1-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.189581464.4633.799Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer’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.1895816928.58120.257Day of interviewDay of interviewDay of interviewDay of interviewDay of interviewWM1-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.1895813115.6688.898Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewWM1-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.1895823456789Year of interviewYear of interviewYear of interviewYear of interviewYear of interviewWM1-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.189582010Result of woman's interviewResult of woman's interviewResult of woman's interviewResult of woman's interviewResult of woman's interviewComplete 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.189581Completed2Not at home3Refused4Partly completed5Incapacitated6OtherField editorField editorField editorField editorField editorField 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.189589920.65230.192Data entry clerkData entry clerkData entry clerkData entry clerkData entry clerkLeave this space blank. The data clerk will enter his/her name and number in the space provided.18958994.7584.516Start of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourRecord 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.17732122667891011121314151617181920212299MissingSysmissStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesRecord 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.1773212269999MissingEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourRecord 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.1773212266789101112131415161718192021222399MissingSysmissEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesRecord 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.1773212269999MissingMonth of birth of womanMonth of birth of womanMonth of birth of womanMonth of birth of womanMonth of birth of womanIn 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'.17732122612345678910111297Inconsistent98DK99MissingSysmissYear of birth of womanYear of birth of womanYear of birth of womanYear of birth of womanYear of birth of womanIn 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'.177321226196099999997Inconsistent9998DK9999MissingAge of womanAge of womanAge of womanAge of womanAge of womanHow 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.177321226154928.1429.475Ever attended schoolEver attended schoolEver attended schoolEver attended schoolEver attended schoolHave 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.1773212261Yes2No9MissingSysmissHighest level of school you attendedHighest level of school you attendedHighest level of school you attendedHighest level of school you attendedHighest level of school you attendedWhat 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'.40674357.0431489113374.956Preschool1Primary2Middle3Matric4Higher5Madrassa8DK9MissingSysmissHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that levelWhat 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.4051149071234567891011121314151697Inconsistent98DK99MissingSysmissCan read part of the sentenceCan read part of the sentenceCan read part of the sentenceCan read part of the sentenceCan read part of the sentenceNow 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.1567432841Cannot read at all2Able to read only parts of sentence3Able to read whole sentence4No sentence in required language Urdu5Blind / mute, visually / speech impaired9MissingSysmissEver given birthEver given birthEver given birthEver given birthEver given birthNow 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 CM8.1142275361Yes2NoSysmissDay of first birthDay of first birthDay of first birthDay of first birthDay of first birthWhat was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living.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 CM3.10338862019997Inconsistent98DK99MissingMonth of first birthMonth of first birthMonth of first birthMonth of first birthMonth of first birthWhat was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living.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 CM3.10338862012345678910111297Inconsistent98DK99MissingSysmissYear of first birthYear of first birthYear of first birthYear of first birthYear of first birthWhat was the date of your first birth?
I mean the very first time you gave birth, even if the child is no longer living.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 CM3.103388620197399999997Inconsistent9998DK9999MissingYears since first birthYears since first birthYears since first birthYears since first birthYears since first birthHow 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.3686152729997Inconsistent99MissingAny sons or daughters living with youAny sons or daughters living with youAny sons or daughters living with youAny sons or daughters living with youAny sons or daughters living with youDo 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 CM6.1033886201Yes2No9MissingSysmissSons living with youSons living with youSons living with youSons living with youSons living with youHow 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.102188740123456789SysmissDaughters living with youDaughters living with youDaughters living with youDaughters living with youDaughters living with youHow 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.102188740123456789SysmissAny sons or daughters not living with youAny sons or daughters not living with youAny sons or daughters not living with youAny sons or daughters not living with youAny sons or daughters not living with youDo 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 CM8.1033886201Yes2No9MissingSysmissSons living elsewhereSons living elsewhereSons living elsewhereSons living elsewhereSons living elsewhereHow 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.8701808812345SysmissDaughters living elsewhereDaughters living elsewhereDaughters living elsewhereDaughters living elsewhereDaughters living elsewhereHow 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.870180881234568SysmissEver had child who later diedEver had child who later diedEver had child who later diedEver had child who later diedEver had child who later diedHave 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.1142275361Yes2No9MissingSysmissBoys deadBoys deadBoys deadBoys deadBoys deadHow 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 00.223516723123456789SysmissGirls deadGirls deadGirls deadGirls deadGirls deadHow 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 00.2235167231234569SysmissChildren ever bornChildren ever bornChildren ever bornChildren ever bornChildren ever bornAdd the numbers of births reported in CM5, CM7 and CM9 and write the sum here, then continue with CM11.114227536123456789101112131415161719SysmissDay of last birthDay of last birthDay of last birthDay of last birthDay of last birthOf 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.10338862019997Inconsistent98DK99MissingMonth of last birthMonth of last birthMonth of last birthMonth of last birthMonth of last birthOf 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.10338862012345678910111297Inconsistent98DK99MissingSysmissYear of last birthYear of last birthYear of last birthYear of last birthYear of last birthOf 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.103388620197499999997Inconsistent9998DK9999MissingLast birth in last two yearsLast birth in last two yearsLast birth in last two yearsLast birth in last two yearsLast birth in last two yearsIf 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.103381Yes2NoReceived antenatal careReceived antenatal careReceived antenatal careReceived antenatal careReceived antenatal careDid 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.2358166001Yes2No9MissingSysmissAntenatal care: DoctorAntenatal care: DoctorAntenatal care: DoctorAntenatal care: DoctorAntenatal care: DoctorWhom 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.815?MissingADoctorAntenatal care: Nurse / MidwifeAntenatal care: Nurse / MidwifeAntenatal care: Nurse / MidwifeAntenatal care: Nurse / MidwifeAntenatal care: Nurse / MidwifeWhom 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.73?MissingBNurse / MidwifeAntenatal care: Lady health visitorAntenatal care: Lady health visitorAntenatal care: Lady health visitorAntenatal care: Lady health visitorAntenatal care: Lady health visitorWhom 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.42?MissingCLady health visitorAntenatal care: Lady Health WorkerAntenatal care: Lady Health WorkerAntenatal care: Lady Health WorkerAntenatal care: Lady Health WorkerAntenatal care: Lady Health WorkerWhom 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.38?MissingDLady Health WorkerAntenatal care: Traditional birth attendantAntenatal care: Traditional birth attendantAntenatal care: Traditional birth attendantAntenatal care: Traditional birth attendantAntenatal care: Traditional birth attendantWhom 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.225?MissingFTraditional birth attendantAntenatal care: Relative / friendAntenatal care: Relative / friendAntenatal care: Relative / friendAntenatal care: Relative / friendAntenatal care: Relative / friendWhom 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.38?MissingGRelative / friendAntenatal care: OtherAntenatal care: OtherAntenatal care: OtherAntenatal care: OtherAntenatal care: OtherWhom 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.7?MissingXOtherTimes received antenatal careTimes received antenatal careTimes received antenatal careTimes received antenatal careTimes received antenatal careHow 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.11051785312345678910111215202298DK99MissingSysmissBlood pressureBlood pressureBlood pressureBlood pressureBlood pressureAs 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.1105178531Yes2No9MissingSysmissUrine sampleUrine sampleUrine sampleUrine sampleUrine sampleAs 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.1105178531Yes2No9MissingSysmissBlood sampleBlood sampleBlood sampleBlood sampleBlood sampleAs 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.1105178531Yes2No9MissingSysmissHas immunization cardHas immunization cardHas immunization cardHas immunization cardHas immunization cardDo 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.2358166001Yes (card seen)2Yes (card not seen)3No8DK9MissingSysmissAny tetanus toxoid injection during last pregnancyAny tetanus toxoid injection during last pregnancyAny tetanus toxoid injection during last pregnancyAny tetanus toxoid injection during last pregnancyAny tetanus toxoid injection during last pregnancyWhen 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 MN9.2358166001Yes2No8DK9MissingSysmissHow many times did you receive tetanus injection during lastHow many times did you receive tetanus injection during lastHow many times did you receive tetanus injection during lastHow many times did you receive tetanus injection during lastHow many times did you receive tetanus injection during lastHow 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 MN9.4731848512345678DK9MissingSysmissAny tetanus toxoid injection before last pregnancyAny tetanus toxoid injection before last pregnancyAny tetanus toxoid injection before last pregnancyAny tetanus toxoid injection before last pregnancyAny tetanus toxoid injection before last pregnancyDid 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 MN10.2064168941Yes2No8DK9MissingSysmissHow many times did you receive tetanus injection before lastHow many times did you receive tetanus injection before lastHow many times did you receive tetanus injection before lastHow many times did you receive tetanus injection before lastHow many times did you receive tetanus injection before lastHow 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'.180187781235678DK9MissingSysmissYears ago last tetanus toxoid receivedYears ago last tetanus toxoid receivedYears ago last tetanus toxoid receivedYears ago last tetanus toxoid receivedYears ago last tetanus toxoid receivedHow 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 00.981886012345678910111415181999MissingSysmissTook medicine in order to prevent malariaTook medicine in order to prevent malariaTook medicine in order to prevent malariaTook medicine in order to prevent malariaTook medicine in order to prevent malariaDuring 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 MN17.1105178531Yes2No8DK9MissingSysmissMedicines taken to prevent malaria: SP / FansidarMedicines taken to prevent malaria: SP / FansidarMedicines taken to prevent malaria: SP / FansidarMedicines taken to prevent malaria: SP / FansidarMedicines taken to prevent malaria: SP / FansidarWhich 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'.71?MissingASP / FansidarMedicines taken to prevent malaria: ChloroquineMedicines taken to prevent malaria: ChloroquineMedicines taken to prevent malaria: ChloroquineMedicines taken to prevent malaria: ChloroquineMedicines taken to prevent malaria: ChloroquineWhich 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'.33?MissingBChloroquineMedicines taken to prevent malaria: OtherMedicines taken to prevent malaria: OtherMedicines taken to prevent malaria: OtherMedicines taken to prevent malaria: OtherMedicines taken to prevent malaria: OtherWhich 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'.8?MissingXOtherMedicines taken to prevent malaria: DKMedicines taken to prevent malaria: DKMedicines taken to prevent malaria: DKMedicines taken to prevent malaria: DKMedicines taken to prevent malaria: DKWhich 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'.23?MissingZDKTimes took SP / FansidarTimes took SP / FansidarTimes took SP / FansidarTimes took SP / FansidarTimes took SP / FansidarDuring 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.70188881245673198DK99MissingSysmissAssistance at delivery: DoctorAssistance at delivery: DoctorAssistance at delivery: DoctorAssistance at delivery: DoctorAssistance at delivery: DoctorWho 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'.508?MissingADoctorAssistance at delivery: Nurse / MidwifeAssistance at delivery: Nurse / MidwifeAssistance at delivery: Nurse / MidwifeAssistance at delivery: Nurse / MidwifeAssistance at delivery: Nurse / MidwifeWho 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'.160?MissingBNurse / MidwifeAssistance at delivery: Lady health visitorAssistance at delivery: Lady health visitorAssistance at delivery: Lady health visitorAssistance at delivery: Lady health visitorAssistance at delivery: Lady health visitorWho assisted with the delivery of (name)?Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.56?MissingCLady health visitorAssistance at delivery: Lady health workerAssistance at delivery: Lady health workerAssistance at delivery: Lady health workerAssistance at delivery: Lady health workerAssistance at delivery: Lady health workerWho 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'.55?MissingFLady health workerAssistance at delivery: Traditional birth attendantAssistance at delivery: Traditional birth attendantAssistance at delivery: Traditional birth attendantAssistance at delivery: Traditional birth attendantAssistance at delivery: Traditional birth attendantWho 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'.1353?MissingGTraditional birth attendantAssistance at delivery: Relative / FriendAssistance at delivery: Relative / FriendAssistance at delivery: Relative / FriendAssistance at delivery: Relative / FriendAssistance at delivery: Relative / FriendWho 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'.799?MissingHRelative / FriendAssistance at delivery: OtherAssistance at delivery: OtherAssistance at delivery: OtherAssistance at delivery: OtherAssistance at delivery: OtherWho 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'.32?MissingXOtherAssistance at delivery: No oneAssistance at delivery: No oneAssistance at delivery: No oneAssistance at delivery: No oneAssistance at delivery: No oneWho 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'.38?MissingYNo onePlace of deliveryPlace of deliveryPlace of deliveryPlace of deliveryPlace of deliveryWhere 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.23581660011Respondent's home12Other home21Government hospital22Government clinic / health centre26Other public31Private hospital32Private clinic33Private maternity home36Other private medical96Other99MissingSysmissSize of child at birthSize of child at birthSize of child at birthSize of child at birthSize of child at birthWhen (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.2358166001Very large2Larger than average3Average4Smaller than average5Very small8DK9MissingSysmissChild weighed at birthChild weighed at birthChild weighed at birthChild weighed at birthChild weighed at birthWas (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 MN23.2358166001Yes2No8DK9MissingSysmissWeight from card or recallWeight from card or recallWeight from card or recallWeight from card or recallWeight from card or recallHow 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.80188781Card2Recall9MissingSysmissWeight 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.80188780.550.90.99811.2522.32.52.99833.53.844.5569.998DK9.999MissingSysmissMenstrual period returned since the birth of childMenstrual period returned since the birth of childMenstrual period returned since the birth of childMenstrual period returned since the birth of childMenstrual period returned since the birth of childHas 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.2358166001Yes2No9MissingSysmissEver breastfeedEver breastfeedEver breastfeedEver breastfeedEver breastfeedDid 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.2358166001Yes2No9MissingSysmissChild was given anything to drink other than breast milkChild was given anything to drink other than breast milkChild was given anything to drink other than breast milkChild was given anything to drink other than breast milkChild was given anything to drink other than breast milkIn 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.2206167521Yes2No9MissingSysmissChild 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'.148?MissingAMilk (other than breast milk)Child given to drink - Plain waterChild given to drink - Plain waterChild given to drink - Plain waterChild given to drink - Plain waterChild given to drink - Plain waterWhat 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'.385?MissingBPlain waterChild given to drink - Sugar or glucose waterChild given to drink - Sugar or glucose waterChild given to drink - Sugar or glucose waterChild given to drink - Sugar or glucose waterChild given to drink - Sugar or glucose waterWhat 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'.105?MissingCSugar or glucose waterChild given to drink - Gripe waterChild given to drink - Gripe waterChild given to drink - Gripe waterChild given to drink - Gripe waterChild given to drink - Gripe waterWhat 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'.55?MissingDGripe waterChild given to drink - Sugar - salt - water solutionChild given to drink - Sugar - salt - water solutionChild given to drink - Sugar - salt - water solutionChild given to drink - Sugar - salt - water solutionChild given to drink - Sugar - salt - water solutionWhat 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'.92?MissingESugar-salt-water solutionChild given to drink - Fruit juiceChild given to drink - Fruit juiceChild given to drink - Fruit juiceChild given to drink - Fruit juiceChild given to drink - Fruit juiceWhat 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'.26?MissingFFruit juiceChild given to drink - Infant formulaChild given to drink - Infant formulaChild given to drink - Infant formulaChild given to drink - Infant formulaChild given to drink - Infant formulaWhat 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'.21?MissingGInfant formulaChild given to drink - Tea / InfusionsChild given to drink - Tea / InfusionsChild given to drink - Tea / InfusionsChild given to drink - Tea / InfusionsChild given to drink - Tea / InfusionsWhat 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'.395?MissingHTea / InfusionsChild given to drink - HoneyChild given to drink - HoneyChild given to drink - HoneyChild given to drink - HoneyChild given to drink - HoneyWhat 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'.614?MissingIHoneyChild given to drink - OtherChild given to drink - OtherChild given to drink - OtherChild given to drink - OtherChild given to drink - OtherWhat 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'.136?MissingXOtherSymptoms: Child not able to drink or breastfeedSymptoms: Child not able to drink or breastfeedSymptoms: Child not able to drink or breastfeedSymptoms: Child not able to drink or breastfeedSymptoms: Child not able to drink or breastfeedSometimes 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).2388?MissingAChild not able to drink or breastfeedSymptoms: Child becomes sickerSymptoms: Child becomes sickerSymptoms: Child becomes sickerSymptoms: Child becomes sickerSymptoms: Child becomes sickerSometimes 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).4136?MissingBChild becomes sickerSymptoms: Child develops a feverSymptoms: Child develops a feverSymptoms: Child develops a feverSymptoms: Child develops a feverSymptoms: Child develops a feverSometimes 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).3772?MissingCChild develops a feverSymptoms: Child has fast breathingSymptoms: Child has fast breathingSymptoms: Child has fast breathingSymptoms: Child has fast breathingSymptoms: Child has fast breathingSometimes 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).2386?MissingDChild has fast breathingSymptoms: Child has difficult breathingSymptoms: Child has difficult breathingSymptoms: Child has difficult breathingSymptoms: Child has difficult breathingSymptoms: Child has difficult breathingSometimes 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).2256?MissingEChild has difficult breathingSymptoms: Child has blood in stoolsSymptoms: Child has blood in stoolsSymptoms: Child has blood in stoolsSymptoms: Child has blood in stoolsSymptoms: Child has blood in stoolsSometimes 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).1576?MissingFChild has blood in stoolsSymptoms: Child is drinking poorlySymptoms: Child is drinking poorlySymptoms: Child is drinking poorlySymptoms: Child is drinking poorlySymptoms: Child is drinking poorlySometimes 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).1746?MissingGChild is drinking poorlySymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSometimes 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).523?MissingXOtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSometimes 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).231?MissingYOtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSymptoms: OtherSometimes 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).284?MissingZOtherCurrently pregnantCurrently pregnantCurrently pregnantCurrently pregnantCurrently pregnantI 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'.1142275361Yes, currently pregnant2No8Unsure or DK9MissingSysmissCurrently using a method to avoid pregnancyCurrently using a method to avoid pregnancyCurrently using a method to avoid pregnancyCurrently using a method to avoid pregnancyCurrently using a method to avoid pregnancyCouples 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.8925100331Yes2No9MissingSysmissCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationWhat 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.151?MissingAFemale sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationWhat 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.11?MissingBMale sterilizationCurrent method: IUDCurrent method: IUDCurrent method: IUDCurrent method: IUDCurrent method: IUDWhat 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.114?MissingCIUDCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesWhat 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.276?MissingDInjectablesCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsWhat 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.14?MissingEImplantsCurrent method: PillCurrent method: PillCurrent method: PillCurrent method: PillCurrent method: PillWhat 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.650?MissingFPillCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomWhat 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.232?MissingGMale condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomWhat 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.27?MissingHFemale condomCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmWhat 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.2?MissingIDiaphragmCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyWhat 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.1?MissingJFoam / JellyCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodWhat 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.178?MissingKLactational amenorrhoea method (LAM)Current method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmWhat 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.144?MissingLPeriodic abstinence / RhythmCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalWhat 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.166?MissingMWithdrawalCurrent method: OtherCurrent method: OtherCurrent method: OtherCurrent method: OtherCurrent method: OtherWhat are you doing to delay or avoid pregnancy?
OtherCircle 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.19?MissingXOtherIf she goes out with out telling husband: wife beating justiIf she goes out with out telling husband: wife beating justiIf she goes out with out telling husband: wife beating justiIf she goes out with out telling husband: wife beating justiIf she goes out with out telling husband: wife beating justiSometimes 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.1773212261Yes2No8DK9MissingSysmissIf she neglects the children: wife beating justifiedIf she neglects the children: wife beating justifiedIf she neglects the children: wife beating justifiedIf she neglects the children: wife beating justifiedIf she neglects the children: wife beating justifiedSometimes 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.1773212261Yes2No8DK9MissingSysmissIf she argues with husband: wife beating justifiedIf she argues with husband: wife beating justifiedIf she argues with husband: wife beating justifiedIf she argues with husband: wife beating justifiedIf she argues with husband: wife beating justifiedSometimes 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.1773212261Yes2No8DK9MissingSysmissIf she refuses sex with husband: wife beating justifiedIf she refuses sex with husband: wife beating justifiedIf she refuses sex with husband: wife beating justifiedIf she refuses sex with husband: wife beating justifiedIf she refuses sex with husband: wife beating justifiedSometimes 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.1773212261Yes2No8DK9MissingSysmissIf she burns the food: wife beating justifiedIf she burns the food: wife beating justifiedIf she burns the food: wife beating justifiedIf she burns the food: wife beating justifiedIf she burns the food: wife beating justifiedSometimes 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.1773212261Yes2No8DK9MissingSysmissCurrently marriedCurrently marriedCurrently marriedCurrently marriedCurrently marriedAre you currently married?The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5.1773212261Yes, currently married3No9MissingSysmissEver marriedEver marriedEver marriedEver marriedEver marriedHave you ever been married?For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions.
Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'.
If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6.6427125311Yes, formerly married3No9MissingSysmissMarital statusMarital statusMarital statusMarital statusMarital statusWhat 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.117188411Widowed2Divorced3Separated9MissingSysmissMarried once or more than onceMarried once or more than onceMarried once or more than onceMarried once or more than onceMarried once or more than onceHave you been married only once or more than once?As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.'
Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person.1142275361Only once2More than once9MissingSysmissMonth of first marriageMonth of first marriageMonth of first marriageMonth of first marriageMonth of first marriageIn what month and year did you first marry?If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.11422753612345678910111297Inconsistent98DK99MissingSysmissYear of first marriageYear of first marriageYear of first marriageYear of first marriageYear of first marriageIn what month and year did you first marry?If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.114227536197299999997Inconsistent9998DK9999MissingAge at first marriageAge at first marriageAge at first marriageAge at first marriageAge at first marriageHow old were you when you started living with your first husband?As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank.9172978659997Inconsistent98DK99MissingEver heard of AIDSEver heard of AIDSEver heard of AIDSEver heard of AIDSEver heard of AIDSNow 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.1773212261Yes2No9MissingSysmissCan get AIDS virus through supernatural meansCan get AIDS virus through supernatural meansCan get AIDS virus through supernatural meansCan get AIDS virus through supernatural meansCan get AIDS virus through supernatural meansCan 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.2827161311Yes2No8DK9MissingSysmissCan get AIDS virus from mosquito bitesCan get AIDS virus from mosquito bitesCan get AIDS virus from mosquito bitesCan get AIDS virus from mosquito bitesCan get AIDS virus from mosquito bitesCan 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.2827161311Yes2No8DK9MissingSysmissCan get AIDS virus by sharing food with a person who has AIDCan get AIDS virus by sharing food with a person who has AIDCan get AIDS virus by sharing food with a person who has AIDCan get AIDS virus by sharing food with a person who has AIDCan get AIDS virus by sharing food with a person who has AIDCan 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.2827161311Yes2No8DK9MissingSysmissHealthy-looking person may have AIDS virusHealthy-looking person may have AIDS virusHealthy-looking person may have AIDS virusHealthy-looking person may have AIDS virusHealthy-looking person may have AIDS virusIs 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.2827161311Yes2No8DK9MissingSysmissAIDS virus from mother to child during pregnancyAIDS virus from mother to child during pregnancyAIDS virus from mother to child during pregnancyAIDS virus from mother to child during pregnancyAIDS virus from mother to child during pregnancyCan 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'.2827161311Yes2No8DK9MissingSysmissAIDS virus from mother to child during deliveryAIDS virus from mother to child during deliveryAIDS virus from mother to child during deliveryAIDS virus from mother to child during deliveryAIDS virus from mother to child during deliveryCan 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'.2827161311Yes2No8DK9MissingSysmissAIDS virus from mother to child through breastfeedingAIDS virus from mother to child through breastfeedingAIDS virus from mother to child through breastfeedingAIDS virus from mother to child through breastfeedingAIDS virus from mother to child through breastfeedingCan 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'.2827161311Yes2No8DK9MissingSysmissShould female teacher with AIDS virus be allowed to teach inShould female teacher with AIDS virus be allowed to teach inShould female teacher with AIDS virus be allowed to teach inShould female teacher with AIDS virus be allowed to teach inShould female teacher with AIDS virus be allowed to teach inIn 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?2827161311Yes2No8DK / Not sure / Depends9MissingSysmissWould buy fresh vegetables from shopkeeper with AIDS virusWould buy fresh vegetables from shopkeeper with AIDS virusWould buy fresh vegetables from shopkeeper with AIDS virusWould buy fresh vegetables from shopkeeper with AIDS virusWould buy fresh vegetables from shopkeeper with AIDS virusWould you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus?2827161311Yes2No8DK / Not sure / Depends9MissingSysmissIf HH member became infected with AIDS virus, would want itIf HH member became infected with AIDS virus, would want itIf HH member became infected with AIDS virus, would want itIf HH member became infected with AIDS virus, would want itIf HH member became infected with AIDS virus, would want itIf a member of your family got infected with the AIDS virus, would you want it to remain a secret?2827161311Yes2No8DK / Not sure / Depends9MissingSysmissWilling to care for person with AIDS in householdWilling to care for person with AIDS in householdWilling to care for person with AIDS in householdWilling to care for person with AIDS in householdWilling to care for person with AIDS in householdIf a member of your family became sick with AIDS, would you be willing to care for him or her in your household?2827161311Yes2No8DK / Not sure / Depends9MissingSysmissNet numberNet numberNet numberNet numberNet number28618672123SysmissMosquito net observedMosquito net observedMosquito net observedMosquito net observedMosquito net observedFor each net, record first whether you actually observed the net.286186721Observed2Not observed9MissingSysmissLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNTN5 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.286186721Yes2No6Other8DK9MissingSysmissPre-treated netsPre-treated netsPre-treated netsPre-treated netsPre-treated netsTN5 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.286186721Yes2No6Other8DK9MissingSysmissMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedHow 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.286186721234567891011121618243695More than 36 months ago98DK / Not sure99MissingSysmissNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedWhen 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.155188031Yes2No8DK / Not sure9MissingSysmissNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedSince 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 TN11.223187351Yes2No8DK / Not sure9MissingSysmissMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedHow 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.1218946395More than 24 months ago98DK / Not sure99MissingSysmissPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightDid 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.286186721Yes2No8DK / Not sure9MissingSysmissPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netWho 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.2861867212345678910112190No one / No one elseSysmissPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netWho 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.2861867223456789101112142290No one / No one elseSysmissPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netWho 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.264186943456789101112132390No one / No one elseSysmissPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netWho 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.1501880845678910121490No one / No one elseSysmissDistrictDistrictDistrictDistrictDistrict189581311Quetta Zarghoon Town2Quetta Chilton Town3Pishin4Qilla Abdullah5Ziarat6Harnai7Mastung8Kalat9Khuzdar10Awaran11Lasbela12Jafarabad13Naseerabad14Jhal Magsi15Bolan16Sibi17Dera Bugti18Noshki19Chagai20Kharan21Washuk22Panjgoor23Kech24Gawader25Qilla Saifullah26Zhob27Sherani28Musakhail29Loralai30Barkhan31KohluAreaAreaAreaAreaAreaArea: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.189581Urban2RuralRegionRegionRegionRegionRegionCircle 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.189581Quetta2Kalat3Sibi4Zhob5Nasirabad10MekranPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit189581844411.103244.242StrataStrataStrataStrataStrata189581127.7493.148Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)1895813221323132413251326132713281329Date 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)1773212267231147980.758113.725AgeAgeAgeAgeAge177321226115-19220-24325-29430-34535-39640-44745-49SysmissDate of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)11422753674213321147.807105.775Age at first marriage/unionAge at first marriage/unionAge at first marriage/unionAge at first marriage/unionAge at first marriage/union11422753639924.41621.507Date 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)10338862088313261170.18787.186Date 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)9228973089713271244.38277.019Marital/Union statusMarital/Union statusMarital/Union statusMarital/Union statusMarital/Union status1773212261Currently married/in union2Formerly married/in union3Never married/in unionSysmissChildren ever bornChildren ever bornChildren ever bornChildren ever bornChildren ever born177321226123456789101112131415161719SysmissChildren survivingChildren survivingChildren survivingChildren survivingChildren surviving177321226123456789101112131416SysmissChildren deadChildren deadChildren deadChildren deadChildren dead177321226123456789111213SysmissEducationEducationEducationEducationEducation177321226191None2Primary3Secondary +9Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score18958-1.6853.1080.06190.983Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles189581Poorest2Second3Middle4Fourth5RichestWomen's sample weightWomen's sample weightWomen's sample weightWomen's sample weightWomen's sample weight189584.7240.9350.666Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.104321844420.049248.068Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.1043212345678910111213141516Line numberLine numberLine numberLine numberLine number104322467.7194.047Cluster numberCluster numberCluster numberCluster numberCluster numberUF1-UF8 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.104321844420.049248.068Household numberHousehold numberHousehold numberHousehold numberHousehold numberUF1-UF8 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.1043212345678910111213141516Child's line numberChild's line numberChild's line numberChild's line numberChild's line numberUF1-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.104322467.7194.047Mother / Caretaker's line numberMother / Caretaker's line numberMother / Caretaker's line numberMother / Caretaker's line numberMother / Caretaker's line numberUF1-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.104321453.9123.937Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer numberUF1-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.1043216928.6520.447Day of interviewDay of interviewDay of interviewDay of interviewDay of interviewUF1-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.1043213115.7248.812Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewUF1-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.1043223456789Year of interviewYear of interviewYear of interviewYear of interviewYear of interviewUF1-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.104322010Result of interview for children under 5Result of interview for children under 5Result of interview for children under 5Result of interview for children under 5Result of interview for children under 5Complete 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.1043297341Completed2Not at home3Refused4Partly completed5Incapacitated6OtherField editorField editorField editorField editorField editorField 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.104329920.6330.042Data entry clerkData entry clerkData entry clerkData entry clerkData entry clerkLeave this space blank. The data clerk will enter his/her name and number in the space provided.10432123456789101112131415192233404399Start of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourRecord 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.973469867891011121314151617181920212299MissingSysmissStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesRecord 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.97346989999MissingEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourEnd of interview - HourRecord 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.97346986789101112131415161718192021222399MissingSysmissEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesEnd of interview - MinutesRecord 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.97346989999MissingDay of birth of childDay of birth of childDay of birth of childDay of birth of childDay of birth of childNow 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.973469819997Inconsistent98DK99MissingMonth of birth of childMonth of birth of childMonth of birth of childMonth of birth of childMonth of birth of childNow 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.973469812345678910111297Inconsistent98DK99MissingSysmissYear of birth of childYear of birth of childYear of birth of childYear of birth of childYear of birth of childNow 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.97346982005200620072008200920109997Inconsistent9998DK9999MissingSysmissAge of childAge of childAge of childAge of childAge of childHow 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.97346981234SysmissBirth certificateBirth certificateBirth certificateBirth certificateBirth certificateDoes (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.97346981Yes, seen2Yes, not seen3No8DK9MissingSysmissBirth registeredBirth registeredBirth registeredBirth registeredBirth registeredHas (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.812923031Yes2No8DK9MissingSysmissKnow how to register birthKnow how to register birthKnow how to register birthKnow how to register birthKnow how to register birthDo 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.786925631Yes2No9MissingSysmissReason birth not registeredReason birth not registeredReason birth not registeredReason birth not registeredReason birth not registeredWhy is (name)'s birth not registered?146102861Costs too much2Must travel too far3Did not know it should be registered4Did not want to pay fine5Does not know where to register6Other8DK9MissingSysmissChildren's books or picture books for childChildren's books or picture books for childChildren's books or picture books for childChildren's books or picture books for childChildren's books or picture books for childHow 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'.973469812345678910Ten or more books99MissingSysmissHomemade toysHomemade toysHomemade toysHomemade toysHomemade toysI 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.97346981Yes2No8DK9MissingSysmissToys from shopsToys from shopsToys from shopsToys from shopsToys from shopsI 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.97346981Yes2No8DK9MissingSysmissHousehold objects or outside objectsHousehold objects or outside objectsHousehold objects or outside objectsHousehold objects or outside objectsHousehold objects or outside objectsI 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.97346981Yes2No8DK9MissingSysmissDays left alone for more than 1 hourDays left alone for more than 1 hourDays left alone for more than 1 hourDays left alone for more than 1 hourDays left alone for more than 1 hourSometimes 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.9734698None123456798DK99MissingSysmissDays left with other child for more than 1 hourDays left with other child for more than 1 hourDays left with other child for more than 1 hourDays left with other child for more than 1 hourDays left with other child for more than 1 hourSometimes 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.9734698None123456798DK99MissingSysmissAttends early childhood education programmeAttends early childhood education programmeAttends early childhood education programmeAttends early childhood education programmeAttends early childhood education programmeDoes (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'.497354591Yes2No8DK9MissingSysmissHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysWithin 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.139102939998DK99MissingBooks-MotherBooks-MotherBooks-MotherBooks-MotherBooks-MotherIn 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.298?MissingAMotherBooks-FatherBooks-FatherBooks-FatherBooks-FatherBooks-FatherIn 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.424?MissingBFatherBooks-OtherBooks-OtherBooks-OtherBooks-OtherBooks-OtherIn 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.494?MissingXOtherBooks-No oneBooks-No oneBooks-No oneBooks-No oneBooks-No oneIn 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.3989?MissingYNo oneTell stories-MotherTell stories-MotherTell stories-MotherTell stories-MotherTell stories-MotherIn 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.964?MissingAMotherTell stories-FatherTell stories-FatherTell stories-FatherTell stories-FatherTell stories-FatherIn 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.595?MissingBFatherTell stories-OtherTell stories-OtherTell stories-OtherTell stories-OtherTell stories-OtherIn 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.769?MissingXOtherTell stories-No oneTell stories-No oneTell stories-No oneTell stories-No oneTell stories-No oneIn 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.3026?MissingYNo oneSang songs-MotherSang songs-MotherSang songs-MotherSang songs-MotherSang songs-MotherIn 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.893?MissingAMotherSang songs-FatherSang songs-FatherSang songs-FatherSang songs-FatherSang songs-FatherIn 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.567?MissingBFatherSang songs-OtherSang songs-OtherSang songs-OtherSang songs-OtherSang songs-OtherIn 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.1004?MissingXOtherSang songs-No oneSang songs-No oneSang songs-No oneSang songs-No oneSang songs-No oneIn 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.2990?MissingYNo oneTook outside-MotherTook outside-MotherTook outside-MotherTook outside-MotherTook outside-MotherIn 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.791?MissingAMotherTook outside-FatherTook outside-FatherTook outside-FatherTook outside-FatherTook outside-FatherIn 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.2340?MissingBFatherTook outside-OtherTook outside-OtherTook outside-OtherTook outside-OtherTook outside-OtherIn 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.2194?MissingXOtherTook outside-No oneTook outside-No oneTook outside-No oneTook outside-No oneTook outside-No oneIn 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.899?MissingYNo onePlayed with-MotherPlayed with-MotherPlayed with-MotherPlayed with-MotherPlayed with-MotherIn 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.778?MissingAMotherPlayed with-FatherPlayed with-FatherPlayed with-FatherPlayed with-FatherPlayed with-FatherIn 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.1041?MissingBFatherPlayed with-OtherPlayed with-OtherPlayed with-OtherPlayed with-OtherPlayed with-OtherIn 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.3096?MissingXOtherPlayed with-No onePlayed with-No onePlayed with-No onePlayed with-No onePlayed with-No oneIn 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.808?MissingYNo oneNamed/counted-MotherNamed/counted-MotherNamed/counted-MotherNamed/counted-MotherNamed/counted-MotherIn 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.472?MissingAMotherNamed/counted-FatherNamed/counted-FatherNamed/counted-FatherNamed/counted-FatherNamed/counted-FatherIn 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.571?MissingBFatherNamed/counted-OtherNamed/counted-OtherNamed/counted-OtherNamed/counted-OtherNamed/counted-OtherIn 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.847?MissingXOtherNamed/counted-No oneNamed/counted-No oneNamed/counted-No oneNamed/counted-No oneNamed/counted-No oneIn 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.3521?MissingYNo oneChild identifies at least ten letters of the alphabetChild identifies at least ten letters of the alphabetChild identifies at least ten letters of the alphabetChild identifies at least ten letters of the alphabetChild identifies at least ten letters of the alphabetI 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.497354591Yes2No8DK9MissingSysmissChild reads at least four simple, popular wordsChild reads at least four simple, popular wordsChild reads at least four simple, popular wordsChild reads at least four simple, popular wordsChild reads at least four simple, popular wordsCan (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.497354591Yes2No8DK9MissingSysmissChild recognizes symbol of all numbers from 1-10Child recognizes symbol of all numbers from 1-10Child recognizes symbol of all numbers from 1-10Child recognizes symbol of all numbers from 1-10Child recognizes symbol of all numbers from 1-10Does (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.497354591Yes2No8DK9MissingSysmissChild able to pick up small object with 2 fingersChild able to pick up small object with 2 fingersChild able to pick up small object with 2 fingersChild able to pick up small object with 2 fingersChild able to pick up small object with 2 fingersCan (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.497354591Yes2No8DK9MissingSysmissChild sometimes too sick to playChild sometimes too sick to playChild sometimes too sick to playChild sometimes too sick to playChild sometimes too sick to playIs (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).497354591Yes2No8DK9MissingSysmissChild follows simple directionsChild follows simple directionsChild follows simple directionsChild follows simple directionsChild follows simple directionsDoes (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.497354591Yes2No8DK9MissingSysmissChild able to do something independentlyChild able to do something independentlyChild able to do something independentlyChild able to do something independentlyChild able to do something independentlyWhen 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.497354591Yes2No8DK9MissingSysmissChild gets along well with other childrenChild gets along well with other childrenChild gets along well with other childrenChild gets along well with other childrenChild gets along well with other childrenDoes (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.497354591Yes2No8DK9MissingSysmissChild kicks, bites or hits other children or adultsChild kicks, bites or hits other children or adultsChild kicks, bites or hits other children or adultsChild kicks, bites or hits other children or adultsChild kicks, bites or hits other children or adultsDoes (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).497354591Yes2No8DK9MissingSysmissChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyDoes (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.497354591Yes2No8DK9MissingSysmissChild ever been breastfedChild ever been breastfedChild ever been breastfedChild ever been breastfedChild ever been breastfedHas (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.97346981Yes2No8DK9MissingSysmissChild still being breastfedChild still being breastfedChild still being breastfedChild still being breastfedChild still being breastfedIs 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.924111911Yes2No8DK9MissingSysmissChild drank plain water yesterdayChild drank plain water yesterdayChild drank plain water yesterdayChild drank plain water yesterdayChild drank plain water yesterdayI 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.97346981Yes2No8DK9MissingSysmissChild drank infant formula yesterdayChild drank infant formula yesterdayChild drank infant formula yesterdayChild drank infant formula yesterdayChild drank infant formula yesterdayDid (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 BF6.97346981Yes2No8DK9MissingSysmissTimes child drank infant formulaTimes child drank infant formulaTimes child drank infant formulaTimes child drank infant formulaTimes child drank infant formulaHow many times did (name) drink infant formula?Record the number of times the child had infant formula.8389594123456789101298DK99MissingSysmissChild drank milk yesterdayChild drank milk yesterdayChild drank milk yesterdayChild drank milk yesterdayChild drank milk yesterdayDid (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 BF8.97346981Yes2No8DK9MissingSysmissTimes child drank milkTimes child drank milkTimes child drank milkTimes child drank milkTimes child drank milkHow 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.2197823512345678911122098DK99MissingSysmissChild drank juice or juice drinks yesterdayChild drank juice or juice drinks yesterdayChild drank juice or juice drinks yesterdayChild drank juice or juice drinks yesterdayChild drank juice or juice drinks yesterdayDid (name) drink juice or juice drinks yesterday, during the day or night?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayDid (name) drink soup yesterday, during the day or night?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild drank or ate vitamin or mineral supplements yesterdayChild drank or ate vitamin or mineral supplements yesterdayChild drank or ate vitamin or mineral supplements yesterdayChild drank or ate vitamin or mineral supplements yesterdayChild drank or ate vitamin or mineral supplements yesterdayDid (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild drank ORS yesterdayChild drank ORS yesterdayChild drank ORS yesterdayChild drank ORS yesterdayChild drank ORS yesterdayDid (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.97346981Yes2No8DK9MissingSysmissChild drank any other liquid yesterdayChild drank any other liquid yesterdayChild drank any other liquid yesterdayChild drank any other liquid yesterdayChild drank any other liquid yesterdayDid (name) drink any other liquids yesterday, during the day or night?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild drank or ate yogurt yesterdayChild drank or ate yogurt yesterdayChild drank or ate yogurt yesterdayChild drank or ate yogurt yesterdayChild drank or ate yogurt yesterdayDid (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 BF15.97346981Yes2No8DK9MissingSysmissTimes drank or ate yogurtTimes drank or ate yogurtTimes drank or ate yogurtTimes drank or ate yogurtTimes drank or ate yogurtHow many times did (name) drink or eat yogurt yesterday, during the day or night?Record the number of times the child had yogurt.27907642123456891098DK99MissingSysmissChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayDid (name) eat thin porridge yesterday, during the day or night?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild ate solid or semi-solid food yesterdayChild ate solid or semi-solid food yesterdayChild ate solid or semi-solid food yesterdayChild ate solid or semi-solid food yesterdayChild ate solid or semi-solid food yesterdayDid (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 BF18.97346981Yes2No8DK9MissingSysmissTimes child ate solid or semi-solid foodTimes child ate solid or semi-solid foodTimes child ate solid or semi-solid foodTimes child ate solid or semi-solid foodTimes child ate solid or semi-solid foodHow 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.7204322812345678910121498DK99MissingSysmissChild drank anything else from the bottle with a nipple yestChild drank anything else from the bottle with a nipple yestChild drank anything else from the bottle with a nipple yestChild drank anything else from the bottle with a nipple yestChild drank anything else from the bottle with a nipple yestYesterday, during the day or night, did (name) drink anything from a bottle with a nipple?Circle the code corresponding to the response.97346981Yes2No8DK9MissingSysmissChild had diarrhoea in last 2 weeksChild had diarrhoea in last 2 weeksChild had diarrhoea in last 2 weeksChild had diarrhoea in last 2 weeksChild had diarrhoea in last 2 weeksIn 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 CA7.97346981Yes2No8DK9MissingSysmissChild drank less or more during illnessChild drank less or more during illnessChild drank less or more during illnessChild drank less or more during illnessChild drank less or more during illnessI 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.210283301Much less2Somewhat less3About the same4More5Nothing to drink8DK9MissingSysmissChild ate less or more during illnessChild ate less or more during illnessChild ate less or more during illnessChild ate less or more during illnessChild ate less or more during illnessDuring 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).210283301Much less2Somewhat less3About the same4More5Stopped food6Never gave food8DK9MissingSysmissDrank 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 NIMKOL?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.210283301Yes2No8DK9MissingSysmissPre-packaged ORS fluid for diarrhoeaPre-packaged ORS fluid for diarrhoeaPre-packaged ORS fluid for diarrhoeaPre-packaged ORS fluid for diarrhoeaPre-packaged ORS fluid for diarrhoeaDuring 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.210283301Yes2No8DK9MissingSysmissGovt. recommended homemade fluid XGovt. recommended homemade fluid XGovt. recommended homemade fluid XGovt. recommended homemade fluid XGovt. recommended homemade fluid XDuring the episode of diarrhoea, was (name) given to drink any of the following:
(Government-recommended homemade fluid name will be added here)?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.210283301Yes2No8DK9MissingSysmissAnything else given to treat the diarrhoeaAnything else given to treat the diarrhoeaAnything else given to treat the diarrhoeaAnything else given to treat the diarrhoeaAnything else given to treat the diarrhoeaWas 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 CA7.210283301Yes2No8DK9MissingSysmissOther treatment (pill or syrup): AntibioticOther treatment (pill or syrup): AntibioticOther treatment (pill or syrup): AntibioticOther treatment (pill or syrup): AntibioticOther treatment (pill or syrup): AntibioticWhat (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.251?MissingAAntibiotic pill or syrupOther treatment (pill or syrup): AntimotilityOther treatment (pill or syrup): AntimotilityOther treatment (pill or syrup): AntimotilityOther treatment (pill or syrup): AntimotilityOther treatment (pill or syrup): AntimotilityWhat (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.44?MissingBAntimotility pill or syrupOther treatment (pill or syrup): Zinc pill or syrupOther treatment (pill or syrup): Zinc pill or syrupOther treatment (pill or syrup): Zinc pill or syrupOther treatment (pill or syrup): Zinc pill or syrupOther treatment (pill or syrup): Zinc pill or syrupWhat (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.114?MissingCZinc pill or syrupOther treatment (pill or syrup): Other (not antibiotic, antiOther treatment (pill or syrup): Other (not antibiotic, antiOther treatment (pill or syrup): Other (not antibiotic, antiOther treatment (pill or syrup): Other (not antibiotic, antiOther treatment (pill or syrup): Other (not antibiotic, antiWhat (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.61?MissingGOther pill or syrupOther treatment (pill or syrup): UnknownOther treatment (pill or syrup): UnknownOther treatment (pill or syrup): UnknownOther treatment (pill or syrup): UnknownOther treatment (pill or syrup): UnknownWhat (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.243?MissingHUnknown pill or syrupOther treatment (injection): AntibioticOther treatment (injection): AntibioticOther treatment (injection): AntibioticOther treatment (injection): AntibioticOther treatment (injection): AntibioticWhat (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.29?MissingLAntibiotic injectionOther treatment (injection): Non-antibioticOther treatment (injection): Non-antibioticOther treatment (injection): Non-antibioticOther treatment (injection): Non-antibioticOther treatment (injection): Non-antibioticWhat (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?MissingMNon antibiotic injectionOther treatment (injection): UnknownOther treatment (injection): UnknownOther treatment (injection): UnknownOther treatment (injection): UnknownOther treatment (injection): UnknownWhat (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.44?MissingNUnknown injectionOther treatment: IntravenousOther treatment: IntravenousOther treatment: IntravenousOther treatment: IntravenousOther treatment: IntravenousWhat (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?MissingOIntravenousOther treatment: Home remedy/Herbal medicineOther treatment: Home remedy/Herbal medicineOther treatment: Home remedy/Herbal medicineOther treatment: Home remedy/Herbal medicineOther treatment: Home remedy/Herbal medicineWhat (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.342?MissingQHome remedy/Herbal medicineOther treatment: OtherOther treatment: OtherOther treatment: OtherOther treatment: OtherOther treatment: OtherWhat (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.136?MissingXOtherChild ill with cough in last 2 weeksChild ill with cough in last 2 weeksChild ill with cough in last 2 weeksChild ill with cough in last 2 weeksChild ill with cough in last 2 weeksAt 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'.97346981Yes2No8DK9MissingSysmissDifficulty breathing during illness with coughDifficulty breathing during illness with coughDifficulty breathing during illness with coughDifficulty breathing during illness with coughDifficulty breathing during illness with coughWhen 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 CA14.123591971Yes2No8DK9MissingSysmissSymptoms due to problem in chest or blocked noseSymptoms due to problem in chest or blocked noseSymptoms due to problem in chest or blocked noseSymptoms due to problem in chest or blocked noseSymptoms due to problem in chest or blocked noseWas 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.75496781Problem in chest2Blocked or runny nose3Both6Other8DK9MissingSysmissSought advice or treatment for illnessSought advice or treatment for illnessSought advice or treatment for illnessSought advice or treatment for illnessSought advice or treatment for illnessDid 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 CA12.43999931Yes2No8DK9MissingSysmissPlace sought care: Government hospitalPlace sought care: Government hospitalPlace sought care: Government hospitalPlace sought care: Government hospitalPlace sought care: Government hospitalFrom 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.116?MissingAGovernment hospitalPlace sought care: DispensaryPlace sought care: DispensaryPlace sought care: DispensaryPlace sought care: DispensaryPlace sought care: DispensaryFrom where did you seek advice or treatment?After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.17?MissingEDispensaryPlace sought care: Government Health CentrePlace sought care: Government Health CentrePlace sought care: Government Health CentrePlace sought care: Government Health CentrePlace sought care: Government Health CentreFrom 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?MissingFGovernment Health CentrePlace sought care: Village Health CentrePlace sought care: Village Health CentrePlace sought care: Village Health CentrePlace sought care: Village Health CentrePlace sought care: Village Health CentreFrom 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.9?MissingGVillage Health CentrePlace sought care: Other publicPlace sought care: Other publicPlace sought care: Other publicPlace sought care: Other publicPlace sought care: Other publicFrom where did you seek advice or treatment?After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.1?MissingHOther publicPlace sought care: Private hospital / clinicPlace sought care: Private hospital / clinicPlace sought care: Private hospital / clinicPlace sought care: Private hospital / clinicPlace sought care: Private hospital / clinicFrom 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.49?MissingIPrivate hospital / clinicPlace sought care: Private physicianPlace sought care: Private physicianPlace sought care: Private physicianPlace sought care: Private physicianPlace sought care: Private physicianFrom 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.52?MissingJPrivate physicianPlace sought care: Private pharmacyPlace sought care: Private pharmacyPlace sought care: Private pharmacyPlace sought care: Private pharmacyPlace sought care: Private pharmacyFrom where did you seek advice or treatment?After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.3?MissingKPrivate pharmacyPlace sought care: Dispenser / CompounderPlace sought care: Dispenser / CompounderPlace sought care: Dispenser / CompounderPlace sought care: Dispenser / CompounderPlace sought care: Dispenser / CompounderFrom where did you seek advice or treatment?After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.3?MissingMDispenser / CompounderPlace sought care: Other private medicalPlace sought care: Other private medicalPlace sought care: Other private medicalPlace sought care: Other private medicalPlace sought care: Other private medicalFrom 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.?MissingOOther private medicalPlace sought care: Relative / FriendPlace sought care: Relative / FriendPlace sought care: Relative / FriendPlace sought care: Relative / FriendPlace sought care: Relative / FriendFrom 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.36?MissingPRelative / FriendPlace sought care: HomeopathicPlace sought care: HomeopathicPlace sought care: HomeopathicPlace sought care: HomeopathicPlace sought care: HomeopathicFrom where did you seek advice or treatment?After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.1?MissingSHomeopathicPlace sought care: HakimPlace sought care: HakimPlace sought care: HakimPlace sought care: HakimPlace sought care: HakimFrom 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?MissingTHakimPlace sought care: OtherPlace sought care: OtherPlace sought care: OtherPlace sought care: OtherPlace sought care: OtherFrom 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?MissingXOtherGiven medicine to treat this illnessGiven medicine to treat this illnessGiven medicine to treat this illnessGiven medicine to treat this illnessGiven medicine to treat this illnessWas (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 CA14.43999931Yes2No8DK9MissingSysmissMedicine: Antibiotic pill / syrupMedicine: Antibiotic pill / syrupMedicine: Antibiotic pill / syrupMedicine: Antibiotic pill / syrupMedicine: Antibiotic pill / syrupWhat 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'.134?MissingAAntibiotic pill / syrupMedicine: Antibiotic injectionMedicine: Antibiotic injectionMedicine: Antibiotic injectionMedicine: Antibiotic injectionMedicine: Antibiotic injectionWhat medicine was (name) given?This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.28?MissingBAntibiotic injectionMedicine: Anti-malarialsMedicine: Anti-malarialsMedicine: Anti-malarialsMedicine: Anti-malarialsMedicine: Anti-malarialsWhat medicine was (name) given?This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.11?MissingMAnti-malarialsMedicine: Paracetamol / Panadol / AcetaminophenMedicine: Paracetamol / Panadol / AcetaminophenMedicine: Paracetamol / Panadol / AcetaminophenMedicine: Paracetamol / Panadol / AcetaminophenMedicine: Paracetamol / Panadol / AcetaminophenWhat 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'.71?MissingPParacetamol / Panadol / AcetaminophenMedicine: AspirinMedicine: AspirinMedicine: AspirinMedicine: AspirinMedicine: AspirinWhat 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'.31?MissingQAspirinMedicine: IbupropfenMedicine: IbupropfenMedicine: IbupropfenMedicine: IbupropfenMedicine: IbupropfenWhat 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'.95?MissingRIbuprofenMedicine: OtherMedicine: OtherMedicine: OtherMedicine: OtherMedicine: OtherWhat 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'.31?MissingXOtherMedicine: DKMedicine: DKMedicine: DKMedicine: DKMedicine: DKWhat 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'.46?MissingZDKWhat was done to dispose of the stoolsWhat was done to dispose of the stoolsWhat was done to dispose of the stoolsWhat was done to dispose of the stoolsWhat was done to dispose of the stoolsThe 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.476156711Child used toilet / latrine2Put / Rinsed into toilet or latrine3Put / Rinsed into drain or ditch4Thrown into garbage (solid waste)5Buried6Left in the open96Other98DK99MissingSysmissChild ill with fever in last 2 weeksChild ill with fever in last 2 weeksChild ill with fever in last 2 weeksChild ill with fever in last 2 weeksChild ill with fever in last 2 weeksIn 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.97346981Yes2No8DK9MissingSysmissBlood taken for testing during illnessBlood taken for testing during illnessBlood taken for testing during illnessBlood taken for testing during illnessBlood taken for testing during illnessAt 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.167687561Yes2No8DK9MissingSysmissAdvice or treatment during illnessAdvice or treatment during illnessAdvice or treatment during illnessAdvice or treatment during illnessAdvice or treatment during illnessDid 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 ML8.167687561Yes2No8DK9MissingSysmissChild taken to a health facility during illnessChild taken to a health facility during illnessChild taken to a health facility during illnessChild taken to a health facility during illnessChild taken to a health facility during illnessWas (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 ML9.104093921Yes2No8DK9MissingSysmissChild given medicine at health facilityChild given medicine at health facilityChild given medicine at health facilityChild given medicine at health facilityChild given medicine at health facilityWas (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 ML7.91995131Yes2No8DK9MissingSysmissMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarWhat 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'.243?MissingASP / FansidarMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineWhat 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'.173?MissingBChloroquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineWhat 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'.18?MissingCAmodiaquineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineWhat 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'.121?MissingDQuinineMedicine given: Combination with artemisininMedicine given: Combination with artemisininMedicine given: Combination with artemisininMedicine given: Combination with artemisininMedicine given: Combination with artemisininWhat 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'.7?MissingECombination with artemisininMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialWhat 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'.4?MissingFCountry specific CBD anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialWhat medicine was (name) given?Circle the codes corresponding to all medicines taken by the child to treat the fever, both anti-malarials and other types of medicines such as acetaminophen that were provided or prescribed at the health facility. Write brand name(s) of all medicines, if given.
After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned.
If the respondent cannot remember the names of all the medicines the child took, use the following approach to probe for the correct names of the anti-malarial and other types of medicines taken:
(1) Ask to see the package of leftover medicines; some households keep popular anti-malarial and other medicines at home.
(2) Show the respondent a sample of each common anti-malarial - from both public and private sources - in the original packages, in case some respondents remember the containers.
(3) Use common brand names when asking the respondent about anti-malarial medicines.
If the medicine is an anti-malarial but is not listed, circle 'H' and fill in the name in the space provided. If the medicine is another type of medicine, but is not listed, circle 'X' and fill in the name in the space provided. If the mother/primary caretaker still doesn't know, circle 'Z'.13?MissingHOther anti-malarialMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupWhat 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'.88?MissingIAntibiotic pill / syrupMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionWhat 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'.21?MissingJAntibiotic injectionMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenWhat 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'.183?MissingPParacetamol / Panadol / AcetaminophenMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinWhat 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'.54?MissingQAspirinMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenWhat 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'.122?MissingRIbuprofenMedicine given: OtherMedicine given: OtherMedicine given: OtherMedicine given: OtherMedicine given: OtherWhat 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'.32?MissingXOtherMedicine given: DKMedicine given: DKMedicine given: DKMedicine given: DKMedicine given: DKWhat 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'.41?MissingZDKChild given medicine before visiting health facilityChild given medicine before visiting health facilityChild given medicine before visiting health facilityChild given medicine before visiting health facilityChild given medicine before visiting health facilityWas (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 ML10.91995131Yes2No8DK9MissingSysmissChild given medicine for malaria or fever during illnessChild given medicine for malaria or fever during illnessChild given medicine for malaria or fever during illnessChild given medicine for malaria or fever during illnessChild given medicine for malaria or fever during illnessWas (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.75796751Yes2No8DK9MissingSysmissMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarMedicine given: SP / FansidarWhat 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'.90?MissingASP / FansidarMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineMedicine given: ChloroquineWhat 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'.46?MissingBChloroquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineMedicine given: AmodiaquineWhat 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'.14?MissingCAmodiaquineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineMedicine given: QuinineWhat 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'.62?MissingDQuinineMedicine given: Combination with ArtemisininMedicine given: Combination with ArtemisininMedicine given: Combination with ArtemisininMedicine given: Combination with ArtemisininMedicine given: Combination with ArtemisininWhat 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'.8?MissingECombination with ArtemisininMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialMedicine given: Country specific CBD anti-malarialWhat 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'.8?MissingFCountry specific CBD anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialMedicine given: Other anti-malarialWhat 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'.13?MissingHOther anti-malarialMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupMedicine given: Antibiotic pill / syrupWhat 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'.59?MissingIAntibiotic pill / syrupMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionMedicine given: Antibiotic injectionWhat 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'.16?MissingJAntibiotic injectionMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenMedicine given: Paracetamol / Panadol / AcetaminophenWhat 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'.200?MissingPParacetamol / Panadol / AcetaminophenMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinMedicine given: AspirinWhat 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'.55?MissingQAspirinMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenMedicine given: IbuprofenWhat 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'.202?MissingRIbuprofenMedicine given: OtherMedicine given: OtherMedicine given: OtherMedicine given: OtherMedicine given: OtherWhat 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'.55?MissingXOtherMedicine given: DKMedicine given: DKMedicine given: DKMedicine given: DKMedicine given: DKWhat 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'.45?MissingZDKDays after fever started first took anti-malarialDays after fever started first took anti-malarialDays after fever started first took anti-malarialDays after fever started first took anti-malarialDays after fever started first took anti-malarialHow 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'.5659867Same day1Next day22 days after the fever33 days after the fever44 or more days after the fever8DK9MissingSysmissVaccination card for childVaccination card for childVaccination card for childVaccination card for childVaccination card for childDo 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.97346981Yes, seen2Yes, not seen3No9MissingSysmissEver had vaccination cardEver had vaccination cardEver had vaccination cardEver had vaccination cardEver had vaccination cardDid you ever have a vaccination card for (name)?Circle the code corresponding to the answer given and skip to IM6.751229201Yes2No9MissingSysmissDay of BCG immunizationDay of BCG immunizationDay of BCG immunizationDay of BCG immunizationDay of BCG immunizationYou 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 IM4.891034344Not given44Marked on card - no date given66Reported by mother99MissingMonth of BCG immunizationMonth of BCG immunizationMonth of BCG immunizationMonth of BCG immunizationMonth of BCG immunizationYou 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 IM4.791035312345678910111299MissingSysmissYear of BCG immunizationYear of BCG immunizationYear of BCG immunizationYear of BCG immunizationYear of BCG immunizationYou 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 IM4.79103532005200620072008200920109999MissingSysmissDay of Polio at birth immunizationDay of Polio at birth immunizationDay of Polio at birth immunizationDay of Polio at birth immunizationDay of Polio at birth immunizationYou 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 IM4.891034344Not given44Marked on card - no date given66Reported by mother99MissingMonth of Polio at birth immunizationMonth of Polio at birth immunizationMonth of Polio at birth immunizationMonth of Polio at birth immunizationMonth of Polio at birth immunizationYou 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 IM4.561037612345678910111299MissingSysmissYear of Polio at birth immunizationYear of Polio at birth immunizationYear of Polio at birth immunizationYear of Polio at birth immunizationYear of Polio at birth immunizationYou 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 IM4.5610376200520072008200920109999MissingSysmissDay of Polio1 immunizationDay of Polio1 immunizationDay of Polio1 immunizationDay of Polio1 immunizationDay of Polio1 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of Polio1 immunizationMonth of Polio1 immunizationMonth of Polio1 immunizationMonth of Polio1 immunizationMonth of Polio1 immunizationYou 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 IM4.711036112345678910111299MissingSysmissYear of Polio1 immunizationYear of Polio1 immunizationYear of Polio1 immunizationYear of Polio1 immunizationYear of Polio1 immunizationYou 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 IM4.7110361200620072008200920109999MissingSysmissDay of Polio2 immunizationDay of Polio2 immunizationDay of Polio2 immunizationDay of Polio2 immunizationDay of Polio2 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of Polio2 immunizationMonth of Polio2 immunizationMonth of Polio2 immunizationMonth of Polio2 immunizationMonth of Polio2 immunizationYou 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 IM4.551037712345678910111299MissingSysmissYear of Polio2 immunizationYear of Polio2 immunizationYear of Polio2 immunizationYear of Polio2 immunizationYear of Polio2 immunizationYou 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 IM4.5510377200620072008200920109999MissingSysmissDay of Polio3 immunizationDay of Polio3 immunizationDay of Polio3 immunizationDay of Polio3 immunizationDay of Polio3 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of Polio3 immunizationMonth of Polio3 immunizationMonth of Polio3 immunizationMonth of Polio3 immunizationMonth of Polio3 immunizationYou 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 IM4.3710395123456789101299MissingSysmissYear of Polio3 immunizationYear of Polio3 immunizationYear of Polio3 immunizationYear of Polio3 immunizationYear of Polio3 immunizationYou 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 IM4.3710395200620072008200920109999MissingSysmissDay of DPT1 immunizationDay of DPT1 immunizationDay of DPT1 immunizationDay of DPT1 immunizationDay of DPT1 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of DPT1 immunizationMonth of DPT1 immunizationMonth of DPT1 immunizationMonth of DPT1 immunizationMonth of DPT1 immunizationYou 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 IM4.631036912345678910111299MissingSysmissYear of DPT1 immunizationYear of DPT1 immunizationYear of DPT1 immunizationYear of DPT1 immunizationYear of DPT1 immunizationYou 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 IM4.6310369200620072008200920109999MissingSysmissDay of DPT2 immunizationDay of DPT2 immunizationDay of DPT2 immunizationDay of DPT2 immunizationDay of DPT2 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of DPT2 immunizationMonth of DPT2 immunizationMonth of DPT2 immunizationMonth of DPT2 immunizationMonth of DPT2 immunizationYou 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 IM4.511038112345678910111299MissingSysmissYear of DPT2 immunizationYear of DPT2 immunizationYear of DPT2 immunizationYear of DPT2 immunizationYear of DPT2 immunizationYou 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 IM4.5110381200620072008200920109999MissingSysmissDay of DPT3 immunizationDay of DPT3 immunizationDay of DPT3 immunizationDay of DPT3 immunizationDay of DPT3 immunizationYou 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 IM4.8910343Not given1234567810111216181924262829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth of DPT3 immunizationMonth of DPT3 immunizationMonth of DPT3 immunizationMonth of DPT3 immunizationMonth of DPT3 immunizationYou 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 IM4.3010402123456789101299MissingSysmissYear of DPT3 immunizationYear of DPT3 immunizationYear of DPT3 immunizationYear of DPT3 immunizationYear of DPT3 immunizationYou 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 IM4.3010402200620072008200920109999MissingSysmissDay of HepB at birth immunizationDay of HepB at birth immunizationDay of HepB at birth immunizationDay of HepB at birth immunizationDay of HepB at birth immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of HepB at birth immunizationMonth of HepB at birth immunizationMonth of HepB at birth immunizationMonth of HepB at birth immunizationMonth of HepB at birth immunizationYou 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 IM4.39103931234568910111299MissingSysmissYear of HepB at birth immunizationYear of HepB at birth immunizationYear of HepB at birth immunizationYear of HepB at birth immunizationYear of HepB at birth immunizationYou 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 IM4.3910393200520072008200920109999MissingSysmissDay of HepB1 immunizationDay of HepB1 immunizationDay of HepB1 immunizationDay of HepB1 immunizationDay of HepB1 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of HepB1 immunizationMonth of HepB1 immunizationMonth of HepB1 immunizationMonth of HepB1 immunizationMonth of HepB1 immunizationYou 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 IM4.48103841234678910111299MissingSysmissYear of HepB1 immunizationYear of HepB1 immunizationYear of HepB1 immunizationYear of HepB1 immunizationYear of HepB1 immunizationYou 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 IM4.4810384200620072008200920109999MissingSysmissDay of HepB2 immunizationDay of HepB2 immunizationDay of HepB2 immunizationDay of HepB2 immunizationDay of HepB2 immunizationYou 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 IM4.891034399Not given44Marked on card - no date given66Reported by mother99MissingMonth of HepB2 immunizationMonth of HepB2 immunizationMonth of HepB2 immunizationMonth of HepB2 immunizationMonth of HepB2 immunizationYou 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 IM4.411039112345678910111299MissingSysmissYear of HepB2 immunizationYear of HepB2 immunizationYear of HepB2 immunizationYear of HepB2 immunizationYear of HepB2 immunizationYou 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 IM4.4110391200620072008200920109999MissingSysmissDay of HepB3 immunizationDay of HepB3 immunizationDay of HepB3 immunizationDay of HepB3 immunizationDay of HepB3 immunizationYou 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 IM4.8910343Not given123456781112161819242628293144Marked on card - no date given66Reported by mother99MissingSysmissMonth of HepB3 immunizationMonth of HepB3 immunizationMonth of HepB3 immunizationMonth of HepB3 immunizationMonth of HepB3 immunizationYou 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 IM4.271040512345689101299MissingSysmissYear of HepB3 immunizationYear of HepB3 immunizationYear of HepB3 immunizationYear of HepB3 immunizationYear of HepB3 immunizationYou 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 IM4.2710405200620072008200920109999MissingSysmissDay measles or MMR immunizationDay measles or MMR immunizationDay measles or MMR immunizationDay measles or MMR immunizationDay measles or MMR immunizationYou 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 IM4.8910343Not given235781012131517182021242526273044Marked on card - no date given66Reported by mother99MissingSysmissMonth Measles or MMR immunizationMonth Measles or MMR immunizationMonth Measles or MMR immunizationMonth Measles or MMR immunizationMonth Measles or MMR immunizationYou 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 IM4.28104041234568910111299MissingSysmissYear of Measles or MMR immunizationYear of Measles or MMR immunizationYear of Measles or MMR immunizationYear of Measles or MMR immunizationYear of Measles or MMR immunizationYou 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 IM4.2810404200620072008200920109999MissingSysmissDay of Influenza immunizationDay of Influenza immunizationDay of Influenza immunizationDay of Influenza immunizationDay of Influenza immunizationYou 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 IM4.8910343Not given101213262744Marked on card - no date given66Reported by mother99MissingSysmissMonth of Influenza immunizationMonth of Influenza immunizationMonth of Influenza immunizationMonth of Influenza immunizationMonth of Influenza immunizationYou 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 IM4.7104253410111299MissingSysmissYear of Influenza immunizationYear of Influenza immunizationYear of Influenza immunizationYear of Influenza immunizationYear of Influenza immunizationYou 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 IM4.7104252008200920109999MissingSysmissChild received any other vaccinationsChild received any other vaccinationsChild received any other vaccinationsChild received any other vaccinationsChild received any other vaccinationsIn 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 IM18.83103491Yes2No8DK9MissingSysmissChild ever received any vaccinationsChild ever received any vaccinationsChild ever received any vaccinationsChild ever received any vaccinationsChild ever received any vaccinationsHas (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 IM18.96457871Yes2No8DK9MissingSysmissChild ever given BCG vaccinationChild ever given BCG vaccinationChild ever given BCG vaccinationChild ever given BCG vaccinationChild ever given BCG vaccinationHas (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.573646961Yes2No8DK9MissingSysmissChild ever given Polio vaccinationChild ever given Polio vaccinationChild ever given Polio vaccinationChild ever given Polio vaccinationChild ever given Polio vaccinationHas (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 IM11.573646961Yes2No8DK9MissingSysmissPolio first given just after birth or laterPolio first given just after birth or laterPolio first given just after birth or laterPolio first given just after birth or laterPolio first given just after birth or laterWas the first polio vaccine received in the first two weeks after birth or later?Ask if the first polio vaccine was received in the first two weeks after birth or later. Circle the code corresponding to the response.555748751First two weeks2Later9MissingSysmissTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationHow many times was the polio vaccine received?Fill in the number in the space provided.55574875123456789101112131415161718192099MissingSysmissChild ever given DPT vaccinationChild ever given DPT vaccinationChild ever given DPT vaccinationChild ever given DPT vaccinationChild ever given DPT vaccinationHas (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 IM13.573646961Yes2No8DK9MissingSysmissTimes child given DPT vaccinationTimes child given DPT vaccinationTimes child given DPT vaccinationTimes child given DPT vaccinationTimes child given DPT vaccinationHow many times was a DPT vaccine received?Fill in the number in the space provided.1515891712345679MissingSysmissChild ever given Hepatitis B vaccinationChild ever given Hepatitis B vaccinationChild ever given Hepatitis B vaccinationChild ever given Hepatitis B vaccinationChild ever given Hepatitis B vaccinationHas (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 IM16.573646961Yes2No8DK9MissingSysmissHepatitis B first given within 24 h after birth or laterHepatitis B first given within 24 h after birth or laterHepatitis B first given within 24 h after birth or laterHepatitis B first given within 24 h after birth or laterHepatitis B first given within 24 h after birth or laterWas 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.126491681Within 24 hours2Later9MissingSysmissTimes child given Hepatitis B vaccinationTimes child given Hepatitis B vaccinationTimes child given Hepatitis B vaccinationTimes child given Hepatitis B vaccinationTimes child given Hepatitis B vaccinationHow many times was a Hepatitis B vaccine received?Fill in the number in the space provided.1264916812345679MissingSysmissChild ever given Measles or MMR vaccinationChild ever given Measles or MMR vaccinationChild ever given Measles or MMR vaccinationChild ever given Measles or MMR vaccinationChild ever given Measles or MMR vaccinationHas (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'.573646961Yes2No8DK9MissingSysmissMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer’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.97346989928.78825.409Result of height/length and weight measurementResult of height/length and weight measurementResult of height/length and weight measurementResult of height/length and weight measurementResult of height/length and weight measurementCircle 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'.97346981Either or both measured2Child not present3Child or caretaker refused6Other7Inconsistent9MissingSysmissChild'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'.69033529199.999.9MissingChild measured lying or standingChild measured lying or standingChild measured lying or standingChild measured lying or standingChild measured lying or standingCheck 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.690335291Lying down2Standing up9MissingSysmissChild'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.6903352936999.9999.9MissingOedema presenceOedema presenceOedema presenceOedema presenceOedema presenceOedema 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.690335291Checked, oedema present2Checked, odoema not present3Checked, unsure7Not checked9MissingSysmissHeight for age percentile NCHSHeight for age percentile NCHSHeight for age percentile NCHSHeight for age percentile NCHSHeight for age percentile NCHSRecoded variable973469899.965.03145.456Height for age z-score NCHSHeight for age z-score NCHSHeight for age z-score NCHSHeight for age z-score NCHSHeight for age z-score NCHSRecoded variable9734698-9.989.994.5356.664Height for age percent of reference median NCHSHeight for age percent of reference median NCHSHeight for age percent of reference median NCHSHeight for age percent of reference median NCHSHeight for age percent of reference median NCHSRecoded variable973469836999.9605.936451.315Weight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSRecoded variable973469899.964.25344.267Weight for age z-score NCHSWeight for age z-score NCHSWeight for age z-score NCHSWeight for age z-score NCHSWeight for age z-score NCHSRecoded variable9734698-8.239.994.726.007Weight for age percent of reference median NCHSWeight for age percent of reference median NCHSWeight for age percent of reference median NCHSWeight for age percent of reference median NCHSWeight for age percent of reference median NCHSRecoded variable973469810999.9588.444457.185Weight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSRecoded variable973469899.977.17437.782Weight for height z-score NCHSWeight for height z-score NCHSWeight for height z-score NCHSWeight for height z-score NCHSWeight for height z-score NCHSRecoded variable9734698-9.989.995.8615.467Weight for height percent of reference median NCHSWeight for height percent of reference median NCHSWeight for height percent of reference median NCHSWeight for height percent of reference median NCHSWeight for height percent of reference median NCHSRecoded variable973469817.6999.9642.342440.592Flag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicators9734698No flag1Height for age2Weight for height3Weight for height, Height for age4Weight for age5Weight for age, Height for age6Weight for age, Weight for height7Weight for age, Weight for height, Height for ageSysmissBody Mass Index WHOBody Mass Index WHOBody Mass Index WHOBody Mass Index WHOBody Mass Index WHO5370506297.715.6415.983Body Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score WHO51465286-9.9994.090.1824.456Height for age z-score WHOHeight for age z-score WHOHeight for age z-score WHOHeight for age z-score WHOHeight for age z-score WHORecoded variable51085324-9.9733.470.2065.732Weight for age z-score WHOWeight for age z-score WHOWeight for age z-score WHOWeight for age z-score WHOWeight for age z-score WHORecoded variable53815051-9.8294.6-0.224.352Weight for height z-score WHOWeight for height z-score WHOWeight for height z-score WHOWeight for height z-score WHOWeight for height z-score WHORecoded variable33177115-9995.77219.294Height for age flag WHOHeight for age flag WHOHeight for age flag WHOHeight for age flag WHOHeight for age flag WHORecoded variable690335291SysmissWeight for age flag WHOWeight for age flag WHOWeight for age flag WHOWeight for age flag WHOWeight for age flag WHORecoded variable690335291SysmissWeight for height flag WHOWeight for height flag WHOWeight for height flag WHOWeight for height flag WHOWeight for height flag WHORecoded variable690335291SysmissBMI flag WHOBMI flag WHOBMI flag WHOBMI flag WHOBMI flag WHO690335291SysmissWeight for height - Age flag WHOWeight for height - Age flag WHOWeight for height - Age flag WHOWeight for height - Age flag WHOWeight for height - Age flag WHORecoded variable690335291SysmissNet numberNet numberNet numberNet numberNet number15510277123SysmissMosquito net observedMosquito net observedMosquito net observedMosquito net observedMosquito net observedFor each net, record first whether you actually observed the net.155102771Observed2Not observed9MissingSysmissLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNLong Lasting ITNTN5 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.155102771Yes2No6Other8DK9MissingSysmissPre-treated netsPre-treated netsPre-treated netsPre-treated netsPre-treated netsTN5 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.155102771Yes2No6Other8DK9MissingSysmissMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedMonths ago net obtainedHow 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.1551027712345678910111216243695More than 36 months ago98DK / Not sure99MissingSysmissNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedNet treated with an insecticide when obtainedWhen 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.69103631Yes2No8DK / Not sure9MissingSysmissNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedNet soaked or dipped since obtainedSince 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 TN11.115103171Yes2No8DK / Not sure9MissingSysmissMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedMonths ago net soaked or dippedHow 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.9104231395More than 24 months ago98DK / Not sure99MissingSysmissPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightPersons slept under mosquito net last nightDid 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.155102771Yes2No8DK / Not sure9MissingSysmissPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netPerson 1 who slept under netWho 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.15510277123456789101112152190No one / No one elseSysmissPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netPerson 2 who slept under netWho 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.1551027723456789101112142290No one / No one elseSysmissPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netPerson 3 who slept under netWho 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.139102933456789101112132390No one / No one elseSysmissPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netPerson 4 who slept under netWho 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.1041032845678910121490No one / No one elseSysmissDistrictDistrictDistrictDistrictDistrict104321311Quetta Zarghoon Town2Quetta Chilton Town3Pishin4Qilla Abdullah5Ziarat6Harnai7Mastung8Kalat9Khuzdar10Awaran11Lasbela12Jafarabad13Naseerabad14Jhal Magsi15Bolan16Sibi17Dera Bugti18Noshki19Chagai20Kharan21Washuk22Panjgoor23Kech24Gawader25Qilla Saifullah26Zhob27Sherani28Musakhail29Loralai30Barkhan31KohluAreaAreaAreaAreaAreaArea: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.104321Urban2RuralRegionRegionRegionRegionRegionCircle the code for region as instructed/provided by your supervisor.104321Quetta2Kalat3Sibi4Zhob5Nasirabad10MekranSexSexSexSexSexIs (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.104321Male2Female9MissingHighest level of education attended (Mother/Caretaker)Highest level of education attended (Mother/Caretaker)Highest level of education attended (Mother/Caretaker)Highest level of education attended (Mother/Caretaker)Highest level of education attended (Mother/Caretaker)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 ED5.14059027Preschool1Primary2Middle3Matric4Higher5Madrassa8DK9MissingSysmissHighest grade at level (Mother/Caretaker)Highest grade at level (Mother/Caretaker)Highest grade at level (Mother/Caretaker)Highest grade at level (Mother/Caretaker)Highest grade at level (Mother/Caretaker)What is the highest grade (name) completed at this level?For household members age 5 and above, ask ED1-ED8:
Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B.
Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5.
Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank.
For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period).1398903412345678910111214151697Inconsistent98DK99MissingSysmissPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit104321844420.049248.068StrataStrataStrataStrataStrata104321127.8063.025Date of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)1043213221323132413251326132713281329Date 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)9734698126313271290.97116.712Age (months)Age (months)Age (months)Age (months)Age (months)97346985933.44916.824AgeAgeAgeAgeAge973469810-526-11312-23424-35536-47648-59SysmissAgeAgeAgeAgeAge973469810-11212-23324-35436-47548-59SysmissMother's educationMother's educationMother's educationMother's educationMother's education10432131None2Primary3Secondary9Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score10432-1.6733.108-0.005730.932Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles104321Poorest2Second3Middle4Fourth5RichestChildren's sample weightChildren's sample weightChildren's sample weightChildren's sample weightChildren's sample weight104324.6790.9330.66