DDI_BLZ_2011_MICS_v01_MDevelopment Data Group2013-02-04NADAVersion 01 (February 2013)Multiple Indicator Cluster Survey 2011MICS 2011BLZ_2011_MICS_v01_MStatistical Institute of BelizeUnited Nations Children’s Fund
Dr.Nathalia Largaespada Beer
Ms.Yuvone Flowers
Mr. John Flowers
Mark Antrobus
Ms. Ann Marie Williams
Mr. Dylan Williams
Mariana Mansur
Joe Hendrix
NADAUnited Nations Children’s FundThe World Bank Microdata LibraryMr. Glenn AvilezChristine NortonPaulette WadeMultiple 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.The Belize Multiple Indicator Cluster Survey (MICS 4) 2011 is a part of the UNICEF - GOB Programme of Cooperation to monitor the progress of boys and girls development in Belize. MICS provides updated statistically sound and internationally comparable estimates of a range of indicators in the areas of health, education, child protection (including disabilities), water and sanitation and HIV and AIDS. The survey provides information on the prevalence of child mortality, stunting, wasting, underweight, and obesity; breastfeeding and supplementary feeding practices, including the immunization status of children. Information is also provided on the prevalence of diarrhea and pneumonia among young children and treatment sought. Valuable data on health practices, including access to improved drinking water sources and sanitation, and knowledge about HIV and AIDS are made available. Belize would also have data on child development, child protection and life satisfaction. The findings from the MICS are one of the most important sources of data used as a basis for policy decisions and programme interventions, and for influencing public opinion on the situation of children and women.BelizeNational- 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 and all children between the ages of 2 and 9 years.Sample survey data [ssd]The scope of the Multiple Indicator Cluster Survey includes:
- Household: Household Information Panel, Household Listing Form, Education, Water and Sanitation, Household Characteristics, Insecticide Treated Nets, Child Labor, Child Discipline, and Hand Washing.
- Women: Women Information Panel, Woman's Background, Child Mortality, Desire for Last Birth, Maternal and Newborn Health, Post Natal Health Checks, Illness Symptoms, Contraception, Unmet Need, Marriage/Union, Attitudes towards Domestic Violence, Sexual Behaviour, HIV/AIDS and Life Satisfaction.
- Children under five: Under Five Information Panel, Age, Birth Registration, Early Childhood Development, Breastfeeding, Care of Illness, Immunization and Anthropometry.
- Child disability (2-9 years old): Child Disability Questionnaire Form, Child Disability.Statistical Institute of BelizeThe primary objective of the sample design for the Belize Multiple Indicator Cluster Survey was to produce statistically reliable estimates of most indicators, at the national level, for urban and rural areas, and for the seven regions Corozal, Orange Walk, Belize City South Side, Belize Other, Cayo, Stann Creek and Toledo of the country. Urban and rural areas in each of the seven regions were defined as the sampling strata.
A multi-stage, stratified cluster sampling approach was used for the selection of the survey sample.
The target sample size for the Belize MICS was calculated as 4,900 households. For the calculation of the sample size, the key indicator used was the vitamin A supplementation prevalence among children aged 0-4 years.
Equal allocation of the total sample size to the seven regions was used. The resulting number of households from this exercise was 700 households which is the sample size needed in each region - thus yielding about 4,900 households in total. The average number of households selected per cluster for the Belize MICS was determined as 25 households, 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 28 sample clusters (enumeration districts or EDs) would need to be selected in each region.
Therefore, 28 clusters (EDs) were allocated to each region, with the final sample size calculated at 4,900 households (28 clusters * 7 regions * 25 sample households per cluster). In each region, the clusters (primary sampling units) were distributed to urban and rural domains, proportional to the number of households in the urban and rural areas of that region. The table below shows the allocation of clusters to the sampling strata.
The sampling procedures are more fully described in "Belize Multiple Indicator Cluster Survey 2011 - Final Report" pp.183.-187.Face-to-face [f2f]The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered to a knowledgeable adult living in the household. The household questionnaire includes Household Information Panel, Household Listing Form, Education, Water and Sanitation, Household Characteristics, Insecticide Treated Nets, Child Labor, Child Discipline, and Hand Washing.
In addition to a household questionnaire, the Questionnaire for Individual Women was administered to all women aged 15-49 years living in the households. The women's questionnaire includes Women Information Panel, Woman's Background, Child Mortality, Desire for Last Birth, Maternal and Newborn Health, Post Natal Health Checks, Illness Symptoms, Contraception, Unmet Need, Marriage/Union, Attitudes towards Domestic Violence, Sexual Behaviour, HIV/AIDS and Life Satisfaction.
The Questionnaire for Children Under-Five was administered to mothers or caretakers of children under 5 years of age1 living in the households. The children's questionnaire includes Under Five Information Panel, Age, Birth Registration, Early Childhood Development, Breastfeeding, Care of Illness, Immunization and Anthropometry.
The Questionnaire for Child Disability was also administered to mothers or primary caretakers of children between the ages of 2 and 9 years. The questionnaire includes Child Disability Questionnaire Form, Child Disability.Training for the fieldwork was conducted in two phases. The training of trainers was conducted from 30th May to 8th June, 2011 in Belmopan City and the ten-day main training of field staff was conducted from 13th June to 24th June, 2011 in Belize City at a centralized location. Training included lectures on interviewing techniques and the contents of the questionnaires, and mock interviews between trainees to gain practice in asking questions. Time was spent becoming familiar with the various vaccination cards in use and all field staff were trained in the use of the anthropomorphic measuring tools. Towards the end of the training period, trainees spent one day in practice interviewing in several enumeration districts in Belize City.
The data were collected by seven teams; each was comprised of four interviewers, one driver, one editor and one field supervisor. Even though the MICS programme requires the use of a dedicated Measurer as part of each data collection team, in Belize MICS 2011 measuring was done by the field supervisor with assistance as needed from the editor. One standby interviewer was provided for each team in the event that an interviewer was unable to continue working. Fieldwork began on 13th June, 2011 and concluded on 5th August, 2011.There is one supervisor for each of the 7 survey teams in the field.Sample weights were calculated and these were used in the subsequent analyses of the survey data.
Thirteen primary sampling units (PSU) were used in producing the sample of households:
Corozal urban, Corozal rural, Orange Walk urban , Orange Walk rural, Belize other urban, Belize Other rural, Belize City South Side, Cayo urban, Cayo rural, Stann Creek urban, Stann Creek rural, Toledo urban, Toledo rural.
Seven strata (regions) were used: Corozal, Orange Walk, Belize District (Excluding Belize City South Side), Belize City South Side, Cayo, Stann Creek and Toledo and enumeration districts (ED) constitute the clusters. It was decided that 28 clusters (ED) would be chosen from each stratum and that 25 households would be chosen from each selected ED.
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 h/ 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 national level. Normalization is achieved by dividing the full sample weights (adjusted for nonresponse) by the average of these weights across all households at the national level. This is performed by multiplying the sample weights by a constant factor equal to the un-weighted number of households at the national level divided by the weighted total number of households (using the full sample weights adjusted for nonresponse). A similar standardization procedure was followed in obtaining standardized weights for the women’s and under-5’s questionnaires. Adjusted (normalized) weights varied between 0.452178 and 1.768905 in the 196 sample enumeration districts (clusters).
Sample weights were appended to all data sets and analyses were performed by weighting each household, woman or under-5 with these sample weights.Data were entered using the CSPro software. The data were entered on six microcomputers and carried out by six data entry operators and two data entry supervisors. In order to ensure quality control, all questionnaires were double entered and internal consistency checks were performed. Procedures and standard programs developed under the global MICS4 programme and adapted to the Belize questionnaire were used throughout. Data processing began simultaneously with data collection in June, 2011 and was completed in September, 2011. Data were analysed using the Statistical Package for Social Sciences (SPSS) software program, Version 18, and the model syntax and tabulation plans developed by UNICEF were used for this purpose.Of the 4,900 households selected for the sample, 4,608 were found to be occupied. Of these, 4,424 were successfully interviewed for a household response rate of 96.0 percent. In the interviewed households, 4,485 women (age 15-49 years) were identified. Of these, 4,096 were successfully interviewed, yielding a response rate of 91.3 percent within interviewed households. In addition, 1,982 children under age five were listed in the household questionnaire. Questionnaires were completed for 1,946 of these children, which corresponds to a response rate of 98.2 percent within interviewed households. A total of 3,287 children between the ages of 2 and 11 years were identified and Disability Questionnaires were completed for 3,234 of these children yielding a response rate of 98.4 percent. Overall response rates of 87.8 percent and 94.3 percent are calculated for the women’s and under-5’s interviews respectively.Sampling errors are a measure of the variability between the estimates from all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey data.
The following sampling error measures are presented in this appendix for each of the selected indicators:
• Standard error (se): Sampling errors are usually measured in terms of standard errors for particular indicators (means, proportions etc). Standard error is the square root of the variance of the estimate. The Taylor linearization method is used for the estimation of standard errors.
• Coefficient of variation (se/r) is the ratio of the standard error to the value of the indicator, and is a measure of the relative sampling error.
• Design effect (deff) is the ratio of the actual variance of an indicator, under the sampling method used in the survey, to the variance calculated under the assumption of simple random sampling. The square root of the design effect (deft) is used to show the efficiency of the sample design in relation to the precision. A deft value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a deft value above 1.0 indicates the increase in the standard error due to the use of a more complex sample design.
• Confidence limits are calculated to show the interval within which the true value for the population can be reasonably assumed to fall, with a specified level of confidence. For any given statistic calculated from the survey, the value of that statistic will fall within a range of plus or minus two times the standard error (r + 2.se or r – 2.se) of the statistic in 95 percent of all possible samples of identical size and design.
For the calculation of sampling errors from MICS data, SPSS Version 18 Complex Samples module has been used. The results are shown in the tables that follow. In addition to the sampling error measures described above, the tables also include weighted and un-weighted counts of denominators for each indicator.
Sampling errors are calculated for indicators of primary interest, for the national level, for the regions, and for urban and rural areas. Three of the selected indicators are based on households, 8 are based on household members, 13 are based on women, and 15 are based on children under 5. All indicators presented here are in the form of proportions.A series of data quality tables are available to review the quality of the data and include the following:
- Age distribution of the household population
- Age distribution of eligible and interviewed women
- Age distribution of children under 5 in household and children under 5 questionnaires
- Women's completion rates by socio-economic characteristics of households
- Completion rates for under-five questionnaires by socio-economic characteristics of households
- Completeness of reporting
- Completeness of information for anthropometric indicators
- Heaping in anthropometric measurements
- Observation of women's health cards
- Observation of children under 5 birth certificates
- Observation of vaccination cards
- Presence of mother in the household and the person interviewed for the under-5 questionnaire
- Selection of children age 2-14 years for the child discipline module
- School attendance by single age
- Sex ratio at birth among children ever born and living
The results of each of these data quality tables are shown in appendix F in document "Belize Multiple Indicator Cluster Survey 2011 - Final Report" pp.210-220.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, Statistical Institute of Belize. Belize Multiple Indicator Cluster Survey (MICS) 2011, Ref. BLZ_2011_MICS_v01_M. Dataset downloaded from [url] on [date].Survey datasets are distributed at no cost for legitimate research, with the condition that we receive a description of the objectives of any research project that will be using the data prior to authorizing their distribution.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, Immunization, and Anthropometry.)1982270daData collected at the children's level (MICS Child Disability questionnaire modules)328949hhData collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Child discipline and Hand washing.)4900127hlData collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, and Child labour.)1753864wmData collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Desire for last birth, Maternal and newborn health, Post-natal health checks, Illness symptoms, Contraception, Unmet need, Attitudes toward domestic violence, Marriage/union, Sexual behavior, HIV/AIDS and Life satisfaction.)4485277Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.1982119698.94860.078Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.198212513.2727.032Line numberLine numberLine numberLine numberLine number19822255.7132.592Cluster numberCluster numberCluster numberCluster numberCluster numberUF1-UF8 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.1982119698.94860.078Household numberHousehold numberHousehold numberHousehold numberHousehold numberUF1-UF8 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.198212513.2727.032Child'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.19822255.7132.592Mother / 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.19821234567810Interviewer 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.198247744.56520.638Day 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.198213015.6659.096Month 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.1982678Year 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.19822011Result 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.19821Completed2Not at home3Refused4Partly completed5Incapacitated96OtherField 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.198219042.79721.323Data 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.19821234567Start 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.19463612345678910111299MissingSysmissStart 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.19463659123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585999MissingSysmissAM/PMAM/PMAM/PMAM/PMAM/PM1946APapEnd 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.19463612345678910111299MissingSysmissEnd 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.19463659123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585999MissingSysmissAM/PMAM/PMAM/PMAM/PMAM/PM1946APapDay 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 about the age of (name).
In what 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.1946361981234567891011121314151617181920212223242526272829303197Inconsistent98DK99MissingSysmissMonth 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 about the age of (name).
In what 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.19463612345678910111297Inconsistent98DK99MissingSysmissYear 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 about the age of (name).
In what 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.1946362006200720082009201020119997Inconsistent9999MissingSysmissAge 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.1946361234SysmissBirth 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.1946361Yes, seen2Yes, not seen3No8DK9MissingSysmissBirth registeredBirth registeredBirth registeredBirth registeredBirth registeredHas (name)’s birth been registered with the vital statistics unit (registry), magistrate’s court, village registrar or hospital?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.20517771Yes2No8DK9MissingSysmissKnow 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.9318891Yes2No9MissingSysmissNumber of children's books or picture books for childNumber of children's books or picture books for childNumber of children's books or picture books for childNumber of children's books or picture books for childNumber of children'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'.19463612345678910Ten 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. What does (name) play with?
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.1946361Yes2No8DK9MissingSysmissToys 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. What does (name) play with?
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.1946361Yes2No8DK9MissingSysmissHousehold 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. What does (name) play with?
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.1946361Yes2No8DK9MissingSysmissIn past week, days left alone for more than 1 hourIn past week, days left alone for more than 1 hourIn past week, days left alone for more than 1 hourIn past week, days left alone for more than 1 hourIn past week, days 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.194636None12348DK9MissingSysmissIn past week, days left with other child for more than 1 hourIn past week, days left with other child for more than 1 hourIn past week, days left with other child for more than 1 hourIn past week, days left with other child for more than 1 hourIn past week, days 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.194636None12345678DK9MissingSysmissAttends 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'.79011921Yes2No8DK9MissingSysmissWithin last 7 days, hours attended educationWithin last 7 days, hours attended educationWithin last 7 days, hours attended educationWithin last 7 days, hours attended educationWithin last 7 days, hours attended educationWithin 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.231175123569101213151618202128304999MissingSysmissBooks-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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.465?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.216?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.223?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.181?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.461?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.208?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.203?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.185?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.539?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.198?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.239?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.110?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.549?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.294?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.241?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.89?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.541?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.300?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.304?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.64?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.487?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.223?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.252?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):
If yes, ask: who engaged in this activity with (name)? - the mother, the child's father or another adult member of the household (including the caretaker/respondent).
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.145?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.79011921Yes2No8DK9MissingSysmissChild 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.79011921Yes2No8DK9MissingSysmissChild knows name and recognizes symbol of all numbers from 1-10Child knows name and recognizes symbol of all numbers from 1-10Child knows name and recognizes symbol of all numbers from 1-10Child knows name and recognizes symbol of all numbers from 1-10Child knows name and 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.79011921Yes2No8DK9MissingSysmissChild 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.79011921Yes2No8DK9MissingSysmissChild 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).79011921Yes2No8DK9MissingSysmissChild 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.79011921Yes2No8DK9MissingSysmissChild 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.79011921Yes2No8DK9MissingSysmissChild 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.79011921Yes2No8DK9MissingSysmissChild 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).79011921Yes2No8DK9MissingSysmissChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyChild gets distracted easilyDoes (name) gets distracted 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.79011921Yes2No8DK9MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild 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.17502321Yes2No8DK9MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild 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 BF6.1946361Yes2No8DK9MissingSysmissTimes 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.42415581234567891011121399MissingSysmissChild 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 BF8.1946361Yes2No8DK9MissingSysmissTimes 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.967101512345678910121599MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayChild drank soup yesterdayDid (name) drink watery soup yesterday, during the day or night?Circle the code corresponding to the response.1946361Yes2No8DK9MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild 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.1946361Yes2No8DK9MissingSysmissChild 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 BF15.1946361Yes2No8DK9MissingSysmissTimes 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.1801802123451499MissingSysmissChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayChild ate thin porridge yesterdayDid (name) eat porridge/lab yesterday, during the day or night?Circle the code corresponding to the response.1946361Yes2No8DK9MissingSysmissChild 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 BF18.1946361Yes2No8DK9MissingSysmissTimes 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.1662320123456899MissingSysmissChild drank anything else from the bottle with a nipple yesterdayChild drank anything else from the bottle with a nipple yesterdayChild drank anything else from the bottle with a nipple yesterdayChild drank anything else from the bottle with a nipple yesterdayChild drank anything else from the bottle with a nipple yesterdayYesterday, during the day or night, did (name) drink anything from a bottle with a nipple?Circle the code corresponding to the response.1946361Yes2No8DK9MissingSysmissChild 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 weeksHas (name) had diarrhoea in the last two weeks, that is, since (day of the week) of the week before last?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 CA7.1946361Yes2No8DK9MissingSysmissChild 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, more than usual or nothing to drink?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.14818341Much 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).14818341Much 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 oral rehydration salt?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.14818341Yes2No8DK9MissingSysmissPre-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.14818341Yes2No8DK9MissingSysmissPedialytePedialytePedialytePedialytePedialyteDuring the episode of diarrhoea, was (name) given to drink any of the following:
Pedialyte?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.14818341Yes2No8DK9MissingSysmissGovt. recommended homemade fluid YGovt. recommended homemade fluid YGovt. recommended homemade fluid YGovt. recommended homemade fluid YGovt. recommended homemade fluid YDuring the episode of diarrhoea, was (name) given to drink any of the following:
Govt. recommended homemade fluid YWe 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.19821Yes2No8DK9MissingSysmissGovt. recommended homemade fluid ZGovt. recommended homemade fluid ZGovt. recommended homemade fluid ZGovt. recommended homemade fluid ZGovt. recommended homemade fluid ZDuring the episode of diarrhoea, was (name) given to drink any of the following:
Govt. recommended homemade fluid ZWe 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.19821Yes2No8DK9MissingSysmissAnything 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 the 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 CA7.14818341Yes2No8DK9MissingSysmissOther 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.32?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.13?MissingBAntimotility pill or syrupOther treatment (pill or syrup): ZincOther treatment (pill or syrup): ZincOther treatment (pill or syrup): ZincOther treatment (pill or syrup): ZincOther treatment (pill or syrup): ZincWhat (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.?MissingCZinc pill or syrupOther treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)What (else) was given to treat diarrhoea?If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.1?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.4?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.2?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.?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.1?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.1?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.12?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.18?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'.1946361Yes2No8DK9MissingSysmissDifficulty 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 (name) 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 CA14.30216801Yes2No8DK9MissingSysmissSymptoms 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.12218601Problem 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 CA12.6919131Yes2No8DK9MissingSysmissPlace sought care: (public sector) Government hospitalPlace sought care: (public sector) Government hospitalPlace sought care: (public sector) Government hospitalPlace sought care: (public sector) Government hospitalPlace sought care: (public sector) 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.22?MissingAGovernment hospitalPlace sought care: (public sector) Government health centerPlace sought care: (public sector) Government health centerPlace sought care: (public sector) Government health centerPlace sought care: (public sector) Government health centerPlace sought care: (public sector) Government health centerFrom 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.16?MissingBGovernment health centerPlace sought care: (public sector) Government health postPlace sought care: (public sector) Government health postPlace sought care: (public sector) Government health postPlace sought care: (public sector) Government health postPlace sought care: (public sector) Government health postFrom 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.?MissingCGovernment health postPlace sought care: (public sector) Village health workerPlace sought care: (public sector) Village health workerPlace sought care: (public sector) Village health workerPlace sought care: (public sector) Village health workerPlace sought care: (public sector) Village health workerFrom 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.?MissingDVillage health workerPlace sought care: (public sector) Mobile / Outreach clinicPlace sought care: (public sector) Mobile / Outreach clinicPlace sought care: (public sector) Mobile / Outreach clinicPlace sought care: (public sector) Mobile / Outreach clinicPlace sought care: (public sector) Mobile / Outreach 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.?MissingEMobile / Outreach clinicPlace 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.12?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.3?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.1?MissingKPrivate pharmacyPlace sought care: Mobile clinicPlace sought care: Mobile clinicPlace sought care: Mobile clinicPlace sought care: Mobile clinicPlace sought care: Mobile 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.?MissingLMobile clinicPlace 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.1?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.1?MissingPRelative / FriendPlace sought care: ShopPlace sought care: ShopPlace sought care: ShopPlace sought care: ShopPlace sought care: ShopFrom 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.?MissingQShopPlace sought care: Traditional practitionerPlace sought care: Traditional practitionerPlace sought care: Traditional practitionerPlace sought care: Traditional practitionerPlace sought care: Traditional practitionerFrom 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.?MissingRTraditional practitionerPlace 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.1?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 CA14.6919131Yes2No8DK9MissingSysmissMedicine: 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'.40?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'.6?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'.?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'.5?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'.?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'.3?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'.23?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'.1?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.11568261Child used toilet / latrine2Put / Rinsed into toilet or latrine3Put / Rinsed into drain or ditch4Thrown into garbage (solid waste)5Buried6Left in the open96Other98DK99MissingSysmissVaccination card for childVaccination card for childVaccination card for childVaccination card for childVaccination card for childDo you have a card 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.1946361Yes, 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 IM6.16418181Yes2No9MissingSysmissDay 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 IM4.134663699Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother9799MissingSysmissMonth 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 IM4.132365912345678910111299MissingSysmissYear 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 IM4.13236592006200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.12787041234567891011129799MissingSysmissYear 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 IM4.12787042006200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.12327501234567891011129799MissingSysmissYear 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 IM4.12327502006200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.11248581234567891011129799MissingSysmissYear 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 IM4.1124858200720082009201020119999MissingSysmissDay 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 IM4.134663666Not given12345678910121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.109187312345678910111299MissingSysmissYear 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 IM4.1091873200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.12657171234567891011129799MissingSysmissYear 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 IM4.12657172006200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.12077751234567891011129799MissingSysmissYear 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 IM4.12077752006200720082009201020119999MissingSysmissDay 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked 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 IM4.11178651234567891011129799MissingSysmissYear 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 IM4.1117865200720082009201020119999MissingSysmissDay of DPT4 immunizationDay of DPT4 immunizationDay of DPT4 immunizationDay of DPT4 immunizationDay of DPT4 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 IM4.134663666Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth of DPT4 immunizationMonth of DPT4 immunizationMonth of DPT4 immunizationMonth of DPT4 immunizationMonth of DPT4 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 IM4.122186012345678910111299MissingSysmissYear of DPT4 immunizationYear of DPT4 immunizationYear of DPT4 immunizationYear of DPT4 immunizationYear of DPT4 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 IM4.1221860200720082009201020119999MissingSysmissDay of DTaP-P1Day of DTaP-P1Day of DTaP-P1Day of DTaP-P1Day of DTaP-P1You 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 IM4.1346636Not given23467811121418192022242627283044Marked on card - no date given66Reported by mother99MissingSysmissMonth of DTaP-P1Month of DTaP-P1Month of DTaP-P1Month of DTaP-P1Month of DTaP-P1You 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 IM4.31195112345678910111299MissingSysmissYear of DTaP-P1Year of DTaP-P1Year of DTaP-P1Year of DTaP-P1Year of DTaP-P1You 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 IM4.3119512006200720082009201020119999MissingSysmissDay of DTaP-P2Day of DTaP-P2Day of DTaP-P2Day of DTaP-P2Day of DTaP-P2You 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 IM4.1346636Not given3467891014151620212425262728293044Marked on card - no date given66Reported by mother99MissingSysmissMonth of DTaP-P2Month of DTaP-P2Month of DTaP-P2Month of DTaP-P2Month of DTaP-P2You 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 IM4.27195512345689101199MissingSysmissYear of DTaP-P2Year of DTaP-P2Year of DTaP-P2Year of DTaP-P2Year of DTaP-P2You 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 IM4.2719552006200720082009201020119999MissingSysmissDay of DTaP-P3Day of DTaP-P3Day of DTaP-P3Day of DTaP-P3Day of DTaP-P3You 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 IM4.1346636Not given1341012151617192023242528293044Marked on card - no date given66Reported by mother99MissingSysmissMonth of DTaP-P3Month of DTaP-P3Month of DTaP-P3Month of DTaP-P3Month of DTaP-P3You 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 IM4.18196413578910111299MissingSysmissYear of DTaP-P3Year of DTaP-P3Year of DTaP-P3Year of DTaP-P3Year of DTaP-P3You 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 IM4.181964200720082009201020119999MissingSysmissDay of DTaP-P4Day of DTaP-P4Day of DTaP-P4Day of DTaP-P4Day of DTaP-P4You 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 IM4.1346636Not given2544Marked on card - no date given66Reported by mother99MissingSysmissMonth of DTaP-P4Month of DTaP-P4Month of DTaP-P4Month of DTaP-P4Month of DTaP-P4You 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 IM4.11981899MissingSysmissYear of DTaP-P4Year of DTaP-P4Year of DTaP-P4Year of DTaP-P4Year of DTaP-P4You 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 IM4.1198120099999MissingSysmissDay of HIB1Day of HIB1Day of HIB1Day of HIB1Day of HIB1You 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 IM4.134663666Not given1258910111314151617182021222425262728293044Marked on card - no date given66Reported by mother99MissingSysmissMonth of HIB1Month of HIB1Month of HIB1Month of HIB1Month of HIB1You 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 IM4.5419281234567810111299MissingSysmissYear of HIB1Year of HIB1Year of HIB1Year of HIB1Year of HIB1You 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 IM4.541928200620082009201020119999MissingSysmissDay of HIB2Day of HIB2Day of HIB2Day of HIB2Day of HIB2You 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 IM4.1346636Not given2468101213141516171920212425263044Marked on card - no date given66Reported by mother99MissingSysmissMonth of HIB2Month of HIB2Month of HIB2Month of HIB2Month of HIB2You 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 IM4.421940123456789111299MissingSysmissYear of HIB2Year of HIB2Year of HIB2Year of HIB2Year of HIB2You 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 IM4.421940200720082009201020119999MissingSysmissDay of HIB3Day of HIB3Day of HIB3Day of HIB3Day of HIB3You 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 IM4.1346636Not given1238915172026283044Marked on card - no date given66Reported by mother99MissingSysmissMonth of HIB3Month of HIB3Month of HIB3Month of HIB3Month of HIB3You 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 IM4.15196712368111299MissingSysmissYear of HIB3Year of HIB3Year of HIB3Year of HIB3Year of HIB3You 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 IM4.15196720082009201020119999MissingSysmissDay of HIB4Day of HIB4Day of HIB4Day of HIB4Day of HIB4You 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 IM4.1346636Not given62344Marked on card - no date given66Reported by mother99MissingSysmissMonth of HIB4Month of HIB4Month of HIB4Month of HIB4Month of HIB4You 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 IM4.2198049799MissingSysmissYear of HIB4Year of HIB4Year of HIB4Year of HIB4Year of HIB4You 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 IM4.2198020119999MissingSysmissDay 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 IM4.1346636Not given241114162428293044Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.111971134689111299MissingSysmissYear 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 IM4.1119712006200720082009201020119999MissingSysmissDay 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 IM4.1346636Not given6711162444Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.519771381099MissingSysmissYear 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 IM4.51977200720089999MissingSysmissDay 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 IM4.1346636Not given13182244Marked on card - no date given66Reported by mother99MissingSysmissMonth 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 IM4.4197845101199MissingSysmissYear 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 IM4.41978200720089999MissingSysmissDay measles 1 or MMR immunizationDay measles 1 or MMR immunizationDay measles 1 or MMR immunizationDay measles 1 or MMR immunizationDay measles 1 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 IM4.134663644Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth Measles 1 or MMR immunizationMonth Measles 1 or MMR immunizationMonth Measles 1 or MMR immunizationMonth Measles 1 or MMR immunizationMonth Measles 1 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 IM4.100397912345678910111299MissingSysmissYear of Measles 1 or MMR immunizationYear of Measles 1 or MMR immunizationYear of Measles 1 or MMR immunizationYear of Measles 1 or MMR immunizationYear of Measles 1 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 IM4.1003979200720082009201020119999MissingSysmissDay Measles 2 or MMR immunizationDay Measles 2 or MMR immunizationDay Measles 2 or MMR immunizationDay Measles 2 or MMR immunizationDay Measles 2 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 IM4.134663666Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth Measles 2 or MMR immunizationMonth Measles 2 or MMR immunizationMonth Measles 2 or MMR immunizationMonth Measles 2 or MMR immunizationMonth Measles 2 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 IM4.627135512345678910111299MissingSysmissYear of Measles 2 or MMR immunizationYear of Measles 2 or MMR immunizationYear of Measles 2 or MMR immunizationYear of Measles 2 or MMR immunizationYear of Measles 2 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 IM4.6271355200720082009201020119999MissingSysmissDay of Vitamin ADay of Vitamin ADay of Vitamin ADay of Vitamin ADay of Vitamin AYou 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 IM4.134663666Not given1234567891011121314151617181920212223242526272829303144Marked on card - no date given66Reported by mother99MissingSysmissMonth of Vitamin AMonth of Vitamin AMonth of Vitamin AMonth of Vitamin AMonth of Vitamin AYou 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 IM4.187179512345678910111299MissingSysmissYear of Vitamin AYear of Vitamin AYear of Vitamin AYear of Vitamin AYear of Vitamin AYou 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 IM4.18717952006200720082009201020119999MissingSysmissChild 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 IM18.13466361Yes2No8DK9MissingSysmissChild 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 IM18.13316511Yes2No8DK9MissingSysmissChild 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.60013821Yes2No8DK9MissingSysmissChild 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 IM11.46915131Yes2No8DK9MissingSysmissTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationTimes child given Polio vaccinationHow many times was he/she given these drops?Fill in the number in the space provided.46915131289MissingSysmissChild ever given pentavalent vaccinationChild ever given pentavalent vaccinationChild ever given pentavalent vaccinationChild ever given pentavalent vaccinationChild ever given pentavalent vaccinationHas (name) ever received a pentavalent vaccination – that is, an injection to prevent him/her from getting diphteria, whooping cough, tetanus, hepatitis B, influenzae B?Probe by indicating that Pentavalent vaccination is sometimes given at the same time as Polio.427155512345679SysmissTimes child given pentavalent vaccinationTimes child given pentavalent vaccinationTimes child given pentavalent vaccinationTimes child given pentavalent vaccinationTimes child given pentavalent vaccinationHow many times was a pentavalent vaccine received?4531529128SysmissChild 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.
Probe by indicating that DPT vaccination is sometimes given at the same time as polio39715851Yes2No348DK9MissingSysmissTimes 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.41315691289MissingSysmissEver received DTaP-P1 vaccinationEver received DTaP-P1 vaccinationEver received DTaP-P1 vaccinationEver received DTaP-P1 vaccinationEver received DTaP-P1 vaccinationHas (name) ever received a DTaP-P1 vaccination – that is, an injection to prevent him/her from getting diphteria, whooping cough, tetanus, polio?791903128SysmissTimes received DTaP-P1 vaccinationTimes received DTaP-P1 vaccinationTimes received DTaP-P1 vaccinationTimes received DTaP-P1 vaccinationTimes received DTaP-P1 vaccinationHow many times was a DTaP-P1 vaccine received?151967123SysmissEver received HIB1 vaccinationEver received HIB1 vaccinationEver received HIB1 vaccinationEver received HIB1 vaccinationEver received HIB1 vaccinationHas (name) ever received a HIB1 vaccination – that is, an injection to prevent him/her from getting haemophilus influenzae type b (flu)?791903128SysmissTimes received HIB1 vaccinationTimes received HIB1 vaccinationTimes received HIB1 vaccinationTimes received HIB1 vaccinationTimes received HIB1 vaccinationHow many times was a HIB1 vaccine received?211961123SysmissChild 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.
Probe by indicating that the hepatitis B vaccine is sometimes given at the same time as polio and DPT vaccines7919031Yes2No8DK9MissingSysmissHepatitis 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.1919631Within 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.1919631239MissingSysmissChild 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'.46915131Yes2No8DK9MissingSysmissTimes child given Measles or MMR vaccinationTimes child given Measles or MMR vaccinationTimes child given Measles or MMR vaccinationTimes child given Measles or MMR vaccinationTimes child given Measles or MMR vaccinationHow many times was a measles injection or an MMR injection vaccine received?3681614123489SysmissChild given Vitamin A dose within last 6 monthsChild given Vitamin A dose within last 6 monthsChild given Vitamin A dose within last 6 monthsChild given Vitamin A dose within last 6 monthsChild given Vitamin A dose within last 6 monthsHas (name) received a vitamin A dose within the last 6 months?This question asks if the child has received a vitamin A supplement.
Show the capsule or dispenser you were given to help the caretaker remember. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question.1946361Yes2No8DK9MissingSysmissMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer's identification codeMeasurer’s name and number: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.1946369934.30522.234Result 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 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'.1946361Either 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)Child’s weightThe 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'.18271552.699.92.62.82.933.23.33.53.63.73.83.944.14.24.34.44.54.64.74.84.955.25.35.45.55.75.85.966.16.26.36.46.56.66.76.86.977.17.27.37.47.57.67.77.87.988.18.28.38.48.58.68.78.88.999.19.29.39.49.59.69.79.89.91010.110.210.310.410.510.610.710.810.91111.111.211.311.411.511.611.711.811.91212.112.212.312.412.512.612.712.812.91313.113.213.313.413.513.613.713.813.91414.114.214.314.414.514.614.714.814.91515.115.215.315.415.515.615.715.815.91616.116.216.316.416.516.616.716.816.91717.117.217.317.417.517.617.717.817.91818.118.218.318.418.518.618.718.818.91919.119.219.319.419.519.619.719.819.92020.120.320.421.221.422.422.623.323.624.224.324.524.82525.125.626.326.428.532.699.9MissingSysmissChild 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.18271551Lying 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.182715535.5999.935.535.84646.348.65050.650.751.351.551.651.75252.152.252.352.552.65353.353.95454.354.555.255.555.75656.156.256.556.656.756.856.95757.75858.358.458.558.85959.159.359.459.559.96060.160.260.360.56161.161.261.461.561.86262.262.462.562.76363.263.363.463.563.663.763.96464.264.464.564.66565.165.465.565.665.765.865.96666.166.266.366.566.766.96767.167.267.367.467.567.667.767.867.96868.268.368.568.86969.169.469.569.669.77070.270.370.470.570.670.770.87171.171.271.371.471.571.77272.172.272.372.472.572.672.772.87373.173.273.473.573.673.773.87474.274.374.474.574.674.774.874.97575.175.275.375.475.575.675.775.875.97676.176.276.476.576.676.776.876.97777.177.277.377.477.577.677.777.877.97878.278.378.478.578.678.778.878.97979.179.279.379.479.579.679.779.879.98080.180.280.380.480.580.680.98181.181.281.381.481.581.681.781.881.98282.182.282.382.482.582.682.782.882.98383.183.283.383.483.583.683.783.883.98484.184.284.384.584.684.784.88585.185.285.385.485.585.685.785.98686.186.286.386.486.586.686.786.886.98787.187.287.387.487.587.687.787.887.98888.188.288.388.488.588.688.788.888.98989.189.289.389.589.689.789.889.99090.190.290.390.490.590.690.790.890.99191.191.291.391.491.591.691.791.89292.192.292.392.492.592.692.792.99393.193.293.393.493.593.693.793.893.99494.194.294.394.494.594.694.794.894.99595.195.295.395.495.595.695.795.895.99696.196.296.396.496.596.696.796.896.99797.197.297.397.497.597.697.797.897.99898.198.298.398.498.598.698.798.898.99999.199.299.399.499.599.699.799.899.9100100.1100.2100.3100.4100.5100.6100.7100.8101101.1101.2101.3101.4101.5101.6101.7101.8101.9102102.1102.2102.3102.4102.5102.6102.7102.8102.9103103.1103.2103.3103.4103.5103.6103.7103.8104104.1104.2104.3104.4104.5104.6104.7104.8105105.1105.2105.3105.4105.5105.7105.9106106.1106.2106.3106.4106.5106.6106.7106.8106.9107.1107.2107.3107.4107.6107.7107.9108108.1108.2108.3108.4108.5108.6108.8109109.1109.2109.3109.5109.6109.7110110.1110.7110.9111111.1111.2111.3111.6111.8112112.5112.6113.5114114.2115.9116.4117117.3117.5117.7118120.4137999.9MissingSysmissOedema 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.19821Checked, 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 variable19463699.935.59233.134Height 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 variable194636-9.989.99-0.1153.068Height 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 variable19463661.4999.9157.045225.641Weight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSWeight for age percentile NCHSRecoded variable19463699.940.0733.194Weight 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 variable194636-5.739.990.1872.847Weight 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 variable19463640.8999.9152.629220.638Weight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSWeight for height percentile NCHSRecoded variable19463699.952.87431.867Weight 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 variable194636-6.799.990.82.932Weight 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 variable19463641.4999.9166.112231.893Flag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicatorsFlag for anthropometric indicators194636No 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 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out of range99.99Not measuredSysmissBody Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score WHOBody Mass Index z-score 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variable194636-5.5699.99-5.56-4.99-4.88-4.41-4.08-4.06-3.87-3.77-3.74-3.69-3.61-3.53-3.48-3.4-3.37-3.35-3.34-3.29-3.23-3.21-3.06-3.02-3.01-2.94-2.92-2.86-2.85-2.84-2.82-2.8-2.79-2.75-2.71-2.7-2.69-2.67-2.64-2.63-2.62-2.6-2.59-2.58-2.57-2.55-2.53-2.5-2.46-2.45-2.44-2.43-2.42-2.4-2.39-2.37-2.35-2.33-2.3-2.28-2.27-2.26-2.23-2.21-2.2-2.19-2.17-2.16-2.14-2.13-2.12-2.11-2.1-2.09-2.08-2.07-2.06-2.05-2.04-2.03-2.01-2-1.99-1.98-1.97-1.96-1.95-1.94-1.93-1.92-1.91-1.9-1.89-1.88-1.87-1.86-1.85-1.83-1.82-1.81-1.8-1.79-1.77-1.76-1.75-1.74-1.73-1.72-1.71-1.7-1.69-1.68-1.67-1.66-1.65-1.64-1.63-1.62-1.61-1.6-1.59-1.58-1.57-1.56-1.55-1.54-1.53-1.52-1.51-1.5-1.49-1.48-1.47-1.46-1.45-1.44-1.43-1.42-1.41-1.4-1.39-1.38-1.37-1.36-1.35-1.34-1.33-1.32-1.31-1.3-1.29-1.28-1.27-1.26-1.25-1.24-1.23-1.22-1.21-1.2-1.19-1.18-1.17-1.16-1.15-1.14-1.13-1.12-1.11-1.1-1.09-1.08-1.07-1.06-1.05-1.04-1.03-1.02-1.01-1-0.99-0.98-0.97-0.96-0.95-0.94-0.93-0.92-0.91-0.9-0.89-0.88-0.87-0.86-0.85-0.84-0.83-0.82-0.81-0.8-0.79-0.78-0.77-0.76-0.75-0.74-0.73-0.72-0.71-0.7-0.69-0.68-0.67-0.66-0.65-0.64-0.63-0.62-0.61-0.6-0.59-0.58-0.57-0.56-0.55-0.54-0.53-0.52-0.51-0.5-0.49-0.48-0.47-0.46-0.45-0.44-0.43-0.42-0.41-0.4-0.39-0.38-0.37-0.36-0.35-0.34-0.33-0.32-0.31-0.3-0.29-0.28-0.27-0.26-0.25-0.24-0.23-0.22-0.21-0.2-0.19-0.18-0.17-0.16-0.15-0.14-0.13-0.12-0.11-0.1-0.09-0.08-0.07-0.06-0.05-0.04-0.03-0.02-0.010.010.020.030.040.050.060.070.080.090.10.110.120.130.140.150.160.170.180.190.20.210.220.230.240.250.260.270.280.290.30.310.320.330.340.350.360.370.380.390.40.410.420.430.440.450.460.470.480.490.50.510.520.530.540.550.560.570.580.590.60.610.620.630.640.650.660.670.680.690.70.710.720.730.740.750.760.770.780.790.80.810.820.830.840.850.860.870.880.890.90.910.920.930.950.960.970.980.9911.011.021.031.051.061.071.081.091.11.111.121.131.141.151.161.181.191.21.211.221.231.241.251.261.281.291.31.321.331.341.361.371.381.391.411.421.431.441.451.471.491.51.511.531.541.551.571.591.61.611.651.661.711.721.731.751.781.791.821.841.861.881.891.911.941.961.992.012.022.032.042.062.072.12.112.132.152.182.222.232.242.252.272.282.382.392.42.412.452.462.472.52.522.532.592.622.782.842.912.963.013.073.093.13.143.163.213.283.353.363.373.423.613.73.733.743.773.954.024.214.264.34.464.584.9899.97Measurement out of range99.98Z-score out of range99.99Not measuredSysmissWeight 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 variable194636-4.6799.99-4.67-4.47-4.34-4.25-4.21-4.02-3.84-3.82-3.78-3.75-3.7-3.64-3.63-3.58-3.56-3.43-3.26-3.2-3-2.94-2.91-2.86-2.74-2.72-2.64-2.57-2.55-2.53-2.52-2.47-2.45-2.44-2.37-2.34-2.33-2.32-2.31-2.25-2.24-2.23-2.19-2.14-2.13-2.11-2.1-2.09-2.07-2.06-2.05-2.04-2.03-2.01-2-1.99-1.95-1.94-1.93-1.92-1.91-1.9-1.85-1.83-1.81-1.78-1.77-1.75-1.74-1.73-1.72-1.7-1.68-1.67-1.65-1.64-1.63-1.62-1.61-1.6-1.58-1.57-1.55-1.54-1.53-1.52-1.51-1.5-1.49-1.48-1.47-1.46-1.45-1.44-1.43-1.42-1.4-1.39-1.38-1.37-1.36-1.35-1.34-1.33-1.32-1.31-1.29-1.28-1.27-1.26-1.25-1.24-1.23-1.22-1.21-1.2-1.19-1.18-1.17-1.16-1.15-1.14-1.13-1.12-1.11-1.09-1.08-1.07-1.06-1.05-1.04-1.03-1.02-1-0.99-0.98-0.97-0.96-0.95-0.94-0.93-0.92-0.91-0.9-0.89-0.88-0.87-0.86-0.85-0.84-0.83-0.82-0.81-0.8-0.79-0.78-0.77-0.76-0.75-0.74-0.73-0.72-0.71-0.7-0.69-0.68-0.67-0.66-0.65-0.64-0.63-0.62-0.61-0.6-0.59-0.58-0.57-0.56-0.55-0.53-0.52-0.51-0.5-0.49-0.48-0.47-0.46-0.44-0.43-0.42-0.41-0.4-0.39-0.38-0.37-0.36-0.35-0.34-0.33-0.32-0.31-0.3-0.29-0.28-0.27-0.26-0.25-0.24-0.23-0.22-0.21-0.2-0.19-0.18-0.17-0.16-0.15-0.14-0.13-0.12-0.11-0.1-0.09-0.08-0.07-0.06-0.05-0.04-0.03-0.02-0.010.010.020.030.040.050.060.070.080.090.10.110.120.130.140.150.160.170.180.190.20.210.220.230.240.250.260.270.280.290.30.310.320.330.340.350.360.370.380.390.40.410.420.430.440.450.460.470.480.490.50.510.520.530.540.550.560.570.580.590.60.610.620.630.640.650.660.670.680.690.70.710.720.730.740.750.760.770.780.790.80.810.820.830.840.850.860.870.880.890.90.910.920.930.940.950.960.970.980.9911.011.021.031.041.051.061.071.081.091.11.111.121.131.141.151.161.171.181.191.21.211.221.231.241.251.261.271.281.291.311.321.331.341.351.361.371.381.391.41.411.421.431.441.451.461.471.481.491.51.511.521.531.541.551.561.571.581.591.61.611.621.631.641.661.671.681.691.711.731.741.761.771.781.791.81.811.821.831.841.851.861.871.881.891.921.941.951.981.992.022.032.042.052.072.092.12.122.132.142.162.172.192.212.232.272.292.322.332.342.362.372.382.392.42.442.452.462.472.492.522.532.542.562.572.582.592.632.642.652.662.672.682.692.722.732.742.752.762.772.782.792.82.812.862.872.882.932.962.973.033.043.063.083.093.163.183.213.223.243.263.33.343.383.43.413.443.453.563.573.593.633.643.653.693.763.833.984.024.054.084.184.24.294.324.334.474.554.624.644.794.884.954.9899.97Measurement out of range99.98Z-score out of range99.99Not measuredSysmissHeight for age flag WHOHeight for age flag WHOHeight for age flag WHOHeight for age flag WHOHeight for age flag WHORecoded variable194636No error1Error flagSysmissWeight for age flag WHOWeight for age flag WHOWeight for age flag WHOWeight for age flag WHOWeight for age flag WHORecoded variable194636No error1Error flagSysmissWeight for height flag WHOWeight for height flag WHOWeight for height flag WHOWeight for height flag WHOWeight for height flag WHORecoded variable194636No error1Error flagSysmissBMI flag WHOBMI flag WHOBMI flag WHOBMI flag WHOBMI flag WHO194636No error1Error flagSysmissWeight 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 variable194636Age given - all measurements calculated1No age - only weight for height calculatedSysmissAreaAreaAreaAreaAreaArea: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.19821Urban2RuralRegionRegionRegionRegionRegionCircle the code for region as instructed/provided by your supervisor.19821East2North3South4West567SexSexSexSexSexIs (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.19821Male2Female9MissingHighest 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 ED5.1875107Preschool1Primary2Secondary3Higher45678DK9MissingSysmissHighest 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 (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).187310912345697Inconsistent98DK99MissingSysmissDate of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)Date of interview child (CMC)1982133813391340Date 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)194636127913401308.36717.11Age (months)Age (months)Age (months)Age (months)Age (months)1946365930.38717.116AgeAgeAgeAgeAge19463610-526-11312-23424-35536-47648-599MissingSysmissAgeAgeAgeAgeAge19463610-11212-23324-35436-47548-598DK/MisssingSysmissAge in daysAge in daysAge in daysAge in daysAge in days19463621825940.209521.069Wealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score19821946-10.8111.902-0.224-0.1091.030.978Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles19821Poorest2Second3Middle4Fourth5RichestMother's educationMother's educationMother's educationMother's educationMother's education1982191None2Primary3Secondary489Missing/DKEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household head1982191Creole2Mestizo3Garifuna4Maya5Other9Missing/DKChildren's sample weightChildren's sample weightChildren's sample weightChildren's sample weightChildren's sample weight19821.9030.9820.364Primary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit1982119799.54360.508StrataStrataStrataStrataStrata1982117141.53720.409Cluster numberCluster numberCluster numberCluster numberCluster number32891196101.37960.262Household numberHousehold numberHousehold numberHousehold numberHousehold number328912513.1247.135Line numberLine numberLine numberLine numberLine number32892235.2872.291AreaAreaAreaAreaArea32891Urban2RuralRegionRegionRegionRegionRegion32891Corozal2Orange Walk3Belize (Excluding Belize City South Side)4Cayo5Stann Creek6Toledo7Belize City South SideCluster numberCluster numberCluster numberCluster numberCluster number32891196101.37960.262Household numberHousehold numberHousehold numberHousehold numberHousehold number328912513.1247.135Line numberLine numberLine numberLine numberLine number32892235.2872.291Mother's line numberMother's line numberMother's line numberMother's line numberMother's line number32891234567810Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer number328919945.98821.424Day of interviewDay of interviewDay of interviewDay of interviewDay of interview328913115.7789.076Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interview3289678Year of interviewYear of interviewYear of interviewYear of interviewYear of interview32892011Result of interview for child disabilityResult of interview for child disabilityResult of interview for child disabilityResult of interview for child disabilityResult of interview for child disabilityCodes refer to mother/caretaker.32891992.63912.568Field edited byField edited byField edited byField edited byField edited by32345519043.621.256Data entry clerk numberData entry clerk numberData entry clerk numberData entry clerk numberData entry clerk number3234551723.5022.076Start of interview - HourStart of interview - HourStart of interview - HourStart of interview - HourStart of interview - Hour32345512345678910111299MissingSysmissStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - MinutesStart of interview - Minutes32345559123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585999MissingSysmissStart of interview - am/pmStart of interview - am/pmStart of interview - am/pmStart of interview - am/pmStart of interview - am/pm3234APapChild's ageChild's ageChild's ageChild's ageChild's ageTo be administered to mothers or caretakers of children age 2-9 years.Copy child's name and age from HL2 and HL6, from Household Listing Form.328923456789Have any serious delay in sitting standing or walkingHave any serious delay in sitting standing or walkingHave any serious delay in sitting standing or walkingHave any serious delay in sitting standing or walkingHave any serious delay in sitting standing or walkingTo be administered to mothers or caretakers of children age 2-9 years.Compared with other children, does or did (name) have any serious delay in sitting, standing, or walking?323455129SysmissHave difficulty seeing , either in the day or nightHave difficulty seeing , either in the day or nightHave difficulty seeing , either in the day or nightHave difficulty seeing , either in the day or nightHave difficulty seeing , either in the day or nightTo be administered to mothers or caretakers of children age 2-9 years.Compared with other children, does (name) have difficulty seeing, either in the daytime or at night?323455129SysmissHave difficulty hearingHave difficulty hearingHave difficulty hearingHave difficulty hearingHave difficulty hearingTo be administered to mothers or caretakers of children age 2-9 years.Does (name) appear to have any difficulty hearing? (uses hearing aid, hears with difficulty or completely deaf)?32345512SysmissUnderstand what people saysUnderstand what people saysUnderstand what people saysUnderstand what people saysUnderstand what people saysTo be administered to mothers or caretakers of children age 2-9 years.When you tell (name) to do something, does he/she seem to understand what you are saying?323455129SysmissDifficulty walking or moving body partsDifficulty walking or moving body partsDifficulty walking or moving body partsDifficulty walking or moving body partsDifficulty walking or moving body partsTo be administered to mothers or caretakers of children age 2-9 years.Does (name) have difficulty in walking or moving his/her arms or does he/she have weakness and/or stiffness in the arms or legs?32345512SysmissHave fits, become rigid or lose consciousnessHave fits, become rigid or lose consciousnessHave fits, become rigid or lose consciousnessHave fits, become rigid or lose consciousnessHave fits, become rigid or lose consciousnessTo be administered to mothers or caretakers of children age 2-9 years.Does (name) sometimes have fits, become rigid, or lose consciousness?323455129SysmissLearn to do things like other childrenLearn to do things like other childrenLearn to do things like other childrenLearn to do things like other childrenLearn to do things like other childrenTo be administered to mothers or caretakers of children age 2-9 years.Does (name) learn to do things like other children his/her age?323455129SysmissSpeaks or communicates by recognizable wordsSpeaks or communicates by recognizable wordsSpeaks or communicates by recognizable wordsSpeaks or communicates by recognizable wordsSpeaks or communicates by recognizable wordsTo be administered to mothers or caretakers of children age 2-9 years.Does (name) speak at all (can he/she make him or herself understood in words; can he/she say any recognizable words)?323455129SysmissSpeech different from normalSpeech different from normalSpeech different from normalSpeech different from normalSpeech different from normalTo be administered to mothers or caretakers of children age 2-9 years.Is (name)’s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)?2835454129SysmissName at least one objectName at least one objectName at least one objectName at least one objectName at least one objectTo be administered to mothers or caretakers of children age 2-9 years.Can (name) name at least one object (for example, an animal, a toy, a cup, a spoon)?3992890129SysmissAppears in any way slowAppears in any way slowAppears in any way slowAppears in any way slowAppears in any way slowTo be administered to mothers or caretakers of children age 2-9 years.Compared with other children of the same age, does (name) appear in any way slow?32345512SysmissAgrees to repeat visitsAgrees to repeat visitsAgrees to repeat visitsAgrees to repeat visitsAgrees to repeat visitsTo be administered to mothers or caretakers of children age 2-9 years.As part of this survey, others in our team may visit you again to collect more information on some of the topics we have just talked about, concerning(name).
May I proceed and note that you wouldbe fine with such a visit, if it occurs at all? again, you may change your mind and decline to speak to our team if and when the visit happens.323455123SysmissEnd interview - HoursEnd interview - HoursEnd interview - HoursEnd interview - HoursEnd interview - Hours323455123456789101112SysmissEnd interview - MinutesEnd interview - MinutesEnd interview - MinutesEnd interview - MinutesEnd interview - Minutes3234555929.1317.034End interview - am/pmEnd interview - am/pmEnd interview - am/pmEnd interview - am/pmEnd interview - am/pm3234APapMother's line numberMother's line numberMother's line numberMother's line numberMother's line number3289Not in household1234567810Father's line numberFather's line numberFather's line numberFather's line numberFather's line number3289Not in household12345678SexSexSexSexSex32891Male2Female9MissingHighest level of education attendedHighest level of education attendedHighest level of education attendedHighest level of education attendedHighest level of education attended19291360Preschool1Primary2Secondary3Higher4Associates5Bachelors and higher6CET/ITVET/VOTEC7Infant8DK9MissingSysmissHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that levelHighest grade completed at that level180014891234797Inconsistent98DK99MissingSysmissEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household head3289191Creole2Mestizo3Garifuna4Maya5Other9Missing/DKMother's educationMother's educationMother's educationMother's educationMother's education3289191None2Primary3Secondary +4CET/ITVET/VOTEC5Mother not in household8Missing/DK9OtherFather's educationFather's educationFather's educationFather's educationFather's education3289191None2Primary3Secondary +4CET/ITVET/VOTEC5Father not in household8Missing/DK9OtherEducation of household headEducation of household headEducation of household headEducation of household headEducation of household head3289191None2Primary3Secondary +4CET/ITVET/VOTEC8Missing/DK9OtherWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score32893233.759-10.8111.902-0.218-0.09131.0380.974Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles32891Poorest2Second3Middle4Fourth5RichestChildren's sample weight for Disability questionnaireChildren's sample weight for Disability questionnaireChildren's sample weight for Disability questionnaireChildren's sample weight for Disability questionnaireChildren's sample weight for Disability questionnaire32891.9510.9830.398Primary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit32891197101.98460.691StrataStrataStrataStrataStrata3289117142.01920.162Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.4900119698.51556.582Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.4900126137.212Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer number490029644.70620.152Supervisor numberSupervisor numberSupervisor numberSupervisor numberSupervisor numberLeave this space blank. The supervisor will later enter his/her name and number in the space provided.490011192129313941495159616971798999109119129139149159169179189Day 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.490013115.6838.777Month 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.4900678Year 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.49002011AreaAreaAreaAreaAreaCircle 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.49001Urban2RuralRegionRegionRegionRegionRegionCircle 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.49001Central Serbia without Belgrade2City of Belgrade3AP Vojvodina4567Result 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.49001Completed2No household member or no competent respondent at home at ti3Entire household absent for extended time4Refused5Dwelling vacant / Address not a dwelling6Dwelling destroyed7Dwelling not found96OtherRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireRespondent to HH questionnaireYou will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.4424476123456799MissingSysmissNumber of HH membersNumber of HH membersNumber of HH membersNumber of HH membersNumber of HH membersYou will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form.4424476123456789101112131415161725SysmissNumber 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.4424476123456SysmissNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedNumber of woman' questionnaires completedYou will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.4424476123456SysmissNumber of children under age 5Number of children under age 5Number of children under age 5Number of children under age 5Number of children under age 5You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.4424476123457SysmissNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedNumber of under - 5 questionnaires completedYou will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.4424476123457SysmissNumber of children 2 - 9 yearsNumber of children 2 - 9 yearsNumber of children 2 - 9 yearsNumber of children 2 - 9 yearsNumber of children 2 - 9 yearsAfter all questionnaires for the household have been completed, fill in the following information:You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.Once all of the Questionnaires for Individual Men have been completed for a particular household, enter the number completed here.4424476123456812SysmissNumber of questionnaires completed for children age 2-9Number of questionnaires completed for children age 2-9Number of questionnaires completed for children age 2-9Number of questionnaires completed for children age 2-9Number of questionnaires completed for children age 2-94424476123456810SysmissField 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.49009143.96121.729112131415161718191101111121131141151161171181Data 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.4900123456910Start 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.442447612345678910111299MissingSysmissStart 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.44244765999MissingAM/PMAM/PMAM/PMAM/PMAM/PM4424APapEnd 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.442447612345678910111299MissingSysmissEnd 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.44244765999MissingAM/PMAM/PMAM/PMAM/PMAM/PM4424APapMain 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 WS3.442447611Piped into dwelling12Piped into compound, yard or plot13Piped to neighbour14Public tap / standpipe21Tube well, Borehole31Protected well32Unprotected well41Protected spring42Unprotected spring51Rainwater collection61Tanker-truck81Surface water (river, stream, dam, lake, pond, canal, irriga91Bottled water96Other99MissingSysmissMain source of water used for other purposes (if bottled water used for drinking)Main source of water used for other purposes (if bottled water used for drinking)Main source of water used for other purposes (if bottled water used for drinking)Main source of water used for other purposes (if bottled water used for drinking)Main source of water used for other purposes (if bottled water used for drinking)What is the main source of water used by your household for other purposes such as cooking and handwashing?This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question.
Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water.2151274911Piped into dwelling12Piped into compound, yard or plot13Piped to neighbour14Public tap / standpipe21Tube well, Borehole31Protected well32Unprotected well41Protected spring42Unprotected spring51Rainwater collection61Tanker-truck81Surface 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.100438961In own dwelling2In own yard / plot3Elsewhere9MissingSysmissTime (in minutes) to get water and come backTime (in minutes) to get water and come backTime (in minutes) to get water and come backTime (in minutes) to get water and come backTime (in minutes) 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.1714729351015203035456075120998DK999MissingSysmissPerson collecting waterPerson collecting waterPerson collecting waterPerson collecting waterPerson collecting waterWho usually goes to this source to fetch 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.17247281Adult 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 WS8.44244761Yes2No8DK9MissingSysmissWater 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.280?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.376?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.36?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.69?MissingDUse water filterWater 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.?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.6?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.13?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.1?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.442447611Flush 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 toilet41Bucket95No 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.43265741Yes2No9MissingSysmissToilet 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 WS11.43344671Other 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').40544952345678910Ten or more households98DK99MissingSysmissReligion of household headReligion of household headReligion of household headReligion of household headReligion of household headWhat is the religion of the head of this household?Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head.
Survey Coordinators: Questions on religion, language and ethnicity should be adapted to the country-specific setting. These questions are intended to identify the sociocultural background of the households. Some sociocultural groups tend to be more vulnerable or disadvantaged than others. Depending on the criteria used in your country to differentiate between these groups, you may want to delete one or two of these questions if only one of them is sufficient, or add a similar question which uses a criterion other than religion, ethnic group or mother tongue. For instance, in some countries, asking about the religious sect may be necessary to differentiate between various groups.44244761Ortodox Christian2Catholic3Moslem4Doesn't want to comment56Other religion7No religion89Missing959698SysmissMother tongue of household headMother tongue of household headMother tongue of household headMother tongue of household headMother tongue of household headWhat is the first language of the head of this household?44244761English2Spanish3Garifuna4Ketchi/Mopan/Yucatecan5German6Indian7Chinese/Taiwanese8Creole96OtherSysmissEthnic group of household headEthnic group of household headEthnic group of household headEthnic group of household headEthnic group of household headTo what ethnic group does the head of this household belong?Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head.
Survey Coordinators: Questions on religion, language and ethnicity should be adapted to the country-specific setting. These questions are intended to identify the sociocultural background of the households. Some sociocultural groups tend to be more vulnerable or disadvantaged than others. Depending on the criteria used in your country to differentiate between these groups, you may want to delete one or two of these questions if only one of them is sufficient, or add a similar question which uses a criterion other than religion, ethnic group or mother tongue. For instance, in some countries, asking about the religious sect may be necessary to differentiate between various groups.44244761Serbian2Hungarian3Bosnian4Roma56Other ethnic group7Doesn't want to comment89Missing9698SysmissNumber of rooms used for sleepingNumber of rooms used for sleepingNumber of rooms used for sleepingNumber of rooms used for sleepingNumber of rooms used for sleepingHow many rooms in this dwelling unit are used for sleeping by the members of this household?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.4424476123456791199MissingSysmissMain material of floorMain material of floorMain material of floorMain material of floorMain material of floorRecord observation.
Survey Coordinators: Adapt the response categories to include locally relevant floor materials.
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).442447611Earth / sand21Wood planks2331Parquet or polished wood32Vinyl or asphalt strips33Ceramic tiles34Cement3596Other99MissingSysmissMain material of roofMain material of roofMain material of roofMain material of roofMain material of roofRecord observation.
Survey Coordinators: Adapt the response categories to include locally relevant roof materials.
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).442447611No roof12Straw thatch22Cane23Wood planks24Carton2531Metal/Sheet32Wood33Calamine / Cement fibre34Ceramic tiles35Concrete36Roofing shingles96Other99MissingSysmissMain material of exterior wallMain material of exterior wallMain material of exterior wallMain material of exterior wallMain material of exterior wallRecord observation.
Survey Coordinators: Adapt the response categories to include locally relevant wall materials.
Circle the correct code for the material of the dwelling 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).442447611No walls12Cane/Trunks13Mud21Cane, straw and mud22Stone with mud23Uncovered adobe24Plywood25Carton26Reused wood31Concrete32Stone with lime / cement33Bricks34Cement blocks35Covered adobe36Wood planks / shingles373896Other99MissingSysmissType 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.44244761Electricity2Liquefied Petroleum Gas (LPG)3Natural gas4Biogas5Kerosene6Coal / Lignite7Charcoal8Wood9Straw / Shrubs / Grass11Agricultural crop residue95No cooking in the 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.73541651In a separate room used as kitchen2In another room3In 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.44244761Yes2No9MissingSysmissRadioRadioRadioRadioRadioDoes 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.44244761Yes2No9MissingSysmissTelevisionTelevisionTelevisionTelevisionTelevisionDoes 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.44244761Yes2No9MissingSysmissNon-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.44244761Yes2No9MissingSysmissRefrigeratorRefrigeratorRefrigeratorRefrigeratorRefrigeratorDoes 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.44244761Yes2No9MissingSysmissFanFanFanFanFanDoes your household have: A fan?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.44244761Yes2No9MissingSysmissMicrowave ovenMicrowave ovenMicrowave ovenMicrowave ovenMicrowave ovenDoes your household have: A microwave oven?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.44244761Yes2No9MissingSysmissSecurity alarmSecurity alarmSecurity alarmSecurity alarmSecurity alarmDoes your household have: A security alarm system?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.44244761Yes2No9MissingSysmissWashing machineWashing machineWashing machineWashing machineWashing machineDoes your household have: A washing machine?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.44244761Yes2No9MissingSysmissDVD playerDVD playerDVD playerDVD playerDVD playerDoes your household have: A DVD player?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.44244761Yes2No9MissingSysmissBar-b-que grillBar-b-que grillBar-b-que grillBar-b-que grillBar-b-que grillDoes your household have: A gas bar-b-que grill?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.44244761Yes2No9MissingSysmissAir conditionerAir conditionerAir conditionerAir conditionerAir conditionerDoes your household have: An air conditioner?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.44244761Yes2No9MissingSysmissWater coolerWater coolerWater coolerWater coolerWater coolerDoes your household have: A water cooler?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.44244761Yes2No9MissingSysmissSofaSofaSofaSofaSofaDoes your household have: A sofa?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.44244761Yes2No9MissingSysmissDining room tableDining room tableDining room tableDining room tableDining room tableDoes your household have: A dining room table?Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.44244761Yes2No9MissingSysmissClothes closetClothes closetClothes closetClothes closetClothes closetDoes your household have: A clothes closet?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.44244761Yes2No9MissingSysmissWatchWatchWatchWatchWatchDoes 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.44244761Yes2No9MissingSysmissMobile telephoneMobile telephoneMobile telephoneMobile telephoneMobile telephoneDoes any member of your household own:A cell 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.44244761Yes2No9MissingSysmissBicycleBicycleBicycleBicycleBicycleDoes 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.44244761Yes2No9MissingSysmissMotorcycle 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.44244761Yes2No9MissingSysmissCar 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.44244761Yes2No9MissingSysmissBoat with motorBoat with motorBoat with motorBoat with motorBoat with motorDoes any member of your household own:A boat with a motor?This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.44244761Yes2No9MissingSysmissMP3/MP4 playerMP3/MP4 playerMP3/MP4 playerMP3/MP4 playerMP3/MP4 playerDoes any member of your household own:An MP3/MP4 player?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.44244761Yes2No9MissingSysmissFishing rodFishing rodFishing rodFishing rodFishing rodDoes any member of your household own:A fishing rod?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.44244761Yes2No9MissingSysmissWeight training machineWeight training machineWeight training machineWeight training machineWeight training machineDoes any member of your household own:A weight training machine?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.44244761Yes2No9MissingSysmissComputerComputerComputerComputerComputerDoes any member of your household own:A computer?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.44244761Yes2No9MissingSysmissHousehold 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.44244761Owned2Rented6Other (not owned or rented)9MissingSysmissAny household member own land that can be used for agricultureAny household member own land that can be used for agricultureAny household member own land that can be used for agricultureAny household member own land that can be used for agricultureAny household member own land that can be used for agricultureDoes 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”.44244761Yes2No9MissingSysmissAcres of agricultural land members of household ownsAcres of agricultural land members of household ownsAcres of agricultural land members of household ownsAcres of agricultural land members of household ownsAcres of agricultural land members of household ownsHow many acres of agricultural land do members of this household own?Survey Coordinators: If a measurement unit other than hectares is commonly used, adapt the question to allow for the recording of commonly used units.
Record the total number of hectares of land owned by all members of the household that can be used for agriculture. If less than 1, record “00”. If 95 or more hectares (or other units) are owned, record '95'. If unknown, record '98'.1075382599Less than one hectare95More than 9598DK99MissingHousehold own any animalsHousehold own any animalsHousehold own any animalsHousehold own any animalsHousehold own any animalsDoes this household own any livestock, herds, other farm animals or poultry?Circle the code corresponding to the response given. If 'No', skip to HC15.44244761Yes2No9MissingSysmissCattle, 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 own?
Cattle, milk cows, or bullsSurvey 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.9993901999595+98DK99MissingHorses, donkeys, or mulesHorses, donkeys, or mulesHorses, donkeys, or mulesHorses, donkeys, or mulesHorses, donkeys, or mulesHow many of the following animals does this household own?
Horses, donkeys, or mulesSurvey 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.999390112345678910111217209595+98DK99MissingSysmissGoatsGoatsGoatsGoatsGoatsHow many of the following animals does this household own?
GoatsSurvey 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.99939011234561220369595+98DK99MissingSysmissSheepSheepSheepSheepSheepHow many of the following animals does this household own?
SheepSurvey 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.9993901123456791015182023253070809595+98DK99MissingSysmissChickensChickensChickensChickensChickensHow many of the following animals does this household own?
ChickensSurvey 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.9993901999595+98DK99MissingPigsPigsPigsPigsPigsHow many of the following animals does this household own?
PigsSurvey 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.9993901989595+98DK99MissingAny household member own bank accountAny household member own bank accountAny household member own bank accountAny household member own bank accountAny household member own bank accountDoes any member of this household have a bank account, a bank book or credit union book?Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given.44244761Yes2No9MissingSysmissTotal children aged 2-14 yearsTotal children aged 2-14 yearsTotal children aged 2-14 yearsTotal children aged 2-14 yearsTotal children aged 2-14 yearsTotal number of children age 2–14 yearsCount the number of children and record the total number of children aged 2-14 years in the box provided.
If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child.
If there is more than one eligible child on the list, go on to fill in Table 2.24672433123456781015SysmissRank number of the selected childRank number of the selected childRank number of the selected childRank number of the selected childRank number of the selected childRecord the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions.2467243312345678SysmissChild line numberChild line numberChild line numberChild line numberChild line numberWrite the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8.
Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page.246724332345678910111213141597InconsistentSysmissFlag for correct child line numberFlag for correct child line numberFlag for correct child line numberFlag for correct child line numberFlag for correct child line number246724331Correct child selected2Incorrect child selectedSysmissTook away privilegesTook away privilegesTook away privilegesTook away privilegesTook away privilegesAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Took away privileges, forbade something (name) liked or did not allow him/her to leave house.'Privileges' means a right or a benefit that is not available to everyone. As children get older, parents/caretakers often extend privileges not available to a very young child. If you must explain what this question means, first try by asking each prompting question separately. If you need to give examples, try to phrase these questions appropriately for the child's age. “Did you (or someone else in the household) forbid (name) from leaving the house or from going outside for a time? Did you (or someone else in the household) prohibit (name) from doing something he/she usually does, such as playing with friends or watching TV?” For a young child, you might include such things as 'forbidding him/her to have sweets', etc.246724331Yes2No9MissingSysmissExplained why behaviour was wrongExplained why behaviour was wrongExplained why behaviour was wrongExplained why behaviour was wrongExplained why behaviour was wrongAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Explained why (name)'s behavior was wrongWhen a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire.246724331Yes2No9MissingSysmissShook childShook childShook childShook childShook childAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Shook him/her.Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child.246724331Yes2No9MissingSysmissShouted, yelled or screamed at childShouted, yelled or screamed at childShouted, yelled or screamed at childShouted, yelled or screamed at childShouted, yelled or screamed at childAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Shouted, yelled at or screamed at him/her.Parents/caretakers may raise their voice when a child does something they consider wrong.246724331Yes2No9MissingSysmissGave child something else to doGave child something else to doGave child something else to doGave child something else to doGave child something else to doAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Gave him/her something else to do.This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.”246724331Yes2No9MissingSysmissSpanked, hit or slapped child on bottom with bare handSpanked, hit or slapped child on bottom with bare handSpanked, hit or slapped child on bottom with bare handSpanked, hit or slapped child on bottom with bare handSpanked, hit or slapped child on bottom with bare handAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Spanked, hit or slapped him/her on the bottom with bare hand.Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers.246724331Yes2No9MissingSysmissHit child on the bottom or elsewhere with belt, brush, stick, etc.Hit child on the bottom or elsewhere with belt, brush, stick, etc.Hit child on the bottom or elsewhere with belt, brush, stick, etc.Hit child on the bottom or elsewhere with belt, brush, stick, etc.Hit child on the bottom or elsewhere with belt, brush, stick, etc.Adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days.246724331Yes2No9MissingSysmissCalled child dumb, lazy or another nameCalled child dumb, lazy or another nameCalled child dumb, lazy or another nameCalled child dumb, lazy or another nameCalled child dumb, lazy or another nameAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Called him/her stupid, lazy or another name like that.Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour.246724331Yes2No9MissingSysmissHit or slapped child on the face, head or earsHit or slapped child on the face, head or earsHit or slapped child on the face, head or earsHit or slapped child on the face, head or earsHit or slapped child on the face, head or earsAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Hit or slapped him/her on the face, head or ears.This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20.246724331Yes2No9MissingSysmissHit or slapped child on the hand, arm or legHit or slapped child on the hand, arm or legHit or slapped child on the hand, arm or legHit or slapped child on the hand, arm or legHit or slapped child on the hand, arm or legAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Hit or slapped him/her on the hand, arm or leg.This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s).246724331Yes2No9MissingSysmissBeat child up as hard as one couldBeat child up as hard as one couldBeat child up as hard as one couldBeat child up as hard as one couldBeat child up as hard as one couldAdults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month.
Beat him/her up, that is hit him/her over and over as hard as one could.Circle the code corresponding to the response given.246724331Yes2No9MissingSysmissChild needs to be physically punished to be brought up properlyChild needs to be physically punished to be brought up properlyChild needs to be physically punished to be brought up properlyChild needs to be physically punished to be brought up properlyChild needs to be physically punished to be brought up properlyDo you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. The question asks the respondent for her/his own opinion of whether it is necessary to use physical punishment when teaching a child to behave properly. Do not be surprised if a respondent who has indicated that she/he has used physical punishment says that she/he does not believe in such punishment.
If the respondent states that she/he has no opinion on this or that she/he does not know, circle '8'.246724331Yes2No8Don't know / No opinion9MissingSysmissPlace 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.44244761Observed2Not in dwelling/plot/yard3Not permitted6Other 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.335315471With water2No water9MissingSysmissBar 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 HW4.1314?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 HW4.1172?MissingBDetergent (Powder / Liquid / Paste)Liquid soapLiquid soapLiquid soapLiquid soapLiquid 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 HW4.1437?MissingCLiquid soapAsh / 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 HW4.1?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 HW4.197?MissingYNoneSoap/other material available for washing handsSoap/other material available for washing handsSoap/other material available for washing handsSoap/other material available for washing handsSoap/other material available for washing handsDo you have any bar soap, soap powder or liquid soap in your household for washing hands?126836321Yes2No9MissingSysmissBar 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.510?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.521?MissingBDetergent (Powder / Liquid / Paste)Liquid soapLiquid soapLiquid soapLiquid soapLiquid 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.417?MissingCLiquid soapAsh / 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.?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.215?MissingYNot able / Does not want to showSex of household headSex of household headSex of household headSex of household headSex of household head44244761Male2Female9MissingSysmissWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score4900-10.8112.226-1.58e-160.95Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles49001Poorest2Second3Middle4Fourth5RichestEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household head4424476191Serbian2Hungarian3Bosnian4Roma6Other7Doesn't want to declare9Missing/DKEducation of household headEducation of household headEducation of household headEducation of household headEducation of household head4424476191None2Primary3Secondary4Higher/High9Missing/DKHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weight49001.7690.9030.434Primary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit4900119799.09757.004StrataStrataStrataStrataStrata4900117141.54619.888Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.17538119697.06858.71Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.1753812612.997.191Line 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.175381253.1932.196Relationship 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.175381Head2Wife / Husband3Son / Daughter4Son-In-Law / Daughter-In-Law5Grandchild6Parent7Parent-In-Law8Brother / Sister9Brother-In-Law / Sister-In-Law10Uncle / Aunt11Niece / Nephew12Other relative13Adopted / Foster / Stepchild14Not related97Inconsistent98Don't know99MissingSexSexSexSexSexIs (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.175381Male2Female9MissingMonth 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'.1753812345678910111298DK99MissingYear 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'.17538191099991910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020119998DK9999MissingAgeAgeAgeAgeAgeHow 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.1753899123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949595+98DK99MissingLine 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.17538Not eligible1234567891011Line 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.17538Not eligible12345678Line 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.17538Not eligible1234567810Line number of mother/caretaker for children 2-9Line number of mother/caretaker for children 2-9Line number of mother/caretaker for children 2-9Line number of mother/caretaker for children 2-9Line number of mother/caretaker for children 2-9Who is the mother or primary caretaker of this child?For children age 2-9
Record line number of mother/caretaker175381234567810Is natural mother aliveIs natural mother aliveIs natural mother aliveIs natural mother aliveIs natural mother 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.7322102161Yes2No8DK9MissingSysmissNatural mother's line number in HHNatural mother's line number in HHNatural mother's line number in HHNatural mother's line number in HHNatural mother's 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'.718610352123456781097Inconsistent99MissingSysmissIs natural father aliveIs natural father aliveIs natural father aliveIs natural father aliveIs natural father 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.7322102161Yes2No8DK9MissingSysmissNatural father's line number in HHNatural father's line number in HHNatural father's line number in HHNatural father's line number in HHNatural father's 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.7038105001234567897Inconsistent99MissingSysmissLine 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.175381253.1932.196Ever 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 preschool?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.1555619821Yes2No9MissingSysmissHighest 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 ED5.146732865Kindergarten1Preschool preparation programme2Primary3Secondary4Higher5678Don't know9MissingSysmissHighest 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 standard/form/year (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).1453929991234567897Inconsistent98DK99MissingSysmissAttended 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 (2010–2011), 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.7428101101Yes2No9MissingSysmissLevel 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 school year, which level and standard /form/year is (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.518312355Kindergarten1Preschool preparation programme2Primary3Secondary4Higher5678Don't know9MissingSysmissGrade 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 school year, which level and standard /form/year is (name) attending? Standard/Form/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.507212466123456797Inconsistent98DK99MissingSysmissAttended 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 2009-2010, 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.7428101101Yes2No8DK9MissingSysmissLevel 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 standard /form/year 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.517312365Kindergarten1Preschool preparation programme2Primary3Secondary4Higher5678Don't know9MissingSysmissGrade 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 standard /form/year did (name) attend? Standard/Form/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.48411269712345697Inconsistent98DK99MissingSysmissLine numberLine numberLine numberLine numberLine numberTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.1753711253.1932.196Worked 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 memberTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, did (name) do any kind of work for someone who is not a member of this household?
If yes: for pay in cash or kind?4194133441Yes, for pay2Yes, 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 memberTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household?If more than one job, include all hours at all jobs.2001733899Less than one hour12345678910111215202122252829354043455060637098DK99MissingSysmissWorked in past week to fetch water or collect firewood for household useWorked in past week to fetch water or collect firewood for household useWorked in past week to fetch water or collect firewood for household useWorked in past week to fetch water or collect firewood for household useWorked in past week to fetch water or collect firewood for household useTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, did (name) fetch water or collect firewood for household use?4194133441Yes2No9MissingSysmissHours 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 firewoodTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.Since last (day of the week), about how many hours did he/she fetch water or collect firewood for household use?48217056Less than one hour123456789101214243098DK99MissingSysmissOther 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 weekTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, did (name) do any paid or unpaid work for a household member on a family farm or in a family business or selling goods in the street?Include work for a business run by the child, alone or with one or more partners.4194133441Yes2No9MissingSysmissHours worked on other family workHours worked on other family workHours worked on other family workHours worked on other family workHours worked on other family workTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.Since last (day of the week), about how many hours did he/she do this work for his/her family or himself/herself?17817360Less than one hour1234567891012141621243056637098DK99MissingSysmissHelped 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 weekTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, did (name) help with household chores such as shopping, cleaning, washing clothes, cooking; or caring for children, old or sick people?4194133441Yes2No9MissingSysmissHours 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 weekTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.Since last (day of the week), about how many hours did he/she spend doing these chores?26592570.9121487914716.91599Less than one hour123456789101214151617182021222324253034354248607298DK99MissingSysmissWhen in the day were chores done in the past week - morningWhen in the day were chores done in the past week - morningWhen in the day were chores done in the past week - morningWhen in the day were chores done in the past week - morningWhen in the day were chores done in the past week - morningTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, when did (name) carry out these household chores?Circle all that apply2215?MissingAmorningWhen in the day were chores done in the past week - afternoonWhen in the day were chores done in the past week - afternoonWhen in the day were chores done in the past week - afternoonWhen in the day were chores done in the past week - afternoonWhen in the day were chores done in the past week - afternoonTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, when did (name) carry out these household chores?Circle all that apply940?MissingBafternoonWhen in the day were chores done in the past week - eveningWhen in the day were chores done in the past week - eveningWhen in the day were chores done in the past week - eveningWhen in the day were chores done in the past week - eveningWhen in the day were chores done in the past week - eveningTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, when did (name) carry out these household chores?Circle all that apply1342?MissingCeveningWhen in the day were chores done in the past week - nightWhen in the day were chores done in the past week - nightWhen in the day were chores done in the past week - nightWhen in the day were chores done in the past week - nightWhen in the day were chores done in the past week - nightTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, when did (name) carry out these household chores?Circle all that apply142?MissingDnightWhich household chores were done in the past week - cooking/serving foodWhich household chores were done in the past week - cooking/serving foodWhich household chores were done in the past week - cooking/serving foodWhich household chores were done in the past week - cooking/serving foodWhich household chores were done in the past week - cooking/serving foodTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?299?MissingAcooking/serving foodWhich household chores were done in the past week - shopping for HHWhich household chores were done in the past week - shopping for HHWhich household chores were done in the past week - shopping for HHWhich household chores were done in the past week - shopping for HHWhich household chores were done in the past week - shopping for HHTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?1189?MissingBshopping for HHWhich household chores were done in the past week - cleaning utensils/houseWhich household chores were done in the past week - cleaning utensils/houseWhich household chores were done in the past week - cleaning utensils/houseWhich household chores were done in the past week - cleaning utensils/houseWhich household chores were done in the past week - cleaning utensils/houseTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?1847?MissingCcleaning utensils/houseWhich household chores were done in the past week - washing clothesWhich household chores were done in the past week - washing clothesWhich household chores were done in the past week - washing clothesWhich household chores were done in the past week - washing clothesWhich household chores were done in the past week - washing clothesTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?522?MissingDwashing clothesWhich household chores were done in the past week - minor household repairsWhich household chores were done in the past week - minor household repairsWhich household chores were done in the past week - minor household repairsWhich household chores were done in the past week - minor household repairsWhich household chores were done in the past week - minor household repairsTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?120?MissingEminor household repairsWhich household chores were done in the past week - caring for childrenWhich household chores were done in the past week - caring for childrenWhich household chores were done in the past week - caring for childrenWhich household chores were done in the past week - caring for childrenWhich household chores were done in the past week - caring for childrenTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?192?MissingFcaring for childrenWhich household chores were done in the past week - caring for elderly or sickWhich household chores were done in the past week - caring for elderly or sickWhich household chores were done in the past week - caring for elderly or sickWhich household chores were done in the past week - caring for elderly or sickWhich household chores were done in the past week - caring for elderly or sickTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?12?MissingGcaring for elderly or sickWhich household chores were done in the past week - otherWhich household chores were done in the past week - otherWhich household chores were done in the past week - otherWhich household chores were done in the past week - otherWhich household chores were done in the past week - otherTo be administered for children in the household age 5-14 years. For household members below age5 or above age 14, leave rows blank.During the past week, which household chores was (name) mainly carrying out?1053?MissingHotherDay 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.1753813115.4648.975Month 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.17538678Year 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.175382011AreaAreaAreaAreaAreaType of settlement:Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.175381Urban2RuralRegionRegionRegionRegionRegionCircle 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.175381Central Serbia without Belgrade2City of Belgrade3AP Vojvodina4567Mother's line numberMother's line numberMother's line numberMother's line numberMother's line number732110217Not in household1234567810SysmissFather's line numberFather's line numberFather's line numberFather's line numberFather's line number732110217Not in household12345678SysmissEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household head17538191Serbian2Hungarian3Bosnian4Roma56Other7Doesn't want to declare9Missing/DKMother's educationMother's educationMother's educationMother's educationMother's education732110217191None2Primary3Secondary4Higher/High5Mother not in household89Missing/DKSysmissFather's educationFather's educationFather's educationFather's educationFather's education732110217191None2Primary3Secondary4Higher/High5Father not in household89Missing/DKSysmissEducation of household headEducation of household headEducation of household headEducation of household headEducation of household head17538191None2Primary3Secondary4Higher/High89Missing/DKWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score17538-10.8112.226-0.02681.001Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles175381Poorest2Second3Middle4Fourth5RichestAge at beginning of school yearAge at beginning of school yearAge at beginning of school yearAge at beginning of school yearAge at beginning of school year1753810012345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091929395969798100998DK/MissingHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weightHousehold sample weight175380.4521.7690.9860.329Primary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit17538119797.64459.141StrataStrataStrataStrataStrata17538117140.79820.205Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the cluster number as instructed by your supervisor.4485119694.87257.112Household numberHousehold numberHousehold numberHousehold numberHousehold numberEnter the household number as instructed by your supervisor.448512613.0167.134Line numberLine numberLine numberLine numberLine number44851234567891011Cluster numberCluster numberCluster numberCluster numberCluster numberWM1-WM6 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.4485119694.87257.112Household numberHousehold numberHousehold numberHousehold numberHousehold numberWM1-WM6 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.448512613.0167.134Woman'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.44851234567891011Interviewer 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.448539043.7520.628Day 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.448513115.5828.928Month 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.4485678Year 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.44852011Result 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.44851Completed2Not at home3Refused4Partly completed5Incapacitated96OtherField 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.448511112172223273132424751525361627290Data 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.4485123456891012Start 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.448512345678910111299MissingStart 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.42302555999MissingAM/PMAM/PMAM/PMAM/PMAM/PM422945APaopEnd 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.409638912345678910111299MissingSysmissEnd 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.40963895999MissingAM/PMAM/PMAM/PMAM/PMAM/PM4096APapMonth 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'.409638912345678910111297Inconsistent98DK99MissingSysmissYear 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'.4096389196199989997Inconsistent9998DK9999MissingAge 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.4096389154929.2559.797Ever 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.40963891Yes2NoSysmissHighest level of school attendedHighest level of school attendedHighest level of school attendedHighest level of school attendedHighest level of school 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'.3941544Preschool1Primary2Lower Secondary3Upper Secondary4Professional School5College/University and above678DK9MissingSysmissHighest 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 standard/form/year 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.3940545123456797Inconsistent98DK99MissingSysmissCan 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.192625591Cannot read at all2Able to read only parts of sentence3Able to read whole sentence4No sentence in required language5Blind / mute, visually / speech impaired9MissingSysmissEver given birthEver given birthEver given birthEver given birthEver given birthNow I would like to ask about all the live 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 CM8.40963891Yes2NoSysmissDay 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, or whose father is not your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.2735175019997Inconsistent98DK99MissingMonth 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, or whose father is not your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.2735175012345678910111297Inconsistent98DK99MissingSysmissYear 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, or whose father is not your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'.
If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'.
If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth.
If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3.
Skip to CM4 only if year of first birth is given. Otherwise continue with CM3.27351750197699999997Inconsistent9998DK9999MissingYears 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.68441710121314151618192021222324252628293031323597Inconsistent99MissingSysmissAny 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 CM6.273517501Yes2NoSysmissSons 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.259018951234567SysmissDaughters 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.259018951234567SysmissAny 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 CM8.273517501Yes2NoSysmissSons 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.7383747123456SysmissDaughters 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.73837471234569SysmissEver 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.40963891Yes2NoSysmissBoys 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 00.28242031236SysmissGirls 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 00.2824203123SysmissChildren 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 CM11.409638912345678910111213141617SysmissDay 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.2737174819997Inconsistent98DK99MissingMonth 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.2737174812345678910111297Inconsistent99MissingSysmissYear 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.27371748197799999997Inconsistent9999MissingLast 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.2737NNoYYesWanted last child thenWanted last child thenWanted last child thenWanted last child thenWanted last child thenWhen you got pregnant with (name), did you want to get pregnant at that time?This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module.70237831Yes2No9MissingSysmissWanted child later or did not want more childrenWanted child later or did not want more childrenWanted child later or did not want more childrenWanted child later or did not want more childrenWanted child later or did not want more childrenDid you want to have a baby later on, or is it that you did not want any (more) children?This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module.25442311Later2No more9MissingSysmissDesired waiting time (units)Desired waiting time (units)Desired waiting time (units)Desired waiting time (units)Desired waiting time (units)How much longer did you want to wait?This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.15643291Months2Years9SpecialSysmissDesired waiting time (number)Desired waiting time (number)Desired waiting time (number)Desired waiting time (number)Desired waiting time (number)How much longer did you want to wait?This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.156432912345679101298DK99MissingSysmissReceived antenatal careReceived antenatal careReceived antenatal careReceived antenatal careReceived antenatal careDid you see anyone for prenatal care during your pregnancy with (name)?Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.70237831Yes2No9MissingSysmissAntenatal 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.269?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.554?MissingBNurse / MidwifeAntenatal care: Auxiliary midwifeAntenatal care: Auxiliary midwifeAntenatal care: Auxiliary midwifeAntenatal care: Auxiliary midwifeAntenatal care: Auxiliary 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.6?MissingCElementary midwife/nurseAntenatal 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.5?MissingFTraditional birth attendantAntenatal care: Community health workerAntenatal care: Community health workerAntenatal care: Community health workerAntenatal care: Community health workerAntenatal care: Community 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.23?MissingGVillage health workerAntenatal 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.2?MissingXOtherTimes received antenatal careTimes received antenatal careTimes received antenatal careTimes received antenatal careTimes received antenatal careHow many times did you receive prenatal 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.68737981234567891011121314151618204098DK99MissingSysmissBlood pressureBlood pressureBlood pressureBlood pressureBlood pressureAs part of your prenatal 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.68737981Yes2No9MissingSysmissUrine sampleUrine sampleUrine sampleUrine sampleUrine sampleAs part of your prenatal 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.68737981Yes2No9MissingSysmissBlood sampleBlood sampleBlood sampleBlood sampleBlood sampleAs part of your prenatal 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.68737981Yes2No9MissingSysmissHas own immunization cardHas own immunization cardHas own immunization cardHas own immunization cardHas own immunization cardDo you have a prenatal clinic 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.70237831Yes (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 toxoid, 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 MN9.70237831Yes2No8DK9MissingSysmissDoses of tetanus toxoid during last pregnancyDoses of tetanus toxoid during last pregnancyDoses of tetanus toxoid during last pregnancyDoses of tetanus toxoid during last pregnancyDoses of tetanus toxoid during last pregnancyHow 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 MN9.5233962123458DK9MissingSysmissAny 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 MN10.45640291Yes2No8DK9MissingSysmissDoses of tetanus toxoid before last pregnancyDoses of tetanus toxoid before last pregnancyDoses of tetanus toxoid before last pregnancyDoses of tetanus toxoid before last pregnancyDoses of tetanus toxoid before last pregnancyHow 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'.24242431234577+8DK9MissingSysmissYears 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 00.20842771234567891011131999MissingSysmissTook 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 malaria44851Yes2No8DK9MissingSysmissMedicines 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 / Fansidar?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: Chloroquine?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: Other?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: DK?MissingZDKTimes took SP / FansidarTimes took SP / FansidarTimes took SP / FansidarTimes took SP / FansidarTimes took SP / Fansidar448598DK99MissingSysmissAssistance 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'.319?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'.506?MissingBNurse / MidwifeAssistance at delivery: Auxiliary midwifeAssistance at delivery: Auxiliary midwifeAssistance at delivery: Auxiliary midwifeAssistance at delivery: Auxiliary midwifeAssistance at delivery: Auxiliary 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'.16?MissingCElementary midwife/NurseAssistance 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'.13?MissingFTraditional birth attendantAssistance at delivery: Community health workerAssistance at delivery: Community health workerAssistance at delivery: Community health workerAssistance at delivery: Community health workerAssistance at delivery: Community 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'.2?MissingGVillage health workerAssistance 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'.26?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'.12?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'.3?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.702378311Respondent's home12Other home21Government hospital22Commune health centre24Sectoral Hospital (Army, Police...)25Poly clinlic26Other public31Private hospital32Private clinic33Private maternity home36Other private medical96Other99MissingSysmissDelivery by caesarean sectionDelivery by caesarean sectionDelivery by caesarean sectionDelivery by caesarean sectionDelivery by caesarean sectionWas (name) delivered by caesarean section? (That is, did they cut your belly open to take the baby out?)A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal.65138341Yes2No9MissingSysmissSize 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.70237831Very 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 MN23.70237831Yes2No8DK9MissingSysmissWeight 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.68038051Card2Recall9MissingSysmissWeight 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.68038051.3199.989.998DK9.999MissingMenstrual 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.70237831Yes2No9MissingSysmissEver 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.70237831Yes2No9MissingSysmissTime baby put to breast (unit)Time baby put to breast (unit)Time baby put to breast (unit)Time baby put to breast (unit)Time baby put to breast (unit)How long after birth did you first put (name) to the breast?If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.6523833Immediately1Hours2Days9SpecialSysmissTime baby put to breast (number)Time baby put to breast (number)Time baby put to breast (number)Time baby put to breast (number)Time baby put to breast (number)How long after birth did you first put (name) to the breast?If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.652383312345678910146098DK99MissingSysmissWithin first 3 days after delivery, child given anything to drink other than breast milkWithin first 3 days after delivery, child given anything to drink other than breast milkWithin first 3 days after delivery, child given anything to drink other than breast milkWithin first 3 days after delivery, child given anything to drink other than breast milkWithin first 3 days after delivery, child 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.65238331Yes2No9MissingSysmissChild 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'.32?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'.25?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'.8?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'.13?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'.?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'.?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'.81?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'.5?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'.2?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'.10?MissingXOtherDuration of staying in the health facility (unit)Duration of staying in the health facility (unit)Duration of staying in the health facility (unit)Duration of staying in the health facility (unit)Duration of staying in the health facility (unit)Now I would like to ask you some questions about what happened in the hours and days after the birth of (name).
You have said that you gave birth in (name or type of facility in mn18). how long did you stay there after the delivery?If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.65138341Hours2Days3Weeks9SpecialSysmissDuration of staying in the health facility (number)Duration of staying in the health facility (number)Duration of staying in the health facility (number)Duration of staying in the health facility (number)Duration of staying in the health facility (number)Now I would like to ask you some questions about what happened in the hours and days after the birth of (name).
You have said that you gave birth in (name or type of facility in mn18). how long did you stay there after the delivery?If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.651383412345678910121598DK99MissingSysmissBaby's health checked before leaving health facilityBaby's health checked before leaving health facilityBaby's health checked before leaving health facilityBaby's health checked before leaving health facilityBaby's health checked before leaving health facilityI would like to talk to you about checks on (name)’s health after delivery – for example, someone examining (name), checking the cord, or seeing if (name) is ok.
Before you left the (name or type of facility in mn18), did anyone check on (name)’s health?65138341Yes2No9MissingSysmissMother's health checked before leaving health facilityMother's health checked before leaving health facilityMother's health checked before leaving health facilityMother's health checked before leaving health facilityMother's health checked before leaving health facilityAnd what about checks on your health – I mean, someone assessing your health, for example asking questions about your health or examining you.
Did anyone check on your health before you left (name or type or facility in MN18)?65138341Yes2No9MissingSysmissBaby's health checked after leaving health facilityBaby's health checked after leaving health facilityBaby's health checked after leaving health facilityBaby's health checked after leaving health facilityBaby's health checked after leaving health facilityNow I would like to talk to you about what happened after you gave birth at (name or type of facility in MN18).
Did anyone check on (name)’s health after you left (name or type of facility in MN18)?65138341Yes2No9MissingSysmissBaby checked after the delivery was overBaby checked after the delivery was overBaby checked after the delivery was overBaby checked after the delivery was overBaby checked after the delivery was overYou have already said that (person or persons in MN17) assisted with the birth.Now I would like to talk to you about checks on (name)’s health after delivery, for example examining (name), checking the cord, or seeing if (name) is ok.
After the delivery was over and before (person or persons in MN17) left you, did (person or persons in MN17) check on (name)’s health?4044451Yes2No9MissingSysmissMother checked after the delivery was overMother checked after the delivery was overMother checked after the delivery was overMother checked after the delivery was overMother checked after the delivery was overAnd did (person or persons in MN17) check on your health before leaving?
By check on your health, I mean assessing your health, for example asking questions about your health or examining you.4044451Yes2No9MissingSysmissAdditional baby check after the deliveryAdditional baby check after the deliveryAdditional baby check after the deliveryAdditional baby check after the deliveryAdditional baby check after the deliveryAfter the (person or persons in mn17) left you, did anyone check on the health of (name)?4044451Yes2No9MissingSysmissBaby checked after the deliveryBaby checked after the deliveryBaby checked after the deliveryBaby checked after the deliveryBaby checked after the deliveryI would like to talk to you about checks on (name)’s health after delivery – for example, someone examining (name), checking the cord, or seeing if the baby is ok.
After (name) was delivered, did anyone check on his/her health?1144741Yes2No9MissingSysmissNumber of times baby was checkedNumber of times baby was checkedNumber of times baby was checkedNumber of times baby was checkedNumber of times baby was checkedDid such a check happen only once, or more than once?40840771Once2More than once9MissingSysmissHow long after delivery did the first check of baby happen (unit)How long after delivery did the first check of baby happen (unit)How long after delivery did the first check of baby happen (unit)How long after delivery did the first check of baby happen (unit)How long after delivery did the first check of baby happen (unit)How long after delivery did the first of these checks happen?If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.40840771Hours2Days3Weeks9SpecialSysmissHow long after delivery did the first check of baby happen (number)How long after delivery did the first check of baby happen (number)How long after delivery did the first check of baby happen (number)How long after delivery did the first check of baby happen (number)How long after delivery did the first check of baby happen (number)How long after delivery did the first of these checks happen?If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.408407712345678121598DK99MissingSysmissPerson checking on baby's health: DoctorPerson checking on baby's health: DoctorPerson checking on baby's health: DoctorPerson checking on baby's health: DoctorPerson checking on baby's health: DoctorWho checked on (name)'s health at that time?207?MissingADoctorPerson checking on baby's health: Nurse / MidwifePerson checking on baby's health: Nurse / MidwifePerson checking on baby's health: Nurse / MidwifePerson checking on baby's health: Nurse / MidwifePerson checking on baby's health: Nurse / MidwifeWho checked on (name)'s health at that time?212?MissingBNurse / MidwifePerson checking on baby's health: Auxiliary midwifePerson checking on baby's health: Auxiliary midwifePerson checking on baby's health: Auxiliary midwifePerson checking on baby's health: Auxiliary midwifePerson checking on baby's health: Auxiliary midwifeWho checked on (name)'s health at that time?5?MissingCAuxiliary midwifePerson checking on baby's health: Traditional birth attendantPerson checking on baby's health: Traditional birth attendantPerson checking on baby's health: Traditional birth attendantPerson checking on baby's health: Traditional birth attendantPerson checking on baby's health: Traditional birth attendantWho checked on (name)'s health at that time?6?MissingFTraditional birth attendantPerson checking on baby's health: Community health workerPerson checking on baby's health: Community health workerPerson checking on baby's health: Community health workerPerson checking on baby's health: Community health workerPerson checking on baby's health: Community health workerWho checked on (name)'s health at that time?9?MissingGCommunity health workerPerson checking on baby's health: Relative / FriendPerson checking on baby's health: Relative / FriendPerson checking on baby's health: Relative / FriendPerson checking on baby's health: Relative / FriendPerson checking on baby's health: Relative / FriendWho checked on (name)'s health at that time?3HPerson checking on baby's health: OtherPerson checking on baby's health: OtherPerson checking on baby's health: OtherPerson checking on baby's health: OtherPerson checking on baby's health: OtherWho checked on (name)'s health at that time?11?MissingXOtherPlace where baby's health was checkedPlace where baby's health was checkedPlace where baby's health was checkedPlace where baby's health was checkedPlace where baby's health was checkedWhere did this check take place?Probe to identify the type of source.
Write the name of the place below.
(name of place)408407711Respondent's home12Other home21Government hospital22Government clinic / health centre23Government health post26Other public31Private hospital32Private clinic33Private maternity home36Other private medical96Other99MissingSysmissMother's health checked after leaving health facilityMother's health checked after leaving health facilityMother's health checked after leaving health facilityMother's health checked after leaving health facilityMother's health checked after leaving health facilityAfter you left (name or type of facility in MN18), did anyone check on your health?65138341Yes2No9MissingSysmissMother's health checked after the delivery was overMother's health checked after the delivery was overMother's health checked after the delivery was overMother's health checked after the delivery was overMother's health checked after the delivery was overAfter the delivery was over and (person or persons in MN17) left, did anyone check on your health?3544501Yes2No9MissingSysmissMother's health checked after the birth of the babyMother's health checked after the birth of the babyMother's health checked after the birth of the babyMother's health checked after the birth of the babyMother's health checked after the birth of the babyAfter the birth of (name), did anyone check on your health?
I mean someone assessing your health, for example asking questions about your health or examining you.1644691Yes2No9MissingSysmissNumber of times mother's health was checked after the birthNumber of times mother's health was checked after the birthNumber of times mother's health was checked after the birthNumber of times mother's health was checked after the birthNumber of times mother's health was checked after the birthDid such a check happen only once, or more than once?25442311Once2More than once9MissingSysmissHow long after delivery did the first check of mother happen (unit)How long after delivery did the first check of mother happen (unit)How long after delivery did the first check of mother happen (unit)How long after delivery did the first check of mother happen (unit)How long after delivery did the first check of mother happen (unit)25442311Hours2Days3Weeks9SpecialSysmissHow long after delivery did the first check of mother happen (number)How long after delivery did the first check of mother happen (number)How long after delivery did the first check of mother happen (number)How long after delivery did the first check of mother happen (number)How long after delivery did the first check of mother happen (number)254423112345682198DK99MissingSysmissPerson checking on mother's health: DoctorPerson checking on mother's health: DoctorPerson checking on mother's health: DoctorPerson checking on mother's health: DoctorPerson checking on mother's health: Doctor130?MissingADoctorPerson checking on mother's health: Nurse / MidwifePerson checking on mother's health: Nurse / MidwifePerson checking on mother's health: Nurse / MidwifePerson checking on mother's health: Nurse / MidwifePerson checking on mother's health: Nurse / Midwife134?MissingBNurse / MidwifePerson checking on mother's health: Auxiliary midwifePerson checking on mother's health: Auxiliary midwifePerson checking on mother's health: Auxiliary midwifePerson checking on mother's health: Auxiliary midwifePerson checking on mother's health: Auxiliary midwife3?MissingCAuxiliary midwifePerson checking on mother's health: Traditional birth attendantPerson checking on mother's health: Traditional birth attendantPerson checking on mother's health: Traditional birth attendantPerson checking on mother's health: Traditional birth attendantPerson checking on mother's health: Traditional birth attendant6?MissingFTraditional birth attendantPerson checking on mother's health: Community health workerPerson checking on mother's health: Community health workerPerson checking on mother's health: Community health workerPerson checking on mother's health: Community health workerPerson checking on mother's health: Community health worker7?MissingGCommunity health workerPerson checking on mother's health: Relative / FriendPerson checking on mother's health: Relative / FriendPerson checking on mother's health: Relative / FriendPerson checking on mother's health: Relative / FriendPerson checking on mother's health: Relative / Friend6HPerson checking on mother's health: OtherPerson checking on mother's health: OtherPerson checking on mother's health: OtherPerson checking on mother's health: OtherPerson checking on mother's health: Other?MissingXOtherPlace where mother's health was checkedPlace where mother's health was checkedPlace where mother's health was checkedPlace where mother's health was checkedPlace where mother's health was checked254423111Respondent's home12Other home21Government hospital22Government clinic / health centre23Government health post26Other public31Private hospital32Private clinic33Private maternity home36Other private medical96Other99MissingSysmissSymptoms: 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).61?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).221?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).1024?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).189?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).291?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).93?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).59?MissingGChild is drinking poorlySymptoms: Child has diarrheaSymptoms: Child has diarrheaSymptoms: Child has diarrheaSymptoms: Child has diarrheaSymptoms: Child has diarrheaSometimes 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).663?MissingHChild is vomitingSymptoms: Child has vomitingSymptoms: Child has vomitingSymptoms: Child has vomitingSymptoms: Child has vomitingSymptoms: Child has vomitingSometimes 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).668?MissingIChild chokedSymptoms: 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).320?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).53?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).41?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'.40963891Yes, 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 pregnancySome peopleuse 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.38586271Yes2No9MissingSysmissCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationCurrent method: Female sterilizationWhich method are you using?
Female sterilization (tie-off)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.570?MissingAFemale sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationCurrent method: Male sterilizationWhich method are you using?
Male sterilization (vasectomy)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?MissingBMale sterilizationCurrent method: IUDCurrent method: IUDCurrent method: IUDCurrent method: IUDCurrent method: IUDWhich method are you using?
IUD/CoilCircle 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.39?MissingCIUDCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesCurrent method: InjectablesWhich method are you using?
InjectionsCircle 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.303?MissingDInjectablesCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsCurrent method: ImplantsWhich method are you using?
ImplantsCircle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.3?MissingEImplantsCurrent method: PillCurrent method: PillCurrent method: PillCurrent method: PillCurrent method: PillWhich method are you using?
PillCircle 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.372?MissingFPillCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomCurrent method: Male condomWhich method are you using?
Male CondomCircle 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.245?MissingGMale condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomCurrent method: Female condomWhich method are you using?
Female CondomCircle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.18?MissingHFemale condomCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmCurrent method: DiaphragmWhich method are you using?
DiaphragmCircle 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?MissingIDiaphragmCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyCurrent method: Foam / JellyWhich method are you using?
Foam, JellyCircle 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.?MissingJFoam / JellyCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodCurrent method: Lactational amenorrhoea methodWhich method are you using?
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.8?MissingKLactational amenorrhoea method (LAM)Current method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmCurrent method: Periodic abstinence / RhythmWhich method are you using?
Periodic abstinence/Rhythm/CalendarCircle 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.70?MissingLPeriodic abstinence / RhythmCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalCurrent method: WithdrawalWhich method are you using?
WithdrawalCircle 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.30?MissingMWithdrawalCurrent method: OtherCurrent method: OtherCurrent method: OtherCurrent method: OtherCurrent method: OtherWhich method are you using?
Other (specify)Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.12?MissingXOtherWanted to get pregnant at the timeWanted to get pregnant at the timeWanted to get pregnant at the timeWanted to get pregnant at the timeWanted to get pregnant at the timeNow I would like to talk to you about your current pregnancy. When you got pregnant, did you want to get pregnant at that time?Circle the code corresponding to the answer given. Skip to UN4 if 'Yes'. Otherwise, continue to the next question.23842471Yes2No9MissingSysmissWanted baby later or did not want more childrenWanted baby later or did not want more childrenWanted baby later or did not want more childrenWanted baby later or did not want more childrenWanted baby later or did not want more childrenDid you want to have a baby later on or is it that you did not want any (more) children?Circle the code corresponding to the answer given.9843871Later2No more9MissingSysmissWould like to have another child (currently pregnant)Would like to have another child (currently pregnant)Would like to have another child (currently pregnant)Would like to have another child (currently pregnant)Would like to have another child (currently pregnant)Now I would like to ask some questions about the future. After the child you are now expecting, would you like to have another child, or would you prefer not to have any more children?Note that we want to make sure that pregnant women do not think that we are asking them if they want the child they are pregnant with now. Circle the code corresponding to the response given. If the woman wants to have another child, you should circle '1' and continue with UN7. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN13. If she is undecided or does not know, circle '8' and skip to UN13.23842471Have another child2No more / None8Undecided / Don't know9MissingSysmissWould like to have another child (not currently pregnant)Would like to have another child (not currently pregnant)Would like to have another child (not currently pregnant)Would like to have another child (not currently pregnant)Would like to have another child (not currently pregnant)Now I would like to ask you some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children?Circle the code corresponding to the response given. If the woman wants to have a/another child, you should circle '1'. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN9. If she says she cannot get pregnant, circle '3' and skip to UN11. If she is undecided or does not know, circle '8' and skip to UN9.328811971Have (a/another) child2No more / None3Says she cannot get pregnant8Undecided / Don't know9MissingSysmissDesired waiting time (unit)Desired waiting time (unit)Desired waiting time (unit)Desired waiting time (unit)Desired waiting time (unit)How long would you like to wait before the birth of (a/another) child?Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child.
Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11.148829971Months2Years9SpecialSysmissDesired waiting time (number)Desired waiting time (number)Desired waiting time (number)Desired waiting time (number)Desired waiting time (number)How long would you like to wait before the birth of (a/another) child?Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child.
Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11.148829979893Soon / Now94Says she cannot get pregnant95After marriage96Other98Don't know99MissingAble to get pregnantAble to get pregnantAble to get pregnantAble to get pregnantAble to get pregnantDo you think you are physically able to get pregnant at this time?A woman who believes that she is incapable of becoming pregnant cannot be considered to have 'unmet need' for contraception. This question aims to learn whether the woman thinks she can conceive a child. Circle the code corresponding to the response given.
Make sure that the woman does not relate her current physical ability to get pregnant with her current marital status. It is important to emphasize to the woman, if necessary, that we are interested in her current physical ability - she may be physically able to get pregnant, but may think that this is not possible because she currently does not have a partner. In such cases, the woman should obviously be coded as 'Yes'.214523401Yes2No8DK9MissingSysmissReason: Infrequent sex / No sexReason: Infrequent sex / No sexReason: Infrequent sex / No sexReason: Infrequent sex / No sexReason: Infrequent sex / No sexWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.240?MissingAInfrequent sex / No sexReason: MenopausalReason: MenopausalReason: MenopausalReason: MenopausalReason: MenopausalWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.49?MissingBMenopausalReason: Never menstruatedReason: Never menstruatedReason: Never menstruatedReason: Never menstruatedReason: Never menstruatedWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.13?MissingCNever menstruatedReason: HysterectomyReason: HysterectomyReason: HysterectomyReason: HysterectomyReason: HysterectomyWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.67?MissingDHysterectomyReason: Trying to get pregnant for 2 years without resultReason: Trying to get pregnant for 2 years without resultReason: Trying to get pregnant for 2 years without resultReason: Trying to get pregnant for 2 years without resultReason: Trying to get pregnant for 2 years without resultWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.40?MissingETrying to get pregnant for 2 years without resultReason: Postpartum amenorrheicReason: Postpartum amenorrheicReason: Postpartum amenorrheicReason: Postpartum amenorrheicReason: Postpartum amenorrheicWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.6?MissingFPostpartum amenorrheicReason: BreastfeedingReason: BreastfeedingReason: BreastfeedingReason: BreastfeedingReason: BreastfeedingWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.21?MissingGBreastfeedingReason: Too oldReason: Too oldReason: Too oldReason: Too oldReason: Too oldWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.49?MissingHToo oldReason: FatalisticReason: FatalisticReason: FatalisticReason: FatalisticReason: FatalisticWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.23?MissingIFatalisticReason: OtherReason: OtherReason: OtherReason: OtherReason: OtherWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.75?MissingXOtherReason: Don't knowReason: Don't knowReason: Don't knowReason: Don't knowReason: Don't knowWhy do you think you are not physically able to get pregnant?If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.32?MissingZDon't knowStart of last menstrual period (unit)Start of last menstrual period (unit)Start of last menstrual period (unit)Start of last menstrual period (unit)Start of last menstrual period (unit)When did your last menstrual period start?The answers to this question will help to determine whether any of the respondents are actually
menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces.
In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date.
If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'.40834021Days ago2Weeks ago3Months ago4Years ago9SpecialSysmissStart of last menstrual period (number)Start of last menstrual period (number)Start of last menstrual period (number)Start of last menstrual period (number)Start of last menstrual period (number)When did your last menstrual period start?The answers to this question will help to determine whether any of the respondents are actually
menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces.
In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date.
If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'.40834021234567891011121316222394In menopause/had hysterectomy95Before last birth96Never menstruated99MissingSysmissIf she goes out with out telling husband: wife beating justifiedIf she goes out with out telling husband: wife beating justifiedIf she goes out with out telling husband: wife beating justifiedIf she goes out with out telling husband: wife beating justifiedIf she goes out with out telling 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 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.40963891Yes2No8DK9MissingSysmissIf 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.40963891Yes2No8DK9MissingSysmissIf 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 quarrels 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.40963891Yes2No8DK9MissingSysmissIf 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.40963891Yes2No8DK9MissingSysmissIf 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.40963891Yes2No8DK9MissingSysmissIf she has sex with another man: wife beating justifiedIf she has sex with another man: wife beating justifiedIf she has sex with another man: wife beating justifiedIf she has sex with another man: wife beating justifiedIf she has sex with another man: 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 has sex with another man?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.40963891Yes2No8DK9MissingSysmissif she wasts money: wife beating justifiedif she wasts money: wife beating justifiedif she wasts money: wife beating justifiedif she wasts money: wife beating justifiedif she wasts money: 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 wastes the money?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.40963891Yes2No38DK9MissingSysmissCurrently married or living with a manCurrently married or living with a manCurrently married or living with a manCurrently married or living with a manCurrently married or living with a manAre you currently married or living with a man as if married?The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5.40963891Yes, currently married2Yes, living with a man3No, not in unionSysmissAge of husband/partnerAge of husband/partnerAge of husband/partnerAge of husband/partnerAge of husband/partnerHow old is your current husband/partner?Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'.23942091159998DK99MissingHusband/partner has other wivesHusband/partner has other wivesHusband/partner has other wivesHusband/partner has other wivesHusband/partner has other wivesBesides yourself, does your husband/partner have any other wives or partners or does he live with other women as if married?In this question, we are interested in the wives and/or live-in partners that the respondent's husband/partner has. Circle the code corresponding to the answer given. If 'No', skip to MA7.239420911Yes2No9MissingSysmissNumber of other wivesNumber of other wivesNumber of other wivesNumber of other wivesNumber of other wivesHow many other wives or partners does he have?Similar to the previous question, we are interested here in the number of wives and/or live-in partners the respondent's husband has. Enter the number of other wives in the space provided. Use leading zeros if necessary. For all answers, skip to MA7.79440612351598DK99MissingSysmissEver married or lived with a manEver married or lived with a manEver married or lived with a manEver married or lived with a manEver married or lived with a manHave you ever been married or lived together with a man as if married?For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions.
Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'.
If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6.170227831Yes, formerly married2Yes, formerly lived with a man3No9MissingSysmissMarital 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.48340021Widowed2Divorced3Separated9SysmissMarried or lived with a man once or more than onceMarried or lived with a man once or more than onceMarried or lived with a man once or more than onceMarried or lived with a man once or more than onceMarried or lived with a man once or more than onceHave you been married or lived with a man only once or more than once?As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.'
Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person.287716081Only once2More than once9MissingSysmissMonth of first unionMonth of first unionMonth of first unionMonth of first unionMonth of first unionIn what month and year did you first marry or start living with a man as if married?If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.2877160812345678910111297Inconsistent98DK99MissingSysmissYear of first unionYear of first unionYear of first unionYear of first unionYear of first unionIn what month and year did you first marry or start living with a man as if married?If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.28771608197599999997Inconsistent9998DK9999MissingAge at first unionAge at first unionAge at first unionAge at first unionAge at first unionHow old were you when you started living with your first husband/partner?As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank.7193766109997Inconsistent99MissingAge at first sexual intercourseAge at first sexual intercourseAge at first sexual intercourseAge at first sexual intercourseAge at first sexual intercourseNow, I would like to ask you some questions about sexual activity in order to gain a better understanding of some important life issues.
The information you supply will remain strictly confidential.
How old were you when you had sexual intercourse for the very first time?It is very important that you read the first sentence, and to emphasize to the respondent that her responses will remain strictly confidential. If necessary, explain to her once again that the information she shares with you will only be used for statistical purposes; that her name will never be revealed; and her responses will not be shared with others in the community or elsewhere.
The age we are asking about is the age of the respondent the very first time she had sexual intercourse. It does not matter whether the woman continued to have a relationship with this person. We are not asking about the first time with her current partner, but rather, the first experience of sexual intercourse in her entire life.
If the response is 'Never had intercourse', circle '00' and skip to the next module. Otherwise, enter the age in years on the line provided. If she was less than 10 years old, use a zero to fill in the first space.
If the respondent tells you that her first time was when she started living with her first husband, record her response by circling '95'. You will have collected this information in the Marriage/Union module. If the respondent says that her first time was with her first husband, but it was before they began living together, probe for the respondent's age at the time.
If the respondent says she does not know how old she was when she first had intercourse, probe by relating it to how old she was when she first married or had her first child. However, when doing this probing, be certain not to assume that the first time she had sex was at the time of her first marriage. If she has never married and/or never had children, you can probe by relating the timing of the first intercourse to whether she was going to school at the time, or to places that she might have lived. The respondent should feel comfortable in taking her time to think about her response to remember correctly.409638998Never had intercourse95First time when started living with partner97Inconsistent99MissingCondom used during first sexual intercourseCondom used during first sexual intercourseCondom used during first sexual intercourseCondom used during first sexual intercourseCondom used during first sexual intercourseThe first time you had sexual intercourse, was a condom used?If used correctly, condoms can reduce the risk of transmission of AIDS and other sexually transmitted infections. We do not mention this fact to the respondent, because we do not want to influence her answer here. In this question we are referring to the first occasion the respondent had sexual intercourse.
Circle the code for the response given.332211631Yes2No8DK / Don't remember9MissingSysmissTime since last sexual intercourse (unit)Time since last sexual intercourse (unit)Time since last sexual intercourse (unit)Time since last sexual intercourse (unit)Time since last sexual intercourse (unit)When was the last time you had sexual intercourse?By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse.
In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago.
If 12 months or more the answer must be recorded in years.
If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13.
While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?"
If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time.332211631Days ago2Weeks ago3Months ago4Year ago9SpecialSysmissTime since last sexual intercourse (number)Time since last sexual intercourse (number)Time since last sexual intercourse (number)Time since last sexual intercourse (number)Time since last sexual intercourse (number)When was the last time you had sexual intercourse?By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse.
In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago.
If 12 months or more the answer must be recorded in years.
If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13.
While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?"
If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time.33221163123456789101112131415171819202297Inconsistent9899MissingSysmissCondom used at last sexual intercourseCondom used at last sexual intercourseCondom used at last sexual intercourseCondom used at last sexual intercourseCondom used at last sexual intercourseThe last time you had sexual intrecourse, was a condom used?In this question, this time, we are referring only to the last occasion the respondent had sexual intercourse.
Circle the code for the response given.300714781Yes2No89MissingSysmissRelationship to last sexual partnerRelationship to last sexual partnerRelationship to last sexual partnerRelationship to last sexual partnerRelationship to last sexual partnerWhat was your relationship to this person with whom you last had sexual intercourse?Probe to ensure that the response refers to the relationship at the time of sexual intercourse. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB7.
Note that we are interested in the relationship of the woman with the person mentioned at the time they last engaged in sexual intercourse. For example, if a woman's last partner was a boyfriend she was living with at the time, you would record 'Cohabiting partner' even though they are no longer living together. They were living together at the time of the sexual encounter. Record the status of the relationship that existed at the time the two people last had sexual intercourse. It is most important to determine whether or not the sexual partner was someone the respondent was living with at the time they last had sexual intercourse.300714781Husband2Cohabiting partner3Boyfriend4Casual acquaintance6Other9MissingSysmissAge of last sexual partnerAge of last sexual partnerAge of last sexual partnerAge of last sexual partnerAge of last sexual partnerHow old is this person?Sometimes young women have sexual partners who are significantly older than they are; this can put them at higher risk of HIV infection. In this question we ask young women to tell us the age of their sexual partners.
Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question.6973788159998DK99MissingSex with any other man in the last 12 monthSex with any other man in the last 12 monthSex with any other man in the last 12 monthSex with any other man in the last 12 monthSex with any other man in the last 12 monthHave you had sexual intercourse with any other person in the last 12 months?We are interested in finding out whether the respondent had sexual intercourse with anyone else within the past 12 months. We want the respondent to take their time in answering because we are asking about a fairly long period of time - the entire year preceding the date of interview. Continue to the next question if 'Yes'. If 'No', skip to SB15.300714781Yes2No9MissingSysmissCondom used with prior sexual partnerCondom used with prior sexual partnerCondom used with prior sexual partnerCondom used with prior sexual partnerCondom used with prior sexual partnerThe last time you had sexual intercourse with this other person, was a condom used?This question asks about condom use with 'this other person'. This is the person she had intercourse with during the last 12 months, but not the person she had her last intercourse with.
Circle the code for the response given.7844071Yes2No9MissingSysmissRelationship to prior sexual partnerRelationship to prior sexual partnerRelationship to prior sexual partnerRelationship to prior sexual partnerRelationship to prior sexual partnerWhat was your relationship to this person?This question asks about the relationship she had with this other person. It should refer to the relationship she had with the person at the time of intercourse.
The questions should be asked, probed and recorded the same way as SB5. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB12.7844071Husband2Cohabiting partner3Boyfriend4Casual acquaintance6Other9MissingSysmissAge of prior sexual partnerAge of prior sexual partnerAge of prior sexual partnerAge of prior sexual partnerAge of prior sexual partnerHow old is this person?Again, we are looking for the age of the person she had sexual intercourse with at the time of the sexual encounter.
Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the sexual partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question.664419179898DK99MissingSex with any other man in the last 12 monthsSex with any other man in the last 12 monthsSex with any other man in the last 12 monthsSex with any other man in the last 12 monthsSex with any other man in the last 12 monthsOther than these two persons, have you had sexual intercourse with any other person in the last 12 months?Circle the code corresponding to response given. Continue to the next question if the response if 'Yes'. If 'No', skip to SB15.7844071Yes2No9MissingSysmissNumber of sex partners in last 12 monthsNumber of sex partners in last 12 monthsNumber of sex partners in last 12 monthsNumber of sex partners in last 12 monthsNumber of sex partners in last 12 monthsIn total, with how many different people have you had sexual intercourse in the last 12 months?This is the total number of different partners the respondent has had sexual intercourse with in the last 12 months, including the ones already mentioned.
Enter the total in the space provided. If her response is less than 10, use a leading zero. Since this question is asked only if the respondent has had sexual intercourse with at least three partners in the last 12 months, the answer should never be '00', '01' or '02'.1744682345681299MissingSysmissNumber of sex partners in lifetimeNumber of sex partners in lifetimeNumber of sex partners in lifetimeNumber of sex partners in lifetimeNumber of sex partners in lifetimeIn total, with how many different people have you had sexual intercourse in your lifetime?This is the total number of different partners the respondent has had sexual intercourse in her lifetime.
Enter the total in the space provided. If her response is less than 10, use a leading zero. If a non-numeric answer is given, probe to get an estimate. If number of partners is 95 or more, write '95'.3322116319998DK99MissingEver 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 HIV/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.40963891Yes2No9MissingSysmissCan avoid AIDS virus by having one uninfected partnerCan avoid AIDS virus by having one uninfected partnerCan avoid AIDS virus by having one uninfected partnerCan avoid AIDS virus by having one uninfected partnerCan avoid AIDS virus by having one uninfected partnerCan people reduce their chance of getting the HIV/AIDS virus by having just one uninfected sex partner who has no other sex partners?For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.38046811Yes2No8DK9MissingSysmissCan 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 obeah 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.38046811Yes2No8DK9MissingSysmissCan avoid AIDS virus by using a condom correctly every timeCan avoid AIDS virus by using a condom correctly every timeCan avoid AIDS virus by using a condom correctly every timeCan avoid AIDS virus by using a condom correctly every timeCan avoid AIDS virus by using a condom correctly every timeCan people reduce their chance of getting the HIV/AIDS virus by using a condom every time they have sex?For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.38046811Yes2No8DK9MissingSysmissCan 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 HIV/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.38046811Yes2No8DK9MissingSysmissCan get AIDS virus by sharing food with a person who has AIDSCan get AIDS virus by sharing food with a person who has AIDSCan get AIDS virus by sharing food with a person who has AIDSCan get AIDS virus by sharing food with a person who has AIDSCan get AIDS virus by sharing food with a person who has AIDSCan people get the HIV/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.38046811Yes2No8DK9MissingSysmissHealthy-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 HIV/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.38046811Yes2No8DK9MissingSysmissAIDS 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 HIV/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'.38046811Yes2No8DK9MissingSysmissAIDS 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 HIV/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'.38046811Yes2No8DK9MissingSysmissAIDS 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 HIV/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'.38046811Yes2No8DK9MissingSysmissShould female teacher with AIDS virus be allowed to teach in schoolShould female teacher with AIDS virus be allowed to teach in schoolShould female teacher with AIDS virus be allowed to teach in schoolShould female teacher with AIDS virus be allowed to teach in schoolShould female teacher with AIDS virus be allowed to teach in schoolIn your opinion, if a female teacher has the HIV/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?38046811Yes2No8DK / 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 HIV/AIDS virus?38046811Yes2No8DK / Not sure / Depends9MissingSysmissIf HH member became infected with AIDS virus, would want it to remain a secretIf HH member became infected with AIDS virus, would want it to remain a secretIf HH member became infected with AIDS virus, would want it to remain a secretIf HH member became infected with AIDS virus, would want it to remain a secretIf HH member became infected with AIDS virus, would want it to remain a secretIf a member of your family got infected with the HIV/AIDS virus, would you want it to remain a secret?38046811Yes2No8DK / 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 HIV/AIDS, would you be willing to care for him or her in your household?38046811Yes2No8DK / Not sure / Depends9MissingSysmissInformation about AIDS: Babies getting AIDS from motherInformation about AIDS: Babies getting AIDS from motherInformation about AIDS: Babies getting AIDS from motherInformation about AIDS: Babies getting AIDS from motherInformation about AIDS: Babies getting AIDS from motherDuring any of the prenatal visits for your pregnancy with (name), were you given any information about:
Babies getting the HIV/AIDS virus from their mother?We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.61838671Yes2No8DK9MissingSysmissInformation about AIDS: Things to do to prevent getting AIDSInformation about AIDS: Things to do to prevent getting AIDSInformation about AIDS: Things to do to prevent getting AIDSInformation about AIDS: Things to do to prevent getting AIDSInformation about AIDS: Things to do to prevent getting AIDSDuring any of the prenatal visits for your pregnancy with (name), were you given any information about:
Things that you can do to prevent geting the HIV/AIDS virus?We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.61838671Yes2No8DK9MissingSysmissInformation about AIDS: Getting tested for AIDSInformation about AIDS: Getting tested for AIDSInformation about AIDS: Getting tested for AIDSInformation about AIDS: Getting tested for AIDSInformation about AIDS: Getting tested for AIDSDuring any of the prenatal visits for your pregnancy with (name), were you given any information about:
Getting tested for the HIV/AIDS virus?We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.61838671Yes2No8DK9MissingSysmissInformation about AIDS: Offered a test for AIDSInformation about AIDS: Offered a test for AIDSInformation about AIDS: Offered a test for AIDSInformation about AIDS: Offered a test for AIDSInformation about AIDS: Offered a test for AIDSDuring any of the prenatal visits for your pregnancy with (name), were you:
Offered a test for the HIV/AIDS virus?We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.61838671Yes2No8DK9MissingSysmissTested for AIDS virus as part of antenatal careTested for AIDS virus as part of antenatal careTested for AIDS virus as part of antenatal careTested for AIDS virus as part of antenatal careTested for AIDS virus as part of antenatal careI don’t want to know the results, but were you tested for the AIDS virus as part of your prenatal care?Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA19.61838671Yes2No8DK9MissingSysmissReceived results from test during antenatal careReceived results from test during antenatal careReceived results from test during antenatal careReceived results from test during antenatal careReceived results from test during antenatal careI don’t want to know the results, but did you get the results of the test?Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA22.55739281Yes2No8DK9MissingSysmissReceived consultation after testing during antenatal careReceived consultation after testing during antenatal careReceived consultation after testing during antenatal careReceived consultation after testing during antenatal careReceived consultation after testing during antenatal careRegardless of the result, all women who are tested are supposed to receive counselling after getting test result.
After you were tested, did you receive counselling?Circle the code corresponding to the response.
All answers should skip to HA2252639591Yes2No8DK9MissingSysmissTested for AIDS virus during deliveryTested for AIDS virus during deliveryTested for AIDS virus during deliveryTested for AIDS virus during deliveryTested for AIDS virus during deliveryI don’t want to know the results, but were you tested for the HIV/AIDS virus between the time you went for delivery but before the baby was born?Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No', skip to HA24.5944261Yes2No9MissingSysmissReceived results from test during deliveryReceived results from test during deliveryReceived results from test during deliveryReceived results from test during deliveryReceived results from test during deliveryI don’t want to know the results, but did you get the results of the test?Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response.844771Yes2No9MissingSysmissTested for AIDS virus since test during pregnancyTested for AIDS virus since test during pregnancyTested for AIDS virus since test during pregnancyTested for AIDS virus since test during pregnancyTested for AIDS virus since test during pregnancyHave you been tested for the HIV/AIDS virus since that time you were tested during your pregnancy?Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'Yes', skip to HA25. If the answer is 'No', continue with HA23.56539201Yes2No9MissingSysmissMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusWhen was the most recent time you were tested for the HIV/AIDS virus?Circle the code corresponding to the response.
All answers should skip to next module.34341421Less than 12 months ago212-23 months ago32 or more years ago9MissingSysmissEver been tested for AIDS virusEver been tested for AIDS virusEver been tested for AIDS virusEver been tested for AIDS virusEver been tested for AIDS virusI don’t want to know the results, but have you ever been tested to see if you have the HIV/AIDS virus?Ask the respondent if she was tested for the HIV. Be clear to the respondent that you are not asking to know the results of the test. Circle the code for the response given. If her answer is 'No', skip to HA27.323912461Yes2No9MissingSysmissMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusMost recent time of testing for AIDS virusWhen was the most recent time you were tested?Circle the code corresponding to the response.215023351Less than 12 months ago212-23 months ago32 or more years ago9MissingSysmissReceived results of AIDS virus testReceived results of AIDS virus testReceived results of AIDS virus testReceived results of AIDS virus testReceived results of AIDS virus testI don’t want to know the results, but did you get the results of the test?Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or simply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the results of any test she may have undergone. Circle the code corresponding to her response.
All answers should skip to next module.215023351Yes2No8DK9MissingSysmissKnow a place to get AIDS virus testKnow a place to get AIDS virus testKnow a place to get AIDS virus testKnow a place to get AIDS virus testKnow a place to get AIDS virus testDo you know of a place where people can go to get tested for the HIV/AIDS virus?Circle the code corresponding to the response.131131741Yes2No9MissingSysmissEstimation of overall happinessEstimation of overall happinessEstimation of overall happinessEstimation of overall happinessEstimation of overall happinessI would like to ask you some simple questions on happiness and satisfaction.
First, taking all things together, would you say you are very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy or very unhappy?
You can also look at these pictures to help you with your response.Show side 1 of response card and explain what each symbol represents. Circle the response code pointed to by the respondent.158029051Very happy2Somewhat happy3Neither happy nor unhappy4Somewhat unhappy5Very unhappy9MissingSysmissSatisfaction with family lifeSatisfaction with family lifeSatisfaction with family lifeSatisfaction with family lifeSatisfaction with family lifeNow I will ask you questions about your level of satisfaction in different areas.
In each case, we have five possible responses: please tell me, for each question, whether you are very satisfied, somewhat satisfied, neither satisfied nor unsatisfied, somewhat unsatisfied or very unsatisfied.
Again, you can look at these pictures to help you with your response.
How satisfied are you with your family life?Showside 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13.158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with friendshipsSatisfaction with friendshipsSatisfaction with friendshipsSatisfaction with friendshipsSatisfaction with friendshipsHow satisfied are you with your friendships?158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSchool attendance during the current school yearSchool attendance during the current school yearSchool attendance during the current school yearSchool attendance during the current school yearSchool attendance during the current school yearDuring the current (2010-2011) school year, did you attend school at any time?158029051Yes2No9MissingSysmissSatisfaction with schoolSatisfaction with schoolSatisfaction with schoolSatisfaction with schoolSatisfaction with schoolHow satisfied are/were you with your school?60138841Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with current jobSatisfaction with current jobSatisfaction with current jobSatisfaction with current jobSatisfaction with current jobHow satisfied are you with your current job?If the respondent says that he/she does not have a job, circle “0” and continue with the next question. do not probe to find out how she feels about not having a job, unless she tells you herself.15802905Does not have a job1Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with healthSatisfaction with healthSatisfaction with healthSatisfaction with healthSatisfaction with healthHow satisfied are you with your health?158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with current residenceSatisfaction with current residenceSatisfaction with current residenceSatisfaction with current residenceSatisfaction with current residenceHow satisfied are you with where you live?If necessary, explain that the question refers to the living environment, including the neighbourhood and the dwelling.158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with treatment by other peopleSatisfaction with treatment by other peopleSatisfaction with treatment by other peopleSatisfaction with treatment by other peopleSatisfaction with treatment by other peopleHow satisfied are you with how people around you generally treat you?158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with appearanceSatisfaction with appearanceSatisfaction with appearanceSatisfaction with appearanceSatisfaction with appearanceHow satisfied are you with the way you look?158029051Very satisfied2Somewhat satisfied3Neither satisfied nor unsatisfied4Somewhat unsatisfied5Very unsatisfied9MissingSysmissSatisfaction with life overallSatisfaction with life overallSatisfaction with life overallSatisfaction with life overallSatisfaction with life overallHow satisfied are you with your life, overall?158029051Very happy2Somewhat happy3Neither happy nor unhappy4Somewhat unhappy5Very unhappy9SysmissSatisfaction with current incomeSatisfaction with current incomeSatisfaction with current incomeSatisfaction with current incomeSatisfaction with current incomeHow satisfied are you with your current income?If the respondent responds that he/she does not have any income, circle “0” and continue with the next question. Do not probe to find out how she feels about not having any income, unless she tells you herself.15792906Does not have any income1Very happy2Somewhat happy3Neither happy nor unhappy4Somewhat unhappy5Very unhappy9SysmissLife satisfaction in comparison with last yearLife satisfaction in comparison with last yearLife satisfaction in comparison with last yearLife satisfaction in comparison with last yearLife satisfaction in comparison with last yearCompared to this time last year, would you say that your life has improved, stayed more or less the same, or worsened, overall?157929061Improved2More or less the same3Worsened9SysmissLife satisfaction expectation one year from nowLife satisfaction expectation one year from nowLife satisfaction expectation one year from nowLife satisfaction expectation one year from nowLife satisfaction expectation one year from nowAnd in one year from now, do you expect that your life will be better, will be more or less the same, or will be worse, overall?157929061Better2More or less the same3Worse9SysmissAreaAreaAreaAreaAreaArea: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.44851Urban2RuralRegionRegionRegionRegionRegionCircle 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.44851Red River Delta2Northen Midlands and Mountain area3North Central and Central Coastal area4Central Highlands5South East6Mekong River Delta7Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)Date of interview women (CMC)4485133813391340Date 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)40963897401160982.148117.546AgeAgeAgeAgeAge4096389115-19220-24325-29430-34535-39640-44745-49SysmissDate of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)Date of marriage (CMC)2876160990913441178.011104.553Age at first marriage/unionAge at first marriage/unionAge at first marriage/unionAge at first marriage/unionAge at first marriage/union28761609104619.3724.493Date 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)2735175090613401178.875102.065Date 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)2735175093413401259.77970.992Marital/Union statusMarital/Union statusMarital/Union statusMarital/Union statusMarital/Union status40963891Currently married/in union2Formerly married/in union3Never married/in union9SysmissChildren ever bornChildren ever bornChildren ever bornChildren ever bornChildren ever born409638912345678910111213141617SysmissChildren survivingChildren survivingChildren survivingChildren survivingChildren surviving40963891234567891011121314151617SysmissChildren deadChildren deadChildren deadChildren deadChildren dead409638912346SysmissWealth index scoreWealth index scoreWealth index scoreWealth index scoreWealth index score4485-10.8112.2260.06690.907Wealth index quintilesWealth index quintilesWealth index quintilesWealth index quintilesWealth index quintiles44851Poorest2Second3Middle4Fourth5RichestEducationEducationEducationEducationEducation409638919None1Primary2Lower Secondary3Upper Secondary4Tertiary9Missing/DKEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household headEthnicity of household head44854096191Kinh2Non-Kinh9Missing/DKWomen's sample weightWomen's sample weightWomen's sample weightWomen's sample weightWomen's sample weight44851.8740.9130.446Primary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unitPrimary sampling unit4485119795.4457.541StrataStrataStrataStrataStrata4485117140.6220.336